Reflect on my roles as student in the university based on Gibbs theory Essay

1.1 Introduction: Reflective practice is â€Å"the capacity to reflect on action so as to engage in a process of continuous learning†, which, according to the originator of the term, is â€Å"one of the defining characteristics of professional practice†, Schà ¶n, D. (1983) Reflective practice can be an important tool in practice-based professional learning settings where individuals learning from their own professional experiences, rather than from formal teaching or knowledge transfer, may be the most important source of personal professional development and improvement. I am going to reflect on my roles as student In the university, The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Graham Gibbs discussed the use of structured debriefing to facilitate the reflection involved in Kolb’s â€Å"experiential learning cycle†. He presents the stages of a full structured debriefing as follows: (Initial experience) Description: â€Å"What happened? Don’t make judgments yet or try to draw conclusions; simply describe.† Feelings: â€Å"What were your reactions and feelings? Again don’t move on to analysing these yet.† Evaluation: â€Å"What was good or bad about the experience? Make value judgements.† Analysis: â€Å"What sense can you make of the situation? Bring in ideas from outside the experience to help you.† â€Å"What was really going on?† â€Å"Were different people’s experiences similar or different in important ways?† Conclusions (general): â€Å"What can be concluded, in a general sense, from these experiences and the analyses you have undertaken?† Conclusions (specific): â€Å"What can be concluded about your own specific, unique, personal situation or way of working?† Personal action plans: â€Å"What are you going to do differently in this type of situation next time?† â€Å"What steps are you going to take on the basis of what you have learnt?† Gibbs, G. (1998), Gibbs, G. (2001). Gibbs’ suggestions are often cited as Gibbs’ reflective cycle or Gibbs’ model of reflection (1988), and simplified into the following six distinct stages: Description 1.2 Why is reflective practice so important? Reflective practice is important for everyone – and nurses in particular – for a number of reasons. First, nurses are responsible for providing care to the best of their ability to patients and their families . They need to focus on their knowledge, skills and behaviour to ensure that they are able to meet the demands made on them by this commitment. Second, reflective practice is part of the requirement for nurses constantly to update professional skills. Keeping a portfolio offers considerable opportunity for reflection on ongoing development. Annual reviews enable nurses to identify strengths and areas of opportunity for future development. Third, nurses should consider the ways in which they interact and communicate with their colleagues. The profession depends on a culture of mutual support. Nurses should aim to become self-aware, self-directing and in touch with their environment . They can only achieve this goal if they make full use of opportunities to gain feedback on their impact on patients, patients’ families, their colleagues and the organization as a whole. Gaining this feedback involves using complex skills in detecting patterns, making connections, and making appropriate choices. Reflective practice enables nurses to develop their skills, increase their knowledge, and deal with emotionally challenging situations. Developing my reflective practice early on in your education will pay dividends on every clinical placement I undertake, building a strong foundation for a successful career in nursing. Developing reflective practice involves asking myself what worked, what didn’t, and what you would change for a better outcome in a particular situation. By effectively assessing my own and other’s practice, I will gain new skills and knowledge as a nurse. A vital part of the reflective process is to plan for changes in your behavior. One way to tackle this is to adopt the creative thinking strategy devised by Walt Disney. He had three stages to his strategy, based on different characters, each of which surfaced at appropriate points in the process of creating new projects. These three characters were: The Dreamer. This character looks towards ideas for the future. The main focus is on how the imagined future feels and looks. In this phase, people say: ‘I wish†¦ What if†¦? Just imagine if†¦Ã¢â‚¬â„¢ The Realist. This character is action-oriented, looking at how the dream can be turned into a practical, workable plan or project given the existing constraints and realities. The realist weighs up all the possibilities, asking: ‘How can I†¦? Have I enough time to†¦?’ The Critic. This character is very logical and looks for the whys and why nots to a given situation. The critic evaluates the plan, looking for potential problems and missing links, and says: ‘That’s not going to work because†¦ What happens when†¦?’ Effective planning of personal learning requires a synthesis of these different processes. The dreamer is needed in order to form new ideas and goals. The realist is necessary as a means of transforming these ideas into concrete expressions. The critic is necessary as a filter for refining ideas and avoiding possible problems 2.1 reflect on my roles as student in the university based on Gibbs theory: First stage of Gibbs (1988) model of reflection requires a description of my roles as student: Only one week before coming to Malaysia my husband and I celebrated our wedding. A wedding transforms both men and women. For whatever reason, spouses begin to talk each other for granted. It is probably because they know that will be together until death do us part. I really believe that even great marriages have terrible years, so bad that you are just tempted to give up. And do not. Hold on. There will come a time when you will look back on this moment as the prelude to something fuller and richer than you have ever experienced (from the movie â€Å"hope springs†) A relationship is like a house. When a light bulb burns out, you do not go out and buy a new house, you change the light bulb. It was very difficult for both of us (my husband and I) to start our marriage life in foreign country without any family support, learning and studying English with a lot of changes in our roles. I am now going to enter into the second stage of Gibbs (1988) model of reflection, which is a discussion about my thoughts and feelings: As student in university I should try to respects the safety and well-being of other people in the learning experience, recognizing my knowledge, skills and abilities, limits of responsibilities, legislative authority and supervision requirements. Understanding and clarifying my roles. Use clear, accurate and effective communication skill in professional