UK Labor Market Custom Essay

Component 1: 50% Individual written coursework (1500 words)

· Analyse the UK labour market since March 2020 till date (effectively since the start of COVID-19 till now) and use it to critically discuss the responses that UK organisations have made to the challenges and the implications for resource and talent management (1,000 words).

· What challenges does this suggest for graduate employability and how should students respond to these challenges? (500 words)

This task will require you to use good quality academic and journalistic sources to prepare your report. Your knowledge and understanding of the topic will be critically examined. It is important that you incorporate key debates and issues in your report.

· Please work on, and ensure an excellent level of criticality, coherence, and flow of your report. This will require effective discussion and clarity. Please note that a significant amount of the marks is awarded based on wider reading, critical and logical presentation, quality of argument, referencing, academic integrity and academic writing conventions.

Structure of the submission:

 1. Cover-page

 2. Abstract/executive summary

 3. Introduction

 4. The main body (please use the appropriate headings/subheadings to structure this section).

 5. Conclusion

 6 .List of references.

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Psychoanalysis Reaction Paper

Write a 2-3 page paper in which you compare, contrast and critique two major theoretical approaches discussed in class this semester. The theories can be compared and contrasted in terms of techniques used, main focus and on the emphasis or lack of emphasis on the therapeutic relationship. For example, psychoanalysis focuses on the unconscious mind while cognitive approaches focus on faulty thought processes. Students also have the option to use theoretical approaches that were not discussed in class this semester.



Theoretical approaches examples (Corey & Corey article)

Psychonalytic approach

Person centered


Family systems

Times new roman 12pt and double space. You can also use APA style.

Select two of the theoretical approach we covered in class so far. You can select use the Corey & Corey Article.
Answer the guiding questions below and provide your own insights/opinions.

Guiding Questions:


1. What is the main focus of each theoretical approach? Example: Faulty cognitions or behaviors

2. How does each theoretical approach view the therapeutic relationship? Example: Collaborative or authoritarian?

3. What are some of the similarities among these two approaches?

4. What are the major differences among these two approaches?

5. Do these approaches have any multicultural applications?

a. For example:. Multicultural refers to diverse culture, populations, religions, social class, disability, LGBTQ ect. Are these theories useful to work with diverse populations?

These questions are just a guide to help you write this paper. Feel free to discuss anything else that I missed with my guiding questions. This is a reaction paper meaning that students are encouraged to provide their own insight and opinions.

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Philosophy of Student’s Affairs Custom Paper

Each student will write their philosophy of student affairs.

This section should be 4-5 pages in length.

The Philosophy of Student Affairs statement should give your personal justification for the necessity of higher education within our culture and the specific role of student affairs within higher education.

The philosophy statement should cover your personal beliefs regarding the importance of our profession and how you intend to apply your philosophy to practice.

As part of your philosophy, you are to discuss what you believe the role of student development theory should be in student affairs practice.

How can student affairs professionals use theory in their work with students?

How might you use theory in your own work?

Make sure you connect theory to practice, and practice to theory. Remember to use scholarship and research to frame your essay.

I would like my essay to include research and theory based on curriculum development and student engagement.

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Margaret Mitchell novel “Gone with the Wind” Review Custom Essay

Gone with the Wind

Gone with the Wind is a historical movie adapted from the 1936 Margaret Mitchell novel that portrays the losing side outlook of the Civil War in American history amid the romantic era. In 1939 the film was released, this zenith of Brilliant Age filmmaking overlooked a significant part of the setting’s innate, risky racial topics, not just due to  its  Old South sentimentalism  that comes legitimately from Mitchell’s tale, however the time-period the movie  was produced was not above delineating generalizations and disregarding certain appalling historical  realities. David O. Selznick who was the producer advocated for the film and used his proficient production techniques to make each movie’s production facet a media and public conversation topic.

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Comprehensively, the motion picture falls into the classification of bigot American significant, a rich and loved filmography. The film expressly discusses reparations, the acclaimed 40 sections of land and a donkey, as a vote-purchasing trick put about by Yankee carpetbaggers. There are great blacks and ill-bred blacks. There are house blacks, and there are field blacks. At whatever point African-American characters are eloquent, it is dependably implied as a comic shock. These are as yet the preferences that bother portrayals of African-Americans onscreen.

The strength of a woman defeating all odds to provide for her family is portrayed In Gone with the Wind.  The Protagonist is married to gain financial benefits for her to save Tara and their plantation.  During the era the movie was produced, there was social construction on gender roles that women played like becoming a homemaker and childbearing. However, Scarlett defied societal expectations and opinions by purchasing two sawmills and managing them for her to secure her family’s financial stability.  Although her sister and the house slaves lamented, Scarlett was determined, and she even worked in Tara’s plantations to make sure she gets a bountiful cotton harvest. Scarlet also murders a Yankee who came to rob Tara.

The film does not only depict Scarlett as the only robust female character.  The Southern gentility image is portrayed by Ellen O’Hara who is Scarlett’s mom. She never raises her voice when reprimanding a kid or giving commands to servants however she ordered were obeyed. Emblematically, Ellen passes on alongside the manor upon the Yankees arrival through Georgia. Scarlett’s sister-in-law called Melanie Wilkes is additionally illustrative of a sort of tranquil, gentle strength. She has a divine benevolence and is a maternalism paragon.

The ladies’ activities reverberation the ranch writing of the 1830s, the ’40s, and ’50s. Although bigger American culture may have stressed female meekness, the female characters’ quality is a praiseworthy attribute concurred especially to white Southern ladies in customary ranch writing. The film viewers are acquainted with its artistic establishment. There are four fundamental traits shared by early twentieth era movies concerning the south: the Old South romanticization, North and South reconciliation, the Southern beauties spoiled and firm determination, and the slaves’ happy complacency. These characteristics are portrayed and also magnified, in David O. Selznick’s Gone with the Wind.

Some Old South romanticization aspect was because of the diversion from Mitchell’s realism attempts.  Production Code, which is a censorship corporation, brought changes in the narrative that covered up the spitefulness the book portrayed. The film characters never again occupy a world loaded with bigot slurs, whorehouses, and agonizing premature deliveries and births. Instead, Selznick’s South is commonly a protected world filled by “upright” individuals.

