Writing a case study essay
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Thursday, August 27, 2020
Christian Science Journal free essay sample
They did what they figured was correct or proper for their kid as each parent on the planet does. I donââ¬â¢t practice a religion with that sorts of convictions that includes medication and confidence, however my grandma is a Jehovaââ¬â¢s witness. She is so decided and secure with her religion that could never accomplish something that negates her convictions. My neighbor is a Christian Scientist and a magnificent dad, who truly thinks about his kids and could never make something to hurt them. That is the reason he shows them the Christian researcher religion. I think individuals reserve the option to have their own convictions and practice them, as long as they donââ¬â¢t hurt different personââ¬â¢s rights. I think they are allowed to choose their perspective and accepting. A jury has indicted a Sarasota couple of third-degree murder and youngster maltreatment in the passing of their 7-year-old girl, deciding that the guardians ought not have denied her of clinical consideration in view of their strict convictions. We will compose a custom exposition test on Christian Science Journal or then again any comparable theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page In passing on the decision Tuesday, the jury in Sarasota County Circuit Court dismissed contentions by barrier attorneys that the guardians, William and Christine Hermanson were rehearsing their religion when they chose to have their little girl, Amy, rewarded by a Christian Science professional in no time before her demise of inconveniences from diabetes on Sept. 30, 1986. It was the primary case in the United States in 22 years where Christian Scientists have been considered criminally answerable for the demise of a youngster in the wake of depending entirely on petition to fix an ailment. Right hand State Attorney Mack Futch said state rules required the Hermansons to be condemned to three to five years in jail. Protection lawyers said they would move for excusal of the jurys decision and request another preliminary. The appointed authority additionally has the choice of excusing the feelings on either of the charges. Couple Remains Free Since the Hermanson case is the first of six comparative current cases to go to preliminary, it has been firmly viewed by legitimate researchers, youngster promotion associations and strict gatherings. Barrier lawyers in two of the cases, both in California, went to the preliminary here. Until they are condemned, the Hermansons will stay free on their own recognizance, as they have been since their capture in November 1986. The Hermansons were immediately guided out of the court by their lawyers and couldn't be gone after remark. At the hour of his little girls passing William Hermanson, who is 42 years of age, was the VP of a reserve funds and advance association. Christine Hermanson, 38, works the Sarasota Fine Arts Academy. In the Hermanson case, the wording of parental strict exceptions in Florida resolutions was a key issue. Those exceptions, established in 1978, state that any parent who, for strict reasons, doesn't give clinical consideration to a youngster may not, hence alone, be viewed as damaging or careless or a careless parent. Simultaneously, be that as it may, Floridas criminal code says an individual who through persistent or at fault carelessness retains clinical treatment from a kid is blameworthy of criminal youngster misuse. The manner in which the rule peruses is that the guardians reserve a privilege to rehearse Christian Science recuperating or otherworldly mending, however when they proceed theyre captured, said Robert Boston, a representative for the Americans United for Separation of Church and State, a gathering situated in Silver Spring, Md.. A national representative for the Christian Science Church said it was too soon to make inferences from the Hermanson case. I figure Christian Scientists will be exceptionally mindful so as not to reach last inferences due to todays decision, said Nathan Talbot, who went to the weeklong preliminary. Yet, in the event that we were toward the stopping point, and an official conclusion had been made, at that point, truly, it would chillingly affect the act of the Christian Science religion. Privileges of the Parents In shutting contentions Tuesday, Assistant State Attorney Deno Economou told the jury that the Hermansons manhandled their little girl by constraining their strict convictions on her as she kicked the bucket. On the off chance that they wish to become saints for their religion, they have that right, Mr. Economou said. Yet, I fight to you that they don't reserve the privilege to make a saint of a 7-year-old young lady. 1
Saturday, August 22, 2020
Dancing at Lughnasa Essay Example For Students
