Wednesday, January 29, 2020

Compare the descriptions of the four ghosts Essay Example for Free

Compare the descriptions of the four ghosts Essay Dickens little Christmas book, A Christmas Carol, was one of many of Christmas novels, however the book, as well as selling six thousand copies in one week, has become Dickens most famous novel. Although the Victorians opinions of ghosts were conformist and modern day readers opinions are more lax; the variety of spectres ensured it appealed to both ages and revived the charitable meaning of Christmas for the Victorians. The first ghost Dickens introduces to the reader is Marley and he uses vivid adjectives to illustrate the typical conventions of a ghost. Some of these conventions are shown when Dickens writes, The same face: the very same, and describes his clothes as, usual waistcoat, tights, and boots. In saying that the ghost has, the same, face and clothes as the person it originated from, it conforms to the stereotypical image of a ghost. This makes the reader feel more comfortable with the opening of the novel; allowing the reader to make the prediction that the other ghosts would be similar. This successfully results in the reader being shocked later on in the book. Furthermore, Dickens uses personification to create the suspense and fearfulness that the reader would expect a ghost to do. This is evident with the quote, flame leaped up, and, it cried, I know him! Marleys ghost. When the flame, leaped up, it gives the effect that it has identified something so fearful that it has gave life to in-animate objects. This makes the reader desperate to find out why this ghost is so frightening. The flame also seems to detect that the ghost is Jacob Marley, which suits the idea that a ghost haunts someone that did wrong to them in their previous life. Adding to the terrifying image of the spectre, Dickens highlights the fear with the phrase, disturbs the very marrow in his bones. The phrase strengthens the idea that Marley is a typical spectre as a Victorian reader would expect Scrooge to be immensely scared of the ghost, this is because the conformist opinion was that ghosts were to be frightened of. Although Marley is overall a conventional ghost, Dickens does use a combination of metaphors and similes to add interesting original touches. These are found when the book says, being provided with an infernal atmosphere of its own, and, as by the hot vapour from an oven. The simile highlights the alteration between Scrooge and the ghost. One interpretation of this is that the simile is a representation of how a ghost sees the world from a different perspective then a human. The simile emphasises this interpretation and suggests that the difference between the perspectives of the two characters is that the ghost looks on the earth with envy as his own world as Marleys own world agitates like, hot vapour. This is one of the first signs that the book will push the conformist boundaries of the after life; alerting the reader to the thought that this ghost has feelings, which is not expected from a Victorian audience. In contrast to the ghost of Jacob Marley, the ghost of Christmas past is strange and unconventional. Just as in the description of Marley, Dickens uses sound to build up suspense. For example, he describes the hour bell as, hollow. The use of this word may mean that the ghost is evil, however on the other hand it may suggest that it wont use discretion as it is hollow and doesnt have a heart; this is significant as it was believed that feelings came from the heart in the Victorian period. The word is successful as it makes the reader make predictions about the ghost before it arrives. This is playing with the reader and will create anxiety, as the reader will want to discover whether the prediction was right or not. In addition, Dickens confirms the idea of a ghost further. This occurs when he writes, unearthly visitor. One interpretation of this is that the word, unearthly, gives the impression that it doesnt belong on earth and is not a typical creature. This adds to the idea of a typical ghost however, a subtle implication strays from the stereotype. The word, visitor may imply that the ghost will not stay long which may seem insignificant to a modern reader but the Victorians feared that ghosts would haunt a specific person making their lives a misery. I think that this effectively created an unusual sense around the ghost that pre-emptively warns the reader that it isnt a normal ghost. Moreover, Dickens uses juxtaposition to make the reader acknowledge that the ghost represents something. The contrast is shown with phrases such as, like a child, and, like an old man. The contrast implies that what someone does in the past can alter their future so you should always do the right thing. This representation is further emphasised with the imagery, now with one leg, and, now with twenty legs as it gives an interesting, visibly imaginable example of the change. These quotes are successful as the reader can see that the ghost represents the fact that every action has a consequence.

