Professional, mental, moral and aesthetic development Essay

There has been increased demand for education from different kinds of people in the world, due to the introduction of information technology in their countries. Therefore people have increasingly sought for ways and means to acquire knowledge to enable understand the realities of life as they occur. Education is the process through which teaching and learning of knowledge, enables an individual to develop reasoning, judgment and skills required in adult life and professional occupations. Education focuses on the cultivation of skills trades or professional, mental, moral and aesthetic development . There are two types of education; formal and informal education. Formal education refers to the education whereby there is system of instruction, teaching and training by the professional teachers. Here, there is a curriculum to be followed and use of different teaching methods. Traditionally, educators borrowed information for education from many different disciplines for example psychology, philosophy, information technology linguistics, biology and sociology. A person can be trained by a specialist so as to get specific skills for example a pilot. Systems of formal education are established to provide education and training for children. A curriculum states what a student should know and be able to do as a result of education. Informal education involves acquisition of knowledge and skills learned and refined during one course of life. The right to education is a basic human right. Education can be attained informally through institutions such as libraries and museums (Shards, K. , and Smith, S. J. 2000). The central purpose of education The central purpose of education is to teach a student on values that will enable him to develop his mind and be in a position to deal with realities of life. Training that is given to the students enables them to think, understand, integrate and prove all information that they have been taught. Students are taught essentials of knowledge that is achieved in the past experiences and also trained to acquire knowledge by him. An example of purpose of education is the teachers’ transmission of knowledge to the students. One of the things that education does is to equip people with power to think effectively and objectively. Education should assist a person to be critical in terms of the truths, prejudices and propaganda. Education should enable the people to distinguish between true or false information, relevant from irrelevant information, real and unreal information. Part of education teaches the human beings to be critical thinker’s . For education to be whole; it should be morally right to the recipients of the information. Morals help a person to avoid wandering from one place to another and gives the persons power of concentration and reasoning. For one to concentrate well, he or she should have worthy objectives in order to meet that they would like to achieve in the future. The kinds of people schools should seek to develop The characteristics of people who can be a successful learners are they should be knowledgable, self determined, strategic, and empahthetic. They also have creative and critical faculties, motivation to learn and confidence about themselves as learners, tools and strategies for acquiring, evaluating and applying knowledge. They also have insights about motives, feeling and behavior of others and can effectively communicate with others. Schools should seek to develop individuals who are well rounded in terms of knowledge and work experience. Discipline is a trait which is experienced in our everyday life. Instances like getting to work on time, finding appropriate clothes, scheduling appointments, time management are skills learnt through learning. The ability to list work experience in curriculum vitae demonstrates qualities such as enthusiasm, initiative, work ethic and a genuine desire to work. Schools should also seek to develop people who are confident. This occurs when an individual feels that a task is within their reach. Work experience is important as it gives one a chance to watch people do a job, ask questions and frequently get the chance to try out the work. Being knowledgeable is equally important. This is because employers are interested in what an individual can do. If one can display an understanding of an industry and support by outlining key tasks based on experience, he or she has chances of gaining employment. When looking for placement, schools should encourage students to keep as many contacts as possible. The reason is that meeting people who can help in job seeking process can lead to one acquiring a position in the job market (Smardz, K. , and Smith, S. J. 2000). The ways in which the school can work toward greater equity Schools and communities have people from different races, gender, sexual orientation, class, language and religion which allow them to have equitable opportunities . For a positive change to be noted, change in individual, schools, communities would work together and aim to maintain diversity and equity. In schools, it means going beyond cultural differences and celebrating diversity. This in turn breeds open conversations about equity related issues and what those issues mean in the classroom or administration and in schooling at large. These issues include bullying, school culture, classroom climate, achievement gaps and others. It’s only possible to discuss these issues only if the real conversations about socio- economic status, gender, race because they have an impact on students, teachers, administrators, parents and community members. The main challenge is to find out whether schools offer an opportunity for an individual to achieve the best and have access to an equitable valid supportive learning environment regardless of race, gender, (dis)ability, and other dimensions of his or her identity. One goal of education is to measure work based on how much closer we help a school eliminate inequity. This can be achieved on the basis of the specific contextual needs of each school or organization. A workshop may be set up to place emphasis on achievement gaps, teacher expectations and effective methods of teaching for diverse students. The workshop may also be on racial tensions or gender equity in the classroom. Teachers on the other hand need strategies for implementation practical ideas, curricular tools, classroom activities and teaching methods that support diversity and equity. As teachers try to solve students’ issues in education, they need to balance the practical with the philosophical and also providing immediate strategies for long term needs and institution changes ( Smardz, K. , and Smith, S. J. 2000). The values of an educator and how those values are formed and informed There are some values that educators should be committed to develop that enable students accomplish goals and aims. An educator who is competent has characteristics such as well developed knowledge and skills in content areas and methods of teaching. This educator understands how children learn at various developmental stages and also provides learning opportunities that support their intellectual, social and emotional development. He also uses multiple forms of assessment to guide instruction and other interactions with students. The educator who is caring values respect and trust reflecting a humanistic orientation to students and other members of the school community . He or she is child centered, nurturing and a facilitator of personal growth and self esteem. This educator motivates students to excel and be self confident. He provides a caring environment whereby students take risks and explore openly. Service is a value that the educators should thrive to attain . This is because it’s viewed as an opportunity to make positive difference in the lives of others. He seeks for ways to provide service to students