Monday, April 13, 2020
Al Mansoori Company
Introduction Al Mansoori is an Abu Dhabi based engineering company that offers oilfield services in the Middle East. It has 15 branches in the UAE region and more than 800 employees from different backgrounds. This company believes that its certification was motivated by its professional staff and high quality services that enabled it to have a fully-integrated HSEQ management system. This discussion presents the values, ideas and culture of Al Mansoori that make it stand out amongst its peers.Advertising We will write a custom essay sample on Al Mansoori Company specifically for you for only $16.05 $11/page Learn More Values The staffs of Al Mansoori believes that quality standards in terms of health, safety and environment cannot be compromised, and they work hard to ensure their practices, services and products reflect the need to ensure there is security of staff, clients, property and the environment. They believe that integrity, strong ethical valu es, transparency and commitment to serve are the driving forces that help this organisation to maintain a strong and unique culture. Moreover, it values its employees as the most important aspect that determines its future. In addition, its values highlight the need for respect, fairness, trust and dignity as important issues that promote teamwork and coordination amongst its employees. These values ensure this company uses modern technology that does not have negative impacts on the environment. In addition, Al Mansoori ensures its procedures respect human dignity and do not violate the regulations of any country that allows it to establish a branch within its territory. These values are important in distinguishing the culture and operation of this company from others. Ideas This company is promoting ideas that will help others to increase their profits and improve their performance by respecting their employees and ensuring that they are treated properly. The need to ensure that a ll employees are respected regardless of their positions in this company makes them happy and comfortable in their places of work. This company believes that these people are important in determining the success of its activities. Therefore, it places their dignity first and ensures that nobody is unhappy at his or her place of work.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More In addition, it emphasises on the need to observe security standards to ensure employees are safe. This is an important requirement in the engineering industry and helps employees to be safe in offices and on the fields. An outstanding aspect about Al Mansoori is that it emphasises the need to have quality health, safety and environmental standards. It uses environment-friendly practices that ensure its engineering activities promote and sustain natural life. It advocates for excellence in practices, performance a nd operations of companies to ensure they meet their targets. The video claims that the employees of this company are motivated to work hard because they are passionate and enthusiastic about their responsibilities. They are committed to instill professional values, offer quality services to customers and develop careers and talents. This shows that this company does not only focus on its objectives to generate profits but also on the need to equip employees with the skills and knowledge that are important in offering quality services and boosting personal development. The managers argue that team work and positive work spirit are nurtured through mutual trust, respect for workerââ¬â¢s dignity, respect and fairness in the distribution of responsibilities, allowances and other privileges to employees. Culture The culture of this organisation is complicated because it does not follow a specific description. This company has the characteristics of most of Geert Hofstedeââ¬â¢s cla ssifications of culture in the following ways. First, the goal of every investment is to make profits and use appropriate means to do so. This firm has a means-oriented culture (Hofstedeââ¬â¢s Means-oriented versus Goal-Oriented and Employee versus Work Oriented) that ensures the practices and conditions of its employees, products and services respect the need to observe quality standards. This promotes employee, property and environmental safety measures and highlights the need to put first the interests of its stakeholders before it concentrates on making profits. Secondly, its culture outlines a strict work discipline that ensures employees respect and trust each other (Easygoing versus Strict Work Discipline). In addition, the company has fair and dignified procedures for managing the affairs of its employees and expects them to follow suit.Advertising We will write a custom essay sample on Al Mansoori Company specifically for you for only $16.05 $11/page Learn More Moreover, it ensures that its employees follow its rules regarding their relations, productivity, professionalism and commitment to work. This means that they are driven by the rules of this organisation to ensure they perform their duties according to the standards set by their employers. On the other hand, the company ensures that its workers, processes and products abide by the rules of the land where it operates. Therefore, the culture of this company is influenced by both internal and external forces. Therefore, the culture of this organisation is healthy because it gives employees equal opportunities to use their skills and experiences to improve its performance. It treats its employees fairly to ensure their welfare is protected. Open communication enables its leadership to be strong and influential in the activities of this company. This culture ensures there is a healthy and professional relationship between the company, its employees and other stakehol ders. This essay on Al Mansoori Company was written and submitted by user Tristin T. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.
