Critical Appraisal of A Research Study Relevant to Clinical Practice Essay

Critical Appraisal of A Research Study Relevant to Clinical Practice - Essay Example Thematic analysis was conducted and the data analyzed carefully. The patient-centered care process was transforming and it was expressed through the themes of closeness, therapeutic care and team work. Being close displayed the sudden and devastating nature of injury and the need for the staff to let go of their emotions in order that they may maintain a positive momentum. Therapeutic care provided the necessary link between the staff and the patients, and it was combined with a proactive dynamic approach to care. Team work identified the importance of maintaining expertise and at the same time making the system work for patients to ensure quality care. In this study, they concluded that it was possible to provide a frame work for individuals and units to develop and better recovery promoting practice, and they said that it could apply in other areas similar to that. However, there are other approaches that can promote quality care that were not mentioned in this paper. One of them is the evidence-based practice. This is practice based on research and evidence from experiences from the work that the practitioners do. This study was based on examining the role of advanced practice nurses, that of the frontline staff and the role of the patients in the promotion of evidence based practice. Gerrish K and Lacey A 2007, in the article, The Research Process in Nursing (5th Edition) examined the role the advanced practice nurses (APNs) play in the promotion of evidence-based practice among the frontline staff. They outlined the empowerment of the frontline workers as an important aspect of contemporary healthcare policy for ensuring quality services from them. This, they farther explained, had been supported by the introduction of new Even though there’s widespread realization that there is need for the nursing practice to be based on evidences, sound evidence, the staff experiences a big challenge in the attempt to put in

Should Military be mandatory after high school in the U.S Essay

Should Military be mandatory after high school in the U.S - Essay Example In the age of globalization and quick growth in professional management, America demands efficiency and professionalism from the young professionals. Above all, The U.S Military Selective Service Act (War Resisters International) addresses the need of mandatory military service for citizen. So, controversial discussions about the implementation of mandatory military service have caught the attention of public and media in recent years. Generally, people expects proper enrichment in patriotism, proper awareness about rights, duties and responsibilities of a civilian, training, mental and physical fitness among their after high school education. One can find a number of factors which hold up mandatory military service for young people after their high school education. At the initial stage we can see that the country faces severe challenges from international terrorism and economic depression. International community observes the political, cultural and socio-economic changes which happened in the United States. In this juncture, government needs or look forward strong citizens having patriotism and professional skills. Most of the countries have followed either conscription model or universal military training as a part of their national security. Paul Ruschmann rightly informs that; â€Å"America’s twentieth century drafts have followed the conscription model† (Ruschmann 22). Here, selected young men from a special category of those who are eligible and selected to serve the nation. However, young people can use this opportunity to hand round the nation after their high school education. Military service helps the people to comprehend the actual rights and responsibilities of a civilian towards his nation. It offers a precious opportunity for youth to be a part of the process of constructing a nation. At present, people are not aware of their rights and responsibilities towards the

Emotional and Physical Symptoms of Depression during Pregnancy And Research Paper

Emotional and Physical Symptoms of Depression during Pregnancy And Different Ways of Treatment - Research Paper Example While most pregnant mothers use antidepressants to manage prenatal and postnatal depression, this study proposes other significant measures that can do better that antidepressants. The method for this research is a mixed method approach. The qualitative part of the study is observation and interviews while the quantitative part is considering the number of patients presenting symptoms in different health centers for a period of one year. Statistical analysis of the data obtained would help in determining the prevalence of depression in pregnancy. There is evidence suggesting that women have a higher prevalence of suffering fro depression during pregnancy. The fact that this presents adverse effects to the mothers places emphasis on the need for addressing the issue. Cases of pregnant mothers suffering from depression and stress are likely to reduce in the events of increased awareness on the contributing factors of stress and the necessary measures to curb them. In order to solve this, the health sector should find appropriate treatment for pregnancy depression. Pregnancy depression refers to a mental situation of pregnant mothers, whereby they are sad and feel they do not want to do anything. The present research paper will aid in highlighting the common symptoms of pregnancy depression and the appropriate treatment measures that pregnant mothers should take into account to address this problem. Accordinmg to the World Health Organization, pregnancy depression is currently an epidemic affecting many mothers across the world. Most pregnant mothers are highly affected by prenatal and postnatal depression. Since pregnancy depression is not â€Å"protective†, adequate treatment is necessary for pregnant mothers. Most pregnant mothers do not understand the necessary appropriate measure to address this issue and therefore, this field needs further research to educate mothers on how to cope with such

