Nursing paper Essay Example | Topics and Well Written Essays - 500 words

Nursing paper - Essay Example Unfortunately, such fundamental practices are often forgotten by the management and in turn affect the morale of the nurses. For example, in my first job as a nurse I witness and experienced low morale among the nursing staff. I had just joined a nursing home and was working in a busy medical oncology floor. Being my first job, I was happy, confident, motivated and enthusiastic to learn. However, the other staff members were not feeling the same because shortly before I arrived there were many changes made to the unit that they were not pleased with. They had lost some nurses in the transition and the situation had not improved yet. The problem continued after my arrival and more nurses especially experienced ones left leaving the new recruits. This led to short-staffing and overworking which in turn reduced even the morale of the new nurses. Many nurses became frustrated, tired and demoralized. The staff complained of the condition to the management but there complaints were not hea rd or at least nothing was done about them. The condition deteriorated and more nurses quit their jobs citing low morale as the cause of their leaving. The condition in the nursing home was highly blamed on the management. The management did not consult the nurses when they were making the changes in the unit.

Human resource management in UK government Essay

Human resource management in UK government - Essay Example The financial stringencies of recent years have combined with growing anxieties about seemingly inflated local authority staff numbers to persuade local authorities to make increasing efforts to make better use of their existing staff, in order to reduce demands for extra posts. The pressure imposed by compulsory competitive tendering to reduce labour costs in order to retain service contracts within the local authority have also produced major changes in human resource management in local government (Fenwick, Shaw and Foreman, 2003). Since a long time, methods of improving human resource management and establishment control have expanded greatly in UK. Work study and organisation and methods techniques have developed rapidly. Computers have made the task of collecting, storing and analysing human resource records easier and quicker, a development which alarmed some trade union leaders because of the fear of job losses, as well as possible threats to privacy. In 1984 the Data Protection Act both improved the legal protection of confidentiality and gave data subjects the right to see information held about themselves on computers and correct it where it is inaccurate (Elcock, Stephenson 1996). The development of these and other new management techniques led the Fulton Committee to urge the speedy development of systematic human resource management in the civil service. Similarly, the Bains Committee (1972) urged local authorities to recognise that: The human problems of management in local government are in no way different from those in industry or the civil service. The resources devoted to the solution and more important the prevention of those problems in local government are in our view generally inadequate. (Bacon, Eltis, 2001) Local government had not, in the Bains Committee's view, made adequate use of the techniques available for improving its efficiency in the use of personnel. However, concern about human resource management is relatively new in local government. In the mid-1960s, the Mallaby Committee was charged with investigating the staffing of local government and its report was hardly a recipe for a radical change of approach to human resource management. In the chapter devoted to this subject, the committee made frequent references to the previous inquiry into local government staffing carried out by the Hadow Committee and it did little more than endorse the recommendations of the earlier committee. Thus the Hadow Committee had recommended that local authorities should create establishment committees responsible for human resource matters, including controlling the size of the authority's departments and vetting requests for new posts. This was establishments work as traditionally understood in the public services: a concern to restrain the size of departments and ensure that new posts are created only when they are absolutely necessary. The establishments committee should be advised by the authority's clerk, a member of whose staff should take responsibility for human resource matters. This approach was largely supported by the Mallaby Commi

Since X Ray Was Discovered Health And Social Care Essay

Since X Ray Was Discovered Health And Social Care Essay Since x-ray was discovered by Roentgen in 1895, its medical application has grown to be a fast and dynamic imaging modality. Todays imaging department consists of an impressive array of diagnostic and therapeutic devices from x-ray machines, CT Scan, PET Scan, linear accelerator, which mainly use ionizing radiation for diagnosis and treatment of illnesses; and with the addition of ultrasound and MRI that use sound waves and magnets for diagnosis instead of x-rays. Thus, radiology is considered as the window of the healthcare institution and the radiologic technologists are the persons behind these state-of-the art machines. In the x-ray department, one of the divisions of radiology department, the x-ray machines are used for diagnoses of illnesses. For 100 years the film-screen system has been the imaging system of choice. This system uses radiographic film, screen and wet chemistry to generate an image just like conventional photography. Every RTs goal is to provide high quality images for accurate diagnosis; therefore each step is very critical. The RT must be equipped with knowledge and skills from anatomy, positioning and exposure techniques. One slight mistake can imperil the image and yields an unacceptable radiograph which entails repeat examination that primarily means additional radiation dose to the patient. This is one of the disadvantages of a film-screen system wherein once the film has been processed; there is no way to alter it. What you see is what you get. Fortunately, with the growing technology of imaging modalities came the introduction of digital imaging which follow the same concep t as digital cameras wherein brightness and contrast of the image can be changed and images can now be cropped. Its advantage compared to film-screen is very obvious, since images can be altered, repeat examinations, oftentimes is no longer necessary. The technology is superb and its debut has grown the curiosity of