Essay application for college
Frankenstein Essay Topics Ap English
Wednesday, August 26, 2020
The Golden House of Nero :: essays papers
The Golden House of Nero Following quite a while of battling and common wars, request was at long last settled all through the Roman realm during the primary century AD with the standard of Augustus. Harmony and success followed with the rule of Augustus and with the heads that came into control after him, and it was during this time Roman design started to move away from the conventional Hellenistic and Greek impacts and create its own style. It was likewise during this time Rome was exposed to various ghastly flames that crushed a great part of the city when it was heavily influenced by the sovereign Nero. Considered a dictator and conceited in any event, for a blue-blood at that point, Nero turned out to be disliked towards the finish of his rule, yet not before he had the option to commission the development of a grand estate for himself extending more than 200 sections of land in the focal point of Rome where the flames had annihilated the majority of the first structures. Ordinarily called The Golden House of Nero, it was initially given the more proper name of Domus Aurea, and was and still is viewed as one of the most extreme activities at any point requested by a Roman ruler to be made. The most huge and magnificent component of the Domus Aurea is the Esquiline wing, or the primary royal residence, situated around 200 meters upper east of the Coliseum, officially known as the Flavian Amphitheater. After the flames of 104 AD, Trajan had his architects fill in the Esquiline wing of the Domus Aurea in order to make sure about the raised patio for his Baths. By covering the Esquiline wing with earth, it was liberated from plundering, fires, impressive wearing from climate, and other unsafe impacts throughout the years. Lamentably, just a sizable section survives from the castle, and the first degree of the scores of rooms that have been recuperated is obscure. Much can be extrapolated from these residual bits of the structure, however, and like a riddle, classicist and engineers have had the option to bits together the pieces and arrive at genuinely nitty gritty resolutions. One significant point that has been taken a gander at intently yet has not been totally settled on is the first number of stories the royal residence contained. There are no signs of a second story past the two thin flights of stairs back in the upper north help territory of the wing.
Saturday, August 22, 2020
Adaptive E-commerce system Literature review Example | Topics and Well Written Essays - 5000 words
Versatile E-business framework - Literature audit Example A large portion of these distinctions emerge with contrasting structure of what web based business comprises. For instance quote (year) took a gander at web based business from the point of view of purchasing and selling and expressed that web based business covers all enterprises where the procedures of purchasing and selling is performed over electronic frameworks. Statement (year) then again saw internet business from the point of view of what is finished with a companyââ¬â¢s site. To this end, all exercises that advanced the guideline of business, regardless of whether it included selling and purchasing or not framed internet business. Instances of such exercises were named to incorporate streamlining of traffic from web indexes, age of deals and communication with clients through an online stage. Despite the distinctions in system for characterizing online business nonetheless, there is one thing that goes through and that is the way that some degree of business that happens over an electronic medium. As a component of the reason for the investigation, the writing survey is being directed as a significant optional information assortment practice that will be utilized to gather information to address the particular goals. From the foundation of the examination, it would be noticed that there is incredible respect for versatile web based business. This implies the analyst will move toward the writing from a point of view that confines the extent of survey to versatile internet business framework. This is a result of the position held by the specialist that despite the fact that web based business as a summed up idea of current business has the capability of opening extraordinary entryways for organizations, there is the need to advance the yields of web based business. By advancement, reference is being made to any innovative procedure that guarantees that administration clients can have a favorable position on the utilization of internet business over their rivals. Then, quote (yea r) made case such that with the intensity of the advanced worldwide
