Six Sigma Green Belt. Black Belt and Master Belt and differentiations Essay

Six Sigma Green Belt. Black Belt and Master Belt and differentiations among these three belts - Essay Example Therefore, to attain all these, the Six Sigma has different categories of classifying its experts (Gygi et al., 2005). They are champions, green belts, black belts, yellow belts, and master or champion belts. This paper will explore the nature of green, black, and master belts including their major differences. Despite the significant success achieved in quality control and implementation within most organizations, the disparity within the belts means rigorous training is required to have a uniform operation. Numerous belts abound that are used to measure competence in the field of martial arts. However, the Six Sigma Green Belt is concerned with improvement of critical projects under the supervision within organizations. An improvement on Six Sigma Green Belt automatically qualifies a person to the level of Black Belt and it is characterized with several features worth noting. First, to attain a certification, one is compelled to undergo a specific rigorous process that lasts from two to four weeks. This is because Six Sigma Green Belt is the lowest; it incorporates the basic knowledge beginning with the introduction, project definition and project selection process (Wheeler, 2004). Similarly, because it revolves around measure of quality to attain the highest level of perfection, the Green Belt demands a clear methodology of eradication defects because it is data-driven and has standards. Alternatively, because Six Sigma Green Belt integrates problem solving through the holistic approa ch, it has procedural method of utilizing statistical tools. It also includes other processes of interventions in comprehending diverse business processes. Under the Green Belt, one is compelled to investigate the causes of problems through analysis to boost the contributing factors that would eventually ensure improvements. However, unlike the Master or Black Belts, Green Belts are not required to know much in terms of offering improvement

Linkedln Essay Example | Topics and Well Written Essays - 750 words

Linkedln - Essay Example LinkedIn was officially launched in 2003, with a wide network. The company possesses a diversified business model and generates its revenue from talent and marketing solution along with subscription of premium products. It is a social networking site used by the professionals for their business purposes as well as to increase connectivity with the public and other allied professionals in different fields. The site is used for various marketing reasons by the companies and it provides an opportunity to the members to showcase their talents. It provides a business oriented atmosphere and its objective is to increase connectivity. It is a useful social media for developing marketing strategies to increase connectivity for the professionals (LinkedIn Corporation, 2013). Risk Factors The social media with the advancement of technology is becoming an integral part of business networking. The platform is aggressively used by the businesses for the purpose of marketing along with increasing connectivity. LinkedIn can trigger a wide variety of risks to the organizations such as the risk of information leakage. The risk factors involved can be the leakage of confidential information by the third party which can prove to be a breach. The placement of the advertisements on the site of LinkedIn at times can be tricky which might make the user to download the infected application which causes leakage of personal information. This might lead to the misuse of data and might cause a fraudulent act. The loss of privacy can be a risk for the companies using the platform and their customers as well owing to the fact that a significant extent of personal and corporate information is exchanged through LinkedIn. The risk involved for these sites largely come from the hackers as th ey tend to extract the information and cause legal risk. The platform being open for every user does not provide adequate safety, security on social and legal basis. At the same time, the social networking site is useful for showcasing the prevailing opportunities and talents (Navetta, 2011). Growth History and Reasons for Growth LinkedIn site has shown a growth trend in the past few years. In the year 2003, the site had 4500 members in its network. With the use of the diversified business model, the LinkedIn platform has shown a tremendous growth. It has at present nearly 225 million users in not less than 200 countries. It also has revealed a steady growth as it has 4800 employees worldwide in more than 20 languages. The total revenue amassed by LinkedIn in 2013 has been nearly US$393 Million with the increase in the number of members. Moreover, officials from Fortune 500 companies are their members. LinkedIn uses the data driven strategy to enhance the growth of the site and incr ease its revenue. The data provided through the site to the end users are helping to improve the marketing strategies of the user companies. This strategy is facilitating the business and the members to decide on the marketing strategies along with decision making to increase the performance. This kind of strategy aids in providing accurate and efficient data which in turn facilitates the social networking platform in increasing the subscription and in generation of revenue. LinkedIn makes money by using premium accesses, sales of ad for the products and by providing solution to the corporate clients (LinkedIn Corporation,