Everyone did not cherish the motion picture. There were dissents from little girls of Association veterans, socialists and African Americans alike. The NAACP questioned the treatment of the black characters in the film. Hattie McDaniel turned into the principal African-American entertainer to win an Oscar for her job as Mammy; however, she was banished from the Atlanta debut because of isolation laws.

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Works Cited

Mitchell, Margaret _Gone with the Wind. New York: Scribner, 1936.

Selznick, David O., producer. Gone with the Wind, 1939.

Business in Communication and Global World Custom Essay


Business is becoming more and more interconnected around the globe, meaning that diverse cultures are coming close to each other as business turn global. This means that companies are integrating workers from various countries and cultures that call for the organizations’ preparedness to adapt to these cultural diversities. Many countries are immersed in their cultures and may not easily see how this affects their behavioral patterns or thinking. the main reason that has led to the establishment if Hofstede’s Cultural Dimensions framework is the varying cultures across the world. Hofstede’s framework ranks countries based on six dimensions of Power Distance, Individualism/ Collectivism, Masculinity/ Femininity, Uncertainty Avoidance, Long term/ Short term avoidance, and Restraint/ Indulgence.

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Comparing Mexico and China based on the United States ranking on the Hofstede’s Power Distance Dimension (score of 40), the organizations in the United States believe in the distribution of power. A worker has access to the top management, and centralized style of leadership is discouraged. On the other hand, China and Mexico accept the dimension of power distance accepting a centralized form of management, which means the two countries accept hierarchical leadership (each with scores of 69 and 80 respectively). Considering the partners will be coming from both Mexico and China, there is no likelihood of differences when it comes to deployment of the franchise since both believe in the power of the leaders above them. It might be difficult for Mexico and China to use the system of leadership used in the US. This is because the company will be obligated to use the existing style.

As about indulgence, Mexico and the United States have the liberty of enjoying life, meaning that it will be easier to deploy the project in Mexico. The Chinese society is quite pessimistic on indulgence, meaning that implementing the project there might face a certain level of opposition based on how people will perceive the project. However, all the three countries tend to embrace a collectivist culture meaning that it will be easier to deploy the project in the two countries based on this dimension. All the states have a low score on masculinity that indicates that other people are considered and cared for, making it easier to explain the objective of the project implementation within these countries.  However, each is supposed to strive to do their best.

The two countries within which the project to be implemented believe in power distance and subordinating to seniors.  Besides, the United States has a culture of recognizing the contributions of all, regardless of their positions. Both China and Mexico might pose the problem of communication since protocols have to be observed in critical information. Therefore, initial communication might be hard when implementing the project in the two countries.

The cultural differences will influence the time spent on the expansion of the project in the two countries. The management at the head office must familiarize with the culture of the two countries where they wish to expand their project. Besides, the team must engage with the negotiating team to familiarize with the requirements for extending the project in the two countries.


The process of expanding the project in Mexico and China might take longer than expected due to the slowed communication process, which will aim at understanding the culture of the two countries. Therefore, culture matters during the creation of a market penetration strategy.

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Ivanov, S. H., & Ivanova, M. G. (2016). Market penetration of hotel chains: Does culture matter. Annals of Tourism Research, 57, 259-264.


Creating a Service Excellence Culture Custom Essay

Creating a Service Excellence Culture

Within the American healthcare system, service excellence culture is denoted as the capacity of the provider to manage and meet the expectations of the patient continuously. All medical care systems must prioritize clinical excellence. Nevertheless, the best healthcare structures combine exceptional personal service with professional medical service excellence. According to Johnston (2004), it is not easy to define service excellence in medical care environments. The author notes that service excellence has four primary elements: solving challenges in an appropriate manner, doing an adequate job, providing a personal touch, and delivering the promise of quality medical care services. To achieve these outcomes, service providers must concentrate on the provision of exceptional care and addressing the factors that result in the dissatisfaction.

Basic Components that Determine Culture

The following are the basic components that determine the culture that both our internal and external clients experience daily. They include human resources issues; motivation; the design of our organization; and how information flows within the structure of the organization.

Human Resource Issues

Human resources play a critical role in formulating our organizational culture because it is the individuals employed by the organization through human resource practices that get to embrace and make improvements of specific sections of our culture within the structure of our organization. Any changes to the organizational culture so desired by the primary stakeholders have to be executed by the workers and through the workers. The basic human resource management practices such as employee training, selection, and recruitment exercises affect the stability and performance of our organization (Holsapple & Joshi, 2001). As such, human resource management practices can impact employee behavior and help to develop values that contribute significantly to our organizational culture.

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The HR practices directly impact on stakeholder behavior through improving positive thinking regarding the initiatives of the organization towards the workers and the clients, and this, in turn, results in positive and desired outcomes for the clients and the business in general. Our HR rightfully promotes direct employee engagement policies, and this forms an integral part of our organizational culture. Employee engagement results in higher employee satisfaction levels, which further translates to better customer outcomes. The HR policy also decides the management style of the organization. Our HR practices the collegial style of management, where resources are distributed evenly. Through this style, employees become empowered to provide the best service, which results in desirable outcomes for both the internal and external clients.


Motivation plays a critical role in the staffing function of human resource management. Its primary purpose is to satisfy workers, and it is attained through continuous monitoring of worker satisfaction levels within the organization. A motivated workforce results in desirable outcomes both for internal and external clients. Since our organizational leaders actively participate in shaping organizational culture, they must be motivated to execute their duties and responsibilities to the best of their ability. A motivated workforce additionally results in positive outcomes for both the internal and external clients. Motivation breeds a positive organizational culture.

Organizational Design

Organizational design plays a critical role in the development of the corporate culture of the organization. Organizational design denotes the firm’s unseen code that outlines how work processes are to be conducted. When accountability, the division of labor, and the chain of command are put into question, the organizational design becomes the ultimate reference. An excellent corporate design assists all stakeholders within the business chain to execute their tasks and responsibilities effectively.

Measurement and Information

The strategies used to evaluate performance are critical in shaping the organizational culture. Henri (2006) contends that cultural types linked with flexibility values promote informal and loose controls, free flow of information and lateral and open channels of communication all through the organization.


