Thematic writing paper
The Topic Of A Paper Should Be What? A. Manageable B. Massive C. Minimal D. Minuscule E. Menial
Wednesday, August 26, 2020
Regression Analysis Speech or Presentation Example | Topics and Well Written Essays - 750 words
Relapse Analysis - Speech or Presentation Example Generally, it takes into account assessment of the fixed and arbitrary impacts models in non-direct displaying systems and essentially expect boundary and variable non-linearity. Supposition 2: Expected estimation of blunder is zero This presumption presumes that the mistake part will restore a zero mean implying that the watched mean won't be methodicallly contorted away from the genuine incentive by the blunder (and this appears differently in relation to an efficient predisposition impact which would misshape the watched mean away from its actual worth) (Good and Hardin, 2009). Supposition 3: Autocorrelation Amongst the presumptions frequently made in relapse examination is that mistake terms not subject to one another or rather non-connected. This is anyway not generally the situation. At the point when this supposition that is abused, in spite of the way that the relapse model is as yet usable, in expectation esteem, its helpfulness is to a great extent lessened. This examinatio n considering the connection between the factors looks to accept its quality and henceforth evidence that the modelââ¬â¢s convenience is to a great extent lessened. The evaluated relapse boundaries, a, b1, b2, . . . ,bk, are left as fair estimators of the separate genuine qualities, A, B1, B2, . . ,Bk, and consequently the model stays suitable for foundation of point assessments of A, B, and others., and it very well may be utilized in expectation of estimations of Y for X esteem sets (Good and Hardin, 2009) (Good and Hardin, 2009). Autocorrelation is regularly a result of mistakes relationship. It widens the extent of speculation to take a gander at various perceptions which come about because of differing disseminations which are non-logical. Supposition 4: Heteroskadascity Sphericality presumption regularly infers that there exists homoskedasticity of mistakes, and that difference is steady across cases. Infringement of this offers heteroskedasticity whereby the prescient mode l does especially poor in some situation. Take for example for this situation where there is a likelihood that joblessness or gas costs across nations might be dependable however there is lesser confirmation to have faith in the information identifying with the equivalent got from different nations. Such a case would offer ascent to expanded irregular variety, and thus immense mean mistake changes, in the individual nations. As a rule, Heteroskedasticity happens in occurrences where the homoskedasticity supposition that is damaged, offering ascend to Assumption 5: Multi-collinearity presumption Whenever there exists moderate to high intercorrelation among indicator factors, multi-collinearity is accepted to emerge. Regularly, multi-collinearity presents a genuine examination issue when numerous relapses are utilized. These incorporate its extreme restricting of Rââ¬â¢s size given that indicators follow a change as much equivalent to that of y, making a trouble in assurance of the value of an indicator due puzzling of the impacts because of relationship among's them, and an augmentation in relapse coefficient variations (Good and Hardin, 2009). In this caseââ¬â¢s, various factors are considered in the model including gas cost, barring food costs, joblessness, and individual use which was evacuated because of its high relationship to different factors. Nonetheless, even with the incorporation of different factors, it is still accepted that different factors have some slight relationship to one another. For example, food administrations are probably going to be affected on by gas costs and the equivalent is valid for joblessness rates. End Understanding relationship
Saturday, August 22, 2020
Mergers and acquisitions process Essay Example | Topics and Well Written Essays - 1000 words
Mergers and acquisitions process - Essay Example In spite of these discoveries, organizations keep on receiving a M&A procedure for a few reasons. One explanation is that M&A meets the longing of firms to get by developing. Another is that the offering firm either has free income (and money is the best!) or needs to get the free income of the objective firm. A third explanation focuses to purported organization issues between the supervisors of the offering firm and the proprietors of the firm, where chiefs need to get a bigger portion of the compensations for facing challenges and dealing with the firm. Another explanation is that directors of the offering firm are careless and pleased. The fifth explanation is the offering firm may increase a few advantages by actualizing the M&A methodology that, by assembling two firms, may bring about important, uncommon, and expensive to copy preferences. It can likewise happen that an offering firm