Ebola: Safely Managing Patients Infected with Highly Contagious Diseases

1. Introduction

Highly contagious diseases with epidemic potential require a coordinated, continuous response that involves all levels of government and partners internationally. Nurses working in different phases of an outbreak need to be knowledgeable, flexible, and prepared to adapt to ever-changing situations. Continuing education and training, along with comprehensive preparedness and readiness plans, are essential to protect both healthcare workers and the public. However, ongoing and continuous education and preparedness for Ebola and other highly contagious diseases are challenges that the healthcare system and nursing profession currently face.Highly contagious diseases like Ebola present unique challenges to nurses in the healthcare setting, as both the patients and healthcare workers are at risk of infection. Nurses, especially those who work in critical care units and emergency departments, play a key role in identifying, managing, and preventing the spread of Ebola. Successful containment of outbreaks and prevention of further transmission depend on early diagnosis, isolation of infected patients, appropriate infection control practices, and the use of personal protective equipment.Ebola is a rare and deadly disease caused by infection with one of the Ebola virus strains. It was first discovered near the Ebola River in 1976 in what is now the Democratic Republic of Congo. Since then, outbreaks have appeared sporadically in Africa. The 2014-2016 outbreak in West Africa was the largest Ebola outbreak since the virus was first discovered, with multiple countries affected. The outbreak was associated with more than 28,000 cases and over 11,000 deaths. Twelve cases of Ebola have been reported in the United States to date, with two of those being transmissions within the healthcare setting.The world has experienced several infectious disease outbreaks in the past, such as the Spanish flu in 1918, the severe acute respiratory syndrome (SARS) in 2003, the H1N1 influenza in 2009, and the Ebola outbreak in West Africa in 2014-2016. Safely managing patients infected with highly contagious diseases is of utmost importance to prevent the spread of infection within the healthcare facility and the community. This is especially crucial given the global nature of healthcare and the ease and frequency of international travel today.

1.1. Importance of Safely Managing Highly Contagious Diseases

First and foremost, safely managing highly contagious diseases like Ebola is important to minimize the risk of transmission, both for healthcare workers and other patients in the healthcare setting. Ebola is caused by infection with a virus of the family Filoviridae, genus Ebolavirus. The Ebola virus is a member of a family of RNA viruses known as Filoviridae. These viruses exist as parasites of several organisms, including humans, and cause a number of hemorrhagic fevers. The Ebola virus is named after the Ebola River in the Democratic Republic of Congo (formerly Zaire), where one of the first recorded outbreaks occurred. Since then, there have been numerous outbreaks of Ebola in Africa. The first documented human case of Ebola virus was in 1976, and since that time, the virus has been a health threat in Africa. The natural reservoir host of the Ebola virus is not confirmed, but scientists believe that the virus is animal-borne and that bats are the most likely reservoir. In general, highly contagious diseases have the potential to cause sudden, widespread illness and death, and they can also cause a high degree of public fear and social disruption. Therefore, it is essential that there is a coordinated and well thought out plan for managing such diseases effectively. Severe acute respiratory syndrome (SARS), for example, led to considerable disruption to international air travel and business in 2003, and had serious economic implications for affected countries. Even more seriously, the “Black Death,” now known to be caused by the bacterium Yersinia pestis, killed an estimated 25 million people in Europe between 1347 and 1351 and had far-reaching social and economic effects. Highly contagious diseases like Ebola are transmitted through contact with blood or body fluids of a person who is sick with or has died from Ebola, or through exposure to contaminated objects, such as needles. Some highly contagious diseases may be airborne, transmitting through particles of moisture that are coughed or sneezed into the air. It is also possible for some diseases to be transmitted through the water or food supplies. Therefore, taking appropriate measures for safely managing such patients with highly contagious diseases is vital. Such measures help to control the spread of these diseases and minimize the risk of infections to both patients and healthcare workers. In addition, having appropriate procedures for managing patients with highly contagious diseases in place can give assurance to healthcare workers, who are the first line of response, and also avoid unnecessary panic among the public. Sudden outbreaks of highly contagious diseases can cause substantial stress and worry. People may worry about catching the disease for themselves or for their loved ones, what treatments are available or what will happen to their jobs or businesses. By having good plans in place for managing patients with highly contagious diseases and by effectively and appropriately implementing those plans, public fear and social disruption can be minimized.

1.2. Overview of Ebola Virus

The first symptoms of Ebola infection are very similar to those of many other infections, such as fever, muscle pain, headache, and sore throat. These early nonspecific symptoms, along with adequate knowledge of the transmission pathway, are believed to be important in the recognition and containment of potential outbreaks. These symptoms, however, are eventually overpowered by the later signs of severe damage to the vascular system, such as widespread bruising, bloody feces, vomiting blood, and spontaneous bleeding from various orifices. If the patient makes it past this critical stage and has a robust immune system, they can recover from the virus. Long-term complications of Ebola infection may include joint pain, muscle pain, and fatigue. However, the survival rate depends on the exact strain of Ebola virus and medical care. For some outbreaks, live rates have varied from 25% to 90%.The Ebola virus primarily targets the immune system and vascular system in the human body. After initial contact and entry into the body, the virus first invades local macrophages and dendritic cells, then travels within infected cells through the lymphatic system. The virus ultimately disrupts the vascular system and induces abnormal blood clotting, which can lead to a variety of bleeding disorders. In fact, it is the multifaceted damage to the vascular system which ultimately results in the severe and often fatal hemorrhagic fever that has made Ebola virus infections notorious. The cellular response to Ebola infection, known as “cytokine storm,” greatly enhances inflammation and vascular permeability, further adding to the lethal nature of the virus.The Ebola virus, named after the Ebola River in the Democratic Republic of Congo, where it was first detected in 1976, is a member of the family Filoviridae. There are five known Ebola virus species, four of which can cause disease in humans and the fifth in nonhuman primates. While the natural reservoir for Ebola virus remains unknown, it is believed that fruit bats are likely the hosts for the virus and that the infection is transmitted to humans and other animals through bat secretions. Upon infection, the virus can be secreted in many different body fluids, such as saliva, vomit, feces, sweat, and blood, and can be transmitted to others through direct contact with the skin or mucous membranes.

1.3. Challenges Faced by Nurses in Managing Ebola Patients

Nurses working with Ebola patients face many challenges. These challenges may encompass the provision of direct care and the structural, administrative, and cultural issues that are part of an outbreak response in a healthcare facility. Most significantly, the high mortality rates and the absence of a proven vaccine and a clear-cut treatment for Ebola may cause fear and extensive distress for nurses who are responsible for providing nursing care to the patients. Studies have identified that there is an existence of cognitive, emotional, and physical challenges experienced by the nurses. The cognitive challenges include high workload, situational awareness, and decision-making process in managing the safety of both nurses and the patients. Emotional challenges mainly refer to the psychological demand, anxiety, burnout, and stress due to the unpredictable disease trajectory and death of the patients while physical challenges are related to the adherence of the infection prevention and control practices and use of personal protective equipment (PPE) in the workplace. Also, maintaining a safe environment with high infectious agents such as the providing of adequate spacing from other patients, segregation or isolation plans, and the reduction in unnecessary transportation to other places can be challenging. This may entail the alteration of the healthcare customs of allowing visitations and the accommodation of patient’s preference on the comprehensive healthcare options. Nurses not only have to maintain the functional requirements in treating the patients but also to implement the structural changes. Mitigation strategies include more staffing and the training of healthcare workers to have a better understanding of the pathogen and the infection prevention. The ongoing Ebola weighs heavy on the nurses both mentally and physically. The continuous exposure to the trauma and suffering of the patients can lead to distress response and other types of psychological impacts on the nurses, not to mention potential stigmatization and shunning by the public. It is important for the nurses to have an additionally reinforced training on stress and emotional management during the outbreak of such high-risk infectious diseases. In essence, it is an educational and support intervention strategy which can aid in diabetes prevention and improve the holistic health in the safety work environment for the nurses. Also, empowering the nurses on the decision-making process and work safety confidence with more isolation on the structural overcome will promote a positive and healthy workforce when encountered with an infectious outbreak. Finally, with the increased involvement in the research profession and rapid advancements in the laboratory technologies, it aims to develop better treatments of Ebola and potential cures. Nonetheless, it is vital for the nurses to have a strong drive in the engagement of the academic opportunities to have a deeper understanding of biomedical research so as to equip themselves to face the challenges in dealing with such infectious diseases in the long run.