Moving at Lughnasa Essay Moving at Lughnasa, a play composed by Brian Frier, is a delineation of a keeps an eye on memory of his adolescence. The storyteller, Michael, returns us to the warm gather long periods of August 1936, when he was a seven-year-old kid being raised by his unmarried mother Chris and her four sisters. The play, through Michaels portrayal, addresses various parts of life of the characters by investigating the event of straightforward occasions which contribute an effect on their connections. Be that as it may, Michael, as a theme figure, assumes the most huge job which influences our view of the situations which develop. The play opens up with Michaels first discourse. At the point when I cast back my brain to that mid year of 1936-We see a clear impression of the memory through his language. This expression is over and again referenced in his first discourse which fortifies the thought of thinking back the past. Then again, we see too how Frier separations Michael from the past occasions through a cautious utilization of words. The word cast in his the principal expression gives a feeling that he is attempting to segregate his memory from him and when he state cast back, it infers how he backtracks back his memory without partaking in the past occasions. He is recalling the past however not re-living it. This is obviously passed on by the creator for his principle reason for utilizing Michael is as an onlooker of the current who supervises and makes a decision about the lives of the characters from an earlier time. Along these lines we see a kind of separation and removing of this personage from the occasions that he is recalling. Through this strategy, Michael seems like an omniscient storyteller (in spite of the fact that he isn't) and this gives a feeling that we are finding the characters and the occasions at equivalent to the storyteller. In spite of the fact that Michael is engaged with these occasions, the story perspective could be qualified as a third-individual restricted. Frier doesnt truly give him an entrance to the characters musings or to what they do in private since he just re-recounts to a story that he saw when he was a kid. This technique is significant in light of the fact that it permits the storyteller to evaluate the occasions in a grown-ups perspective and this is one of his fundamental capacities as a tune figure which we will investigate later on. Another striking phonetic part of this discourse is that it is described by an expressive tone. The decision of this tonality is significant so as to help us to remember the thought of musicality and move. The tone is exceptionally ameliorating and yet it makes a nostalgic air and the tone itself appears to remove us from the characters being presented. Frier applies the flashback strategy by utilizing Michaels memory to just separate two components of his character he disconnects the grown-up Michael from Michael the kid. This clarifies why the entire play has no plot by any means. The storyteller relates an account of what he saw when he was seven hence he is relating his memory in a target way which just suggest that throughout that late spring of 1936, he didn't generally have a total and a more profound comprehension of those occasions. He is portraying a story as indicated by how things had happened exteriorly. This clarifies too his nonattendance all through the play for the explanation that he stows away and watch everyone as though it is his principle distraction. without precedent for my life I got an opportunity to watch him(his father), It had dropped out of Aunt Kates petition book and she grabbed it from me before I could contemplate it in detail. Since the play echoes Michaels memory as a kid, this answers the evenness of the plot. There is no peak in the play and it nearly needs shading and different fixings that could make the story alluring. This equals to the young men guiltlessness which is an obstruction that isolates him from the inside side of the characters. There is nothing staggering that occurs in the play and all the occasions are stale. The infantile memory shows us the moderate and consistent cadence of their regular day to day existence. We perceive how theyre drew in to basic things like creation tea, sewing gloves, picking blackberries or taking care of their pets. There is no clear advancement of the characters. Romeo and Juliet - Act 3 Scene 1 EssayHowever, having a total information on the play, the picture of these ladies moving and getting hands make our compassion increment for them.. We see them like a chain which will later on deteriorate into little pieces. There are additionally imagery that Frier inspires in the play. Michael portrays this one specific second since it is the last festival of these ladies moving before it changed for eternity. It was the snapshot of a fresh start for him as a kid for it was in this late spring he found occasions and felt something just because. In his discourse, he utilizes words like, first remote, August was going to start, my Uncle Jack, returned home from Africa just because, I review my first stun at Jacks appearance, I recollect my first joy and just because of my life I got an opportunity to watch him (his dad). In any case, this specific second speak to also the way prompting their destiny the breaking down one be one of the characters. In one section, the play closes with all the characters like their situation in the start of the play. This scene picture connotes how Michael considers his to be as he throws back his psyche in that mid year of 1936. Since for him, it was the start and the end, he attempts to save these freeze characters in his memory. The kite in the play emblematically speaks to Michael. He is the pariah caught in a