every RT whether it is efficient compared to the traditional system. And of course, it is. However, as with every other technology has its drawback. Since the new technology primarily uses computer and computer-aided equipments oftentimes do the entire job. The question lies wherein will the competence of the RT in terms of exposure technique factors be same as using the conventional way? Several international studies stated that because of the convenience of the system, the RTs using the machine oftentimes fail to consider the standard protocols in every technique selection because images can be manipulated later. Alteration of images from time to time should not be a daily scenario because manipulation sometimes interfere accurate diagnosis. As of the researchers knowledge, there are no known local related studies in the decline of RTs competence in using CR. One of the reasons may be this modality is still in the stage of introduction in the Philippines and that its implication is not yet intensively studied. But this does not stop the researchers to seek of finding out if there is indeed a decline in RTs competence with the new system. This study is a comparative-correlational research in determining the level of radiographic competence between film-screen system and CR on exposure technique factor selection. The main objectives of the researchers are to compare if there is a significant difference in terms of radiographic competence in the RT who uses film-screen from CR and to determine if the respondents profile and agency has a significant relationship in terms of radiographic competence. Base on the result of the study, the researchers will be able to assess the essential skills needed for the profession. Technolo gy indeed has helped us in many ways. However, without the competence of the professional manipulating the equipment is futile. This means that the technologist who has the sole responsibility of manning the state-of-the art equipment should not rely from technology, instead technology should rely on them. REVIEW OF LITERATURE This study primarily aims to compare the level of radiographic competence on exposure technique factor selection between film-screen system and computed radiography (CR). Exposure technique factor selection is an important foundation for these two types of image receptor (IR) or imaging system. Image receptor is a device that converts x-rays into visible light. Competence should not vary whether the radiologic technologist (RT) is using the conventional or digital system, otherwise, it will defeat the intensive study of the exposure techniques during the undergraduate years. Furthermore, providing appropriate exposure techniques is paramount in the profession since these techniques also mean radiation dosage on the part of the patient. According to Fauber Johnston (2012), the radiographers actions at the control panel directly determine the nature and the make-up of the x-ray beam. This means that the selected exposure technique factor is directly proportional to patient dose. In ad dition, it is the responsibility of the radiographer to learn the philosophy, factors and methods that minimizes ionizing radiation exposure to the patient (Callaway, 1996). This also means that an RT is providing quality patient care when he/she gives an adequate and necessary amount of radiation to the patient. Competence in Radiologic Technologist Klemp (1980) defined competence as an underlying characteristic of a person which results in effective and/or superior performance on the job. A competent person is imbued with the right knowledge, skills and attitude on a particular task. Other authors define competence as a cluster or related knowledge, skills, and attitudes that reflects a major portion of ones job, which has a relationship in the performance on the job that can be measured with well-accepted standards, and that can be improved with training and development (Parry, 1996). In radiologic technology, for example, an newly licensed RT already possess cognitive and motor skills at an entry level, however, it can only be enhanced through proper and consistent training in a chosen specialized field during the course of his/her work as an RT. Knowledge, Skills, Attitude As mentioned, competence is a combination of knowledge, skills and attitudes. These components are essential as a whole because the absence of one component greatly affects ones performance. According to Dowd (1996), knowledge as part of competence includes theories and concepts which were gained as a result of the experience of performing certain tasks. Furthermore, in the field of radiologic technology he added that knowledge includes job-specific terminology, methods of organizing information and an understanding of principles and generalizations. On the other hand, Hans Reynold in 1928 defined skill as combined mental and physical qualities which make it useful to industry. Knowledge if combined with skills is important in the workplace. Furthermore, one cannot develop a skill without knowledge and at higher levels, knowledge are converted to skills (Klieme, 2004.) The last component that determines competence is the attitude. The attitude such as beliefs, values, traits, and motives is a part of competence because it indicates the persons response to a particular event or situation. Attitude refers to the predisposition or mental state of individuals/users towards a product, ideas, or attributes. It also implies on mental readiness on a particular object or his attributes toward an object or his preferences. (Hulse Dowd, 1996). In the field of radiologic technology, competence does not only mean that the RT is equipped with the knowledge and skills but RT is also imbued with the right attitude and judgment to provide each patient with quality care On Radiographic Competence In the field of radiologic technology, one aspect of the profession requires competent skills in radiographic exposure factor technique. The said competence is essential especially in the diagnostic x-ray imaging, wherein exposure factors are the key to accurate diagnosis and providing radiation dosage to minimum level. For 100 years, film-screen technique has been the method of choice in radiographic imaging (Bushong 2009). Film-screen system uses radiographic films, radiographic intensifying screens and wet chemistry to make the image visible. Furthermore, this conventional system should adhere to the standards of the darkroom requirements. Film-screen system has the same concept as a typical conventional camera. In a film-screen technique, radiologic technologist should be certain on the exposure factors to be