Puerto Rico The Next State - 908 Words

Puerto Rico has been regarded as the next state to the United States. These reasons will be discussed in this paper but I also want to get into the history of the Island and what makes it unique to the rest of the mainland United States. Puerto Rico has culture who wants to embrace this uniqueness and there individuality in there island. I admire them for that. Puerto Ricos Lands came to United States in the aftermath of the Spanish-American War in 1898 along with Cuba and the Philippines, as Cuba was immediately granted independence it took the Philippines until 1946, right after World War Two to be granted independence . Initially the name of Puerto Rico was changed by the military to Porto Rico this lasted until 1932 when the United States Congress changed it back to Puerto Rico the original name. This was a part of the â€Å"Americanization† that occurred in Puerto Rico. In 1899 when the island joined the United States it was classified as an unincorporated territory which means they were a part of the United States but no parts of the Constitution was incorporated into the rule. So in 1917 Woodrow Wilson President at the time granted all Puerto Ricans Citizenship. In which made them eligible to be drafted into the United States Army in time for World War One. Compared to Hawaii who joined the U.S as a Territory in 1898 all the re citizens were granted United States Citizenship the same year. During the time between 1898 and 1952 as a part of the Americanization processShow MoreRelatedEssay about Puerto Rico1159 Words   |  5 PagesPuerto Rico Whats a common location that comes up in discussion when someone thinks of a destination to get away from all the hustle and bustle of the Main land of the United States? Normally Puerto Rico isnt too far away from conversation. Puerto Rico is a beautiful place with the perfect climate and many historical sites to take that getaway that you have always wanted. Today we will discuss major issues in/of Puerto Rico, the significance of this research and data sources, and lastly I willRead MoreSpan and Puerto Rico Cultural Similarities and Differences Presentation1469 Words   |  6 PagesSpan and Puerto Rico Cultural Similarities and Differences presentation Span 101 This presentation will explain the differences and similarities, if any, in the countries of Spain and Puerto Rico’s. The presentation will show the differences and similarities between the two countries arts, culture, and economic environment. The presentation will show how both countries have a assimilation of cultural and distinctiveness. Even though both countries have similarities and differences, they both haveRead MoreThe Issue Of Puerto Rico1542 Words   |  7 PagesPuerto Rico is a territory of the United States since 1898 and in order to change that status citizens of the territory must vote in a plebiscite, a special referendum. The three options available to choose from were to become a state, to remain a territory, or to become an independent nation (Martin). In the November 6, 2012 plebiscite held in Puerto Rico, 54% of the population said that do not like the current commonwealth status of the island (Alexandrino). The next question offered to the populationRe ad More Coca Cola and Coco Frio1731 Words   |  7 Pages Every day , Puerto Rico is slowly adapting into the American way of life and is gradually losing what is left of their culture. Perhaps this is because Puerto Rico is a commonwealth of the United States. The poem â€Å" Coca Cola and Coco Frio† by Martin Espada is a great example of someone who encounters the Americanized culture of Puerto Rico. Puerto Rico is struggling to preserve their own identity. On July 25, 1898 United States troops invaded Puerto Rico during the Spanish AmericanRead MorePhysical Therapy1408 Words   |  6 Pageshistory/development/evolution of medical infrastructure in Puerto Rico 2. The polio epidemics in Puerto Rico 3. The polio epidemics in the United States Before embarking on topics that are more directly tied to health, I think it is important to give a brief history of Puerto Rican politics in the late 19th and early 20th centuries. I’ve also made one notable excursion into late 19th century Puerto Rican medical history, as one of the major organizers of Puerto Rican independence was also a prominent physicianRead MoreImagine Laying On The Warm Beaches In Puerto Rico. With879 Words   |  4 PagesImagine laying on the warm beaches in Puerto Rico. With every step the sand gushes through each toe while the wind blows softly. Try to visualize the sunrise rising above the trees every morning while drinking their finest native coffee. Puerto Rico is the perfect place for tourists to go for a relaxing vacation. This Caribbean island is full of activities to keep everyone busy, with its lovely scenery and culture. This island never disappoints because of their exotic black sand beaches and theirRead MoreCoca Cola And The 51st State Of America1280 Words   |  6 PagesFebruary 26, 2016 Coca Cola And The 51st State of America Martin Espada uses his own experiences as a child of Puerto Rican descent