Tuesday, January 21, 2020

Standardized Tests Are Ineffective Essay -- High-Stakes Standardized Te

Standardized tests are unnecessary because they are excruciating to the minds of many innocent students. Each year, the tests get tougher and stricter until the students cannot process their own thoughts. The tests become torturous to the minds of those only starting in the world of tests. The students already battling in the war are continuing to fall deeper and deeper into the world of uncreativity and narrowness. As the walls narrow in on them, they are lost and unable to become innovative thinkers. Moreover, the implementation of standardized tests into the public school systems of the United States of America has controversially raised two different views –the proponents versus the opponents in the battle of the effectiveness of standardized tests. Standardized tests require all test takers to answer the same questions; the tests are also scored in a standard manner. Thus, the education system believes that it is fair for everybody to take the same test because it is pre paring students for college learning. In reality, intelligence cannot solely be determined by a test score; therefore, standardized tests are ineffective in encouraging learning in educational environments for three reasons: they are stressful, discriminatory, and uncreative. Throughout the history of standardized testing in the United States of America, citizens have viewed the test as an effective tool to build a society on excellence and success. Furthermore, standardized tests have developed and spread in various public schools as an unproblematic way to test a large amount of students quickly. Educators use test scores to evaluate student performance, teacher proficiency, and school effectiveness. However, standardized tests are not the best way to te... ...ningful projects that can be used in real life. Works Cited Fletcher, Dan. â€Å"Standardized Testing.† Times. Times, 11 Dec. 2009. Web. 29 Nov. 2013. Popham, James. â€Å"Why Standardized Tests Don’t Measure Educational Quality.† Journal of Educational Leadership 56.6 (1999): 8-15. Web. 29 Nov. 2013. Rooks, Noliwe M. â€Å"Why It’s Time to Get Rid Of Standardized Tests.† Times. Times, 11 Oct. 2013. Web. 29 Nov. 2013. Sarason, Irwin G. â€Å"Stress, Anxiety, and Cognitive Interference: Reactions to Tests.† Journal of Personality and Social Psychology 46.4 (1984): 929-38. PsycARTICLES. Web. 29 Nov. 2013. Schmidt, Peter. â€Å"Sunday Dialogue: Too Tethered to Tests?† New York Times. New York Times, 12 Oct. 2013. Web. 29 Nov. 2013. Strauss, Valerie. â€Å"Have Standardized Tests Really Helped Kids Learn More?† Washington Post. Washington Post, 30 Apr. 2013. Web. 29 Nov. 2013.