and the education profession, school community and the community at large. The educator is mostly committed to take action on behalf of others even if such action requires measure of self sacrifice. These concerns are extended to his or her sphere of knowledge and influence. In addition, the educator has a disposition towards civic and social responsibility in the local community, nation and even the world (Tozer, S. E (2000). Leaderships is also a core value in this case the educator purses the goals of powerful learning and positive student achievement using the collaboration and supportive interaction within the classroom, school and community. The collaboration provides the support for continuous and consistent delivery of instruction to all students. This leader is well informed about the nation and educational reforms and uses personal skills to restructure environments to improve practice. He or she has a vision of setting that encourages efficacy and excellence, communicates his vision to constituents and leads them in the construction and implementation of shared vision of good schools. The education leader requires this to promote effective practices and organizational structures in places of work. He faces up these challenges because they in turn promote social justice and equity in the classroom, school and community. Issues like discrimination are given special attention especially in support of students with special needs ( Smardz, K. , and Smith, S. J. 2000). The role of the teacher in schools and wider society One of the roles of the teachers is to ensure that they promote integration between students from different backgrounds. This means that the teachers do not teach the same as the time passes by. Teachers play a role in teaching process to even becoming managers in the society so that to ensure the education system and society as a whole move from a long side by side. This movement towards monitoring and evaluation of the quality and performance of the national education system has unduobtfully began to have an impact in the way in which education is regarded both by the society at large and the people who are directly involved. A teacher is seen as a role model for the students . This is because he or she is respected by the society and therefore viewed as knowledgeable about different subjects of schools. Though teachers are seen as role models they still make mistakes, it’s therefore the role of the student to compare and pick only what is beneficial to them. The teacher is a dynamic force for the school, for a school without a teacher it is like a skeleton without flesh and blood (Tozer, S. E 2000). It is therefore important for people to attend school at early age so that they can acquire relevant information that can help them to be useful members of the society since they can be able to appreciate the realities of life as they occur. References â€Å"The Purpose of Education Papers of Martin Luther King â€Å"http://74. 125. 39. 104/search? q=cache:Z16hADTKn8AJ:www. stanford.edu/group/King/publications/papers/vol1/470100The_Purpose_of_Education. htm+what+should+be+central+purpose+of+education&hl=en&ct=clnk&cd=2&gl=ke&client=firefox-a Website accessed on September 24 2008 Smardz, K. , and S. J. Smith (2000). The Archaeology Education Handbook: Sharing the Past With Kids. Altamira Press, Walnut Creek, California. Tozer, S. E (2008). School And Society Historical and Contemporary Perspective 6th edition McGraw Hill Stone, P. G. , and Planel P. G. (1999). The Constructed Past: Experimental Archaeology, Education, and the Public. London. Taylor & Francis,

The Use of Intraosseous Vascular Access

The Use of Intraosseous Vascular Access Table of Contents Title Page†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 1 Table of Contents†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 2 Executive Summary†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 3 Body of Paper†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 4 Plan†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 6 Do†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 7 Check†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 7 Act†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦8 Research to Support Change†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â ‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦8 Change Theory†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 6 Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 18 References†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 20 Timeline†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦. 22 Executive Summary First introduced by Drinker and colleges in 1922, intraosseous (IO) vascular access was a method used during World War II for accessing the non-collapsible venous plexuses within the bone marrow cavity to provide access to a patient’s systemic circulation. This method later fell out of use after the development of intravenous catheters.Then during the 1980s IO vascular access was again introduced as a rapid way of gaining vascular access for swift fluid infusion particularly during resuscitation attempts of pediatric patients. (Tay & Hafeez, 2011) Plan-Being by implementing a policy for the use of IO vascular access within the Emergency Department of Hays Medical Center (HMC) for critically ill patients. This would expedite critically ill and severely injured patients in receiving the intravenous fluids and medications.Currently there is no policy in place for the placement of IO devices as opposed to peripheral intravenous catheters, or central veno us catheters. However, if there was a policy in place the staff would know when it was appropriate to insert an IO device, as opposed to having to make a difficult decision based on personal judgment. Do- Create a group of physicians and nurses to write a policy outlining when it is appropriate for the placement of an IO device compared to traditional techniques for gaining venous access. Once the policy has been written implement its use within HMC’s ED.Check- Keep a careful record of when an IO device is placed, in accordance to the new policy. Monitor the outcomes of these patients. Evaluate the effectiveness of the new policy and determine if any changes need to be made. Act- Based on the information obtained during the check phase of this project, management will determine whether the policy will be continued, improved, or discontinued. The Use of Intraosseous Vascular Access in Critically Ill Patients The origin of the intraosseous cavity as an access sight to the circu latory system was originally discovered during World War II.Medical personnel during this time used an IO route to resuscitate patients suffering from hemorrhagic shock. It was first documented in medical journals by Drinker and colleges in 1922. It was later rediscovered by American pediatrician James Orlowski. During his time working in India, Orlowski observed medical personnel during a cholera epidemic using IO access to save patients in whom IV cannulation was impossible and who might have died without access. He later wrote about his experiences in a paper entitled, My Kingdom for an Intravenous Line. Wayne, 2006) Since Dr. Orlowski brought the use of IO access in pediatrics back into the medical spotlight, the implications for its use within the adult population were soon being addressed. In 2005, the American Heart Association stated in its Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care that â€Å"IO cannulation was appropriate to provide acc ess to the non-collapsible venous plexus found in the bone marrow space, thus enabling drug delivery similar to that achieved by central venous access. (American Heart Association) Intravenous access can mean the difference between life and death when dealing with critically ill patients. IV access means that patients can receive fluids, blood products, and life-saving medications. During situations when time is precious, and access is critical is not when nurses should be making their fifth attempt at a peripheral intravenous catherization (PIV). It also shouldn’t be when chest compressions are stopped, so that the doctor can try for a central venous line (CVL).The average time necessary for PIV catherization is reported to add up to 2. 