The Importance Of A Conversation On The United States...

Introduction More software projects have gone awry for lack of calendar time than for all other causes combined (Brooks, 1995). Why is this cause of disaster so common? Statistics show that schedule delays occur in about 70% of software projects, cost overruns are above 90%, and the time scheduled for large-scale development projects is exceeded by an average of between 20% and 50%. Lastly, the larger the project, the more likely it is that its budget will exceed what was originally planned (Junguang, Ruixia, Estrella, 2015). On completion of any project, a risk section should be provided for the Project Lessons Learned Report, detailing risks that might affect other similar projects, together with responses that have been found†¦show more content†¦The mission of the website was to be a single point of access to the health insurance market for individuals. HealthCare.gov is one of the most complex pieces of software ever created by the U.S. government (Chambers, 2014). The United State s Department of Health and Human Services (HHS) managed the Centers for Medicare and Medicaid (CMS). CMS was the federal agency responsible for the website development, integrating, and testing all the combined components (Chambers, 2014). CMS selected CGI Federal as the lead software developer responsible for designing and integrating the Federally Facilitated Marketplace (FFM) (Chambers, 2014). The FFM is the customer facing and complex processor behind the website that determined applicant insurability and eligibility of federal subsidies. Second, the Data Service Hub is the platform that validates application information with existing federal databases, such as the Internal Revenue Service. Quality Software Services Inc. (QSSI) was responsible for the development of the Data Services Hub and end-to-end testing of the product. Fifty-three additional contractors built the distributed services that would interface with new and legacy health insurance companies and government agencies (Chambers, 2014). HealthCare.gov was to bring health insurance coverage to an additional 34 million Americans. Americans had to sign up for healthcare insurance by December 23, 2013 for coverage to take effect by January 2014. This

Communication Barriers Essay - 1900 Words

A truly successful leader not only has to master the necessary business skills, the technology that makes a business efficient, but the greatest tool for success is the art of communication, so you can share your ideas and they are understood and carried out using every communication tool available. A common denominator among managers that fail in business and life is as a result of failing to overcome barriers to communication, these are often as a result of a lack of proper communication skills, prejudice, lack of information, a loss of touch, cultural and language differences. â€Å"A national survey conducted by the U.S. Labor Department concluded that 20 percent of all U.S. managers lack effective communication skills† (Gordon, 2000,†¦show more content†¦Acting as though conflict does not exist erects barriers within a group. When a work unit does not have a method for resolving conflict, that unit will eventually become dysfunctional† (Jones, 1999, p. 5 0). This is a place where companies and leaders fail in their preparation, no one wants to get involved in conflict, but when it does occur we are ill prepared to deal with it. We prepare all kinds of contingency plans for emergencies, we train for job hazards yet neglect the communication needed to handle internal conflict both within ourselves and with our peers. Barriers to communication can be a result of a lack of understanding of a situation or at time it can also result from preconceived ideas. Unfortunately many of these ideas are a result of ignorance; we assume things about people or culture without really knowing or even being informed. As our business culture goes global we are faced with the additional barriers that a second language brings. â€Å"As the world marketplace continues to merge overseas corporations with American operations, it is now necessary for American executives to function effectively in languages other than English. Few corporate training programs are geared to teach foreign languages applied to a specific industries vocabulary and terminology† Have you ever worked with someone who speaks a different language? That generally imply that they speak foreign language; have you considered your technical lingo?Show MoreRelatedBarriers And Barriers Of Communication843 Words   |  4 Pageshave obstacles that may lead to ineffective communication. Identifying those barriers and working to overcome them, will lead a work center to a higher communication competency. My previous office was no different than any other. We had multiple barriers to overcome with our communication efforts. Some of those barriers are common to any workplace: noise and distractions, competing messages and filters (Bovee/Thill, 2016). We also had cultural barriers. These contextual, social, nonverbal, age, genderRead