Among the four variables, the human resource function has the most significant impact on organizational culture because it is the centerpiece that connects inputs to outputs. Human resource connects all stakeholders within the value chain by looking for the “best fit” human resources to execute the tasks that result in desirable outcomes for the client. Human resource managers not only help to procure the best talent but they also mold, allocate and distribute them according to their skill-sets, thus, helping the organization to achieve its main objectives. Without the human resource management function, it would be impossible to organize operations within the organization. The workplace would be chaotic, and clients would not be satisfied with the level of service owing to the many challenges and the void created by an incompetent or overwhelmed human resource management.

A positive experience would result in repeat business and potentially better chances of earning from the same client in the future. It would also lead to increased revenues as a result of positive “word-of-mouth” marketing efforts by such clients. These would eventually help the business to expand in terms of revenues and customer growth. A negative experience, on the other hand, would jeopardize the organization’s chances of having or increasing its future earnings from the client. A dissatisfied client would never come back to the organization for more services, and, therefore, the company would be at a loss.

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Henri, J. F. (2006). Organizational culture and performance measurement systems. Accounting, organizations and society31(1), 77-103.

Holsapple, C. W., & Joshi, K. D. (2001). Organizational knowledge resources. Decision support systems31(1), 39-54.

Johnston, R. (2004). Towards a better understanding of service excellence. Managing Service Quality: An International Journal14(2/3), 129-133.



Glaucoma is a condition in which the optic nerve is liable to harm typically, yet not generally, given exorbitantly high intraocular pressure likewise called IOP. On the off chance that untreated, the optic nerve harm results in progressive, perpetual vision loss, beginning with unnoticeable blind spots in the vision field, advancing to vision tunnel, and afterwards to blindness. Glaucoma can result in irreversible harm to the optic nerve. It is one of the primary sources of irreversible blindness in the U.S and globally, and causing leading blindness in among African Americans, and the aged population in the U.S. Since there are generally no early-stage symptoms in the illness, averagely half of the glaucoma patients are unaware of their condition. As indicated by the American Institute of Ophthalmology (2015)  people aged above forty are at risk of developing glaucoma, a family with glaucoma history, a person with Hispanic, Asian or African heritage, (angle-closure glaucoma is a  high risk in this populace, and low-tension glaucoma is high in Japanese). People with high-eye pressure, persons with an eye injury, thin –centre corneas in the centre, migraines, history of high blood pressure, diabetes, and poor circulation of blood.

This case study demonstrates the care administered to a patient who when going to for another patient check was found to have glaucoma. It proves the medical attendants’ inclusion in the essential consideration setting in perceiving glaucoma and how importantly organized appraisal can be helping patient with this sort of condition.

The first day of clinical, I met Ms. Hernandez, and I could develop compatibility with her and this made correspondence process simpler. The following day of clinical, I conversed with Ms. Hernandez and inquired as to whether I could utilize her condition to my case study and she concurred in one situation which is to secure her personality. I guaranteed her to privacy, and I will share what is expected to finish my case study. That day was the ideal time to assemble data about her condition since Ms. Hernandez shared that she’s going home in two days. She is so excited about going home.

Ms. Hernandez is a seventy-five-year-old female patient who was suspected to have glaucoma as indicated by her optometrist who performed air puff tonometry as a significant aspect of routine screening when she went to purchase another match of glasses. She was then followed up and given latanoprost eye drops. She was experiencing issues in utilizing the eyedrops as his eyes appear to keep running with tears when she used the drops.

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According to Pt. no restorative condition, or history of meds being taken. Pt. satisfied that it had been one year as of now that she had been feeling that something odd is occurring with her eye particularly after longer long stretches of instructing. Upon appraisal Pt. displayed likewise obscured vision. Pt. was AAOX3, her VS were an inside normal limit, BP 120/75 mmHg, and P-90 bpm, T-98.7, and R-18 for each min. Visual acurity were tried. Pt was not able to recognize a letter at a separation of 5 feet. Intra Visual Pressure was likewise taken; the weight in the left eye was 15 mmHg while the IOP in the right eye was raised at 60mmHg. After those discoveries, the ophthalmologist was informed. Pt. was determined to have closed-Acute Angle Glaucoma. Pt was put in prostrate position; prescription was regulated as a request to bring down the IOP. The ophthalmologist endorsed steroids to diminish irritation and further drug the executives like Pilocarpina to open the edge. Pt was a plan for a subsequent arrangement inside seven days.




Glaucoma infection exists in two fundamental structures; for the most part, open-angle glaucoma and point conclusion glaucoma. Open-angle glaucoma is a broadly spread kind of glaucoma additionally called glaucoma. In this condition, the depleted eye structure called the trabecular meshwork may seem ordinary although the liquid does not stream regularly. The angle-closure glaucoma is anything but a typical issue in the west when contrasted with Asia. It might likewise be called intense or ceaseless narrow-angle glaucoma (Aref and Varma, 2015). The angle-closure glaucoma condition doesn’t deplete the eye because of a keen edge between the iris and cornea which may prompt sudden weight development in the eye. This is related with farsightedness and waterfalls, a condition portrayed by focal point obfuscating inside the eye. The condition is essential to grown-ups of 40 years or more yet additionally may happen in youthful adults, kids, and babies which may prompt more noteworthy vision loss.

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An eye with glaucoma disorder has an obstructed seepage framework. This keeps the waste of the intraocular liquid. The working up of the liquid causes developing of the weight inside the eye. This high weight prompts touchy optic nerve harm which prompts loss of vision (Ignatavicius & Workman, 2013).

The retinal gangling cell axons travel through the optic nerve containing visual data acquired from the eye transmitting it to the cerebrum. At the point when such axons are harmed, they cause the passing of gangling cells which results in the decay of optic nerve and sketchy vision loss (Ackley & Ladwig, 2014). Hoisted IOP encourages axon harm through direct nerve pressure or bloodstream reduction, which gives a convoluted connection between remotely estimated weight and nerve harm. The remotely estimated IOP factor that may not reflect IOP is that the eye might have a more thin cornea than ordinary. The assurance of IOP is by the watery discharge and harm balance.

Nursing Diagnosis

My nursing diagnosis that I connected with Ms. Hernandez was: Hazard for damage r/t macular degeneration AEB visual alteration. My nursing intercession was Evaluate patient for level of visual hindrance. Advise about extraordinary gadgets that can be utilized. Guarantee room condition is protected with sufficient lighting and furniture advanced toward the dividers. Expel all floor coverings, and articles that could be possibly risky. Keep patient’s glasses and call ringer inside simple reach. Educate patient as well as a family concerning the requirement of keeping up safe condition. The objective was Patient will be free of damage and will have the capacity to perform exercises inside parameters of physical restriction. A patient will have the capacity to be free of suffering. Patient, as well as family, will have the ability to change the condition to guarantee patient security (Barton & Hitchings, 2013).

