Study of Chinas first five year plan

Study of Chinas first five year plan The industrial system taken over by the Chinese Communist leadership in 1949 was not only rudimentary and war-devastated, but also extremely imbalanced. Over 70% of the industrial assets and output were concentrated in the coastal areas while the rest of the country shared the remainder. Within the coastal region, modern industrial production was again heavily concentrated in a few cities, namely Beijing, Tianjin, Shanghai, Shenyang, Anshan, Benxi, Dalian and Fushun accounted for 55% of the total for the coastal region. China was a typical dual economy, in which a few industrial cities were surrounded by large-scale agriculture. When the Chinese leadership started its efforts at industrialization, it regarded the huge coast-interior imbalance as irrational because, firstly, areas of industrial production were usually too far away from energy and raw materials supply areas and the interior market, meaning substantial long-distance transport costs and creating a strain on Chinas undeve loped transport system. Secondly, the rich resources in the inland areas could not be properly exploited. Finally, since the coast was easily exposed to foreign military power, the heavy concentration of industry there represented a national security risk, as was the case during the Second World War. To rectify that regional imbalance, the Chinese leadership decided to pull the levers of centrally directed investment. (Yang, 1990) Land Reform During the land reform, a significant amount landlords were murdered at Communist Party gatherings, the land was then given to peasants and there was also the Campaign to Suppress Counter-revolutionaries, involving public executions of mainly former Kuomintang officials, businessmen accused of market disturbances, former employees of Western companies and intellectuals whose loyalty was suspect. In 1976, the U.S. State department estimated around a million may have been killed during land reform, and a further 800,000 killed in the counterrevolutionary campaign (Shalom, 1984, p24). Mao himself claimed that a total of 700,000 people were executed during the years 1949-53 (Chang Halliday, 2005). However, because there was a policy to select at least one landlord, and usually several, in virtually every village for public execution, the number of deaths ranged between 2 and 5 million. In addition, at least 1.5million people (Short, 2001), perhaps as many as 6 million were sent to refor m through labour camps where many perished (Valentino, 2004). Mao played a personal role in organizing the mass repressions and established a system of execution quotas, which were often exceeded, arguing that these killings were a necessity for securing power. First Five year plan Chinas first Five-Year Plan entailed the forced provision of cheap agricultural supplies to cities, though per capita allocation kept low to discourage urbanization. In rural areas, production decisions are shifted from households to mutual aid teams, and then to cooperatives where a cadre makes key decisions. Ownership is redefined in the form of state-owned enterprises and collectivized farms. In terms of financial structure, the binding constraints on households and enterprises at this time are coupons, authorizations, and orders to deliver. These instruments rather than money determine production and consumption outcomes; therefore prices are of secondary importance. The Hundred Flowers campaign brings unanticipated criticism, especially from intellectuals, which Mao silences in the repressive anti-rightist campaign. Almost two-thirds of the major projects, including many being built with Soviet aid were located in the interior. Despite allowance made to help rehabilitate war-devastated coastal industrial facilities, nearly 56% of the state investment in fixed assets went to the interior during this period. The interior-orientated investment policy took its toll in terms of economic efficiency as coastal industrial growth was sorely needed as a foundation for the development of the whole country. More concentrated efforts at rehabilitation and improvement of old enterprises in the coastal region could have produced more immediate economic pay-offs than making new investments in areas that lacked infrastructural support. Thus, Mao, in his April 1956 speech On the ten great relationships, commented that in the past few years we have not laid enough stress on industry in the coastal region so that the productive power of coastal industry could be used for the full development of the whole country, e specially the interior. In the same speech, however, Mao also revealed he was in favour of building most of heavy industry, 90% or perhaps still more, in the interior. Worden, Savada and Dolan (1987) discussed how China used a Soviet approach to economic development was manifested in the First Five-Year Plan. The main objective was a high rate of economic growth, with primary emphasis on industrial development at the expense of agriculture and particular concentration on heavy industry and capital-intensive technology. Large numbers of Soviet engineers, technicians, and scientists assisted in developing and installing new heavy industrial facilities, including entire plants and pieces of equipment purchased from the Soviet Union. Government control over industry was increased during this period by applying financial pressures and inducements to convince owners of private, modern firms to sell them to the state or convert them into joint public-private enterprises under state control. By 1956 approximately 67.5% of all modern industrial enterprises were state owned, others were under joint ownership. No privately owned firms remained. During the sam e period, the handicraft industries were organized into cooperatives, which accounted for 91.7% of all handicraft workers by 1956. Agriculture also underwent extensive organizational changes. To facilitate the mobilization of agricultural resources, improve the efficiency of farming, and increase government access to agricultural products, the authorities encouraged farmers to organize increasingly large and socialized collective units. From the loosely structured, tiny mutual aid teams, villages were to advance first to lower-stage, agricultural producers cooperatives, in which families still received some income on the basis of the amount of land they contributed, and eventually to advanced cooperatives, or collectives. In terms of economic growth the First Five-Year Plan was quite successful, especially in those areas emphasized by the Soviet-style development strategy. A solid foundation was created in heavy industry. Thousands of industrial and mining enterprises were constructed, including 156 major facilities. Industrial production increased at an average annual rate of 19% between 1952 and 1957, and national income grew at 9% a year. Despite the lack of state investment in agriculture, agricultural output increased substantially, averaging increases of