Wednesday, March 11, 2020
1812
1812 Much debate has gone on to determine the grounds for the War of 1812. Through historical evidence and insight it is easy to see that the fight for neutral rights was the cause of the War of 1812. The seizures of American ships and impressments of the American people violated international law. The Indian attack on America gave the American people reason to believe that the British had been a part of breaking the United States Neutrality Laws. American people also preferred war to being controlled by Great Britain.British impressments and seizing of American sailors and ships had made Madison furious, and he intended to do something about it. Madison did not want to go into a war though; he wanted to preserve the neutrality. "The United States have in vain exhausted remonstrations and expostulations"Ã ¦without effect,"Ã said Madison in his war message to congress. Madison tried many different embargos, but nothing worked.The original treaty of the Louisiana Purchase
Monday, February 24, 2020
Power and Politics Coursework Example | Topics and Well Written Essays - 250 words
Power and Politics - Coursework Example Some of these categories of power are applicable to President Obama. To start with is the legitimate power. The American people accept the fact that their president can make demands and those demands be met in accordance with the applicable law. Compliance by both Americans and non-Americas is expected when such demands are made. Obedience and law observance characterize this base of power. Obamaââ¬â¢s leadership is highly regarded a superior skill, characterized by superior knowledge (Stewart & Haugaard, 2012, p.703). This grants Obama power based on his expertise. His respect by the American people has constituted to the Presidentââ¬â¢s power in governance and leadership, especially due to his efforts to reform the U.S healthcare system. President Obamaââ¬â¢s capacity to punish for noncompliance gives him coercive power. The president can impose punishments or bans to an observed scenario or phenomenon that jeopardizes his governance and
Friday, February 7, 2020
Religion - Religious Violence Research Paper Example | Topics and Well Written Essays - 1750 words
Religion - Religious Violence - Research Paper Example Bush against Muslim extremists (particularly in Afghanistan and Iraq), Islam has received a bashing from many Christian communities. For example in 2010, a Florida pastor attempted to burn copies of Koran as a sign of protest against the establishment of an Islamic center near Ground Zero (Cave and Barnard). Meanwhile, early this year, U.S. service members in Afghanistan burned copies of the Muslim holy books which has led to the attack of at least six U.S. military personnel (Sieff). With the refusal of the United States to recall its forces in Islamic territories and the countless complaints against human rights violation in Saudi Arabia, it is no longer a wonder why Islam is the first thing that comes to mind when one talks about religious violence. But history shows that religious violence is not isolated among Muslims, it can also happen among Christians. In this article, the author attempts to show that religious violence is mainly a Western concept. Instead of religion promoti ng the acts of aggression, violence done because of religion is a manifestation of a bigger issue that involves a power struggle and a misunderstanding among various world traditions. The idea that religion causes violence is prevalent in the West. This view is best explained by Christopher Hitchensââ¬â¢ book God is Not Great: How Religion Poisons Everything. In his work, Hitchens criticizes the major world traditions of Christianity, Islam, Buddhism, Judaism, Confucianism and Hinduism because of the violence these religions promote. He says totalitarianism is like religion because it aims for perfection, hence even the atheist regimes of Stalin and Kim Jong-Il may be classified as a religious impulse. Of religion he says: [It] is man-made. Even the men who made it cannot agree on what their prophets or redeemers or gurus actually said or did. Still less they can hope to tell us the ââ¬Å"meaningâ⬠of later discoveries and developments which wereâ⬠¦either obstructed by their religion or denounced by them. And yet -- the believers still claim to know! Not just to know, but to know everything. Not just know that god exists, and that he created and supervised the whole enterprise, but also to know what ââ¬Å"heâ⬠demands of