MoreBarriers to Communication2194 Words   |  9 Pages Managerial Communication | Essay- Barriers To Communication | Barriers To Communication Communication is the process of transmitting information. The information can be transferred through the exchange of ideas, feelings, intentions, attitude, exceptions, perceptions or commands. The communication is done with the intention to deliver the message to the receiver. The communication involves a thought process. There are many a times at the time of the communicating barriers may occur andRead MoreEffect of Communication Barriers and Overcoming These Barriers1636 Words   |  7 PagesTable of Contents 1.0 Introduction 3 2.0 Types of communication barrier 3 2.1 Physical barrier 4 2.2 Perceptual barrier 4 2.3 Language barrier 4 2.4 Emotional barrier 5 2.5 Information overload 5 3.0 Ways of overcoming these communication barriers 5 3.1 Eliminating physical barrier 6 3.2 Eliminating differences in perception 6 3.3 Simplifying languages 6 3.4 Emotional state 6 3.5 Regulating information flow 6 4.0 Conclusion 7 References 8 â€Æ' 1.0 Introduction Good morning ladies and gentlemen, thankRead MoreBarriers to Effective Communication1479 Words   |  6 Pages1 Barriers Barriers to Effective Communication Paper Robin Mravik Due Date: Monday October 10, 2011 CJA/304 Instructor: Janette Nichols 2 When it comes to communicating with people in our daily lives, there are many people that think there is just talking and listening to the other people in the communicating process. However, there is actually five step in the communication process; which are as follows: 1.) sending the message out to someone, 2.) sending the message through a mediumRead MoreBarriers to Effective Communication2391 Words   |  10 PagesBarriers to Great Communication There are seven types of Barriers to Communication. Many people think that communicating is easy. It is after all something we do all our lives. There is some truth in this view. Communicating is straightforward. What makes it complex, difficult, and frustrating are the barriers we put in the way. Physical barriers Physical barriers in the workplace include: marked out territories, empires and fiefdoms into which strangers are not allowed closed office doors, barrierRead MoreBarriers Of Communication And The Barrier1502 Words   |  7 PagesBarriers to communication -A barrier is when things stops to go through. There are several types of communication barriers; this causes it to be active. If the first and second types of barriers occur it means that the communication hasn’t gone so well. Sometimes it is not easy to understand and recognise. If they have used skills to understand the communication cycle, it could help them to understand how to communicate effectively. If the communication goes well it helps people trust in relationship’sRead MoreBarriers in Communication1279 Words   |  6 PagesBarriers of communication I. Noise Noise refers to the distraction and interference in the environment in which communication takes place. This affects the accuracy, clarity or event the arrival of the message. Noise can be further classified into four different types. 1. Physical noise. 2. Technical noise. 3. Social noise. 4. Psychological noise. 1. Physical noise Obstruction caused by environmental factors is termed as physical noise. Physical noise may include noise of the other peopleRead MoreEffective Communication And The Barriers Of Communication Essay1203 Words   |  5 Pageseffective communication and the barriers of communication is very important in the workplace in order for the company to be successful. Every person in the business will have to communicate in one form or another. The better the communication in the workplace the better the relationships with each other. In this article I will help you to understand the processes needed in order to have effective communication in the workplace. I will discuss the importance of effective communication, the barriersRead MorePsychological Barriers to Communication1365 Words   |  6 Pagesabusive situations this is a huge barrier to communication this Is because if you are violent towards a person they are sure not to communicate with you in any way. This is a barrier because if you need to talk to someone to share information with them and they are violent or abusive towards you, then you will not want to communicate with them and then they will feel the same way. If there was no communication passed on in this barrier then the people communication together may feel threatened by someoneRead MoreBarriers to Effective Communication1654 Words   |  7 PagesBarriers to Effective Communications Everyone has experienced, at one time or another the frustration of feeling misunderstood and being unable to make ourselves understood by another person. Anything which, blocks the meaning of a communication, is a barrier to communication. Effective communication is like a house built one block at a time. First to build a house trust must be built; trust is not a group process it is created in one to one connections with each individual. Second, be bold and

