Tuesday, August 20, 2019
A Small, Good Thing, by Raymond Carver Essay -- Raymond Carver
The short story, "A Small, Good Thing" by Raymond Carver tells of two American parents dealing with their son's hospitalization and death as the result of a hit-and-run car accident. The insensitive actions of their local baker add to their anger and confusion, yet by the end of the story, leave them with a sense of optimism and strength. With such content, Carver runs the risk of coming across as sentimental; however, this is not the case, and the anguish of the parents and their shock at the situation is expressed with dignity and understatement. It is a story with a broad appeal: the simple prose makes it accessible to a wide audience, while the complex themes and issues make it appealing to the educated reader. Written in Carver's characteristically minimalist style, the story poignantly evokes not only the trauma of the death of a child, but also the breakdown of communication and empathy in society. The plain and direct narrative style suits the content, conveying the lack of c ommunication that is central to the narrative - between the parents, between the hospital staff, and with the baker. Critically, it is generally considered one of Carver's strongest short stories. It is a tale of isolation and of grief, but also of hope, and, with its fluid, pared-down style, clearly demonstrates why Carver is widely regarded as one of the greatest writers of the late 20th century. On the surface, the story of A Small, Good Thing is simple and universal. Thirty-three-year-old Ann Weiss orders a cake for her son's Scotty's eighth birthday and is a little put off by the baker's cold attitude - "(he) was not jolly. There were no pleasantries between them, just the minimum exchange of words, the necessary information." However, she soo... ...- emotional yet not melodramatic; sparsely written yet still complex; a human story which explores the arbitrary nature of fate. The writing style is fresh and invigorating; the characters well-drawn, the narrative driving, the themes thought-provoking. While some readers are likely to be frustrated by the limited exposition and the abruptness of the actions, most could be expected to find it well worth their attention. A Small, Good Thing has become a minimalist classic, and a close reading should clearly demonstrate why Carver is regarded as one of the strongest short-story writers in recent times. Bibliography Clarke, Graham. "Investing the Glimpse: Raymond Carver and the Syntax of Silence." The New American Writing: Essays on American Literature Since 1970. Ed. Graham Clarke. New York: St. Martin's, 1990. 99-122. http://cai.ucdavis.edu/enl3/minimalism.htm
Monday, August 19, 2019
Essay --
Four methods to elevate your Facebook Ads with the 'Power Editor' Getting begun with Facebook Ads should be easy. Add a post to your Page's News Feed, select the "Boost Post" button and toss some money at your campaign. Or, if you want to advertise on the social networkââ¬â¢s sidebar, simply upload your preferred written text and picture. Facebook even has a system tool that can manage positioning bids for you. Unfortunately, these easy installation or setup steps -- which many advertisers never shift beyond ââ¬â hardly, provide easy facts of what's possible with Facebook Ads. For the best focusing and putting in bid choices, you need to start using the Power Editor plug-in. Here are four functions to check out once you've set up the plug-in in your account: 1. Focusing on Fan. According to analysis Company Webtrends, focusing fans only with Facebook ads can improve click-through by more than 700 %. There are the situations where you'd want to flourish your reach beyond present followers -- if, for example, you're trying to improve your variety of Web page "Likes." But in most situations, delivering posts to current fans that don't already see them due to the News Feed algorithms can generate some of the most powerful overall campaign outcomes. The only way to focus on your ads to existing visitors is through the Power Editor plug-in. Look for the choice under the "Audience" section of the Ad Creation Screen. Related: Facebook Is Making Life Simpler for Social Media Managers 2. Partner Categories. In April, Facebook released the "Partner Categories" feature depending on the data offered by the Datalogix, Epsilon, and Acxion data research organizations. Basically, these 500 categories signify multiple Facebook users that can be off... ...he Power Editor is its ability to make simpler most ad creation process. No matter what type of strategy you're operating, it's a wise decision to create several ad modifications in order to spilt test your results. Establishing up these variants using the self-serve ad tool or system can be extremely time-consuming, but the "Duplicate" button in the Power Editorââ¬â¢s Ad creation area makes strategy setup go much more efficiently. And while you're in there copying your ads and making the necessary changes to each edition for upcoming examining, take in the Saved Viewers you created. Mixed, these two feature tips can help you get your campaigns up and operating in the quickest period of time possible. Related: Facebook Gives Companies Free Access to Shutterstock Pictures for Ads. The author is an Entrepreneur contributor. The views indicated are those of the author. Essay -- Four methods to elevate your Facebook Ads with the 'Power Editor' Getting begun with Facebook Ads should be easy. Add a post to your Page's News Feed, select the "Boost Post" button and toss some money at your campaign. Or, if you want to advertise on the social networkââ¬â¢s sidebar, simply upload your preferred written text and picture. Facebook even has a system tool that can manage positioning bids for you. Unfortunately, these easy installation or setup steps -- which many advertisers never shift beyond ââ¬â hardly, provide easy facts of what's possible with Facebook Ads. For the best focusing and putting in bid choices, you need to start using the Power Editor plug-in. Here are four functions to check out once you've set up the plug-in in your account: 1. Focusing on Fan. According to analysis Company Webtrends, focusing fans only with Facebook ads can improve click-through by more than 700 %. There are the situations where you'd want to flourish your reach beyond present followers -- if, for example, you're trying to improve your variety of Web page "Likes." But in most situations, delivering posts to current fans that don't already see them due to the News Feed algorithms can generate some of the most powerful overall campaign outcomes. The only way to focus on your ads to existing visitors is through the Power Editor plug-in. Look for the choice under the "Audience" section of the Ad Creation Screen. Related: Facebook Is Making Life Simpler for Social Media Managers 2. Partner Categories. In April, Facebook released the "Partner Categories" feature depending on the data offered by the Datalogix, Epsilon, and Acxion data research organizations. Basically, these 500 categories signify multiple Facebook users that can be off... ...he Power Editor is its ability to make simpler most ad creation process. No matter what type of strategy you're operating, it's a wise decision to create several ad modifications in order to spilt test your results. Establishing up these variants using the self-serve ad tool or system can be extremely time-consuming, but the "Duplicate" button in the Power Editorââ¬â¢s Ad creation area makes strategy setup go much more efficiently. And while you're in there copying your ads and making the necessary changes to each edition for upcoming examining, take in the Saved Viewers you created. Mixed, these two feature tips can help you get your campaigns up and operating in the quickest period of time possible. Related: Facebook Gives Companies Free Access to Shutterstock Pictures for Ads. The author is an Entrepreneur contributor. The views indicated are those of the author.
Sunday, August 18, 2019
The language paper -- essays research papers
Language is one of the most powerful mediums in the human world, and not only can language be expressed through words, but also visually and musically. Language is everything from words that are spoken and the silence that lies between one phrase and the next. I find out odd how in our culture, we try to label things black and white. Itââ¬â¢s either this or itââ¬â¢s that, yet when thereââ¬â¢s something lacking in language, we try to assign colors to it instead of letting things be how they are. I have two types of mediums that I feel shows the idea that things are visually and audibly black and white, but itââ¬â¢s difficult to leave it at that. à à à à à The first medium I chose is in fact a color picture, but what makes it similar to a black and white picture is that thereââ¬â¢s mostly black in the picture. When my dad got the roll of film developed, I started looking through it and not even stopping to look closely at any pictures, but then I get to this one and I found myself just staring at it and looking for something that might not even be there. When I first glanced at it I just saw a person wearing black and their arm with her head not captured in the picture. When I looked at it again I saw myself in the background with a look of distress and sadness incorporated with the look of reality finally setting in. I think the reason that I didnââ¬â¢t quite look at myself in the background first was because Iââ¬â¢m positioned off center in the picture. I look carefully to see body language, since I canââ¬â¢t tell what words are being spoken, and I see that my hands are by my mouth, almost seeming like I want to hide my emotions from the world, but at the same time Iââ¬â¢m overwhelmed with the emotions that I feel that I canââ¬â¢t help but break down in silence. The second thing that my eyes seem to land on is the person to the right holding the other personââ¬â¢s hand. I somehow got a flash as to why I started crying again. Itââ¬â¢s not because it was a funeral and that my lifeless grandmotherââ¬â¢s body was right there in the open, but itââ¬â¢s that the person who is standing to the right of me (my aunt), is holding the otherââ¬â¢s persons hand (her aunt, my grandmotherââ¬â¢s sister). I remember taking one quick glance at her and just seeing my grandmother in front of me because of the close resemblance of the two. It was almost like a walking ghost was right in front of me. Thatââ¬â¢s when reality se... ... they have in front of them isnââ¬â¢t so bad. I guess this song is more directed to people who feel like theyââ¬â¢re outside of the box or that they donââ¬â¢t really belong. The song has this meaning that says to embrace their