Introduction to Communication in Health Essay Example for Free

Introduction to Communication in Health Essay Outcome 1: Understand why communication is important in the work setting? †¢ People communicate to give and receive information i.e. Child A has eaten a piece of toast during snack time, as child A doesnt usually do this we informed the parents of the childs progress at the end of our preschool session. †¢ People also communicate to give and receive instructions e.g. Child A has a lactose intolerance and therefore can only have Soya milk at snack times ,It is therefore vital that all staff follow these instructions. †¢ People also communicate to express any needs that they have in our preschool setting we have all weather outdoor play time so it is essential that all children have a suitable outdoor coat hat, gloves and Wellington boots. 2. Explain how effective communication affects all aspects of own work? See more: how to start an essay †¢ Being able to communicate with all individuals within our preschool setting helps to build a good foundation and understanding between us. Giving information in a clear manner that is understood by the recipient to ensure that the information is received in the right way, also taking the time to listen to other peoples points of view and concerns, And ensuring that we meet any needs or concerns that these partys may have. †¢ For children this means always talking to them at there level giving good eye contact and re-assuring facial expressions and body language. Giving them enough time to listen and process things that you say or ask of them and giving adequate time for a response, whenever appropriate using  positive tones to your voice. †¢ For parents using all available communication methods, from face to face communication, to telephone conversations or writing in the childs home school book. Using first names where ever possible and listening to and respecting the views of the parent/carer. Always re-assuring a parent that our first priority will always be there child. †¢ For our colleagues always have conversations in appropriate places, Give eye contact and correct body language also listen and be respectful of other peoples point of views and opinions. †¢ In our preschool setting we have many bilingual children and as English isnt there first language we use many different techniques to ensure they can understand what we are saying or asking them to do. During our snack time we count in all the childrens first languages, Chinese and Malayalam and use both pictures and hand signs to help the Children understand. Child A was doing an animal puzzle and showed me a pig piece I said Thats a pig and made the noise oink, oink whilst making a snout with My hand at my nose. 3. Explain why it is important to observe an individuals reaction When communicating with them? †¢ It is important to watch how people react to see how they are feeling and whether they understand the conversation or instructions you are giving to them. You can see if a person is comfortable by there body language, facial, Expressions and tone of there voice. We must use these skills to read both adults and children alike. Also taking in to account that different expressions can have different meanings in other cultures.