applied in a particular exposure because improper selection of exposure factors can lead to overexposure or underexposure of the film. Overexposure or underexposure degrades image quality and therefore, it can lead to rejection of film, thus necessitates the need for repeat examination. Repeat examination provides unnecessary dose to the patient and additional costs to the department. On the other hand, as with the other innovations in technology, diagnostic imaging has shifted its course from conventional to digital. Computer applications are employed nowadays in diagnostic imaging modalities. An appropriate analogy that is easy for most people to understand is the replacement of typical film cameras with digital cameras: images can be taken, immediately examined, deleted, corrected, and cropped, and subsequently sent to a network of computers. Computed radiography system (CR) is an affordable solution to digital imaging. Instead of the film, CR employs an imaging plate to capture x-rays and makes it visible when the plate is scanned into a computer and digitized it. Once the image is converted to data, it can be recorded on a laser printed film or can be transmitted and stored digitally. It has special features like manipulation or enhancement of the image. Its specialized software is used to image viewing with enhanced functions similar to film-screen system, s uch as contrast, brightness, and zoom. (dicomsolutions.com, 2011). Computed radiography has practical technical advantages compared with conventional techniques, such as wide contrast dynamic range, post-processing functionality, multiple image viewing options, and electronic transfer and archiving possibilities. In this system, image quality can be achieved because of the post-processing techniques that are not possible with film-screen system. This system is convenient for the technologists because the RT can compensate for exposure technique inaccuracies by adjusting the technique during post-processing phase of the image rather than that time of exposure. In radiologic technology field, competence means that the RT is equipped with the knowledge, skills, attitude and judgment to provide each patient with quality care. According to Olavidez (2005), competence is essential in the field of Radiologic Technology because RT is a fast growing profession; RT deals with human lives and most of all, the RT curriculum is not enough to prepare the students to be equipped with the skills necessary for the profession especially in the special fields of radiologic technology. For an RT to become competent, he/she should have undergone formal educational background followed by specialized training in their chosen field that takes months. As an RT, he/she should have comprehensive knowledge and skills in patient care, radiologic procedures and radiation dosage. Exposure Technique Factors Exposure technique factors influence and determine the quantity and quality of x-radiation to which the patient is exposed (Bushong, 2009). Kilovolt peak (kVp), milliamperage (mA), exposure time and source-to-image distance (SID) are the principal exposure technique factors. Furthermore, the said factors also affect image quality. Milliamperage and exposure time are the exposure factors that affects the quantity of radiation. Milliampere is the measure of x-ray tube current, whereas milliampere-second (mAs) is the produce of exposure time and exposure tube current. They directly affect the optical density (OD) of the film. Optical density is the overall blackening of the film. The darker the film, the higher number of x-rays is given to the patient. The higher the number of x-rays that are the given to the patients, the greater the radiation dosage they receive. Source-to-image receptor distance also affects the quantity of the radiation. The closer the patient is to the x-ray source, the higher dosage the patient gets. For chest x-ray, the standard SID is 72 inches, while for the other x-ray examinations, the standard SID is 40 inches. Kilovoltage peak (kVp), directly affects the quality of radiation. kVp is the maximum electric potential that travels across the x-ray tube. Since kVp affects the quality of th e x-ray beam, it also affects the quality of the radiographic image. Kilovoltage directly affects contrast. Contrast is the variation of densities on the film. The advantage of using higher kVp is that the patient will receive lower dosage of radiation because it will not be absorbed. However, higher kilovoltage produces more scatter radiation, thus increases the transmission of x-rays to the image receptor and degrades image quality. The best techniques to prevent scatter radiation are using beam restrictors such as collimator to filter low energy x-rays and to cut-off low energy rays using radiographic grids. By employing beam restrictors and grid will enhance image contrast because scatter radiation will be prevented. Furthermore, scatter radiation will also provide unnecessary dose to the patient. Therefore, exposure technique factor selection is essential. To provide quality radiographs and to limit patients to radiation should be a goal for every RT. According to Bushong (2009), RTs are required to use their skills to produce the best possible image with single exposure (Bushong, 2009). Otherwise, repeat examination will provide unnecessary radiation dose to the patient. Therefore, it is necessary for the RT to be equipped with knowledge and skills to manipulate these exposure technique factors to produce desired optical density, contrast, and image detail on the finished radiograph. RT in Film-Screen System In conventional film-screen system, before each examination, the radiologic technologist must select the optimum radiographic technique factors- kVp, mA, and exposure time (Bushong 2009). There are many considerations to determine the value of each factor and they are complexly interrelated. Contrast and Density are the photographic factors of the radiograph and it functions to make the image visible. Visibility of image is important so that anatomical image will appear for proper diagnosis. After each exposure, there is no way to manipulate its contrast and density and thats what makes film-screen system difficult as inadequate contrast or density entails repeat examination. Since manipulation of the image is not possible in this system, the RT should be certain with the technique factors prior to the exposure; otherwise, miscalculations can result to underexposure or overexposure. In a film-screen system, overexposure and underexposure of the image is considered unacceptable becaus e the important structures are not visible and thus