My second nursing diagnosis was Nervousness r/t Physiological components, change in wellbeing status; nearness of agony; probability/truth of loss of vision AEB Communicated concern concerning changes in life occasions. My nursing mediation was Assess nervousness level, level of pain experienced or suddenness of beginning of side effects, and current information of condition. Give exact, legitimate data. Talk about the likelihood that watchful observing and treatment can keep other visual misfortune. Enable the patient to recognize concerns and express sentiments. Recognize accommodating assets and individuals. Suggest relatives be analyzed routinely for indications of AMD. My objective was pt. will seem loose and report tension is diminished to a sensible dimension. Exhibit critical thinking abilities. Use assets viable.

My patient education was Teach Ms. Hernandez to use prescribed drugs consistently. Educate Ms. Hernandez to convey a therapeutic recognizable proof card or wear a wristband expressing his sort of glaucoma and requirement for the drug. Educate Ms. Hernandez to avoid potential risk during the evening (e.g. utilization of handrails, give additional lighting to repay to weakened understudy expansion from miotic use).

Labs and Treatment

The accompanying lab results were requested for Ms. Hernandez.

WBC 7.46 4.00-11.00
RBC 2.79 3.93-5.22
Haemoglobin 8.5 11.2-15.7
intraocular pressure 23mmHg 12mmHg to 21mmHg
Platelet Count 379 130-440



Ms. Hernandez results displayed that her intraocular pressure is raised. Whatever is left of her blood lab result were in typical range demonstrate no hazard for bleeding. The reason for complete blood count (CBC) test Ms. Hernandez case is to gauge the accompanying things: the white Platelets (WBC) which battles diseases. If you have high WBC levels, it tells that you have aggravation or disease someplace in your body. If it’s low, you could be in danger of contamination. RBC tally is the number of red platelets you have. These are vital because they help oxygen through your body. The blood– fluid boundary (ciliary epithelium and iris capillary) and the blood-retinal obstruction (non-fenestrated vessels of the retinal course and tight intersections of retinal epithelium) are in charge of the control of medication/particle transport from the fundamental dissemination to the front and back visual tissues, separately.


Primary care doctors are the primary purpose of contact for some glaucoma patients, and they have an essential job in the conclusion and treatment of this condition. The decent variety of the potential manifestations in glaucoma may imply that the state will stay unrecognized in numerous patients for a considerable length of time or year after the medical procedure.

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A surgeon has a critical job in treating a glaucoma understanding. They are the ones who settle on judgment choice either previously or amid the real activity. At the point when the specialist feels that it’s most secure to change over the Latanoprost eyedrops use to a surgery. This isn’t confusion, yet rather a sound careful judgment. The choice to change over to a medical procedure is entirely founded on patient security.

The role of a nurse is progressively comprehensive for the inpatient setting. The patient’s medical attendant would give quick mind expected to the patient in trouble and making the necessary calls expected to caution the doctor to answer to the bedside.

The role of the Occupational therapist is to help with the exercises of everyday living and guarantee the patient’s condition doesn’t hinder those exercises. They remain as advisors to the doctor who are creating and executing the patient activity plan. Their ability is required for a patient who can’t regulate tranquilizes freely.

The role of the pharmacists is guaranteeing appropriate dosing routine, checking for medication interaction, and observing for potential medication terrible quality. When directing patients, pharmacists should audit ideal organization times and possible reactions to verify that the patient has a far-reaching comprehension of how to deal with the manifestations.

Family and companions give social help and consolation. A relative has the critical job in patient’s recuperation. They can screen the patient’s drug taking calendar. They can help with directing drops and reminding the patient to hold fast to treatment.

Interesting Aspects of Care

The main thing that I saw with Ms. Hernandez is that she is a sweet woman. She was agreeable, and I could speak with her effectively. The most intriguing thing about her will be her substantial identity and uplifting frame of mind. Ms. Hernandez said she carried on with a decent life paying little thought to the glaucoma diagnosis.

I picked Ms. Hernandez for my contextual analysis since her condition is equivalent to my aunt’s. Working with Ms. Hernandez helped me to take in more about glaucoma and how to entirely manage this condition. By chance, Ms. Hernandez is an exceptionally decent woman, and that made it simple to work with her. She addressed every one of my inquiries.

Patient Safety

To assess patient safety and care quality, the Joint Commission builds up National Patient Security Objectives every year. What’s more, as a healthcare team member, understanding the National Patient Safety Objectives is vital in promoting the safety of the patient.  The lists of objectives are correct identification of the patient, use something like two different ways to recognize patients to ensure that every patient gets the drug and treatment implied for them, forestall contaminations, and utilize the CDC cleanliness rules. Guarantee the patient take medicine by observing the patient hourly.

As Ms. Hernandez healthcare team member, I ensured that I gave the consideration that she required each time I worked with her. I trained her to call for help each time she uses hands when contacting close cut site to counteract contamination. Abstain from stressing with defecations by expending high-fibre diet, for example, entire grain bread, dried organic products, peas, sweet corn, strawberries, prepared potato with skin, apples, plums, and broccoli. Try not to lift things more substantial than ten pounds or do strenuous activity, and utilize assistive gadgets, for example, stick, a walker to build portability or request help to counteract fall or damage.


Ms. Hernandez list of drugs is acetazolamide which lessens the liquid in the eye. My nursing suggestion is to evaluate torment type preceding 30-60 min following organization and survey for tingling intermittently amid treatment. My recommendation for understanding is to cease acetazolamide and tell therapeutic services experts if tingling happens and encourage the patient to abstain from taking more than one item containing acetazolamide at an opportunity to avoid danger. Beta blockers, which bring down the measure of liquid your eye produces (Turkoski, 2012). Painkillers as a solace measure. My patient instructing is to illuminate tolerant that may cause discombobulation and laziness. Alert patient to abstain from driving or different exercises requiring readiness until the reaction to the drug is known. Pilocarpine used to open the edge between your iris and cornea. My nursing suggestion is to survey pt. for any side effects of bothering. My patient instructing is to exhortation patient to tell social insurance proficient quickly if indications of aggravation.