Review of How We Do Harm by Otis Brawley and Paul Goldberger

Review of How We Do Harm by Otis Brawley and Paul Goldberger In America, there is an underlying assumption that medical professionals placing their patients care above all else. We believe that our physicians follow important concepts such as the principle of beneficence, and the principle of nonmaleficence. Yet in the book How We Do Harm, Brawley introduces his readers to the back rooms and the unknown conversations of those in who are a part of the medical profession. This insiders perspective is Brawley’s (and his co-author) real genius, the ways he makes makes what could otherwise be an esoteric and dense topic become an enjoyable book. Though a joke about how important money is to the american medical system A Wallet Biopsy, its one that is important because if you can afford the best care,get the best care. If however, you cannot get good care, you get the a bare minimum of care. Yet Brawley does not make this a purely socialist critique. In many ways, Brawley acknowledges that wealth can cause its own problems in America. Patients with sufficient wealth often demand treatment that borders on irrational, and for those with means finding a doctor willing to satisfy their concerns is not hard. The reason for this treatment seeking behavior, is that the American healthcare system is not design to prevent elective treatments which are not only not necessary but also often quite expensive. Yet the doctors are not dupes and the reason why there is always a doctor willing to give into to the demands of patients providing they can pay the costs. Yet at the same time Brawley is not seeking to place physicians on a pedestal who can do no harm. Brawley introduces us to two different but equally heartbreaking cases Helen and Lillia. Helen’s story is a used has an exemplar of the â€Å"more is better† philosophy Brawley sees as endemic in the medical community. After having a mastectomy lump, her oncologist She was â€Å"offered† post surgical chemotherapy. Her oncologist explained that a stronger dose is better than a weaker dose. â€Å"More is better† notes Brawley had been the fallback strategy for oncology since the 1950s with the general opinion being that , more chemotherapy translated to greater the more effectiveness. Yet for Brawley this approach is not the real tragedy of Helens story is that she was recommended a autologous bone marrow transplantation since her insurance company will pay for more of the costs of the transplant and chemotherapy (page 32). As a result of this treatment, Helen experienced far more severe complications than expected and ultimately these complications kept her in the hospital for five months and is then transferred to a rehabilitation hospital. Taken altogether this â€Å"recommended† procedure cost her a year of her life. Then three years later, Helen discovers that this painful experience had no demonstrable effect in improving survival. When Helen asked her oncologist , her oncologist responds â€Å"this was what everybody was doing at the time.† Brawley does points out that Helen is not alone as between 1989 and 2001 at least 23000 women might ha In the second case, Lilla Romeo was first diagnosed with breast cancer (Stage 1) in 1995. She had surgery followed by radiation. Five years after the initial diagnosis, a routine scan (how many scans did she have in the 5 years?) showed the disease had returned. The doctors told her that â€Å"the prognosis turned grim†¦the cancer was incurable, and the goal of treatment was to delay the inevitable.† So Lilla was persuaded, and started non-stop chemotherapy (page 71). In 2003, Lilla remembered an oncology nurse at the New York University Medical asked if she was feeling tired and with a hemoglobin reading just under ten, she was â€Å"suggested and offered† cancer-fatigue drugs (at that time, the popular one was Procrit by JJ) In 2004, she was told that the hospital had switched from Procrit to another drug, Aranesp (manufactured by AMGEN), which caused a burning sensation under her stain at the injection site (page 79). In 2010, when she requested copies of her medical records from the doctors who had treated her, Lilla learned that she had received a lot more Procrit and Aranesp than she knew. Her first dose was administered on 1/11/2001 and then almost weekly thereafter. Altogether, she was given 221 1/2 doses. When Lilla was started on the hemoglobin-building drugs (also known as ESAs), little did she know that the drug companies manufactured a medical condition: cancer fatigue. She also had no idea that â€Å"her infusion was the front-row seat for observing a spectacular, indeed, cataclysmic, failure in medicine.† Dr Brawley strongly believed that these drugs have shortened Lilla’s life. She died on June 9, 2010 at the age of 63 (Just before her death, Lilla was suggested and given â€Å"Avastin†!!) Finally, there is the case of Ralph DeAngelo, who was prescribed aggressive prostate cancer treatment after a positive prostatic specific antigen (PSA) screening. Unfortunately for Ralph DeAngelo, PSA screening has lead to financial gain to many medical businesses, but Ralph DeAngelo ended-up incontinent, sexually impotent, and with a rectal fistula into the bladder (Brawley Goldberg, 2011, pp.215-230). It was very eye-opening to find out that physicians may sometimes prescribe experimental drugs to patients with little or no detailed information or informed consent about the potential side effects and the eventual lack of thorough trial studies on a given drug. It was also sad to be reminded that the American healthcare system lacks good use of its resources. This is particularly true for the