universe of ladies when he was seven. He even separations himself as he portrays this story. In any case, similar to a kite, in spite of the fact that he is isolates from the entire occasions that happened, there is as yet something that joins him to this specific second. His memory is practically identical to the harmony of the kite that associates him to the past. Then again, the influencing of this kite helps us again to remember the thought of moving which represents the getaway for the five ladies. It is their lone way out to discharge the strains and weights forced by religion and obligation. Frier utilizes Michael to emblematically give a soul and an actual existence to this plotless play. The absence of plot is upheld by the interims among monologs and discoursed. It is in reality through Michaels discourse that we feel for the characters. His words are nearly speaking to a blast of feelings for it is through his discourses that we start to feel something. It is through him that we find what happened to Rose and Agnes and that he has a relative. In any case, there is a current figurative imagery of Michaels job and different characters portrayal in the play. The play could represent the move without a song and Michael, by recalling the past and evaluating the entire occasions through his logical perspective, gives the mood and the agreeable tune to this move. We see how the play is practically similar to an emulate in light of the fact that the genuine content of the play is by all accounts lacking resembling the absence of plot. Frier needs to show that words arent actually the voice of reality and that the activities express stronger than words. moving as though language no longer existed in light of the fact that words were not, at this point vital. In any case, we could likewise see this imagery in an alternate manner. The entire book is practically similar to a melody that pass on a few topics. The connection between the five sisters and the male characters, Jack and Jerry, represent seven unique notes (do re mi fa sol la ti) that are interrelated to one another making a resonant agreement. Be that as it may, to give a soul to this tune, Michael represents the verses which gives the life to this melody. This is thought about his liyrical tone. Like the expressions of a tune, he mediates and covers on a portion of the scene similarly as how verses covers on a portion of the piece of a tune. What's more, as the characters vanish individually toward the end, the tune loses its notes and resonant components which infer the crumbling of the sisters. Presently blur in delicately, simply perceptible, the music It is a great opportunity to state Goodnight.
Friday, August 21, 2020
Progression in History Essay Example | Topics and Well Written Essays - 750 words
Movement ever - Essay Example We have nearly everything at the tip of fingers. The utilization of science and innovation has made entryways for us to find a great deal of things, as in the field of examination wherein we presently have propelled apparatuses that can reproduce slug effects or match DNA just from a solitary hair strand or even only a little bit of skin. Computerized imaging help reproduce faces from the skulls covered quite a while in the past and exhumed days back. We have gone far as far as science and innovation however have we advanced or have we quite recently adjusted to the occasions? Through this paper, I try to think whether there is human movement or just adjustment. The various periods in time, from the Old Age to the Modern time, gives us that people are seeking after various zones of improvement. We have extension, expressions and culture, science and innovation and even political domain. The various periods in time give us a brief look on how human life has moved starting with one mea surement then onto the next. So is there advance or do we relapse every once in a while thatââ¬â¢s why we glance back at history and rediscover things? The Machiavellian thought of human advancement is related with the fixed human instinct, that human instinct is outfitted towards change and improvement on account of want and desire (Gutfreund, 208). With this, Machiavelli sees improvement as an objective, a final product that moves towards manââ¬â¢s aspiration and want to turn out to be better and all the more remarkable. This shows human advancement isn't fixed as opposed with an impact of the human fixed on it nature (Lemon, 105). For Machiavelli, there is no genuine advancement in mankind's history, rather, there is a nonstop encounter, by which, we learn, develop, and move towards our aspiration and want. There is nothing of the sort as importance ever, just learning, as human encounters are guided by human instinct, an unmistakable articulation that shows that progress i s non-existent and what people experience are their common conceived impulses. This is halfway what I for one accept as human advancement. That it is related with human instinct. In any case, I donââ¬â¢t concur with Machiavelli that human instinct is fixed and constant towards want and desire. Due to experience and learning, people create, develop and change. For me, progress intends to improve. It implies advancement and improvement. In any case, it is more than that, progress is a blend of steadiness, change and development. With