differences because it is what makes them unique and to stay true to themselves. à à à à à I feel that both genres that I chose were pretty much black and white, but for some odd reason, anytime I look and listen to both, I try to find deep hidden meanings from them. These meanings that I find might not even be there. The meanings I find might just be cultural influences that are programmed in my head. Maybe if someone from a different lifestyle or culture were to listen or hear these genres, they would get a different meaning from them, maybe something that I might have not even seen. I think as part of our society, we constantly try to look for hidden meanings or meanings that arenââ¬â¢t even there in something that is as simple as a black and white photo. No one could label something clearly black and white, nor can they determine the set meaning in a photo, song, advertisement, etc. because it all depends on the cultural background of the reader or l
Saturday, August 17, 2019
Fifth Business – Reaction to Adversities
Adversity is the most important factor in shaping character and/or identity. Assess the validity of this statement with reference to Fifth Business. Identity is individual characteristics by which a person is known or recognized. In Fifth Business, a characterââ¬â¢s reaction to adversity is the foundation to shaping identity. Others may not know what the adversity is but they observe the way a person is acting. The composure held in rough situations allows people to formulate opinions based on these reactions. This is shown through the challenges of dealing with guilt, trying to achieve being better than others and trying to escape their past identities. A main adversity faced in Fifth Business is guilt. The guilt that the characters Dunstan and Boy feel mainly revolve around the snowball incident with Mrs. Mary Dempster. Everybody had heard about the snowball incident however only Dunstan and Boy knew the truth about who threw the snowball. Although Dunstan was truly not at fault he felt responsible because the snowball was meant for him. His mother then began making him invest time into caring for the Dempsterââ¬â¢s and he did it without protest because he felt he need to make the situation right. ââ¬Å"We knew your Ma must have sent you. She couldnââ¬â¢t do anything publicly, of course, but she sent you to look after them. Everybody knew anââ¬â¢ honoured her for it. â⬠(p99) The people saw that his mother and his actions were honourable. As Dunstan ages, peopleââ¬â¢s perception of his dealings with Mary Dempster changes and his link to her makes him seem queer. Eventually even his mother was upset with Dunstanââ¬â¢s obsession with Mrs. Dempster. She was very upset that Dunstan would bring this woman into their home. ââ¬Å"What under Heaven had possessed [Dunstan] to turn to that woman, not only to their home but to the very beside of a boy who was dangerously ill? â⬠(p55) Then, Dunstan had ââ¬Å"insisted that Willie had indeed died. No pulse; no breathing. â⬠(p. 55) He had expressed how he felt about Willieââ¬â¢s ââ¬Å"deathâ⬠and was disregarded by people telling him to let it go. Dr.à McClausland says to Dunstan ââ¬Å"I think you may safely leave it to me to say when peopled are dead, Dunny. â⬠(p55) Milo Papple even says ââ¬Å"Do you remember when you said that Mrs. Dempster raised Willie from the dead? God, you used to be a crazy kidâ⬠¦ ââ¬Å" (p99) He continued on to find 2 more miracles by Mary Dempster. This revelation guided him to begin studying saints and in turn his reputation was jeopardized. ââ¬Å"Itââ¬â¢s this saint business of yours. Of course your books are splendid. But if you were a father would you want to send your son a school headed by an authority on saints? (p187) That is what Boy had said to Dunstan regarding why he was being let go from being Headmaster. Alternatively, Boyââ¬â¢s key role in making Mrs. Dempster simple forced a different reaction from him. Boy as a kid chose to ignore the fact that it was his fault. Dunstan views him as a coward and ruthless. ââ¬Å"I knew that he was afraid, and I knew also that he would fight, lie, do anything rather than admit what I knew. â⬠(p17) He spends so much energy on pushing the situation out of his mind that by the time he is older, he has no recollection of her all together. [Dunstan] could hardly believe he spoke the truth, but as we talked on I had to accept it as a fact that he had so far edited his memory of his early days that the incident of the snowball had quite vanished from his mind. â⬠(p251) Boyââ¬â¢s indifference to the situation benefited him in a sense that because he knew that if he acted like he had no connection with Mrs. Dempster that his identity would not be compromised. The reactions from Dunstan and Boy are almost completely opposite and so people viewed them differently. Paul Dempster also treated his guilt differently than the other two. As Paul Dempster he ran away from home and people saw this as something that was prone to happen because his mother was simple. Although they did not recognize that it was because ââ¬Å"[his] father thought it was his duty to tell [Paul], so [he] could do whatever possible to make it up to her. â⬠(p251) As he created a new persona for himself he also found a new way to cope with his guilt by sending her money and Dunstan ââ¬Å"was able to transfer Mrs. Dempster from the