Human services experts including nurses must be proficient of the infections and states of glaucoma as a result of the entanglements that may happen. It’s almost imperative that a medical attendant give wellbeing lessons to patients so they will have the capacity to reestablish their wellbeing to be completely practical and furnished with self-control so they will anxiously adhere to the guidelines that are given to them.

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Ackley, B. J., & Ladwig, G. B. (2014). Nursing Diagnosis Handbook (Tenth ed., pp. 55).

Aref, A. A., & Varma, R. (2015). Advanced Glaucoma Surgery: An Overview. Essentials in Ophthalmology. Doi: 10.1007/978-3-319-18060-1_1

Barton, K., & Hitchings, R. A. (2013). Introduction. In Medical Management of Glaucoma (pp. 1-32). Springer Healthcare.

             Collaborative Care (7th ed., pp. 1062-1067). St. Louis, MO: Elsevier Inc.

Edward, D. P. V. T. S. (2012). Glaucoma. Cary: Oxford University Press, USA.

Ignatavicius, D. D., & Workman, L. M. (2013). Medical-Surgical Nursing Patient-Centered

Maryland Heights, MO: Mosby.

Turkoski, B. B. (2012). Glaucoma and glaucoma medications. Orthopaedic Nursing, 31(1), 37-41.

The Mexican Border Wall and Immigration Custom Essay

The Mexican Border Wall and Immigration

History and Background

Immigration has been a topic of discussion in the United States for years. Policies have been formulated to handle the entrance of unregistered citizens especially those that enter through the country’s southern border. Illegal immigration has become a public issue of debate after recent policy suggestions of President Donald Trump. Although the country has been searching the most suitable strategies in the past decades, the president suggested the creation of a wall across the Mexican border as a permanent solution to the problem. The handling of immigration in the country has been under heavy scrutiny due to the large population that it affects and its moral implications. Some of the tactics used to handle the issue include the zero-tolerance policy, which arrested all illegal immigrants including minors thus causing a major public backlash. The Mexican border wall has been of keen interest as multiple stakeholders have been involved in its case with diverse opinions about it. Supporters of the method have cited its ability to block illegal entrants from having access to the country. Fears of drugs and human traffickers have been used as reasons why the wall is a necessary method for protecting the country. On the other hand, some entities perceive it as too costly while some view it as discriminatory practice on the Hispanic population. The paper will analyze the arguments offered by stakeholders involved in the topic of immigration and building of the Mexico border wall, including their concerns and values behind their perspectives.


The National Government

In regards to the national government, the stakeholders involved are the President and other politicians including Congress members and Representatives and are the most active stakeholders in the border argument. The president has the strongest relationship to the border issue as he is the one that presented the idea of strengthening the Mexican border by a building a steel wall. His ideas have been supported and opposed equally by other members of the government, due to their values held. The opinions held by Congress members and representatives are heavily influenced by the parties that they support. Although belonging to the Republic and Democratic Party has been seen as significant factors, some members of those parties have held a differing opinion based on how close their state borders are to the Mexican border (BBC, 2019). However, a majority of the members of the government agree that better border policies are needed to handle immigration.

The President’s decision to build the wall is because of the rate of illegal entry into the United States. Immigrants that enter the country are not scrutinized which allows people with ill intentions to find refuge. The President believes that without a wall, dangerous gang members will continue finding their way across the border (Sullivan, 2018). Drug traffickers also use the same routes to bring illegal drugs into the United States.

Politicians whose states border Mexico and are assumed to be the most affected with immigrants hold a different opinion. Regardless of the parties they represent, they feel that a wall is not efficient and a better alternative would be preferable (BBC). The reasons used against its implementation are the high cost of the wall on both the government and the taxpayers and the existence of better alternatives such as telecommunication devices for border patrol.

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American Citizens

American citizens are active stakeholders in matters related to immigration and border security. Perceptions held by registered Americans are significant since they are the ones who determine politicians that represent their views on border security and also create the atmosphere towards illegal immigrants in the country. Most of the politicians, such as President Trump, base their attitude towards the topic of debate in conjunction with the voice of their supporters. However, research shows that the values and opinions of Americans towards immigration are not necessarily based on its security: it is affected by the party that they support Kull, 2019). According to the Pew Research Center, 69% of Republican supporters believe that the wall would be a practical approach towards reducing illegal immigration into the United States (Gramlich, 2019). A similar percentage of Democrats hold the opposite opinion as they do not believe that it would create much change in controlling immigration.

According to research done by the Program for Public Consultation at the University of Maryland, most of the respondents, both Democrats, and Republicans, were not fully in favor of building a wall (Program for Public Consultation, 2019). The reason is that immigrants have other alternative methods of entering the country. Instead, they suggested for better methods to be used to stop illegal movement across the border. A fair majority of American citizens believed that immigrants were essential to certain industries. Therefore, an idea that was tolerated by both Democrats and Republicans was the increase in the number of green cards for people jobs that required the intervention of external workers (Program for Public Consultation, pg. 1). The arguments offered by the participants of the research show that a significant number of Americans are mostly in support of a system that would ensure illegal workers in the country. However, political standings control how they view and approach national issues. Those that are strongly defined by the parties that they support base their decision from that perspective. However, based on the research done by the Program for Public Consultation, people held a similar opinion in regards to young immigrants. Most of them proposed that the children should receive a path to citizenship (Program for Public Consultation, pg. 20). The sentiments seem to be influenced by the fact that children often do not have control over the situation, and deserve a better life in the United States.

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Hispanic Immigrants

In the debate about immigration, the most affected group consists of Hispanic immigrants as active stakeholders. The Mexican border wall and other immigration policies affect the most even beyond the political level. Perception towards the debate for them is mostly influenced by the discriminative hostility they have received. Some of them explain that their use of illegal entry into the country is because of the harsh conditions they live in (Al Jazeera, 2019). Those that state that believes that their critics have not yet witnessed their living situations. The ones that are critical about them would change their view if they experienced their daily reality. Others understand that the American population perceives them as criminals; hence their use of illegal means to gain access to the country. However, such perceptions do not deter from trying to find a better life for their families (Al Jazeera).