this, I concur with Lutherââ¬â¢s thought of progress and its connection to a battle. For Luther, progress is an objective towards equity, by which people need to forfeit and to endure before having the option to arrive at it (Paulson, 90). Lutherââ¬â¢s progress is an objective towards equity and equity. His advancement is hopeful. With this, it negates with my conviction that progress is related with human instinct. Human instinct isn't optimisti c. It has imperfections, thatââ¬â¢s why people need to think back and comprehend the past and utilize these learnings so as to move towards movement. In any case, humanââ¬â¢s are not great and perfect, thatââ¬â¢s why we generally relapse to old propensities and commit similar errors. Progress, at that point, is a ceaseless battle, yet not to Lutherââ¬â¢s objective of equity and equity, yet to humanââ¬â¢s want to turn out to be better. Baconââ¬â¢s confidence in the thought of progress made a thought that innovative headway is related to advance (Attar, 70). For him, science and innovation are the way to control nature, that people can
Tuesday, May 26, 2020
Introducing Online Paper Writer
Introducing Online Paper Writer It is not difficult to decide on the least expensive essay writing service just by comparing the prices provided by various customized essay writing service providers. Below is a list of steps you may take to get ready for the SAT. Then you only need to click our site, make an order by means of your topic on a superiorpaper to your private writer and he'll try his very best. Today, it's simple to receive paid to compose essays online. Websites like Etsy make it feasible that you download professionally designed resume templatesall you want to do is add your own personal info. Thesis on-line service is a superb solution should you be composing your thesis. Online Paper Writer service are all set to aid with specs! You must be certain the continuing solution you utilize can provide your paper to you personally on time. Just describe what you need and want your paper appears like and we'll fulfill your requirements effortlessly. Following your paper was finished, you'll also be requested to rate the author. Writing an excellent research paper may prove to be almost impossible, considering that time is extremely much against you. Our 1-hour essay writing service may be ideal solution for you. Our company is probably going to make sure in case you get your paper we give you a thorough plagiarism report. In order to acquire the work you genuinely need, discover the nice and trustworthy essay writers. Finally bear in mind that there are nice and dependable essay writers online but also some who aren't great. With our support, you are going to be in a position to compose an impressive research paper. Students are typically required to compose a term paper that's assigned to them either close to mid-semester or towards the end. Based on the paper instant, you could be required to do outside research or you may use only the readings you have done in class. Dependent on the paper instant, you may be required to do outside research or you may use only the readings you have done in class. You'll be fully delighted both with the caliber of the paper and with the way our clients support team works. Instead, you want to use a trustworthy company, such as ours. For this reason, you shouldn't wait until customer support will get in touch with your writer and you'll get a response. Our service is at your disposal, in the event you would prefer a person to compose my paper. Whilst approaching feasible essay authors concerning the road is not advised, utilizing a little business which focuses on such something can help in several techniques. A 1 hour essay deadline may be true problem, if you aren't good enough at writing and expressing your ideas on a topic you aren't really interested in. Regardless of different websites you get to choose the writer you want to work together and will be in a place to communicate with them during the process. Whilst approaching possible essay writers on the street isn't advisable, employing a business that specializes in such a service will help in quite a few ways. If you're going to visit the trouble of seeking qualified support in writing an essay or essays and doing so with an internet writer, you must be absolutely sure that you're getting what you need and certainly what you pay for. In case the customer wants the writers to generate a revision of the thesis again, then the writers will certainly look again. Your writer won't ever learn your name. The first point to understand is that not all on-line essay writers are equal. Being a college student, you will wind up required to compose essays in a number of designs. The majority of the moment, the expression paper is employed in grading students which means that whatever grade you will score on it's going to greatly influence your general grade at the close of the semester. There are an assortment of college papers which generally give students a challenging moment. Many indicate they won't accept students who score below a particular level on the test.
Friday, May 15, 2020
Ethical Issues of Standarized Testing - 1322 Words
