Advantages And Disadvantages Of Filing For Divorce On No...

. What are the relative advantages of filing for divorce on no-fault grounds? Are there any situations, which would justify fault-based divorce, even though the procedure for obtaining a divorce on no-fault grounds might be cheaper or easier? A no-fault grounds divorce means that no one is alleging that anyone has done anything wrong in the marriage, but rather that the couple desire to terminate their marriage because of an irretrievable brake down of the marriage. No-fault divorce grounds do not require anyone to allege any of the traditional grounds for divorce: adultery, physical or mental cruelty, abandonment or desertion, imprisonment, insanity, and drug or alcohol addiction. Fault of one party is irreverent. No-fault divorce†¦show more content†¦Such an agreement gives the judge a better understanding of the marriage, and allows the judge to render a Just and right judgment based on what the parties have agreed upon, as long as that agreement is conscionable and fair to the parties. A fault- based divorce may be justifiable in certain circumstances such as for religious or philosophical reasons, or in an abusive relationship. There is not waiting period for a fault ground divorce therefore a spouse who is facing an abusive situation could file for a fault divorce without having to prove that the parties have been living apart for a specific amount of time. Another justifiable reason would be for abandonment/desertion. If a spouse has left and has not been heard from for quite some time, and have not supported the family, it would be beneficial for the abandoned spouse to file for a fault-based divorce to dissolve the marriage and move one with his/her life. If the spouse who has left has marital property, the abandoned spouse may be able to have access to that property, if they succeeding on the grounds of abandonment. Likewise, a husband or wife whose spouse have been convicted of a felon and has been sentence may be justifiable in filing a fault- base divorce. 2. Your client, Kevin, comes to your office seeking a divorce, and he is enraged and sick because his wife, Kim, has been unfaithful to him for the 3rd time in their five year marriage. After a thorough intake interview, you determine that Kevin

An Intimate View Of Imagery Of Langston Hughes Dream...

An Intimate View of the Imagery in Langston Hughes’ â€Å"Dream Deferred† America is built on a dream, the idea that anyone has the opportunity for prosperity, success, and an upward social mobility when they work hard. This dream is a siren call to America’s shores for millions of people from across the world looking to forge a better life. Unfortunately, this dream seems to elude Blacks in America. The elusiveness of this dream is not because Blacks do not want to succeed or have the hunger to achieve their goals but because extraneous forces often causes it to be out of reach and ultimately deferred. But â€Å"What happens to a dream deferred?† in Langston Hughes’ seminal poem â€Å"Dream Deferred† the use of vivid imagery shows the regret, sadness, and the danger of forgotten dreams. The beauty of a dream is unrivaled; a dream can snatch 13 colonies from under the tyrannical thumb of a Queen or rouse millions of people to descend on the National Mall to hear a reverend from Atlanta speak of equality. Dreams are succulent lik e a grape but what happens when unattended? â€Å"Does it dry up like a raisin in the sun?† This image elicits regret, a once inviting fruit is now dried, withered, and less appealing. The sun (outside influences) have taken away what made the grape beautiful and replaced that attractiveness with a vison of what could have been. Though that raisin can still provide sustenance, just as a janitor still provides for their family, the janitor’s dream of becoming an artist