about 4% a year. This growth resulted primarily from gains in efficiency brought about by the reorganization and cooperation achieved through collectivization. As the First Five-Year Plan wore on, however, Chinese leaders became increasingly concerned over the relatively sluggish performance of agriculture and the inability of state trading companies to increase significantly the amount of grain procured from rural units for urban consumption. T he First Five-Year Plan was for a long time the only plan that was even partially executed. Second The success of the First Five Year Plan encouraged Mao to initiate the Great Leap Forward, in 1958. Mao also launched a phase of rapid collectivization. The Party introduced price controls as well as a Chinese character simplification aimed at increasing literacy. The Great Leap was not merely a bold economic project, it was also intended to show the Soviet Union that the Chinese approach to economic development was more vibrant, and ultimately would be more successful, than the Soviet model that had been used previously. Under the economic program, the relatively small agricultural collectives which had been formed were rapidly merged into far larger peoples communes, and many of the peasants ordered to work on massive infrastructure projects and the small-scale production of iron and steel. Some private food production was banned; livestock and farm implements were brought under collective ownership. Under the Great Leap Forward, Mao and other party leaders ordered the implementation of a variety of unproven and unscientific new agricultural techniques by the new communes. Combined with the diversion of labour to steel production and infrastructure projects and the reduced personal incentives under a commune system this led to an approximately 15% drop in grain production in 1959 followed by further 10% reduction in 1960 and no recovery in 1961 (Spence, p.553). To win favour with superiors and avoid being purged, each layer in the party hierarchy exaggerated the amount of grain produced under them and based on the fabricated success, party cadres were ordered to requisition a disproportionately high amount of the true harvest for state use primarily in the cities and urban areas but also for export, which resulted in the rural peasant snot left enough to eat and millions starved to death in the largest famine in human history. This famine was a direct cause of the death of some 3 0 millions of Chinese peasants between 1959 and 1962 and about the same number of births were lost or postponed. Further, many children who became emaciated and malnourished during years of hardship and struggle for survival, died shortly after the Great Leap Forward came to an end in 1962 (Spence, p.553). The famine was due to Maos leaning heavily on mass mobilization to speed up industrial development. The Great Leap emphasized heavy industry in general, and the iron and steel industry in particular. In any case, the Great Leap came to be a leap into disaster and was a major cause of Chinas worst famine (1959-61). During this period state investment in industrial assets in the interior continued to increase. It averaged 59.4% of the national total during 1958-62 and further grew to 62-5% in the post-Leap adjustment period (1963-65). In the meantime, worsening Sino-Soviet relations and U.S. involvement in Vietnam led Chinas leaders to perceive a greater need for enhancing its national defence capabilities. As a result, despite the much felt post-crisis need to invigorate existing industrial production and restore consumption levels, Mao in 1964 ruled in favour of building more defence-orientated industries in the interior so that Chinas industrial infrastructure would survive a foreig n invasion and provide for a protracted defensive war. (Yang, 1990, p.236-7) As part of this push for hierarchical organization and revolutionary thinking, Mao initiates the Peoples Commune Movement to foster a communist-agrarian society. Bad incentives and bad weather bring the famine of 1960 with its accompanying economic turmoil, starvation, and rural revolt. Twenty to thirty million people lose their lives through malnutrition and famine (Fairbanks 1987, p.296). The failure of the Great Leap Forward and the Peoples Commune Movement created the first open split within the ranks of communist leaders. Furthermore, a major rift opens with the Soviets, leading to a break in relations and Russian aid flows. (Jaggi et al., WP 1996) The Great Leap Forward was a disaster for China. Although the steel quotas were officially reached, almost all of it made in the countryside was useless lumps of iron, as it had been made from assorted scrap metal in homemade furnaces with no reliable source of fuel such as coal. At the Lushan Conference in 1959, several leaders expressed concern that the Leap was not as successful as planned. The most direct of these was Minister of Defence and Korean War General Peng Dehuai. Mao, fearing loss of his position, orchestrated a purge of Peng and his supporters, stifling criticism of the Great Leap policies. Senior officials who reported the truth of the famine to Mao were branded as right opportunists (Becker, 1998). A campaign against right opportunism was launched and resulted in party members and ordinary peasants being sent to camps where many would subsequently die in the famine. The party have now concluded that 6 million were wrongly punished in the campaign. (Valentino, 2004, p . 127) The largest man-made famine on record was the Chinese famine of 1958-1961, which resulted in the death of an estimated 30 million people and approximately the same number of births lost or postponed. This famine was thought to be as a direct result of the decision by Mao Zedong to launch the Great Leap Forward, a mass mobilization of the population to achieve economic advancement. Mao followed the Stalinist ideology of heavy industry being the answer to economic advancement, peasants were ordered to abandon all private food production and instead produce steel which proved to be of extremely poor quality and of little or no use (Smil, 1999). This created a similar pattern to that of the loss of grain production needed to feed the population as seen in the Ukraine in the 1930s,by the spring of 1959 famine had affected people living in one-third of Chinas provinces. Until the mid 1980s, when official census figures were finally published by the Chinese Government, little was known abou t the scale of the disaster in the Chinese countryside, as the handful of Western observers allowed access during this time had been restricted to model villages where they were deceived into believing that Great Leap Forward had been a great success. There was also an assumption that the flow of individual reports of starvation that had been reaching the West, primarily through Hong Kong and Taiwan, must be localized or exaggerated as China was continuing to claim record harvests and was a net exporter of grain through the period. Because Mao wanted to pay back early