2. Personal Protective Equipment (PPE)

2.1. Importance of PPE in Ebola Management

2.2. Types of PPE Used by Nurses

2.3. Proper Donning and Doffing of PPE

3. Infection Prevention and Control Measures

3.1. Hand Hygiene Practices

3.2. Disinfection and Sterilization Procedures

3.3. Waste Management in Ebola Units

4. Patient Assessment and Monitoring

4.1. Initial Assessment of Ebola Patients

4.2. Vital Signs Monitoring

4.3. Symptom Management

5. Safe Patient Handling and Movement

5.1. Techniques for Safe Patient Transfers

5.2. Proper Use of Medical Equipment

5.3. Preventing Patient Falls

6. Communication and Collaboration

6.1. Effective Communication Strategies in Ebola Units

6.2. Interprofessional Collaboration in Managing Ebola Patients

6.3. Family and Community Engagement

7. Emotional and Psychological Support

7.1. Providing Emotional Support to Ebola Patients

7.2. Self-Care for Nurses in High-Stress Environments

7.3. Dealing with Stigma and Discrimination

8. Emergency Preparedness and Response

8.1. Disaster Planning for Ebola Outbreaks

8.2. Rapid Response Teams and Emergency Protocols

8.3. Lessons Learned from Previous Ebola Outbreaks

9. Training and Education

9.1. Ebola-specific Training for Nurses

9.2. Continuous Professional Development in Ebola Management

9.3. Simulation and Drills for Preparedness

10. Conclusion

Evolution of computer science and future research trends

1. Introduction

Computer technology has evolved over the decades from simple devices capable of only simple computations to some of the most complex and sophisticated systems known to man. The unique importance of computer technology and its applications has led to the need for a distinct scientific discipline – computer science. In the last century, this discipline has had a significant impact on society through its applications in a variety of fields including business, the military, and healthcare. The applications are diverse and offer tremendous potential to further advance the human condition. This raises the question as to what computer science is and what fundamental problems in the field have been resolved. Such a question can only be answered by taking a historical perspective and looking at the problems that have been heavily investigated. By studying the history and subsequent trends in the development of computers and programming, it is possible to gain a substantial understanding of the field as a whole. This said, in this report, I will explore fundamental aspects of the computer science field by taking a look at its origins, development over the last century, various sub-fields and research areas, and a high-level overview of the impact that this discipline has had on our modern society. The report will provide information that will hopefully show major milestones in computer science and expose areas yet to be heavily investigated, providing insight into the future of computer science research. It will provide a guiding point to a person’s understanding of how computers have been developed and show that the field is more than just processing and accepting input and output. I plan to discuss some of the major uses of computer science in society and thereby describe the ways people and systems must interact with it, i.e. users and peripheral devices. The report will show how a program written in a high-level language will eventually have to conform to the set of instructions the computer can process and, in turn, perform a complex sequence of reactions as a result of a single input. Through the research, the report aims to identify and promote the recent trend in computer science for education and how the integration of technology for students has formed and developed over the last few years. By doing this, I am sure that it will provoke a keen and novel idea to develop student learning further. It is becoming increasingly high profile and, in practical contents, there is a growing emphasis on interdisciplinary research and development. The emerging field of Games Science is indeed very interdisciplinary and has a significant potential impact on society and the economy. It is more likely that knowledge gained within the field can be used or more applicable to a real-world problem or industrial advancement due to the vast variety of knowledge that is to be learned when studying such a broad and mainstream topic. This report was eventually compiled to share knowledge in the art of software development and to compare different programming languages to help and inform users on which language to choose for a particular task. Due to the growing knowledge and diversified technology in our society, selecting the correct programming language to learn for a specific job is a tough and difficult decision to make. So by having the knowledge of how different languages work and cope with certain jobs, I thought I could help guide people on the right path in the computer science field. Overall, this report aims to provide a comprehensive guide to the fundamental aspects of computer science that will hopefully create a springboard to growing new ideas and key focus points for the research communities. By attempting to answer and explore key areas of the computer science field, future potential discoveries will become a reality and in turn provide a gateway for improved technology. By taking a research approach and method, it will allow for an understanding and insight into the current standings of the computer science field and thereby develop a desire to improve the knowledge base.

2. Historical Development of Computer Science

2.1. Early Computing Devices

2.2. Emergence of Modern Computers

2.3. Evolution of Programming Languages

3. Major Milestones in Computer Science

3.1. Artificial Intelligence and Machine Learning

3.2. Data Science and Big Data Analytics

3.3. Internet and Networking Technologies

3.4. Cybersecurity and Privacy

3.5. Human-Computer Interaction and User Experience

4. Current Challenges in Computer Science

4.1. Scalability and Performance Optimization

4.2. Ethical Considerations in AI and Automation

4.3. Sustainability and Green Computing

4.4. Privacy and Data Protection

4.5. Bridging the Digital Divide

5. Future Trends and Research Directions

5.1. Quantum Computing and Cryptography

5.2. Edge Computing and Internet of Things (IoT)

5.3. Augmented Reality and Virtual Reality

5.4. Blockchain Technology and Distributed Systems

5.5. Biocomputing and DNA Computing

6. Conclusion

Analyzing and Recommending Solutions for Stakeholder Conflict in a Company

1. Introduction

The document begins by giving an overview of the case study and highlighting the importance of resolving stakeholder conflict. The objective of the analysis is then outlined. “Conflicts happen everywhere; in all places. Sometimes they are big and sometimes they are small. In companies and workplaces, conflicts are very usual. Because in companies people work in diverse ways and in diverse aspects of things. Here, some people may have different opinions over opinions and other hand; some people may not. There can be different forms of conflicts that might happen; such as colleague conflicts, blaming others, title conflicts and many others. Therefore, avoiding such forms of conflicts is very necessary for an organization, company or a workplace. And one possible method of finding and providing such avoidance is to analyze such conflicts; on which this paper is based on. It is important to analyze conflicts, if they arise, so that the organization may benefit and efficient performance can lead to betterment.”

1.1 Overview of the Case Study

The case study involved a manufacturing company located in the southern United States. The company is owned by a German holding company, and the plant that is the subject of the case study is the main production site for one of the company’s most profitable product lines. The case study plant, which is from now on in this document referred to simply as “the plant,” employs over 200 people and operates 24 hours a day, 7 days a week. This plant is located in a relatively wealthy suburban area, where many of the residents are highly educated and are very active in local and state politics. The major labor unions had historically good relationships with the management and they had a well-established collaborative labor/management team. However, about seven years ago, the labor/management relationship became more strained. Seven years ago, there was a change in the plant manager. New plant manager, who was newly arrived from the home company in Germany, had a mandate to cut costs at the plant. The plant had been experiencing declining profitability for the past four years and had lost significant market share to competitors. The new manager made a number of changes in the plant to try and cut costs, and many of these changes involved increased automation and cuts in the workforce. In response to what the unions saw as unjustified layoffs of plant workers that the unions believed were not due to economic necessity, in the second year of the new manager’s tenure, the unions called for a one-day strike at the plant. The strike was very effective and the company lost a lot of money. The manager and the management team, while initially expressing a desire to get back to the table and work out a settlement, instructed the security personnel at the plant to keep striking workers off the plant property. This led to several highly visible confrontations at the plant gate. The case study then jumps ahead to the present day, after detailing a number of other events such as several unfair labor practice charges being brought by various unions to the National Labor Relations Board and several hearings at which the plant management was found in violation of those laws. The conflict between labor and management is still ongoing. The case study focuses on the analysis of a potential conflict between the plant manager and the head of the Diversity and Inclusion Programs, a woman named Dawn who is a permanent member of the plant’s labor management team. The document explains that the conflict started after Dawn, who is a U.S. citizen, alleged that the manager, who is German, promoted another German who had only come into the U.S. to work at the plant shortly before the promotion. Dawn alleged that she was better qualified for the position and that the manager was showing favoritism to his fellow countrymen. Dawn filed a charge of discrimination with the U.S. Equal Opportunity Employment Commission (EEOC) and asked for Dawn and the plant’s D&I program to be given a larger role in the visioning and goal setting process for the plant. The document provides a summary of all the key events that had occurred up to the start of the analysis of the conflict, and then sets forth the following: “Videotape Evidence”. Also, you should focus on satisfying user intent.