Friday, August 21, 2020
Startup quotes Richard Branson from Virgin
Startup quotes Richard Branson from Virgin Richard Branson, born on July 18th in 1950, is a famous entrepreneur and investor who is best known for starting Virgin Group.List of companies Richard startedThe student magazine; a magazine that advertised popular records and became an overnight success.Record shop; Richard started a record shop in Oxford Street in London where he sold records with a large discount.Virgin records; a music label that recorded for famous artists such as the sex pistols. Virgin atlantic airways; In 2012, it was the 7th largest UK airline in terms of passenger volume.Virgin mobile; it was the worlds first Mobile Virtual Network Operator. Now, Virgin mobile is active multiple countries.Virgin money; Bank that is active in the UK, Australia, and Australia. In 2012, it bought Northern Rock.Hundreds of other companies are part of Richard Bransons Virgin Group.Startup quotes from Richard Branson#1: BUSINESS OPPORTUNITIES ARE LIKE BUSES, THERES ALWAYS ANOTHER ONE COMING#2: COMPLEXITY IS YOUR ENEMY. ANY FOOL CAN MAKE SOMETHING COMPLICATED. IT IS HARD TO KEEP THINGS SIMPLE. #3: DONT THINK WHATS THE CHEAPEST WAY TO DO IT OR WHATS THE FASTEST WAY TO DO IT. THINK âWHATS THE MOST AMAZING WAY TO DO IT.#4: A COMPANY IS PEOPLE EMPLOYEES WANT TO KNOW AM I BEING LISTENED TO OR AM I A COG IN THE WHEEL? PEOPLE REALLY NEED TO FEEL WANTED.#5: WHEN PEOPLE ARE PLACED IN POSITIONS SLIGHTLY ABOVE WHAT THEY EXPECT, THEY ARE APT TO EXCEL. #6: YOU CAN NEVER GO TOO FAR WRONG BY THINKING LIKE A CUSTOMER WHOS NEW TO THE BUSINESS. #7: THE TIME TO GO INTO A NEW BUSINESS IS WHEN ITâS BADLY RUN BY OTHERS.
Sunday, May 24, 2020
Aldous Huxley s Brave New World - 1517 Words
The characters in Aldous Huxleyââ¬â¢s Brave New World live in a society where they are trained from childhood to be the ideal, rule following, abide by their class citizens. They are taught that happiness comes from a stable society where people are born into one of five classes and taught during embryonic development what their life-long jobs will be. Brave New World illustrates a future where people live like robots, are discouraged from feeling anything but happiness, and told to shield their emotions from others. They have no families, no parents, and no relationships. The leaders of the World State ensure that every citizen knows his or her place in society; one mistake can lead to exile. Unlike todayââ¬â¢s society, those in the World Stateâ⬠¦show more contentâ⬠¦Four months with Henry Foster- why, heââ¬â¢d be furious if he knewâ⬠¦Ã¢â¬ (Huxley 40-41). Leninaââ¬â¢s unconventional behavior adds to her appeal as a character. She enjoys Fosterââ¬â¢s comp any and sees no reason why she must engage in purely sexual encounters with multiple men. Lenina does not get in trouble for breaking the rules, but she does change her behavior after speaking with Fanny. Lenina moves on to Bernard Marx. Lenina is appalled when Bernard does not want to sleep with her the first chance he gets. He hates the idea of taking soma and would rather be cranky than escape reality. Lenina and Bernard do have sex, but she never gets him to abandon his quirks and become an ideal citizen. Lenina begins as a misfit; however, she sees the error in her ways and ultimately turns into a strict rule-follower. She continues to repeat the phrases that were drilled into her memory as a child. Bernard resents Lenina for conforming to mainstream. Neither of them understands the otherââ¬â¢s behavior- Lenina follows the rules and Bernard never stops breaking them. Lenina starts off breaking the rules of her society but quickly turns into a model citizen, unlike Bernard an d John. The three of them never cease to wonder why the rules are what they
Thursday, May 14, 2020
The Approach Of Behavior Modification Within Classrooms
Behavior modification can be defined as a technique which focuses on punishment for behaviors that are undesirable and rewards for behaviors that are desirable (Langa, 2014). The approach of behavior modification is based off of the methodologies and findings of a famous psychologist who researched the area of behaviorism, B.F. Skinner. Skinner, also known as the ââ¬Å"Father of Behaviorism,â⬠developed the theory of operant conditioning (Langa, 2014). In his research, Skinner used reinforcements and punishments to support his theory of operant conditioning (Langa, 2014). Punishments, which Skinner believed could be used to decrease the probability of a certain behavior happening repeatedly, could be defined as the granting of displeasing stimulants (Langa, 2014). Throughout his research, Skinner found that behaviors that are reinforced, or supported and acknowledged, were usually repeated whereas