The Vietnam War Era Of American History - 1700 Words

Stanley Karnow describes the Vietnam War era of American history as â€Å"†¦a tragedy of epic dimensions†¦Ã¢â‚¬ 1 and it is fair to postulate that this is no understatement. One of the more pertinent ramifications of the Vietnam War was the deconstruction of fundamental, if somewhat illusory, American conceptions and ideals. The war shattered America’s hitherto unshakeable â€Å"confidence†2 in its political hegemony, military prowess and assumed authority in world order, i.e. â€Å"†¦its moral exclusivity, its military invincibility and manifest destiny†¦Ã¢â‚¬ 3 The war that was never officially declared is one that American society and culture would rather unofficially forget. Karnow argues: â€Å"†¦in human terms†¦the war in Vietnam was a war that nobody won - a struggle between victims†¦Ã¢â‚¬ 4, moreover to augment this standpoint, I would argue that another significant and concurrent victim of the Vietnam War was, and still is, the truth. Memory is an intrinsic and integral facet of human existence, crucially affecting every aspect of our character, actions, emotions and experiences. Furthermore, as Marita Sturken suggests, â€Å"†¦memory establishes life’s continuity†¦and provides the very core of identity†¦.†5, furthermore cultural memory is â€Å"†¦memory shared outside the avenues of formal historical discourse yet is entangled with cultural products and imbued with cultural meaning†¦Ã¢â‚¬ 6 Therefore, it would be logical to assume that American cultural memory innately presupposes American cultural identity. In theShow MoreRelatedBlack Boy By Richard Wright1597 Words   |  7 PagesEdison Yip Professor Beirich History 202B 8 December 2015 Paper Assignment Throughout history, African Americans have gone through numerous experiences, both good and bad, that have shaped their community to show that they are more than just a race. 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Nursing Care for Aged Patients-Free-Samples-Myassignmenthelp.com

Question: Discuss about the role of Community Nurse with aging in place. Answer: Introduction: The growing population of the aged citizens is mainly taking place as the result of the advancement of the medicine in the scientific researches. Different researches conducted over the years have helped the healthcare centers to treat many chronic ailments and cure people which were not imaginable even before a few decades back (Hume, Hume and Johnston 2016). This advancement had helped in the saving lives of the large number of patients and had given the scope of living a longer lives. However although the present mode of treatment had assured a longer life for the aged citizens, however the present methods of treatment had not become successful in providing a better quality life for the old patients. This is said so because, old patients although are provided care from chronic ailments like dementia, Parkinsons diseases, cancer, cardiovascular disease, age related loss of mobility and others but they tend to become self dependent as the factor of age often tends to take away the c apability of self independency (Stanley, Latimer and Atkinson, 2014). Hence, the quality of life that they experience in spite of ongoing successful treatment of modern mode of biopsychosocial care is not satisfactory. Therefore geriatric nurses working in not only community healthcare but also in other sectors have to take upon the responsibility of providing the best care so that they experience better quality lives. The present assignment will contain about the role of nurses in aged care and how do they perform effective practice in community and in home environments. Growing demand of services and geriatric nursing and roles: With the growing population of the old aged citizens, it has become important for every healthcare centers to appoint geriatric nurses working in the field of gerontology who would focus on the caring of old patients. This has become a high demand area as status show that 50% of the population who gets admitted to healthcare centers comprises of old patients only. Geriatric nurses are healthcare professionals who have the special type of clinical expertise to understand as well as treat many complex and mental health needs of older people (Robinson et al., 2014). Their main role is to help the patients protect not only their health but also help to cope with the changes in physical and mental abilities of the patients. This ultimately results the people to not only stay independent but also helps them to be active in every activities as long as possible. There are many older people who do not require hospitalizations but must be treated with proper medication, proper of special equip ments, changes in diet, daily exercises as well as other adaptations. Daily management of the ADLS of old age people often becomes difficult for them and hence the geriatric nurses have to provide assistance to the old age people in such a way so that they not only maintain their dignity and autonomy but also ensure that they completely do not make them