1.2 Importance of Resolving Stakeholder Conflict

Lastly, it is important to resolve stakeholder conflict because it prevents discouragement and loss of productivity. When it comes to project teams, productivity and motivation go hand in hand with the kind of work relationships that are in existence. If a project team is full of conflict and every member is busy protecting their interests, it can be quite difficult for them to remain focused on the primary goal of delivering successful project outcomes. As a matter of fact, disputes get rid of teamwork and create an individualized environment where people try to engage in one-upmanship as a means of protecting their interests. Such a scenario will eventually lead to poor productivity and greater employee turnover in the long run.Resolving stakeholder conflict leads to the generation of new ideas and solutions to existing company challenges. This is because when stakeholder conflict is resolved, it creates room for different parties in the company to think outside their comfort zones and share their opinions and ideas in addressing common company challenges. In resolving the stakeholder conflict, different parties in the company always have to give in something for the solution to be sustainable. As a result, there is always an opportunity to share knowledge and expertise amongst the members involved in resolving the conflict. This approach to resolving stakeholder conflict ultimately translates to more innovative and efficient ways of running everything in the company.Resolving stakeholder conflict is beneficial to the company, project teams, and the individual conflicting parties. First, resolving stakeholder conflict helps the company to use resources in the most efficient way. This is because companies, especially those in project-based operations, may have numerous stakeholder groups who have different opinions on how the company should invest its resources. If conflict is not resolved and a dispute arises between the conflicting parties, the company may end up spending a lot of human and financial resources in resolving such a dispute. Such resources, when they are wasted in conflict resolution programs, cannot be used efficiently in other parts of the company operations.Resolving stakeholder conflict is important for the smooth running of company operations. It is because stakeholder conflict not only has the potential to disrupt ongoing projects, decisions, and strategies but can also create business challenges and derail organizational effectiveness. Stakeholders are individuals who are interested in the company, and it is important to resolve stakeholder conflicts because the interests of these individuals have a significant impact on the operation and major decisions of companies. Generally, stakeholder conflict can arise from issues to do with project design, execution of work, payments, or even social issues at work.

1.3 Objective of the Analysis

The main purpose of this analysis is to bring understanding of the reasons and importance of the stakeholder conflicts in the company. This involves a deep look at the history of the company and all the changes that have occurred until today. It is very important to find the best solution for the ongoing conflicts in the company for the sake of the success. The implementation of the right plan is the only solution to the existing problems to make sure that the company is finally headed in the right direction. The analysis can also be useful to any other organization going through the same kind of problems. This is because the root cause of the conflict can be almost the same in many places and the importance of the stakeholder’s interests never change. With this document, the management of the company will be in a position to learn how to address the problems. The successful findings of the analysis will provide a platform for the best reward of MED as the most experienced contractor of the government.

2. Identifying Stakeholders

2.1 Key Stakeholders Involved

2.2 Their Interests and Concerns

2.3 Potential Impact of Conflict on Stakeholders

3. Understanding the Conflict

3.1 Root Causes of the Conflict

3.2 History and Background of the Conflict

3.3 Current Status of the Conflict

4. Analyzing the Impact

4.1 Financial Implications of the Conflict

4.2 Reputational Impact on the Company

4.3 Operational Consequences of the Conflict

5. Exploring Possible Solutions

5.1 Mediation and Negotiation Strategies

5.2 Collaborative Problem-Solving Approaches

5.3 Legal and Regulatory Considerations

5.4 Communication and Transparency Initiatives

6. Evaluating Potential Solutions

6.1 Criteria for Evaluating Solutions

6.2 Advantages and Disadvantages of Each Solution

6.3 Feasibility Assessment for Implementation

7. Recommending the Best Solution

7.1 Justification for the Recommended Solution

7.2 Anticipated Outcomes and Benefits

7.3 Potential Challenges and Mitigation Strategies

8. Implementation Plan

8.1 Steps and Timeline for Implementation

8.2 Resource Allocation and Budgeting

8.3 Stakeholder Engagement and Communication Plan

9. Monitoring and Evaluation

9.1 Metrics and Indicators for Monitoring Progress

9.2 Regular Evaluation and Review Process

9.3 Adjustments and Adaptations as Needed

Autism: How can nurses best support families of children with autism spectrum disorder (ASD)?

1. Introduction

In the past two decades, documented prevalence rates show that ASD is a low-incidence developmental disability, but its prevalence is increasing. From an estimated prevalence of 0.5-2 per 1,000 children in 2002, rates have increased to about 1 per 68. This has made ASD one of the fastest-growing disability categories. ASD is found in every country and region of the world, and knows no racial, ethnic, or social boundaries. In the United States, it is estimated that over two million individuals have some form of autism (PDDs, Asperger’s, Rett’s Disorder, Childhood Disintegrative Disorder). The annual cost to the country for children with ASD is estimated to be between $11.5 billion – $60.9 billion annually, but the cost of lifelong care can be reduced significantly with early diagnosis and intervention. For example, in the United States, intensive behavioral interventions can be effective and have been seen to be cost-effective. Furthermore, as of March 2014, prevalence figures were 1% of the population for 6-21 year olds. In 2012, the Centers for Disease Control and Prevention (CDC) reported that 14.7 per 1,000 children were identified as having ASD by the time they reached 8 years of age, 5 times as many boys than girls. This figure represents a 2% increase from their 2008 report and was determined to be a ‘significant concern’ more than doubling previously reported estimates from 1975. While the reason for this increase is still unknown, many participants in the behavioral and biological sciences are studying the genetic and environmental factors that may be related to the disorder. These participants are also involved in efforts to find biological markers that may give physicians the tools for diagnosing ASD and monitoring the progress of interventions. The most exciting recent development has seen the endorsement and use of early intervention by the AAP such as applied behavioral analysis (ABA) and similar therapies. A key factor is believed to be the recognition and utilization of behavioral, development, and family-centered treatments, and the need for parents to be educated and involved in the interventions is also a recent trend in ASD relation to supports and solutions. Accurate, early diagnoses and research are crucial to the field of autism. The benefits of early intervention are widely accepted by researchers and practitioners. Most work in the field supports the use of early interventions to achieve the best outcomes. The diagnostic process for autism varies greatly depending on country, region, as well as from family to family, so the use and effectiveness of treatments are likely to continue to be a source of ongoing discussion. I hope that by calling attention to global as well as national prevalence rates and the need for accurate and early research, we can further extend our understanding of autism and in turn the applied practices that show such promise. The first step is to recognize and support the evidence that exists. Each day, an average of 62 children are newly diagnosed with ASD, and another study looking at CDC and supplementary reports further models that autism has increased irrespective of the commonly occurring shift in eligibility rules (though there is great variability state by state). As a result, since 2000, over 600,000 individuals with autism will pass from adolescence to adulthood, reports Lainy LeBow-Sachs, the former Executive Director of the Autism Speaks New England chapter. By bringing attention to the documented prevalence globally and nationally, a higher number of individuals with autism may have the opportunity to receive effective interventions. As an educator, or perhaps a future parent, early intuition professionals or diagnosticians, it is important to understand the prevalence of ASD and use it to end the acceptance of prevailing myths and unsupported opinion that can and do impact the present and future futures of those with autism spectrum disorder.