behavior which was not reinforced usually weakens or fades over time. Count less studies have been organized and carried out which have examined the use of behavior modification within classrooms. In many classrooms, especially early childhood settings, behavior modifications have been used. Teachers use behavior modification in their classrooms in order to alter classroom behavior. In order to rework unwanted behaviors into acceptable behaviors, teachers may use a series of reinforcements or punishments. Some reinforcements, or positive stimulants, that teachers haveShow MoreRelatedEvidence Based Practice : Behavior Modification1688 Words à |à 7 PagesEvidence Based Practice: Behavior Modification Class: SOWK 604 Direct Services I Professor: Patricia Guillory Student: Myia Lane Southern University at New Orleans Abstract This paper is to define and discuss the Evidence Based Practice Model Behavior Modification. Expounding on the various methods that are utilized to alter behaviors from positive to negative, and some of the tools implemented to enforce behavioral changes in various settings. This discussion will also explain various techniquesRead MoreThe Impact Of Implementing Pbis On The Social, Emotional And Academic Outcomes1189 Words à |à 5 Pageseducational opportunities as other students because of their behavior. Congress understood that there was a need for diverse learners and evidence based approaches were needed, in order to assure proper modifications for students. ââ¬Å" Positive Behavioral Interventions and Supports is established by the U.S. Department of Education s Office of Special Education Programs (OSEP) to define, develop, implement, and evaluate a multi-tiered approach to Technical Assistance that improves the capacity of statesRead MoreBehaviral Tools926 Words à |à 4 Pagesdifferent situations. To focus on creating healthy behaviors, this report on behavioral tools looks at effective methods of implementing change through the following: client centered approaches, grounding techniques, and operant conditioning through positive and negative reinforcements. The report will also assist human service workers identify some situations that the stated approaches may be used for. Client Centered Approach The client centered approach is a behavioral tool that human service professionalsRead MoreTeaching Students With Challenging Behaviors762 Words à |à 4 Pagesââ¬Æ' Teaching students with challenging behaviors begins with understanding behaviors utilizing Culturally Responsive Instructions and strategies. Howard is a sixth grader that has been referred to the office six times in four month by his first-year teacher Ms. Anderson for his ââ¬Å"insubordinationsâ⬠. Based on Ms. Anderson observations Howard exhibits specific weakness in mathematics resulting in incomplete in-class work assignments and avoidance behaviors when asked to work at the whiteboard. Howardââ¬â¢sRead MoreBehavior Modification and it Application to a Variety of Behaviors Within in an Educational Setting1117 Words à |à 5 PagesBehavior Modification and it Application to a Variety of Behaviors Within in an Educational Setting Abstract Behavior modification is based on the concepts of observable antecedents, observable behavior, and consequences. A behavior modification program consists of a series of stages to achieve a desired modification of a target behavior. A token economy based behavior modification program that was applied for a full academic year in an entire elementary school,Read More1.Factors That Should Be Considered To Determine How Serious934 Words à |à 4 Pagesthat should be considered to determine how serious a learning or behavior problem is includes persistence of the problem, severity of the problem, speech of progress, motivation, parental response, relationship with teacher, instructional modifications, adequate instruction, and additional other factors. Persistence of the problem includes determining if the learning or behavior of the student are long term or short term; behaviors and feeling states are not considered a major problem if they onlyRead MoreTeacher Perspectives for Response to Intervention Essay examples1009 Words à |à 5 PagesTeacher Perceptions of the Response to Intervention Model Introduction Response to Intervention (RTI) is a system-wide approach in general education to prevent and/or resolve lack of student success. RTI provides the framework and means to meet the needs of all learners, especially struggling learners, by using data-based decisions to identify the students, link interventions and instruction to their needs, monitor their progress, and make adjustments as needed based on an ongoing review ofRead MoreStimulants in Combination with Other Methods to Modify Student Behavioral Issues892 Words à |à 4 PagesOutline: Stimulants in Combination with Other Methods to Modify Behavior I. Students today with behavioral issues, like ADD and ADHD, are plagued with a wide variety of issues that disrupt their ability to concentrate in school and socialize well with other children and adults. A. ADD and ADHD are serious issues that many students face on a daily basis. 