Kaoru Ishikawa Free Essays

Kaoru Ishikawa was born in Tokyo Japan in 1939. He earned his Engineering degree in applied chemistry from the University of Tokyo. After Graduating from college he was a navel technical officer until 1941. We will write a custom essay sample on Kaoru Ishikawa or any similar topic only for you Order Now He worked at the Nissian Liquid Fuel Company until 1947 and then began his educational vocation at the University of Tokyo. In 1978 he became Musashi Institute of Technology President (Kaoru Ishikawa, 2008). Ishikawa came to be known as the â€Å"father of the Quality revolution† to the people of Japan. When he was a professor at Tokyo University he realized the importance of the quality control methods that were introduced to his country by W. E Deming and J. R Juarn. He applied those methods to work with his country’s industries. Ishikawa developed the â€Å"quality circles†, the cause and effect diagram, and the importance of the seven quality tools. In addition, he wrote several books that explained statistics to the nonspecialist which one was the Guide to Quality Control. Another book he wrote was how to Operate QC Circle Activities which is based on quality circles. Quality circles are a method used to improve quality. Quality circles were developed in Japan in 1962 by Kaoru Ishikawa. A quality circle is a volunteer group of employees from the same work area who meet together to discuss work place improvement (Quality Circles, 2008). Quality circles were first used at the Nippon Telegraph and Cable Company in 1962 (â€Å"Death of Professor,† 1989). Ishikawa had only intended his methods of quality circles to be used for Japan but it has now spread to more than 50 countries. With the development of Ishikawa’s cause and effect diagram management leaders made large advancements in quality improvement ( Kaoru Ishikawa: One Step, 2011). With this new diagram users can see all of the possible causes of a result and find the process of imperfections ( Kaoru Ishikawa: One Step, 2011). The cause and effect diagram can easily be used by non- specialist to analyze and solve problems. Dr. E. W Deming used this diagram to teach Total Quality Control in Japan. Another name for Ishikawa’s cause and effect diagram is the Ishikawa or fishbone diagram. Ishikawa showed the importance of the seven Quality tools which are control chart, run chart, histogram scatter diagram, Pareto chart and flow chart. Ishikawa also expanded on Deming’s four steps into six steps which are determine goals and targets, determine methods of reaching goals, engage in education and training, implement work, check the effects of implementation, and take appropriate action ( Kaoru Ishikawa: One Step, 2011). Ishikawa also wrote and was the editor of many books. He wrote Guide to Quality control in 1968, as well as What Is Total Quality Control in 1981. He was the editor of QC circle Koryo in 1970, and How to operate QC Circle activates in 1971. Ishikawa has been credited with Japan’s quality achievements and has received many awards such as the Deming prize, and the blue ribbon medal which was given to him by the Japanese government. His work has changed how people perceive quality management and many of his methods and books are still used to this day by large and small businesses. Bibliography http://www.skymark.com/resources/leaders/ishikawa.asp http://www.vectorstudy.com/management_theories/quality_circles.htm How to cite Kaoru Ishikawa, Essay examples