5-13 minutes and sometimes even up to 30 minutes in patients with difficult to access peripheral veins. (Leidel, Chlodwig & Bogner, 2009) This is one of many reasons why it is imperative to have a policy in place so that the staff knows that IO access should be a go to option rather than a last resort. There are very few contraindications when it comes to the placement of an IO device. However, to untrained medical personnel the thought of having to place an IO device is very daunting.I didn’t realize until this semester that it is within the scope of practice for a RN to place an IO device, but it is absolutely is! â€Å"It is the position of the Infusion Nurses Society that a qualified RN, who is proficient in infusion therapy and who has been appropriately trained for the procedure, may insert, maintain, and remove intraosseous access devices. † (â€Å"The role of,† 2009) There is also the fact that of having to explain the procedure to the patient and the patient’s family. The fear of needles is a real one.The thought of an intramuscular injection can send certain patients into a full blown panic attack. So the thought of actually having their bone pierced with a needle is a frightening o ne. Thankfully most patients who are critically ill enough to necessitate the placement of an IO device are unconscious. In cases where patients are not unconscious, an IO device can be placed with minimal discomfort if proper anesthetic techniques are used. These techniques should be taught along with placement so that nursing staff is aware of how to place an IO with minimal discomfort to the patient.It needs to be noted that â€Å"the pain associated with insertion of the EZ-IO needle is similar to that associated with insertion of a large peripheral intravenous needle and may be alleviate with infusion of lidocaine solution. † (Luck, Haines & Mull, 2010) Unlike PIVs and CVLs, IO access can be obtained from multiple sites with less chance of being unsuccessful. The locations include: proximal tibia, distal to the tibial tuberosity, distal end of the radial bone in the upper imb, proximal metaphysis of the humerus, distal tibia, proximal to the medial malleolus, distal femu r, above the femur plateau, the sternum, and also the calcaneus (Tay & Hafeez, 2011). However, IO access is typically obtained via the proximal tibia or proximal metaphysis of the humerus. There are currently three different ways to gain IO access. The first and oldest way is a manual insertion of the IO device. In this way the device is placed using the force applied by the clinician, and is done in a rotating motion. The second technique is the use of an impact device.In this case, a spring-loaded IO device is to insert the needle into the bone using direct force. The last technique is a powered drill. The small, handheld device drills the IO needle into the bone with a high-speed rotating motion. Plan To implement a policy within the Emergency Department at Hays Medical Center that clearly outlines when the placement of an intraosseous access device should be used as opposed to more traditional techniques for gaining venous access. A committee would be assembled to look at the re search on IO placement.This committee would consist of three physicians and three nurses, and will be given three months to write a policy for the department. This committee will determine in which situations an IO should be placed. The American Heart Association guidelines for intraosseous vascular access should play a major role in this decision. Once criteria has been chosen a checklist will be created that can be hung on the walls of the trauma rooms and handed out to staff. This checklist will aide in helping the staff to be able to more quickly determine in which situations placement of an IO is within the department’s policy.The appointed committee would also be in charge of deciding on which type of IO device the department should use. They will research the availability of the device chosen and what the cost will be to stock the department which the device. Do Once the research is gathered, the assigned research committee will reassemble to compose the policy that wi ll become implemented within the Emergency Department. After the policy has been written, a mandatory unit meeting will be called to introduce the new policy and answer any questions that the staff might have.During this meeting, a demonstration will be given on the correct technique for IO placement, depending on which type of device is chosen during the planning phase. After the demonstration the staff will then be asked to practice placing IO devices using practice bones. One member of the department will then be voted upon to keep track of which patients coming through the department have IO devices placed. They will keep track of for the next six months. The data collected will include any outcomes that the patient experiences, good or bad, in regards to their IO placement.Check The member of the department will look at the data collected from the outcomes of patients who had IO devices placed within the ED in the last six months. This data will then be taken back to the origin ally assigned committee. The committee will be responsible for analyzing the data. They will look at the outcomes and determine if changes need to be made to the original policy. They will also look at the outcomes to determine if there need to be changes made in the placement technique used by the department.For example, is the rate of successful placement higher or lower when done via the humerus verses the tibia? Or is there a problem with post procedural infection? Should the technique be changed from aseptic to sterile? Etc†¦ They will also ask staff within the department to fill out a survey indicating their comfort level in placing IO devices. Act Depending upon the findings of the committee they can either be decided to leave the policy in place, as is. The committee could find that the policy needs to be altered and then reviewed in another six months’ time to see if the changes were effective.Or they could find that within the ED at Hays Medical Center IO devic es for venous access should not be used although the review of literature will prove why this outcome is highly unlikely. Research to Support Change An article published in the Journal of Emergency Medicine, collaborated by three different physicians who work in Emergency Departments in Philadelphia talks about the technical side of intraosseous access. The article states that â€Å"intraosseous vascular access is indicated in the critically ill patient of any age when rapid and timely access via the intravascular route cannot be established or has failed. The article goes on to list conditions in which this might occur, including: cardiopulmonary arrest, shock, sepsis, major traumatic injuries, extensive burns or edema, and status epilepticus. (Luck, Haines & Mull, 2010) Indications may also include obese patients on who multiple PIV attempts have failed. Because studies have shown that IO infusions have the same onset of action, as that of intravenous infusions the authors recomm end that the dose used for IV fluids and medications should remain unchanged when using the IO route.They go one to state that other studies have shown that the results of several different blood test values drawn from bone marrow aspirates are comparable to those taken from venous samples. These include blood gas analysis, blood group typing, and electrolyte, drug, and hemoglobin levels. (Luck, Haines & Mull, 2010) The authors also talk about the relatively few contraindications for IO insertion. These include a fracture to the bone that the IO device is to be placed, an extremity with a vascular injury, placement to an area with an overlying skin infection or burn.IO insertion is also contraindication in patients with certain conditions that make their bones fragile such as osteogenesis imperfect and osteoporosis. The last contraindication is a new IO insertion where another IO needle may have recently been placed. This is because the opening left by the last needle can cause flui ds to extravasate. In their research of other studies, the authors found that success rates for IO insertion vary between 75%-100%, and successful infusion achieved within 30-120 seconds in the majority of cases. Luck, Haines & Mull, 2010) The most common complication was found to be extravasation of blood, fluids, and drugs into the soft tissues surrounding the site, but this occurred less than 1% of the time. With a 0. 