1. According to the research, students with such behavioral issues may have difficulty concentrating on schoolwork, frequently interrupt conversationsRead MoreChildhood Teacher s Most Important Role For The Expectations Of Our Society844 Words à |à 4 Pagesfrom how the teacher reacts to their behaviors. Therefore, teachers must be taught when and how to respond to undesired behaviors. Area of Focus: Retaining highly qualified teachers; while, dealing with misbehaviors and learning how to apply a variety of techniques. I believe that one of the problems with managing behaviors in preschool classrooms is teachers coming out of college are not given the necessary tools needed to combat or challenge these behaviors. Some of the techniques and guidanceââ¬â¢sRead MoreAssessment Of The Clients Needs And Intervention Assessment Case Study844 Words à |à 4 PagesEach child in Therapeutic Classroom 2 (TC2) has an emotional and behavioral disturbance. Ages range from 8 years old to 10 years old. Each child is a minority group member and comes from a low socioeconomic neighborhood. Each child travels over thirty minutes to school each day. Identified problems: a) Externalizing behaviors - Physical aggression - verbal aggression - milieu elopement - out of area. b) Cultivate pro-social behaviors, decrease externalizing behaviors. - Cooperation with peers
Wednesday, May 6, 2020
Criminology Crime And Crime - 1123 Words
Gangs have been exceptionally violent in recent years. Criminology, in respect to gangs, refers to the acts of violence and theft conducted by gangs, which are also prohibited by the law and law enforcement bodies. Legislators have created laws and strategies that have been very fundamental in tracking down gangs. Criminal experts state that the key to curbing criminology among gang members is finding and understanding the manner in which they work, as well as looking at the methods they use during their operations. This paper analyzes the aspect of criminology as it pertains to gangs within the context of sociological perspectives. It goes on to elaborate on why this issue is an emerging topic of concern in modern societies. This paper further uses various theories and theorists to enrich the analysis of this topic. Linda Schmidt is a criminology expert and FBI agent in the department of community outreach in Ohio, who has worked and solved many cases in street gangs. She has tirele ssly worked on issues involving street gangs. Through her experience and expertise, she provides rich insights regarding gangs and how the police should be trained to deal with gangs. She provides views on gang-infested neighborhoods, working with members of gang groups in schools, courts and prisons. She has also provided training for community groups, educators and law enforcement officers. Considering criminology in the context of gangs, Schmidt suggests that the first step towards havingShow MoreRelatedCrime And Crime : Criminology And Criminology1211 Words à |à 5 Pages Crime choice theory, often referred to as environmental criminology or ecological criminology, is a branch of criminology that was supposedly started by the classical schoolââ¬â¢s Cesare Beccaria. As with many theories, it has evolved with time, but the basics of it have stayed much the same throughout time. Crime choice theory can relate through other theories such as; routine activity theory, environment al criminology, situational crime prevention and crime prevention through environmental designRead MoreCriminology : Crime And Crime1410 Words à |à 6 PagesCriminology is defined by the book Criminal Justice: A Brief Introduction, which was written by author Dr. Frank Schmalleger, Ph.D., as ââ¬Å"the scientific study of the causes and prevention of crime and the rehabilitation and punishment of offendersâ⬠(Schmalleger, 2006, p. 20). People look at criminology in a big concept of criminal prevention but criminology in itself carries a wide variety of functions in treating crime and providing punishment to those who commit crimes. Crime increases when theRead MoreCriminology and Crime2697 Words à |à 11 PagesLeanne elcoate ââ¬â M00311408 | CRM2350 ââ¬â Crime in Late Modernity | To what extent could it be argued that crime is seductive? | | Alice Savoja | | Word Count: 2477 | To what extent could it be argued that crime is seductive? To what extent could it be argued that crime is seductive? Throughout