us. (Hitchens 10) Hitchensââ¬â¢ words are common among individuals rallying against fundamentalism and dogmatism in religion. He says that religion is violent, as proven by the violence found in the Bible (the crucifixion of Christ, the throwing of stones to punish an erring woman, etc.) and the Koran (war among the different tribes, etc.). Using this same logic, Hitchens claims that Martin Luther King Jr. was not a religious personality because he was non-violent. Religion poisons everything because it leads people to become irrational ââ¬â because it poses an absolute truth despite the reality that imperfect human beings interpreted such absolute truths. Hitchensââ¬â¢ claims were supported by another article from Psychology Today which says that ââ¬Å"disagreement [between religions] have little to do with the existence of God, but everything to do with claims of communication with ââ¬ËHimââ¬â¢, of whose holy books contain ââ¬Ëaccurateââ¬â¢ divine revelationâ⬠(Niose). For both Christian Hitchens and David Niose, the affairs of man has contributed to the aggression between different cultures. The irrationality that pervades ââ¬Å"religiousâ⬠debate hinder individuals from seeing the negative effects of their actions. Religious violence may be rooted with manââ¬â¢s constant need to be affirmed, and perhaps also due to the fame and fortune that comes with being correct. Having said that, we may now come to William T. Cavanaugh who says that
Wednesday, January 29, 2020
Chemical and Physical Properties Essay Example for Free
Chemical and Physical Properties Essay Observe the solubility in hot water. c. Tear off approximately 1/2-cm pieces of both red and blue litmus paper. d. Allow the solution to cool, and using the glass stirring rod, transfer a drop of the solution onto a piece of litmus paper. Record the results. Clean the stirring rod. 5. Third test tube: a. Add a few pipet drops of HCl (hydrochloric acid) to the sample and stir. NOTE: Use the test tube holderclamp as some reactions are exothermic, i. e. the test tube may get very hot. Record any apparent reaction or solubility. Clean the stirring rod. 6. Fourth test tube: Add a few pipet drops of NaOH (sodium hydroxide) to the sample. Stir. Record any apparent reaction or solubility. Clean the stirring rod. 7. Thoroughly clean and dry all 4 test tubes. Repeat Steps 2 though 6 with the next substance. Experimental Results Substance: Zn Color: Grey Odor: None Effect of Heat: decreases content curled in with lighter color Solub. Or Reaction w/cold H20: No reaction observed / not soluble Solub. Or Reaction w/ hot H20: Prolonged boiling from retained heat/ non soluble Litmus test: None observed Dilute HCI: positive reaction resulting in the formation of gas, carbonation, and darkened Dilute NaOH: creates foggy substance and blackens solid Substance: Cu Color: Copper Odor: None noted Effect of Heat: Turned black Solub. Or Reaction w/cold H20: not soluble Solub. Or Reaction w/ hot H20: not soluble Litmus test: None observed Dilute HCI: tarnished not observed Dilute NaOH: none observed Substance: Mg Color: Silver Odor: None observed Effect of Heat: increases in dullness Solub. Or Reaction w/cold H20: no reaction observed/ non soluble Solub. Or Reaction w/ hot H20: increased heat / non soluble Litmus test: no change Dilute HCI: rapid boiling and heat Dilute NaOH: liquid is cloudy Substance: MgO Color: White Odor: None observed Effect of Heat: none observed Solub. Or Reaction w/cold H20: Soluble Solub. Or Reaction w/ hot H20: Soluble Litmus test: Red paper turned blue / blue no reaction Dilute HCI: Carbonated Soluble Dilute NaOH: Dense Soluble Substance: CuC03 Color: Green Odor: pungent Effect of Heat: turned black Solub. Or Reaction w/cold H20: slightly murky, but does not appear soluble Solub. Or Reaction w/ hot H20: slightly murky, but none soluble Litmus test: changes blue to red showing slight acidity Dilute HCI: carbonation and soluble Dilute NaOH: turns blue w/ slight soluble Substance: Cu(NO3)2 Color: Blue crystals Odor: slight odor Effect of Heat: melted and turned green Solub. Or Reaction w/cold H20: turned water blue and is soluble Solub. Or Reaction w/ hot H20: no change observed from the cool water and is soluble Litmus test: blue litmus turned to red for acid Dilute HCI: turned green Dilute NaOH: soluble formed Substance: NaCl Color: white crystals Odor: none observed Effect of Heat: none noted Solub. Or Reaction w/cold H20: becomes slightly soluble Solub. Or Reaction w/ hot H20: fully soluble