to the Soviets debts totalling 1.973 billion yuan from 1960 to 1962, exports increased by 50%. (ONeill, 2008) Censuses were carried out in China in 1953, 1964 and 1982. The first attempt to analyse this data in order to estimate the number of famine deaths was carried out by Dr Judith Banister. Given the gaps between the censuses and doubts over the reliability of the data, an accurate figure is difficult to ascertain. Banister concluded that the official data implied that around 15 million excess deaths incurred in China during 1958-61 and that based on her modelling of Chinese demographics during the period and taking account of assumed underreporting during the famine years, the figure was around 30 million. The official statistic is 20 million deaths, as given by Hu Yaobang (Short, 2001). Third Temporary realignment of political power, from Mao to Liu Shaoqi Recovery policies informed by pragmatism Readjustment of priorities Agriculture, Light, Heavy Take agriculture as the key link Agriculture as the foundation of the economy; grain as the foundation of the foundation Reorganisation of agricultural institutional framework commune production brigade, production team Introduction of grain imports Retrenchment in industry Third Five year Plan (1966-1969) tasks included developing agriculture to feed the populace and meet other basic needs (such as clothing); strengthening national defence (a priority given Chinese concerns of a potential war); advancing technology; developing infrastructure; encouraging economic self-reliance. Again striving to expand his command over the Party, Mao orchestrates the Cultural Revolution. Early stages of the movement entail a struggle against the so called antiparty clique, including Liu Shaoqi and Deng Xiaoping. Mao calls on the youth as Red Guards to spread revolutionary zeal. They make a specialty of attacking professionals and intellectuals, and wreak havoc on the educational system. Begun as a political struggle, the Cultural Revolution paralyzes normal life and throws the economy into turmoil. Fourth The Cultural Revolution change political succession discipline government bureaucracy produce a new generation of revolutionary successors introduce egalitarian policy initiatives Transfer of political power from pragmatic economic technocrats to radical elements of CCP (esp. gang of four) Three elements of Cultural Revolution economic strategy self-sufficiency egalitarianism the Third Front Cultural Revolution as an urban, not rural, phenomenon industry, not agriculture, the major loser The Fourth Five Year Plan was more successful than anticipated, with the industrial and agricultural goals exceeded by 14.1% and industrial gross output value goals by 21.1%. Agricultural gains also exceeded goals, but more moderately, with a 2.2% rise above expectations. According to the Official Portal of the Chinese Government, however, the focus on accumulation and rapid development in this and preceding plans were impediments to long-term economic development In September 1970, the Plan was drafted with such goals as maintaining an annual growth rate of 12.5% in industry and agriculture as well as specific budget allowances for infrastructure construction (130 billion yuan during the Plan). In 1973, some of the specific provisions of the plan were amended to lower the targets. All targets had been reached or surpassed by the end of 1973. China experienced a vibrant economy in the years 1972 and 1973. Conclusion In conclusion, Maos five year plans, during his time as Chairman of the CPC, were not only enabled China to grow in terms of GDP, but enabled improved rates of literacy, improved living standards if only slightly, some elements of trade liberalisation occurred and a focus on agriculture was eventually made in order to develop food securities, there was some industrialisation and investment in infrastructure. The growth was mainly export-led as GDP per capita did not drastically increase, infrastructure investment rose to a level allowing China to uphold its ability to It therefore can be argued that although many millions of people suffered due to Mao, that China today has partly benefited from the Mao years, although I believe that if Mao had not been kept unaware of the situation that arose in the Great Leap Forward years, that the suffering and deaths that occurred could have been avoided.

The History Of Jean Watson caring Science

The History Of Jean Watson caring Science Summary Jean Watson born in 1940 earned a diploma from Lewis Gale Hospital School of Nursing in Roanoke, VA. Watson furthered her education and attended the University of Colorado for her BSN, MSN in psychiatric-mental health nursing and Ph.D. in educational psychology and counseling. Watson has held numerous positions at the University of Colorado as both faculty and administrator. Watson served as faculty at the University of Colorado Health Science Center, dean of the School of Nursing, and fouding Dorector of the center for Human Caring. Watsons first publication was in 1979 and this was the introduction of the theory of Transpersonal Caring to the nursing profession. Watsons theory focuses on preserving the dignity and wholeness of humanity. Transpersonal Caring theory evolved from Watsons own personal values, beliefs, and perceptions regarding human life, health, and healing. (Walker, 1996, p. 144) Watson views nursing as a collective caring-healing role and its mission in society as attending to, and helpting to sustain, humanity and wholeness (Walker, 1996, p. 144). The thoery is meant to be a worldview or ethic by which nursing could know its traditions in health and healing. Watson views nursing as an human science academic discipline and as an clinical profession. The theory views nursing as a societal mission to caring and healing work with others during their most vulnerable moments of lifes journey (Walker, 1996, p. 145). The theory analyzes caring independently from curing. The discipline of caring and hea ling are derived from the arts and humanities. Watsons theory was based on Nightingales healing environment concept. The theory evolved from the belief that an individuals environment affects their healing. The theory began as a philosophy and was never meant to be a testable theory. Watsons goal for the theory is to move nursing from the belief that the human body is a machine to the belief that the interdependent and nondiscrete nature of a world and the spiritual nature of humans is of paramount importance (Watson, 1985, p. 1) Watson defines health as harmony, and illness as disharmony within the mind, body, and spirit. Eastern philosophy influenced Watsons theory on health and illness. In Watsons later works her influence was the Chaos Theory by Kellert and the quantum physics and mechanics by Pelletier (Walker, 1996, p. 191) Watsons goal is to serve as a bridge by which nursing will transition from a biomedical/natural-science model to a postmodern/human-science perspective. Watson believes language is the key to transitiong