observes some concealed wellsprings of upper hand in the objective that contenders don't see or that the supervisors of an objective firm either don't understand or couldn't transform into a wellspring of upper hand. This is the place a bidder can be legitimized for converging with or purchasing an objective firm in light of the fact that the two firms would make an additional bit of leeway (collaboration) over different contenders through economies of extension or scale. Actualizing M&A is troublesome and requests generally excellent directors in light of the fact that the way of life of the two firms might be altogether different. On account of global M&A, this methodology might be expensive as a result of contrasts in nation societies (like when Renault of France purchased Nissan of Japan) and would require great supervisors to succeed. A perfect crosscountry M&A is one where economies of extension can be picked up without incorporating the distinctive firm and nation societies. Case 3-1: eBay eBay is a pioneer online sale firm that needed to conclude how to make more an incentive from another procedure of going into on-line closeout drop-off offering to build deals. Drop-off offering alludes to selling things online for others, with a vender or representative gathering things available to be purchased from the customer or sender. The proctor handles the entire posting and selling procedure and afterward pays the returns of the deal to the customer, less the commission. This would catch merchants who have things to sell yet who neither have the opportunity nor the persistence to publicize these things on-line. The organization's underlying achievement, based on a first-mover advantage as an on-line sell off site, turned into the establishment for a cost initiative development procedure accomplished by offering low posting charges. During the time spent quickened development in quantities of clients and deals volume, eBay formed into an on-line network that offered unparalleled speed, wellbeing, and security through a successful part input instrument where clients evaluated each other for each exchange made. eBay's benefits developed by drawing in more purchasers and building the framework expected to help the two purchasers and merchants. Nonetheless, similar to physical shops, eBay's deals were occasional, spiking during the Christmas season however staying level the remainder of the year. The drop-off selling procedure, a type of expansion into a related business that would enhance the center business of on-line barters, was intended to build client traffic to its locales by making it simpler for merchants to list their merchandise and for purchasers to appreciate a more extensive assortment of items to look over. It likewise permitted eBay to execute high worth included things and contend with the more settled
Monday, August 17, 2020
A Brief History of Cars on Fire at MIT
A Brief History of Cars on Fire at MIT If youre the kind of person who remembers to look up once in a while, its not that uncommon to wander MITs campus and find yourself wondering: How did THAT get there? Four score and zero years ago, on this date in 1936, a similar thought likely went through the minds of one or more of the people in this photo: Why those people? Because on April 5, 1936, something profoundly strange was being hauled up the side of Goodale (the northeast corner of East Campus): Yes, that is a Ford Model T, hanging from the roof. The car, which belonged to Ralph J. Slutz 38, was painted with the phrase TECH IS HELLthe IHTFP-esque MIT motto of the 1930sand hauled from the ground. It caught the attention of many in the area, including Dr. Richard Hanau 39, our second-oldest living East Campus alumnus, who mentioned it in an email to me: I saw the car after it had been pulled up the side of the dorm where I lived during my sophomore year. It was later lowered and set on fire (I think) on the grass between the dorms. I dont recall anything painted on it. Wait, fire? Who said anything about fire? The thing is just hanging off of a building. Its not like theyd publish that kind of arson inThe Tech After the car was lowered by several dorm men it was placed back in the parking lot. Since it was said to be too much of an eyesore, however, the fellows came to the conclusion that the best thing was to burn it. Accordingly the car was rolled in the court between the dorms and set on fire. Needless to say, the car is now a total wreck. Oh. Well then. Turns out this isnt even the first incident of students intentionally setting cars on fire: eight years prior, in May 1928, the first East-Campus-Senior-House water war involved kerosene and ten abandoned automobiles: CPW (or kapow!, as some have apparently taken to start calling it) is somehow a mere 48 hours away. There will be a plethora of events and food and tours and food and new friends and nerdy conversations and food. There will not be any burning cars, sorry. (The Cambridge Fire Department has a nice page explaining how they feel about bonfires.) However,there will be some fire, courtesy of the MIT Spinning Arts Club performance.I highly recommend it: particularly if you want to see some flames without sacrificing your ride home, and especially if they dont fix the fan belt on the MIT Weather Machine in time and this cold snap continues. Have fun! Post Tagged #East Campus