â€Å"working-poors† who lack proper access to healthcare. By the time they qualify for Medicaid, they are so sick that their situation is so dire that it’s likely to have a negative outcome. Finally, it was disconcerting to find out that physicians may prescribe some expensive and potentially harmful screenings to patients for their sole financial gains. Part III: Corroboration. Studies have shown that despite the advances made in the war against cancer, there are many disparities in the delivery of care, based on factors such as race, income, and geographic area. Many patients report problems such as lack of insurance, high co-payment for prescription drugs and transportation issues. In addition, African-Americans are more likely to be diagnosed of advance stage cancer than Caucasians (Schwaderer Itano, 2007). In addition, despites their widespread use, some screening tests such as the PSA have shown some limitations. About 75 percent of positive PSA test are false positive, which may be associated with psychological harm more than a year after the test. In addition, diagnostic testing and aggressive treatment of a non life threatening prostate cancer may result in adverse consequences such as erectile dysfunction, incontinence, and even patient’s death (Slatkoff, Gamboa, Zolotor, Mounsey Jones, 2011). Shortly after he turned 70, Mr. Ralph De Angelo, a retired department–store manager in the heart of black America, saw a newspaper advertisement that claimed that prostate cancer screening saves lives. The advertisement also mentioned that 95% of men diagnosed with localized disease are cured. The following is the tragic story of Mr. De Angelo after his prostate screening and how unnecessary harm can be done to those who go for screening of the prostate, breast, etc. This is a classic example of collateral damage (due to overtreatment) described in the book â€Å"HOW WE DO HARM† by Dr Otis Webb Brawley, MD a medical oncologist and Executive Vice President of the American Cancer Society. In 2005, Mr. De Angelo, after his prostate screening, was diagnosed with prostate cancer, with a PSA reading of 4.3 ng/ml (just 0.3 above is considered normal). He was urged to have a biopsy. Two of the 12 biopsies showed cancer. The Gleason score was 3 plus 3 which is associated with the most commonly diagnosed and most commonly treated form of prostate cancer. There is no way to know whether a patient with this diagnosis will develop metastatic disease or live a normal life unaffected by the disease. With this uncertainty, Mr. De Angelo was persuaded by his urologist to perform a radical robotic prostatectomy which he (the urologist) thought was the gold standard of care. After the operation, he was told he had a small tumour 5mm by 5mm x 6mm in a moderate size (50cc) prostate. The tumour was all in the right side of the prostate. This means that the tumor didn’t appear highly aggressive under the microscope. Good news? Unfortunately, Ralph realized that he was then incontinent. Three months later, the incontinence was still there and he had to wear pampers continuously. Besides incontinence, Ralph was also impotent and given Viagra. With a lingering 0.95 ng/ml (even though his prostate has been removed), a radiation oncologist suggested â€Å"salvage radiation therapy† to the pelvis. Four weeks into the radiation, Ralph saw blood in his stool. This was due to radiation proctitis, i.e. radiation damage to the rectum. He continued having incontinence, but also developed a burning sensation upon urination. Later, Mr. De Angelo stopped his radiation with one more week to go. For the rectal proctitis, he went to a gastroenterologist, who prescribed steroids in rectal foam that he had to put up his rectum four times a day. About three weeks after stopping the radiation, Mr. De Angelo realised that whenever he passed gas, some of it came out of his urethra. He also sensed liquid from his rectum soiling his diapers. He was confirmed having a rectal fistula into the bladder†¦there was a hole between Ralph’s rectum and his bladder. After several urinary infections and when the fistula didn’t seem to be healing, he had to see a GI surgeon. He performed a colostomy to keep stool off the inflamed rectum and the hole into the bladder. The next step was an ureterostomy, a surgery that will bring urine to abdominal wall and collect it in a bag, just like his bowel movements. In Dec 2009, Mr. De Angelo’s daughter called Dr Brawley to inform that her father had â€Å"urinary tract infection† which later progressed to sepsis, a widespread bacterial infection in the blood. On the fifth day of hospitalisation, Ralph passed away (only 4 years from diagnosis). Interestingly†¦Ã¢â‚¬ the death certificate reads that death was caused by a urinary tract infection. It doesn’t mention that the urinary tract infection was due to his prostate-cancer treatment and a radiation-induced fistula†¦.Mr. De Angelo’s death will not be considered a death due to prostate cancer, even though his death was caused by the cure. In conclusion, Dr Brawley strongly believed that†¦ â€Å"the majority of these men, who are treated with radiation or hormones or both, got no benefit from treatment. They get only the side effects including those that Mr. De Angelo had: proctitis i.e. inflammation and bleeding from the rectum, cystitis, burning sensation on urination and a feeling of urgency, a rectal fistula in which bowels and bladder are connected. The side effects of hormones can be diabetes, cardiac diseases, osteoporosis, and muscle loss. In the case of Mr. Ralph De Angelo, both the surgeon and the radiation oncologist got paid handsomely. They both likely thought they were doing the right thing. However, Ralph