nursing from the biomedical/natural-science model to the postmodern/human -science model (Walker, 1996, p. 146) Watson (1999) believed nursing is a discipline devoted to caring, health, and healing. Watsons theory has continued to evolve in regards to her concepts. The main components of her origninal theory are: transpersonal caring relationship; ten carative factors; and caring occasion/caring moment. These components defined her orignial concept of transpersonal caring which was defined as a human-to-human connectedness occurring in a nurse-patient encounter wherein each is touched by the human center of the other (Watson, 1985). In Watsons updated theory new dimensions evolved and included the concept that the caring-healing modalities potentiate harmony, wholeness, and confort, and promote inner healing by releasing some of the disharmony and blocked energy that interfere with the natural healing processes (Walker, 1996, p. 151) The transpersonal caring relationship is a strong relationship between nurse and patient. The relationship is a unique relationship for the both the nurse and patient. A nurse enters into the life space or phenomenal field of another person and is able to detect the other persons condition of being (spirit, or soul level), feels this condition within self, and respons in such a way that the person being cared for has a release of feelings, thought , and tension (Walker, 1996, p. 152). Watson believes the necessary knowledge and sensitivity a nurse needs to build a transpersonal caring relationship with their patient can be gained through work with other cultures, study of the humanities, and exploration of ones own values, beliefs, and relationship with self (Walker, 1996, p. 153). Watson wanted the theory to apply to all nurses in any situation and make use of its carative factors in implements and delivering quality nursing care. Weaknesses The first limitation in Watsons theory is the lack of relevancy to todays nursing. Due to the acuity of illness and nurse patient ratios following Watsons theory doesnt seem practical. Watsons model continuously focuses on the spirit, and has a lack of emphasis on the physical entities of an individual. Watsons model would deem difficult to practice for nurses who focus care on the physical aspects and the treatment of illness. Watsons theory focuses on the human care process and not on the therapeutic nature of care (Rafael, 2000, p. 402) Individuals who believe the physical is separate from the spiritual may find this theory unpractical. Watson continuously focuses on the psychosial aspects and need of patients, and this is a secondary concern in the current state of nursing practice. Watsons theory also deems itself to be impractical because it calls for a level of care that is simply impossible in an environment where there is a high acuity of illness, short hospital stays due to lack of insurance, and an increased level of technology which limits the amount of time needed to spend with a patient. In the current business focused era and a bureaucratic health care system, Watsons model would prove to be extremely difficult for nurses to implement. The broad gap between the nurse caring process and the clinical reality, have some authors suggesting that this gap reduces clinical relevance. (Morse, Solberg, Neander, Bottorff, Johnson, 1990, p. 8) Nurses would find current hospital policies and practices would limit their flexibility to implement this theory. The health system follows a different set of values and beliefs and would stand as a barrier for nurses whom choose to follow these principles. Implementation of Watsons theory would require a change from the public and movement away from the idea of treatment and towards healing and caring. Watsons theory would require the restructuring of our entire health system, and rebuilding into a healing focused health care system. Strengths Watsons theory has been criticized by many, but is transformative and brings the caring aspect back to nursing. The theory guides the nurse to focus on the individual and requires the selective use of technology. The theory requires the use of technology only for the enhancement of healthcare practices, and not as the sole guiding factor in healthcare. Watson insists that the nurse focuses on the subjective experience of the patient, to facilitate restoring inner harmony and potential healing (Morse et al., 1990, p. 9) Watson calls the nurse to go beyond the duties of providing standard quality of care, but requires the nurse to provide soul satisfying care. Watson believes it is morally imperative and an obligation to care for the patient and their spiritual needs, regardless of the nurses experience or abilities. This notion also coincides with Leiningers Culture Care theory in requiring the nurse to provide non-judgmental and non-biased culturally competent care. Watsons theory allows the nurse to be flexible in their practice. The theory doesnt require the nurse to follow a set standard or tool. Transpersonal Caring theory focuses on the individual and not the disease or illness. The theory allows the nurse to utilize different interaction methods with different individuals. The theory grants the nurse the ability to adjust their approach and style of care based on the needs of each individual as separate entities and apart from their disease. The adjustment allows the nurse to have a transpersonal moment with their patient in which ones mind-bod- soul engages with anothers mind-body-soul in a lived moment. Here a spiritual union is felt with the other person (Rafael, 2000, p. 402) Watson brings the patient back to focus and eliminates the other common distractors such as technology and illness. By eliminating these distractors Watson is allowing the nurse to meet each patients physical and spiritual needs. Betty Neuman: The Neuman Systems Model Summary Betty Neuman born in 1924 in Ohio received her nursing diploma from Peoples Hospital in 1947 in Akron, Ohio. Neuman later received her B.S. in public health nursing in 1957 and her M.S. public-mental health in 1966 from UCLA. In 1985 she obtained her Ph.D. in clinical psychology from Pacific Western University. Neuman has worked as a bedside nurse, teach, author, lecturer, and consultant. Neuman was the first nurse licensed in California as a marriage and family counselor. The Neuman Systems Model was developed in 1970 in response to graduate students requests for a course that would provide an overview of the physiological, psychological, sociocultural, and developmental aspects of human beings (Fawcett, 2001, p. 211). The model was first published in 1972 and five editions have been published with the last edition in 2010. The model was established during the period of general systems theory and is a holistic model based upon interactions and relationships. Neumans System Model consists of two major components stress and the reaction to stress (Neuman, 1995, p. 22). The model has four major concepts in relation to nursing which are: human