Saturday, February 15, 2020

The Dimensions of Interprofessional in Nursing Practice Essay

The Dimensions of Interprofessional in Nursing Practice - Essay Example The collaborative process has also been defined as a dynamic process which requires that professional boundaries be surpassed if each participant is to contribute to developments in patient care while appropriately bearing in mind the qualities and skills of the other professionals (Canadian Physiotherapy Association 2009). However, nurses have long held the view that failure to implement inter-professional has led to the fragmentation of care, patient dissatisfaction and poor outcomes (Leathard, 2004). Therefore, there is a need for inter-professional working in nursing practice to deliver integrated quality healthcare services, improve patient satisfaction, and save more lives. Inter-professional working in nursing practice refers to the collaboration of the healthcare team to ensure the delivery of high quality patient care services. It was acknowledged by the General Medical Council that healthcare is increasingly provided by multidisciplinary team and this collaboration brings m ore improvement to patient care (WHO, 1999). The present reflective commentary is based on a HIV positive patient who was admitted to my ward via A&E. Using this patient; I will analyze and evaluate the contribution of nursing and other members within the inter-professional collaboration process. Gibbs reflective cycle will be used to reflect my experiences of working in an inter-professional team. The cycle will help me identify the decision making and problem solving processes and discuss the effectiveness of the contribution of each member in the inter-professional practice in the light of existing relevant literature. Description I was performing my duties in the ward on a morning/afternoon shift with my mentor when a 32 years old, Vietnamese female immigrant, named Mrs. Yiu Suh was wheeled in from A&E. Mrs. Yiu Suh is a pseudonym for the patient in accordance with the 2008 Professional Code of Conduct on confidentiality promulgated by the Nursing and Midwifery Council (NMC 2008 ) which states that all names and identifying trace to the patient must be changed. Therefore, any resemblance to a ward, person, relative or trust is purely coincidental. In order to gain Mrs. Yiu Suh’s complete medical history, an initial admission process was carried out. This was undertaken by reviewing the patient’s medical notes which revealed that the patient had diarrhoea and a mouth thrush that failed to heal despite trying several home remedies. The report also provided information which suggested that the patient had not been eating well due to her mouth condition and had lost a lot of weight within a very short period of time. Three weeks prior to her admission to the ward, the patient visited her General Physician (GP) in the community for the same complaints. Her GP treated her and advised her to visit again in case there was no improvement. Mrs. Yiu Suh refused to visit her GP again as she was given leaflets on HIV and was recommended an HIV test, which she ignored. Later on the patient confessed to me that she feared the worst because she had been a commercial sex worker. It was during the course of her sex trade that she met her husband, Mr. Charles Robbins, who brought her

Sunday, February 2, 2020

How to Do Business In Italy Research Paper Example | Topics and Well Written Essays - 1250 words

How to Do Business In Italy - Research Paper Example It can be observed that the Italy does not have good international relation with most of the countries . In the recent times, Italy is facing significant challenges in meeting its debt requirements and the consequential harm which has been caused because of euro zone along with the EU which is quite difficult to eradicate . Economy Policy Outlook Italy is considered to be a country with heightened financial as well as economic crisis that weakens its position in the euro zone. This arises essentially from a change in market perception of the state of its public finances. Approval was received from the Parliament on September 14th 2011, regarding the budget that was designed for the period of 2012-2013 in order to minimize the budget deficit to zero in the year 2013, from 4.6% of Gross Domestic Product (GDP) in the year 2010 and an approximated 4% in the year 2011. Nonetheless, because of the reduction in the estimation of economic growth along with higher interest payments, it has been apparent by the month of November of the year 2011 that more funds would be required by the country in order to attain this objective. Starting a business in Italy is considered to be quite expensive rather than time consuming in Italy .In the year 2010 and in the first half of the year 2011, the country’s upturn from recession had been modest. In consequence of combination of greater fiscal difficulties, a weakening of the business confidence and sharply declining external demand, it can be expected that Italy will suffer from numerous quarters of negative quarter-to-quarter growth6. Economic Policy Economic Policy The creation of the new technocratic government has not been successful at minimizing the rate of interest on Italian government bonds considerably6. Consumer Confidence Improvements There has been significant decline in the consumer spending since April 2011. In the first three quarters of the year 2011, it was noticed that there was decline in the unadjusted value index by 0.8% year-on-year. However, after the importunate fall that initiated in the month of May of the year 2011, in the month of November of the year 2011 there was noticeable rise in the consumer confidence index to 96.5 from 93.3 in the month of October of the year 2011. It was noticed that the index remained below the average for all 12 months of 99.4. It was in the month of November 2011 when the consumers’ evaluation of the overall economic situation improved significantly7. PESTEL Analysis Prior to entering into any country, it is quite vital to conduct PESTEL analysis in order to comprehe nd the business environment of that particular country. It can be stated that the government of Italy has passed an â‚ ¬40 bn sternness program so that it can resolve its weak financial position and thus take out ways to strengthen them. It has been observed that although the government takes numerous measures in order to reduce the tax rates, it is quite high in Italy. In the year 2010, the corporate tax rate has been 31.4% which is quite higher in comparison to the EU average of 23.2%. There has been rise in the exports as well as imports to non-EU countries by