realizing that his family and the country of Puerto Rico is losing grasp of their Puerto Rican culture, and in exchange taking in the americanized culture all in part of American Marketing. It could be like a melting pot, Puerto Rico may be a property of the United States but that does not mean that they do have to be a state of America and take in the culture. DifferencesRead MorePolicy Brief On Sustainable Energy And Green Industry Puerto Rico1703 Words   |  7 Pagesindustry Puerto Rico Purpose section According to United Nations Industrial Development Organization (UNIDO) the term green industry is defined as an industry that ensures sustainable and viable future with no harm on our environment (UNIDO 2016). In Puerto Rico, manufacturing industry accounts for about 46.3 percent of Gross Domestic Product (GDP). This indicates that Puerto Rico is highly dependent on different manufacturing industries for its revenue. Similarly, according to Puerto Rico 2015 profileRead MoreEssay on The Impact of Spanish Rule on Puerto Ricans Today1419 Words   |  6 Pageson Puerto Ricans Today What was Puerto Rico like under Spanish rule, and how important is that rule to the formation of the Puerto Rican people today? To answer these questions, we must take a look at the history of the Spanish and their colonization of the island of Puerto Rico. As we know, Puerto Rico was a colony of Spain found by Christopher Columbus on November 19, 1493, and remained a colony of Spain for the next 400 years. But the interesting fact remains that Puerto RicoRead MoreThe New York City s Puerto Rican Community1421 Words   |  6 PagesOn 7 June 1969, hundreds of Puerto Ricans gathered in Spanish Harlem, New York City to protest the arrest of Juan Fi Ortiz for a series of falsified crimes.[2] As a crowd gathered outside the People s Church in El Barrio, Felipe Luciano addressed those assembled asserting that, We will not allow the brutalization of our community to go on without a response. For every Puerto Rican that is brutalized, there will be retaliation.[3]Luciano s statements were not ignored, and as the crowd filtered

Infidelity Essay - 1538 Words

A pathway to divorce in our modern society, is based on infidelity. Infidelity can destroy a relationship, because one or both partners may feel neglected in their relationship or marriage. Infidelity may be defined in three categories. â€Å"Infidelity research can be clustered in three broad categories: (a) infidelity as sexual intercourse, (b) infidelity as extra-dyadic sexual activities, and (c) infidelity as emotional betrayal† (Moller and Vossler, 2015). These categories allow a deeper understanding about infidelity. For example, Moller and Vossler (2015) stated that, â€Å"the most difficult to come to terms with are when some, the other party’s fallen in love with someone else†¦ it feels like the biggest betrayal† (p.492). Infidelity, leads†¦show more content†¦Why? Because it is the bond that holds the marriage together. Intimacy, is not only to have sexual intercourse, but it is a combination of an emotional connection. Such as demonstrati ng chivalrous acts and embracing one another. All this means more than sexual intercourse. Without the presence of those sentiments, there is a lack of intimacy followed by negative behavior or distrust and neglect. â€Å"Intimacy is defined as the emotional need for closeness† (Comer, 1994). This increases the distance between the partners in the marriage. Leading to possible infidelity and eventually divorce. However, if a partner feels satisfied with the level of intimacy the chances of infidelity decrease. Moss and Schwebel (1993) asserted that, â€Å"The level of intimacy that individuals experience within relationships exerts a profound influence on their social development, personal adjustment, and physical health. Specifically, intimacy plays an integral role in individuals successful passage through developmental stages, solidification of friendships, attainment of marital happiness, and success in psychotherapeutic encounters† (p. 32). Intimacy has different meaning to each marriage. Perhaps affection, desire and passion are some of them. Some marriages lack of all of these as well. And sometimes intimacy is a non-existent in their marriage. Infidelity, can also cause the lack of love-making or any contact with his or her spouse, which it can be a conflict. Infidelity,Show MoreRelated Infidelity Essay1261 Words   |  6 Pages In today’s society, infidelity is one of the leading causes of marital disruption and divorce. In accordance with societal norms many myths have been associated with infidelity. The following myths and their effects on marriage will be discussed: Everyone has affairs, the affair is the direct result of the faithful mate and, the marriage must end in divorce. In examining the various myths, this paper will challenge the greater issue, can marriage survive infidelity?   