Sunday, May 24, 2020
Buddhism as Freedom from Negativity Essay - 791 Words
Buddhism as Freedom from Negativity The title of this paper is posed as a question so that one can explore and investigate if Buddhism and meditation can bring the mind freedom from negativity. One of the most important things I have learned thus far, is that anger and hatred are based on projections and exaggeration, not on objectivity or wisdom. This stikes me as very important in my search for how to release negativity. If we can accept that things feelings do not come from wisdom, that it may be possible to realize that they are fundamentally incorrect. Within Buddhism there are different sects and meditation practices that look at life and practices in differing ways. Each of theseâ⬠¦show more contentâ⬠¦In Buddhism we learn that we must realize how we attach ourselves to these thoughts and how to free ourselves from them so that we can let go of our egos. In Vipassana, the basic principles are about experiencing oneââ¬â¢s own reality. Much emphasis is placed on self observation and perception. This notion of self-observation is something many people, including myself often neglect. In individualized Western culture, especially in the United States, much emphasis is placed upon ââ¬Å"doing.â⬠In such an environment, there is often little time for self-exploration, especially of oneââ¬â¢s thoughts. I think this can be attributed to how easily agitated and angered we can become over little things. We are constantly going through the motions of life, without looking closely at each motion, and when our path is interrupted or derailed, we are unhappy. What we can learn from these teachings, however, is that while it may be impossible to prevent anger and negativity from entering our minds, what we need to do is keep it from residing within our thoughts. By closely observing our minds and our thoughts, we may be able to control our minds and curb the feelings of anger from further evolving. In ââ¬Å"Pure and Simple,â⬠by Upasika Kee Nanayon, she speaks of ââ¬Å"opening the way in the heart.â⬠In this passage she explainsShow MoreRelatedBuddhism : Buddhism And Buddhism1009 Words à |à 5 Pages Zen Buddhism isnââ¬â¢t exactly a ââ¬Å"religionâ⬠, but a way of living. It creates peace within the human mind that allows one to grow, develop and look at the world more positively. Originating in China in 650 C.E., Zen Buddhism is a combination between Indian Mahayana Buddhism and Taoism. Mahayana Buddhism promotes bodhisattva, which is practicing the way of life in the direction of Buddha. Taoism is a religion developed by Lao-tzu, a Taoist philosopher, and focuses on obtaining long life and good fortuneRead MoreThe Four Ways Of Leting Go Explained By Ajahn Brahm1305 Words à |à 6 Pagesgo will help release t hese feelings and desires that only work to make a person unhappy. There are four ways of letting go. The first way is simply to throw away any object causing anguish. Dealing with a relationship that is primarily fixed on negativity, having objects around as reminders of past events or people that were previously in oneââ¬â¢s life, complaining, having pessimistic thoughts or even thinking too much can all be a burden but can also be thrown away. For example, Ajahn Brahm told hisRead MoreAnalysis Of David O. Russells I Heart Huckabees1250 Words à |à 5 Pagesfacing a state of distress and confusion. On top of these questions, Albert has experienced a strange coincidence. In a single day, he saw the same ââ¬Å"African manâ⬠three times. In order to understand and find meaning in this coincidence, Albert seeks help from Bernard and Vivian Jaffe, a husband and wife team of ââ¬Å"existential detectivesâ⬠who specialize in ââ¬Å"crisis investigation and resolution.â⬠The Jaffes plan on helping Albert by spying on him throughout the day to see what observations they can make aboutRead MoreThe 5 Moral Precepts Of Buddhism1933 Words à |à 8 PagesIn class we defined the 5 moral precepts of Buddhism which consists of refraining from: harming living things, taking what is not given, sexual misconduct, lying or gossiping, taking intoxicating substances (eg. drugs or drink). To harm a living thing is to be violent, to be violent is to act with a lack self control. If you and a group of friends were hanging out and someone were to walk over and say offensive things to you and your friends to act violent towards the other person would not be aRead MoreHow Does Buddhism Treat Its Women1876 Words à |à 8 Pagescontrol; from childhood by their parents, then under the watch of their husbands and as they grow older the hands of their sons. Luckily these women were given a