Nurses do not wake up each morning intent on delivering poor


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Nurses do not wake up each morning intent on delivering poor care.

Today marks the end of Christina Patterson’s investigation into the worrying state of British nursing. Throughout the week, readers’ responses have been extraordinary – ranging from moving first-hand testimonies to thought-provoking suggestions for change

  • Friday 13 April 2012 23:00 BST

Poor care is due to systemic failings, not the nurses

When people discuss their experiences of poor care, there is little one can say in defence, it’s their experience and no one else’s. I can’t deny for one moment that poor care happens. Every single instance is tragic and utterly unacceptable. However, when a problem is alleged to be systemic, as Christina Patterson appears to argue, one must look at the system and not simply the individuals at fault.

Despite political rhetoric to the contrary, deep budget cuts are being made right across the NHS. Tens of thousands of jobs are being stripped from the front line, and when nurses leave or retire, they aren’t being replaced. What does this mean for the team working on an older people’s ward that used to be staffed with five nurses, and now has to cope with three? It means that the 20 or so patients on the ward cannot physically get the attention they all need, that those who need help at mealtimes may not get it and that, despite the best intentions, standards slip.

The nurses of this country do not wake up each morning intent on delivering poor care – it just doesn’t happen. What does happen is that systemic failings bring about individual cases of poor care. We need to openly discuss the factors that are currently making a nurse’s life very difficult indeed.

Chief executive general secretary, Royal College of Nursing

No wonder so many Brits come to work in Canada

After 30 years as a nurse, nothing surprises me and I know there will always be bad nurses, although happily at the hospital I work they are the exception. Part of the problem is the abysmal wages in the UK. When I saw the pay scale I understood why so many British nurses emigrate to Canada to work. The wages are appalling given the intensity and difficulty of the work and the educational requirements.

I’ve had only superb care: is it because I live in a rural area?

I have been treated for two years for breast cancer by my local NHS Trust, and I have had superb care from all staff: oncologists, MacMillan nurses, nurses on the breast ward, radiotherapy centre and associated services such as X-ray, my GP, transport by ambulance or volunteer drivers, counselling, and appointment clerks.

So why is my experience so different from that reported? I believe it is because I am being treated in a rural area – Cumbria, with relatively small hospitals and clinics – not in a pressurised urban area where care is delivered via huge institutions. I don’t want a Big Society, I want a Small Society, where people – professionals and patients – can foster genuine relationships in a caring environment.

Let’s build on what’s good I will be retiring from the profession at the end of April after 42 years as a nurse . It has been my privilege to have worked with nurses who are committed and compassionate, putting patient care at the heart of their decision-making. Please let’s look at what’s good about the profession and build upon that, instead of assuming that we all need to develop a new “culture of compassion”.

Missing managers and cliques of self-serving staff

Some practitioners have all the qualifications anyone could ask for, but lack any empathy. Some are even vindictive, as I can attest. In the vast majority of my contact with hospitals, the person in charge is never seen and does not supervise in any way. The main observation I have, though, is that most of the poor staff exhibit massively childish behaviour. My question is why these people are ever offered training in the first place, as they have no ability to deal with themselves let alone vulnerable patients. They form nasty, gossipy little self-serving cliques, and woe betide anyone who tries to enforce professional standards. I observe that hospital managers are paid handsomely. What for?

A missed opportunity Christina Patterson’s excellent series highlights the disaster of the abolition of State Enrolled Nurses. The NHS now relies on thousands of healthcare assistants to care for NHS patients under registered nurse supervision.

Many healthcare assistants do a great job but there is no uniform training. A healthcare assistant dismissed for poor standards in an NHS hospital one day, can turn up working in a private nursing home the next.

In the Lords, in debate on the Health and Social Care Bill, Labour Peers strongly supported the statutory regulation of healthcare assistants. This was voted down by Coalition Peers. A great pity and a real missed opportunity to boost standards.

Lord Philip Hunt

Shadow Deputy Leader, House of Lords

Care and practical skills must count for more than NVQs As a recently retired Charge Nurse, and having worked in the caring profession since the 1970s, I believe I can offer a perspective on the “crisis in British nursing” today.

When applying for a position within this field, I was able to say that I wanted the job because I enjoyed working with others, and actually wanted to help people, see their situations, and improve their recovery. More recently, individuals with career aspirations in the nursing sector are encouraged to place emphasis on the NVQ’s or diplomas that they have, since managers and senior staff are primarily interested in what career paths the interviewee is pursuing.