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  There was aRead MoreParental Infidelity Essay1717 Words   |  7 Pages  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The discovery of infidelity in a relationship is heartbreaking. Between partners, trust is damaged, loyalty is broken, and love is questioned. The act of infidelity can bring about a range of emotions such as anger, disappointment, sadness, and sometimes shock. The betrayed partner is not the only one unfortunate enough to experience this level of despair. Children are impacted as well by parental infidelity, but are mostly left to the wayside in dealing with the aftermath. TheyRead MorePsychology and Infidelity Liberty University Essay2627 Words   |  11 PagesEmotional and Sexual Infidelity Liberty University ABSTRACT There are many ways in which infidelity can be explained depending on what you are reading or with whom you are speaking. Emotional and sexual infidelity is the two most studied forms of infidelity. The cognitive approach to infidelity explains that as our cognition is developing, we are also indirectly learning behaviors that could contribute to infidelity as adults. Infidelity no matter what the circumstances are surrounding itRead MoreInfidelity, Unfaithfulness, and Modesty in Betrayal Essay1935 Words   |  8 PagesInfidelity, unfaithfulness, and modesty outline the surface of the play Betrayal written by Harold Pinter. From afar the relationships between the trio of characters seems normal but; when taking a deeper look, the correlations are noticeably dysfunctional. The three main characters, Emma, Jerry and Robert interact kindly, never seem to interrupt one another, ask innocent questions and do not, generally, inspect over much the answers. They help each other over t he occasional awkward moments andRead MoreInfidelity: Marriage and Current Relationship Standings Essay1157 Words   |  5 Pages Internal Look into Infidelity and the Outcomes Infidelity can happen at the blink of an eye, especially if a person is not aware of their current relationship standings with their partner. A partner may display two types of infidelity, emotional and sexual. Each type of infidelity is seen differently by men and women on an opposite scale according to (Buss, Larsen, and Westen, 1996; Buss et al., 1992; Buunk et al., 1996; Trivers, 1972). The causes for infidelity are somewhat the same forRead MoreInfidelity Essay1644 Words   |  7 Pages The topic I decided to write about is infidelity in marriages. I thought this would be a good topic because infidelity has psychology and culture intersect together. Infidelity is attributed to psychology because this is something from each person, it only depends on each one to decide whether cheat or not. In contrast, infidelity is also attributed to culture, infidelity will have a different meaning in every part of the world. Maybe this will be described as an accepted or unaccepted behaviorRead MoreCauses Of Infidelity Essay1519 Words   |  7 Pages Infidelity: Why Do People Cheat? Introduction Infidelity is defined as the act or fact of having a romantic or sexual relationship with someone other than ones husband, wife, or partner (Merriam-Webster.com). Although, this is the standard definition of cheating, the subject can hold different meanings to different people. One may feel betrayed by their significant other when only an emotional connection is made with someone outside of the marriage, while another person mayRead MoreInfidelity and Confidentiality: A Dilema for Therapists Essays1399 Words   |  6 Pages Counseling couples who are attempting to overcome the betrayal of infidelity together pose a unique challenge to most therapists. In addition, a couple where one spouse admits to an affair to the therapist without their spouse’s knowledge can be equally distressing to said counselor. What are the ethical concerns regarding this scenario? In one case we are keeping our client’s confidences, building trust and following all ethical codes of confidentiality. In another case, weRead MoreInfidelity Causing Marital Breakdown Essay1156 Words   |  5 Pageswhether or not infidelity is the leading issue for marital breakdowns or if it is just another factor. Many may believe that infidelity only occurs in superficial relationships and in the media, but infidelity is right in your own back yard. Emotional infidelity, when put next to physical infidelity can be more painful and hurtful to a marriage, and make things worse because physical is quite often tied in with the emotional infidelity (â€Å"Truth about Deception,† n.d.) . If emotional infidelity can makeRead MoreThe Failure Of Leadership And How It Can Affect A Nation A Story About Othello854 Words   |  4 PagesThe failure of leadership and how it can affect a nation a story about Othelloâ₠¬â„¢s strengths and his eventual fall from grace. This essay will focus Racism, Othello motivation, his marriage to his wife, and his downfall resulting in killing his wife as well as himself. This essay will paint a picture of how real this can be in real life regarding normal human beings who have leadership positions. Leaders will always be tested and will have to overcome obstacles to ensure success for their specific

Quality Improvement In Health Care Guidelines Introduced by WHO