French Wine Regions Essay Example | Topics and Well Written Essays - 1000 words

French Wine Regions - Essay Example In fact, almost every region of France can boast of commercial wine production, and only five regions on the north coast of the country are not engaged in wine production. Among the most famous regions of wine growing in France are the following ones: Bordeaux, Burgundy, Champagne, the Rhone Valley, the Loire Valley, Alsace etc. The Bordeaux region of Aquitaine is among the most famous regions of wine production not only in France but in the entire world as well. The center of the region is the Atlantic port city of Bordeaux. This region is regarded as the heart of red wine production in the country: more than 60 appellations are grown on its territory. Basically, such grapes as Merlot, Cabernet Franc, and Cabernet Sauvignon are used in the production of red wine. In addition to this, white wine, both dry and sweet, is also produced in the region (Marnie Old and Old Wines LLC, 2005). In Bordeaux, there are two sub-regions of red wine production; they are referred to as â€Å"Right Bank† and â€Å"Left Bank†. The right bank has soil that perfectly suits the early-ripening Merlot grape because of the high content of clay in it. The left bank’s soil rich in gravel is more suitable for Cabernet Sauvignon. One of the main rules of wine production in the region of Bordeaux is varieties blendi ng. Originally, varieties were blended to avoid bad harvests. Today, winemakers also balance flavors of different grapes in one appellation (Marnie Old and Old Wines LLC, 2005). The Burgundy region is situated in the eastern part of France. This region is famous for its both red and white wines. The major grape varieties grown on the territory of Burgundy are Chardonnay (for white Burgundy wines), Pinot Noir (for red Burgundy wines), and Gamay (for Beaujolais). Unlike Bordeaux, Burgundy wines are not the product of varieties blending.

Business accounting - Lampeter Builder's Merchants Essay

Business accounting - Lampeter Builder's Merchants - Essay Example Vehicle running expenses 44,000 Electricity 3,000 Insurance 15,000 Stationery 2,000 208,000 Net profit 540,000 (2) Profit and Loss Statement LAMPETERS BUILDERS MANAGEMENT BALANCE SHEET AS AT MARCH 31, 2011 Amount in ? Non-Current Assets Fixed Assets (Cost) 200,000 Accumulated Depreciation (100,000) Fixed Assets (WDV) 100,000 Current Assets Trade debtors 18,000 Bank (9,000) Closing Stock 478,000 Total Assets 587,000 Current Liabilities Trade creditors 43,000 Capital 28,000 Drawings (24,000) Profit for the year 540,000 Total Equity and Capital 587,000 (3) Value Added Taxation Research The prime resource for research was the website ‘HM Revenue and Customs’ Planning and ordering What are the prevailing VAT rates in UK What rates are applicable on the business that the company is currently engaged in What are the methods and procedure of filing the VAT returns How the VAT is calculated What are the deadlines for submission of the return Presentation VAT is applicable on diff erent rate depending on the type of Goods and services offered by the company. In addition, there are some goods and services that are exempted from VAT. The VAT rates are divided into three segments Standard Rate 20 per cent Reduced Rate 5 per cent Zero Rate 0 per cent [1] Since the Company, Lampeter Builders’ Merchants is involved in the construction and material business, the following rates are applicable on the company Type of work VAT rate Construction of a new house or flat zero Converting a building into a house or flat reduced rate Renovating or altering an empty house or flat reduced rate Supplying and installing certain mobility aids for elderly people reduced rate Supplying and installing certain energy saving materials and equipment reduced rate Supplying and installing certain...VAT is applicable on different rate depending on the type of Goods and services offered by the company. In addition, there are some goods and services that are exempted from VAT. The VAT rates are divided into three segments Standard Rate 20 per cent Reduced Rate 5 per cent Zero Rate 0 per cent [1] Since the Company, Lampeter Builders’ Merchants is involved in the construction and material business, the following rates are applicable on the company At the end of every three months, the company already registered for VAT needs, to file a quarterly VAT return. The return can be filed either electronically or through paper returns. The returns, after properly completing are then sent to the following address