type of out of this lifestyle with the support of Buddhism. Buddhism a philosophy focused on spiritual development towards the true insight of the na ture of reality. Buddhism included practices such as meditation as a means of changing yourself in order to develop the qualities of awareness, kindness, and wisdom. So how does buddhism treatRead MoreThe Noble Eightfold Path1926 Words à |à 8 PagesBuddhism began with a man named Siddhartha Gautama who had lived in northern India in the sixth or fifth century B.C.E. The religion has its teachings in two forms; these are the Four Noble Truths and the eight fold Path. The four noble truths teach that life is full disappointment and suffering; that suffering is a result of one s desires for pleasure; that in order to stop ones suffering one must stop desiring; and finally the way to stop desiring and thus suffering is through Noble EightfoldRead MoreWomen s Rights Of Women1708 Words à |à 7 PagesIt wasnââ¬â¢t until the early 1960ââ¬â¢s when second wave feminism got its start. It focused primarily on mass social change and fought some of the oppression women were and still a re facing today. It brought freedom for women in regards to their reproductive rights and sexuality amongst other things. Prior to this cultural shift, the womenââ¬â¢s role in society was set. The image of the nuclear household dominated the time, and women were not only expected but in a way forced to become housewives and childRead MoreEssay about A Life of Celibacy; Buddhism and Sex1910 Words à |à 8 PagesA Life of Celibacy; Buddhism and Sex Buddhism which just may be the most tolerant religion in the world, constitutes teachings that can coexist with almost any other religions. Buddhism began with Siddhartha Gautama who lived in northern India in the sixth or fifth century B.C.E. The religion has guidelines in two forms in which Buddhist followers must follow. These are the Four Noble Truths and the Eight fold Path. Buddha taught that man is a slave to his ego and that the cause of sufferingRead MoreThe Idea Of A Supernatural1323 Words à |à 6 Pagesits role. To have a reason, or an idea, for the purpose of life, we used the idea of a supernatural being(s) to confirm our purpose. We gather knowledge of religion to establish the idea that we would be able to live closer to the supernatural. Buddhism, although not technically a religion, but a philosophy, is a significant supernatural realm in which people tend to endeavor to reach ultimate meaning and purpose into life. Buddhismââ¬â¢s main focus is to use the knowledge that the world has to offerRead MoreTheravada Buddhism : The Way Of The Elders Essay2442 Words à |à 10 PagesTheravada Buddhism, or otherwise known as ââ¬ËThe Way of the Eldersââ¬â¢, is the oldest form of Buddhism, and was formed just after 500 BC. It was established by the Second Buddhist Council, which was assembled 100 years after the Buddhaââ¬â¢s death who died approximately around 483 B.C.E. During the time of the Second Council, there was plentiful controversy revolving around monastic beliefs and followers. Many monks were disagreeing with the set beliefs and interpretations of the Buddhaââ¬â¢s teachings and were
Wednesday, May 13, 2020
Essay Islamic Science in the Medieval Era - 2580 Words
There are many terms used to describe the period after the fall of Rome and before the Renaissance, three main terms being the Middle, Medieval, and Dark Ages. In general, these terms are used interchangeably, but are these fair substitutions? In recent years the term ââ¬Å"Dark Agesâ⬠is becoming less and less acceptable as a phrase which describes the span of years it is meant to refer to. The use of the term ââ¬Å"darkâ⬠implies a period of stagnation, which is becoming a questionable concept. In particular, the span of time referred to in this paper is 530-1452 BCE, with specific attention paid to the scientific discoveries and innovations rather than art or literature. These dates are significant because in 529 the Academy and Lyceum in Athensâ⬠¦show more contentâ⬠¦One might assert that the ideas of Islamic science during this period were not of value because if the innovations were so great, and the halt of progress in Europe was so encompassing, a knowledge vacuum would have been created, and the ideas would have poured into the knowledge starved areas. Further more, Europeans would expand outward to the Middle East in search of new-found knowledge due to the stagnation present in Europe. However, this is not the case, so therefore it is logical to assume that the knowledge in the Middle East was not that significant. In opposition, I would assert that major scientific innovation in some area in the world during a given time period is enough to remove the negative connotation of ââ¬Å"darkâ⬠. The scientific discoveries do not have to be world-wide. Furthermore, the reason there was no spread of knowledge to Europe during this time was due to the isolation of the two very different cultures from one another, not the insignificance of