Litmus test: red turns to blue indicating that itââ¬â¢s basic Dilute HCI: none observed Dilute NaOH: none observed QUESTIONS: A Did you observe any chemical changes in this experiment? Chemical changes are observed during the experiment B What evidence did you use to decide that something was a chemical change? Indications of chemical changes were preceded by the burning, rusting, ermenting, and decomposing of the substances. As a result, a new substance will have its own unique physical properties C Give at least two examples of chemical changes you observed. Adding colorless sodium hydroxide to blue copper(II) nitrate produces a light blue precipitate Zinc diluted with Hydrogen Chloride is positive for a chemical reaction resulting in the formation of gas, carbonation, and darkened D Classify the following p roperties of sodium metal as physical or chemical: Silver metallic color ââ¬â physical Turns gray in air ââ¬â chemical Melts at 98oC physical Reacts explosively with chlorine chemical E Classify the following changes as physical or chemical: Water freezes at OoC ââ¬â physcical change Baking soda when combined with vinegar produces bubbles:- chemical change Mothballs gradually disappear at room temperature ââ¬â physical change Ice cubes in a freezer get smaller with time ââ¬â physical change Baking soda loses mass as it is heated ââ¬â physical chemical Tarnishing of silver ââ¬â chemical change F How would you show that dissolving table salt is a physical change? A physical change will not change the composition of a substance. When adding water to a salt, the ions of table salt are hydrated with water molecules which reduced the strong electrostatic forces of the ions. To return salt to the original state, simply remove the hydrated water molecules by boiling the table salt. Conclusions: In a chemical change one or more new substances are formed. The new substance has its own unique identity which is different from the original. It has properties that are different than those of the starting material; in addition, the original materials is not able to be reproduced by physical means.
Tuesday, January 21, 2020
Vietnam: The Mixture of Protests and Politics Essay -- essays research
à à à à à The United States was unjustified in its involvement in the Vietnam War because, in my opinion, the U.S had little justification to sacrifice thousands of innocent youths for political ideals. It was the longest and most unpopular war in which the United States fought. Many Americans on the home front protested their governmentââ¬â¢s involvement in the war. Many young Americans felt that there was no reason to fight for a cause they did not believe in, especially in such a strange foreign country. The civil rights movement also strongly influenced many of the war protests. This was because such a large percentage of minority soldiers sent over to fight were being unfairly treated. The African American soldiers were being ordered to the frontlines more often than white soldiers were. à à à à à Another vigorously protested topics of the Vietnam War was Conscription. Most of two million soldiers who fought in the war were chosen through the Selective Service program. The draft policy has been an imprint of America the Civil War. This policy has been used in every major United States war since. Young adult males were required to register for the draft when they turned eighteen years old. A lottery system decided who would be called to combat. If selected for the draft, the draftee had to serve 24 months of active duty. During the Vietnam War, the hostility Americans felt towards the draft erupted and caused major protests across the nation. à à à à à They are where many ways people protested the draft. Some eligible draft members avoided the draft by leaving the country for Canada, Sweden, and a number of other countries. Other men protested by publicly burning their draft cards. à à à à à Lyndon B. Johnson won the presidential election on November 1, 1964. Despite the tension between the ââ¬Å"Dovesâ⬠and the ââ¬Å"Hawksâ⬠, president Lyndon B. Johnson stood by his policy of slow escalation. As he began his term in office in 1965, he was confident that his programs to better the nation would be established despite that ââ¬Å"nagging little war in Vietnamâ⬠# as News Week reported it. à à à à à Protests have long been a way for people to display their difference in opinion and gain support. One of the many protests against the war that had a powerful effect on public