Film Marketing Marketing Campaign on the film 300 (2006) written and Essay

Film Marketing Marketing Campaign on the film 300 (2006) written and directed by Zack Snyder - Essay Example The story narrates how Spartan King Leonidas and 300 Spartans fight to the last man against Persian King Xerxes and his army of over one million soldiers, while in Sparta, Queen Gorgo attempts to rally support for her husband. A voice-over narrative by the Spartan soldier Dilios frames the story. Various fantastical creatures display in the electronic three D motion picture waves that attracted the spectators worldwide. The story traces back the historic element when in 480 BC, King Leonidas of Sparta gathers three hundred of his best men to fight the upcoming Persian invasion almost in a suicide mission. Their allies plan to stop King Xerxes' invasion of Greece at the narrow cliffs of the "Hot Gates" Thermopylae. The terrain prevents the Greeks from being overwhelmed by Xerxes' superior numbers. Ephialtes, a deformed Spartan, begs Leonidas to let him fight but is rejected due to his hunchbacked form before the battle starts, which prevents him from lifting his shield high enough for the phalanx. The Spartans and their allies successfully hold off the Persians for two days and nights. During a break in the fighting, Xerxes meets with Leonidas and offers wealth and power in exchange for his surrender. Leonidas declines and battle continues. In his depression, Ephialtes betrays the Greeks by telling the Persians about the existence of a small pass that allows Xerxes to attack them from behind. Learning of the Persian maneuvers, the Greeks realize their position is indefensible, but the Spartans and a few others refuse to retreat. On the third day Xerxes has the Spartans surrounded their remaining allies Thespians already dead. He gives Leonidas one final chance to surrender and kneel to him. After some hesitation, Leonidas finally complies and throws down his arms. This, however, turns out to be a ruse and Leonidas throws his spear at Xerxes, intending to kill. However, he only wounds his face. They killed Spartans to the last man by arrows. The story then shifts about a year later and ends as now-Captain Dilios relates the heroic sacrifice of Leonidas and his Spartan comrades to his troops before the Battle of Plataea. Miller, in the letters page of the original series, admits the inaccuracy, and angrily defends it. He insists that the Spartans were not scholars themselves, and that the offending passage was intended to portray the Spartans as hypocrites. The Spartans, he argued, so maligned the Athenians that any Athenian action was worthy of scorn. Miller states that their hypocrisy is a character flaw, but not unrealistic. 1. Marketing Strategy: Information of the postproduction scripts should be released through press meet and literature reviews. Journalist and magazine houses must have request letters to extend their helping hand on the promotion PRODUCTION PROFILE: A JOINT VENTURE OF SEVERAL TALENTS IN THE HUE OF ART AND SCIENTIF CRAFT Nunnari and Mark Canton jointly produced this film 300, and Michael B. Gordon wrote the