Among the immigrants, smugglers play a massive role in the entry process. The building of the wall would make their business harder and more complicated as they will have to find other alternatives. However, they are not deterred since the wall would not provide a fool-proof restriction from crossing the border (Al Jazeera). To them, illegal access into the United States is a business since entrants have to pay to receive assistance. Building the wall would increase its costs since the level of danger would be heightened.

The difference in opinion held by American citizens and Hispanic immigrants are based on different factors. Those that seek to enter the country illegally are not particularly directly affected by the fact the building of the wall. The major concern that they have is a safe entrance for them and their families. Even without the wall, they are influenced by the desire for a better lifestyle. For those that are Americans citizens, they do not perceive the situation from the situations migrants face but rather how their entry affects their daily life.

Private Land Owners

Private land owners are the individuals whose lands will be used for the building of the wall since they live close to the border. Since President Trump planned to use eminent action, their property could be taken away and used as federal land. As active stakeholders, they have the power to hold legal action before their land is acquired by the government. A lot of property owners have shown dissatisfaction with the building of the wall. The sentiments are influenced by the fact that they will lose their possession which they depend on for their sustenance. One of the arguments against the border wall is the process used to acquire the land (Adams-Heard, 2019).  Through the application of eminent action, the government would forcefully obtain the farms regardless of whether the owners are interested or not. The process feels like sabotage of personal rights which has generated dissatisfaction. Furthermore, the wall would interfere with the river that transports water between Mexico and the United States, as it would create a barricade. The owners share a similar sentiment to other stakeholders that prefer that the government used better surveillance technology and border patrol as an alternative.

Border Patrol

Border patrol agents are the ones that overlook security and entrance of illegal immigrants at the border. Although they play an important role, they are silent stakeholders since they do not actively participate in the debate on immigration. Instead, they are expected to follow any regulations made about handling border security. In the argument about building the wall, their perspective is determined by how resourceful the solution would be and its efficiency in helping them carry their duties. According to the United States border patrol chief, the wall would improve the department’s ability to control immigration (Manchester, 2018). Previous experience has shown them that creation of barriers assists the blocking of unwanted entry. However, the border is only part of a system, since more resources are also needed to make it effective such better technology and more officers on duty. Compared to American citizens that also supported the building of the barricade, border patrol agents do not think it is enough alone. The perception of border officers seems to be controlled more by their duty to enforce security rather than political motivations.

In conclusion, various stakeholders on the issue of immigration have debated about the building of the Mexican border wall. Some of the entities such as government officials and American citizens have argued majorly because of their political affiliations. Those that support or oppose the policy follow the parties they are affiliated. Hispanic immigrants base their opinions on their living situations and a desire for a better life. Private landowners are against the wall since their properties would be lost regardless of their position on the issue. Border patrol agents, are the silent stakeholders but believe the wall would be a beneficial policy if included with other resources.

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Adams-Heard. (2019). Trump’s Border Wall Faces Texas-Size Backlash From Landowners. Bloomberg, Retrieved from

Al Jazeera. (2019). Migrants at the US-Mexico border: Overcoming walls and prejudice. Retrieved from

BBC. (2019). US shutdown: Border politicians oppose Trump’s wall. Retrieved from

Gramlich, J. (2019). How Americans see illegal immigration, the border wall, and political compromise. Pew Research Center, Retrieved from

Kull, S. (2019). Americans don’t want Trump’s border wall. This is what they want instead. Washington Post, Retrieved from

Manchester, J. (2018). Border patrol chief: Wall will ‘most certainly’ help secure southern border. The Hill, Retrieved from

The Importance of Therapeutic Communication in Caring for Patients

The Importance of Therapeutic Communication in Caring for Patients


Communication is an approach which we usually use to convey a message and interpret its meaning. Typically, communication involves the exchange of information amid two or more individuals and through that we create relationships with one another. The kind of relationship which is built amid a client and a healthcare professional is known as a therapeutic relationship (Stevenson, 2014). The degree of therapeutic relationship is based on the ability of the healthcare specialist to communicate effectively. The phrase “therapeutic communication” is mainly used in the nursing field, but not limited to nursing only. Therapeutic communication is a brave sort of communication applied in the assisting relationship (Ruesch et al. 2017). It’s a relational contact amid a nurse and a client during which the healthcare officer centers on the precise requirements of the patient to cultivate a productive sharing of information. Healthcare officers use healing communication tactics to offer fresh information, correct misinformation, motivate comprehending of responses of the client to health challenges, investigate care options, aid in decision making as well as facilitating in the wellbeing of the client. The primary aim of the therapeutic communication if to offer a peaceful environment for the patient to see the implication of the sickness understanding as well as giving the information and psychological support which every patient requires to achieve total fitness and wellbeing (Amoah et al.2019). This paper aims to explore the importance of therapeutic communication in caring for patients in a healthcare setting using evidence from most recent sources in healthcare.

Importance of Therapeutic Communication

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Therapeutic communication tactics are vital tools for healthcare professionals when conversing with their clients, and these techniques include paraphrasing, touch, active listening and reflection. Active listening is essential for effective communication; it’s not only the act of hearing (Stevenson, 2014). The professional keenly listens while serving the client, grasping what is being shared and respond to the patient that he or she has understood the message of the patient. Active listening includes all the senses of the healthcare specialist. Also, it uses self-discipline, far-fetched quantities of energy focus, seeing and filtering out external and internal features as well as blockades which might incumber communication (Little et al. 2015). Paraphrasing is a reaction plan to active listening structured to assist the client intricate more on what is contained within the verbal message. Through paraphrasing, the healthcare provider sends a reply which allows the patient to understand whether the message was comprehended. Paraphrasing may be ineffective if the actual meaning of the message changes. Reflection is a criterion employed during attentive listening to turn around questions to get responses from the patient. Training patient to react to the question best answered by the client aid them to agree with their feelings and ideas about an essential event (Begum, 2014). Another useful tool for communication is touch. The tool can be applied to sooth comfort as well as develop rapport and a therapeutic bond amid a client and nurse. When a client is admitted in the emergency section, healthcare specialist may lack enough time to converse on the bed; however, hand-holding can communicate a lot more compared to the words to the client in such instances (McCarron, Eade & Delmage, 2018). Implying that therapeutic communication can act as an indirect cure by itself.

Healing communication can help the nurse to attain many goals such as assessing awareness of the patient about their problem since it provides details of the feelings and thoughts of the client concerning the situation and identifies the significant concerns of the patient at that instance (Josephson et al. 2015).