I used to be an “enrolled nurse”, known in the profession as “the practical nurse”. Sadly, it seems that such skills are no longer valued in nursing. The culture needs to change again.

Atomised care is a disaster Christina Patterson’s series of articles this week illuminate a vital aspect of healthcare but it is a mistake to view healthcare and its problems in this compartmentalised way.

Healthcare is, or should be, an intimate commingling of disciplines and not an incoherent assemblage of entities, structures and processes. Atomised private healthcare is the perfect image of a disaster – clinically, practically, financially and ethically.

Unless and until we have a government truly committed to the welfare of the patients, the decline will continue. This excludes all three conventional parties who are united in their ambition to destroy the NHS.

“A lot of nurses are scared to think outside the box”

“Nurses do care. When the press is constantly having a go, it does knock your spirits; everybody gets tarred with the same brush. I’ve seen bad care, but give a fair hearing to the remarkable things that are going on around the country. Knocking the NHS won’t make it better. I’ve come across a lot of nurses who were scared to think outside the box. They were worried that if they did something off the wall, someone would clamp down on them. We need to get nurses fired up, get them to connect with patients more closely and thank them when they do a good job.”

Jill Fraser, a nurse of 30 years and co-founder of Kissing It Better, a charity that aims to improve patient care

And, from the many comments posted at independent.co.uk and on Twitter:

@witchynicky: As a nurse who trained in the 1980s I weep for my profession. Yes, there was much that was overly formal and task-orientated but we took pride in our work. I worked hard and I loved my work. As a patient six years ago, the nurses were cold and uncaring.

Robert: As a junior doctor working across a number of busy general and specialist medical wards I have been struck by the sheer volume of paperwork which nurses are obliged to complete in order to ensure their ward meets its CQC (Care Quality Commission) targets. Which seems to be a bizarre way to improve care.

Musabah67: I am a highly qualified nurse who has worked both in public and private hospitals and I was shocked by the poor standard of care when I was suddenly admitted into my local NHS hospital. The experience described in this article is similar to the one I endured and my life was only saved by the fact that I was a nurse and I knew exactly what to do.

@MariannaNodale: The point is that for one dodgy nurse, there are also 10 brilliant ones on the ward who are impeccable in their care, are sympathetic of patients needs, have an eye for detail and don’t make any mistakes. Yet the 10 good apples don’t negate the bad one.

@ajgaskin: Patients are only too often ready to complain but fail to acknowledge the good treatment they have received.

Martin West: I have had two operations for cancer in the last year, at different hospitals in the UK. In the first, the nurses were surprisingly brusque, unfriendly and, at times, bullies – to an extent that shocked me. In the second, they were warm, kind, compassionate and friendly, and I left feeling genuinely cared for. Two hospitals, same NHS.

Special report: A crisis in nursing


11/09/2017

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Part Time Practical CNC Machining Continuing Education Program & Courses #cnc


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Practical CNC Machining (Part-time)

Credential: Certificate of Achievement Program Code: 1304 School: Engineering Information Technology

About the Program

The intent of the Practical CNC Machining program is to address the practical machining skills needed by students who are studying CNC programming. This part-time program will be approximately 142 hours in duration and encompass a mixture of theoretical and practical knowledge with a focus on practical applications in the CNC machining environment.

Program Information

All courses must be completed within 5 years of acceptance into the program.

Admission Requirements

  • Ontario Secondary School Diploma (OSSD), or equivalent, OR 19 years of age or older.
  • Students must be able to receive instruction, respond and conduct research in the English language.

Admission Procedures

  • Submit a completed Conestoga College Program Application Form
  • Attach proof of Admission Requirements
  • Final selection is made following an assessment of the admission requirements

How to Apply

Students may obtain a Conestoga College Program Application Form from any Conestoga College campus, OR by writing directly to the Registrar s Office, OR by using the college website at www.conestogac.on.ca/admissions/forms

Send completed applications to:
Conestoga College
Admissions Office
299 Doon Valley Dr
Kitchener, Ontario
Canada N2G 4M4

How to Register for Courses

Go to How to Register for detailed registration information.