On the Film Zero Dark Thirty and Torture Essay Example for Free

On the Film Zero Dark Thirty and Torture Essay Zero Dark Thirty is a 2013 film directed by award-winning director Kathryn Bigelow, and is a narration about the multiple time-skips of how Maya (Jessica Chastain), a new CIA recruit, beat the odds which led to Osama Bin Laden’s ultimate death. â€Å"Our plane’s been hijacked. I hope I can be able to see your face again, baby. I love you! Goodbye!† were lines from the actual 9/11 audio footage at the beginning of the film and from that, I thought that Zero Dark Thirty would be an emotionally-touching action-packed movie. Because of an exciting plot, I expected it to be a thrilling film but it turned out to be despicably monotonous. Set in the bustling streets and the danger-prone areas of the Middle East, the set design became largely influential to the film, and it added to the viewer’s experience. However, if I hadn’t known that the movie was directed by Academy-Award winner, Kathryn Bigelow, I would have thought that this was directed by an unknown director. The chapter-by-chapter time skip actually took the plot away from the movie it became choppy and incomprehensible. One moment we see Ammar (Reda Kateb) being tortured, and then in the next screen, it’s suddenly two years later. The only commendable action scene in the movie being Osama Bin Laden’s ambush, the plot seemed to drag as we see more conversations and less action than what we expected to see. The movie poster also said that the writer, Mark Boal, is an Academy award-winning screenwriter but it puzzles me how he actually got the information about the happenings when CIA operations are supposed to be undisclosed. Why would the scriptwriter just name-drop sites that were supposedly top-secret, like the existence of Area 51? Thus, the credibility of the events and places seem questionable. Moreover, the flood of names of terrorists in conversations was actually confusing and the discussions about situations in ISI were unnecessary. I wanted to see scenes related to finding Abu Ahmed and ultimately, Bin Laden. I wanted action, not conversations. Though the pacing was unbelievab ly slow, the cinematography during the bombing in the restaurant Maya and Jennifer were eating at was brilliant. The transition was truly surprising one moment Jennifer was talking to someone over the phone, and then the next, the restaurant was already in pieces and people were dying. Maya’s expression of pure shock and terror was perfectly captured the camera. The editing of the movie headed by William Goldenberg was realistic, and the bombings were so unpredictable, I was surprised and scared out of my seat. Mostly, the ambush operation in the last 30 minutes of the film was so professionally shot it could pass up as an actual footage. It’s the little moments that make this film alive. After the phone call from Maya’s supervisor, stating that tonight will be the ambush, we witness the bonds of the â€Å"canaries† – the way they goofed around and gambled, yet still looked out for each other. Viewers always have the impression that soldiers are brute men who would sacrifice anything and anyone for their purpose, but this scene actually gives the impression t hat they’re men too who treasure the bonds they have. The only comical relief during the movie was provided by Dan’s sarcasm and personality. Ironically, this attitude always comes up during the supposedly-heartbreaking torture scenes which made it particularly hard for me to sympathize with Ammar (Reda Kateb). Another highlight of his role was when Dan fed the monkeys in a CIA site. I remembered the previous scene when Ammar said that Dan was an animal, and as the monkeys stole the ice cream from Dan, I saw how it was similar to their situation. Dan takes and takes from Ammar, but eventually, Ammar gets the best of him when he doesn’t provide information. As I contemplated about the film after watching it, I think the reason why it seemed so bland and dry is because it lacked the action that viewers are used to see in fictional CIA films. The super cool CIA combat and the shooting scenes where the CIA agent never gets shot weren’t present in the movie. Instead, the movie consisted of CIA operatives who commit mistakes and ultimately get killed, like Jennifer (Jennifer Ehle); we meet heartless CIA agents like Dan (Jason Clarke) who would torture a man endlessly to get the information he needs. We see unsexy Maya, an ordinary-looking woman who wears identical suits every day, who got carried away by emotions after Jennifer’s death and during her confrontation with Joseph Bradley (Kyle Chandler), and who was almost killed once in an attempt at her life. The film was made up of one-dimensional characters who got frustrated when they cant do anything. I wanted to know the characters more but there was zero character development. There werent even any scenes about Mayas past, like why and how was she recruited out of high school? Did she ever get in touch with Jennifers family after her death? This lack of character personality development and the blankness of her facial expressions in most of her screen time made me wonder why Jessica Chastain is praised for her role in Zero Dark Thirty. I’ve recently watched Les Miserables and if Jessica Chastain were to be nominated in the same category as Anne Hathaway for an Oscar, then Chastain could just say that she dreamed a dream of winning an Oscar. I won’t say that she did not deserve her Golden Globe award, but I never thought she’d be nominated for it either. Her portrayal as the angry young Bin Laden-obsessed CIA agent was so stereotypical she started as the nervous , awkward new CIA operative and then ultimately became the â€Å"motherfucker,† as she puts it, who found Bin Laden’s location. Maya always had this expressionless face, as if trying very hard to capture a CIA agent’s demeanor. In fact, I only began to sympathize with Maya upon the death of Jennifer. Her endless pursuit of Bin Laden became more personal from this point, proving that nothing motivates like revenge. I think that the scene where Maya shook her head and then cried actually concludes the plot well because it showed her human side and the drive that has been pushing her all along. She quotes in one scene that her friends got killed because of the hunt and she believes that she has been spared for a reason. This gives justice to her emotions in the end, where she finally breaks down as the realization that she has reached her goal after almost a decade yet the friends she had made along the way were already gone. She is no longer the new, awkward CIA recruit, rather, Maya has become the CIA operative who resorted to all means possible to take down Osama Bin Laden. With the methods that the m ovie’s characters practiced, there has been much speculation whether the film is pro-torture or not. The director and the writer of the film presented these â€Å"enhanced interrogation techniques† as a part of the pursuit. So for me, it’s not a pro-torture movie but at the same time, it’s not anti-torture either. If Zero Dark Thirty were pro-torture, then the viewers should have seen how Ammar gave information after being tortured, but he did not. Instead we see that the key piece to the puzzle for finding Bin Laden was actually served to Dan and Maya over lunch, not during torture time. And if the movie were anti-torture, then there shouldn’t have been any torture scenes in the movie leaving Reda Kateb, who played Ammar, with zero talent fee. The film showed that Maya was convinced that the location of Bin Laden’s courier, Abu Ahmed, is crucial to the pursuit not because there was information revealed during the torture sessions, rather, it’s the detainees’ refusal to give up any information about the courier that connects the dots for Maya. Therefore, the film depicts numerous, albeit controversial, practices used in America’s pursuit for Osama Bin Laden. It shows that torturing Jihad-driven detainees or buying a man a Lamborghini as bribery weren’t the ultimate keys for solving the puzzle that led to Bin Laden. No single method can perfectly encapsulate the sum of the efforts of the people behind the manhunt for Bin Laden. The totality of their hard work and passion was what the filmmakers strived to partake, so for me, the movie isn’t raising any notions on being pro or against these methods. Zero Dark Thirty relays the fact that we tread different paths in life with a great number of sacrifices along the way. Though this movie doesn’t live up to its tagline â€Å"The Greatest Manhunt in History,† is still a perfect example of humanity’s journey towards his goals. Americans would continue to preserve their seat of power, while the Muslims would continue to do anything to reach Jihad. I wanted to be awed by this film and I wanted to feel the characters emotions, but the film gave me neither. The lack of emotion in Zero Dark Thirty makes me think that the budget for this should have been allocated to a film with a different perspective, like a documentary, and not as a film with actors and actresses playing roles they fail to give color to.