opini... ...been involved in because it was against an unknown enemy in an unknown territory. The consequences of the war far exceed the benefits. The citizens during that period of time would definitely agree. The war caused a severe decrease in the countries moral. Many people no longer trusted the government and grew extremely skeptical of its actions. The recession soon after the war did not help in boosting the spirit of the country. The Vietnam war also exposed many of the United Statesââ¬Ë weaknesses. It showed that our government had planned poorly. It also showed that it was possible to resist the United States as a mass. There is a major difference between one disagreeing voice and a vast number of them. In the end the United States had devastating losses socially and economically. Protests and politics will always go hand in hand when the ââ¬Å"sheepâ⬠disagree with the ââ¬Å"herderââ¬Å". Bibliography: - Nhu Tang, Truong. 1985. A Vietcong Memoir. New York: Harcourt Brace Jovanovich, Publishers - Dougan C. & Lipsman S. 1984 The Vietnam Experience: A Nation Divided. Boston: Boston Publishing - McDougal Littell. 2003 World History. United States of America - http://www.pbs.org/
Monday, January 13, 2020
Patient Safety in Rural Nursing Because of Nursing Shortage Essay
The United States is in the midst of a nursing shortage that is being increasingly discussed in the context of declining healthcare facilities in the nation. Over 1 in 7 hospitals (15%) report a severe RN nursing shortage with more than 20% of their nursing positions vacant and 80%-85% of hospitals report that they have a nurse shortage This shortage is predicted to intensify over the next decade or two as nurses belonging to the generation of baby boomers retire. The Nursing Management Aging Workforce Survey released in July 2006 by the Bernard Hodes Group reveals that 55% of surveyed nurses and nurse managers reported their intention to retire between 2011 and 2020 (AACN, 2006). In April 2006, officials with the Health Resources and Services Administration (HRSA) released projections that the nationââ¬â¢s nursing shortage would grow to more than one million nurses by the year 2020 (HRSA, 2003). Nursing colleges and universities are struggling to expand enrollment levels. In the report titled ââ¬Å"What is Behind HRSAââ¬â¢s Projected Supply, Demand, and Shortage of Registered Nurses? â⬠analysts show that all 50 states will experience a shortage of nurses to varying degrees by the year 2015 (AACN, 2006). Factors driving the growth in demand for nurses include: an 18 % increase in the population; a larger proportion of elderly persons requiring proportionally higher levels of medical care; advances in medical technology that heighten the need for nurses; an increase in the number of work settings for nurses and demographic changes in an increasing U.à S. population (HRSA, 2003). Factors that are causing a decrease in the supply of nurses are: the declining number of nursing school enrollees, graduates and faculty; the aging of the registered nurse workforce; work environment issues leading to job burnout and dissatisfaction; high nurse turnover and vacancy rates; and declines in relative earnings (HRSA, 2003). Due to this critical imbalance between the supply and demand of nurses, the United States is today facing a nursing shortage crisis. Nursing shortage in rural settings: Research shows that nursing shortage as defined by the federal government exists mainly in rural areas of the country that are far away from metropolitan areas. These areas suffer more from nursing shortage than urban areas due to lack of economic resources to compete with urban based employers, inadequate training for nurses to practice in rural settings and dependence on non-hospital care settings in the rural areas. According to a paper published by the National Clearinghouse for Frontier Communities, ââ¬Å"Impacts and Innovations in Frontier Americaâ⬠(December 2004), nurse shortages in frontier and rural communities derive not only from the current national shortage of nurses but also a long-standing trend favoring rural-to-urban migration of the educated, skilled workforce. There is also the issue of money. When examined by rurality, LPNs in rural settings ($21,941) report an income 23% lower than that reported by LPNs in urban settings ($28,408) (NCSBN, 2006). A large number of rural communities are losing existing employment and education opportunities and the paper suggests that the community context of a