Paramedic Professionals Essay Example for Free

Paramedic Professionals Essay Although paramedics work alongside other emergency services and health care providers, they are not classified as health care professionals, therefore, working independently from these organisations and autonomously within their own state ambulance organisations. Through exploring the evolution of paramedic practice and their role as a health care provider, the current status of paramedics as a semi profession is explained along with what further development is needed before they become a recognised profession. In understanding how paramedics work autonomously within their own state based organisations, the concept of scope of practice and evidence based practice is explored. Finally by discussing how paramedics are independent, we establish paramedics’ role and position within the Australian Health Care System. A paramedic is a health care professional At present in Australia, paramedics are not classified as registered health care professionals. (Smith 2012) Instead, paramedics are widely regarded as semi-professionals with the potential to become a fully recognised profession in the near future. The definition of profession and the guidelines to become a recognised profession are not black and white. Professions Australia defined a profession as ‘a disciplined group of individuals who adhere to ethical standards and who possess special knowledge and skills in a widely recognised body of learning derived from research, education and training at a high level. ’ (Allied Health Professions Australia 2008: 8) Whilst Wilinsky (1964) describes 4 key elements that are essential for the process of professionalization. These include; the implementation of a unified code of ethics and regulations, attaining professional licencing, registration and accreditation, the establishment of university study and education and the development of full-time occupation and formation of occupational territory. Over the past 20 years the roles of paramedics have changed rapidly, with changes still occurring at the present. Paramedics have transitioned from ‘stretcher bearers’ knew as ambulance officers, to todays’ paramedics who are full time workers and are able to administer extensive pre hospital care. Along with the changes to the nature of the paramedics’ job, there has also been a significant change in the way paramedics are trained. ‘Training for paramedics has transitioned from on the job training provided by State and Territory Ambulance Services to vocational qualifications and more recently, higher education (University) sector qualifications. ’(Williams, Brown, Onsman 2012: 6) These changes to higher education training and full time employment, has allowed for paramedics to move one step closer in becoming a recognised profession. A review of common professional traits suggests two main areas where the discipline falls short and it is that paramedics do not have ‘national registration and regulation resulting in professional self-control and accreditation’ and they do not nationwide qualifications that link from tertiary education to the paramedic services (Williams, Brown, Osman 2012: 1) Firstly, registration in the context of health care professionals, is the process of licensing and registering clinicians to practice at a uniform national standard of care. Productivity Commission 2005 in Williams, Brown, Osman 2012: 7) Registration allows for consistency in education and training nationwide, and ensures paramedics work within the provisions of their scope of practice. (Council of Ambulance Authorities 2008) Secondly, there are no national university standard degree competencies or a national curriculum in relation to paramedic training. This leads to an inconsistency between the curricula taugh t to paramedic students. This is further aggravated by ambulance services as they work independently from the Australian Health care System and of the universities as well. Williams, Brown, Osman 2012) In conclusion, without the implementation of nationwide registration, licensing and education qualifications, paramedics will continue to be recognized as a semi-profession. Operating autonomously Paramedics are allied health care providers who are operating autonomously at a state level within their own ambulance services. The United States National Library of Medicine defines autonomy as the ‘decisions and the freedom to act in accordance with ones professional knowledge base. (Nurs 2010: 1) In the paramedic profession this knowledge base is known as a scope of practice. Within each state based paramedic organisation, there is legislation and guidelines that outline the scope of which a certain qualified paramedic can work in. Scope of practice refers to ‘the extent to w hich providers may render Health care services and the extent they may do so independently and the type of diseases, ailments, and injuries a health care provider may address and what procedures and medication they can provide. ’ (Prats ;amp; Katz 2012: 13) For example, in Queensland, whilst out on road paramedics have the freedom to make their own decisions and judgments based on their knowledge, as long as it is legal in the legislation of the Queensland Ambulance Service Ambulance Service Act 1991 (Qld) and within the scope of practice of the paramedics qualifications. (Queensland Consolidated Acts 2010) As paramedics gain further knowledge and undergo more training, the scope of practice of this paramedic will increase. The larger the scope of practice, the more autonomously the paramedic is able to operate. Currently in Queensland there has been an increased awareness of poorer patient outcomes and difficulties in accessing medical help in rural and remote areas. (Horizon 2007 in O’Meara 2011) In an attempt to increase positive patient outcomes, expanded scope roles have been introduced into the Australian Health Care System, allowing certain paramedics to apply skills and protocols for which they were not originally trained. (Sterling, Pedler, Walker 2007) This increases the paramedics’ autonomy within their field which allows them to work for better patient outcomes. Paramedics are also highly autonomous as they frequently use evidence based practice as a means of new research and technique. In the pre hospital care environment, ‘rather than making decisions about practice actions based on routine and traditionally taught methods, paramedics use evidence identified from well-constructed studies as a basis for the clinical decisions and behaviours. ’ (Curtis ;amp; Ramsden 2011: 111) Evidence based practice occurs through ‘integrating individual clinical expertise with the best available external clinical evidence from systematic research. (Sackett ;amp; Rosenberg 1996: 1) This can only occur when an individual is given autonomy within their field of work. In conclusion, as paramedics have the freedom to make decisions within their scope of practice and can utilise evidence based practice, paramedics are autonomous within a state level. Operating independently within The Australian Health Care System Although paramedics work alon g-side the Australian Health Care System, paramedics are independent of this system. The Houghton Mifflin Company 2011 defines independent as being ‘not governed by a foreign power; self-governing. Paramedics are governed by their own state based organisations and are separate and independent of the hospitals and the Australian Health Care System. When dealing with any misconduct or inquiries, unlike nurses and doctors whose governing power is the Australian Health Care System, paramedics approach their own state based organisation. In conclusion, even though the paramedics work in conjunction with other health care providers both in and out of the hospital setting, paramedics governance is independent of other health care services and the Australian Health Care System. Willis, McCarthy, Lazarsfeld-Jensen and O’Meara 2009) Conclusion: In conclusion paramedics are autonomous and independent health care providers who work along-side the Australian Health Care system. Alth ough paramedics work alongside other emergency services and health care providers in both the in and out of hospital care environment, they are not classified as health care professionals. But with the implementation of nationwide curricula and ethical standards, paramedics can move from a semi profession to fully recognised profession. Paramedics have the freedom to make decisions within their scope of practice and can utilise evidence based practice, making paramedics autonomous within a state level. Through the broadening of paramedics’ scope of practice in certain environment such as rural areas and through the use of evidence based practice we see efforts to increase positive patient outcomes. Finally, paramedics are independent from the Australian Health Care System as they are self-governed by their own state based organisations.