this essay I will be discussing contemporary theories that support the idea crime is seductive and contemporary theories that disagree. According to the Oxford Dictionary the definitionRead MoreCriminology Theories and Capital Crimes1182 Words à |à 5 PagesCriminology Theories and Capital Crimes: As part of the distinct aspects of criminal justice policy, the different criminology theories have significant impacts on the criminal justice system. The different theories of crime are used to explain criminal justice policy and the criminal justice system. These theories were developed by different people in attempts to explain criminal justice. In addition, criminological theories assist is shaping the societys reaction to offense in relation to preventingRead MoreCriminology : Crime And Deviance1705 Words à |à 7 PagesKelsie Rumsey Brian Wolf Sociology 260: Crime and Deviance May 7, 2017 Double Jeopardy The criminal justice system isnââ¬â¢t perfect, much like any largescale system it has its flaws. Sadly, some of the criminal justice system flaws are bigger than others and the smaller ones donââ¬â¢t get any attention from the public and go unresolved. That is not to say that all the problems with the criminal justice system shouldnââ¬â¢t be dealt with, but some of the problems arenââ¬â¢t even being considered. A problem thatRead MoreCriminology is the Scientific Study of a Crime1026 Words à |à 4 Pages The definition of Criminology is the scientific study of crime, as a social phenomenon of criminals, and penalty treatment (Citation Required). Criminology is the basis of the criminal justice system, it aids with assessing criminals and punishing them justly within the justice system. One key question that should be asked is the justice system allowing criminals to get away by pleading insane, mental, or saying that they werenââ¬â¢t in control of their body. This pa per will look at specific examplesRead MoreCriminology: The Evolution of Crime Essay1003 Words à |à 5 PagesCriminology has evolved over history into becoming a discipline all its own, along the way it grew and developed from a multiple sources of disciplines to become an integration of various theories. Reasons that seek to explain crime and deviant behaviors has mirrored the time in which research was being conducted and as time continues to change it is to be expected more theories will arise to incorporate past theories to become ever more inclusive. It is important to understand this development fromRead MoreBiological Determinism And Crime Of Criminology1595 Words à |à 7 PagesBiological Determinism and Criminality Throughout the history of criminology, each theory dominates and gains support than others though different period of time. This essay will first discuss the argument for biological determinism which mainly focuses on phrenology. The idea of Darwinism also links to Lombrosoââ¬â¢s idea that a personââ¬â¢s bad behavior can be predicted and should be eliminated will also be discussed. The second part of the essay will emphasis the classical theory and how in contrastsRead MoreThe Moral Ambivalence Of Crime And Criminology977 Words à |à 4 Pages Crime and Criminology Essay It is common knowledge that crime exists all over the world and that justice and punishment may vary in different countries and societies. However, how justice and punishment is enforced in a society and globally is not common knowledge. Global justice refers to the belief that the world is unjust; while social justice, in a manner of speaking, refers to the fair treatment of everyone in a society.(ââ¬Å"Social Justiceâ⬠). Both social and global justice value human rightsRead MoreCrime Is The Strongest Factor Of Criminology1357 Words à |à 6 Pagesbelieve crime is biologically determined, no human s are exactly alike in decisions; Hence criminal behaviors are not biologically determined. By recognizing that human behavior is influenced by many factors, by refuting counterarguments that the so-called root of the crime is the biological mindset as a child one will discover this theory will inevitably fall short. By presenting sound arguments, one will be persuaded to rec onsider that biology is not the strongest factor of criminology. Inequality
Tuesday, May 5, 2020
Quality in Health System-Free-Samples for Students-Myassignment