public wards of that hateful city asylum to a much better hospital near a small town. (p220) This shows that he is a good person and with success he still holds composure. Another challenge in the novel involved trying to be better than others. Boy Staunton was the golden boy from Deptford. He was always very successful and recognized. During the first war he became an officer and ââ¬Å"was wearing a few medals, the admirable D. S. O. but otherwise minor things. â⬠(p93) Boy went on to pursue a very successful career in the sugar business. As well, he struggled to pursue a career in politics although unsuccessful he did later become Lieutenant Governor. Old Doc Stauntonââ¬â¢s annoyance at being outsmarted by his son had given way to his cupidity.. â⬠(p142) All his successes sprung out of wanting to be better than his peers and his father and he succeeded. Another part of his image involves Leola being as educated and cultured as she possibly can. ââ¬Å"She had learned to curtsy very prettilyâ⬠¦ and do other courtier things required by Boy. â⬠(p119) Yet still he still faced the challenge of her not being able to keep up. ââ¬Å"She was trying hard but she could not keep with Boyââ¬â¢s social advancement. (p143) People see Boy as the golden Boy and Magnus Eisengrim even says ââ¬Å"I remember you very well. I always thought of you as the Rich Young Ruler. â⬠(p249) In the end, he took the challenge of being more successful and dominated it and in the end he was known and respected. ââ¬Å"[Denyse] did achieve a very fine turnout of important people, and others who were important because they represented somebody important. â⬠(p243) This refers to Boyââ¬â¢s funeral and this shows how he had finished his life as a successful man. Paul was constantly teased by kids because they would say things like ââ¬Å"ââ¬â¢Hey Paul, does your Ma wear pants? and stuff like that. â⬠(p99) Milo Papple tells Dunstan that Paul ran away with the circus and ââ¬Å"it made him kind of a hero after heââ¬â¢d gone. â⬠(p99) He became a very successful magician and people thought he was magnificent. They never knew that his success came from him trying to erase the image of him being simple Mary Dempsterââ¬â¢s son because ââ¬Å"[he] could call up in an instant what it felt like to be the child of a woman everybody jeered at and thought a dirty jokeâ⬠(p 251) Paul had to get away to ensure that he made a better name for himself. Their success is attributed to their obstacle to be better than others. Lastly, the challenge of separating their past identities also shapes their current identities. The three central characters use a name change to represent their new identities. They try to change the person they are and in turn people do view that as different people. Dunstan was originally named Dunstable Ramsay but after the war he met a Diana, a nurse whom he had his first real relationship with, who decided to change his name. Diana said ââ¬Å"itââ¬â¢s hard to say for one thing and it sounds like a cart running over cobblestones for another. Youââ¬â¢ll never get anywhere in the world named Dumbledum Ramsay. â⬠(p85) She felt that his name didnââ¬â¢t represent the successful person that he could be with a better name. Diana said that he represented the Saint Dunstan in many ways because ââ¬Å"St. Dunstan was a marvellous person and very much like [Dunstan] ââ¬â mad about learning, terribly stiff and stern and scowly, and an absolute wizard at withstanding temptation. â⬠(p85) He likes this persona of himself and ââ¬Å"the idea of a new name; it suggested new freedom and personality. (p86) Boy Staunton, formerly known as Percy Boyd Staunton also changed his name. Somewhere along his army career decided that Boy Staunton was a name more fit for him. The name Boy represents the stellar and young gentlemen that he is. ââ¬Å"He was boy Staunton because he summed up in himself so much of the glory of youth in the postwar period. â⬠(p102) His name shows his success in his glorified youth. ââ¬Å"He seemed to have made himself out of nothing, and he was a marvel. â⬠(p103) Another name change that denotes an air of eloquence is Paul Dempsterââ¬â¢s name change to Magnus Eisengrim. As Paul Dempster he had many misfortunes and zero success. As Magnus Eisengrim he has a wonderful show that awes the public. He says ââ¬Å"My name is Magnus Eisengrim that is who I am and that is how the world knows me. â⬠(p249) His reaction to escaping his past identity when he changed his name ââ¬Å"he did not present himself as a funny-man but as one who offered an entertainment of mystery and beauty, with perhaps a hint of terror as well. â⬠(p192) Dunstan had it right when he said ââ¬Å"[they] had all rejected [their] beginnings and became something that their parents could not have forseen. (p252) The characters past identities did not satisfy how they viewed themselves and their challenge to erase who they were allowed them to create a new name that characterized a new identity. The characters in Fifth Business shape identities when they react to adversities. The way they are recognized is due to the actions they take to face these challenges. The most prominent challenges in Roberson Davisââ¬â¢ novel are the challenge of a guilty conscience, being better than others and escaping past identities. People react to one adversity differently and a good or bad identity depends on their reactions.