Plath’s Daddy - Plath as a Weak Feminist :: Feminism Feminist Women Criticism

Plath as a Weak Feminist in Daddy Plath's innate emptiness and emotional constraint comes , I believe, from her lack of male encouragement and her according need for domination. This streams from the untimely death of her father at 9. In this poem Plath alludes to her relationship to her father with an emphasis on his German background and identity. In this way she comments on him in contradicting terms, firstly, as a divine figure: "..A bag full of God", towering over her in a seemingly totalitarian way. She then transforms her implication with " No God, but a swatztika" a completely ironic comment in comparison to the first as Nazism is essentially pagan in its nature. The extended reference to the confusion of her father as Hitler is shown through indications of his "Mein Kampf look" and "neat moustache." Similarly, Plath confuses herself with the role of a Jew, symbolising the insecurity which lies within her subconsciousness, and the recognition which she has of her victimisation from men. This victimisation follows on with allusions to her marriage with Hughes, and the similarities Plath associated between her father and husband: "If I've killed one man, I've killed two--- The vampire who said he was you" Hughes himself acknowledged this confusion in his poem THE SHOT: "Your real target stood behind me Your Daddy The man with the smoking gun" This quote reinforces her father's role in Plath's eventual demise as it implies that the 'smoking gun' once shot Plath's bullet of fatality. Essentially this poem signifies Plath's weakness, and threatens her iconic stature as a feminist . Reacting against this common stereotype with which she is named, her poetry indicates a lack of stability and inner faith, excluding those who are bitter and entirely negative.