6% chance of incidence, the most serious adverse complication was osteomyelitis. However, this was attributed to prolonged infusion. For this reason, it is recommended that the IO need be replaced by either a PIV or a CVL once the patient has stabilized and no longer than 24 hours after IO placement. (Luck, Haines & Mull, 2010)This article concluded that the use of IO access devices is a safe, reliable, and timely way of attaining vascular access. Although vital for critically ill and injured patients, it is also a technique that can be applied in non-emergent cases where multiple attempts at peripheral and central IV access has been unsuccessful. (Luck, Haines & Mull, 2010) In a study conducted by physicians at the University of Medicine Berlin’s Department of Emergency Medicine, they looked at ten consecutive adult patients who each received an IO device and also a CVC placement during a resuscitation situation.The results showed that the success rate on first attempt was 90% for IO access versus 69% for CVC placement. They also found that the mean time required for the IO access procedure was significantly shorter, 1-3 minutes, compared to the mean CVC placement time of 4-17 minutes. While conducting this study, one IO cannulation failed â€Å"due to operator mishandling by not selecting the correct insertion site at the proximal humerus. (Leidel, Chlodwig & Bogner, 2009) The physicians of this study also noted that four CVC cannulations failed on the first attempt at insertion and had to be reattempted. The study then went on to st ate that the failed placement of one IO cannulation was the only complication regarding the IO devices placed. There was â€Å"no malposition, dislodgment, bleeding, compartment syndrome, arterial puncture, haeatothorax, pneumothorax, venous thrombosis, and vascular access related infection observed. † (Leidel, Chlodwig & Bogner, 2009)In conclusion the researchers go on to state â€Å"IO vascular access is a safe, reliable, rapid option in the acute setting of adult patients under resuscitation with inaccessible peripheral veins in the emergency department†¦ Therefore, a change in practice from CVC to immediate IO access for the initial emergency resuscitation should be strongly considered as a reasonable bridging technique to increase patient’s safety in the emergency department. † (Leidel, Chlodwig & Bogner, 2009) Another study found was performed by physicians and researchers in the Department of Emergency Medicine of Singapore General hospital.It is a l arge urban hospital that handles nearly 120,000 patients annually. 9% of these patients are priority 1 patients, or patients that need resuscitation. The inclusion criteria for this study were â€Å"patients who presented to the ED with age greater than 16 years or >40kg body weight requiring intravenous fluids or medication and in whom an intravenous line could not be established in two attempts or 90 seconds. They also had to be seriously ill or injured and meet at least one or more of the following: altered mental status, respiratory compromise, haemodynamic instability, or cardiac arrest. (Ngo, Oh, Chen, Yong & Yong, 2009) The study ran from March 1, 2006 through July 30, 2007. During this time 24 patients were met the qualifications for this study. Of all the IO cannulations, only three attempts failed on the first attempt. No failures were recorded on the second attempt. The researchers also did a comparison between junior operators and senior operators and found that there w ere no disparity regarding success rates between the groups, they both had a 100% success rate. The average insertion time for both groups was approximately five seconds. Ngo, Oh, Chen, Yong & Yong, 2009) There were only two complications regarding the insertion of an IO device with this study. The first was when an operator’s glove was caught on the need during insertion. However, this could have been prevented if the operator was holding the drill properly. The other complication noted was that of extravasation of fluid at an insertion site. This is the most common type of complication, and is seen when the need is misplaced or there is an excessive amount of movement during or after the insertion. Ngo, Oh, Chen, Yong & Yong, 2009) The results of this study concluded that â€Å"the EZ-Io is a feasible, useful and fast alternative mode of venous access especially in the resuscitation of patients with no venous access or when conventional intravenous access fails. Flow rates may be improved by the use of pressure bags. Complications encountered such as extravasation of fluid and gloves being caught in the drill device can be easily prevented. † (Ngo, Oh, Chen, Yong & Yong, 2009)The third research article was a prospective, observational study conducted by researchers in the Department of Emergency Medicine at Singapore General Hospital in Singapore. The study was conducted on a convenience sample of 25 medical students, physicians and nursing staff. They were recruited to secure intraosseous access using the EZ-IO powered drill device. Unlike the previous two studies they only need to secure access on a plastic bone model rather than a live patient. (Ong, Ngo & Wijaya, 2009)The study participants were allowed multiple attempts in placement with the aim of ensuring success in placement. Their placement times were measured by an independent observer with a stopwatch, from the time the participant placed the need set into the driver and attempted to insert the needle with the ES-IO into the plastic bone. The participants then recorded their perception on the difficulty of insertion using a visual analog scale with 0 representing very easy and 10 representing very difficult placement. (Ong, Ngo & Wijaya, 2009) The results showed 96% success rate for placement.Twenty-three of the 25 participants only required one attempt at place the IO device, and only one participant was unsuccessful at securing placement of the device. This failure was attributed to â€Å"unfamiliarity with the equipment and procedure, and hesitating beyond the allocated time given for insertion. † (Ong, Ngo & Wijaya, 2009) The results of this study also showed that the mean placement time was 13. 