nurse shortage can be addressed only through community-based development approaches as well as the crafting of healthy rural policies. The Robert Wood Johnson Foundation published a report titled ââ¬Å"The American Nursing Shortageâ⬠with the help of its researchers Bobbi Kimball and Edward Oââ¬â¢Neil. According to this report, even when some people feel a calling for the professions such as nursing, they are deterred by certain dimensions of the lifestyle, such as low pay, compulsory mobility and the need for service in rural areas. Available data and literature suggest that the impact of the nursing shortage on rural and frontier communities varies greatly from community to community. IN some rural places, there is no difficulty in filling vacancies but there may be just a few good paying jobs. However, in most rural areas, recruiting for openings is estimated to take about 60 percent longer to fill than in urban areas (Long 2000). Nurse employers receive many applications but often find applicants do not meet desired qualifications and then, they often have to accept lower qualifications to fill positions. Differences in education between frontier and non-frontier nurses exist both in their basic nursing education and the highest degree earned (FEC, 2003). Fully half of frontier nurses had qualified as RNs through associate degree (ADN) programs, in comparison with 40% of the non-frontier nurses; in contrast, non-frontier nurses were more likely to have attended diploma or BSN programs. Differences remain when looking at highest degree received; 44% of frontier nursesââ¬â¢ highest degree is the ADN, in contrast with 34% of the non-frontier nurses. And, while the percentage of nurses who have earned a bachelors degree is slightly lower among frontier nurses (30% frontier, 33% non-frontier), the percentage who has earned masters degrees is also lower among frontier (7% frontier compared with 10% non-frontier) (FEC, 2003). At Prairie Vista Nursing Home in Holyoke, Colorado, a town of about 1,900 people about 130 miles northeast of Denver, administrators reportedly had to work double shifts to cover shifts after a nurse retired. Recruiting nurses to work in rural areas is difficult to begin with; and, when urban-trained nurses enter rural practice, they often find they are ill-prepared for the demands of the job, contributing to job dissatisfaction and turnover. Once there, they typically find it difficult to access continuing education opportunities that fit their needs. ââ¬Å"When educators bring their knowledge to us, they often do not realize that we practice differently than urban centers doâ⬠(rural nurse, quoted in Molinari 2001). In the rural setting, nurses typically fill multiple roles. There is a need for a broad range of skills and cross training in multiple jobs. ââ¬Å"Rural nursing requires a high level of generalist skills and critical thinkingâ⬠(Fahs, Findholt et al. 2003). Another issue is that the ethnic composition of the rural nurse workforce does not correspond with the population it serves. The ANA Rural Nursing module identifies five factors that affect rural nursing practice: threats to anonymity and confidentiality; traditional gender roles; geographic isolation; professional isolation; and scarce resources (Bushy 2004). Patient safety for nursing shortage in rural settings: Surveys and studies published recently confirm that the shortage of registered nurses is impacting the delivery of health care in the U. S. and negatively affecting patient outcomes. Research now shows that how well patients are cared for by nurses affects their health, and sometimes can be a matter of life or death. These studies have found that (HRSA, 2003): â⬠¢ A total of 53% of physicians and 65% of the public cited the shortage of nurses as a leading cause of medical errors (Harvard School of Public Health, 2002,); A higher proportion of nursing care and a greater number of hours of care by nurses per day are associated with better outcomes for hospitalized patients (Needleman et al. , 2002); â⬠¢ Nursing actions, such as ongoing monitoring of patientââ¬â¢s health status, are directly related to better health outcomes (Kahn et al. , 1990) ; â⬠¢ 126,000 nurses are needed immediately to fill vacancies at our Nationââ¬â¢s hospitals. Today, 75% of all hospital vacancies are for nurses (American Organization of Nurse Executives, 2002); Low nurse staffing levels have contributed to 24% of unanticipated events in hospitals that resulted in death, injury or permanent