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To attain effective healing communication, the healthcare specialist must consider rapport, respect, empathy and also trust. Rapport means that different feelings and attitudes during a conversation on the part of the healthcare specialist and the client grounded on acceptance, warmth friendliness, a sense of trust as well as a nonjudgmental attitude. Trust is very vital to carry on the discussion if the client lacks faith on the healthcare provider that she or he may not disclose all the necessary information which can be very significant as well as supportive to treat that client and arrange nursing care for her or him (Brownie, Scott & Rossiter, 2016). There are cases where a client may not be willing to be attended to by a nurse of the opposite gender but cannot openly share that. The patient may seem to possess some abnormal conducts when required to undergo some unique medication processes. For instance, a patient having urine retention and lower abdominal may not be willing to be attended to by a female nurse if the client is male; vice versa may also be true. Under such circumstances, therapeutic communication is essential. Carefully, the healthcare provider can take time to interrogate the client to understand the unusual characteristics being shown by the patient and grasp the client’s trust. If therapeutic communication is wisely applied during communication, the client will expose the feelings and attitude towards his or her behavior and the appropriate nursing care planned for him or her. For example, arrangements can be made for the client to be attended to by a male nurse or a female depending on the desire of the patient. Respect is all about showing concern to the client’s opinions and values and responding in a friendly manner. According to Amoah et al. (2019), conveying real respect for the patient as well as effective communication assist in developing an ethical and professional association with the patient. Having excellent therapeutic communication skills and a provision of caring association which influences health and healing are trusted to be a vital characteristic of contemporary nursing practice (Schwind et al. 2016). Using techniques of effective communication together with therapeutic interpersonal growth helps in motivating the client to expose his feelings and anxiety as well as making the patient feel comfortable while within the clinical environment. Listening more attentively to the needs of the patient, a nurse can speedily and efficiently trap the faith of the patient as well as create an excellent relationship with the client. Sometimes a healthcare provider may be forced to use the touch technique. Touch is mainly tantamount with caring, comprehending, and reassurance. Depending with the suffering a client is undergoing, may be feeling that even people are avoiding him or her. If a nurse can go ahead and offer full accompaniment to the client to the extent of even touching him or her during medication, the client may feel at peace and thoroughly cared for since has a very close friend, the nurse. Touching by itself cures.


Therapeutic communication is significant in a healthcare setting. The central role of therapeutic communication if to offer a peaceful environment for the client to see the implication of the sickness understanding as well as giving the information and psychological aid which every patient requires to achieve full fitness and wellbeing. Healing communication tactics are essential instruments used by nurses and other professionals when talking with clients. These tactics include paraphrasing, touch, active listening and reflection. To attain effective healing communication, the healthcare specialist must consider rapport, respect, empathy and also trust. Healing communication alone can help cure the patient out of anxiety and create good interpersonal therapeutic relationship amid client and a healthcare professional.

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Amoah, V. M. K., Anokye, R., Boakye, D. S., Acheampong, E., Budu-Ainooson, A., Okyere, E., … & Afriyie, J. O. (2019). A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC Nursing, 18(1), 4.DOI:

Begum, T. (2014). Doctor-patient communication: a review. Journal of Bangladesh College of Physicians and Surgeons, 32(2), 84-88. DOI:

Brownie, S., Scott, R., & Rossiter, R. (2016). Therapeutic communication and relationships in chronic and complex care. Nursing Standard, 31(6), 54. DOI: 2016.e9847

Josephson, I., Woodward-Kron, R., Delany, C., & Hiller, A. (2015). Evaluative language in physiotherapy practice: How does it contribute to the therapeutic relationship? Social Science & Medicine, 143, 128-136.DOI:

Little, P., White, P., Kelly, J., Everitt, H., Gashi, S., Bikker, A., & Mercer, S. (2015). Verbal and non-verbal behavior and patient perception of communication in primary care: an observational study. Br J Gen Pract, 65(635), e357-e365. DOI:

McCarron, R. H., Eade, J., & Delmage, E. (2018). The experience of clinical supervision for nurses and healthcare assistants in a secure adolescent service: Affecting service improvement. Journal of psychiatric and mental health nursing, 25(3), 145-156.DOI:

Ruesch, J., Bateson, G., Pinsker, E. C., & Combs, G. (2017). Communication: The social matrix of psychiatry. Routledge. DOI:

Schwind, J. K., McCay, E., Metersky, K., & Martin, J. (2016). Development and implementation of an advanced therapeutic communication course: An interprofessional collaboration. Journal of Nursing Education, 55(10), 592-597.DOI:

Stevenson, F. (2014). Achieving visibility? Use of non‐verbal communication in interactions between patients and pharmacists who do not share a common language. Sociology of health & illness, 36(5), 756-771.DOI:

Improving Communication at the Bedside

Improving Communication at the Bedside

Communication is an essential concept in environments involving more than one person. It entails the conveyance of messages and the acquisition of feedback in a manner that promotes understanding and coordination. In health care settings, the exchange of information becomes a crucial ordeal among the involved stakeholders. Notably, the significance is more pronounced in hospitals and especially at the bedside where vital patient-related decisions are made (Brindley, Smith, Cardinal & LeBlanc, 2014). Primarily, communication between the attendant, the patient, and family members is critical because it enhances the ability to offer client-centered care which addresses all their concerns and meets the expectations of carers (Brindley, Smith, Cardinal & LeBlanc, 2014). In this view, a collaborative partnership between clinicians and the customers becomes imperative in the bid to provide safe and quality care.

Communication in this sense can be approached from two dimensions, which all determine the safety and quality of care according to patients. The primary level entails the interaction and exchange between the client, their families or primary carers, and the hospital health workers. Its main objective is to engage in a constructive dialogue that promotes a clear understanding of the health challenge affecting the patient and informing them of potential intervention plans, their implications, hospital environmental and policy factors, among other details that might influence the choices of both parties (Amutio-Kareaga, García-Campayo, Delgado, Hermosilla & Martínez-Taboada, 2017).

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On the other end, addressing client needs entails the joint effort of different professionals. The usual involvement includes physicians and nurses who coordinate to come up with the best treatment method and implement it towards the wellbeing of the customer (Ratelle et al., 2016). In this regard, communication between professionals becomes an essential aspect of health care management, particularly at the patient’s room or bedside where crucial decisions are made. Some scenarios, such as intensive care unit, emphasize on the effectiveness of this form of communication due to the sensitivity of choices made in attending to the patient (Wang, Wan, Lin, Zhou & Shang, 2018).