Question: Discuss about the Quality Improvement In Health Care. Answer: Introduction: With the emerging problems with the complex lifestyle in this generation the health standards are decra4sing as well. There are many a public health concerns that are rising every day. Infections have emerged as one of the most dreadful public health concern in this age. Hospital acquired infection are one of the prime reasons for causing further complications for the patients and increasing hospital stay time and the cost. Furthermore this particular complication if not attended properly can create fatal complications for critically ill patients as well (Wolf, Doane and Thompson, 2015). Hence, there have been infection control policies enforced by the world health organization as a global health care authority that has been overlooking the heath care standards over the years. The hand hygiene policy is considered to be the most important infection control policies that have been incorporated worldwide to minimize the rate of hospital acquired infections. However, many a developing c ountries are still not complying with the practice protocols set forth by WHO and the patients are paying the price for it (WHO, 2017). This assignment will focus on determining the causes behind the noncompliance to hand hygiene in nurses and attempts to formulate a quality improvement plan for the same taking an Indian small hospital as an example. Intended improvement: The major reason behind the massive noncompliance in the developing countries that has been determined by extensive research has been the absolute lack of knowledge regarding any aspects of the hand hygiene policies. In the developing countries the lack of enough infrastructure and extensive training program is a contributing factor that the healthcare staff is mostly unaware of the changes to the health care practice policies and protocols (Ward, 2017). This is the major reason why the nursing staff as well does not get access to the improvements to teh practice standards and continues with the back dated polices t health care setting. In order to ascertain the compliance to the hand hygiene policy in the nursing staff of lifeline hospital of India, training and educating the staff about the benefits of the hand hygiene policy will be required. The model chosen for this training and quality improvement program, the model chosen is the PDSA model. PDSA stands for Plan Do Study and Act, which is the standard procedure for health care quality improvement program. Albeit being a extremely powerful tool, it is simple and easy adaptable to any improvement scenario, and hence is abundantly used. As mentioned above this model have four interlinked variable starting with planning, doing, studying, and acting (Stowell et al., 2014). The first variable is planning which is concerned with planning the activities prior to implementing them to ascertain a well organised improvement plan. In which settings you are you are required to plan the activities that will be implemented in the improvement programs. For example educational seminars, workshops, and training programs to explain to the nurses the benefits of hand hygiene policy and how that would help in protecting the nurse is from any Hospital acquired infections and also protecting the patients. The next item to this model is doing, in this article of variable the implemented plan in the previous section will be implemented on a small scale of population are subject population to test out the viability of the plan. In which part the quality improvement program leader will evaluate the viability and efficacy of the planning that will be able to implement the changes that are required to be achieved in this quality of improvement program (Smiddy, O'Connell Creedon, 2015). The next step to PDSA cycle is to study the results that the previous activity could formulate. This particular step is associated with data collection and data analysis to evaluate the efficacy of the entire plan. In last step which is acting will be concerned with incorporating revisions and improvisations to the plant on the basis of the small scale tryout. In order to ensure that the quality improvement program will be absolutely effective, it is vital to plan the activities accordingly (Siddiqui et al., 2017). The aim of this quality improvement program will be to incorporate better knowledge and better understanding in the nursing staff about hand hygiene policy and the benefits of it. The activities for this quality improvement program will include educational seminars, presentations using interactive graphics, interactive workshops and on hand demonstration policies to ensure that the nursing staff in the small Indian hospital has access to all the literature and understandin g to incorporate compliance to the hand hygiene policy. However prior to that, it will be beneficial to assess the level of knowledge that the nursing staff of the Indian small Hospital already have on the subject of hand hygiene policy. Along with that it will always be beneficial to elicit information on why and how the non compliance to hand hygiene protocol has been initiated in the Lifeline Hospital. Gaining