In the contemporary American education system, high risk standardized testing has resulted in a monumental shift in the classroom to a focus on extensive test preparation, as well as a large influx of instructors cheating and alternating their students tests; both can be seen as a direct consequence of the heightened incentives and punishments placed upon teachers. Many teachers have taken acceptable measures in improving their studentsââ¬â¢ scores, such as simply ââ¬Å"teaching to the testâ⬠, and taking class time to teach test taking techniques and procedures often resulting in a significant loss in time for other important standards and benchmarks that are not tested on. Taking a deontologist stance, one would propose that the teachers areâ⬠¦show more contentâ⬠¦Also, these methods of test score fluctuation results in a false impression of the schools educational quality. Many parents seek to send their children to a highly ranked school district ââ¬â often judged by standardized test scores ââ¬â however, when educators partake in test day activities that raise their reputation as a ââ¬Å"great teacherâ⬠, they are misrepresenting the true value of their classroom, and parents are sending their children into a classroom with high expectations in mind, and are ultimately being misled and deceived. This cycle also results in honest schools and districts loosing high performing students to these cheating misrepresented schools, causing the authentic schools test scores to lower, and for its funding to eventually be cut. There are several courses of actions that would result in a level playing field for districts. One view states that all teachers should instruct and prepare the students by the standard benchmarks, and rest assure that come test day they will succeed to the best of their ability, and it will be an accurate representation of their teaching abilities. This method assumes that the standardized test is an ultimate accurate representation of the material a student should have mastered. Another method that could be defended by utilitarianism is that all educators should do everything they can to help the student achieve a high test score; resulting in higher funding for all school districtsShow MoreRelatedLearning from the Fashion Industry: a Structured Literature Review39302 Words à |à 158 Pagesowner. ABSTRACT This research study is a Structured Literature Review focused on identifying the learning points which can derive from the fashion industry regarding supply chain management solutions. Manufacturing, distribution and marketing issues that enable a more robust analysis of the sector are investigated. A review of business models used by companies in the fashion industry is conducted to gain insights into the way that fashion firms manage demand. An extensive review of the literatureRead MoreIntroduction to Materials Management169665 Words à |à 679 PagesConcepts In recent years there has been a great deal of attention to the concept of supply chain management (SCM). It is important to understand the fundamental issues behind this movement, as well as the impact on materials management. Historical perspective. In the past, many company managers placed most of their attention on the issues that were internal to their companies. Of course they were aware of the impact of suppliers, customers, and distributors, but those entities were often viewed as
Wednesday, May 6, 2020
How Does The Anxiety Manifest Itself - 1259 Words
1. Do you experience test anxiety (or do you know someone who does)? How does the anxiety manifest itself (physically, behaviorally, effectively)? I have never experienced test anxiety but I do know someone who has. A colleague of mine, attended a university where he was the only minority in his classes. My colleague was Black and the majority of his classmates were White. During his first semester, he experienced a cultural shock and felt out of place. My friend told me that his classmates and professors were nice and that he wasnââ¬â¢t treated unfairly or differently. However, due to the social and racial history of the U.S., my colleague went into every class believing that he had something to prove. I believe that the stereotypes of African Americans affected him greatly and he strove to prove them wrong. This burden that he carried, no one else in his classroom shared, (which is understandable because race affects those directly impacted by it more than those indirectly affec ted), caused him to have tremendous stress. Physically, my friend was always stressed out and tired. My colleague rarely got enough sleep which directly impacted his academic performance. My friendââ¬â¢s behavior changed as well. Previously, my friend had been easy going and gregarious but now he appeared agitated. Although he received passing marks on his test, he wasnââ¬â¢t performing at the level he should have. According to Katherine Ryan and Allison Ryan (Woolfolk, 2013, p. 247), the fear of confirming aShow MoreRelatedWhat Is Metaphysics? The Universal Definition Of Metaphysics1140 Words à |à 5 Pagesand address the following ideas: how Heidegger ââ¬Ëelaboratesââ¬â¢ the question concerning the nothing, how he approaches the characterization of the nothing as the complete negation of the totality of beings, his concept of how the fundamental attunement of anxiety makes the nothing manifest, and his connection between the manifestation of nothing in anxiety and be ing as