9 seconds. The researchers also found that 87% of their participants reported that using the EZ-IO was easier compared to intravenous cannula. Ong, Ngo & Wijaya, 2009) The researchers of this study concluded that â€Å"the I/O access device (EZ-IO) evaluated in this study appears to be easy to use with high success rates of insertion with inexperienced participants. There is potential for use in the Emergency Department. (Ong, Ngo & Wijaya, 2009) The next piece of research was a randomized trial conducted by Dr. Reades from Methodist Hospital System, in Dallas, TX, Dr. Studnek from Carolinas Medical Center and the Center for Prehospital Medicine, Charlotte, NC, S.Vandeventer from Mecklenburg EMS Agency, Charlotte, NC, and Dr. Garrett from Baylor Healthcare Systems, Department of Emergency Medicine, Baylor University Medical Center, and Dallas, TX. The purpose of this study was to determine whether the tibial or humeral placement site was more effective for intraosseous placement during out-of-hospital cardiac arrest. â€Å"All patients eligible for inclusion in this study had their first attempt at vascular access randomized to one of 3 locations: proximal tibial intraosseous, proximal humeral intraosseous or peripheral intravenous. ( Reades, Studnek, Vandeventer & Garrett, 2011) Randomized note cards were distributed to the paramedic staff at the beginning of their shifts, and told them which access site was to be initially used if they came had a patient who met the inclusion criteria. There were two outcomes that were being monitored in this study. The first was a first-attempt success at the assigned method of vascular access. This qualified in one of two ways, either as an initial success or an overall success.The second measured outcome was the â€Å"total number of attempts required for successful vascular access, time to successful vascular access, time to first ACLS medication, and total volume of fluid infused during resuscitation. † (Reades, Studnek, Vandeventer & Garrett, 2011) Overall there were 182 patients randomized to one of the 3 vascular access methods. Fifty-one patients had humeral IO placements, 67 had PIV placements, and 64 had tibial IO placements. The results showed that first-atte mpt success was greatest in patients randomized to tibial IO access at 91%, compared to both humeral IO access at 51% and PIV access at 43%.The result of the secondary outcome was also significantly shorter in patients with tibial IO access. These patients had their devices in place and ready to use in an average of 4. 6 minutes. Those assigned to the humeral IO access site averaged a 7. 0 minute placement time, which was also the same time for a PIV access site. (Reades, Studnek, Vandeventer & Garrett, 2011) This study demonstrated that there is a significant different in the frequency of first-attempt success when placing tibial IO access devices as opposed to humeral IO access devices or even PIV catheters.The researchers go on to state that the â€Å"results from this study may help stakeholders such as EMS medical directors choose the most appropriate site for first-attempt vascular access†¦Ã¢â‚¬  (Reades, Studnek, Vandeventer & Garrett, 2011) The last article was a cons ortium on intraosseous vascular access in healthcare practice, published in a journal entitled critical care nurse. It too outlined the history of IO access, dating back to World War II. It discussed the clinical considerations for the use of IO access, and the clinical situations in which IO access should be considered.It went on to talk about the types of IO devices and how they’re used. It mentioned the contraindications for IO use, and also the possible complications. All of the aforementioned material was consistent with research already discussed. This article lends credibility in support of change because it discusses the education and training needed to implement IO device use in the clinical setting. It states that â€Å"to insert and maintain an intraosseous device in a patient, the clinician must demonstrate adequate knowledge and psychomotor skill competency in the procedure. (Phillips, Brown, Campbell, Miller, Proehl & Young-berg, 2010) The article then went on to discuss the economic considerations that must be looked at when considering implementing an IO insertion policy. It states that â€Å"the cost of intraosseous devices and needles should be compared with the cost of central catheter kits, ultrasound evaluation, and human resources required for their insertion. † (Phillips, Brown, Campbell, Miller, Proehl & Young-berg, 2010) The authors also note that â€Å"the economic factors must be weighed along with potential complications of therapeutic strategies should be considered. (Phillips, Brown, Campbell, Miller, Proehl & Young-berg, 2010) This article also brings to light the issue of risk management and patient safety. In this day and age where liability concerns continue to drive clinical decisions, it is important to note that delays in treatments are often cited as the cause of injury leading to malpractice claims. If there is an evidenced based option to safely and quickly provide fluid and drug resuscitation, when vascu lar access is not readily attainable, then it needs to be closely looked at.After reviewing the data the Consortium on Intraosseous Vascular Access in Healthcare Practice reached eight consensuses: 1. Intraosseous vascular access should be considered as an alternative to peripheral or central intravenous access in a variety of health care settings, including intensive care units, high acuity/progressive care units, general medical units, preprocedure surgical settings where lack of vascular access can delay surgery, and chronic care and long-term care settings, when an increase in patient morbidity or mortality is possible. . Intraosseous vascular access should be considered as part of an algorithm for patients treated by rapid response teams in whom vascular access is difficult or delayed. 3. A new algorithm that includes the intraosseous route should be developed for assessing the appropriate route of vascular access. 4. For patients not requiring placement of central catheters ei ther for long-term vascular access or hemodynamic monitoring, intraosseous access should be considered as the first alternative to failed peripheral intravenous access. 5.Techniques of intraosseous catheter placement and infusion administration should be a standard part of the medical school and nursing school curriculum. 6. In evaluating the economic implications of adopting intraosseous technology, the following should be considered: the expense of diagnostic tools to guide and confirm placement, the cost of human resources, the known and unknown risks to patient safety, and the cost of complications related to delayed treatment. 7. Organizational policies, procedures, and protocols that establish the responsibility of insertion, maintenance, and removal of intra-osseous access devices should be developed. . Further research should be conducted on, but not limited to, the safety and efficacy of use of intraosseous access in all practice settings, its economic impact on patient car e, and to support the use of intraosseous access in all health care settings. Change Theory The change theory focused upon in this paper is Gordon Lippitt’s Theory of Planned changed. According Lippitt, â€Å"Planned change or ‘neomobilistic’ change is defined as a conscious, planned effort which moves a system, an organization, or an individual in a new direction.This theory is applies because it can be applied at an individual, group, and institutional level. The basis for Lippitt’s theory of change is center around an agent for change. This agent should be a person skilled in the changed wanted to apply. It is this person who is in charge of planning for the change, initiates the change, and is credited for the accomplishment of change. Lippitt’s theory is centered around 7 phases of change. His phases are not set in stone, and there is no time frame on how long each phase should last. There should be a fluid movement back and forth between thes e seven phases.The first step is identification and diagnosis of the problem. In this case, the problem is HMC not having a firm policy in place recommending when the use of IO access devices should be implemented. The second step is the change agent assessing the client systems motivation and capacity for change. In this case, myself being the change agent, I would talk with the administrators of the ED department and determine if they agreed with my assessment for a policy to be implemented. The third step would be the initiator assesses his or her ability in helping the situation.In this case this flows back to the first step, because I saw the need for change and felt that I was equipped