Monday, January 13, 2020

Mhp Nursing Shared Governance Essay

What is Shared Decision Making †¢ Point of Service Decision Making – where staff who perform the work participate in decision making affecting their environment †¢ A 30 year old decision making model meant to give equal voice to nurses †¢ A decentralized style of management that creates an environment of empowerment Shared Decision Making A Journey Not a Destination We TO They Why Shared Decision Making †¢ Essential to achieving the best patient outcomes by giving nurses control of their practice – they know best! †¢ Recognizes the power already present in a role and allows that power to be expressed legitimately †¢ Builds autonomy into the profession Shared Decision Making – The Process A dynamic process that is centered on 4 critical principles of fully empowered organizations: Partnership Accountability Equity Ownership Operational Definitions †¢ Partnership – nursing staff and leadership work together at the unit and system level to move practice forward and achieve the best outcomes †¢ Accountability – staff and managers share ownership for the outcomes of our work and are answerable to our colleagues, the institution and the community we serve Operational Definitions †¢ Equity – Integrating roles to achieve outcomes; everyone contributes within the scope of their role as part of the team †¢ Ownership – Everyone must realize that success is linked to how well they do their jobs Shared Decision Making Our Model Professional Advancement Council Administrative Council Safety First C rd oo ina tin g Quality & Safety Council Cou ncil Unit Patient Research & Evidence Based Nursing Practice Council Great Place to Work Professional Nurse Council Family Community Clinical Excellence Councils Coo Education Council rdin atin g Cou ncil Think of yourself as a Patient APN Council Research Council Financial Strength CCHS Shared Decision Making Councils †¢ Quality & Safety Council †¢ Research & Evidence Based Nursing Practice Council †¢ Education Council †¢ Professional Nurse Council †¢ Coordinating Council Education Council ï‚ § Collaborates with unit and system councils to identify educational needs, develop educational priorities with appropriate time lines and determine resources for all education impacting the Department of Patient Care Services ï‚ § Disseminates approved educational strategies to unit leaders and support staff ï‚ § Develops and maintains a communication network between unit and systems councils Research & Evidence Based Nursing Practice Council ï‚ § Promotes the spirit of inquiry in clinical nursing practice ï‚ § Evaluates the literature in order to use best practices to transform clinical practice at the point-of-care Quality & Safety Council ï‚ § Provides planned, systematic and collaborative approaches to oversee and direct quality and safety relating to the nursing process, functions and services provided. ï‚ § The council’s scope includes performance improvement and safety measures throughout the Department of Patient Care Services Professional Nurse Council ï‚ § Works to enhance the professional image of nursing within CCHS and the community ï‚ § Supports the spirit of the professional advancement program ï‚ § Identifies and supports implementation of recruitment and retention strategies Coordinating Council ï‚ § Provides overall coordination of the systems councils. ï‚ § Reviews the system strategic plan and adopts the plan for the Department of Patient Care Services and the nursing Shared Decision Making structure. ï‚ § Serves as the portal for other departments or disciplines requiring assistance with the Shared Decision Making structure of nursing. Problem Solving The Old Way †¢ Problem identified by staff and communicated to manager †¢ Manager may or may not have asked for feedback about solutions †¢ Manager made final decision or had final authority for approving a solution Problem Solving The New Way †¢ Staff identify issues and communicate them to the unit council †¢ Unit council formulates a response and communicates this to staff †¢ Staff provide feedback via the comment form. How Does The New Way Work †¢ Unit Council: ï‚ § Collects Data ï‚ § Develops a proposed plan using evidenced based practice ï‚ § Develops a time line ï‚ § Presents Plan for Feedback (Open Comment) ï‚ § Revises Plan Based Upon Feedback ï‚ § Forewards plan to system council, as needed How Does The New Way Work †¢ Unit Council: ï‚ § ï‚ § ï‚ § ï‚ § Implements Plan Evaluates Outcome Report Results to Unit Staff Seeks staff feedback, formally and informally on council’s performance How Does It Work – Problem Solving Methodology †¢ Identify an Issue or a Problem †¢ Gather Data †¢ Design a Solution †¢ Obtain Feedback †¢ Finalize a Proposal †¢ Implement †¢ Evaluate †¢ Report Increased Incidence of Pressure Sores Problem Unit Problem: Unit Council Problem Solving Model Results: Positive Outcomes System Level Practice Research Problem Coordinating Operations Education Problem Solving Model Results: Positive Outcomes Nurse Manager’s Role †¢ Create a climate that is actively supportive and not just tolerant of shared decision making †¢ Facilitate a leaning environment for staff growth and comfort with shared decision making †¢ Support â€Å"release time† for staff to participate in shared decision making activities Nurse Manager’s Role †¢ Share with staff your knowledge of leadership and help staff to minimize implementation barriers †¢ Commit to the â€Å"New Way† Role of Unit Based Council Chair †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ Set meetings Develop the agenda Move council to consensus Ensure members participate (per charter) Facilitate group assignments Ensure consensus for decision making Call emergency meetings, as needed Mentor Chair-elect Benefits of Shared Decision Making †¢ Increased Staff Nurse Satisfaction (increased autonomy, increased control over practice, improved communication between nurses, physicians and administration) †¢ Improved Nursing Retention ($90,000 to replace an RN – 2006 Advisory Board) †¢ Improved Patient Safety Outcomes Benefits of Shared Decision Making †¢ Improved collaboration and team Building †¢ Improved quality of care and clinical effectiveness †¢ Increased staff confidence, personal and professional growth †¢ Development of new knowledge and skills †¢ Increased professionalism and accountability Requirements for success†¦. †¢ Place the Patient First and focus on providing the best care possible †¢ Trust and respect is essential †¢ Communicate openly and honestly †¢ Embrace change and strive for improvement †¢ Staff and managers hold each other accountable. †¢ Organizational support of accountability in the performance appraisal process Final Thought Shared decision making is a journey, not an event. It is not achieved overnight, and there is no conclusion – no point when it is fully in place. It only provides a foundation for further growth. Tim Porter-O’Grady