got the side effects, and his quality of life was destroyed (too much collateral damage?). One parting remark by Dr Otis Webb Brawley which is very relevant to this article: â€Å"Prostate-cancer screening and aggressive treatment may save lives, but it definitely sells adult diapers â€Å" Part IV: Practice Application. After reading How We Do Harm, I think that it would affect my nursing practice in many ways. As healthcare professional, this book reminds me of the importance of staying current with my nursing knowledge through continuing education, and reading resources from organizations such as the Mayo Clinic, the American Nurses’ Association and the Center for Diseases Control and Prevention. In addition, as patient advocate, this book reinforces my desire to empower all patients under my care, so that they may be active partners in their healthcare. More than ever, I will encourage my patients to educate themselves on their diseases; in addition, I will encourage my patients to learn more about all treatments options so that they may make the best choice for their healthcare. How American Medicine Does Harm To Patients With powerful incentives set in motion, many hospitals and oncology practices in the US instructed nurses to ask leading questions about â€Å"fatigue† with the intent of expanding sales to a growing number of patients and upping the dosage to each patient. This is referred to as â€Å"an ESA treatment opportunity† (ESA means erythropoiesis-stimulating agents, drugs used to overcome fatigue, low blood counts). (page 85). To increase their earnings, drug companies and doctors set out on a search for treatment opportunities, often forgetting about the sacred trust between doctors and patients (page 85). The exact magnitude of harm is harder to gauge†¦most of the money was spent on drugs (e.g. ESAs) that were prescribed for the wrong reasons and under false, manufactured pretences. These drugs were not used to cure disease or make patients feel better. They were used to make money for doctors and pharmaceutical companies at the expense of patients, insurance companies†¦the technical term for this is overtreatment and overtreatment equals harm (page 97). Doctors do some horrible, irrational things under the guise of seeking to benefit patients†¦.For example offering a bone marrow transplant for a breast cancer patient, prophylactic doses of ESA drugs†¦these are only a few examples. The system rewards us for selling our goods and services, and we play the game (page 122). You don’t deviate from the science. You don’t make it up as you are going along. You have to have a reason to give the drugs you are giving. You have to tell the patients the truth (page 145). Commenting further on ESA drugs, some doctors didn’t bother to check what the patient’s haemoglobin was and erred on the side of giving the ESA every time they give chemotherapy. Doctors routinely prescribed the drugs for uses, in which it had not been studied-such as anaemia caused by cancer itself, as opposed to anaemia caused by chemotherapy (page 78). †¦.Doctors try out things just to see whether they will work (page 160) Earlier in the book (page 29), Dr Brawley mentioned that â€Å"A hospital was the place where they withheld treatment or where they tried things on you without telling you what they were doing and why (page 29/30). When a drug succeeds in controlling cancer, we learn about it at conferences and in scientific journals. Stories of our fiascos, though no less instructive, are almost invisible, especially if there are cautionary tales that lay bare the fundamental flaws in the system (page 157). Cancer is hard to understand, and yet doctors rush patients (page 182). Survival measures time that elapses after diagnosis. By diagnosing a cancer earlier, survival rates are increased. The more you diagnose, the more you push up survival (page 193). Somewhere along the way, we have been conditioned to believe that a new treatment is always better (page 197) A new drug must be better than the old. A new medical device must also be better (page 202). Inappropriate use of certain drugs can be attributed to the profit motive. A recent study of prescribing pattern demonstrated that as soon as the profit motive weakened, inappropriate prescribing of these drugs dropped (page 197). The overuse of radiologic imaging is a major problem†¦..†up to one-third of radiologic imaging tests are unnecessary. This is a serious problem, not just because these tests are expensive, but because they expose the patient to radiation that can cause cancer. Some have estimated that 1% of cancers in the United States are caused by radiation from medical imaging† (page 202). Even when administered properly, cancer drugs can bring the patient to the brink of death. An overdose can easily push him off the cliff (page 279). Much of the money currently spent on healthcare (in the US) is money wasted on unnecessary and harmful, sick care. Even for the sick, a lot of necessary care is not given at the appropriate time. The result is more expensive care given later (page 281). The medical profession frequently allows bad doctors to continue to practice. The profession doesn’t police itself. Chalk it all up to apathy. Or ignorance (page 282). Many physicians are ignorant of some aspects of the field of medicine in which they practice. They tend to think the newer pill or newer treatment must be better because it is new. Ignorance is a failure to think deeply. It is a failure to be inquisitive. It is a failure to keep an open mind (page 282). Dr Brawley’s most direct critique of our healthcare system â€Å".†America does not have a health-care system. We have a sick-care system†.