with the skills needed to bring about such a change. The fourth step is the change agent then chooses an appropriate role in the phase. In this case, I would choose to be part of the policy committee who is responsible for researching. The fifth step states that the change agent may be actively involved in the implementation of change, serve as an expert in fathering and providing data, or function as a liaison within the organization. I feel like in this case, I would function as a liaison within the policy making committee.The sixth step consists of maintenance of change. This involved the â€Å"Do† portion of the plan for change. This is where the decisions made by the policy are provided to the department, and the employees become responsible for implementing and maintaining the new policy. The final step is termination of the helping relationship. This step is accomplished when all parts of the PDCA plan have been completed. (Ziegler, 2005) Conclusion In a day and age where medical technology is advancing, the research about IO access devices proves that newer technologies are not always the best for a positive outcome.IO access applications have great potential in patients who are critically ill, injured, or are incapable of having PIV or CVL access. The fact that IO access is fast, reliable, and safe proves that competent placement of IO devices is a medical technique that all Emergency Departments should have in their repertoire. References (2009). The role of the registered nurse in the insertion of intraosseous access devices. Journal of infusion nursing,  32(4), 187-188. American Heart Association. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2005;112(24):57-66. Leidel, B. Chlodwig, K. , & Bogner, V. (2009). Is the intraosseous access route fast and efficacious compared to conventional central venous catherization in adult patients under resuscitation in the emergency department? a prospective observational pilot study. Patient safety in surgery,  3(24), doi: 10. 1186/1754-9493-3-24 Luck, R. , Haines, C. , & Mull, C. (2010). Intraosseous access. The journal of emergency medicine,  39(4), 468-475. Ngo, A. , Oh, J. , Chen, Y. , Yong, D. , & Yong, D. (2009). Intraosseous vascular access in adults using the ez-io in an emergency department. International journal of emergency medicine,2(3), 155-160. oi: 10. 1007/s12245-009-0116-9 Ong, M. , Ngo, A. , & Wijaya, R. (2009). An observational, prospective study to determine the ease of vascular access in adults using a novel intraosseous access device. Annals of the academy of medicine, singapore,  38(2), 121-124. Phillips, L. , Brown, L. , Campbell, T. , Miller, J. , Proehl, J. , & Young-berg, B. (2010). Recommendations for the use of intraosseous vascular access for emergent and no emergent situations in various health care settings: A consensus paper. Critical Care Nurse,  30(6), e1-e7. Reades, R. , Studnek, J. , Vandeventer, S. , & Garrett, J. (2011).Intraosseous versus intravenous vascular access during out-of-hospital cardiac arrest: A randomized controlled trial. Annals of Emergency Medicine,  58(6), 509-516. Tay, E. T. , & Hafeez, W. (2011). Intraosseous access. In R. Kulk arni (Ed. ),  Medscape reference: Drugs, disease & procedures. Retrieved from http://emedicine. medscape. com/article/80431-overview Wayne, M. (2006). Adult intraosseous access: an idea whose time has come. Israeli journal of emergency medicine,  6(2), 41-45. Ziegler, S. (2005). Theory-directed nursing practice. (2 ed. , p. 204). New York, NY: Springer Publishing Company, Inc. Timeline for Change 1/20-11/27Researched the benefits of having a policy about intraosseous access within the ED at HMC 11/28Spoke with the Director of Nursing for the ED and the Director of Emergency Medicine about my research findings 12/1A committee of three physicians and three nurses is assembled to draft a preliminary policy regarding intraosseous access 12/1-3/1The committee is given three months to compose their policy 3/2-3/10The policy is given to the Director of Nursing and Director of Emergency Medicine, who present it to the board of directors for approval 3/15A mandatory staff meeting is held outlining the new policy and answering any questions or concerns the staff has 3/16-9/16The new policy is put into effect and data is collected 9/16-10/16The original committee will analyze the data, and changes are made as needed. 10/20The final committee approved policy is present to the Director of Nursing and Director of Emergency Medicine 11/1The Director of Nursing and Director of Emergency Medicine, take the final recommendations for the policy to the hospital board of directors for approval

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Definitions of Creativity and Innovation-Free-Samples for Students

Question: Discuss about the definitions of Creativity and Innovation are studied. Answer: Introduction Creativity and innovation are two inter-related concepts which have been defined in different ways. Though there is basic difference between the concepts of creativity and innovation but creativity is the starting point of innovation. Creativity is often the product of individualistic mind while innovation is not only about collective human interaction but also about interaction between human minds and its artificial environment. Creativity and innovation is of paramount importance for sustainable development of an organization. The world is constantly changing with technological advancement and tough competition posed by globalization. In order to adapt itself to this constantly changing environment, every organization should foster a culture and an environment of entrepreneurship where employees are encouraged to think out of the box, new ideas are appreciated and there is open communication among departments which leads to intra-departmental co-ordination and functioning of the bu siness as a single unit (Serrat, 2017). Organizations and countries should invest on research and development, else new technology of competitors can pose potential threat to business (Dawson Andriopoulos, 2014).For example, Nokia failed to sense the new technology of the android market and hence business of Nokia was potentially harmed. Similarly, the digital film and photography hampered the traditional business of Kodak .The invention of Aero plane by Wright brothers and the invention of credit cards are examples of creativity and innovation of past. The human race is constantly progressing through creativity and innovation which is depicted by modern examples like research in the field of artificial intelligence and robotics or manufacture of electric cars by Tesla. Discussion Creativity and innovation defined in several ways Creativity is the ability to present new ideas and innovation is the way the new ideas are implemented practically. Creativity emerges when an individual discards preconceived notion and looks at a matter in a way that might seem odd to others. Creativity is encouraged when a leader does not direct his subordinates but creates a supportive environment that nurtures out-of-the box thinking .This kind of environment is vital for creative people to give birth to fresh ideas and solve a problem (Auernhammer Hall, 2014). Innovation follows creativity or creativity leads to innovation (Sarooghi, Libaers Burkemper, 2015). The leaders who are innovative encourage a culture of questioning, openness to experience, risk-taking and a healthy attitude towards failure among his subordinates (?erne, Jakli? kerlavaj, 2013). People who are creative generally possess the following three qualities that make them different from others. 