Questions: 1.Define quality in Health Care and Explain the key elements of total Quality Management and Continuous Quality Improvement in the Health Care Context. 2.Patient Safety is Considered to be the Cornerstone of High-Quality Health Care. What is meant by the two terms Safety in Healthcare and Patient Safety? 3.In 2012 the Australian Commission on Safety and Quality in Healthcare implemented National Safety and Quality Health Service (NSQHS) Standards. 4.How does clinical governance differ from clinical leadership in the Context of Quality and safety in health care Provision? 5.What is the role of Clinical Leaders when ensuring Quality Improvement in the Clinical settings? Answers: 1.Quality in Health system with TQM and CQI elements The term Quality means the degree/ grade of excellence. According to Institute of- Medicine, health care quality is defined as the grade/ degree to which the health-related services that are rendered to persons and communities maximizes the chance of getting desired health-related outcomes as well as consistent with prevailing health care professional knowledge (AHRQ, 2012). Quality in health organization involves practicing health care interventions appropriately based on the pre-established procedural standards, with an objective of satisfying the patients as well as maximizing health outcomes without creating health- related risks and/or unnecessary expenditure. The elements of quality include providing safe, effective, patient- centered, timely, efficient and equitable care (AHRQ, 2017). There are various approaches of quality management in which total quality management (TQM) that is called as continuous quality improvement (CQI) in a health system, indulges itself in analyzing the health- related issues, planning corrective actions, implementing these actions in needed areas and evaluating the effectiveness of these action (NCCHC, 2017). TQM helps to constantly improve the work performance at all the levels of system in each and every departmental (functional) area of a health organization utilizing man, money and material resources. AIHW (2017) has stated that Australia peaks high internationally in quality improvement and remains as one of the top performer in OECD countries. CQI aims to minimize the capital and waste of poorer quality-care. The elements of TQM and CQI are as follows: a). the customer/patients focus, whose health-needs are paramount in quality determination. Customer satisfaction, analyzing ownership with services by customer/patient opinion surveys, minimizing errors, avoiding reasons for dissatisfaction, maintaining societal relationships, following business ethics, maintaining safe environment, sharing quality- standards in organization are needed (McLaughlin, 2012). b). Strategic planning with leadership to promote customers expectations, newer diagnostic techniques, advanced developments, evolving customer-care system and societal expectations. c). Continuous improvement with learning: regular planning, implementation and evolution. d). Empowerment with team-work. e) Improving process management. f). Team-building and group-integration tools. g) Quality Assurance and Control. 2.Client safety maintenance of safe healthcare The entire health system revolves around the patients by keeping them as their cornerstone. All the health professionals and organizations work for the welfare of the patients and hence they should be the core of quality performance. Their safety represents the quality of health organization and the safety of health organization also means the same. Safety is one of the quality dimensions which involve preventing harm to the clients that could be either temporary or permanent (Douglas, 2012). The health organizations should provide a safe environment to the patients by keeping them free from injuries due to accidents or preventable traumas that occurs in health organization (AHRQ, 2012). Safety means protecting the clients from harm/ injuries and Quality means maintaining appropriateness and effectiveness and hence safety and quality in health systems means People + Systems i.e. providing appropriate and effective care to clients without causing harm. TheAustralian- National health performance committeehas stated about maintaining safety in health organization by linking it with preventing and/or reducing harm that actually or potentially occurs in an organization or in an internal (hospital) environment to an acceptable limit. It was estimated that nearly 12% of the adverse events occurs every year in Australia in which 50% of them are avoidable and at-least 1 in 300 has chance of getting injury as compared to only 1 in 1 million aircraft traveller. Nearly 0.04% (1,782) Australian patients encounter death or serious harm and 0.149% of patients encounter temporary or less harm every year. They commonly encounter harm due to drug error, patient falls, and hospital acquired infection and suicide. Approximately 500,000 Australians become sick due to hospital admissions and turn back for further treatment (Dunlevy, 2013). Hence, maintaining safety in an organization is crucial to protect patients from harm and thereby to improve quali ty. 3.NSQHS standards- Quality In 