being/individual, environment, health, and nursing. The model is an open system and defines the individual as a human being, the community, or a family. The goal of the system is to maintain balance and stability. Neuman allows the individual to maintain balance by utilizing resources within and outside of the system, or eliminate internal or external factors that affect the individuals ability to maintain stability. Factors that disrupt an individuals ability to maintain stability are called stressors. Neuman views stressors as either negative or positive and deem them capable of having this same effect on the individual. The model requires the individual to utilize and exchange with its environment. The individual may adjust itself according to the environment or adjust the environment as long as the ultimate goal of stability is met. The physiological psychological, sociocultural, developmental and spiritual factors are considered the core of the model. If the individual has maintained stability then these factors functions harmoniously amongst each other in spite of environment and stressors. Neuman believes when these factors are working together harmoniously and optimal stability has been attained then the individual has also obtained a greater level of wellness. Neuman utilizes wellness and health interchangeably and identifies these factors as optimal system stability, or the optimal state of wellness at a given time (Neuman, 1990, p. 129). The levels of health vary and is based upon the individuals response to its environment and stressors. The model identifies illness and death as requiring more energy that what is available, and wellness as requiring less energy than what is available or generated (Neuman, 1990, p. 129) Neuman utilizes prevention at the levels of primary, secondary, and tertiary to maintain stability (Fawcett, 2001, p. 213). Primary prevention is health promotion and maintenance and is utilized when a risk is identified and before its onset. Secondary prevention occurs after the risks onset and is utilized to prevent further injury and disability. If secondary prevention is unable to maintain stability the individual will move towards tertiary prevention. Tertiary prevention is maintaining maximum stability even with a disability to promote health and return to primary prevention. Neuman defines nursing as helping the individuals system attain, maintain, or retain system stability (Fawcett, 2001, p. 211). Neuman identifies the job of the nurse to accurately assess the individual and identify the stressors to their system, and assist the individual in making adjustments that will promote optimal health and wellness. By identifying and assisting the nurse stands as the linkage between the individuals system, its environment, and health. The nurses interventions are aimed at helping the individual maintain a level of stability. The level of stability must be maintained under the conditions of the environment and possibly stressors if the factors are unable to be eliminated. The nurse must assist the individual in maintaining stability under these conditions and minimize the amount of energy consumed by the individual. The model identifies a three-step process for the nurse and consists of the nursing diagnosis, nursing goals, and nursing outcomes. The Nursing Dia gnosis consists of the assessment and diagnosis of each individual. The second step Nursing Goals consists of the identification and planning phase. The final step Nursing Outcomes is the implementation and evaluation phase. (Fawcett, 2001, pp. 212-213) Weaknesses The major weakness identified in Neumans model is the ambiguity of the terms used in the model. Clarification is needed regarding the terms interpersonal stressors, extrapersonal stressors, and reaction. Gigliotti (2003) noted that linking statements (relational propositions) between stressors and the environment should be clearer (Gigliotti, 2003, p. 203). The reader can assume that interpersonal stressors occur between two people and extrapersonal stresors occur between a group or society and the person, but this is not clearly defined in Neumans literature. Hoffman (1982) analyzed the NSM and explored its use for theory construction concluding that the concepts of the NSM were defined and proposed that concept interrelations be further investigated so that relational hypotheses could be formulated (Gigliotti, 2003, p. 203). The differentiation between interpersonal and extrapersonal is not clear. The pictorial diagram of Neuman Systems Model includes the term reaction, but in the original model the term reaction is not clearly defined or discussed. The second weakness identified in Neumans model is the inconsistence use of the concepts health, environment and nursing. Neumans literature identifies health, environment, and nursing as major concepts within the model, but these concepts do not appear in the models diagram. Neumans diagram is considered to be an important representation of her model, but major concepts are eliminated from the model. Gigliotti (2003) noted that the definitions of essential concepts that Neuman had then supplied were adequate but the definitions of health, environment, and nursing needed clarification (Gigliotti, 2003, p. 203). Major concepts stated and continuously used within Neumans literature should be identifiable and noted within the pictorial explanation of the model. Strengths A major strength in Neumans model is its ability to be widely used within nursing. Neuman reports that the model was designed for nursing but can be used by other health disciplines (Fawcett, 2001, p. 212). If all nurses and other disciplines utilize this model then a consistent approach to health care will be facilitated. If all disciplines utilize the same model, established by Neuman, perhaps redundancy and errors will be limited across health care disciplines. Redundancy would be eliminated and the patient would only have to explain their needs or story once to all health care disciplines, rather than, having to tell the same story many different times. The second strength in Neumans model is not only can it be used across other health care disciplines, but can be utilized within all areas of nursing. Neumans model is flexible in the sense that it can be used in the areas of research, administration, education, and clinical practice all within nursing. The third edition of Neumans model highlights the use of the model in all areas of nursing throughout the United States, Australia, Canada, England, Holland, Sweden and Wales (Fawcett, 2001, p. 211). The widespread use of this model illustrates its universal applicability. Neuman highlights this applicability as crucial during the current state, in which, the nursing profession has an increased need for unity within the discipline. Neuman believes the systematic Nursing Process format has been especially relevant as a guide for practice, despite all of the social and professional changes that nursing continues to experience (Fawcett, 2001, p. 212).