dependent (Dwyer et al. 2017). Rather they have to ensure that they only provide assistance in such way so that the old age patients are encouraged to perform their activities and at least try to complete the daily chores by themselves. This is said so because complete dependency of the old patients on the nurses affects their physical mobility and gradually they become more dependent on nurses leading to development of different physical and mental barriers. Hence nurses should maintain the thin line between providing assistance in their ADL and making them completely dependent. The nurses should try to incorporate interventions tha t would make them independent and help them to be physically active to an extent which is possible for them (Jeon et al. 2015). Roles and responsibilities: Community nurses often help to design as well as explain different healthcare regimens to patients as well as their families. They mainly perform the function as case managers who successfully links families with community resources and can teach them how to provide care for their older family members. Some of the most important activities that the community nurses have to perform while working with the older citizens are assessing the patients mental status as well as cognitive skills and thinking powers (Bauer et al. 2013). They should understand the patients acute as well as chronic health issues and thereby discuss common health concerns which include falls, incontinence, sexual issues and the changing sleep patterns. Other responsibilities of the nurse would include organizing of medications and educating patients about personal safety as well as diseases preventions. The nurse should also perform proper explanation as well as the recommendation of the adjustments to the patient s medication regimen so that she can ensure that the patient remains adhered to the interventions. Another important activity of the nurse is to link the patient with local resources to meet the different necessities of his life marinating a better quality lifestyle (King et al. 2012). Nursing competencies in home: Researchers often suggest that geriatric nurses have to perform a number of responsibilities so that they can ensure that they are providing the best care to such old patients in their home as well as in different healthcare centers. They have to integrate advanced knowledge as well as experience in delivering safe as well as effective quality care to geriatric clients in their homes (Beatti et al. 2014). They should demonstrate competence in managing the health as well as health illness status in such a way so that the clients can enjoy autonomy as well as dignity in their life and also feel that they are respected, cared as well as loved by family members and the caregivers and nurses. Justice should also be practiced by the nurses ensuring that no cultural biasness and several religious and cultural beliefs do not get reflected in her practice and that she can provide care in the foundation of humanity without discriminating clients social class, ethnicity, cultural as well as rel igious beliefs. One of another responsibility of the nurses in community care as well as while working with clients at their home is proper monitoring and ensuring the quality health care for the clients by incorporating a proper understanding of the trends in aging in planning and providing primary healthcare for clients (Edvardson, Sandman and Borrell 2014). For this, it must be assured by the agencies and the healthcare centers that the nurses they provide in caring for the clients should be well accustomed and experienced in healthcare to old people. They should continuously increase their knowledge about the different new techniques, methods and principles introduced in geriatric care by different researchers of the world and practice evidence based care while providing care in homes as well as in the community centers. Besides, the agencies who appoint community nurses as well s the community care centers would also ensure that the caring professionals that they provide should demonstrate competencies as well as proper leadership in implementing the role of the nurse practitioner (Sims 2015). Moreover another very important role that they should also perform is the proper engagements in counseling, communication teaching as well as collaboration in a particular manner which will inevitable reflect caring, ethics, advocacy as well as professionals standards. Issues faced and procedure to overcome: A number of issues can be identified while providing care to geriatric patients in home environments. A nurse working as home care workers have to perform their role in widely dispersed settings which makes their work very solitary. The entire responsibility of patient whose mobility is decreased, mental health is affected or suffering from chronic ailments often creates a stress on the nurse practitioners and therefore they tend to get physically fatigued and suffer burn outs (Brownie and Nancarrow 2013). They become depressed while handling palliative care patients as they tend to get affected