interactions, identifying my needs as student, I should try to identify my responsibility and try to improve my ability and quality of my objectives. Becomes familiar with and follows the agency’s policies, procedures and principles. On top of these I should try to cope myself with the new situation as student how live in the multicultural country with different cultures, languages, foods, climate condition, even driving direction and roles. My mother tongue is Persian then Kurdish, the educational system in Iran is very different with here for example most of the time we study Persian text, for the first time it was very difficult for me to study the English text. Evaluation is the third stage of Gibbs (1988) model of reflection and requires the reflector to with state what was good and bad about the event. By living in Malaysia I can choose more suitable education methods for myself because there are more options. The course and teaching methods are quite different from my country. Secondly, I can improve my foreign language furthermore I can contact with others. Thirdly, it helps me to promote the mutual understanding of between my mother land and other destination countries. It gives me this opportunity to exchange information with the locals. I can get better understanding of the destination countries. Similarly, the locals also can get more clear recognition about other countries. On the other hand Believing in certain values and traditions when you are in a country which has the opposite ideals, can sometimes cause stress. Being far from my country and families, trying to cope with the climate and geographical area, trying the new foods and tastes, having allergy to some of foods and products, learning English and try to communicate with other people with English language, high cost of living and studying are the most difficulties of studying in Malaysia. Stage four of Gibbs (1988) is an analysis of the event, where Gibbs encourages the reflector to make sense of the situation. When I first time came to Malaysia I have experienced the cultural shock. Just as it took time to adjust to a different culture when I arrived here. I experience these kinds of symptoms: Restlessness The coping skills and strategies that were successful help me to adjust to my host culture are: Get involved Identify a support group of other study abroad students Suspend judgment until you understand a situation Always, always keep a sense of humor Because of different in geographical area the air pressure in Malaysia is lower than Iran thus the amount of oxygen is lower. Because of these matters After 2 days of arriving to Malaysia I had a severe headache and I was extremely sleepy I try to visit a doctor, she recommend me to do regular exercise. In conclusion, stage five of the Gibbs (1988) model, I really glad to have this chance to study in Malaysia and especially in university of Malaya, gaining an incredible experience and having international friends are the most important things which I have acquired by studying in Malaysia. By living in multicultural society I have this chance to expose to other cultures and learn about them. This leads to respect to other people and adapt to each other. I learn how to improve my talents and passions. I learn to develop tolerance for everything and eventually acceptance. In general being a student in university of Malaysia help me to balance myself and cope myself with my new roles as a wife and students in the university. 3.1 Conclusion In conclusion my reflection skills have developed through the production of this assignment. Using a model of reflection has helped me to structure my thoughts and feelings appropriately. My level of awareness concerning evidence based practice, and its importance, has been enhanced with the use of critical reflection. My competence has been further developed and I now feel that my personal and professional development is progressing. Using this reflective model has helped me to realize that my learning is something which I must be proactive in. Furthermore as a student nurse I have recognized that reflection is an important learning tool in practice. I realized that Reflective practice is the process of developing new Insights through self awareness and critical reflection upon experiences both in the moment and from past experiences. Reflection is a remarkable learning tool, research methodology, and leadership strategy to gain clarity of inner beliefs and enhance the art of being present in the moment. References: Gibbs, G. (2001). Learning by Doing: A Guide to Teaching and Learning Methods [monograph online]. Reproduced by the Geography Discipline Network. Gibbs, G. (1988) Learning by doing: A guide to teaching and learning methods, Oxford Centre for Staff and Learning Development, Oxford Polytechnic. London: Further Education Unit. ISBN 1-85338-071-7. Section 4.3.5 Schà ¶n, D. (1983) The Reflective Practitioner, How Professionals Think In Action, Basic Books. ISBN 0-465-06878-2.a

Cost Classifications

Cost Classifications Consult Ch. 6 & 7 of Health Care Finance and other sources to complete the form. This worksheet requires you to match the definitions and examples of types of cost, and the types of centers where costs occur. Part 1: For each term in Column A, select the correct definition from Column B on the right. Write the corresponding letter of the definition next to the term. Column A f 1. Indirect costs a 2. Direct costs d 3. Fixed costs i e h b c g 4. Variable costs 5. Step-fixed costs 6. Responsibility centers 7. Revenue centers 8. Cost centers . Shadow cost centers Column B – Definitions A. Costs incurred directly as a result of providing a specific service or good B. Centers charged with controlling costs and generate revenue C. Have no revenue budget and no obligation to earn revenue D. Costs that do not vary as service volume varies E. Fixed over some range of service volume, but rise to a new level for a higher range of service volume F. Costs that cannot be tied directly to the patient’s stay in the bed G. Exist as budgets on paper only H. The places where costs occur and have budgets I. Costs that change as volume changes Part II: For each real-world example, select the correct term from the list on the left. Write the corresponding letter of the real-world example next to the term. Column A m 1. Indirect costs q 2. Direct costs p 3. Fixed costs n r j o l k 4. Variable costs 5. Step-fixed costs 6. Responsibility centers 7. Revenue centers 8. Cost centers 9. Shadow cost centers Column B – Real-World Examples J. A subunit of a larger organization that is responsible for some type of budget, such as the payroll department or courier service K. Shares of depreciation, administration division, or laundry service L. Administration, human resources, or housekeeping M. Utility bill, supplies, or maintenance N. Nursing care, food