a whole. The first aspect we encounter in Heideggerââ¬â¢s excerpt of his meaning of metaphysics is how he ââ¬Ëelaboratesââ¬â¢ the question concerningRead MoreThe Dream Sequence From The Big Lebowski1432 Words à |à 6 Pagesof female genitalia, but remains inaccessible due the fear of castration that comes with the confrontation of a woman s lack of a phallus. Thus, The Dude requires the fetishizing of bowling in order to access Maude and her symbolic meaning. The manifest content of the dream, the physical images of the dream, are highly overdetermined from an original source: multiple determination must be of importance in choosing what particular elements shall enter a dream (Freud 820). Each image seen in theRead MoreThe Types Of Anxieties, Learners May Face During Examinations1183 Words à |à 5 PagesThe Types of Anxieties, Learners May Face During Examinations. Anxiety can be of many types. Be it language anxiety, test anxiety or even speech anxiety and social anxiety. Unfortunately this uncomfortable feeling is something that manifests in people all the time and especially at times when it would be best they are calm for a better outcome. This analysis of anxiety is based purely on test anxiety and how learners respond in exam conditions. It is because of this type of anxiety that studentsRead MoreEssay about Dreams Their Analysis1413 Words à |à 6 Pageswas still near. I saw myself lay down under a tree. This tree was uniquely beautiful because of its thin twisting, almost fragile looking branches. The tree was unusual for it was bare, there were no leaves, nor was it green. The tree just stood by itself colored naked and bare for all to witness. The birds of summer seemed to favor this unique looking tree by gathering and sitting on its thin but strong branches. I laid under this tree looking up towards the birds feeling happy. I heard myself laughingRead MoreMy Girl, Vada Sultenfuss Models880 Words à |à 4 PagesIn the movie My Girl, Vada Sultenfuss models the symptoms commonly used to diagnose Illness Anxiety Disorder. However, she does not possess this psychological abnormality. As portrayed in the film, Vada exhibits thoughts and behaviors that are not typical of an eleven year old girl. At first glance, she may seem mentally sick to the viewer. Upon further examination however, it is clear to see that is not the case. The odd behaviors modeled by this young child are actually a cry for attention, andRead MoreUnderstanding Social Phobia1569 Words à |à 6 Pagesappraised suitably. Social Phobia can also be addressed as Social Anxiety Disorder (SAD); the scientific name for this disorder is ââ¬ËAnthropophobiaââ¬â¢, which according to Right Diagnosis (2014) means an irrational fear of people or groups of people. The National Health Service (2014) describes Anthropophobia or Social Phobia as a tenacious fear of social situations and people; furthermore, the NHS credits Social Phobia to be the most common anxiety disorder. According to the International Classification ofRead MoreObsessive Compulsive Disorder ( Ocd )1679 Words à |à 7 PagesHaving occasional intrusive thoughts that you just are unable to get rid of is in itself not as strange, as some people might assume. It is fact actually quite common and not abnormal. Many people believe they have obsessive-compulsive disorder because of symptoms they may share with the disorder. But more and more often, this disorder is being overused and misdiagnosed unnecessarily. The turning point that changes fr om normal to abnormal is when these thoughts cause distress and disruption in thatRead MoreEssay on Nervous Conditions by Tsitsi Dangarembga1256 Words à |à 6 Pagesnervousness displayed within the female main characters of this novel. ââ¬Å" Its bad enough, when a country gets colonised but when the people do as well! Thatââ¬â¢s the end, really, thatââ¬â¢s the end. (Nervous Conditions,150). This quote stated by Nyasha addresses how colonialism and imperialism are not just cultural, political and economical, but psychological as well. It infiltrates the minds of the citizens and their very cultural existence. The women in this novel are faced with the choice of embracing the BritishRead MoreSymptoms And Symptoms Of Generalized Anxiety Disorder Essay1660 Words à |à 7 PagesGeneralized anxiety disorder or GAD is described as excessive, exaggerated anxiety and worry about everyday life events with no logical reasons to justify it. Symptoms from this particular type of menta l disorder include over exaggerated worrying and anxiety, an unrealistic view of situations in everyday life, fatigue, irritability, difficulty concentrating, muscle tension, and more. Life becomes a constant state of worry and dread. Eventually, the anxiety overtakes the person s mindset so muchRead MoreSymptoms And Treatment Of Bipolar Disorder977 Words à |à 4 Pagesdevelop symptoms late in life. Bipolar disorder does run in families, but researchers have struggled to identify specific genetic factors that put people at risk. I feel that Bipolar disorder is extremely misunderstood. Many people use the term loosely. The people who suffer from this disorder are hurting and canââ¬â¢t control their feelings. My friend must pay over $400 a month for her prescriptions. She has insurance, but the insurance company does not cover that much of the medicine she takes.