it is not a tool for proper diagnosis. In other words, image quality is dependent on exposure factors. RT in Computed Radiography In CR system, image quality is not dependent on exposure factors. Digital image is unrelated to dose, kVp becomes less important. Since, image quality is not dependent on exposure factors, image can be manipulated. In a conventional system, the film serves as both image acquisition and display medium. With CR, the image plate serves as the acquisition medium but does not display the image. Since these functions are separate in CR, the digital signal can be altered to compensate for underexposure or overexposure and an acceptable image can be displayed on the monitor (Shephard, 2003). With CR system, post-processing is possible that helps enhance image thus allowing the RT to alter image contrast and density. Since image can be manipulated or modified, underexposure or overexposure is no longer a problem with this system, because it can usually salvage variations from the optical technique, whereas technical error with a screen-film system often requires a repeat exposure (Pizzutiello , 1993; Cesar, 1997). Therefore, with CR, technical errors are eliminated because of exposure variances that are possible with salvageable results, assuming adequate kilovoltage is used (Ballinger, 1999). On Assessment of RT Competence In order to know the competence of a professional, assessment plays a vital role. Assessment is important so as to evaluate if the RT is still competent to do the job. Since we are in the era of rapid technology, it may come to a point that we will just put our confidence on computers rather than our competence. According to Olavidez (2005), competence is an observable ability and it can be measured against set of standards. Assessment of competence is a combined knowledge, skills, and attitudes that reflect the current work practice. Furthermore, it can bridge the gap between workplace requirements and standard. Selection of exposure technique factor is of extreme importance because RT deals with exposing patients to radiation. Exposure technique factor is equivalent to the quality and the quantity of radiation that exits the patient, therefore, the RT should be precise in giving exposure technique factors. Providing appropriate radiation dose is necessary to prevent the patients from the hazards of the ionizing radiation, therefore prior to the exposure of the patient, accurate exposure techniques should be practiced. The issue of providing accurate techniques lies in a digital system, wherein images can be manipulated during post-processing. According to Fredrick Walker (medicalimagingmag, 2008), a radiologic technologist at Sharp Rees-Stealy in San Diego, CA, he pointed out if the image is too dark, we can manipulate the image using post-processing techniques like windowing or shadowing or to adjust contrast without having to repeat the examination. Furthermore, since image can be manipul ated during post-processing, it can encourage complacency rather than accuracy with exposure techniques which can result in overexposed or underexposed images (Medicalxray, 2010). In addition, according to Enfinger (2012), that it is true that the image can be adjusted, however, it is not recommended because the raw data from the initial exposure will contain information from scatter radiation that degrades image quality even if it is manipulated later. According to Shephard (2003), it is likely that digital imaging will replace conventional screen-film radiography in many modern medical imaging centers in the near future. It has already been stated that even if the image can be manipulated during post-processing, this should not be a practice because somehow it can deteriorate image quality which results in inaccurate diagnosis. One retrospective analysis of patients who had undergone lumbar spine radiographs for the diagnosis of osteoporosis compare diagnostic accuracy with screen-film versus digital radiography. The authors suspected that bone mineral loss could be more easily visible with screen-film imaging due to the fact that image contrast cannot be adjusted with this modality, whereas CR (and DR) images undergo digital post-processing techniques to maximize contrast. This could result in misleading results that confound diagnostic strength in osteoporosis. Therefore, this is a challenge now for the RT to maintain their competence amidst the aid of technology. Competence of RT is the foundation of providing quality patient care by providing appropriate radiation dose for accurate diagnosis. Synthesis The focus of the literature and studies cited was the radiographic competence of RT between film-screen system and computed radiography and it is through this study that the researchers can identify and compare whether their competence will differ based on the image receptor that is being used. In addition, competence in exposure technique factors is essential because this will also mean radiation dose to the patient. It has already been affirmed that the concept has been there for the past few years and therefore the present study is certainly not a new concept. Nevertheless, the researchers deemed it necessary to conduct a study assessing the competence of the RT for the benefit of the institution where they belong because the researcher wants to propose a professional program that could strengthen the foundation of the RTs. It is also important for the school to offer the programs since almost the RT from the different hospitals in Davao City are products of this institution. This study is similar to the other studies cited in this section because it stated on the effects of digital imaging on the radiographic competence of the RTs. Furthermore, previous studies dealt with the effects of image manipulation on image quality and it indirectly link to the competence of the RTs. Conceptual Framework In this view, the researchers attempted to assess the level of radiographic competence of the RTs in terms of knowledge, skills and attitude. Through assessing the competence of the RTs, the researchers are able to determine the level of radiographic competence; their strengths and weakness of radiographic techniques. On the other hand, the researchers identified the factors that can affect their competence, such as the respondents demographic profile in terms of age, sex, number of years in service and educational attainment and the profile of institution such as agency and its classification are also considered. To have a vivid picture of the study, Figure 1 served as the research paradigm SCHEMATIC DIAGRAM Independent Variables Dependent Variables Factors