information on how the nursing staffs feels about the hand hygiene policy will be beneficial for incorporating changes that will be adapted to the situation of the Indian small Hospital. After the entire planning question so it will be required to assess the level of compliant that the quality improvement plan could facilitate. In order to achieve this goal a measurement plan has to be incorporated into the quality improvement program. For this case scenario the quality improvement program will include measurement of the percentage of the compliance of the nursing staff to the hand hygiene policy. Planning of the interventions: In order to create an accurate and effective quality improvement plan it is title to standardise the research study setting. Standardizing the setting will allow the improvement program leader to design a well organised and curated plan of action that will serve the purpose of the research study effectively and will be the most effective and adaptive to the case scenario at hand. What is research study the purpose is to incorporate effective and absolute compliance to hand hygiene policy. As discussed about the hand hygiene policy has been introduced by the World Health Organisation as a Global Health authority and all the Healthcare facilities along with the clothes are required to comply with this infection Control Programme to ensure minimum Hospital acquired infections as possible. The research setting that has been opted for this assignment has been a small Hospital authority of a developing country India. On a more elaborative note this Hospital is a small scale Hospital with m inimum infrastructure to start with. The patient accommodation for this Hospital is minimal, with just two storey Hospital setting. The speciality wards in the hospital are not many, just a critical care unit, a maternal care unit, respiratory and cardiac unit, and an emergency unit. The number of beds per unit is 20 to 25 maximum. The subject population or subject setting opted for this assignment will be the respiratory and cardiac care ward as the chances for infection are the maximum in case of these two complicated healthcare concerns (Roy, 2017). Another important aspect of any improvement program is standardizing and determining the target group. The target group selected for this assignment is the registered nurses and enrolled nurse is that are working in the respiratory and Cardiac unit of the small scale hospital in India. The rationale behind choosing this group of nurses is the fact that the studies suggests most of the infections on a more precise note the most Hospital acquired infections are prevalent in the respiratory and cardiac unit due to the abundance of machinery and clinical tools that are used in those two wards. In the quality improvement design we have also incorporated the number of nurses working purchased to better understand the manner and method of implementing these interventions to initiate the best results. As a matter of fact the Lifeline hospital that has been selected for this assignment has 45 nurses working in the entire hospital and the respiratory and Cardiac Care Unit has been allotted 10 nurses. Our intervention program will target all the nurses at a working in the night shift in the each unit to ensure that the minimal damage is done to the daily patterns of working and caring of the patients (Rai et al., 2017). The next step to the model is outlining the intervention program that will be implemented on the nurse population selected. As mentioned about the major reason behind the massive non compliance to hand hygiene policy in the nursing population is due to the lack of education, training and understanding about the benefits and advantages of such infection control policies. Text in order to enforce compliance to the hand hygiene policy in the nursing population selected it will be required educate them train them and explain to them the benefits of using hand hygiene as a daily protocol to the nursing schedule. The quality improvement program will incorporate all the education and training programs that could be provided to the nursing population of the selected hospital to ensure compliance to the hand hygiene policy and it will include hand hygiene workshops, seminars and presentations to make them understand the benefits of use using hand hygiene policy and also demonstrated programs and interactive test to ensure that they have understood how to incorporate hand hygiene in today daily schedule with clarity and transparency (Ng, Shaban van de Mortel, 2017). The intervention program will begin with an intern introductory beginning scale presentations to explain to them the benefits of hand hygiene policy and how the hospital authority is that have incorporated hand hygiene policies have benefited from it. Experienced and comprehensive speakers from the field of Healthcare and infection control will be participating in this presentation with interactive learning module to ensure that the nursing population selected has the best chance understand all the aspects of hand hygiene policy clearly. After all the