Friday, August 16, 2019
Psy 270 Appendix G
University of Phoenix Material Appendix G The DSM-IV The DSM-IV is an important tool for clinicians. It provides a standard for diagnoses to be standardized across psychology; however, the DSM-IV is not as precise for diagnosing personality disorders as some psychologists would like. Give an example of each of the following problems identified in your readings and explain how these problems could negatively affect a diagnosis. 1. Some criteria used for reaching a diagnosis cannot be observed directly.When it comes to diagnosing patients it can be different to gather all the criteria needed during observations. Sitting face to face with a patient and getting their view on the subject is not the same thing as experiencing or watching the problem unfold first hand as something you observe outside of a study room. Because we are not able to see the problem as it unfolds first hand we are not able to receive all the accurate information, and when a client recounts the events he or she cou ld always leave something out that would be important in the diagnoses.These cases can lead to misdiagnosing and possible worsening of the problem. An example would be how difficult it is to diagnose autism and how many children have been misdiagnoses for this very reason. 2. Personality disorders can be similar to each other. Personality disorders can be very similar to each other with their symptoms making it hard to properly diagnose personality disorders in a onetime face to face discussion.Misdiagnoses are even more likely to occur is the information is not coming from the patient first hand and is instead coming from a parent and another third party 3. People with different personalities can be given the same diagnosis People with different personalities can be given the same diagnosis if it is a general diagnoses. This occurs because individuals with differing personalities can have the same symptoms but handle them differently because they are different people.For example a narcissist could easily be diagnoses with OCD. 4. Do you think that personality disorders are true mental illnesses? Why or why not? I do think that personality disorders are true mental illnesses. Trying to talk to or be with around someone who has narcissist personality can you see for yourself that you arenââ¬â¢t just dealing with someone who is selfish and rude it is much more than that. And furthermore, if it wasnââ¬â¢t psychologist would have been able to prove that by now.
Thursday, August 15, 2019
Gettysburg Address Rhetorical Analysis
On November 19th, 1863, Abraham Lincoln composed one of the shortest yet greatest speeches of all time. In the midst of a Civil war, Lincoln commemorated this address with a hopeful, serious, and empathetic tone. His display of tone can best be seen when he appeals to the audience with ethos and pathos when he announces, ââ¬Å"We have come to dedicate a portion of that field, as a final resting place for those who here gave their lives that that nation might live.â⬠Through the speech, Lincoln never addresses the audience as ââ¬Å"you,â⬠instead he uses ââ¬Å"we,â⬠ââ¬Å"our,â⬠and ââ¬Å"us,â⬠to connect with the audience. As President of the United States he addresses the people as one collective group; there is no individual who caused the division between the North and South, however, we must come together as one nation to fix it. He connects with the audience because a majority of the audience had suffered a loss of a family member, further developin g a bond between him and his audience.His compassionate, understanding, and empathetic tone is best supported by the utilization of ethos and pathos. Another place that displayed Lincolnââ¬â¢s tone was in sentence 8 when Lincoln rhetorically parallels and uses a triple by saying, ââ¬Å"But, in a larger sense, we can not dedicateââ¬âwe can not consecrateââ¬âwe can not hallowââ¬âthis ground. â⬠This is significant in that he tells the audience that we should not take any of these actions and that we have to look towards the future. We cannot look back on this mistake, this civil war that should never have happened.We have to come together as a nation. Lincoln effectively uses these strategies because he hopes that since we have been conceived by liberty