1) Expertise-technical knowledge and skills 2) Creative thinking skills-Thinking out of the box and ability to solve problems 3) Intrinsic motivation There are two types of methods established by psychologists to enhance creative thinking .These two methods are free association method and brainstorming Free association method This method to enhance creativity was studied by psychologist Freud and Carl Gustam Jung .This technique is often used in marketing and advertising and consists of asking questions to oneself or to others of the type This here ..what does it bring to mind? And what else? ..and? This should be continued until our mind is blank or the question is exhausted. Brainstorming Brainstorming is the allowance of free flow of ideas even though the ideas seem ridiculous or bizarre. The practical feasibility of ideas is not checked while brainstorming .Every idea is considered to be a good idea. Therefore, brainstorming allows free flow of ideas without criticism (Wilson, 2013). In 1864,Carlo Cattaneo, an Enlightenment thinker explained that when multiple human beings solve a problem together by comparing and discussing, the result is always better than the same problem being tackled by a single individual. Therefore, organizations support group-thinking or constructive conflicts among groups as this lead to creativity .However, a scientific or artistic creativity is often the product of an individual mind. For instance, writing a book, composing music, gaining scientific insight on something requires individual effort (Henry Mayle, 2016). In this context, the basic difference between innovation and creativity can be noted. Creativity in scientific or artistic discovery is individualistic but innovation by definition is a social phenomenon. Innovation is not only the result of collective human interaction but the association between human minds and artificial system like technological instruments often lead to innovation. The process of innovation has following steps: idea generation, idea screening, feasibility and implementation. Sources of new ideas for an organization can be economy, technology, customers, competitors, management, suppliers, and distribution channel and government regulations. Creativity and Innovation in Organizational context Creativity and innovation has several examples in history .One such example is of Wilbur Wright and Orville Wright, who were interested in flying in the 19th century. For doing so the Wright brothers built and tested several gliders, flaps on wings and rudders. After several tests and efforts the Wright Brother was successful in flying a plane with a man on it. The name of their fist powered Aeroplane was Flyer and in 1909, the Wright Brothers received a contract from the United States military to build fist plane from them. This example depicts how creativity and invention made the dream of flying come true for the human race (McCullough, 2016). Creativity and Innovation in light of todays organization The fashion giant Zara is one of the most innovative retail stores of the World. In 1975, the first store of Zara was opened by Amancio Ortega in Spain. The group is a part of Inditex which is worlds largest clothing and fashion company with its presence in eighty two countries. The turnover of the group in 2011 was $18 billion and Zara employs more than 100,000 people across the globe. The success of Zara is based on innovation in supply chain management which helps Zara to bring new fashion to the market at a faster rate. The innovative and creative business model of Zara is explained The design team of Zara produces more than 18,000 new designs of products every year. The design team gets their idea of design from books, magazines, fashion shows but most importantly from customer feedback. Zara never adapts its clothing to the local market but it implements the universal design of clothes in all the stores across the globe which helps Zara to achieve economy of scale. It takes less than four weeks for Zara to put their clothes on the shelves starting from the initial process of product design. This innovative concept makes Zara unique and different from the competitors. Zara is not only innovative in its product design but the company is creative and innovative in all of its business processes like inventory and supply chain management, store layouts and manpower management. At the headquarters of Zara in Spain there are 25 full-size shop windows which are equipped with different displays and lighting. This innovative visual merchandising concept helps Zara enabl es designers to figure out how the windows of various retail stores of Zara look like in different conditions like day and night, sunshine and rain. In Zara stores, staff use wireless technology to communicate the customers feedback to the team of suppliers so that the clothes which are on demand are supplied more but Zara uses the concept of creative destruction by bringing new fashion items inside the store after every four weeks(Qrunfleh Tarafdar, 2014). Even the top selling fashion items in Zara stores are replaced by new collection every four weeks .This innovative and creative concept increases the footfall of customers in all the stores of Zara across the globe because customers are interested to check the new fashion trends implemented by Zara in all the stores every four weeks. The company adopts a flat organizational structure with less hierarchical levels which makes the company more innovative with respect to its competitors (Somech Drach-Zahavy, 2013). Space X is an American aerospace company founded by Elon Musk in 2002 .It was the first private company to send spacecraft in the International Space Station (Seedhouse, 2013). Elon Musk also used his personal creativity and innovation to manufacture electric cars. He is the founder of Tesla Motors (Hardman, Shiu Steinberger-Wilckens, 2015). ISRO also known as the Indian Space Research organization is headquartered in Bangalore, India and the organization was successful in sending the Mars orbiter which entered the orbit of Mars in September 2014. With the help of innovation and creativity ISRO was able to accomplish its Mars Orbiter Mission making the organization the first in Asia and the fourth space agency in the world to enter Mars (Math, Moirangthem Kumar, 2015). ALDI is considered to be one of the top 10 Australian retailers. From the opening of its debut store in Australia in 2001, the expansion of Aldi has grown strong with the presence of more than 470 stores throughout. The corporate objective of Aldi in Australia is to deliver customers quality products at low prices, maximize sourcing only from Australian suppliers and create employment (Carpenter et al., 2013). ALDI has been trying new marketing strategy for gaining higher market share in Australia by opening trial stores of a new- style in Australia. These stores will use LED lights to reduce energy consumption, will have improved product displays and will have new layouts which will improve navigation and will shorten average check-out waiting times of customers. Thus Aldi uses innovation and creativity in its business process in Australia. Self-Reflection In the above examples, the concept of creativity and innovation was studied in organizational setting. An individual can also be creative and innovative and give birth to new ideas and implement these ideas into reality by being an entrepreneur and founding a start-up company (Drucker, 2014). I would like to open a beauty clinic and slimming center business if I had the funds.This clinic will cater to the beauty and slimming needs of clients. There will be a slimming center which will use machines to enhance the metabolism of overweight clients .Therapist will provide hand massage by hand-held machines which will target stubborn cellulite of clients body. .The clinic will have an open-air gym, hair and skin clinic which would use advanced machines like laser treatment for hair removal, chemical peels and Botox treatment for the skin. The skin clinic will provide one-stop solution to clients of Australia who are fashion and fitness conscious and will like to enhance their looks. The s limming center and clinic will first be inaugurated in cities of Australia like Sydney, Brisbane, Perth