academic training about hand hygiene policy, the introduction of it and the establishment of it, the nurses will be demonstrated the activities, the when the why and the how's of hand hygiene policy in a healthcare setting. It has to be understood that regardless of academically training the nurses of the small scale hospital setting will not be enough to integrate hand hygiene policy to the daily schedule. Education about hand hygiene policy, how it will benefit the patients and how it will protect the nurses themselves from different infections will generate the understanding of the need of hand hygiene policy in the health care setting but it will not explain to them how they can incorporate hand hygiene policy into the daily schedule. To achieve that goal the nurses will have to be demonstrated and allowed to experience in hand in a workshop setting. Here's the second part of the intervention program will be elaborative and interactive workshop setting where the exp erienced and renowned personnels of infection control Programme of World Health Organisation will demonstrate the name the easy and simple 5 moments of hand hygiene program. This program will demonstrate to the process in a practical setting when how and why incorporate hand hygiene in the daily health care setting of the work schedule. There after the necessity allowed to perform hand hygiene in all the variables of the 5 moments of hand hygiene program, that is before touching a patient, before our safety procedures, before and after body fluid exposure, after touching the patient, and after touching the patient surroundings. An interactive and comprehensive educational leaflet will be provided to the nurses post the workshop to ensure that they retain all they have learned in the seminar and workshop for years to come (Nair et al., 2014). The last and most important step of this quality improvement program will be measuring the changes that the intervention program was able to bring in order to do so and interactive contest will be held in which the tennis objects will be supplied a set of questionnaires on hand hygiene policy that they have to fill up based on the knowledge they have gained in the seminar and workshop programs and later on they will be monitored periodically in their working setting. In this evaluative measurement program the data will be collected from the filled out questionnaires and the performance of the nurses in the daily activities. The data will be analysed to ensure the progress the quality of improvement program could bring to the daily work schedule of the subject nurses (Morelli, 2016). In order to articulate all the intervention programs that has been a part of this quality improvement the stakeholders associated with this setting that is the hostel management the clinical Champions and opinion leaders that have been invited to participate in the presentation and seminars will be informed and consented before the beginning of this quality improvement program. In order to ascertain the ethical justification of this quality improvement programme the nurse subjects and all the other stakeholders associated with this program will be briefed and their wilful consent will be elicited (McCalla et al., 2017). Measuring best practice: Quality improvement programme will be incomplete without an accurate and demonstrative data collection and data analysis procedure. In order to ascertain that the nursing population selected from the program have understood the benefits of hand hygiene policy and will diligently comply to it the data collection is necessary by all means. As mentioned above after the successful completion of the workshop setting a set of Questionnaires will be distributed to the subject nose population to and short the level of understanding about hand hygiene and afterwards their performance with the patient on the basis of compliance to hand hygiene policy will be measured periodically. The data will be collected every big to track the progress of the improvement program and evaluate the efficacy of the program in generating compliance. The data will be collected with the help of Earth hand hygiene compliance checklist that will be prepared by the improvement program team (Lapinski et al., 2013). The data collection will be carried out by the nursing managers and also the improvement program leaders and clinical Champions that have been brought forward into the hospital setting to reduce hand hygiene in the life line hospital. The data collection procedure will be real time observing the performance of the nurses throughout the work schedule and then their performance will be audited. This change strategy will be implemented on a small setting first that is the night shift nurses and on the basis of the success of the strategy it will be implemented on the other group of nurses. As mentioned above to justify the justification of this improvement program the privacy will be maintained at any circumstances and the data collected will be dealt with extreme confidentiality (Lanning, 2014). Quality improvement programme will be incomplete without an accurate and demonstrative