that we will be borne by a new freedom for a new nation that will come after the Civil War. This new nation will have a better relationship between its government and its people. Lastly, given that Lincoln had only crafted this speech on the back of an envelope during a train ride, the quality does not reflect the circumstances of its composition.Lincoln outlined his speech chronologically: past, present, and future. Lincoln begins his speech by contrasting how our nation was ââ¬Å"conceived in liberty,â⬠giving life to a united nation yet currently there are many soldiers losing their life by fighting against each other. For the future, Lincoln hopes that the living will help make everything all better and construct a nation that will represent equality with a government of the people, by the people, and for the people.Lincoln effectively uses a ââ¬Å"full circle endingâ⬠in his outline. He alludes to the Declaration of Independence and the birth of our nation and concludes with an allusion to the Declaration of Independence with a reference to a new birth of freedom. The audience can see his call-to-action as he effectively analyzes the past, present, and future. His hopeful ton e will hopefully inspire the living to help make our nation a united nation. Gettysburg Address Rhetorical Analysis On November 19th, 1863, Abraham Lincoln composed one of the shortest yet greatest speeches of all time. In the midst of a Civil war, Lincoln commemorated this address with a hopeful, serious, and empathetic tone. His display of tone can best be seen when he appeals to the audience with ethos and pathos when he announces, ââ¬Å"We have come to dedicate a portion of that field, as a final resting place for those who here gave their lives that that nation might live.â⬠Through the speech, Lincoln never addresses the audience as ââ¬Å"you,â⬠instead he uses ââ¬Å"we,â⬠ââ¬Å"our,â⬠and ââ¬Å"us,â⬠to connect with the audience. As President of the United States he addresses the people as one collective group; there is no individual who caused the division between the North and South, however, we must come together as one nation to fix it. He connects with the audience because a majority of the audience had suffered a loss of a family member, further developing a bond between him and his audience.His compassionate, understanding, and empathetic tone is best supported by the utilization of ethos and pathos. Another place that displayed Lincolnââ¬â¢s tone was in sentence 8 when Lincoln rhetorically parallels and uses a triple by saying, ââ¬Å"But, in a larger sense, we can not dedicateââ¬âwe can not consecrateââ¬âwe can not hallowââ¬âthis ground. â⬠This is significant in that he tells the audience that we should not take any of these actions and that we have to look towards the future. We cannot look back on this mistake, this civil war that should never have happened.We have to come together as a nation. Lincoln effectively uses these strategies because he hopes that since we have been conceived by liberty that we will be borne by a new freedom for a new nation that will come after the Civil War. This new nation will have a better relationship between its government and its people. Lastly, given that Lincoln had only crafted this speech on the back of an envelope during a train ride, the quality does not reflect the circumstances of its composition.Lincoln outlined his speech chronologically: past, present, and future. Lincoln begins his speech by contrasting how our nation was ââ¬Å"conceived in liberty,â⬠giving life to a united nation yet currently there are many soldiers losing their life by fighting against each other. For the future, Lincoln hopes that the living will help make everything all better and construct a nation that will represent equality with a government of the people, by the people, and for the people.Lincoln effectively uses a ââ¬Å"full circle endingâ⬠in his outline. He alludes to the Declaration of Independence and the birth of our nation and concludes with an allusion to the Declaration of Independence with a reference to a new birth of freedom. The audience can see his call-to-action as he effectively analyzes the past, present, and future. His hopeful tone will hopefully inspire the living to help make our nation a united nation.