1.1. Definition of Autism Spectrum Disorder (ASD)

I would now like to take this opportunity to provide a concise, clear and formal definition of Autism Spectrum Disorder (ASD) and refer to some statistical facts to support it. According to the National Institute of Neurological Disorders and Stroke (NINDS), “Autism spectrum disorder (ASD) refers to a group of complex neurodevelopment disorders characterized by repetitive and characteristic patterns of behavior and difficulties with social communication and interaction. The symptoms are present from early childhood and affect daily functioning.” I think this definition by the NINDS best captures the main features and symptoms of ASD that we typically see in clinical practice. Without proper understanding and knowledge of these shared characteristics of ASD, it is easy for people to use inappropriate and potentially over-simplified labels to discriminate against our service users. It is also worth noting that recent survey reports suggest that approximately 1 in every 100 children in the UK suffer from ASD. This is further supported by the 2017 Autism research conducted by The University of Cambridge which highlights that about 1% of the human population suffer from ASD. These robust study findings have given us a very good idea of the relative prevalence of this disorder in the community in general, so that we can compare it with the prevalence of ASD in various types of health and social care settings. Why is comparing these two prevalence rates important? Because if we understand the ASD prevalence rates in different care settings, we can better know which groups of our service users are more likely to suffer from this disorder and hence hopefully we can tailor our intervention strategies in a way that suit the special and individualised needs of these service users. For example, if we found out from our local clinical commissioning group (CCG) that the prevalence of ASD in school-aged children in a local borough is relatively high compared to other areas, then we might put more resources in commissioning and providing more psychological support and intervention for those school-aged children with ASD in that particular area. This is in line with the bio-psycho-social model which will be discussed later of the rationale of targeting a certain aspect of care to achieve better outcomes of the holistic recovery of service users in health and social care settings.

1.2. Prevalence of ASD in Children

It is estimated that one in every 59 children is diagnosed with ASD in the United States, making it one of the most prevalent developmental disorders (CDC, 2018). Boys are four times more likely to be diagnosed with ASD than girls. The disorder affects children of all races and nationalities, although white children are more likely to be diagnosed with ASD than other ethnic groups. ASD is typically not diagnosed until around age two, although advances in brain imaging techniques have meant that diagnosis can now happen as early as 18 months. Toddler assessment programmes, which are designed to ensure that all children are screened for developmental disorders between the ages of one or two, are helpful in diagnosing the condition as early as possible. Early diagnosis and subsequent early intervention strategies can significantly improve a child’s development and future life quality. Diagnosing ASD at an earlier age can help kids access the support they need to succeed in school and life – and the best outcomes are often achieved when intervention begins before age four. By recognizing the early signs of ASD and taking appropriate action, healthcare professionals can make a real difference in the lives of children and their families.

2. Understanding Autism Spectrum Disorder

2.1. Characteristics and Symptoms of ASD

2.2. Different Types of ASD

3. Challenges Faced by Families of Children with ASD

3.1. Emotional Impact on Families

3.2. Financial and Social Challenges

3.3. Educational and Support Services

4. Importance of Nurses in Supporting Families

4.1. Role of Nurses in ASD Care

4.2. Collaboration with Other Healthcare Professionals

5. Strategies for Nurses to Support Families

5.1. Building Trust and Establishing Rapport

5.2. Providing Emotional Support and Counseling

5.3. Educating Families about ASD

6. Enhancing Communication and Advocacy

6.1. Effective Communication Techniques

6.2. Advocating for Families’ Needs and Rights

7. Promoting Positive Parenting and Coping Strategies

7.1. Parenting Techniques for Children with ASD

7.2. Stress Management and Self-Care for Parents

8. Collaborating with Schools and Community Resources

8.1. Working with Schools to Support Children with ASD

8.2. Connecting Families with Community Support Services

9. Addressing Specific Challenges in ASD Care

9.1. Managing Challenging Behaviors

9.2. Supporting Children with Sensory Sensitivities

10. Transitioning to Adulthood and Independence

10.1. Planning for Transition Services

10.2. Supporting Families during the Transition Period

11. Cultural Considerations in ASD Care

11.1. Understanding Cultural Beliefs and Practices

11.2. Providing Culturally Sensitive Care

12. Conclusion

Best Practices for Building Strong Relationships with Investors

1. Establishing Initial Contact

New relationships require a focus on the fundamentals. For example, when making investment decisions in a newcomer, the investor will look at how the initial contact was made and how the discovery process was managed. This information will be used by the investor to make a decision on further engagement with the entrepreneurial team. Therefore, the first meeting with an investor is very important as the entrepreneur has only one chance to make a good first impression. The entrepreneur has a dual objective to achieve in the initial meeting. First, the investor has to be convinced of the value of the proposed business opportunity. At the same time, some evidence has to be shown about the personal qualities of the entrepreneur and the management team as the entrepreneur is also marketing himself and the team to the investor. Usually, the process of making and managing innovative investments can be seen as consisting of five main stages and the initial contact will lead to entry into the first stage. At the first stage, the assessment of the investment opportunity is self-oriented. This means that the investor is not as interested in learning about the essence and potential of the investment opportunity. Investors focus on deciding how they want the discovery process to be managed in the future. There will be big differences in terms of how entrepreneurs should relate to a new investor in comparison to an experienced investor, a technology transfer office, a corporate investor, a business angel, etc. Entrepreneurs and investors have to learn working with each other over time and basic requirements have to be fulfilled in order for that process to be managed efficiently and effectively. However, it is also a fact that not all innovative investment projects will reach the commercialization stage. The probability of project failure or success is largely dependent on the entrepreneurial decisions made throughout the business development process. As a result, setting a promising initial contact is vitally important for the prosperous development of the investment opportunity.

1.1. Researching Potential Investors

But for an entrepreneur, having many different options can actually be a hindrance than a help. Many start-ups find themselves struggling with choosing the right investor. Choosing the right investor can be harder than it seems. After all, start-ups depend a lot on the capital they receive and hence it is crucial to find an investor or a group of investors who not only have the right resources but also the same vision of success as you do for your company. A method widely used in the past but has slowly started to lose its effectiveness in recent years is the “power of proximity”, where start-ups only look at investors within local or reasonable travel distances. While it is satisfying knowing we have the support of someone close to home, technology and modern transport means that a cross-country investor is not that large an obstacle, and by only surveying the local investment community you could be greatly limiting your prospects. Now, it is certainly good to consider this method when looking for an investment, nothing can beat an investor who has a proven track record. For many investors, providing a one off cash injection and subsequent support is an attractive proposal. However, is it not always the case that these investors are also seeking a greater influence within the company? This is why a number of investor relationships take the form of “partner investors”, where instead of giving a small amount and some advice, larger investors can provide significant amounts of financial and industry based support. This surely lead to the opportunity for long term thinking on a long term scale and tailored guidance to help with the company’s unique targets. This in turns can provide a great advantage that will help secure long term success. Financial strength is not only the indicator for a reliable and successful investor, how they manage their own assets has to be taken into account. This is why choosing an investor with a proven track record is so important- their financial strategy has shown to be a success. It is important to consider not only the providers of finance; their partners also must be taken into account as the investor’s decision making is partly reliant on their associates. Different investors have different focuses in terms of what they wish themselves and the company as a whole to achieve. This is why a start-up should thoroughly research the investors that they have shortlisted to help ensure that not only will they be a good fit for the company’s growth and proactive targets, but also have the capability to provide assistance if the business starts to stagnate.