Journal of Operation Management Essay

A critical review using P.S. Adler, Mary Benner, David James, John Paul MacDuffie, Emi Osono, Bradley R. Staats, Hirotaka Takeuchi, Michael L. Tushman and Sindey G. Winer, Journal of operation management: Perspectives on the productivity dilemma The article focuses on the critical issue in the areas of operations management, strategy, product development and international business. Taylor and Deming had operation research on an organisation that can increase efficiency by adhering strictly to the proven templates. While Abernathy and March also research how efficiency can impose cost. March and Simon suggest an organisation solve problems but acquiring knowledge that can be reused to solve similar problems in the future. Further on to say knowledge captures the essence of what worked in the past enabling organisation to take short-cuts and avoid deadens, thereby abridging the problem solving. Abernathy also suggested a firm focus on productivity gains inhibited its flexibility and ability to innovate. He observed that the automobile industry, a firm’s economic decline was directly related to its efficiency and productivity efforts. He also suggested that a firm’s ability to compete over time was rooted not only increasing efficiency. Readability Apple Company shows a greater productivity in their creativity and innovation, but has been some critical issue emerging with the new CEO of the company, which have been a mass suicide threat, posed an ethical dilemma facing Apple and its new leader and the employees. Practical application The ethnical issue hit Apple’s new leader, showing a great crisis, workers threaten recklessness in protest over their working conditions where workers can have a safe work environment free of discrimination, and they can earn competitive wages and can voice their concerns freely. Apple’s suppliers must live up to this to do business with Apple. Reflective comments – Evidence of evaluation and critical thinking, i.e. ways in which you understand the academic/practical aspects of the paper (you may use additional pages) The journal describe the different component of work with evaluates evidence. It suggests a good example with Toyota having a good appreciation of different type of evidence and what is offered. Using (Abernahty) research as an evidence measures with the increase in efficiency and (David James Brunner, Bradley R. Staata and Michael L. Tushman) with practical evidence where I think organisation often finds them undecided between contradictory and conflicting goals regarding the issue about foxcoon increasing the monthly wages of employees making it difficult for Apple to deal with then on an agree based while such issue can be resolve with (David James Brunner, Bradley R. Staata and Michael L. Tushman) evidence and will come on good term to do business. Productivity dilemma highlights the tension between a particular pair of widely held goals: efficiency and adaptability. As in the article, the nature of such tension and approaches for handling situation with the employees in Apple wi ll be a constrcutive approach for Apple to resolve conflict to attain efficiency for the growth of the company. Adler argues that the structuring, systematizing and rationalizing associated with bureaucracy can enable creativity and innovation. However creativity and innovation such a tightly coupled systems required cooperation among interdependent participants, which depends in turn on a foundation of trust. This trust is always threatened by the possibility that profit pressure may undermine this cooperation by turning the tool of enabling bureaucracy into a coercive weapon. The CEO of apple can use the official procedure to fight against the workers and also gain trust in the working conditions. The conflict between apple and Foxcoon can refine efficient routines providing the building blocks for innovation. (Brunner and Staats) prose threat organisation can reconcile exploitation with exploration by intentionally destabilising their own processes through deliberate perturbation and by ensuring that disruptions are translated into learning and knowledge creation through exploratory interpretation. These arguments may help Apple and Foxconn suggest that dynamic conservatism identified by (Tushman and Benner) may be at least in part a property of inferior administrative technologies, rather than an inevitable consequence of disciplined processes.

Factors Promoting Higher Divorce Rates - 724 Words

Demographic and Economic Predictors of Divorce Building on research conducted in prior decades, family scholars have continued to document the major risk factors for divorce. These factors include marrying as a teenager, being poor, experiencing unemployment, having a low level of education, living with ones future spouse or another partner prior to marriage, having a premarital birth, bringing children from a previous union into a new marriage (especially among mothers), marrying someone of a different race, being in a second- or higher order marriage, and growing up in a household without two continuously married parents (Amato DeBoer, 2001; Bramlett Mosher, 2002; Bratter King, 2008; Sweeney Phillips, 2004; Teachman, 2002).†¦show more content†¦These constraints lead some cohabiting couples to marry, even though they would not have married under other circumstances. On the basis of this framework, Stanley, Rhoades, et al. (2006) argued that couples who are engaged prior to cohabitation, compared with those who are not, should report fewer problems and greater relationship stability following marriage, given that they already have made a major commitment to their partners. Several studies have provided evidence consistent with this hypothesis (Brown, 2004; Rhoades, Stanley, Markman, 2009). An earlier generation of scholars assumed that wives employment and income are risk factors for divorce. More recent evidence, however, is mixed about the strength and even the direction of this association (Rogers, 2004; Sayer Bianchi, 2000; Schoen, Rogers, Amato, 2006). On the basis of research from the last decade, several conclusions seem likely. First, wives employment has the potential to generate tension between spouses over the household division of labor. Frisco and Williams (2003) found that perceived unfairness in the division of household labor was associated with decreased marital happiness among spouses and an increased likelihood of divorce. Similarly, Amato, Booth, Johnson, and Rogers (2007) found that wives hours of employment tended to increase spouses perceptions of marital problems. The authors also found, however, that wives earned income improved other dimensions of marital qualityShow MoreRelatedFactors Promoting Higher Divorce Rates Essay1062 Words   |   5 PagesStates published that in 1890 the ratio divorce to marriage was one divorce for every 18 marriages. More than 100 years later, in 2005, the divorce rate had impressively incremented to an astounding rate of one divorce for every 2.1 marriages. Therefore, this augments represents a 40 percent increase in divorce rate in a 100 year period. 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