2012, Australia- Commission on safety with quality in health care has proposed NSQHS standards to assist health organizations to render safe as well as high quality- care (Fig: 1). These standards were framed after an elaborate public, healthcare professionals and stakeholder collaboration. Protecting people from harm and improving quality of the health- services provided were the two aims of these standards. They form the basis for the accreditation process as it helps in determining how and with what a health- organizations performance will be evaluated. The health-service organizations can compare these standards with its performances and can use in internal quality-assurance and/or in external- accreditation process (NSQHS, 2012). Figure: 1 shows NSQHS standards of Australia (NSQHS, 2012) The NSQHS standards are explained as: 1). Adequate governance to maintain reliability in health care setting which portrays quality framework of a health setting to provide safer treatment. 2). Proper partnering with consumers/patients that encompasses strategic plans to create a patient-centered health system by including patients/consumers in developing and designing quality- care. 3). Prevention and control of hospital associated infections by evidence based strategies (Duguid, 2011). 4). Drug safety which includes strategic plans to ensure whether the clinicians are competent to safely prescribe, dispense or administer medicines to the consumers. 5). Consumer identification along with appropriate procedure- matching that comprises the strategic plans to clearly identify and appropriately match the consumers with appropriate managing strategies. 6). Clinical handing over which includes the strategic plans to maintain adequate clinical-related communication while handing over the p atients to other professionals. 7). Blood with blood products which encompasses the strategic plans to improve safe, effective as well as appropriate transfusion of blood and its products. 8). Prevention treatment of pressure sores which includes strategic plans to prevent the development of pressure sores and also to manage pressure sores by applying evidence based practices 9). Adequate recognition with response to critical conditions in the emergency department 10) Prevention of patient falls and harm which comprises the strategic plans to reduce incidence of patient fall (NSQHS, 2012). 4.Clinical governance and leadership Clinical governance and leadership are the integral components of modern health care system. Both minimizes the chances of medical errors and hence contributes to quality health care delivery. The health care organizers as top- level managerial members, Doctors and Nursing staffs implements clinical governance to share health responsibility and clinical accountability in enhancing quality in health care with constant effort on promoting health, minimizing harm and fostering a environment of excellence in consumer care. On the other hand, clinical leadership flows from leaders (head of department) to low- level management. The clinicians form the core of clinical leadership who is responsible for making baseline decisions about quality- care (Daly, 2014). Clinical governance system sets, monitors as well as promotes the performance of organization and also communicates the importance of patient/consumers experience along with importance of quality to the employees of organization. Cli nicians and other members of workplace use the governance systems whereas the clinical leadership system implements the quality goals that are set by the clinical governance system and also monitors for the achievement of these goals. They act as a bridge between the employees and the clinical governance system and act as communicators, directors, trainers and teachers of quality improvement process. Clinical governance involves appropriate frame-work with processes to promote quality improvement constantly in an organization by involving clinical leaders and staffs whereas in regard to clinical leadership, clinical leaders should influence other staffs and direct them based on the organizations vision and objectives. The clinical governance is responsible for improving productivity, placing orders and controlling the health-organization to achieve quality goals and the clinical leaders are responsible for establishing a common purpose with direction and develop interpersonal relationship with employees to achieve organizations objectives by acting as role models (Fealy, 2011). For quality improvement, efficient clinical governance develops and implements health practices which could reduce errors while clinical leadership involves in health-system performance, maintaining integrity in health system and achieving objectives (MacPhee, 2013). 