Leadership for Quality & Safety in Healthcare-Samples for Students

Question: Discuss about the Leadership for Quality and Safety in Healthcare. Answer: Quality Healthcare, TQM and CQI The quest to promote the quality of health-care services in all the levels of health-care delivery system has become a predominant goal of the health-care professionals, international, national as well as local policy developers. The Institute of Medicine has called all the healthcare organizations to revive and re-new their focuses on promoting the quality- as well as safety- of client care in all the healthcare systems. AHRQ (2012) states that the quality in healthcare means the degree to which the healthcare services which are rendered to an individual, family or community, increases the chance of getting expected healthcare outcomes that is in accordance with existing professional knowledge. Australia stands high in providing a quality healthcare to majority of countrys population and puts constant effort in promoting the performance of its health care sectors (AIHW, 2017). Even, the Australian framework of National health-performance has kept quality healthcare as its main indic ator to evaluate healthcare performance. Total quality management (TQM) also termed as continuous quality- improvement (CQI) functions to promote healthcare by identifying problems, framing, implementing and evaluating corrective action as well as to determine its effectiveness (NCCHC, 2017). Most of the healthcare centers implements TQM to minimize costs promote efficiency and render high quality-care. TQM and CQI are composed of various elements as philosophical, structural and health- care specific elements. The philosophical aspects include strategic emphasis on vision/ objectives, consumer emphasis on client/ care-taker satisfactions with healthcare outcomes, healthcare system evaluation, evidence- related care analysis, implementer involvement, tracing problems and framing solution to promote healthcare system performance, optimizing healthcare delivery, greater emphasis on organizational- learning. The structural aspects include emphasis on developing health-teams, framing quality managerial structure (quality counci l), statistical analysis, consumer satisfaction, bench marking and redesigning process (McLaughlin, 2012). The specific aspects comprise quality-related research studies, emphasis on evidence-related practice, clinical governance and quality data analysis. NSQHS standards The Australians Commission on safety- and quality in healthcare (ACSQHC) has proposed the NSQHS standards in 2012 after consultation, jurisdiction collaboration, technical persons and stakeholder (healthcare professionals and clients). These standards are the crucial components of the Australians healthcare services safety- and quality- accreditation scheme. The main aim of these NSQHS standards is to protect the individuals from harm as well as to promote the quality- of- healthcare service provision. They also provides a quality- assurance mechanism to evaluate whether the appropriate health-care systems are in place and also to determine whether minimum standards of quality- and safety- are met with a quality- improvement framework that guides the health-care services to realize developmental goals. NSQHS standards include: 1). Appropriate Governance to evaluate safety- and quality- in healthcare systems which comprises the quality-assurance framework for healthcare systems (NSQHS, 2012). 2). Adequate partnering with patients which includes the strategies to develop a person- centered healthcare system that comprises persons in framing the quality- healthcare. 3). Appropriate prevention with control of healthcare acquired infections that describes strategies to prevent infection in patients (in the healthcare system) and in managing infections appropriately to reduce its consequences (Duguid, 2011). 4). Drug safety which includes the strategies to analyze the appropriateness of physicians prescription, administration or dispense of proper medicine to the patients. 5). Clear identification of patient and procedural matching which comprises of strategies to clearly identify the patient and match him/her with appropriate management. 6). Proper clinical handing-over which includes s trategies to promote adequate communication between healthcare staffs during the patients transfer. 7). Blood- and blood- products that comprises strategies to promote safe, effective and appropriate administration of blood- and blood- products. 8). Prevent and treat pressure sore that includes measures to minimize the risk of developing pressure sores. 9). Recognize and respond to clinical emergencies in acute emergency healthcare centers (NSQHS, 2012). 10). Preventing patient falls as well as harm caused by falls by following strategies to minimize fall incidence. Patients safety Safety in healthcare The patient forms the core element in a hospital/ community treatment. The entire health care organization strives to diagnose and treat the patients by varied levels of professions ranging from front-office, clinicians, nurses, radiologists, pharmacists to bottom- level workers. Patients safety directly reflects on the quality of an organization as patients safety is considered as basic patients need. Douglas (2012) states that health care which is rendered in a safe manner and within a safe environment is an essential need for a patients well-being. The term Patient safety means preventing any form of harm to the clients. Preventing harm refers to keeping the clients free from any injuries as accidental or preventable injuries which occur due to any medical treatment (AHRQ, 2012). The harm may lead to temporary and/or permanent effect on the physical or emotional functions and bodily structure. Therefore, a quality health care system should minimize and/or prevent medical errors as patient falls, prescription errors, administrative errors, accidents, etc and learn from clinical-errors that has occurred and should develop a culture- of- safety in hospital by engaging all the health- team members, organizational managers along with patients. Most countries have started framing quality frameworks based on the report of IOM (2011) (AHRQ, 2017). The Australian Government has framed NSQHS standards to promote quality in its health care system. Thus, patient safety is the corner-stone of a higher quality health care. TheNational health- performance committeeof Australia has stated that the safetyin health care system involves avoiding as well as reducing any acceptable limit of actual or potential risk/ harm from a health care organization or the hospital-internal environment, where the care is provided. The previous Australians council for safety- and quality- in healthcare has given that quality in healthcare is an extent to which the actual/ potential harm along with un- expected results are minimized and/or avoided (AIHW, 2017). Hence, patients safety and safety of any health care system is the basis for achieving quality in a healthcare system. Clinical Leaders role in Quality- Improvement Quality improvement process is an organized process which involves periodic assessment and evaluation of the healthcare services provided to the patients to improve the healthcare practices (curative or preventive) as well as quality of patients care. As the primary responsibility of the clinical leaders are assessing and evaluating the patient care, the clinical leaders should be responsible for improvement of quality in healthcare. This is supported by Francis (2013) that establishing an appropriate clinical- leadership is most important to promote quality in a healthcare