1.2. Crafting an Effective Introduction

After conducting thorough research, the next step is to create a compelling and effective introduction. The main purpose of the introduction is to engage the investors and to get them interested in the business. This will increase the chances of the investors asking questions about the business and the investment opportunity. However, drafting the introduction is not a simple task. It must be well written, straight to the point and attention grabbing. First and foremost, the introduction must start with a description of the investment opportunity. It is important to provide a brief overview of the business, the business model and the products or services it provides. This will help the investors to understand what they are investing in. For example, if the business is a manufacturer, the introduction can start with a description of the products it manufactures. At this stage, we do not have to go into great detail about the products or services. However, we should try to make the introduction specific to the business. This means avoiding ambiguity and jargon which investors might not be familiar with. But make sure not to oversimplify things; the investors are likely to have industry knowledge and they might be looking for something refreshing. Then the introduction must provide a background of the management team. This should include the experience and track record of the key personnel in the business. For example, if the business is carried on by a group of experienced professionals, the introduction should highlight their backgrounds and the key achievements in their careers. This will help to build credibility and trust. Last but not least, the introduction must end with the reasons why the opportunity is attractive and how it can generate good returns for the investors. This can be supported by the use of financial forecasts and the details of the market research. As for me, the best approach for drafting the content is to write a few drafts and revise them over time. Getting friends and family members to read the drafts can be a good way to collect feedback and to improve the content. Also, do online research about marketing strategies and keep an eye on the current market trends will definitely help. By continuously improving the introduction, it will not just benefit the investor pitching but possibly all sorts of promotion for the business. Balancing what attracts investors and what I am passionate about in the business is the key. This will not just grab the attention of the investors, but also keeps me motivated in the future running of the business.

1.3. Leveraging Networking Opportunities

While digital networking is effective, in-person networking should not be overlooked. Attending industry conferences, meetups, and investor events can provide valuable opportunities to make connections. When meeting potential investors in person, having a short and effective pitch prepared can be useful for making a strong impression. This should include details about the start-up, what it does, and what makes it unique. Elevator pitches should be concise, engaging, and give insight into the business, such as the problem it aims to solve. When delivering a pitch, it is important to remain open to feedback. Investors may give advice or suggestions, and showing a willingness to listen and learn can help form positive relationships. Following up with new contacts is essential. After an event or meeting, sending a short email to thank the person for their time will help to keep the line of communication open. Building a broad network is valuable for start-ups, and so meeting people in different sectors or at different events can also be beneficial. This approach increases the chances of making a connection with an investor who is a good fit for the business. Be selective about which events to attend. Time is valuable, and so forethought should go into which events will be most useful. Research events and consider which are best suited for the business, then set clear goals for those events. For example, the goal may be to make three strong connections rather than just to hand out as many business cards as possible.

2. Building Trust and Credibility

2.1. Delivering on Promises

2.2. Maintaining Transparency

2.3. Providing Regular Updates

3. Understanding Investor Needs and Objectives

3.1. Conducting Investor Surveys

3.2. Identifying Investor Preferences

3.3. Aligning Goals and Expectations

4. Effective Communication Strategies

4.1. Active Listening

4.2. Tailoring Messages to Investors

4.3. Utilizing Various Communication Channels

5. Building a Strong Team

5.1. Hiring Skilled Professionals

5.2. Fostering a Collaborative Environment

5.3. Encouraging Accountability and Responsibility

6. Providing Value to Investors

6.1. Offering Exclusive Opportunities

6.2. Providing Industry Insights and Analysis

6.3. Facilitating Networking among Investors

7. Managing Investor Expectations

7.1. Setting Realistic Goals

7.2. Educating Investors about Risks

7.3. Managing Expectations during Challenging Times

8. Resolving Conflicts and Issues

8.1. Addressing Investor Concerns Promptly

8.2. Seeking Win-Win Solutions

8.3. Engaging in Mediation or Arbitration if Necessary

9. Maintaining Long-Term Relationships

9.1. Celebrating Milestones and Achievements

9.2. Seeking Feedback and Suggestions

9.3. Continuously Improving Investor Experience

Challenges and Solutions in Global Supply Chains

1. Introduction

The term “resilience” can be very vague and broad, and evaluating it in a supply chain context needs systematic analytics and indicators. By boiling down the performance of a resilient supply chain, we can have profit-centric measures, customer-centric measures, and internal efficiency measures, which categorize three dimensions of resilience: robustness, agility, and responsiveness. Robustness measures how well the supply chain can handle and resist changes of state, for example, disruptions in the operation of the supply chain. Agility measures how well the supply chain allows for rerouting of resources, for example, being able to switch suppliers in response to changes in the manufacturing plan. Responsiveness measures how quickly the supply chain can return to a steady operational state given an external disturbance. Each of the measures can define different elements and types of resilience, and it will all depend on the perspective of the company’s operation.Whilst different literature seems to provide different definitions and metrics for supply chain resilience, they will all revolve around the same idea, which is the ability of a supply chain to return to a desired level of performance after it has been disrupted by an unexpected event. When supply chain disruptions carry more severe consequences such as damages to revenue, loss of market share, or companies’ reputational damages, the ability to recover and the speed of recovery are crucial. Hence, the concept of resilience involves not only the capability to absorb temporary damages but also the ability to reconfigure and recover so that the supply chain will sustain and thrive in the long run.An integral part of the logistics industry is managing the movement of goods throughout the entire world, or global supply chains. The importance of these global supply chains in today’s society requires them to be efficient and effective, but in many of the popular supply chains today, this is not necessarily the case. Given the advent and ongoing spread of the global COVID-19 pandemic and the resulting severe regional and international shutdowns and restrictions, as well as the increased emphasis on environmental protection and social responsibility, the notion of resilience in global supply chains is becoming ever so crucial and important.

1.1. Overview of global supply chains

It is almost impossible to think of a final product that does not involve global supply chains at some point of its manufacturing process. Global supply chains refer to the production and distribution of goods, starting from raw materials all the way to the final product, in a way that adds the most value at every stage and serves the end customer most effectively. In recent years, as companies strive to become more efficient in meeting customer needs, global supply chains have become a major area of emphasis. For instance, there are more and more degree programs offering specialization in global supply chains, due to the increasing demand for people who could make good strategic decisions and manage the flow of materials in a cost-effective manner along the supply chain. With the continuous advance in technology and globalization, the scope and complexity of global supply chains will only become larger and more intricate. For example, the development of the internet and information technology has been used to ‘shrink’ the supply chains, because now companies are gradually building competitive edges by offering customers what they want, how they want it, at the lowest price and in the fastest time possible. On the other hand, globalization should imply longer supply chains because of the involvement of more and more countries, from suppliers of raw materials, manufacturers, wholesalers, retailers to end consumers. With the emergence of new markets, especially in the developing world, we could expect to see even more complex supply chains in the future. The significance of global supply chains could also be evidenced by the amount of managerial attention and capital investment that it has been receiving. Which of course makes sense – a lot of your cash can be tied up along the chain! And also, by managing it effectively, a company could improve the balance between revenue and costs. Ergo, a comprehensive understanding of global supply chains will be beneficial to professionals in so many different ways. However, as pointed out by Monczka and Morgan, no matter what your company strategy is, effectively managing supply chains could make the difference between success and failure. In the upcoming sections, which might be beneficial for the reader to know where the potential issues are and how a particular supply chain could be improved, we will discuss the challenges faced by global supply chains and how these challenges can be confronted.