Personal Writing: Fragment - Changes In Life :: essays research papers

Personal Writing: Fragment - Changes in Life Outline Thesis Statement: Changes in life like these can change you both physically and mentally for the rest of your life depending on the severity of the situation. I. In early August of `96 my life at home became a living nightmare. II. I applied to the first ad I saw in the paper and strangely enough, I actually got a call from Ramada Inn in less than 3 days after applying. III. In my lifetime I have seen a lot of weird things and have had lots of experiences that have changed my life in one way or another and I'm sure that there are going to be lots more of them to come but these that really stand out in my mind are mainly because they happened quite recently. Incidents occur in one's life daily. Most of the time people enjoy talking about "what happened today" because most of the time it's usually funny and it isn't really considered anything serious. Some happenings in our lives are very serious and aren't as easy to talk about with others. Even though this is true it does help the person feel better to talk about their problems whether they realize it at first or not. Changes in life like these can change you both physically and mentally for the rest of your life depending on the severity of the situation. In early August of `96 my life at home became a living nightmare. I don't really know what it was that started this thing between me and my parents but I do remember that they were always doing anything they could to just annoy me. I doubt this was intentional but at the time it seemed that it was. They would find any excuse to yell or blame me for things that didn't even involve me and they wouldn't listen to anything I had to say at all. They were right and I was wrong, that's the long and the short of it. It got so bad that I hated being home. I would do anything and go anywhere just to get away from my parents; even if it meant going somewhere that I had always hated going before. When I couldn't get out of the house I tried my best to stay in my room and keep the door closed. When they decided that they didn't want me in my room where they couldn't fuss at me they came up with this big idea that I was trying to hide

The Narrator Merges with Ottilie in Porter’s Holiday :: Porter’s Holiday

The Narrator Merges with Ottilie in Porter’s Holiday â€Å"Ottilie, now silent, was doubled upon herself, slipping loosely on the edge of the seat. I caught hold of her stout belt with my free hand, and my fingers slipped between her clothes and bare flesh, ribbed and gaunt and dry against my knuckles. My sense of her realness, her humanity, this shattered being that was a woman, was so shocking to me that a howl as doglike and despairing as her own rose in me unuttered and died again, to be a perpetual ghost. Ottilie slanted her eyes and peered at me, and I gazed back. The knotted wrinkles of her face were grotesquely changed, she gave a choked little whimper, and suddenly she laughed out, a kind of yelp but unmistakably laughter, and clapped her hands for joy, the grinning mouth and suffering eyes turned to the sky.† (Page 434) This passage shows how the narrator finalizes her exile from the story by merging with Ottilie. The storyteller excludes herself throughout the tale by never being identified with a name or origin; she is in a state of â€Å"perpetual exile.† The narrator allies herself with Ottilie halfway through the story when she describes a filament connecting them â€Å"so that her life and mine were kin, even a part of each other† (427). Here, they become one so that the narrator and her personal life safely disappear from the story. Ottilie â€Å"doubled upon herself† represents the doubling of the two women. In the next sentence, the words â€Å"her† and â€Å"my† are used back-and-forth five times, almost as if one possessive pronoun could be exchanged for the other. In this sentence, the narrator’s fingers slip between Ottilie’s clothing and flesh, and thus their bodily contact merges the two physically. The following sentence describes Ottilie as a â€Å"shattered being,† perhaps because her new being is mixed with the narrator’s presence. The narrator never feels real in her own right, and it’s only when she senses the â€Å"realness† and â€Å"humanity† of Ottilie that she feels a breakthrough. However, she no longer has thoughts/feelings/sounds of her own; her reactionary howl is described as being Ottilitie’s as it rises unuttered and dies again. Therefore, the narrator finds her own identity when allied with Ottilie. She is hereafter described as a â€Å"perpetual ghost† because she no longer exists in and of herself, but in Ottilie.