Islamic ideas. The language barrier alone would be enough to interfere with natural flow of technology. Translations of texts and therefore ideas takes time, and any cooperation between these two gro ups prior to the tenth century would be halted for hundreds of years by the Crusades. Also, the churchs relationship with young men not only occupied them thereby inhibiting their thought, but also their exploration, explaining the lack of European pro-activity inShow MoreRelatedThe House of Wisdom and its Contribution to the Preservation of Knowledge1720 Words à |à 7 Pagesis important because it addresses the academic advances with the Islamic civilization that lead to new information. To determine the extent of the contribution to the preservation of knowledge, this investigation will examine the achievements al-Khawarizmi made in science and the achievements that were made in this library and how they were preserved through time. The area of research will be focused during the time of the Islamic Golden Age, 750-1258, and in the city of Baghdad, where the HouseRead MoreAstronomy Of The Islamic World975 Words à |à 4 PagesAstronomy in Medieval Islam Astronomy is the branch of science that deals with celestial objects, space, and the universe as a whole. During the medieval era, a golden age of innovations in science took part in the Islamic world. In particular cities in the Iberian Peninsula, like Cordoba, astronomy blossomed and thrived as an aftermath of the genius and creativity that took place there. Innovations in astronomy were vital in inspiring the other scientific discoveries, and were greatly encouragedRead MoreThe Functions of Geography Throughout the Time Periods of History1325 Words à |à 6 Pagesresources, take a trip., find new places and function its served during different eras throughout history Furthermore three of geography most important function thought out history is the purposes it served during the eras of Roman, Greek, Chinese, Islamic and early modern Europe. The important purposes of geography through these ages and the benefit geography got from European Imperialism. During the era of the Greek the purpose geography served was to understand the three disciplinesRead MoreEssay on The Arabic Invasion1318 Words à |à 6 Pagesworld. By the 11th century AD, the Islamic society could boast of a number of cultural and technical centers of leaning with eminent scholars of all the known disciplines of the time. Thus, when the Arab-Islamic armies invaded distant lands, they carried the rich cultural, political and economic heritage of their expanding civilization and created such conditions as to establish deep roots and to bring about enduring geopolitical changes. Western Europe of the medieval period was no exception to thisRead Morehistory of philosophy5031 Words à |à 21 PagesYou can assist byà editing it.à (April 2013) Philosophy Philosophers Aestheticians Epistemologists Ethicists Logicians Metaphysicians Social and political philosophers Traditions Analytic Continental Eastern Islamic Platonic Scholastic Periods Ancient Medieval Modern Contemporary Literature Aesthetics Epistemology Ethics Logic Metaphysics Political philosophy Branches Aesthetics Epistemology Ethics Logic Metaphysics Political philosophy Social philosophy Lists Read MoreThe Importance of Religion for Two Paradigms: Science and Natural Philosophy700 Words à |à 3 PagesParadigms: Science and Natural Philosophy Since the beginning of the intellectual development of mankind, the question of whether there is god or not has been a question that still remains. However, its effects on our way of thinking has been shaped by a number of people, thinkers, priests, scientists so on and so forth. If we were to divide that continuum into two parts, they would be before the enlightenment and after the enlightenment. Namely the times of natural philosophy and times of science sinceRead MoreTools And Other Sharp Edged Devices1607 Words à |à 7 Pageswere carried out by the ancient Hindus nearly a thousand years before the advent of Greek medicine. Knowledge of the use of soporific options to relieve pain caused by surgery can be traced to ancient times. Then there came the Greeks and Romans first era in which they practiced surgery with great skill and with such clean the surgical wound infection and other was relatively rare, perhaps because of their cleanliness and use boiled water or wine for irriga tion of wounds this time. However, surgicalRead MoreImportant Discoveries And Contributions That Were Made By Three Famous Mathematicians1213 Words à |à 5 Pagesmathematicians from different cultures throughout time. An important era when great mathematical discoveries were made was during Medieval Times, or the Middle Ages. In this paper we discuss important discoveries and contributions that were made by three famous mathematicians of this time period including French Nicole Oresme, German Jordanus Nemorarius and Italian Leonardo Pisano, better known for his nickname of Fibonacci. Key-Words: - Medieval, Mathematics, Fibonacci, Arithmetic, Sequence 1 IntroductionRead MoreThe Muslims Of Medieval Italy By Alex M Essay1499 Words à |à 6 Pagesï » ¿The Muslims of Medieval Italy by Alex Metcalfe Less than two hundred years after the death of the prophet Muhammad the rule of Islam had spread from the Arab Peninsula to Italy after the Roman Empire had crumbled away; eventually it spread all the way to Iberia. The book The Muslims of Medieval Italy by Alex Metcalfe focuses on the Muslim-Christian dynamic and the respective ruling entities by examining the chronological timeline of events and more cultural history of the dynamic in the regionRead MoreHow Truth Was Defined By Medieval Europeans1696 Words à |à 7 PagesEric Green Urban British Literature 1st 3 December 2015 How Truth Was Defined By Medieval Europeans In life majority of people believe telling the truth is the correct way of living. Truth has endured the world throughout time and is seemingly unanswerable to those who do not understand it because this subject appears in every culture. Truth goes along with universal questions such as what is beauty, justice, and power. And love but none have a direct answer because they are all dependent on
Wednesday, May 6, 2020
Mod Free Essays
A supervisor Is defined as ââ¬Å"someone who supervises as In a large business or enterprise,â⬠supervise Itself means ââ¬Å"to be In charge of (someone or something) : to watch and direct (someone or something)â⬠this means that the Job Is still built and run with the same basic and fundamental Ideas of dervish, Interpersonal skill and professional actions In day to day work such as hilling and directing as needed. Though the functions of the Job are oriented around a new Idea for the switch, the functions themselves are the same. 2. We will write a custom essay sample on Mod or any similar topic only for you Order Now Do you think that supervision can be learned through books and study or only through experience? Why? I believe that good supervision can be learned through books and study, however, supervision itself is a skill and therefore must be taught hands on not only through study. Experience is a key to learning a skill such as supervision because it involves instructing others what to do, one cannot have the confidence to lead others by nearly reading a book and Jumping in. In order to learn how to lead and supervise you must have the experience of being in command preceded by the experience learned in books and study. 3. Explain the glass ceiling: The glass ceiling refers to the concept that states that the majority of successful business leaders and supervisors are ââ¬Å"white maleâ⬠and there is an invisible barrier now as ââ¬Å"the glass ceilingââ¬â¢ holding women and minorities back from progression in the business world. Diversity is very slowly growing in business however this still seems to be a problem. Greater diversity is a need because in todayââ¬â¢s world a business must have different languages and cultural viewpoints, the glass ceiling prevents this. 4. Explain entrepreneurship. Entrepreneurs are people who start, manage, work In and operate their own businesses. Pond these tasks an entrepreneurs must also proved the professional did of supervision to their own company, Including all the liableness, risk and taxes. The rewards of entrepreneurship are great personal accomplishment and profit If done properly. Mod 1 By Sketchbooks would also do well at a bank. A supervisor is defined as ââ¬Å"someone who supervises as in a large business or enterprise,â⬠supervise itself means ââ¬Å"to be in charge of that the Job is still built and run with the same basic and fundamental ideas of leadership, interpersonal skill and professional actions in day to day work such as ring and directing as needed. Though the functions of the Job are oriented around a new idea for the switch, the functions themselves are the same. Known as ââ¬Å"the glass ceilingâ⬠holding women and minorities back from progression in Entrepreneurs are people who start, manage, work in and operate their own businesses. Upon these tasks an entrepreneurs must also proved the professional side of supervision to their own company, including all the liabilities, risk and taxes. How to cite Mod, Papers
Monday, May 4, 2020
Health and Communication