consumed, drugs administered O. Hospital cafeteria, gift shop, or parking ramp P. Depreciation of hospital equipment Q. Building loan payment, building insurance, or cable or internet service R. The nurse-to-patient ratio on the cardiac unit is one to three patients. There are four nurses scheduled for 12 patients. During the second shift, three more patients are admitted. The nurse manager calls in a fifth nurse. Part III: Select two choices from Part II and explain why they meet that cost classification. # 7 Revenue centers. I chose hospital cafeteria, gift shop, and parking ramp as the real life example of revenue centers because these are all for profit examples. The profit of any of the examples mentioned above contributes to the revenue of the hospital in general. # 4 Variable costs The reason I chose nursing care, food consumed, and drugs administered as the real life example for variables costs is because these costs fluctuate based on the hospitals or facility census. Cost Classifications Associate Level Material Cost Classifications Consult Ch. 6 & 7 of Health Care Finance and other sources to complete the form. This worksheet requires you to match the definitions and examples of types of cost, and the types of centers where costs occur. Part 1: For each term in Column A, select the correct definition from Column B on the right. Write the corresponding letter of the definition next to the term. |Column A | F |Indirect costs | |A |Direct costs | |D |Fixed costs | |I |Variable costs | |E |Step-fixed costs | |H |Responsibility centers | |B |Revenue centers | |C |Cost centers | |G |Shadow cost centers | Column B – Definitions | | | |Costs incurred directly as a result of providing a specific service or good | |Centers charged with controlling costs and generate revenue | |Have no revenue budget and no obligation to earn revenue | |Costs that do not vary as service volume varies | |Fixed over some range of service volume, but rise to a new level for a higher rang e of service | |volume | |Costs that cannot be tied directly to the patient’s stay in the bed | |Exist as budgets on paper only | |The places where costs occur and have budgets | |Costs that change as volume changes |Part II: For each real-world example, select the correct term from the list on the left. Write the corresponding letter of the real-world example next to the term. |Column A | |K |Indirect costs | | N |Direct costs | |Q |Fixed costs | |M |Variable costs | |R |Step-fixed costs | |J |Responsibility centers | |O |Revenue centers | |l |Cost centers | |P |Shadow cost centers | Column B – Real-World Examples | |A subunit of a larger organization that is responsible for some type of budget, such as the payroll| |department or courier service | |Shares of depreciation, administration division, or laundry service | |Administration, human resources, or housekeeping | |Utility bill, supplies, or maintenance | |Nursing care, food consumed, drugs administered | | | |Hospital cafeteria, gift shop, or parking ramp | |Depreciation of hospital equipment | |Building loan payment, building insurance, or cable or internet service | |The nurse-to-patient ratio on the cardiac unit is one to three patients. There are four nurses | |scheduled for 12 patients.During the second shift, three more patients are admitted. The nurse | |manager calls in a fifth nurse. | Part III: Select two choices from Part II and explain why they meet that cost classification. Places such as hospital cafeteria, gift shop, or parking ramp are classified as revenue centers. These are classified in this way because they are used for interaction and to produce profits from goods that are sold in that department or unit. A loan payment, insurance, or cable/internet service is classified as a fixed cost. Fixed costs are known as costs that do not vary depending on the services given. These costs are endured every month and at a standard, fixed rate for the company. Cost Classifications Associate Level Material Cost Classifications Consult Ch. 6 & 7 of Health Care Finance and other sources to complete the form. This worksheet requires you to match the definitions and examples of types of cost, and the types of centers where costs occur. Part 1: For each term in Column A, select the correct definition from Column B on the right. Write the corresponding letter of the definition next to the term. |Column A | F |Indirect costs | |A |Direct costs | |D |Fixed costs | |I |Variable costs | |E |Step-fixed costs | |H |Responsibility centers | |B |Revenue centers | |C |Cost centers | |G |Shadow cost centers | Column B – Definitions | | | |Costs incurred directly as a result of providing a specific service or good | |Centers charged with controlling costs and generate revenue | |Have no revenue budget and no obligation to earn revenue | |Costs that do not vary as service volume varies | |Fixed over some range of service volume, but rise to a new level for a higher rang e of service | |volume | |Costs that cannot be tied directly to the patient’s stay in the bed | |Exist as budgets on paper only | |The places where costs occur and have budgets | |Costs that change as volume changes |Part II: For each real-world example, select the correct term from the list on the left. Write the corresponding letter of the real-world example next to the term. |Column A | |K |Indirect costs | | N |Direct costs | |Q |Fixed costs | |M |Variable costs | |R |Step-fixed costs | |J |Responsibility centers | |O |Revenue centers | |l |Cost centers | |P |Shadow cost centers | Column B – Real-World Examples | |A subunit of a larger organization that is responsible for some type of budget, such as the payroll| |department or courier service | |Shares of depreciation, administration division, or laundry service | |Administration, human resources, or housekeeping | |Utility bill, supplies, or maintenance | |Nursing care, food consumed, drugs administered | | | |Hospital cafeteria, gift shop, or parking ramp | |Depreciation of hospital equipment | |Building loan payment, building insurance, or cable or internet service | |The nurse-to-patient ratio on the cardiac unit is one to three patients. There are four nurses | |scheduled for 12 patients.During the second shift, three more patients are admitted. The nurse | |manager calls in a fifth nurse. | Part III: Select two choices from Part II and explain why they meet that cost classification. Places such as hospital cafeteria, gift shop, or parking ramp are classified as revenue centers. These are classified in this way because they are used for interaction and to produce profits from goods that are sold in that department or unit. A loan payment, insurance, or cable/internet service is classified as a fixed cost. Fixed costs are known as costs that do not vary depending on the services given. These costs are endured every month and at a standard, fixed rate for the company.