Legalization of Gambling in Ohio Essay -- Papers

Legalization of Gambling in Ohio The words Casinos and Gambling are often associated with gangsters, prostitution, murderers, and all the illegal operations one could think of. Those kinds of stereotypes are picked up in movies like ?Casino? and the countless other gangster and casino related movies that are based in the 50?s, 60?s, and 70?s, but that was then and this is now. ?While there may be some vestigial ties between organized crime and casinos, gambling is now big business? (Weissman 1). ?The term gambling or ?gaming? as the industry calls it, means any legalized form of wagering or betting conducted in a casino, on a riverboat, on an Indian reservation, or at any other location under the jurisdiction of the United States? (National Gambling Impact Study Commission Act). The hobby of gambling is a part of most people lives. Casual bets on the Bulls and Knicks game or a weekend poker game at your buddies house are both forms of gambling. Gambling is a multi-billion dollar industry and Amy J. Seifert said in her article The Stakes that ?gambling has become one of the nation?s fastest growing industries? (Seifert 2). Ohio can get a piece of that if they legalize all forms of gambling. Gambling, like baseball, is a national pastime. Gambling is deeply imbedded in the history of United States. Many settlers in Jamestown had their passageway paid for by the sale of lottery tickets. The revolutionary army was funded by lottery tickets also--Gen. George Washington bought the first one. In the 18th Century, buildings at Harvard, Yale, and Princeton were financed by lotteries (History of Gambling...1). Many people of the 1800?s wouldn?t be caught dead without a deck... ...st. [Online] Available http://www.laketahoe.com/About/Gamhist.htm, February 26, 2007. Kolasky, Bob. Issue of the Week: Fighting Long Odds. [Online] Available http://www.intellectualcapital.com/issues/97/0911/icissue.asp, February 22, 2007 NATIONAL GAMBLING IMPACT STUDY COMMISSION ACT. [Online] Available http://www.ngisc.gov/c-law.html, February 20, 2007 ?Neon Night in Las Vegas.? Encarta Multimedia Encyclopedia. CD-ROM, 2005. Official Report of Votes for Statewide Issue 1. [Online] Available http://www.state.oh.us/sos/dpatlarg.html, March 1, 2007 Seifert, Amy J. The stakes. [Online] Available http://www.churchstreetumc. org/ present2.html, February 28, 2007. Weissman, Robert. A BAD BET Casino Economics and the Politics of Gambling [Online] Available http://prince.essential.org/monitor/hyper/mm1196.04. html, February 10, 2007.

Blog Entry

Apart from the usual things that goes along with this class, I can’t help at times to cite things that I really do like and the things that quite irk me off a bit sometimes. These things I like keep me going through on and on with my usual life here in the university and the things I don’t like are the ones that remind me that, yeah, I can’t have it all. I really like talking to people. I really like the feeling that I get to know a lot of different personalities as I go on through this class each and every exercise. Writing my thoughts is one thing I don’t like however.I really find it difficult each and every time I had to write, something like this. It’s like I always wanna talk instead of pushing every keyboard tab in my computer. I also don’t like seeing red or green lines each time I write! It’s so frustrating of a feeling to see a barrage of lines going under each of my work at times, especially at times that I’m cramming to finish off a research paper to meet a deadline. The lines are there to help yeah, but I guess help should also know when and where not to help me so that I could still be in the mood to do the things and write then off well.Think about it, given that I don’t like to write much of my thoughts, how much more if I’d see red and green lines under every words I type. That thing is so horrendous, I just don’t quite like that. Anyway, there could also be other things to be liked about in this class, one of that is having the feeling of being free to do just exactly what we want, the way we want it. I guess nothing could be more exciting than that, I guess some of the readers of this paper know what I mean but yeah, we always have to play by the rules still. Albeit, it is always exciting of a feeling to still play by the rules.Another thing I don’t like is following too much orders and rules in school and at home. It makes me feel that I was born to just foll ow orders. On the other hand, breaking these rules sometimes is one of the things I really do like because deviating at times just provides me the thrills and the act of being caught can always be exciting. To sum up everything, I could say that majority of the things that I like are those that makes me feel that I am free to do what I want and for those that I don’t, they just make me feel frustrated and not to mention, dumb.

Patient Record Management System

CHAPTER I The enigma and Its Setting This chapter presents the background of the study, the educational activity of the problem, the assumptions made in accordance with the throw of the regard, the scope and delimitation, the signifi butt jointce of the study, the research forge and methodology, and the definition of harm enforced in the study. Background of the moot There take aim been major progresses in the In arrangeion engineering science for the past twenty (20) years curiously in the field of Medicine.The vast organic evolution of applied science is the evident in hospitals in impertinently(prenominal) countries as they turn out positive and implemented different forms of Patient demonstrate guidance clay making practitioners and wellness professionals work easier than the manual way of forum uncomplainings record that the hospitals had before. In Philippines, only a few hospitals (Saint Lukes aesculapian exam exam Center, Makati medical examination City and Asian hospital and Medical Center) hasten implemented a fully electronic Medical enter which includes exclusively in affected role and outpatient wellnesscargon study.The finish of the hospital is to share culture with all the national hospitals and public wellness heraldic bearing facilities and at present they crowd out share entropy with one branch of the hospital. Some hospitals whitewash substance abuse the manual method which is age and energy consuming but why it is that only few hospitals in the Philippines, beingness a newly industrialized inelegant may have a agentive role on why implementing a PRMS is im realistic. The possible reason outs could be insufficient funds, lack of technical expertise and computer skills and the lack of information processing facilities.In addition, the resistance of medical exam examination examination practitioners and health professionals generally to change from manual to electronic documentation may be a p roblem. Most health administrators and information managers are used to the oldish ashes and have this fear that it may take while to change or at least(prenominal) modify some behaviour and attitudes. The reason for wanting to change to an electronic scheme is important. Most health administrators and information managers count to move from a paper to paperless(prenominal) environment. This is a major step to help health institutions and the environment at the same measure.By having an electronic system, practitioners could improve the accuracy and tincture of entropy recorded in a health record, enhance practitioners access to a patients record, enabling it to be share at present and in any case for the future day use, it could also improve the quality of get by because of health information that a patient need can be promptly