Respondents Profile Age Number of years in service Agency Private Public Image Processing Film-Screen System Computed Radiography Level of Radiographic Competence Knowledge Skills Attitude Figure 1 Schematic Diagram showing the relationship between the independent and dependent variables STATEMENT OF THE PROBLEM The study aims to compare the level of radiographic competence in using a film-screen system and computed radiography on exposure technique factor selection; specifically it aims to answer the following questions: What is the respondents profile in terms of: Age Number of years in service What is the agency of the healthcare institutions in terms of: Private Public What is the level of the respondents radiographic competence in using film-screen system on exposure technique factor selection in terms of: Knowledge Skills Attitude What is the level of the respondents radiographic competence in using computed radiography on exposure technique factor selection in terms of: Knowledge Skills Attitude Is there a significant relationship between the respondents profile and the level of radiographic competence in terms of: Knowledge Skills Attitude Is there a significant relationship between the agency of healthcare institution and the level of radiographic competence in terms of: Knowledge Skills Attitude Is there a significant difference in the level of radiographic competence between film-screen system and computed radiography in terms of: Knowledge Skills Attitude HYPOTHESES There is no significant relationship between the respondents profile and the level of radiographic competence in terms of: Age Number of years in service There is no significant relationship between the agency of the healthcare institution and the level of radiographic competence in terms of: Public Private There is no significant difference in the level of radiographic competence between film-screen system and computed radiography in terms of: Knowledge Skills Attitude DEFINITION OF TERMS Accuracy- refers to the degree of conformity of a measured or calculated value to its actual or specific value. Computed Radiography- is an affordable solution of digital imaging system that uses a photostimulable phosphor as the image receptor. Digital Radiography- an all-digital technique in which x-ray absorption is quantified by assignment of a number to the amount of x-rays reaching the detector; this is also called as cassetteless system. Exposure- measure of ionization produced in air by x-rays or gamma rays. Exposure Factor Selection. It is the factor set by the radiographer (kVp, and mAs) to produce visibility of structures in the radiograph. Film Screen System- is the conventional image receptor that uses radiographic film, radiographic intensifying screen and wet chemistry to visualize the image in the radiograph. Image receptor- is a device that converts x-ray beam into visible image. Level of Radiographic Competence- refers to the measure of the level of competence of the radiologic technologist in achieving goals and objectives in providing quality radiographs with minimum radiation dose to patients. Private hospital- is a hospital owned by a profit company or a non-profit organization and privately funded through payment for medical services by patients themselves. Public hospital- is a hospital which is owned by the government and receives government funding. SIGNIFICANCE OF THE STUDY This study seeks to determine if there is a significant difference on the level of the respondents radiographic competence in exposure technique factor selection between film-screen system and computed radiography; and to determine if there is a significant relationship on the level of radiographic competence between respondents profile and agency. Based on the results of this study, the researchers can identify the strengths and weaknesses of the RTs and if it shows significant decline in the competence of the RT in the CR system, the researchers will propose an enhancement program for the professionals. The said program will also be a part of the Continuing Professional Education (CPE), and it will be added to the CPE units needed to renew RT licenses. This study will be most helpful to the radiology department of the hospital to enhance Health Care Delivery by limiting radiation dose to the patients. Furthermore, determining the attitude toward the imaging system will help the department to reevaluate the mental and the emotional state of the RTs. Mental and Emotional state of the RT are important since they are dealing with patients. It is the responsibility of the RT to render quality patient care by providing appropriate radiation dose. Furthermore, this study will also be of most helpful to the schools offering radiologic technology as to intensify the foundation of the students in terms of exposure technique factors. Based on the result of the study, there may be a need to revise the curriculum to further intensify the skills of the RT students. Computed Radiography is not a part of the standard RT curriculum, and it may be one factor that affects the decline of competence on the part of the professional as well as the students. Chapter 2 METHODOLOGY This portion discusses the research design used, the research locale where the study will be conducted, the description of samples and the sampling technique, the instrument used, the details of procedure and the statistical analysis to answer the research problem. Research Design The study will employ a comparative-correlational research. To determine the difference between the level of competence in film-screen system and computed radiography, comparative study will be used. Furthermore, to determine the relationship between the respondents profile and agency between the levels of the radiographic competence, correlational design will be employed. Setting The study will be conducted from the selected hospitals in Davao, Digos and Tagum City employing either film-screen system and computed radiography. The hospitals using film-screen system are the following: Alexian Brothers Health and Wellness Center, Km. 4, McArthur Highway, Matina, Davao City; Davao Regional Hospital, located at Apokon, Tagum City 8112 and Davao Del Sur Provincial Hospital which is located at Lapu-lapu St. Digos, City Davao Del Sur. On the other hand, the hospitals using the computed radiography system are the following: Davao Doctors Hospital (DDH), E. Quirino Ave., Davao City; Southern Philippines Medical Center (SPMC), J.P Laurel Ave., Bajada, Davao City and Davao Medical School Foundation and Hospital (DMSF), Medical Drive, Bajada, Davao City. Participants The respondents of the study are the