Human Growth and Development Essay

Definition of Plagiarism Plagiarism is an attempt (deliberate or inadvertent) to gain advantage by the representation of another person’s work, without acknowledgement of the source, as the student’s own for the purposes of satisfying formal assessment requirements. Recognised forms of plagiarism include 1. the use in a student’s own work of more than a single phrase from another person’s work without the use of quotation marks and acknowledgement of the source; 2. the summarising of another person’s work by simply changing a few works or altering the order of presentation, without acknowledgement; 3. the use of ideas or intellectual data of another person without acknowledgement of the source, or the submission or presentation of work as if it were the student’s own, which are substantially the ideas or intellectual data of another person; 4. copying the work of another person; 5. the submission of work, as if it were the student’s own, which has been obtained from the internet or any other form of information technology; 6. the submission of coursework making significant use of unattributed digital images such as graphs, tables, photographs, etc. taken from books/articles, the internet or from the work of another person; 7. the submission of a piece of work which has previously been assessed for a different award or module or at a different institution as if it were new work; 8. a student who allows or is involved in allowing, either knowingly or unknowingly, another student to copy another’s work including physical or digital images would be deemed to be guilty of plagiarism. 9. If plagiarism is suspected students will be required to supply an electronic copy of the work in question so that it may be subjected to electronic plagiarism detection testing. Therefore students are required to keep work electronically until after they receive their results as electronic detection may be part of the investigative process. Source: Assessment Handbook 15f. In submitting this work I confirm I have read and understood the regulations relating to plagiarism and academic misconduct that I signed when I submitted my Assessment Confirmation Form. In submitting this work I confirm I have read and understood the regulations relating to plagiarism and academic misconduct that I signed when I submitted my Assessment Confirmation Form. ASSIGNMENT TITLE Human Growth and Development PortfolioI am observing a 22 month old boy, who for this report I will call Tom. Tom lives with his Mum, Dad and older sister Molly who is 3 years of age and has just started nursery. His Mum stays at home with the children whilst Dad works. Both parents are from Poland thus polish is their first language, however their Mum explained to me that Molly is going to nursery to develop her English. She also said that Tom was only speaking a little; some words English and some Polish. I will be observing Tom in his home. Observing Tom – Week one 12.10.2012 word count: 991 I arrived at the flat and was greeted by Tom’s mother who took my coat and showed me around the flat. Tom’s sister was sat eating at the table in the living room and Tom walked out of his bedroom and looked at me. He stared at me and I said â€Å"hello†, he smiled and ran back in his bedroom. Molly walked down the hall and smiled at me and spoke to Mum in polish and Mum replied, she then galloped past me and sat on the floor with toys. Mum told me that she had told Molly they had a visitor coming but they had to pretend I was invisible; she said she hadn’t told Tom as he wouldn’t understand. Besides the anxiety I was experiencing, I felt quite comfortable in the flat, the smell of washing powder was very familiar and I instantly warmed to the children. It seemed as though they were waiting for me to engage and it felt alien that I couldn’t. Mum encouraged the children to play in their bedroom as they were both stood looking at me. Mum went into the kitchen and I crouched down in the corner of the bedroom. I quickly realised this wasn’t a great idea as they both presented me with toys and giggled looking at each other. Molly passed me a Barbie and held another one and said, â€Å"This is dolly and you have man dolly† she then spoke in character through the Barbie and said, â€Å"Hello!† I found it difficult to divert from playing with her, I said â€Å"hello† and passed it to Tom to encourage them to play together. Molly continued to say, â€Å"This is dolly† trying to pass her to me. She seemed slightly frustrated that I was attempting to divert her attention away from me and I found it unnatural. As kneeling down was attracting their attention I stood in the doorway out the way. Mum came in the bedroom and put a children’s DVD of nursery rhymes. Molly started jumping about; Tom watched Molly and copied her jumping. They both smiled and kept looking at me. I smiled at them but was unsure of my facial expressions because I didn’t want to seem too approachable. I continued to find it uncomfortable how much they seemed to plea for my attention and I couldn’t respond properly. Molly then got out a box of Lego and brought it over to where I was stood, Tom followed and they started building the blocks together. They played nicely, taking it in turns; I enjoyed watching them and felt at ease that the attention was off me. When they made a tower Molly said, â€Å"no finish, no finish† each time they put a piece on and then said, â€Å"Finished!† and they both clapped their hands smiling. They did this several times. I noticed that Tom seemed relaxed and let Molly take the lead when she wanted to. Molly then went to get a picnic set and brought it back. Tom pretended to pour me a drink and passed me a cup; I said â€Å"Thank-you† and pretended to drink. I pointed at Molly to encourage him to pass it to her. Molly laid three plates on the floor and pointed at one and said, â€Å"Play?† I think Mum could see that I needed some help diverting their attention so she encouraged Molly to go back into her bedroom and they put some books away. Tom quickly ran back in his room following them. Mum laid a picnic blanket and laid it down on the floor in the bedroom and asked Molly to bring the picnic set in there. Mum then changed Tom’s nappy. Molly fluctuated from polish to English as she spoke. She then got out a fancy dress and showed me, saying â€Å"Look its Molly’s dress.