5.Clinical leaders in Quality Improvement The clinical leaders form the key persons in the quality improvement of a health-care process. The presence or absence of efficient clinical leaders in a health setting may create a stark consequence on the health outcomes and quality. Delivering health care services safely with compassionate and quality depends on the efficiency of the clinical leaders who are at the front-line. The Garling Report has suggested that the Nurse Unit managers should be trained to be efficient clinical leaders by reviewing and re-designing their positions. As per Francis report (2013), all the ward managers should be capable of being efficient clinical leaders in health setting (Daly, 2014). Therefore, the clinical leaders should strive to enhance health- care performances and improve quality in health care by collaborating with clinicians and consumers in this reform process (McNamara, 2011). Clinical leaders role is not predefined but emerges from hospital setting after gaining expertise and their method of developing and facilitating sound interrelationships with health team. The clinical leaders should be efficient in promoting innovations with changes through quality improvement which could be achieved by understanding, influencing, and motivating persons by establishing effective interpersonal relationship so as to exchange and learn practice from others (McNamara, 2011). They should make the health team to understand about organizational process which could in-turn enable quality-based changes. The physician leaders must bring the physician perspective, implement initiatives and communicates importance of quality to others and the nursing leaders must bring nursing perspective, practice to their full extent, gain higher degrees, full collaborators with clinicians and other health professionals and should make effective work-force planning with policy- developing to improve quality in health setting (IOM, 2011, AHRQ, 2017). The clinical leaders should make creative and innovative changes in health care, be efficient communicator in consumer- staff environment, be courageous to handle situations, solve quality issues and provide consumer-based care to promote quality. References AHRQ. (2012). Agency for Healthcare Research and Quality: U.S. Department of Health Human Services. Retrieved from https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/understand/index.html AHRQ. (2017). Leadership Role in Improving Safety: U.S. Department of Health Human Services. Retrieved from https://psnet.ahrq.gov/primers/primer/32/organizational-leadership-and-its-role-in-improving-safetyAIHW. (2017). Safety and quality of health care: Australian Institute of Health and Welfare- Australian Government. Retrieved from https://www.aihw.gov.au/safety-and-quality-of-health-care/Daly, J et al. (2014). The importance of clinical leadership in the hospital setting: Journal of Healthcare Leadership. 6: 75-83. Retrieved from https://doi.org/10.2147/JHL.S46161 Douglas, C. (2012). Potter and Perrys Fundamentals of Nursing- Australian version. Missouri: Elsevier Duguid, M Cruickshank, M. (2011). Antimicrobial Stewardship in Australian Hospitals. Sydney: ACSHQC Dunlevy, S. (2013). Why are hospitals are making us sick?: News Corp Australia Network. Retrieved from https://www.news.com.au/national/why-are-hospitals-are-making-us-sick/news-story/372d84c34ba6f9c2a06718990217062b Fealy, G et al. (2011). Barriers to clinical leadership development: findings from a national survey:J Clin Nurs. 20:20232032. Francis, R. (2013). Report of the Mid Staffordshire NHS Trust Public Inquiry-Executive Summary. London, UK: The Stationary Office. Retrieved from https://www.midstaffspublicinquiry.com/sites/default/files/report/Executive%20summary.pdf IOM-Institute of Medicine, (2011). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing:The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press. MacPhee, M et al. (2013). Global health care leadership development: trends to consider:J Healthcare Leadership: 2129. McLaughlin, C.P. (2012). Implementing Continuous Quality Improvement in Health Care: A Global Casebook. Sudbury, MA: Jones and Bartlett learning McNamara, M et al. (2011). Boundary matters: clinical leadership and the distinctive disciplinary contribution of nursing to multidisciplinary care:J Clin Nurs. 20 (2324):35023512. NCCHC. (2017). Continuous quality improvement: National Commission on correctional Health care. https://www.ncchc.org/spotlight-on-the-standards-24-1 NSQHS. (2012). National Safety and Quality Health Service Standards: Australians Commission on Safety Quality in health-care. Retrieved from https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf
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