Registered Radiologic Technologists and Associate X-ray Technologists coming from the selected hospitals in Davao City employing a film-screen and computed radiography system. Moreover, the qualified respondents should be at least six months in service at the time of the evaluation. Measures The research assessment is composed of four parts. The first part of the assessment consists of questions pertaining to the profile of the respondents and hospital. The second part consists of questions on the respondents level of knowledge on exposure technique factor selection. The questions are specifically structured in such a way that assesses the respondents acquired knowledge on technique selection. Based on the results, the attitude in terms of respondents response in both film-screen and CR system will be categorized as follows depending on their mean score: Points Obtained Qualitative Description 30-25 Very High 20-24 High 15-19 Moderately High 10- 14 Low 13- 0 Very Low INTERPRETATION The aforementioned assessment form that will be used as instrument of the study is constructed and designed by the researchers as to measure the basic knowledge in exposure technique factor selection regardless of the imaging system used. Its validity and reliability was attested by experts of the field. Moreover, the third part of the assessment is an actual evaluation wherein the respondents are observed during x-ray examination. They will be assessed in the actual selection of the exposure technique factor and the outcome of the image. The said assessment is a point system; the appropriate the RT performs in technique factor selection and the acceptable the image, the higher the points. Based on the results, the level of radiographic competence in terms of respondents skills will be categorized as follows depending on their mean score: Points Obtained Qualitative Description 10 Very high level of radiographic skills 7-9 High level of radiographic skills 4-6 Moderately low level of radiographic skills 1-3 Low level of radiographic skills Low level of radiographic skills means that the respondents were not able to perform the appropriate exposure techniques and came up with an unacceptable radiograph. Moderately low level of radiographic skills me

Distractions In Life :: essays research papers

Distractions In Life " I left the woods for as good a reason as I went there. Perhaps, it seemed to me that I had several more lives to live, and could not spare any time for that one." -Henry David Thoreau Many times I would find myself in a state of mass confusion. It was as if I had no perception of where I would go with my life. I was trapped in a realm of things which were unfamiliar to me. When I tried to experience these new adventures I ended up back where I started in a slow state of death and decay. New ideas and thoughts seemed impossible for me to grasp. It seemed that anything that was new to me was too much of a hassle. How could I move on in a positive manner in this state. All that I wanted to do was the same old thing over and over like a broken record repeating itself over and over until it wore itself out. I finally, wore myself out. I started to feel as if I was the worn out record player and that I would be dropped into the trash when I stopped working the way I was supposed to. After a short while I found some inspiration from an unknown point. I had realized I would not succeed in this battle called life without serious work. The only one who could help me was me. I knew that I wasn't meant to do the exact same thing for the rest of my life. I had to escape this bottomless pit and move on to the next adventure. "I had several more lives to live and could not spare any time for that one." I moved on to another life. My "new" life was very hard to get used to, but was well worth the trouble. I began trying new things and actually enjoyed it. I realize now that I only have a short time in my life and I have to make a

Determinants Study Essay

Introduction â€Å"To Be on not to Be, that is the question,† a famous quote from Shakespeare poem Hamlet. My niece is interested in attending medical school and has solicited my professional opinion on whether it would be economical feasible for her to attend medical school and if so, the best location to practice medicine. There are many variables in determining the maximum benefit and/or advantages of medical school. Such variables could include but not limited to, gender, ethnicity, tuition, locations, schools, specialties, etc. This paper will touch on the advantages as well as some barriers which may countersuit some of the advantages to form a concise recommendation to my niece on whether becoming a physician is economically and socially a good profession in which she should pursue. Demand Determinants The demand determinants for this case will feature definition of the market and the availability of close substitutes. These two determinants were chosen because the market for medical school can pose many qu4estions, however, narrowing down the most compatible choice is essential in obtaining the value of becoming a physician. The article â€Å"Is Being a Doctor Worth it Financial? Not as much as you may Think,† will help us break down the demand determinant of availability of close substitutes. This article goes to analyze the author’s question on whether if it is worth becoming a physician. To determine the author’s answer, she compared the salary of a doctor to one of an average college graduate. In real numbers, not to say  that these numbers are of current market value, but for the sake of this paper, the author states that a graduate can earn an income of $40,000.00, minus after-tax deduction; this graduate will take home $30,000.00 a year. A resident af ter medical school and for the next three years can expect to make about $40,000.00 a year. However, after the three years, a doctor can expect to make $150,000.00 a year as a family practitioner, which after taxes (approximately 33%), a take home pay annually for a family practitioner doctor is $100,000.00. To amortize the cost of medical school and the amount of one’s yearly income, it is predicted that to find the financial gain of a physician oppose to someone who received a four-year degree, a person will have to wait 13 years to see the financial advantage of going to medical school after all variables have been computed. In relative to years, a college graduate without medical school will graduate at the age of 22, however, one will not see financial relief until the age of 35 if continued on to a medical degree. To end this assumption of is becoming a doctor is financially feasible, the