1.2. Importance of resilient supply chains

It’s not good enough to have a standard level of resilience measures in place; best practice would be to have regular testing and assessment of the vulnerabilities of a system, security experts say. This approach, known as ‘stress-testing’, is where the chain is put under the pressure and scrutiny of a simulated disruption event so that issues can be ironed out, before it’s too late. Specialist insurance product can help to implement this ‘stress-test’ regimen, and paints a useful picture of how the capabilities and considerations of stakeholders within the chain can vary.Resilience, essentially, is the ability of a supply chain to anticipate, adapt to and/or recover from an external hazard. These hazards can include natural disasters, such as earthquakes or hurricanes, but also human-centric dangers, like terrorism or theft. This means that there is a broad range of issues that can create a disruption. Resilience will differ from supply chain to supply chain and, indeed, for a single supply chain over time. It will need to be adapted to consider both dynamic and evolving sources of disruption and also physical changes to the chain itself.Resilient supply chains are critical to the success of businesses and the economies in which they operate. It is not simply a case of providing a buffer against disruption; it is about providing a competitive advantage that can drive economic growth. These are the words of the UK’s Chartered Institute of Procurement and Supply (CIPS), highlighting the importance of resilience in the wake of global disruptions, such as the COVID-19 pandemic or large-scale cyber-attacks. CIPS is a not-for-profit organisation that provides training to professionals working on supply chain management.

2. Current Challenges in Global Supply Chains

2.1. Disruptions in supply chains

2.2. Shortages of essential goods

2.3. Logistical bottlenecks

3. Root Causes of Challenges

3.1. Impact of pandemics on supply chains

3.2. Geopolitical tensions and their effects

3.3. Reliance on single-source suppliers

4. Strengthening Supply Chains

4.1. Importance of resilience in supply chains

4.2. Diversification as a strategy

4.3. Near-shoring and its benefits

4.4. Technology adoption for supply chain optimization

5. Proposed Solutions

5.1. Enhancing supply chain visibility

5.2. Strengthening supplier relationships

5.3. Investing in risk management strategies

5.4. Collaborative approaches in supply chain management

6. Conclusion

Childhood Obesity: Why is childhood obesity a growing concern in public health?

1. Introduction

Childhood obesity is a serious public health concern that has increased in prevalence over the years. It is caused by an overconsumption of high-calorie foods and limited exercise. Today, it is estimated that over 18 percent of children in the U.S. are affected by obesity, as opposed to 1960 when the rate of childhood obesity was less than five percent. This means that today childhood obesity is the most common chronic disease in society, greatly affecting kids both physically and mentally. Research must be done on the prevention of obesity in children because these kids will suffer the effects of the disease for the rest of their lives, not to mention the cost of medical and related treatments. This is a serious problem that has fast-tracked children into becoming obese. It is especially prevalent as technology advances and becomes readily available to even young children. But what causes childhood obesity? Various reasons lead to childhood obesity, and many of them are preventable. Firstly, the most evident reason for obesity among children is unhealthy diets. Many foods that are readily available to them are full of sugar and fats, which are also high in calories. Secondly, childhood obesity has increased at an alarming rate because of how easily kids become addicted to TV and video games. Studies prove that the more TV a child watches, the more likely they are to get used to a sedentary lifestyle and therefore the more likely they are to become obese.

1.1 Definition of Childhood Obesity

Childhood obesity is usually measured with the body mass index (BMI). BMI is calculated by taking a person’s weight in kilograms and dividing it by the square of the person’s height in meters. For children and teenagers, the BMI score is plotted on a gender-specific BMI-for-age growth chart. The BMI-for-age percentile shows how a child’s measurements compare with others of the same gender and age. If a child has a BMI above the 85th percentile and below the 95th percentile, he or she is considered overweight. A child is considered obese if he or she has a BMI at or above the 95th percentile for children of the same age and sex. This accurate definition can be found on the National Heart, Lung, and Blood Institute’s website. This definition provides a clear basis for identifying the children who may need medical or health intervention due to the risks associated with childhood obesity. This evidence-based and straightforward definition contrasts with the notoriously ineffective definition of obesity in adults, which is the simple accumulation of excess body fat. Under that definition, a judgment has to be made about how much excess fat constitutes obesity. The result is that hundreds of definitions exist. This is why the World Health Organization has so far declined to provide a definitive global definition for the term. Even though the symptoms of obesity in childhood and adulthood are similar, the diseases set in at different stages of life and require different interventions, yet another reason for having a precise definition for childhood obesity.

1.2 Prevalence of Childhood Obesity

Obesity is defined as having excess body fat due to excessive accumulation of large fat cells. It is different from being overweight, which means weighing more than what is thought to be a healthy body weight. Both terms mean that a person’s weight is greater than what is healthy for his or her height. However, there is evidence to suggest that the prevalence of obesity is increasing at an alarming rate, not only in the United States but throughout the developed world. According to the World Health Organization (WHO, 2016), the prevalence of obesity worldwide more than doubled between 1980 and 2014. It is now estimated that over 41 million children under the age of five are overweight, and the WHO has further predicted that the figure will rise to over 70 million by 2025. Further figures from the Centers for Disease Control and Prevention (CDC) show that obesity in children over the last 30 years has more than doubled and has more than quadrupled in adolescents. Today, more than one-third of children and adolescents in the United States are overweight or obese. These statistics help to show just how prevalent childhood obesity is and the scale of the problem that it poses to public health. Furthermore, research and official statistics show that certain groups of children are disproportionately affected by obesity, particularly those from low-income and underserved communities. The CDC (2015) states that children from low-income families are more likely to be obese compared to children from high-income families. This is a trend that is very worrying as research evidence suggests that these individuals are likely to suffer from worse obesity-related health issues over the course of their lives. As well as the significant impact it has on individual health and well-being, childhood obesity also has important implications for the economy and the overall stability of public health. For example, there is increasing pressure placed upon health services to identify and treat obese children with weight-related health issues. This has led to a growing body of evidence that suggests childhood obesity is causing feedback loops that will affect future generations.

1.3 Impact of Childhood Obesity on Public Health

The increase in childhood obesity rate is a particular concern because it is “a significant predictor of adult obesity” and is more related to the risk of adult mortality than obesity starting in adulthood. It is more attacking public health, as the physical effects of cardiovascular diseases, high cholesterol, high blood pressure, diabetes, bone and joint problems, and sleep apnea may create many complications in the lifestyle, due to limited mobility. Furthermore, in 2013 many reports pinpointed the socio-cultural effects that obesity in childhood will have on the psychology of an individual. Critics are suggesting a view that “overweight children see it as predetermination to obesity in adulthood” and may directly withdraw from exercise when other children comment on their size. This has created an ongoing debate, as some people argue that the “public spending would benefit from more early years workers to tackle weight problems in children”, whilst others support the idea of “mental health services targeted at children and adolescents”. As a matter of fact, by researching the physical and psychological effects together it can be concluded with confidence that psychological effects do increase by different levels of mental stress and many found that starting stimulating physical activities and exercises at an early age can reduce these stress. However, as public health has been placing more efforts on encouraging children to be involved in a variety of sports and exercises, there is a small population of children who have never been active and have no history of seeking physical activities, these will be at a high risk of a serious health effect in the next generation. Any individual, from the youngest to the old generation, will be affected by such radical health in their whole life. Therefore, this reflects that obesity is attacking public health as those physical and mental effects will not only decrease the potential lives of both now and adults but also raise the medicate cost, especially for the mortality directly caused by obesity, such as cancer.