and then will expand on franchisee model. The clinic will provide customized beauty and slimming solutions to clients by making use of the modern innovative technology in the arena of slimming and beauty Mind-mapping and creativity Mind mapping is a graphical technique used to unlock the full potential of the brain. Mind map always starts from the center and spreads in different directions and this colorful graphical technique helps to solve problems more effective and enhances the creative potential of human brain. Mind map therefore has the shape of a tree that revolves around a central topic; branches of the tree can be considered as subtopics (Noonan, 2013). Figure 1 Mind Map (Created by Author) Conclusion It can be concluded from the above report that creativity and innovation is a concept that has a wide range of definitions. Creativity is the ability to generate new ideas and to solve a complex problem. Innovation is the implementation of new ideas and entrepreneur is someone who commercializes new ideas. Therefore, creative people with entrepreneurship skills are the need of the hour. The human race has evolved by using their creative thinking and innovative skills in various fields of art and science. Creativity and innovation has its application in several fields like advertising, marketing and business, science and technology, art and culture. Entrepreneurs are social reformers and famous entrepreneurs like Elon Musk of Space X and Tesla, Mark Zuckerberg of Facebook, Richard Branson of Virgin group and Amancio Ortega of Zara is well-known for their brilliant contribution to the human race. Creativity can be nurtured by every individual in his personal life. It is possible for an ordinary individual to be creative and innovative in his own small way by giving birth to small start-up companies in his home country or just by pursuing intrapreneurship within the office premises. Organizations can adopt a culture of creativity by adopting a flatter structure and building a culture of open communication. Reference Lists: Auernhammer, J., Hall, H. (2014). Organizational culture in knowledge creation, creativity and innovation: Towards the Freiraum model.Journal of Information Science,40(2), 154-166. Carpenter, J. M., Moore, M., Alexander, N., Doherty, A. M. (2013). Consumer demographics, ethnocentrism, cultural values, and acculturation to the global consumer culture: A retail perspective.Journal of Marketing Management,29(3-4), 271-291. ?erne, M., Jakli?, M., kerlavaj, M. (2013). Authentic leadership, creativity, and innovation: A multilevel perspective.Leadership,9(1), 63-85. Dawson, P., Andriopoulos, C. (2014).Managing change, creativity and innovation. Sage. Drucker, P. (2014).Innovation and entrepreneurship. Routledge. Hardman, S., Shiu, E., Steinberger-Wilckens, R. (2015). Changing the fate of Fuel Cell Vehicles: Can lessons be learnt from Tesla Motors?.international journal of hydrogen energy,40(4), 1625-1638. Henry, J., Mayle, D. (2016). Creativity and Innovation. Math, S. B., Moirangthem, S., Kumar, N. C. (2015). Tele-psychiatry: After mars, can we reach the unreached?.Indian journal of psychological medicine,37(2), 120. McCullough, D. (2016).The Wright Brothers. Simon and Schuster. Noonan, M. (2013). Mind maps: Enhancing midwifery education.Nurse education today,33(8), 847-852. Qrunfleh, S., Tarafdar, M. (2014). Supply chain information systems strategy: Impacts on supply chain performance and firm performance.International Journal of Production Economics,147, 340-350. Sarooghi, H., Libaers, D., Burkemper, A. (2015). Examining the relationship between creativity and innovation: A meta-analysis of organizational, cultural, and environmental factors.Journal of business venturing,30(5), 714-731. Seedhouse, E. (2013).SpaceX: making commercial spaceflight a reality. Springer Science Business Media. Serrat, O. (2017). Harnessing creativity and innovation in the workplace. InKnowledge Solutions(pp. 903-910). Springer Singapore. Somech, A., Drach-Zahavy, A. (2013). Translating team creativity to innovation implementation: The role of team composition and climate for innovation.Journal of Management,39(3), 684-708. Wilson, C. (2013).Brainstorming and beyond: a user-centered design method. Newnes.

The story of Romeo and Juliet Essay Example For Students

The story of Romeo and Juliet Essay The story of Romeo and Juliet is a romance story that ended in tragedy. The story consists of two lovers who were in families whos were enemies of each other. That was Romeos and Juliets lone obstacle. Their love for each other was unreal due to the fact they loved each other so much that you might think that they were meant for each other. The story ends in tragedy when Romeo and Juliet die due to their love for each other. Romeo dies by drinking poison when he saw Juliet sleeping from the sleeping potion that made her sleep for three days. We will write a custom essay on The story of Romeo and Juliet specifically for you for only $16.38 $13.9/page Order now Then Juliet kills herself by stabbing herself with a dagger when she wakes up and sees Romeo died. Romeo is the protagonist who is romantic, virtuous, and impulsive. Romeo plays a very romantic person in the play. To illustrate this point Romeo is the only son of Lord Montague, the head of a reputed and rich family of Verona that is plagued by its long-standing feud with the Capulet family. In the first scenes, Romeo appears indifferent to his familys feud. His only concern is his love for Rosaline, a love, which is overwhelming, but artificial. Romeo is really in love with the idea of love. When he does not receive love in return, he grows melancholy and brooding. Even his friend Benvolio cannot distract him. In this short passage we can distinguish that Romeo is quite romantic since his only concern was his love for Rosaline. We can also observe that Romeo contains a very romantic behavior. For example when Romeo states O, she doth teach the torches to burn bright! It seems she hangs upon the cheek of night Like a rich jewel in an Ethiops ear   Beauty too rich for use, for earth too dear! So shows a snowy dove trooping with crows As yonder lady oer her fellows shoes. The measure done, Ill watch her place of stand And, touching hers, make blessed my rude hand Did my heart love till now? Forswear it, sight! For I neer saw true beauty till this night. Another example of him being romantic is when Romeo reverently calls Juliet dear saint, and likens her hand to a shrine, and his lips to two pilgrims whove come to the shrine to be forgiven their sins. Who could resist a romantic line like that? We can distinguish from here that Romeo is a very romantic person. Nowadays the term Romeo has became universal for a romantic ladys man. Romeo is also quite virtuous. For example, Lord Capulet when he calls him, a virtuous and well-governed youth and refuses to let Tybalt bother him, this shows that even the Capulet family likes Romeo who should be their enemy. Everyone in the play likes Romeo with only one exception, Tybalt! Friar Lawrence loves Romeo so much that hell do almost anything to secure his happiness. Mercutio and Benvolio both want to get Romeos attention. Even the Nurse thinks hes honest, courteous, kind, and handsome. Romeos admirer is Tybalt, and Romeo himself tells Tybalt, Villain I am none see thou knowest me not. Romeo here states that he is a no villain and that he is a good and virtuous man. From this we can see that Romeo was a very good person, who treated people with respect since even his familys enemies liked him. When he meets Juliet and discovers his true self and becomes even more virtuous. Their love is so right that Romeos speech is transformed to poetry. The first time they talk together, their conversation effortlessly forms a sonnet. One of the factors that Juliet loved him some much is because he was such a virtuous man. Romeo was a man of good, who is caught in the claws of love.