Anne Frank Essay -- essays research papers

On June 12, 1929, at 7:30 A.M. a baby girl was born in Frankfurt, Germany. No one realized that this infant, who was Jewish, was destined to become one of the world’s most famous victims of World War II. Her name was Anne Frank, and her parents were Edith Frank Hollandar and Otto Frank. She had one sister, Margot, who was three years older than she was. Anne led a happy and normal childhood, and on her 13th birthday she received a diary from her parents. It became special to her as years went by. It is through this diary that much about World War II and Anne’s life has been learned. In 1933, her and her family left Frankfurt, a large Jewish community, and settled in Amsterdam. Her father foresaw that Hitler’s power boded disaster for the Jews. In May 1940, the Nazi invasion of the Netherlands took place, which cast a shadow on Anne’s happy childhood. The situation became worse with the restrictions placed on the Jews. One restriction was that Jewish children were only allowed at Jewish schools. Anne went to the Jewish school called The Jewish Lyceum. In July 1942, Anne’s family went into hiding in the Prinsengracht building. Anne’s family called it the â€Å"Secret Annex†. During these times people they knew like, Miep and Jan Gies and many others, brought the family’s food. You would have to be very brave to take on a job like that because, if you got caught you could be killed. Life in the Annex was not easy at all. Anne had to wake up at 6:45 A.M. every morning. Nobody could go outside. No one could turn on lights at night. Anne mostly read books or wrote stories. Much of Anne’s diary was written while in hiding. Most of the families got separated, but Anne’s family never was. For this, they were lucky. In 1944, their hiding place was revealed, and they were taken into custody. The day after their arrest they were transferred to the Huis Van Bewaring, a prison on Weteringschans. On Aug. 8, they were transported from the main railroad station in Amsterdam to the Westerbork detention camp. For a month, the Franks were kept in the â€Å"disciplinary barracks†, not as ordinary prisoners, but inmates convicted of a crime. The crime was hiding. On September 3, 1944, aboard the last transport to leave the Netherlands, Anne’s family and those who were with them, were brought to the Auschwitz-Birkenau extermination camp. By then more than 100,000 Dutch Jews had been ... ... Auschwitz, near Krakow, was the largest concentration camp, with inmates from all over Europe. Many Jewish and non-Jewish inmates performed industrial labor. The Nazis subjected some prisoners to medical experiments and gassed Jews and Roma (Gypsies). They also shot thousands of inmates, while others died from starvation or disease. Large crematories were constructed to incinerate the bodies. By the end of the war in 1945, millions of Jews-as wee as Slavs, Roma, homosexuals, Jehovah’s Witnesses, Communists, and others targeted by the Nazis-had been killed or had died in the Holocaust. In my opinion Anne Frank, The Diary of a Young Girl is a very sad, distressing book. It revels the life of a young innocent girl who is forced into hiding from the Nazis because of her religion, Judaism. It is also a very informing and very enlightening book. It introduces a time period of discrimination, unfair judgment, and power crazed individuals. With this it shows you the effect it has on the defenseless. Anne and her family are just one of the hundreds of thousands of families that were tortured. The thing that makes her story so intriguing is that it shows war in the eyes of a little girl.

Essay --

A Feminist Approach to Susan Glaspell’s â€Å"Trifles† The approach being used for Susan Glaspell’s play is feminist criticism. Glaspell’s play was written in 1916. In the 1900s women were expected to stay home, clean, cook, and take care of the family. Men were the providers of the household, smarter, and in control. Today women are more independent. They are running businesses and taking on more masculine jobs such as, firefighters and police officers. Women are even working and raising families. In some households the wife works while the husband stays home. A woman can do a man’s job and maybe sometimes better. Linda Napikoski explains, â€Å"Feminist criticism is the analysis that arises from the viewpoint of feminism, feminist theory and/or feminist politics. Feminist literary criticism suggest that women in literature were historically presented as objects seen from a male perspective. Feminist literary criticism actively supports including women’s knowledge in literature and valuing women’s experience. It has since intertwined with postmodernism and increasingly complex question of gender and social roles.† â€Å"Trifles was based on true events. In 1900, a man named John Hossack was murdered with an ax while he slept. His wife, Margaret claims to have slept through the murder. The Jury did not believe her story and found her guilty of murder. Susan Glaspell, who was a journalist with Des Moines Daily News, covered the trial for her newspaper. Even though she did not have any criminal justice background, Glaspell acted like a true detective. She investigated the murder by visiting the farmhouse where Hossack and his wife Margaret lived. She also interviewed attorneys and studied testimonies. Glaspell became very impressed with the st... ...what his life was like behind closed doors. He could have been abusive and angry towards his wife causing her to snap. â€Å"She – come to think of it, she was kind of like a bird herself – real sweet and pretty, but kind of timid and – fluttery. How – she – did – change† (1074). Mrs. Wright did change. She felt trapped in her marriage and she needed to escape. Her life was stolen from her. She strangled her husband and took his life. She probably felt that her life was already over and it wouldn’t matter if she were put in prison or not. Women might see things in a different light than men. They want to please the man in their life, but at the same time they want to be respected and seen as a human beings with feelings. Women today are stronger and more in charge and they don’t allow for a man to come into their life and destroy what they have built for themselves.