setting.Recent research studies states that inter-disciplinary team cooperation along with clinical- leadership is needed to enhance healthcare quality and client safety.A report suggests that ward- nurse manager positions should be re-evaluated and redesigned to promote them as efficient clinical leaders in the healthcare sector (Francis, 2013). This is also supported by a study which states that at-least 70% of the ward- nurse managers time should be utilized for clinical duties and remaining 30% should be spent for managerial and administrative functions. One of the important elements of quality- improvement involves adequate monitoring of higher-risk, higher-volume and/or problem-related healthcare elements. The clinical leaders should understand these elements and methods to handle it (Desveaux, 2012). The main duty of clinical- leaders is to evaluate the healthcare service and involve all the healthcare team members in the reform process to promote quality improvement in healthcare setting (Daly, 2014, McNamara, 2011). Parand (2014) states that the clinical- leaders should involve all the healthcare team members to enhance good integration and implementation of quality- based changes. Every clinical leader should pose personal qualities that reflect positive attitude towards healthcare profession; improves courage and solve quality healthcare issues (Jackson, 2013, Pepin, 2011). The clinical- leaders should have right combination of clinical-acumen with organizational awareness, build strong relationship with other healthcare team members, lead complex change, enhance inter-professional collaboration, inspire the team and support innovative ideas (Papa,2013). Clinical governance and Clinical leadership Both clinical governance and clinical leadership are crucial for promoting quality in healthcare organizations. They should work under a common vision, mission, values and objectives to achieve quality goals. The clinical governance is nothing but the managing bodies of the organization as board directors, executive, clinicians, staff-nurses, etc who share their role responsibility in enhancing quality health care (Daly, 2014). They strive constantly to provide quality health care, reduce harms and enable environment of excellence to the patients. On the other hand, clinical leadership flows as hierarchy from clinicians, nurses to third level workers. Clinicians make primary decisions to evaluate the quality- of healthcare and also have technical knowledge to frame strategic plans for various healthcare delivery patterns (Daly, 2014). Though both clinical governance and clinical leadership strives to achieve quality care and patient safety, clinical governance is a framework and process through which a healthcare organization drives continuous- quality improvement in all the aspects of healthcare. It engages clinical-leaders and team members in quality improvement programs whereas in clinical leadership, the clinical- leaders will direct and control the team members by their actions. The responsibility of the clinical governance bodies involves improving productivity, placing orders, maintaining stability and managing the organization based on the goals while the responsibility of the clinical- leaders involves framing innovative ideas, possessing role-model excellence with strong communication skills, ability to collaborate and provide best clinical-outcomes with health-team and clients (Fealy, 2011, Papa,2013). In clinical- governance, the managing bodies will coordinate the functions of all the employees from top-level to bottom level organization with a common goal of achieving quality excellence in the hospital whereas in clinical- leadership, the leaders will influence the team members to work under common quality goals. They will establish a common objective and will develop a hospital environment with professionals who can completely involve in attaining the organizations mission. The leaders should assess, plan and evaluate the healthcare quality performance and working of quality team. In terms of quality, clinical-governance should develop and implement healthcare services which are designed to reduce clinical errors (Jeffs, 2012) whereas clinical-leaders should perform various functions that are associated with system performance, attaining health-reforming goals and healthcare system efficiency (MacPhee, 2013). References AHRQ. (2012). Agency for Healthcare Research and Quality: U.S. Department of Health Human Services. Retrieved from https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/understand/index.html AHRQ. (2017). Leadership Role in Improving Safety: U.S. Department of Health Human Services. Retrieved from https://psnet.ahrq.gov/primers/primer/32/organizational-leadership-and-its-role-in-improving-safetyAIHW. (2017). Safety and quality of health care: Australian Institute of Health and Welfare- Australian Government. Retrieved from https://www.aihw.gov.au/safety-and-quality-of-health-care/Daly, J et al. (2014). The importance of clinical leadership in the hospital setting: Journal of Healthcare Leadership. 6: 75-83. Retrieved from https://doi.org/10.2147/JHL.S46161 Desveaux, L et al. (2012). Exploring the concept of leadership from the perspective of physical therapists in Canada:Physiother Can. 64(4):367375. Douglas, C. (2012). Potter and Perrys Fundamentals of Nursing- Australian version. Missouri: Elsevier Duguid, M Cruickshank, M. (2011). Antimicrobial Stewardship in Australian Hospitals. Sydney: ACSHQC Fealy, G et al. (2011). Barriers to clinical leadership development: findings from a national survey:J Clin Nurs. 20:20232032. Francis, R. (2013). Report of the Mid Staffordshire NHS Trust Public Inquiry-Executive Summary. London, UK: The Stationary Office. Retrieved from https://www.midstaffspublicinquiry.com/sites/default/files/report/Executive%20summary.pdf IOB-Institute of Medicine, (2011). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing:The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press. Jackson, D et al. (2013). Understanding avoidant leadership in health care: findings from a secondary analysis of two qualitative studies:J Nurs Manag. 21(3):572580. Jeffs, L. P., Lingard, L., Berta, W. Baker, G. R. (2012). Catching and correcting near misses: the collective vigilance and individual accountability trade-off: Journal of Inter-professional Care. 26(2): 121-26. MacPhee, M et al. (2013). Global health care leadership development: trends to consider:J Healthcare Leadership: 2129. McLaughlin, C.P. (2012). Implementing Continuous Quality Improvement in Health Care: A Global Casebook. Sudbury, MA: Jones and Bartlett learning McNamara, M et al. (2011). Boundary matters: clinical leadership and the distinctive disciplinary contribution of nursing to multidisciplinary care:J Clin Nurs. 20(2324):35023512. NCCHC. (2017). Continuous quality improvement: National Commission on correctional Health care. https://www.ncchc.org/spotlight-on-the-standards-24-1 NSQHS. (2012). National Safety and Quality Health Service Standards: Australians Commission on Safety Quality in health-care. Retrieved from https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf Papa,A. M. (2013). EMPSF: The Role of Nurse Leaders in Quality and Patient Safety: Patient safety and quality health care. Retrieved from https://www.psqh.com/analysis/the-role-of-nurse-leaders-in-quality-and-patient-safety/ Parand, A. (2014).The role of hospital managers in quality and patient safety. Retrieved from https://www.ncbi.nlm.nih.gov NCBI Literature PubMed Central (PMC) Pepin, J et al. (2013). A cognitive learning model of clinical nursing leadership:Nurse Educ Today. 31:268273.