answer will be yes, however, the return will be much farther in one’s career. But do take into account that a doctor will have to work much harder and longer hours, approximately 60 plus hours a week oppose to someone who generally will work between 35-40 hours a week. The maintenance of a doctor is continuing medical education to stay abreast of the latest and most up-to-date techno logy, inventions, and advancements. If a physician choose a specialty (which in my opinion is highly recommended), one will have to recertify for board exams every 7 -10 years. Lastly, retirement age which is typically 65 years old will not be unit the age of around 75 for a physician. Job security, however, will be in a doctor’s favor because the shortage as of right not for doctors, especially for primary care physicians will keep a doctor employed. This aspect explains the demand determinant of the definition of the market. The market in this text is saying the specialty of a primary care physician is in high demand. The author of the article calculated a $600,000 gain to be a doctor oppose to another profession which only needed a four-year degree. Moreover, the price elasticity for becoming a doctor as this article relates is that to determine the value of a physician’s income/net gain oppose to a four-year degree income is contingent upon one’s specialty. The demand for a physician will increase as the shortage for doctors decrease to help care  for the needs of American’s growing population whom is also living longer. The locations, especially rural areas will demand the need for more physicians. The need for a primary care physician is greater than the need for a family practitioner. To perform the midpoint formula, the following fictional number will exhibit the value of becoming a physician. Midpoint elasticity = (B2-B1)/(B2+B1)/2 à · (A2-A1)/(A2+A1)/2: the number we will use the amount of patients needed for a physician. The average number from the beginning and the ending number of patients needing a physician in a rural area is 75 or (50+100)/2, so if the number of patients increases, the formula will read (100-50)/50 will give us 50/50, or 100%. However, if the patients decrease the formula will read (50-100)/100 which will be -50/100, or -50%. The midpoint value will be (100-50)/75 or 50/75 which will equal to a percent change of 66.67%. Supply Determinants Becoming a doctor while analyzing the supply demands of the profession can be determine by the price the input prices, technology and the expectations. The price can be determined by the cost of medical school. According to the article â€Å"Medical School at $278,000 Means Even Bernanke Son Has Debt,† published by Bloomberg, the average debt of a medical student who finances his or her education through private and government loans is between $207,868 and $278,455. However, the article also states that the supply of doctors will be less than the demand due to a shortage that is forecast to happen by 2025. This makes the supply inelastic because we will face more patients in need of a physician than we have physicians. The shortage is reportedly more than 130,000 physicians to the more than 32 million American that will be receiving healthcare (Bloomberg, 2014). This type of debt can price out minorities and women who have interests in pursuing the idea of attending medical sc hool. Such and enormous debt can discourage someone to think elsewhere as far as becoming a doctor. African Americans typically leave medical school owing loans on the average of $184,125. However, the price of medical school or even a lucrative salary cannot be the sole determinant of why one chooses the profession of a doctor. A study, coming from the article â€Å"African American Female Physicians in South Caroline: Role Models and Career Satisfaction,† outlined results from 132 African  American female physicians with 62 responding answering why they choose to practice medicine. The majority of the respondent stated they went to medical school for altruistic reasons, in addition to having a high interest in the positive challenges and opportunities practicing medicine presence. Another reason the respondents gave in the survey stated that there were other external reasons that influenced their decisions and that was the impact their family, teachers and childhood upbringings. Moreover, the study also revealed that most African American women shared the same desires as white female physicians. Lastly the study stated that the dissatisfying component of the respondents dislikes of being a doctor was managed care, time demands and paper work. (McFarland, F., Smith, J., West, A., & Rhoades, R., 2000). In essence, one’s gender and/or ethnicity one will have to analyze the explicit cost of what it takes to obtain a medical degree. One must incorporate the tuition, room & board, books, practical exams, etc., whereas the implicit cost will be calculating the interest rates of government and private loans. However, becoming a physician even with student loan debt, one can apply the theory of profit maximization because the return over time will far exceed the debt that was incurred. This theory also allows a medical student to actualize that there will be a normal profit as well as an economic profit because one would have covered the implicit and explicit cost to obtain the accounting profit, but will reach far above monetary return to achieve the economic profit once the loans have been repaid. As stated earlier, over a period of time, a physician will make approximately $600,000 over the course of his or her career than a four-year graduate. The below graph is illustrating the supply of physicians to the number of patients that need care. Recommendation In conclusion, my advice to my niece would be to follow her heart and desire as obtaining a medical degree will far exceed the satisfaction of serving people than the income and time spent. However, to quantify the return on the education of a medical degree, will yield a positive return, but not immediately, over time. Through the law of demand she will see that becoming a doctor is in high demand because the American population is living longer and physicians are needed to care for the generations to come  and the ones that are still here who need geriatric care. Another positive component in obtaining a medical degree is because she is a woman; she can be a pioneer of new cures and advancements as it related to terminal illnesses. The concerning questions is what are the best places to practice medicine? According to PR Newswire, â€Å"The Best Places to Practice Medicine are Idaho, Alabama, Texas, Nevada, and South