loss of function (Joint Commission of Accreditation of Healthcare Organizations, 2002); â⬠¢ Patients who have common surgeries in hospitals with low nurse-to-patient ratios have an up to 31% increased chance of dying. Every additional patient in an average hospital nurseââ¬â¢s workload increased the risk of death in surgical patients by 7% (Aiken et. al. , 2002); Low nursing staff levels were a contributing factor in 24% of hospitalsââ¬â¢ reports of patient deaths and injuries since 1996 (Joint Commission of Accreditation of Healthcare Organizations, 2002); â⬠¢ Less nursing time provided to patients is associated with higher rates of infection, gastrointestinal bleeding, pneumonia, cardiac arrest, and death from these and other causes (Needleman et al. , 2002); and â⬠¢ Nurse executives surveyed indicated that staffing shortages are contributing to emergency department overcrowding and the need to close beds (American Organization of Nurse Executives, 2002). The Joint Commission on Accreditation of Healthcare Organizations, 2002 has issued a warning that failure to address the problem of nursing shortage in rural areas will result in increased deaths, complications, lengths-of-stay and other undesirable patient outcomes. JCAHO examined 1,609 hospital reports of patient deaths and injuries since 1996 and found that low nursing staff levels were a contributing factor in 24% of the cases (Joint Commission on Accreditation of Healthcare Organizations, 2002). New research indicates that a shortage of registered nurses prepared at the baccalaureate and higher degree level is endangering patients. In an article in the September 24, 2003 issue of the Journal of the American Medical Association, Dr. Linda Aiken and her colleagues at the University of Pennsylvania found that patients experience significantly lower mortality and failure to rescue rates in hospitals where more baccalaureate-prepared nurses provide direct patient care. At least 1,700 preventable deaths could have been realized in Pennsylvania hospitals alone if baccalaureate-prepared nurses had comprised 60% of the nursing staff and the nurse-to-patient ratios had been set at 1 to 4. Unfortunately, only 11% of PA hospitals have more than 50% of the nursing staff prepared at the baccalaureate level ( Institute of Medicine, 2003). A survey titled ââ¬Å"Views of Practicing Physicians and the Public on Medical Errorsâ⬠, conducted by the Harvard School of Public Health and the Henry J. Kaiser Family Foundation reported in the December 12, 2002 issue of the New England Journal of Medicine found that 53% of physicians and 65% of the public cited the shortage of nurses as a leading cause of medical errors. Overall, 42% of the public and more than a third of U. S. octors reported that they or their family members have experienced medical errors in the course of receiving medical care (AACN, 2006). Nurse researchers at the University of Pennsylvania determined that patients who have common surgeries in hospitals with high nurse-to-patient ratios have an up to 31% increased chance of dying. Funded by the National Institute for Nursing Research, the study found that every additional patient in an average hospital nurseââ¬â¢s workload increased the risk of death in surgical patients by 7% (AACN, 2006). According to an extensive study by Dr.à Jack Needleman and Peter Buerhas, published in the New England Journal of Medicine in May 2002, a higher proportion of nursing care provided by RNs and a greater number of hours of care by RNs per day are associated with better outcomes for hospitalized patients (AACN, 2006). Conclusion: Available data and literature suggest that the issue of nurse shortage is a national one. Yet, the impact of nurse shortage is better seen in the rural areas where nurses are not well paid, existing nurses are not well qualified and patients are dependent on local medical facilities. Because most frontier and rural communities are distant from hospitals, residents may rely on non-hospital based care settings for a greater proportion of their care than their urban counterparts. Due to these reasons, nurse shortage in rural areas has endangered patient safety. Nurses are the primary source of care and support in the health care sector and hence, a sufficient supply of nurses is critical in providing the national and especially the rural population with quality health care. Nurses are expected to play an even larger role in the future.
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