† Mum helped her put it on. Tom tugged at the box of fancy dress clothes and so Mum also helped him into a skirt. They danced around the room together laughing. Molly kept spinning around and giggling and Tom copied her. I liked the way Mum had no problem with letting Tom wear a skirt and it reminded me of my own childhood when my younger brother would also wear my dresses. ‘Wheels on the bus’ came on and Tom danced in front of the television and they both did the arm motions. Tom wiggled his bum and stood right in front of the television. Mum laughed and sat cross legged next to them. Although the children were quite active, the atmosphere in the house was very calm and quiet, Mum’s presence was very peaceful and she spoke very quietly. Molly climbed on to her bed, Mum went over and tickled her; she giggled loudly. Tom still had his skirt on and continued to dance around the room. He then started to push a pram with a doll in around the room; he continued to watch the television and wiggled his bum watching with his mouth open. He then tipped over the pram and sat on the floor; he held the back wheel and moved it like he was pretending to drive. Molly then ran in to the hall and put on her shoes; Tom followed her and copied her. Molly put a hat on and then put one on Tom’s head. Mum laughed and helped Tom put his shoes on. She then tried to take off Tom’s skirt but he held on to it so she let him keep it on. Tom then pottered back into his bedroom where Molly was dancing, he joined in. Molly spun around with her eyes closed and then giggled looking at me. Tom copied her and stumbled backwards, Molly pulled Tom towards her and cuddled him and kissed his face. I wondered if Molly was ‘acting up’ because she was being watched by me, I questioned whether their behaviour was entirely natural. End of observation. Observing Tom – Week four 02.11.2012 word count: 1,025 When I arrived Tom ran out of his bedroom and into his parents’ room. He climbed up on to the bed and turned around to look at Mum, smiling as if he knew she was going to react. Mum said, â€Å"Hey, Tom† in a cautionary manner yet smiling. She grabbed him playfully and tickled him; he laughed loudly and squealed rolling on his back. He then climbed up on to the window sill. Mum spoke more sternly to Tom (in Polish) I assumed she was asking him to either get down or be careful. Again Tom turned back and looked at Mum gingerly with a cheeky smile. Mum told me she had felt poorly for a couple of weeks; she seemed quite run down and a little stressed. However she was patient with Tom. Mum was sat next to him and had her hand on the window handle so he couldn’t open it. Tom pointed out the window and looked astonished, Mum said, â€Å"Oooh ****† (Polish) Tom repeated the word and Mum nodded and smiled. She explained to me that he had seen a motor bike, she then pointed at various things out the window and said their names and Tom attempted to repeat the words. Tom spoke in a deep voice and stuck his chest out. Mum laughed and told me she was pointing out the vehicles names. I wondered whether Tom was speaking in a deep voice to imitate someone or whether he was trying to be ‘manly’. Tom then reached out to the window handle, Mum said, â€Å"Tom† firmly and took his hands away. He did this several more times, Mum again said his name and on the 4th time Tom imitated Mum and shouted, â€Å"Tom!† Mum started laughing and picked him up and sat him on the bed and tickled him again, he laughed loudly and then climbed down and ran out into the hallway. Molly came out into the hall from her bedroom and smiled at me, she then ran after Tom and they both went into the living room. Mum pulled out their table and chairs and got out some paper for them. Molly said, â€Å"We’re going to paint, you know?† Mum laughed and sat them down with some paint and cups of water. Tom picked up two paint brushes and banged them on his paper and made roaring sounds. He then struggled to pick up paint on his paint brush and frowned as he brushed over the pallets of paint, he tried to paint on the paper but nothing stuck, he stamped his feet a few times. Molly soaked up more water on her paint brush and slowly brushed her paint brush over the pallets, she seemed to know what she was doing, perhaps from painting at Nursery or remembering what Mum or Dad had taught her. Tom seemed a lot more impatient and frustrated and looked at Molly painting, slightly frowning. He then leant over and painted on her paper. She shouted out, â€Å"No Tom!† But he had left no mark, just a watery smear, so she pulled her paper away and continued to paint. Mum turned around and said, â€Å"Hey, hey Tom.† Tom continued to try to paint and let out noises of frustration; Mum came over and tried to help him apply the paint on his brush. Molly said, â€Å"Mimi† and Mum drew a Mickey Mouse face on her piece of paper in pink. Molly held her paper and came over to me saying, â€Å"Look its Mimi, Mickey Mouse, you know?† I laughed and wondered if Molly had heard someone at Nursery saying, â€Å"you know† and was imitating them as she had said it a few times and I hadn’t heard her say it before. Tom leant over and tried to paint on Molly’s Mickey Mouse, Molly squealed out and shouted, â€Å"No, Tom!† Mum seemed to tell them off as she spoke sternly in Polish, however still remained calm. The children seemed more agitated today and I wondered if Mum being ill had slightly impacted their behaviour, although Mum seemed to be struggling she was still calm with the children. I also noticed that Mum and Molly spoke more in Polish than previous weeks, I wondered if this was because they were more comfortable in my presence. Mum drew a Mickey Mouse for Tom so he wouldn’t bother Molly anymore. She drew his Mickey Mouse in blue, perhaps to tell the difference between whose was whose, but I also considered whether it was colour coded for ‘girl’ and ‘boy’. He smiled and shouted, â€Å"Mimi!† Molly and Tom both called out, â€Å"Mimi† they seemed to be in competition with each other of who could shout louder and laughed each time they shouted. Tom then went around the table on the opposite side to Molly and she prodded him playfully in his tummy with the end of her paint brush. Tom giggled so she did it again, she continued to do it and they both giggled more and more each time, becoming very excited. Molly then climbed up onto a seat at the dining room table and asked Mum if she could have her stickers, Tom went over and peered up at the table to see what Molly was doing. Mum helped Tom into his seat and brought over a sheet of stickers, Molly began sticking them onto her paper but Tom struggled to peel his stickers off, he made a fist and banged the paper making grunting noises. Mum went over again and helped him peel them off. Tom struggled again when Mum went back to the computer so he seemed to lose interest and again became more interested in Molly’s paper. Seeing Tom struggling made me feel uncomfortable that I couldn’t assist him. Tom climbed down from the table and ran into his bedroom; he peered up at the shelf of DVD’s. He shouted out, perhaps in Polish, Mum came in the room and pointed at various DVD’s until he said yes. She put on a film called ‘Pipi’ Tom danced around to the introduction music and stood close to the screen wiggling his bottom. End of observation. In this essay I will evaluate my experience as an observer and describe the place of observation in Social work. Finally, I will focus on gender development as my major theme of consideration. Initially, although I was a little apprehensive; I came to find the role of the observer a considerable challenge. Although in some ways I grew more comfortable with certain aspects of the exercise, I found a degree of discomfort in the role I was to undertake. I could relate greatly to the content of Quitak, N (2004) article, as I too struggled to find my feet to gain the right balance in distance and involvement. I experienced feelings of guilt when the children