data collection and data analysis procedure. In order to ascertain that the nursing population selected from the program have understood the benefits of hand hygiene policy and will diligently comply to it the data collection is necessary by all means. As mentioned above after the successful completion of the workshop setting a set of Questionnaires will be distributed to the subject nose population to and short the level of understanding about hand hygiene and afterwards their performance with the patient on the basis of compliance to hand hygiene policy will be measured periodically. The data will be collected every big to track the progress of the improvement program and evaluate the efficacy of the program in generating compliance. The data will be collected with the help of hand hygiene compliance checklist that will be prepared by the improvement program team (Langoya Fuller, 2015). The data collection will be carried out by the nursing managers and also the improvement program leaders and clinical Champions that have been brought forward into the hospital setting to reduce hand hygiene in the life line hospital. The data collection procedure will be real time observing the performance of the nurses throughout the work schedule and then their performance will be audited. This change strategy will be implemented on a small setting first that is the night shift nurses and on the basis of the success of the strategy it will be implemented on the other group of nurses. As mentioned above to justify the justification of this improvement program the privacy will be maintained at any circumstances and the data collected will be dealt with extreme confidentiality (Huis et al., 2013). Data analysis: The next step to the program will be the analysis of the collected data, in order to bring order to this program the data will be collected every week as the improvement program progresses. As the data collected are real time data the analysis procedure opted will be qualitative. The analysis of the data will be presented as bar graphs and charts on the bases if percentage of compliance and accuracy. The progress of the subjects will be displayed each week on the common notice board of the health care facility to ensure that the participants can assess their progress. At the end of each week progress analysis meeting will be held with the Healthcare management and definitions of the hospital with the quality improvement team to assess and evaluate the problems that the nurses are making. Thrilling the feedback about the performance of the nurses before and after the following improvement plan will not only facilities more sincere effort from the nurses and but also generate understan ding about efficacy of the program so that other Health Care units can utilize these programs to improve their care standards (Hagel et al., 2015). Conclusion: On a concluding note it can be said that the healthcare organizations and authorities are taking adequate steps to ensure the best quality of Health Care provided to each and every individual of our society. It has to be understood that his day is not a commodity that can be purchased based on the socio economic status of the individuals. Rather Healthcare is a basic necessity that each and every sector of our society has a right to regardless of the social economic or racial aspects. Infection control policies were introduced on the foundation of this motto, to ensure that every patient has a safe comfortable and optimal experience in any Healthcare facilities that the witch to access in any part of the word. Healthcare practice guidelines like this that are enforced by the Global authorities have the purpose of enforcing the best care standards for the patients regardless of the fact that the demographic restrictions do not affect the quality of care. However in many developing countries the healthcare facilities have no access or infrastructure to introduce these improved and effective guidelines to ensure best practice. This periodic quality improvement program and assessment can help small scale hospitals in developing areas to incorporate best practices in Healthcare so that the patients are not deprived of quality care. References: Allegranzi, B., Gayet-Ageron, A., Damani, N., Bengaly, L., McLaws, M. L., Moro, M. L., ... Donaldson, L. (2013). Global implementation of WHO's multimodal strategy for improvement of hand hygiene: a quasi-experimental study.The Lancet Infectious Diseases,13(10), 843-851. Brotfain, E., Livshiz-Riven, I., Gushansky, A., Erblat, A., Koyfman, L., Ziv, T., ... Borer, A. (2017). Monitoring the hand hygiene compliance of health care workers in a general intensive care unit: Use of continuous closed circle television versus overt observation.American Journal of Infection Control. Chatfield, S. L., DeBois, K., Nolan, R., Crawford, H., Hallam, J. S. (2017). Hand hygiene among healthcare workers: A qualitative meta summary using the GRADE-CERQual process. Journal Of Infection Prevention, 18(3), 104-120. doi:10.1177/1757177416680443 Donnelly, P., Kirk, P. (2015). Use the PDSA model for effective change management.Education for Primary Care,26(4), 279-281. Grayson, M. L., Russo, P., Ryan, K., Havers, S., Heard, K., Australia, H. H. (2013). 