Prior Learning Assessment and Recognition (PLAR)

Conestoga recognizes prior learning of skills, knowledge or competencies that have been acquired through employment, formal and informal education, non-formal learning or other life experiences. Prior learning must be measurable at the required academic level and meet Conestoga standards of achievement for current courses. Challenge exams and portfolio development are the primary methods of assessment. Other methods of assessment may be available depending upon the nature of the course objectives. Successful completion of the assessment results in an official course credit that will be recorded on the student s Conestoga transcript. PLAR cannot be used by registered Conestoga students for the clearance of academic deficiencies, to improve grades or to obtain admission into a program.

Learn more about PLAR.

Graduate Opportunities

For more details on related occupations, job market information and career opportunities, see the Government of Canada website: http://www.workingincanada.gc.ca

Program Related Resources

Program Outcomes

  • Solve routine technical problems relating to CNC setup in the shop environments using a variety of systematic approaches.
  • Interpret basic graphics and other standard technical documents needed to complete CNC setup and operations.
  • Create and edit CNC programs.
  • Perform basic technical measurements using appropriate tools specific to CNC setup and operations.
  • Work safely and effectively within a shop environment in compliance with health and safety legislation and organizational procedures and practices.

Program Courses

Click on the course code or title below for a full description of the course. If available for registration, clicking on “Details” in the status column will open a new browser tab or window in the Student Portal.


29/08/2017

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Career Facts – Accounting Program – Business and Economics Department –


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Accounting Program Career Facts

What They Do:

Accountants and auditors prepare, analyze, and verify financial reports and taxes and monitor information systems that furnish this information to managers in business, industry, and government.

The major fields of accounting are public, management, and government accounting. Public accountants have their own businesses or work for public accounting firms. They perform a broad range of accounting, auditing, tax, and consulting activities for their clients, who may be corporations, governments, nonprofit organizations, or individuals. Management accountants (also called industrial, corporate, or private accountants) record and analyze the financial information of the companies for which they work. Other responsibilities include budgeting, performance evaluation, cost management, and asset management Government accountants and auditors maintain and examine the records of government agencies and audit private businesses and individuals whose activities are subject to government regulations or taxation.

Within each field, accountants often concentrate on one aspect of accounting. For example, many public accountants concentrate on tax matters, such as preparing individual income tax returns and advising companies of the tax advantages and disadvantages of certain business decisions.

Increasing numbers of accounting graduates are working in private corporations. Management accountants analyze and interpret the financial information corporate executives need to make sound business decisions. They also prepare financial reports for non-management groups, including stockholders, creditors, regulatory agencies, and tax authorities. Within accounting departments, they may work in financial analysis, planning and budgeting, cost accounting, and other areas.

Who Would Enjoy It:

People with accounting jobs understand information systems and are skilled at working with computers to gather, report, and interpret information. Skills in human relations and interviewing are essential because accountants need to understand and solve financial problems for other people.

Accounting covers a wide variety of jobs including Financial Reporting, Income Tax Research and Preparation, Information Systems Design, Auditing, Budget Preparation, and Cost Accounting. Levels of accounting jobs range from clerical bookkeeping to Vice-President of Finance/Chief Financial Officers.

What They Earn:

The average starting salary for someone with a bachelor s degree is about $35,000 per year, yet salaries ranged from $30,000 to $40,000. Those with 1 to 3 years experience will increase to about $50,000 a year, with salaries ranging from $30,000 and $60,000 in the higher management positions. After 10 to 15 years of experience in this field, one may earn up to $110,000 per year. Starting salaries with an associate degree vary with the individual s education and work experience. Bookkeeping jobs for students working on a degree vary from $8.00 per hour on up depending upon education and experience.

How Many Jobs Available:

Employment of accountants and auditors is expected to grow about as fast as the average for all occupations through the year 2014. Each year, several hundred thousand jobs for bookkeeping, accounting, and auditing clerks will become available as these clerks transfer to other occupations or leave the labor force. The large size of the occupation ensures plentiful job openings, including many opportunities for temporary and part-time work.

How Much Schooling, Training, or Skill Development:

Most professional accountant and internal auditor positions require at least a bachelor s degree in accounting or a related field. However, many employers are beginning to prefer candidates who have earned a master s degree. A variety of bookkeeping and paraprofessional accounting jobs are available for people with less than an associate degree. There appears to be a growing trend for these jobs to request a minimum of an associate degree.

Accountants traditionally have been detail-oriented and that is still important, but modern accountants require a much broader set of abilities. The modern accountant needs highly developed analytical skills to deal with the ever-changing business environment. Good oral and written communication skills are a necessity. Interpersonal skills are highly desirable. The ability to effectively work with computers is a necessity. Computerization lessened the focus on repetitive, detail-oriented work in accounting in favor of analysis and communication.