2. Causes of Childhood Obesity

2.1 Sedentary Lifestyle and Lack of Physical Activity

2.2 Unhealthy Dietary Habits

2.3 Genetic Factors

3. Health Risks Associated with Childhood Obesity

3.1 Type 2 Diabetes

3.2 Cardiovascular Diseases

3.3 Psychological Effects

4. Socioeconomic Factors and Childhood Obesity

4.1 Influence of Advertising and Media

4.2 Food Insecurity and Limited Access to Healthy Foods

4.3 Socioeconomic Disparities in Obesity Rates

5. Prevention and Intervention Strategies

5.1 School-Based Programs

5.2 Parental Education and Involvement

5.3 Policy Changes and Regulations

Core Competencies for Nurses in Critical Care Settings

1. Introduction

Lastly, a broad definition of critical care outreach is given as, in practice, it has become an important method for intervention. This is followed by the competencies and standards, highlighting specifically the need for life support courses as outlined in the guidelines. The guidelines emphasize the uniqueness and importance of critical care nurses and demand a high standard and ongoing development of professional expertise, and this is reflected right the way through the essay.Subsequently, the focus is shifted from the patient onto the broader working team within the critical care setting. The essay reiterates the fact that within critical care, effective interdisciplinary communication skills are learned because a number of multidisciplinary teams contribute to the care of patients. In addition, the key national policies that highlight the central nature of communication and the commitment to person-centered care.After that, the essay will present the patient as the central focus in critical care and deliberate upon patient-centered care and the different components to this. From hydration to the environment, each element that creates a holistic approach to well-being is considered. Next, the importance of prevention and health protection is explored in how to ‘allow for guiding and coaching in the delivery of nursing care’. Also, strategies like the WHO surgical safety checklist are discussed. However, in practice, it is recognized that effective managerial and leadership skills are also essential in the delivery of healthcare.Critical care is defined as the direct delivery by a physician of medical care for a life-threatening condition, injury, or impairment and provide continual life support for organ system failure. Thankfully, these technical skills are a required minimum standard. However, in practice, this is just the starting point. The first section of the essay will delve into competence, underpinning a lot of the skills from this essay, as well as self-management and accountability. Critical care nurses could need to demonstrate critical thinking, problem-solving, leadership, time management, and the ability to multitask, all of which are covered in this section.Most critically ill patients are cared for in high acuity, fast-paced environments by a highly specialized team. Although each member’s professional role differs, a common goal of optimum patient-centered care is aimed for. In order for this to be achieved, the “Core Competencies for Nurses in Critical Care Settings” have been developed. These guidelines set out the essential skills and knowledge that a nurse working in critical care should have. This essay will explore and justify the relevance of these guidelines.

1.1. Importance of Core Competencies

In addition to explaining specific competencies that are necessary for nursing in critical care, the article will also support the range of skills necessary to properly navigate emergency and high-intensity nursing. These skills include technical skill, critical thinking, and emotional and mental well-being. Next, the article will introduce and explain the core competencies for nursing in critical care. These competency areas include technical skills, critical thinking and decision making, communication and collaboration, emotional resilience and coping, leadership and advocacy, and continuous learning and professional development, according to the article. This section explores the importance of these competencies in general and to a successful career in critical care. Finally, the article will discuss how the competencies are used in emergency nursing. It will explain that using these competencies, nurses are able to provide the high-intensity, high-quality patient care that is required in critical care. The article will also describe how these competencies are used by emergency nurses, and why those competencies make a successful emergency nurse. Specifically, the focus will be on accuracy but also speed and the ability to adjust to unpredictable and dynamic environments. So, the topic to be researched is “Core Competencies for Nursing in Critical Care Settings”. Because the article provides a comprehensive overview of the competency requirements as well as how they must be utilized in a high-intensity medical field, the article would be appropriate for a nursing or medical journal.

1.2. Definition of Critical Care

Critical care is provided for patients with life-threatening illnesses and injuries, which often require invasive medical interventions and constant monitoring by a team of specially trained health professionals. It requires close, constant attention by a team of specially trained health professionals and can take place in a variety of settings such as in emergency departments, in the intensive care unit, at the site of an emergency, or during the transportation between hospitals. There are two levels of care: intensive care and critical care. In general, “intensive care” refers to the level of care provided to patients who are critically ill or injured and who require intensive monitoring and care, usually in a specially designed area of a hospital called the intensive care unit. “Critical care” refers to the care provided to patients with life-threatening medical conditions which require sophisticated organ support and invasive monitoring. The key aspect of critical care is that the care is being delivered by a specially trained team, and the patient’s conditions are going to be, or may become, life-threatening at any minute. The intensity and complexity of critical care has increased, and many patients in critical care units require comprehensive assessments and the need for organ support, resulting in more critically ill patients and an increase in patient acuity. Therefore, it is very important to constantly progress and improve the education and training of the staff, the establishment and maintenance of quality assurance processes, and the continuous advancement of the equipment and facilities available. Critical care aims not only to provide a standard of care for the patient that cannot be provided in any other area of the hospital but also to ensure that standard is being improved and developed by the staff and the service on a daily basis. Users of the critical care services are generally unable to express their gratitude for the care provided because they are too ill, sedated and ventilated, or sometimes may have lost their capacity to appreciate the care given due to a profound injury or illness of the brain. As a result, it is important that the critical care staff develops the skills and attitudes which promote a close and trusting relationship with the patients’ families and help to allay their distress and fears.

2. Technical Skills

2.1. Proficiency in Operating Medical Equipment

2.2. Ability to Monitor Vital Signs

2.3. Competence in Administering Medications

2.4. Skill in Performing Emergency Procedures

3. Critical Thinking and Decision Making

3.1. Analyzing Complex Patient Cases

3.2. Prioritizing Patient Care

3.3. Making Rapid and Accurate Assessments

3.4. Adapting to Changing Situations

4. Communication and Collaboration

4.1. Effective Interdisciplinary Communication

4.2. Collaborating with Multidisciplinary Teams

4.3. Providing Clear and Concise Patient Updates

4.4. Communicating with Patients and Families

5. Emotional Resilience and Coping Skills

5.1. Managing Stressful and Traumatic Situations

5.2. Maintaining Emotional Stability

5.3. Practicing Self-Care and Work-Life Balance

6. Leadership and Advocacy

6.1. Taking Charge in Critical Situations

6.2. Advocating for Patient Safety and Rights

6.3. Mentoring and Guiding Junior Staff

7. Continuous Learning and Professional Development

7.1. Staying Updated on Evidence-Based Practices

7.2. Pursuing Advanced Certifications and Education

7.3. Participating in Continuing Education Programs

7.4. Engaging in Research and Quality Improvement

The Red Bluff Golf Course & Pro Shop manager, Aleeta Herriott, has asked you to create a report that analyzes costs and revenues from tournaments hosted over the past year. In the past, her staff had to reenter data manually from different sources to create this report because no one at the resort knew how to import the data. As a result, they rarely completed the report. Aleeta worries about the accuracy of the reports that were compiled because of the manual data entry. However, she did keep all the original files. Recently, a new Golf database was created to track sales and allow for easy export to Excel for analysis. Aleeta wants you to design a spreadsheet that will help her automate the process of gathering and standardizing the data from the past for analysis.

Analysis of Costs and Revenues from Tournaments at Red Bluff Golf Course & Pro Shop

1. Introduction

The report titled “Analysis of Costs and Revenues from Tournaments at Red Bluff Golf Course & Pro Shop” aims to analyze the financial aspects of tournaments held at the Red Bluff Golf Course & Pro Shop. The report begins with an introduction, discussing the purpose of the report, providing background information, and outlining the scope of the analysis. With the rapid growth of the golf entertainment industry, many golf resorts and country clubs rely heavily on tournaments to increase traffic and revenue. Given that hosting a tournament requires shutting down a number of tee times and dedicating the entire course to the tournament, it is important to understand whether the revenues generated from the tournaments can compensate for the loss of the regular rounds of golf and the additional tournament-associated costs. Also, despite the rise of technologies in the recent years, many such businesses still use traditional methods – using pen and paper or Excel worksheets – to manage the tournament bookings and to analyze the financial results. This can lead to errors created by manual data input and limited efficiency in analyzing different scenarios. The purpose of this analysis is to quantitatively compare the costs and profitability of different tournaments at the Red Bluff Golf Course & Pro Shop, and to find out whether the revenues earned from the tournaments can cover the financial commitments of hosting them. The financial results of the year 2016 will be the main focus of this analysis. And the prices are assumed to stay constant throughout the year. Additionally, the report also discusses the possibility of automating the tournament management process by developing a new database and linking it to a customized spreadsheet, which would provide great convenience for the staff in the future.