Importance of Communication in Health Care Safety and Quality

Communication between Clinicians and Patients

As discussed, the exchange of information between primary caregivers and the patients, together with their families is essential in health care delivery. Studies confirm that clients assess the perceived quality of care through many factors, one of them being the level of interaction they have with their attendants. In this view, patients form perceptions about the quality of care they receive and the facility in general based on the communication they have with practitioners (Caron & Neuhauser, 2001). This, in turn, can affect their wellbeing through failure to disseminate crucial details, non-adherence to intervention, lack of follow up visits, and an overall indifference towards hospital personnel, which might hinder care.

The ability of clinicians to obtain the correct diagnosis of patient conditions is dependent on the level of details and information supplied by the customer, other than available data on medical history and conducted tests (Agency for Health Care Research and Quality, n.d.). As a result, establishing a collaborative spirit encourages a constructive exchange which enables practitioners to identify the precise problems affecting the patient. Consequently, the most appropriate intervention can be initiated, and the patient restored to their normal state. However, studies confirm that inconclusive data continues to be a significant cause of erroneous diagnosis and mistreatments which are both disastrous to the health of the client and costly (Brindley, Smith, Cardinal & LeBlanc, 2014).

The results of such mistakes are manifested through adverse patient outcomes such as the development of complications due to unattended infections, fatal drug reactions, and increased cases of readmission. Health care client results is a central feature in the facility evaluation of safety and quality measures (Caron & Neuhauser, 2001). Other than regulatory agencies, other stakeholders like patients, insurers, and the government use such data for appraisal purposes. Adverse patient outcomes undermine the reputation and image the facility leading to poor performance.

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Similarly, the development of consumer protection and patient-centered care has shifted the dynamics of treatment. Practitioners are expected to design intervention plans that observe the expectations and wishes of the client. In this view, understanding the desire of the patient and their family is vital before implementing treatments (Agency for Health Care Research and Quality, n.d.). This is, however, predicated on the availability of sufficient data on the viable options so that the patient can make informed decisions.

Clinicians are expected to supply the customer with information about their conditions, possible interventions to address the problem, implications of each alternative, hospital environmental factors, and other elements that are relevant to the situation. Researchers establish the importance of information sharing in patient-centered care and client perceptions towards health care quality (Caron & Neuhauser, 2001). The outcome of implemented plans is likely to be successful if the customer helped in their choices and feel involved in the decision-making process. They show more commitment and effort to see it through leading to positive results as opposed to when they perceive it was imposed on them.

In this regard, hospital administrators promote the interaction between the two parties by investing in enabling forums and resources. Training of staff is a primary strategy recommended by researchers to enlighten them on the importance of engaging and partnering with patents and their families as well as strategies to do so (Agency for Health Care Research and Quality, n.d.). Also, employing sufficient health workers lifts the workload on practitioners giving them adequate time to indulge the clients effectively. Studies confirm that work strain is a significant barrier to clinician-patient communication, thus curtailing the provision of client-centered care.

Communication between clinicians

While clinicians are perceived to interact regularly due to their proximity, the health care focus is on bedside consultation. The code of ethics of nurses as well as of other medical personnel insists on the involvement of other professionals in intervention planning to ensure quality care. Physicians should employ the input of other practitioners especially in diagnosing clients and in recommending treatments to guarantee they exhaust all possibilities and the care given is the best (Wang, Wan, Lin, Zhou & Shang, 2018). Individuals operating in isolation can make mistakes which can adversely affect the patient. Poor communication and job pressure might, at times, discourage attendants from seeking a second opinion leading to costly outcomes.

Similarly, collaborative communication between clinicians enhances the safety and quality of care if attendants continuously share details relating to the progress of the patient and the success of implemented treatments (Ratelle et al., 2016). In this view, nurses can highlight observed developments to the doctor and allow for a timely response. Studies classify preventable complications and deaths to the time factor of clinician response. One of the main determinants to that reaction is the prompt communication of noted issues and the formulation of a contingency.

Evidence-based or Quality Improvement

As discussed, improving bedside communication in health care is targeted at enhancing the safety and quality of care, which are crucial determinants of patient outcomes. This is a primary measure in health care quality assessments by stakeholders. Therefore, the project is designated for quality improvement.


Communication between health care stakeholders is a prerequisite of quality care. It is a primary determinant of patient outcomes through safe and effective intervention plans. These are achieved when clinicians work in collaboration with patients and their families, as well as among themselves to come up with robust and successful solutions. Enhancing bedside communication is a useful approach to improving the quality of care.

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Agency for Health Care Research and Quality. Communicating to Improve Quality: Implementation Handbook, 1-14. Retrieved from

Amutio-Kareaga, A., García-Campayo, J., Delgado, L., Hermosilla, D., & Martínez-Taboada, C. (2017). Improving Communication between Physicians and their Patients through Mindfulness and Compassion-Based Strategies: A Narrative Review. Journal of Clinical Medicine, 6(3), 33. doi: 10.3390/jcm6030033

Brindley, P., Smith, K., Cardinal, P., & LeBlanc, F. (2014). Improving Medical Communication: Skills for a Complex (And Multilingual) Clinical World. Canadian Respiratory Journal, 21(2), 89-91. doi: 10.1155/2014/780270

Caron, A., & Neuhauser, D. (2001). Health Care Organization Improvement Reports Using Control Charts for Key Quality Characteristics. Quality Management In Health Care, 9(3), 28-39. doi: 10.1097/00019514-200109030-00004

Ratelle, J., Henkin, S., Chon, T., Christopherson, M., Halvorsen, A., & Worden, L. (2016). Improving Nurse-Physician Teamwork through Interprofessional Bedside rounding. Journal of Multidisciplinary Healthcare. doi: 10.2147/jmdh.s106644

Wang, Y., Wan, Q., Lin, F., Zhou, W., & Shang, S. (2018). Interventions to improve Communication between Nurses and Physicians in the Intensive Care Unit: An Integrative Literature Review. International Journal of Nursing Sciences, 5(1), 81-88. doi: 10.1016/j.ijnss.2017.09.007