by the various ailments and the sufferings of the old age patients. Not only that, the number of old age nurses are quite less in comparison to the demands of the services and hence those who are in the profession often has to overwork or serve more than one patients at a time in community cares or can provide less efficient care in the homes. Therefore it is extremely important for the healt hcare sectors as well as the nations to take initiatives to conduct researches over the characteristics of the intended supportive home care environment so that an evidence based treatment with proper settings and resources can be provide to patients. Initiatives required to develop the modern day condition of geriatric nursing will involve conducting of case studies of highly effective community as well as home care programs. This would also include focus on the workforce issues (Edvardson et al. 2015). Proper number of nursing professionals with proper up to date training along with proper knowledge and education in models of delivery, articulation of staff roles, issues around management, coaching as well as nurturing. A growing body of quantitative and qualitative researches is to be conducted to point the various issues that nurses face while providing care to patients and how initiatives can be taken to overcome the issues. Conclusion: The growing urgency to provide service to the increasing population of old aged people has now been recognized by the nation as well as the healthcare sectors. Geriatric nurse shave to provide care which will not only respect the dignity as well as autonomy of the patient but will also ensure that justice is maintained by their practices. Their care should be evidence based which will include providing assistance with daily activities, develop medication and treatment plan, provide proper education to the family members and carers, and ensure competency in practices, management of symptoms and many others. Issues like shortage of nurses, overwork, pressure and fatigue, nurse burnouts, inappropriate availability of resources, improper house environment and others need to be overcome n order to ensure an uninterrupted evidence based care is provided. The cohorts that had dedicated their lives to the development of nation, family and friends deserve to be cared for in their times of cri sis and this responsibility need to be taken in by the nurses of geriatric nursing References: Bauer, M., McAuliffe, L., Nay, R. and Chenco, C., 2013. Sexuality in older adults: Effect of an education intervention on attitudes and beliefs of residential aged care staff.Educational Gerontology,39(2), pp.82-91. Beattie, E., O'reilly, M., Strange, E., Franklin, S. and Isenring, E., 2014. How much do residential aged care staff members know about the nutritional needs of residents?.International journal of older people nursing,9(1), pp.54-64. Brownie, S. and Nancarrow, S., 2013. Effects of person-centered care on residents and staff in aged-care facilities: a systematic review.Clinical interventions in Aging,8, p.1. Dwyer, T., Craswell, A., Rossi, D. and Holzberger, D., 2017. Evaluation of an aged care nurse practitioner service: quality of care within a residential aged care facility hospital avoidance service.BMC health services research,17(1), p.33. Edvardsson, D., Petersson, L., Sjogren, K., Lindkvist, M. and Sandman, P.O., 2014. Everyday activities for people with dementia in residential aged care: associations with person?centredness and quality of life.International journal of older people nursing,9(4), pp.269-276. Edvardsson, D., Sandman, P.O. and Borell, L., 2014. Implementing national guidelines for person-centered care of people with dementia in residential aged care: effects on perceived person-centeredness, staff strain, and stress of conscience.International Psychogeriatrics,26(07), pp.1171-1179. Hume, C., Hume, M. and Johnston, P., 2016. Creating Awareness and Practice: The ARCC@ T Framework for Knowledge Management in Aged Care Services.International Journal of Reliable and Quality E-Healthcare (IJRQEH),5(4), pp.1-14. Jeon, Y.H., Conway, J., Chenoweth, L., Weise, J., Thomas, T.H. and Williams, A., 2015. Validation of a clinical leadership qualities framework for managers in aged care: a Delphi study.Journal of clinical nursing,24(7-8), pp.999-1010. King, D., Mavromaras, K., He, B., Healy, J., Macaitis, K., Moskos, M., Smith, L. and Zhang, W., 2013. The aged care workforce 2012 final report.Canberra: Department of Health and Ageing. Robinson, A., Eccleston, C., Annear, M., Elliott, K.E., Andrews, S., Stirling, C., Ashby, M., Donohue, C., Banks, S., Toye, C. and McInerney, F., 2014. Who knows, who cares? Dementia knowledge among nurses, care workers, and family members of people living with dementia.Journal of palliative care,30(3), pp.158-165. Sims, W., 2015. Growth of specialities in aged care.Australian Ageing Agenda, (Sep/Oct 2015), p.50. Stanley, D., Latimer, K. and Atkinson, J., 2014. Perceptions of clinical leadership in an aged care residential facility in Perth, Western Australia.Health Care: Current Reviews, pp.1-8.