required my attention and learnt that I had to tolerate the anxiety of non-intervention. Trowell and Miles (1991) say in relation to social work, that due to the requirements of the role, they at times have to be assertive (cited in Quitak, 2004). Therefore to be effective, they must come to terms with the discomfort this can imply. M attinson (1975) cited in Quitak, N (2004) discusses this concept in terms of the ‘psychological distance’ often required. Trowell and Miles (1991) cited in Quitak (2004) in terms of remaining ‘actively positive’; retaining a physical distance, whilst allowing one self to become deeply involved. When recording my observation afterwards, I found that the first things I recalled were from the first and last part of the hour, plus what was unusual and stood out to me. Munro (1991) says that this is because we are trying to hold onto awareness of the surroundings and the different ways in which people converse and interact, (cited in Lefevre, 2010). I recognised I was preoccupied with trying to remember everything. On reflection I realised that I should have observed everything and then later try to identify the most salient points. A further distraction was Tom’s sister, Molly, who features heavily in my records, because her behaviour was more emphatic, however, I was unable to moderate her behaviour in order to allow Tom a more significant role. Munro (1991) says that such challenges an d disruptions to memory are one of the reasons assessments are often based on incomplete or inaccurate information. I was also concerned on whether pre-determined bias would creep in, as indeed, people’s values, culture and previous experiences will always influence how they interpret what they see (Cox, 2005, cited in Lefevre, 2010). Furthermore due to Tom not speaking properly yet and the language barrier it was harder for me to recall as I couldn’t prompt my memory with odd sentences. Malekoff (1994) says that thoughts and feelings of children are often emotionally processed and conveyed through more direct means, and body language may provide important clues as to how they feel (cited in Lefevre, M. 2010). This heightened my awareness of non-verbal communication and improved my capacity to analyse non- verbal behaviour. Observing children over time may help to explain what relates more to their general character and what might be a response to caretaking and environmental experiences. What they convey through certain choices provides insight into their social identity and sense of self and cultural norms. Plus their racial identity may also be revealed. A social worker will need to be open to different social and cultural experiences and consider how a child may be affected by different factors such as ethnocentrism. Self-awareness and understanding of the impact of oppression on racial identity will be important (Robinson, 2007, cited in Lefevre, 2010). Recent work on prejudice/identity development focuses on applications of intergroup theory to examine the basis of social categorization and its effects. One development has been to look more generally at children’s knowledge of other countries and nationalities (Cowie et al. 2009). I believe this could be very beneficial for Tom in the future. When watching the children I questioned whether their behaviour was altered by my presence (see week one, lines 58-62 and week four, lines 109-110). The experience of being observed can evoke anxiety and feelings of disempowerment due to possible fear of being judged or misunderstood, which can result in them behaving differently. In relation to assessments, it is important to consider how workers might affect the observed situation (Tanner and Turney, 2000 cited in Lefevre, 2004). I understand that the move from observation to interpretation is complex and therefore should proceed with caution. In bringing reflective approaches to child observations into social work, a link is made ‘between knowledge of human growth and development, observational skills and effective social work communication with children (Luckock et al, 2006, p 39). A picture of a children’s world, particularly their emotional experience, is created, which may include how they interact with and respond to parents. This may then be used to inform assessment and care planning, including the assessment of neglect (Tanner and Turney, 2000), child protection assessments (Fleming, 2004), multidisciplinary assessments for the family courts (Youell, 2002) and the supervision of contact (Hindle and Easton, 1999). The debate about the health, safety and welfare of children became a preoccupation of government following the death of Victoria Climbie in 2000 (Youell, 2009 and Wilson, 1992). It ‘can refer to both one’s own and one’s partner’s expression, with lack’ of expressiveness on either one’s part seen as dissatisfying’ (Hecht et al., 1989). Cultures vary in what is considered ‘appropriate channelling’ of emotions. For example in some cultural groups restraint of strong feelings is highly valued. Social workers must always consider cultural factors when assessing people (Robinson, 2007. Pg. 116-120). I considered cultural differences whilst observing, Mum was always very quiet and when I met Dad, he was also quiet. Although I was aware that this may be their personalities, I considered if is in their culture to be quiet (see week one, line 49). This experience has taught me that although it is imperative for practitioners to be sensitive to the impact of our presence, it is vital not to forget that we must remain focussed upon the objectives set for the observation. From observing Tom, I found myself particularly interested in his behaviour in relation to his ‘gender role’. I became drawn in to spotting which toys interested him, what he chose to wear and his general behaviour. Piaget has shown how important symbolisation is to cognitive development. One of the many important things children must learn during their first years is what sex they are; they learn that they are expected to behave in different ways according to whether they are a boy or a girl. Learning to behave â€Å"appropriately† for their sex involves learning their â€Å"gender identity† (Davenport, 1992, pg. 275). I will be looking at theories of acquiring a sex-role, looking at; biological factors, social learning and cognitive development. The results of various studies indicate that most children begin to acquire their sex identity from around 18 months. By 2 years they begin to identify what sex other children are, although they’re not too sure of their own gender identity until somewhere between two and a half and three years (Davenport, 1992, pg. 275). Accordingly, at 22 months, Tom should be beginning to identify gender, but not his own for another 7 or 8 months. Boys and girls differ in one chromosome pair; this genetic difference normally leads to differential production of hormones. These hormones lead to differentiation of bodily characteristics, such as the genital organs, and may also influence brain growth and therefore behaviour patterns (Cowie et al, 2003). Theories emphasising biological forces look for experimental evidence that links male hormones with certain types o f behaviour (Davenport, 1992). Collaer and Hines (1995) cited in Cowie et al. (2009) examined the evidence for the effects of sex hormone abnormalities on behaviour over a range of outcome variables. They conclude that the evidence is strongest for childhood play behaviour; in normal foetal development male sex hormones seem to predispose boys to become more physically active. They also argue that the evidence is relatively strong in two other areas: aggression and sexual orientation. Such effects are consistent with evidence that some sex differences appear early in life. Much research has shown males to be more aggressive, and that aggression begins at around 2 years (Cowie et al. pg. 190-192. 