Question: Describe about healthy communication. Answer: Communication is an important and integral part of everyones life, without it we cannot survive. Nor-verbal and verbal communication starts when a person is born and only ends when he or she dies. This transfer of information between people plays a crucial part in a health care setting. The effective nursing relationship is dependent on the relationship between a client and the nurse. The relationship should be always helping or therapeutic. This can be achieved when the patient trusts the nurse. This trust is based on communication as patients in a health care setting view nurse as a person who they can open up to. They should feel that they can talk about their concerns without the fear of being judged (Bolster Manias2010). If the patient feels that the nurse is uncaring and distant it will only add to the stress that the patient is already encountering. Greetings and eye contact play a crucial role, as when meeting for the first time with the patient the nurse should greet and reach out to the patient. This will make the patient feel inclined to share his or her feelings (Fakhr-Movahedi, Salsali, Negarandeh Rahnavard, 2011). There are numerous hidden aspects of communication and tone of voice is among one of them. A simple greeting like Good morning can be interpreted differently if spoken with a different character and tone of voice. As a nurse you should be alert to know the different tones (Devik, Enmarker, Hellzen, 2013). If a nurse greets a patient for the first time in the morning and gets a Good morning reply in an emotional tone, it may be that the patient is worried or disturbed due to something. If he is cheerful it means that he is happy with his recovery and treatment. Lastly if he replies back in an angry tone it could be something is bothering him. Sincerity, kindness and courtesy are key components in communication in a nursing profession. Communication helps in performing consistent and accurate nursing work. There are different forms of communications like verbal and non verbal communication. Verbal communication is when words are used to present feelings, thoughts and ideas. A nurse should be a good verbal communicator, which means that they should know how to present their ideas as well as they should listen to people carefully. Non verbal communication is such where opinions and ideas are expressed through contact, signs, objects, pictures, tone of voice, facial expressions, body language and gestures (McGilton , Sorin-Peters , Sidani , Rochon , Boscart , Fox ,2010). In order to communicate well a person has to go through a communication cycle. This cycle can have numerous barriers such as lack of interest, emotional barriers, cultural differences, use of jargons, differences in viewpoint, and stereotyping (Garra , Albino , Chapman , Singer , Thode ,2010). In a health care setting there are numerous other barriers such as noise, anxiety, lack of privacy, and communication being blocked by other staff (Jahromi Ramezanli, 2014). A nurse can effectively manage and minimize these barriers if he or she has conscious awareness. They have to possess skills to focus on the patient and demonstrate active listening. They should always look for cues and ask open questions. They should remain silent while the patient is replying and should screen the patient for any other cue (Fakhr-Movahedi, Salsali , Negharandeh , Rahnavard , 2011). The nurses should provide small information at a time by avoiding medical jargons and using clear terms. They should avoid p roviding details until it is required. They should pause and wait for a response before moving on. Refection is equally important in effective communication between a nurse and a patient. As the nurse should repeat what the patient has said to show that they have heard what the patient has said. Listening is also very important in a nursing profession as the nursing profession requires concentration and attention. Nurses not only assess the problem and the situation of the patient but also enhance the self esteem of the patient by actively listening to them. Active listening is a way of sharing patients feelings and thoughts. As you listen and repeat you check with the patient and clarify (Kourkouta Papathanasiou, 2014). This prevents the patients to feel invisible and isolated. Empathy is the ability that lets a nurse enter the relational world of the client and to feel and see this world as the client feels and sees it. This ability helps in attending the subjective experience of the client and to validate his or her understanding in an accurate way. Empathy is the ability to understand and enter the experience of a different person and this is important in a nursing profession as it helps a nurse to understand, and support the patients. Patients expect a nurse to show sympathy, interest and to understand the difficulty that they are facing as they are seeking more than just treatment. During treatment there are times when the patient may feel the need for a therapeutic relationship to make the treatment a little less challenging. This is when empathy plays a crucial part as patients need the support of the nurses to understand a negative experience. There are numerous reasons that can prevent a person to listen empathically to someone. Some of these reasons are identifying rather than empathizing, feeling tired, trying to listen to more than one person, not interested, making judgments, preoccupation, sympathizing rather than empathizing and having a closed mind. In a health care setting a nurse has to be an empathic listener as it is in the course of taking care of the medicines, treatment and care of the patient. Confidentiality and