Combating Compassion Fatigue Essay

If you ask anyone in the field of healthcare, they will tell you that nursing is a very demanding profession. Many nurses feel weighed down by the emotional and physical demands of their chosen career. They may feel that their efforts go without acknowledgement. They may feel overwhelmed by their workload and feel they do not have adequate support or recourses to confidently and efficiently perform their roles. Part of the nurse’s role is to exhibit compassion for patients and their family members. Yet, compassion is an emotion that requires inner conviction and resiliency (Bush, 2009). When a nurse to facing fatigue and burnout, this compassionate feeling is replaced with feelings of apathy. It is important to recognize the signs of impending compassion fatigue and have knowledge of effective strategies to combat these feelings. Symptoms and Triggers Compassion fatigue to a term used to describe the unique stressors that affect individuals in a caregiver role (Bush, 2009). Some emotional symptoms to identify are anxiety, low self- esteem, powerlessness, and anger. Physical symptoms that are common are irritability, sleeplessness, and somatic pains. Environmental and emotional stressors of the workplace are what contribute to compassion fatigue. All caregivers at risk fro developing compassion fatigue, yet some may be more susceptible than others. All caregivers are at risk for developing compassion fatigue, yet there are some that may be more susceptible than others. Every person responds to emotional and environmental stressors differently. Some have a larger capacity for it than others. A shortage in staff results in a heavy workload for nurses. Nurses become fatigued when they are continually required to perform tasks alone that are best performed by a team. Unfair treatment of workers is perceived when evaluations, promotions, compensation  and benefits are not applied fairly (Espeland, 2006). When a nurse’s hard work goes unnoticed and unrewarded, this may result in feelings of hopelessness. Self-conflict is an important stressor that should be mentioned. Nurses tend to be very ambitious and have high expectations for themselves. These standards may lead the nurse to over-extend themselves, resulting in early on- set burnout. Also, a nurse may not be able to satisfactorily meet their own standards of care when they are simply given too much work to handle. The result of this is will be job dissatisfaction and subsequent compassion fatigue. Nurses who are young when they join the profession are at higher risk. This is because they are less prepared for role ambiguity, heavy workloads, and changing environments (Espeland, 2006). Bearing the suffering of others over a length of time is a big factor in the development of compassion fatigue. A nurse should be able to recognize their own individual risk for compassion fatigue and understand how to guard against it. Overcoming Burnout To change from a burnout state, we need to change our thought processes and viewpoints about the people and things that may have contributed to our burnout (Espeland, 2006). A nurse needs to actively take control of their situation instead of waiting for their situation to change on its own. By setting realistic goals for themselves and prioritizing important aspects of their life, the nurse can begin overcoming the state of compassion fatigue. It’s important to realize our personal limits. We can strive to perform at our optimal best without attempting to achieve perfection, which is impossible for anyone. We always have control of our own attitude. When we strive to maintain a positive outlook, we minimize feelings of compassion fatigue. It is inevitable that we will face challenges and adversity on our career path. Utilizing adversity as an opportunity for personal growth as opposed to a barrier is a way to guarantee personal and professional advancement (Espeland, 206). Another change that may need to be made to overcome burnout is a change in practice. Recognizing when it is time for a change is important. Whether it changing units within our hospital or changing disciplines within nursing, these changes provide us with the chance to grow in our profession and gain new skills. This variety contributes to career satisfaction and lessens the risk for burnout. It is imperative for nurses to know their risk for compassion fatigue, how to guard against it, and how to overcome it if they do find themselves in the state of burnout. Reviewing information about compassion fatigue to valuable to all nurses, as nurses in all disciplines of the profession are at risk for compassion fatigue. Applying these strategies and coping mechanisms will provide the nurse with a more satisfying experience in their nursing career and will assist them to perform at their optimal best. References Bush, N. (2009). Compassion fatigue: are you at risk?. Oncology Nursing Forum, 36(1), 24-28. doi:10.1188/09.ONF.24-28 Espeland, K. (2006). Overcoming burnout: how to revitalize your career. Journal Of Continuing Education In Nursing, 37(4), 178-184.