Tuesday, May 5, 2020
Quantitative Research Article Review free essay sample
There are various reasons why I chose this article. I am an agency nurse and work at various different emergency departments around Middle Tennessee. Most of them are concerned about patient satisfaction scores and are frequently called into meetings regarding these scores. Staff at most of these hospitals can be called to the carpet as you may say if we have unsatisfactory reports from patients. This can be very frustrating because not all the facts are taken into consideration and the report is solely based on an irate patients comment. Most of these comments are due to the fact that the patient had to wait a long time to see the doctor or get placed into a room and last but not least is the number one complaint of not getting pain medication or prescriptions for pain medication. We, the staff see this as unfair, but according to the article, Medicare is one of the main driving forces behind the patient satisfaction scores and reimbursement by Medicare will be determined by the scores. The article appears to have credibility and integrity based on the fact the report is very well written, concise, and organized. The author has a doctorate in medicine, and the title is clear and accurate. The abstract provides a clear overview of the problem, methodology, findings and recommendations. The only concerning issue about this article is how they obtained the patient satisfaction scores, the demographics, the population which is the emergency room patients was noted, how many patients where surveyed, and many other variables were not discussed. The purpose of the study was clearly identified in the title of the article. The article maintained logical consistency and flowed very well. The literature review was limited due to the fact that this idea of patient satisfaction scores are fairly new idea and the research is somewhat limited. The method of the study was an ex post facto correlational study and somewhat vague. The hypothesis was clearly stated in this article and two were used. The two used were, ââ¬Å"No correlation exists between the hospitals allied health care departmentââ¬â¢s revenue and various measures of allied health care customer satisfaction from April 2008 to April 2010â⬠and ââ¬Å"A correlation exists between the hospitalââ¬â¢s allied health care departmentââ¬â¢s revenue and various measures of allied health care customer satisfaction from April 2008 to April 2010â⬠(Ellis-Jacobs, 2011, p. 2). The article also discussed the research question for the study which is, ââ¬Å"what is the relationship, if any, between allied health care practitionersââ¬â¢ customer service skills and a hospitalââ¬â¢s gross revenueâ⬠(Ellis-Jacobs, 2011, p. 2). The sample ââ¬Å"involved 25 months of historical satisfaction survey mean scores and revenue statements from a rural hospital in northeastern Oklahomaâ⬠(Ellis-Jacobs, 2011, p. 2). ââ¬Å"The current study involved identifying a relationship between two variables: the customer service skills of allied health care practitioners and a hospitalââ¬â¢s financial success. The current study included data in the form of statistical figures and table. Revenue reports and patient satisfaction surveys for the same period were also analyzed (Ellis-Jacobs, 2011, p. 2). The target population was vaguely identified along with aims and the theoretical framework used. The ethical considerations were not mentioned in this study. The data was analyzed by Pearson correlations and operational definitions were clearly defined. Although the data analysis was clearly defined and appropriate, the number of participants was not mentioned. The findings were not mentioned with the literature review but the hypothesis was identified and supported. The study concluded that ââ¬Å"with respect to inpatient ratings, the null hypothesis was not rejected, and it could not be concluded that the hospitalââ¬â¢s gross revenue was related to mean inpatient satisfaction scores. However, emergency department mean patient satisfaction scores were correlated to revenue in three areas of allied health care practitioner skills, standard testing, courtesy of person performing blood collection, and courtesy of radiology personnelâ⬠(Ellis-Jacobs, 2011, p. ). ââ¬Å"Other factors that affect hospital gross revenue such as health care facility location and seasonal trends were identified. Rural health care facilities are a primary source of patient care for elderly and uninsured in rural areas; therefore, taking care of these patients will result in greater patient satisfaction scores and ultimately increased hospital revenueâ⬠(Ellis-Jacobs, 2011, p. 5). ââ¬Å"Based on the information gained from this study, a new model for patient care was developed for exploration. Take Care of Patients of TCOP is based on the premise that is rural health care facilities are taking care of patients by meeting or exceeding the patients expectations, all aspects of rural health care survival, including patient satisfaction, will work together to provide the greatest care for patients and greatest reimbursement for the health care facilityâ⬠(Ellis-Jacobs, 2011, p. 5). The study concluded that theâ⬠study did not indicate a significant relationship exists between allied health care practitioner customer service skills and a hospitals gross revenue in the inpatient settingâ⬠(Ellis-Jacobs, 2011, p. ). The study recommended that the ââ¬Å"health care leadership must implement this simple customer service model, Take Care of Patients for allied health care practitioners to test its validity in a health care settingâ⬠(Ellis-Jacobs, 2011, p. 4). The references were accurately referenced in this study. I found the findings to be clinically and statistically significant. This research will be significant in years to come for all health care providers. Health care providers will be forced increase patient satisfaction scores in order to be reimbursed by Medicare and possible other insurance companies. It also means that health care providers will have to perform tests and give needless medications to patients in order to increase these scores. This means providers will have to give a known drug seeker a prescription for Lortab, so they do not call and complain. It also means that the doctors with attitude and lack of bed side manners will have to learn new customer service skills which could not only help the patient but the staff as well. For the Advanced Practice Nurse, this means that we will have to improve our customer service skills in order to maintain or jobs and receive paychecks. With the growing geriatric population, most of our patientââ¬â¢s will have Medicare and we will have to jump through hoops in order to keep our clinics, hospitals, and walk-in clinics open and profitable. Something that should possibley be done for health care providers is to hold seminars on how to increase patients satisfaction scores without jeopardizing our dignity and license.
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