Based on recommendations made by the American Institute of Certified Public Accountants, most states currently require CPA candidates to complete 150 semester hours of college coursework. Students already holding a bachelor s degree in another field who earn an associate degree in accounting may meet the educational qualifications for the CPA examination and entry into professional levels of accounting. In Michigan, the 150-hour law can be met with LCC classes if the student has a 4-year degree already.


25/08/2017

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International Health – Social Management #studieren #in #innsbruck, #gesundheit, #health, #gesundheitssysteme,


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International Health Social Management

International Health Social Management

The master s program International Health Social Management links international health and social care, business and politics, international law and international management. Students acquire knowledge of the specifics of social welfare and health systems in the context of an increasing demand for skilled workers in the health and social sector. Soft skills and competences in research methods are part of the study program. Students benefit from a future-oriented, practical study program with an international focus. Graduates are in leading positions in the fields of health care, social insurance, international coop- eration, lobbying, consulting, education, science, and research.


Please notice also our double degree option in cooperation with the University of Economics in Prague.

1st semester: Core curriculum
2nd semester: Core curriculum, Electives
3rd semester: Core curriculum, International semester (optionally abroad)
4th semester: Master thesis and final exams

Winter semester: from September – January
Summer semester: from March – June

Module Management (12.5%)
Module Economics (12.5%)
Module Governance (12.5%)
Module Law (12.5%)
Module Multidisciplinary (21%)
Module Methods (including master thesis) (29%)

Bachelor or equivalent degree in business administration, social/political and natural sciences, medicine, economics or health sciences including public health and nursing

Career background (30 %)
Written entrance exam (30 %)
Interview (40 %)

Online. Please consider the indicated deadlines .
IMPORTANT: All transcripts must be attested. Early applications are recommended.

MCI MANAGEMENT CENTER INNSBRUCK
The Entrepreneurial School
International Health Social Management
Universitaetsstrasse 15
A-6020 Innsbruck/Austria
+43 512 2070-3700, Diese E-Mail-Adresse ist vor Spambots geschützt! Zur Anzeige muss JavaScript eingeschaltet sein!


11/08/2017

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Retail Management Success-Website for Retail Managers #retail #management #seminars # #running


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HOW CAN DMSRETAIL HELP?

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Complete retail business resources that any retail manager needs at any level, including business owners, all in one place. Includes training, expert guides, tools, marketing, operational guidance and forms. Anything that you are looking for an answer can be found in this site. Try it just for $1

June 5- 6- 7, 2017 – Sheraton Park Lane, London, UK. If you can only attend ONE Event this year this is it. You will learn about the proprietary and proven DMSRetail performance systems and how to implement them in your retail organization. Sub systems like compensation, incentives and career path along with the selection of the right KPI’s, produce the biggest ROI. We also cover current hot issues like Business Intelligence, Retail Technology and much, much more. Details

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Retail Math Retail Analytics are essential parts of any retail manager’s arsenal. “It’s like MBA in Retail Management in 2 hours.” One participant said. Learn More

Management vs. Leadership – What a Good Leader is… – Avoid the “10” Mistakes – 11 Leadership Principles – Top 5 Factors of Influence – Leadership (Culture) – Leadership (Strategy) – Keys to Success: Situational Leadership – Motivation Secrets Learn More


11/07/2017

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Business – Management Training Courses #advanced #skills #management


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10 Years of Success!

Book a Business Skills Development training course on our easy to use online booking form. Once your booking has been completed a representative will forward you confirmation of the booking. For information about our upcoming events, click on the Training Calendar button below. If you have any other queries, please fill out our simple contact form and a representative will get back to you.

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08/07/2017

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Cerebral Palsy #cp, #cerebral #palsy, #wheelchair, #crutches, #congenital #disorder, #birth #defect,


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Cerebral Palsy

Maybe someone at your school has cerebral palsy — or perhaps you have it and you’ve been dealing with it your whole life. As we become more aware of appearance and body image. it can be tough to be in a wheelchair or to have people tease you about the way you walk. But lots of teens with CP don’t let it hold them back. They do just what everyone else does.

What Is Cerebral Palsy?

Cerebral palsy (CP) is a disorder of the brain. Normally, the brain tells the rest of the body exactly what to do and when to do it. Because of how CP affects the brain, a person might not be able to walk, talk, eat, or move the way most people do.