Human Error Theory in Health Care
Patient safety is a basic standard of health care. Every step in health care service contains intrinsic unsafe factors . The combination among newest technologies, health innovations and treatments have introduced a synergistic development in health care industry, and transformed it into more complex field. This rise health safety risks which may result from problems in practice, procedures and medicine etc . This Essay will discuss the relationship between human factors and patient safety. Definitions Patient safety is the reduction of unnecessary harm associated with healthcares to acceptable minimum ââ¬Å"(Runciman ,Hibbert , Thomson , Der Schaaf , Sherman ,Lewalle , 2009) Human error in health care can be observed by two different methods: ââ¬Å"the person approach and the system approachâ⬠, each model has own perspectives . Understanding these differences has a significant practical outcomes in healthcare industry and open sights for management of medical error (Reason, 2 000). The person approach stress on the hazardous act and procedural deviations of nurses,à physicians, pharmacists.It analyses these risky acts as resulting mainly from deviant mental functions such as lack of memory & concentration , poor enthusiasm , carelessness, , and recklessness(Reason, 2000) . The associated preventive measures are intended mainly at decreasing risky inconsistency in human performance (Reason, 2000) . Whereas the system approach insight human errors as consequences rather than causes, thus it relays the reasons for error occurrence on failure of organizational system (Reason, 2000).Countermeasures are established on the theory that although ââ¬Å"we cannot change the human condition, we can adjust theà circumstances under which humans workâ⬠(Reason, 2000). Human error Theory Patients always expect miraculous solutions to each problem. In such expectations people who receive medical services tend to believe that no mistakes can happen. It is ac tually not so, and it is seen that there are instances where the medical errors can occur at any stage (Moyen, Camrie, Stelfox, 2008).They can take place if the healthcare provider chooses an inappropriate method of diagnosing the problem. There is another scope for medical error if the execution part goes wrong, even after choosing the correct method. Therefore, such medical errors are only referred to as the human errors in the area of health science (Moyen , Camrie ,Stelfox ,2008 ) . The importance of this issue can be seen according to the report provided by the American Institute of Medicine.It stated that US Hospitals been have astonishing as there had been deaths which were be ââ¬Ëavoidableââ¬â¢. Some cases were the medical staff inconvenient, and others were seen that the poor system was actually beyond the failure. The possible flaws in the system are there like the poor communication, between the medical team and between them and the patients; also the reporting syst em of the hospital suffers from the lack of the coordination in the hospital system (Taxis & Barber, 2003). .This subject can be better understood with relation to the existing human error theory which consider errors are opportunities for improvement and it interestingly highlight the concept of error, the same issue was adhered by literary thinker and philosopher Francis Bacon(1620), that human mind has always thought of the ââ¬Ëover-generalisationsââ¬â¢ which means that the human mind always have that over-confident element of remembering things. This thought itself gives rise to error, because it all of being thoroughly perfect which is not possible.The theory stands widely accepted by the British Department of Health, they have moved away from solely blaming the individuals, towards accepting the fact that error is something inevitable ( Runciman ,Hibbert , Thomson , Der Schaaf , Sherman ,Lewalle , 2009) Various literary scholars, scientists and the psychologist have pointed out the fact that there are some cognitive processes and the multiple disturbing factors in the organisational environment and the surroundings that can lead to various accidents in the health care domain.According to Reasonââ¬â¢s interpretation for the concept of error (1990), it is ââ¬Å"the failure of a planned action to be completed as intended ââ¬â without the intervention of some unforeseeable event; or the use of a wrong plan to achieve an aim. â⬠This definition was somehow subjected to varied reactions, while some accepted this possibility of the error while others thought it was only a pretext for the mistakes done in a medical scenario.Though in the contemporary context this Human Error Theory has gained popularity because the same has been highly in relevance to the Normanââ¬â¢s idea of error, and thus these perspectives which have been built are the ââ¬ËHuman Factorsââ¬â¢ (Carayon, 2008) Further many factors have been analysed with relation to the same theory like the slips and the lapses from the memory, the mental performance etc (Carayon, 2008). The same theory is widely accepted because of the precise description for the human factors but still the same remains vulnerable to the criticism.The same effectively brings out that the nursing is an important factor in healthcare but there can be chances for human fallibility where even the same system can fail to acknowledge those how such errors can be avoided. But the critique of the same has been there on building up the counter-argument that the job of nursing accompanies humanities, therefore the basic human factors which can be controlled like the personal hygiene like the wearing of the uniform, washing the hands, the use of anti-bacterial and the anti-viral techniques while handling the patients can guarantee high infection control (Handler, et al, 2006).The availability of the trained staff which is willing to attend