5 Moments for Hand Hygiene.Hand Hyg Aust. Hagel, S., Reischke, J., Kesselmeier, M., Winning, J., Gastmeier, P., Brunkhorst, F. M., ... Pletz, M. W. (2015). Quantifying the Hawthorne effect in hand hygiene compliance through comparing direct observation with automated hand hygiene monitoring.infection control hospital epidemiology,36(08), 957-962. Huis, A., Hulscher, M., Adang, E., Grol, R., van Achterberg, T., Schoonhoven, L. (2013). Cost-effectiveness of a team and leaders-directed strategy to improve nurses adherence to hand hygiene guidelines: a cluster randomised trial.International journal of nursing studies,50(4), 518-526. Huis, A., Schoonhoven, L., Grol, R., Donders, R., Hulscher, M., van Achterberg, T. (2013). Impact of a team and leaders-directed strategy to improve nurses adherence to hand hygiene guidelines: a cluster randomised trial.International journal of nursing studies,50(4), 464-474. Kingston, L. M., O'Connell, N. H., Dunne, C. P. (2017). 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Infinity Essays - Cardinal Numbers, Infinity, Elementary Mathematics

Infinity Most everyone is familiar with the infinity symbol, the one that looks like the number eight tipped over on its side. Infinity sometimes crops up in everyday speech as a superlative form of the word many. But how many is infinitely many? How big is infinity? Does infinity really exist? You can't count to infinity. Yet we are comfortable with the idea that there are infinitely many numbers to count with; no matter how big a number you might come up with, someone else can come up with a bigger one; that number plus one, plus two, times two, and many others. There simply is no biggest number. You can prove this with a simple proof by contradiction. Proof: Assume there is a largest number, n. Consider n+1. n+1*n. Therefore the statement is false and its contradiction, ?there is no largest integer,? is true. This theorem is valid based on the ?Validity of Proof by Contradiction.? In 1895, a German mathematician by the name of Georg Cantor introduced a way to describe infinity using number sets. The number of elements in a set is called its cardinality. For example, the cardinality of the set {3, 8, 12, 4} is 4. This set is finite because it is possible to count all of the elements in it. Normally, cardinality has been detected by counting the number of elements in the set, but Cantor took this a step farther. Because it is impossible to count the number of elements in an infinite set, Cantor said that an infinite set has No elements; By this definition of No, No+1=No. He said that a set like this is countable infinite, which means that you can put it into a 1-1 correspondence. A 1-1 correspondence can be seen in sets that have the same cardinality. For example, {1, 3, 5, 7, 9}has a 1-1 correspondence with {2, 4, 6, 8, 10}. Sets such as these are countable finite, which means that it is possible to count the elements in the set. Cantor took the idea of 1-1 correspondence a step farther, though. He said that there is a 1-1 correspondence between the set of positive integers and the set of positive even integers. E.g. {1, 2, 3, 4, 5, 6, ...n ...} has a 1-1 correspondence with {2, 4, 6, 8, 10, 12, ...2n ...}. This concept seems a little off at first, but if you think about it, it makes sense. You can add 1 to any integer to obtain the next one, and you can also add 2 to any even integer to obtain the next even integer, thus they will go on infinitely with a 1-1 correspondence. Certain infinite sets are not 1-1, though. Canter determined that the set of real numbers is uncountable, and they therefore can not be put into a 1-1 correspondence with the set of positive integers. To prove this, you use indirect reasoning. Proof: Suppose there were a set of real numbers that looks like as follows 1st 4.674433548... 2nd 5.000000000... 3rd 723.655884543... 4th 3.547815886... 5th 17.08376433... 6th 0.00000023... and so on, were each decimal is thought of as an infinite decimal. Show that there is a real number r that is not on the list. Let r be any number whose 1st decimal place is different from the first decimal place in the first number, whose 2nd decimal place is different from the 2nd decimal place in the 2nd number, and so on. One such number is r=0.5214211... Since r is a real number that differs from every number on the list, the list does not contain all real numbers. Since this argument can be used with any list of real numbers, no list can include all of the reals. Therefore, the set of all real numbers is infinite, but this is a different infinity from No. The letter c is used to represent the cardinality of the reals. C is larger than No. Infinity is a very controversial topic in mathematics. Several arguments were made by a man named Zeno, a Greek mathematician who lived about 2300 years ago. Much of Cantor's work tries to disprove his theories. Zeno said, ? There is no motion because that which moved must arrive at the middle of its course before it arrives at the