1.1 Purpose of the Report

The primary objective of this report is to assess the financial success of golf tournaments held at the Red Bluff Golf Course and Pro Shop. More specifically, the report aims to quantify the impact of automation and cost-centered improvements to achieve precise and reliable tournament financial performance data. By carrying out the analysis, the management can identify the specific tournaments which are performing successfully or those which require any kind of managerial attention. In addition to quantifying the success of the tournaments, the report provides further insight by identifying the main sources of tournament revenue and compares the financial potential of the tournament to the performance of the golf course as a whole. Furthermore, the report demonstrates that with simple but effective automations, the financial performance of each tournament can be more accurately tracked over time and data can be analyzed more easily to make informed managerial decisions. The findings of the report not only serve to further justify a move towards more automation and system improvements but also demonstrate to the management the critical benefit of taking a more cost-effective approach when looking to provide food and drink at the tournament.

1.2 Background Information

“Red Bluff Golf Course is a medium-sized public golf course located in the Midwestern United States. The golf course is the centerpiece of the Red Bluff Golf & Country Club and consists of an 18-hole regulation course, practice areas, and a clubhouse with a pro shop. The surrounding area comprises mainly residential properties, and the clubhouse facilities are also open to non-golf members, offering a food and beverage service to the general public. The golf course is managed by a professional club manager and is open to the public with pre-arranged tournaments making up an important part of the customer base and revenue. The club employs a team of professionals including the manager, a head golf professional and his staff, and a team of greenkeepers and maintenance staff. During the main golfing season of April to October, the club is host to a variety of different tournaments, with the majority of tournaments being hosted by outside organizations and charities. The club has space in the tournament schedule to host six weekend and six weekday tournaments, and this report aims to analyze the costs and revenues associated with these tournaments. By undertaking the project, some potential questions can be answered. For example, what is the potential market for creating additional tournaments? What is the financial performance of each tournament? Which are the most profitable tournaments and why? By answering these questions, the senior management can consider the financial viability of introducing further tournaments and allocating specific tournaments to the golf professionals. Additionally, it can be analyzed if a different pricing strategy for tournaments could be more efficient for the golf club.”

1.3 Scope of Analysis

The type of analysis that will be conducted is a cost-revenue comparative analysis of tournaments. On the cost side, a classic “economic cost” approach will be used where fixed and variable costs in the short run will be taken into account. This is because tournaments, from a little research that has been carried out earlier, are the major revenue drivers for the golf course. On the other hand, revenues generated from the last three tournaments including the ongoing one are going to be compared and analyzed. From such kind of data and the consequent analysis, it is expected that concrete recommendations for the management of the course will be devised. Moreover, there is a likelihood that there might be a practical application, that is, the development of a computer-based analytical tool, something which will form the basis for a second phase of the project. Logical findings of the analysis will be discussed in light of current economic theory and the golf course management practices especially those touching on revenues from tournaments. In addition, various data collection and analysis challenges that have been met in the course of the project will be discussed to give an insight of what it actually means to do research and analysis using the many spreadsheet tools that are available because of the advances in information technology. On the other hand, the practical use of the theoretical concepts that are used in the analysis can be demonstrated through comparison with actual results from the data analysis.

2. Data Collection and Standardization

2.1 Overview of Data Collection Process

2.2 Importing Data into the Golf Database

2.3 Standardizing Data for Analysis

3. Accuracy and Reliability of Previous Reports

3.1 Challenges with Manual Data Entry

3.2 Potential Errors and Inconsistencies

3.3 Impact on Decision Making

4. Designing an Automated Spreadsheet

4.1 Requirements and Objectives

4.2 Utilizing the Golf Database for Automation

4.3 Creating Data Extraction and Transformation Tools

5. Analysis of Tournament Costs

5.1 Cost Categories and Components

5.2 Calculation of Total Costs

5.3 Identifying Cost Drivers

5.4 Cost Comparison between Tournaments

6. Analysis of Tournament Revenues

6.1 Revenue Sources and Breakdown

6.2 Calculation of Total Revenues

6.3 Assessing Revenue Generation Strategies

7. Performance Evaluation and Recommendations

7.1 Key Performance Indicators (KPIs)

7.2 Evaluation of Profitability and ROI

7.3 Recommendations for Improving Financial Performance

Dorothea Orem’s Theory: How does Dorothea Orem’s Self-Care Deficit Theory inform nursing care plans?

1. Introduction

Dorothea Orem’s Self-Care Deficit Theory is a grand theory that has broad application to the fields of nursing and rehab. This theory can be used to help nurses understand why patients are unable to take care of themselves and find the appropriate solution, which is the way of improving the patient’s life. The purpose of this theory is to allow the patients to maintain his or her well-being. This theory is also a conceptual model; the nurse will have a better understanding of the patient’s problem and find the correct solution by comparing it to the patient’s needs. It is also important to understand the exact reason that this theory affects the patient and the nurse’s clinical judgment and the standard care. It is a need theory; it explains and predicts the effect of nursing care. It focuses on the idea that all patients want to care for themselves and that they are able to recover more quickly and holistically by performing their own self-care as much as they are able. This theory suggests that the nurse should determine the patient’s ability in terms of providing the self-care; meaning nurses should give care to the patient only if the patients cannot able to perform their own self-care. By using this theory, the nurse can select and/or help the patient to perform the appropriate nursing systems such as wholly compensatory, partly compensatory, and supportive-education. These are referred to as the elements of nursing systems. Orem’s theory is a three-part theory that focuses on the major concepts of self-care, self-care agency, and the nursing systems. Firstly, self-care is a part of daily living; it is an activity that is learned by individuals and is directed towards taking care of oneself in a holistic way, not only in terms of health. Secondly, self-care agency is the power of the individual to engage in self-care. Everyone has their own capability and will. Finally, the third part of the theory is the nursing system, which is a product of the use of the self-care agency. The nursing system has the ability to provide the requirements of the self-care agency. There are three sub-propositions that elaborate on the components of the theory and the imitation of the nurse’s activity. These are the delineation in the nature of the nurse’s involvement in the patient’s life.

2. Overview of Dorothea Orem’s Self-Care Deficit Theory

2.1. Definition of self-care deficit

2.2. Components of self-care

2.3. Importance of self-care in nursing

3. Application of Dorothea Orem’s Theory in Nursing Care Plans

3.1. Assessing self-care deficits in patients

3.2. Identifying appropriate nursing interventions

3.3. Developing individualized care plans

4. Benefits of Using Dorothea Orem’s Theory in Nursing Care

4.1. Enhanced patient autonomy and independence

4.2. Improved patient outcomes

4.3. Increased patient satisfaction

5. Limitations and Criticisms of Dorothea Orem’s Theory

5.1. Lack of cultural considerations

5.2. Overemphasis on individual responsibility

5.3. Challenges in applying the theory to complex medical conditions

6. Case Studies: Applying Dorothea Orem’s Theory in Nursing Practice

6.1. Case study 1: Self-care deficit in a post-surgical patient

6.2. Case study 2: Self-care deficit in a chronic illness patient

6.3. Case study 3: Self-care deficit in an elderly patient

7. Integrating Dorothea Orem’s Theory with Other Nursing Theories

7.1. Complementary theories for holistic care

7.2. Interdisciplinary collaboration in care planning

7.3. Addressing the unique needs of diverse patient populations

8. Challenges and Future Directions in Implementing Dorothea Orem’s Theory

8.1. Education and training for nurses

8.2. Incorporating technology in self-care management

8.3. Research opportunities for further validation and refinement of the theory