the patients can effectively led to stop the fostering of the errors. Other human factors which can be worked upon by the nursing staff in the hospital can range from the valid reason for which a drug is being used the collection of the true and the right records therefore the proper documentation of the patientââ¬â¢s disease.These were the critiques that were made on the various human actors which can lead to serious medical flaws (system) and the consequences can become fatal (Handler, et al, 2006). Swiss cheese Model Also, the assessment of the Swiss Cheese Model is necessary to understand that how the system of the medical errors contains the holes of the errors. Alike the holes that are present in a Swiss cheese there are the inherent holes that are present in the medical system.This interpretation of the errors is formed on the basis of the Swiss cheese model, it emphasis on the causes present in the system rather than blaming any sort of the individual failures. In a way this model has acted so far as a representati ve for giving an idea how can the painful events occur in a healthcare system and how should they be prevented. The Swiss Cheese Model effectively brings the significant human factors and the system factors which impact the health care set up and the various quality and the safety perspectives.The medical errors according to the model have a scope to arise because of the Organisational factors, the unsafe work conditions, the human tendency for the unsafe actions and the unsafe acts. The organisational influences are the lack of the management of the resources that are provided in the healthcare settings like the excessive use of the tools which are torn out, the improperly maintained machines and the lack of coordination among the staff members (Reason, 2000).The next is the distracting and the fluctuating work environment of the hospital, also referred to as the Organisational climate, like the lazy staff members, the inexpert doctors and the dogmatic nurses who are unwilling to a ttend to the patientââ¬â¢s queries. The third influential factor is the operational process; this accounts to the methodology that is followed for diagnosis, the nurse or the medical supervisor might indulge either too fast processing or the too slow processes (Karman, L. , 2008).The extreme behaviour of the clinicians and the health care staff thus can be referred to as the problematic in the operational process. The interpretation of the model defines that the healthcare system should be diligent in dealing with the patients at the right time and with the right networking, for this the recommended system by the Swiss Cheese Model where the holes should be seen as the chances where the on-going plan or the operation can fail and the slices of the cheese are the ââ¬Ëdefensive layersââ¬â¢ thus becoming the safety steps or the shields (Karmen, L. 2008).. Therefore, the different layers only act as the filter, where even if the mistake, the error or the flaw in the operation h as occurred in the first step then the same can be trapped in the defensive layer, leaving no scope for the error to be passed on to the next level. This is possible because the next layer would not be having the same positions of the holes as it was in the previous layer.This interpretation thus propagates the main idea that though the natural tendency of a human being to make mistakes cannot be corrected but the correction can be made at the part of the plan that is being executed so that the chances of the fatal consequences are effectively minimised (Karmen, L. , 2008). Conclusion On the basis of the Human Error Theory and the basic Human Factors that are responsible for the failure of the health care system, one can conclude that the critical review of Swiss Cheese Model can come to rescue many patients ho are admitted to the healthcare centres. The question which the analysis has answered is that ââ¬ËCan the human errors be effectively reduced in the medical context? ââ¬â ¢ and it seems that a positive light spot on the solutions to catch the problematic have been provided by the collaborative efforts of the literary precursors, the medical scholars and the psychologists. The model and the theory which has been studied effectively solves the problem by attacking its root in that health care setting is an indefinite system in which the safety of the patient resides (Wagner, C et. l , 2001). The safety & quality is only achieved while there is possible healthy interaction between the medical providers, the health care standards and the potential errors in the existing health care system. References Carayon, P. (2010). Human factors in patient safety as an innovation. Applied Ergonomics, 41(5): 657-665. Handler,S. , Castle, N. , Studenski, S. , Perera, S. , Fridsma, D. , Nace, D. , & Hanlon, J. (2006). Patient safety culture assessment in the nursing home.Qual Saf Health Care 15(6), 400-404. Karmen, L. (2008). Pilot, Swiss cheese, and cash mach inery: Health of the Health System. Croatian Medical Journal, 49(5), 689. Moyen, E. , Camire, E. , & Stelfox, H. T. (2008). Clinical review: medication errors in critical care. Critical Care Medicine, 12(2), 208. Taxis, K. , & Barber, N. (2003). Ethnographic study of incidence and severity of intravenous drug errors. British Medical Journal, 11, 326. Reason, J. (2000).Human error: models and management. British Medical Journal,à 320:768-70. Runciman, W. , Hibbert,P. , Thomson, R. , Schaaf, T. V. D. , Sherman, H. , & Lewalle, P. (2009). Towards an international classification for patient safety: key concepts and terms. International Journal for Quality in Health Care, 21(1). 18-26. Wagner, C. , Wal, G. , Groenewegen, P. , & Bakker, D. (2001). The effectiveness of quality systems in nursing homes: a review. Qual Health Care 10(4), 211-217. .
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