CP affects a person’s muscle tone and ability to coordinate body movements. People with CP have trouble controlling their muscles. How a person is affected all depends on what part of the brain is involved.

How Does Cerebral Palsy Affect People?

The three types of cerebral palsy are:

  1. Spastic (pronounced: SPASS-tik) CP is the most common type of CP. People with spastic CP can’t relax their muscles or the muscles may be stiff.
  2. Athetoid (pronounced: ATH-uh-toid) CP affects the ability to control the muscles of the body. A person’s arms or legs may flutter and move suddenly.
  3. Ataxic (pronounced: ay-TAK-sik). People with ataxic CP have problems with balance and coordination. Their movements may seem shaky.

People with CP can have mild cases or more severe cases. It all depends on how much of the brain is affected and which parts of the body that section of the brain controls. If CP affects both arms and both legs, a person might need to use a wheelchair. If CP only affects the legs, someone may walk in an unsteady way or have to wear braces or use crutches.

If CP affects the part of the brain that controls speech, a person with CP might have trouble talking clearly or not be able to speak at all. Some people with CP also have learning disabilities or behavior problems, though many don’t have these issues. Others can have medical problems like seizures or epilepsy. or hearing impairment.

What Causes It?

In most cases, doctors don’t know exactly what causes CP. They do know that it’s the result of damage to the brain — either while a baby is in the womb or in the first few months or years after the baby is born.

Babies have a higher chance of having CP if they are born early or if they’re very underweight at birth. Babies who don’t get enough oxygen during or right after birth also have a higher chance of having CP. So do babies who need to be on a ventilator (a machine to help with breathing) for several weeks or more after birth.

CP is not contagious, so people can’t catch it from other people. Even a mother with CP can’t pass it on to her unborn baby.

What Do Doctors Do?

Doctors diagnose CP when kids are young, so by the time people reach their teens, they usually know they have CP and are used to living with it.

With CP, the problem with the brain will not get any worse as people get older. For example, someone who has CP that affects only the legs won’t develop CP in the arms or have problems with speech later on.

Although CP doesn’t get worse over time, how it affects someone’s body can change as the person grows or develops. For example, some teens with CP may develop dislocated hips (when the bones that meet at the hips move out of their normal position) or scoliosis (curvature of the spine).

Because CP affects people differently, there are lots of ways to treat and manage it. Some teens have only mild problems with movement. Others need crutches or wheelchairs to get around. Doctors, parents, teachers, therapists, and the person with CP all work together to develop the best treatment plan.

Teens with CP may work with these experts:

  • a pediatric orthopedist
  • a developmental pediatrician who looks at how the person is growing or developing compared with other teens
  • a pediatric physiatrist (or rehabilitation physician), who helps kids with disabilities of many kinds
  • therapists, like physical therapists to help with movement, occupational therapists to help with skills like handwriting, and speech therapists

Some teens with CP take medicines to relax their muscles (in the case of spastic CP) or to help control seizures. And some might have special surgeries to keep their arms or legs straighter and more flexible.

Coping With Cerebral Palsy

Puberty can be especially challenging for people with CP. Rapid growth can cause weight gain and clumsiness in any teen, but can make it even more difficult for someone with CP to move around. A person’s muscles can become tighter as the bones grow, which can restrict movement even more.

If you have CP, what you’ll do depends on your CP. One thing you can do is to get more involved in your medical care wherever possible. Keep up with your appointments, including any physical or other therapy visits. This is a time when your medical team will want to keep an eye on you and adapt your treatment or therapy as you grow.

Many guys and girls with CP can do the same sorts of things that other teens do, like enjoying extracurricular activities, listening to or playing music, hanging out with friends, reading, going to the mall, and dating, to name just a few.

Helping a Friend Who Has CP

If you know someone who has CP and you’re wondering how to help, just treat that person the way you would anyone else. Some people with CP might need extra assistance once in a while, like when reaching for something. Help out — just as you would with anyone else — without making a big deal about it. If you can’t understand what a person with CP is saying or if it takes longer to do things, give him or her extra time to speak or move.

And don’t be afraid to talk to a friend about what it’s like to live with CP. Everyone wants to fit in, and being in a wheelchair or having other physical problems can make someone self-conscious or feel left out. So if you know someone with CP, try to be welcoming and include him or her in what you’re doing.

Date reviewed: August 2015


06/07/2017

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