2009). Tom demonstrated behaviours of aggression; see ‘observation week four’ (lines 88-103 and 119). This has been explained by the higher testosterone levels than females. However, it is possible that boys are reinforced for behaving aggressively, and this makes them produce more testosterone (Cowie et al. 2009). Money and Ehrhardt (1972) carried out a study to understand the effect that the male sex hormone, androgen has on girls. They examined girls who had been exposed to unusually high levels of androgen before birth. Compared with a matched group of girls who hadn’t, these girls and their mothers reported themselves to being ‘tomboys’. However, Cowie et al (2009) argue that because the parents knew of the hormonal abnormalities, this could have affected their behaviour towards their children. While biological factors are probably important in explanations of sex differences, they do not fully explain the process of sex-role identification, or explain the variations in sex roles in different societies (Cowie et al, 2009). Social Learning theorists claim that we acquire our gender roles by observation, modelling, and being reinforced for behaving accordingly. This implies a learning process, that social factors are also important. For example it may be that female babies are spoken to more often than boys, thus pick up language sooner (Davenport, pg. 276-278, 1992). On reflection, Tom’s Mum spoke more to Molly, although this may be because she was replying to her. An early approach to the learning of sex-role identification was that children are moulded into sex-roles by the behaviour of adults, especially parents and teachers (Bandura, 1969; Mischel, 1970). In its early version (which Maccoby, 2000, calls ‘direct sociolization’) this theory suggests tha t parents and others reward sex-appropriate behaviour in children (cited in Smith et al. 2009), (see week one, lines 45-47 and also lines 40-1 and 56-57). Mum happily helped Tom in to the skirt, although would then attempt to get it off. I wondered if this was because Mum was a bit reluctant to him wearing it, or even feared I may judge her. I also considered if it would be different if Dad were around. Fagot (1978) studied children ages 20-24 months in American homes and found that girls were encouraged by their parents to dance, dress up and play with dolls, whereas boys were encouraged to play with blocks and trucks. Conversely, Tom’s Mum did not discourage him from playing with the pram (see week one, lines 51-54) a typical ‘girls toy’. Furthermore Fagot (1985) found that nursery school teachers tend to reward ‘feminine’ types of behaviour, in both boys and girls, yet this does not prevent boys engaging more in noisy, rough-and-tumble play. Nevertheless, many reviews have felt that this evidence has not been very convincing (Golombok, and Hines, 2002; Maccoby, 2000, cited in Smith et al. 2009). It m ay be that any differential behaviour by parents is simply responding to pre-existing differences in boys and girls behaviour (Davenport, 1992). Indirect socialization (Maccoby, 2000), supposes that children observe the behaviour of same sex models, and imitate them, for example, boys might imitate the behaviour of male figures on TV (cited in Smith et al. 2009).TV features in every record, and Tom was always very engrossed and on more than one occasion I noticed him imitating what was acted or said (see week one, line 52). A report by Himmelweit et al. (1958) looked for changes in children’s behaviour with the concern that violence on television may make children more aggressive, and that many programmes portray stereotyped images of sex roles. Alternatively, others think that television can be used to encourage cooperative behaviour, or reduced stereotyped views (Greenfield, 1984, cited in Smith et al. 2009). This introduces influences on behaviour that suggest the importance of cognitive factors. Social cognitive theory (Bussey and Bandura, 1999) draws together the ideas of both theories. They suggest children monitor their own behaviour built on what is appropriate; identification with peer group monitoring their behaviour in relation to how they expect same-sex peers might react (cited in Cowie et al. 2009). I didn’t get to see Tom interact with any male children, I found Molly to be a great influence on his behaviour; i.e. see week one lines 21-22, 26 and 59. I imagine this is because supposedly he has not yet identified himself as a boy and does not have much, if any, contact with other boys of similar age. Preference for same-sex peers seems to be a cross-cultural phenomenon, and one that increases through childhood into adolescence. Maccoby (1998, 200) has documented this, and argues that it is a key factor in integrating not only cognitive and social factors, but also the biological factors affecting sex differences (Cowie et al. 2009). Observing Tom enabled me a great insight into his world, but has also indeed taught me a lot about myself, gaining skills of self-awareness and reflective practice that I hope to bring to future practice. Bibliography Bandura, A. 1969: Social Learning theory of identificatory processes. In D. A Goslin (ed.), Handbook of Socialization Theory and Research. Chicago: Rand McNally. Peter K.Smith, Helen Cowie and Mark Blades (2009). Understanding Children’s Development . 4th ed. Oxford: Blackwell Publishing. 186-194. G C Davenport (1992). An introduction to Child development. London: Colins Educational. 275-291. Money, J. and Ehrhardt, A. A. 1972: Man and Woman, Boy and Girl. Baltimore, MD: Johns Hopkins University Press. Michelle Lefevre (2010). Communicating with children and young people making a difference. Bristol: The Policy Press. 147-169. Judith Trowell and Gillian Miles. (1991). The contribution of observation training to professional development in social work . Journal of social work practice. 5 (1), 50-56. Natasha Quitak. (2010). Difficulties in Holding the role of the observer.Journal of social work practice. 18 (2), 247-253. Lena Robinson (2007). Cross-Cultural child development for social workers an introduction. London: Palgrave Macmillan. 116-120. Kate Wilson. (1992). The place of child observation in social work.Journal of social work practice. 6 (1), 37-47. Biddy Youell . (2009). Guide to emotional and behavioural health . Available: http://www.ccinform.co.uk/articles/2009/10/19/3614/guide+to+emotional+and+behavioural+health.html. Last accessed 27th Nov 2012.