Sunday, January 5, 2020

Learning to Learn Skills as a Foundation

Children with Autism Spectrum Disorders and other developmental disabilities often lack skills that are pre-requisites for success in school. Before a child can acquire language, hold a scissors or pencil, or learn from instruction, he or she needs to be able to sit still, pay attention and imitate the behaviors or remember the content of instruction. These skills are commonly known, among practitioners of Applied Behavior Analysis, as Learning to Learn Skills: In order to succeed with children with Autism, it is important that you evaluate whether they have those learning to learn skills. The Skill Set Waiting: Can the student stay in place while you arrange materials, or begin a session?Sitting: Can the student stay seated, on both buttocks, in a chair?Attending to others and materials: Can you get the student to pay attention to you (the instructor) or when presented with materials?Changing responses based on prompts: Will the student change what he/she is doing if directed to do so, with physical, gestural or verbal prompts.Following instructions: When given instructions, will the child comply? This implies that the child has receptive language.Following choral, or group instructions: Does the child follow directions when given to a whole group? Or does the child only respond to directions given with their name? The Continuum The learning to learn skills above are really arranged in a continuum. A child may learn to wait, but may not be able to sit appropriately, at a table. Children with Autism Spectrum Disorders often have co-morbid problems, such as Obsessive Compulsive Disorder (OCD) or Attention Deficit Hyperactivity Disorder (ADHD ) and may have never sat for more than a few seconds in one spot. By finding reinforcement that a child really wants, you can often shape these primary behavioral skills. Once you have completed a reinforcement assessment (evaluating and discovering reinforcement that your child will work for,) you can begin to assess where a child is on the continuum. Will he sit and wait for a preferred food item? You can move from the preferred food item to a favorite or preferred toy. If the child has sitting and waiting skills, you can expand it to find if the child will attend to materials or instruction. Once that is evaluated, you can move on. Most often, if a child has attending skills, he may also have receptive language. If not, that will be the first step of teaching the ability to respond to prompts. Prompting. Prompting also falls on a continuum, from hand over hand to gestural prompts, with the focus on fading prompts to reach independence. When paired with language, it will also build receptive language. Receptive language is critical for the next step. Following directions If a child will respond correctly to prompts, when paired with words, you can teach following directions. If a child already responds to verbal directions, the next thing to assess is: Does a child follow choral or group instructions? When a child can do this, he or she is ready to spend time in the general education classroom. This should hopefully be an outcome for all our children, even if only in a limited way. Teaching the Learning to Learn Skills The learning to learn skills can be taught either in one to one sessions with an ABA therapist (should be supervised by a Board Certified Behavior Analyst, or BCBA) or in an early intervention classroom by the teacher or a classroom aide with training. Often, in early intervention classrooms, you will have children who come in with a range of abilities in the learning to learn skills and you will need to focus the attention of a single aide on children who most need to build the basic sitting and waiting skills. The instructional model for ABA, like the model for behavior, follows an ABC sequence: A: Instruction. This needs to fit the outcome. If the first instruction is to sit, you may have to physically guide the child into the chair, accompanied by a verbal description of what is happening: Sit down, please. Okay, were sitting with our feet on the floor, our bum on the chair.B: Behavior. What the behavior is will determine the next step.C: Feedback. This is either correcting the response or praise, either paired with reinforcement, a token (secondary reinforcement) or once you have some behavioral momentum, every second to fourth correct response, or correction. The most important thing is to be clear about what is the desired response - you never want to reinforce an incorrect response (although an approximation is appropriate when shaping behavior. Called Discrete Trial Teaching, each instructional trial is very brief. The trick is to mass the trials, in other words, bring the instruction on hard and heavy, increasing the amount of time that the child/client is engaged in the targeted behavior, whether it is sitting, sorting, or writing a novel. (Okay, thats a bit of an exaggeration.) At the same time the teacher/therapist will be spreading out the reinforcement, so that each successful trial will get feedback, but not necessarily access to reinforcement. The Goal The final outcome should be that students with Autism Spectrum Disorders will be able to succeed in more naturalistic settings, if not actually in a general education classroom. Pairing secondary or social reinforcers with those primary reinforcers (preferred items, food, etc.) will help children with more challenging disabilities function appropriately in the community, interact with people appropriately and learn to communicate, if not to use language and interact with typical peers.