privacy are the basic rights given by the society. Confidentiality should be applied regarding the protected information of the patients. Safeguarding these rights is a legal and ethical obligation of all health care providers (Sohrabi, Alimohammadi , 2010). Nurses should understand the need to keep patients confidentiality as their relationship with the client depends on it. It is a sacred trust that the patient is placing in the health care system. It is the duty of the health care providers tha t they protect the well being of the patients that are entrusted to their care. It is in human nature to discuss and talk about things that are common but care should be taken while discussing about patients. Due to increasing communication technology and the nature of the social media nurses should remain vigilant regarding posting images, and recordings that unintentionally breech their obligation towards protecting the patients confidentiality. Breaching confidentiality is failing the patient autonomy. It is betrayal of the trust that the patient has shown in the health care providers. This breach could lead to a disciplinary action against the person who made the disclosure. An action can be taken against the person as well as his or her employer. In case of a health care setting a disciplinary proceeding can take place. A fine can also be imposed on the employer. Although confidentiality is a right of the patient but it is not absolute as there are some legitimate exceptions when doctors or nurses can breach confidentiality. Some of these instances are when the patient has himself given consent (disclosure with consent), when it is important to share clinical information with other staff (multidisciplinary teams) members for the management of the patient, sharing the information to the patients family until the patient has specifically requested not share the information with family members, disclosure in the interest of the public (when informing local officers about a communicable disease that the patient may have and it needs to be controlled), and when there is a risk to the safety of others or to prevent crime. A patients medical records are the most sensitive of personal records and therefore care should be taken with these records (Cowen Yentis,2012). The records that are kept in the health care sector should be timely, accurate, honest and clear. Poor record keeping can lead to adversely affecting the patient treatment and recovery. These records document the assessments on the progress of the patient care therefore quality should be a priority (Eikey, Murphy , Reddy, Xu , 2015). These entries should be made in detail as the patient treatment depends on these records. The nurses are usually responsible in maintaining these records as the review and assess the patients condition the most. The progress, issues and concerns all have to be documented. It is important that these notes are clear a s patients and other non medical personnel can also review these notes. Any comments that are of personal nature should be avoided to be documented in these notes (Jackson Lim, 2011). It is not unusual that an incorrect entry is made in a busy environment like a hospital therefore special care should be taken about the time, year and correct date (Lin Lin, 2011). It is advisable to not delete or remove anything from these records as that may look suspicious. These records are required for effective communication between health care professionals that are attending on the patient. Failure to maintain a comprehensive medical record may compromise the management and care of the patient. Despite their importance medical records are given low priority as these notes are poorly maintained and many times are not readily available. Due to numerous incidences of poor record keeping there are numerous cases of litigation that have been against health care professionals. Therefore it is cruci al that these medical records are kept simple, clear and accurate. These records reflect the quality of care that was provided to the patient. 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Evaluation of Barriers Contributing in the Demonstration of an Effective Nurse-Patient Communication in Educational Hospitals of Jahrom.Glob J Health Sci, 6(6) , 5460 Kourkouta L Papathanasiou, I V., 2014, Communication in Nursing Practice.Mater Sociomed, 26(1), 6567 Lin Y-K, Lin C-J., 2011 Factors predicting patients' perception of privacy and satisfaction for emergency care.Emerg Med J, 28(7):604608 McGilton K, Sorin-Peters R, Sidani S, Rochon E, Boscart V, Fox M., 2010, Focus on communication: increasing the opportunity for successful staff-patient interactions.Int J Older People Nurs, 6:1324 Sohrabi, MR Alimohammadi , H., 2010, Privacy, Confidentiality and Facility Criteria in Designing Emergency Departments of the Teaching Hospitals of Shahid Beheshti University of Medical Sciences in 2007.Int J Qual Stud Health Well-bein, 10(1), 36-41
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