Carolina. The metrics that were used in determining which plac e is best were: low density of practicing physicians per capita, medical malpractice insurance, low rate disciplinary actions, cost of living and tax burden. However, the article also stated that physicians must determine what is most important to them and their family in deciding where to practice medicine. To be or not to be is the question; yes becoming a physician is economically sound and wise because through the theory of supply and demand, physicians will be needed through eternity as long as there is human presence on this planet earth. References Lorin, J. (2013). Bloomberg. Medical School at $278,000 Means Even Bernanke Son Has Debt. Retrieved from http://www.bloomberg.com/news/2013-04-11/medical-school-at-278-000-means-even-bernanke-son-carries-debt.html Chen, M., & Chevalier, J. A. (2012). Are Women Over investing in Education? Evidence from the Medical Profession. Journal Of Human Capital, 6(2), 124-149. Miqueo, C. (1999). Women and doctors in medicine. Lancet, 354SIV65. Dacre, J., & Shepherd, S. (2010). Women and medicine. Clinical Medicine, 10(6), 544-547. Illinois State University. Department of Economics. Profit Maximinzation. Retrieved from http://www.economics.illinoisstate.edu McFarland, F., Smith, J., West, A., & Rhoades, R. (2000). African American female physicians in South Carolina: role models and career satisfaction. Southern Medical Journal, 93(10), 982-985. Medical School Success (N.D.) Is Being a Doctor Worth It Financially? Not as Much as You May Think http://www.medicalschoolsuccess.com/is-being-a-doctor -worth-it-financially/ PR, N. (2012, October 12). The Best Places to Practice Medicine are Idaho, Alabama, Texas, Nevada, and South Carolina. PR Newswire US. R. Glenn Hubbard, Anthony Patrick O’Brien, Hubbard, O’Brien. Economics. 4th Edition. Pearson Learning Solutions, 2012. Pg. 20. VitalBook file. Bookshelf. Reyes, J. (2008). Gender Preference and Equilibrium in the Imperfectly Competitive Market for Physician Services. Eastern Economic Journal, 34(3), 325-346. doi:10.1057/palgrave.eej.9050033

Reason for Pursuing Graduation degree in Heath care Administration Essay

Each individual has his own reason for pursuing a graduate degree. Professionally, a graduate degree shows that the person has the motivation, ambition, and dedication to improve and thus strive to obtain a position in which s/he can apply and expand his/her knowledge base. The choice to seek additional education after investing four years in an undergraduate degree shows commitment to learning and recognition of self-worth. I chose to pursue a Master’s degree because; I believe that obtaining a graduate degree will definitely make me more marketable in the corporate world. But my main goal is to broaden my horizon beyond the technical world, unlock career aspirations otherwise blocked, and enhance problem-solving and decision-making skills which lead me to do some excellent research base work in future. I am writing this statement in support of my application to study towards the Master of Health Care Administration degree at Worcester State University (WSU). Here the question is why am I pursuing my graduate degree in HCA/Public Health while I did my graduation/ under graduation from Statistics? My answer is, I want to expand my career level in a broad way by opening some more windows and I believe, the public health will be a good choice for one of them. A Healthcare Administration Degree can be utilized in just about any healthcare related occupation, ranging from hospital CEO, to health insurance manager(who need experience of statistics), to public health official(need statistics), to management consultant, health care analysis(need statistics) and more. Getting this degree under my belt now will ensure that I have a plethora of career options later on. I think health care and statistics are just like cousins. In today’s world we are faced with situations everyday where statistics can be applied. Statistics can be used to determine the potential outcome of thousands of things where the human mind alone wouldn’t be able to. For example- Researchers employ scientific methods to gather data on human population  samples. The health care industry benefits from knowing consumer market characteristics such as age, sex, race, income and disabilities. These demographic statistics can predict the types of services that people are using and the level of care that is affordable to them. Health care administrators refer statistics on service utilization to apply for grant funding and to justify budget expenditures to their governing boards. Quantitative research guides health care decision makers with statistics–numerical data collected from measurements or observation that describe the characteristics of specific population samples. Descriptive statistics summarize the utility, efficacy and costs of medical goods and services. Increasingly, health care organizations employ statistical analysis to measure their performance outcomes. Hospitals and other large provider service organizations implement data-driven, continuous quality improvement programs to maximize efficiency. Government health and human service agencies gauge the overall health and well-being of populations with statistical information. Moreover, Public Service Leaders work behind the scenes at hospitals and other healthcare facilities to make sure that patients have access to quality health services. They are trained to manage the financial aspects of hospital administration which include creating and managing budgets, conducting financial forecasting exercises to project future growth and expenditures and overseeing the day to day tracking of accounting data. Some of these healthcare business professionals are involved in public service but at a more strategic level as they work to guide policy making decisions for both government agencies and private healthcare service providers. Students pursuing graduate degrees in Healthcare Administration usually are interested in promoting quality healthcare to everyone not only from inside the hospital base as doctor but from the outside in different necessary way. A graduate level Health Administration degree programs are usually filled with courses pertaining to quantitative analysis, probability and statistics and hypotheses testing. So, I believe Students who have interests in learning how to correctly design research studies, applying statistical models using the latest healthcare software tools and interpreting data to contribute to improve healthcare services do well in graduate level health administration coursework.