Sky Global Essay Example | Topics and Well Written Essays - 3500 words

Sky Global - Essay Example The nature of the subsidiary office will be basically meant marketing because the products will be processed in Australia and shipped to France. France has a variety of races and people with different lifestyles (Sparrow, Brewster, & Harris, 2004). Though it can be said that French markets is diverse, provision of good services makes consumers buy the product in the market. Justification of the choice The major reason for the establishment of the subsidiary is mainly due to the potential market available in the country. Traditionally French people had some specific ways of identifying the cepage and terroir (Edwards, 2007). The terroir identify the wine in regards to the place where the processing was done, the taste of wine from that region and skills that the producer has. In the other way, cepage identifies wine by the type of grapes used in the process of making the wine (Edwards, 2007). For many years the French wine consumers based their choice of wine on terroir however a new trend is emerging that preference has shifted to being based on cepage where wines were associated with the grapes and its taste. Basically this is an opportunity as most of the foreign wines are gaining acceptance in the market and therefore Sky Global Wine Company could not wait to seize the opportunity (Edwards, 2007). Management Structure Structure of management between the headquarters and the subsidiary With the new subsidiary in place, it is important to ensure that the company has the most important staff that will coordinate its activities in France. For efficiency the following posts were found to be necessary for smooth running of the business. The manager in the Subsidiary country will coordinate with the headquarters on the operation activities Country Manager Manager in charge of Marketing Chief Wine Technologist Manager in charge of Production Finance Manger Human Resource Manager Country Manager The activities revolving around the success of the company will be mainl y based on the manager. The company will place an experience manager from the company in order to facilitate the experience that has seen the company grow in its international market (Price A. , 2007). It will be necessary to have a manager from the parent country because it is more likely to have a wide selection to make from. Manager in charge of Marketing The manager in charge of marketing should be from the host nation basically this is because of the cultural and language understanding (Sparrow, Brewster, & Harris, 2004). It will be important to work with the person conversant with the environment that than to just make a choice Chief Wine Technologist Since the brand has gained its international reputation through its quality and test, it will be equally important to ensure an expatriate who has vast experience in working for the company takes the mandate. Manager in charge of Production Finance Manger Human Resource Manager Most of the employees will be from the subsidiary co untry since their presence will be an added advantage due to their experience working in the country. They are perfectly in a good position to deal with issues arising from their own country. Comparison between Peoples management in the host country and the subsidiary country People’s management style in Australia In Australia the sense of equality in an organization is highly valued to extend that the manager should not behave like a superior.

Legal Aspects of Health Information Management Case Study

Legal Aspects of Health Information Management - Case Study Example The informed consent process for emergency surgery in children poses a challenge for pediatric surgeons because the child and his/her parents must make medical decisions in a relatively short period. The unique circumstances of a surgical emergency create potential barriers to achieving the central goals of the informed consent process. This notwithstanding, if the parents are present, then the document must be signed. The fundamental principle of informed consent is relatively clear. Almost 100 years ago, Justice Cardozo stated "Every human being of adult years and sound mind has a right to determine what shall be done with his own body; and a surgeon who performs an operation without his patient's consent commits an assault for which he is liable for damages." Schloendorff v. Society of New York Hospital, 105 N.E. 92 (New York, 1914) overruled on other grounds, Bing v. Thunig, 143 N.E. 2d 3 (New York, 1957). Accordingly, it goes without saying that the parents must consent for the surgery. If however the parents were not available, then the doctor should attempt all ways possible to locate the parents while at the same time explaining to the patient what is happening and what must happen. The underlying purpose of informed consent is to provide each individual patient with control over his or her own body. To imply consent because a reasonable person might consent but where this patient, in fact, did not consent, undermines the entire philosophy of informed consent. Thus if the parents are not available, the surgery cannot happen. Essay #2 Paula Patient doesn't want her violent boyfriend to know she's getting an abortion, so she asks Dr. Bob to send all communications to her to a post office box and to phone her only at work. What should Dr. Bob do, and what is the legal basis for your advice If she tells Dr. Bob that not doing this will endanger her, would your answer be different Assuming of course that Dr. Bob is the man performing the abortion, he only needs Paula's consent. There are two prevailing standards for informed consent. The first, the so called "traditional" or "community" standard, is physician centered and defined by the common and customary practices in the medical community, or on what a reasonable physician would reveal in a particular situation. The second standard is patient centered, and is defined by what a "reasonable patient" would find relevant to his or her decision to accept or forego a recommended medical treatment. Simply stated, abortion does not involve any body other than that of the female. The procedure is being performed on the female, and for that reason, there is no other consent required but that of the female. The basic tenet of abortion and the laws applied to it are for the preservation of the woman and nobody else. Moreover, the Supreme court has made it clear in their decisions that they are not interested in discussing the perceived rights of a child but rather sustaining the rights of the woman. Accordingly, there is no difference whether Paula's boyfriend is violent or an angel. He has no bearing whatsoever in the decision process because it is not his body and therefore is not entitled to consent to anything. Essay #3 Paula Patient's attorney asks Dr. Bob for medical records about Paula's car accident and