helperable all the succession. At present, bulk rely on the information from what is electronically made since it can easily be viewed. In the modern world, conversation is brisk within our lifestyle.With the advent of information and communication provided within a medical institution, practitioners unneurotic with their patients within the vicinity of Baguio may use the information easily to incr rest period unafraid fundamental law. Patient reputation focussing establishment may provide both effectual information with the Doctor and Patient alike, providing and up(a) easy Doctor-Patient communication. In the advancement of technology, electronic medical records are now ripening to a greater extent popularity today. As stated in the definition on wikipedia. rg close to Electronic Medical Records, these are a computerized medical record that is defecated in an organization that can deliver care such as hospital or physicians office. Electronic medical records are intend to be a part of a local stand-alone health information system that allow storage, retrieval and passing of records (retrieved from Wiki pedia. com, November 2011. en. wikipedia. org/wiki/ Electronic_health_record. Article form http//www. providersedge. com/ehdocs/ehr _articles/Electronic_Patient_Records-EMRs_and_EHRs. pdf).These are medical records of patients that are encoded into the computer system of an organization for the information dissemination of medical practitioners in a particular organization such as hospitals, clinics and the like. In the global scenario, in an article by Steenhuysen J. (March 2009), the United States has less than 2 percent of U. S. hospitals that have altogether accepted a fully usable electronic medical records. With U. S. President gibe Obama has made electronic medical records a central piece of his plan to baseball swing costs out of U.S. healthcare system that consistently ranks lower in quality measures than other rich countries. The U. S. President also allotted $19 billion to dig into the increase the use of information technology in healthcare. The numbers of without e lectronic medical records are relatively high compared to those organizations that have adopt Electronic Medical Records. Starfield, B. (1991) postulates that primary winding Care in the United States is petite to the provision of giving excellent medical care.From the research in the year 1996, the establish of Medicine report defined primary care as the provision of integrated, fond health care operate by clinicians accountable for addressing most personal health care demand, developing a sustain partnership with patients, and practicing in the context of family and community. These makes much people to receive primary care than in other clinics. These clinics have adopted the innovations of information technology giving to a greater extent value to the primary care in other clinics.These clinics have adopted the innovations on information technology giving more(prenominal) value to the primary care of their patients. indeed obviously electronic medical records in t he clinic are to be present for the ease of accessibility, storage, retrieval and modification of medical records. However, in a smaller scale of health care system. Where Everyone, being succeptible to disease needs to prioritize on interruption in odres to additional expenses on health care. This visit the doctors clinic today is the most effecient and inexpensivr way to prevent diseases. Offering various diagnosis, vaccinations and maintenance drugs.With todays population, more patients visit the doctors clinic and health records management poses as the most time consuming activity. As keeping numerous pages on shoot down cases and searching this file cases one by one when a patient arrives chow most of the time that could have washed-out treating another patient. With all of the mentioned cases which inpact the number of patients diagnosed per day. The researchers agree to conduct a study for Dr. Nelia Bacays clinic at SLU hospital of the Sacred Heart, annex. The researchers give try to find ways and practices to take over up workload and smirch time consumed by developing a system.Statement of the Problem The main objective of the study is to physical body a Patient Record Management schema for Dr. Nelia Bacay in which seeks to answer the pastime questions 1. What processes are involved within the practitioners medical records of their patients? 2. What difficulties are encountered regarding the processes involved with the medical records? 3. What features regarding the medical records should be incorporated with the proposed Patient Record Management for Dr. Renato Manalo to their current system? documentary of the StudyThe main objective of the study is to convention a Patient Records Management placement for Dr. Nelia Bacay that shall lighten up workload and minimize time consumed on operation. The researchers intend to execute the pursuit 1. To identify the current quantity operating procedure in study patients. 2. To enumerate and dis cuss the most tiny consuming fact in the process. 3. To plan a Patient Record Management that facilitates a quick and easy way to access and view patients profile. Significance of the Study This study is important in terms of advantages or benefits that would be gained by the following entitiesTo the Practitioners The Practitioners forget have the main greatness of the study because of its increased number of patients and services rendered. More patients are inclined to avail of medical services. This also makes the communication amid co-doctors of the same field. To the patients The best advantage of having a Patient Record Management System is for them to have an ease to research about the Doctors profile and their accessibility through the use of PRMS. Just by a series of clicks and filling out necessary information, an duty assignment can be made.To the Researchers The development of a PRMS makes the researchers to be more aware and wise(p) of the future trend in informati on and technology specifically on Medical Informatics. Furthermore, by developing a system, schedule skills of the researchers are improved. To future researchers This study can be a reference and draw to other researchers who aim to develop a Patient Record Management System in the future that can be applied to other palm of gratify such as hotels, restaurants, shops and alsp other fields of medical profession. Scope and Delimitation of the StudyIn better the quality of services in an organization or establishment, we make look into other options such as hiring new forcefulness to increase work capacity, or procuring equipmentto diminish work and human error, or to create a more stable and authoritative system may it be manual or computer oriented. In declaration this matter, we could consider in the combination of the usable options within our grasp. To further optimize the mathematical product in our establishment, the company could combine the options of having new eq uipment and creating a new system or updating the existing one.In putting these cardinal options together, it will provide a more stable, reliable and efficient system to be used in daily transactions. Our project aims to proceed in updating the preexist system in the establishment. Changing the format from a manual type to a computer oriented information system. Reconfiguring the old system aims that customers and employees have a more convenient. With the project be finished, the company will have a smoother decrease of work, lessened human error, improved time in finishing certain processes and as a total, a very momentous increase in productivity and creating a reliable Patient Record System.