UNHAPPY RELATIONSHIPS IN HEMINGWAY'S LIFE AND FICTION Essay

Interview with Nurse Manager Essay Example | Topics and Well Written Essays - 1250 words

Meeting with Nurse Manager - Essay Example For instance, the interviewee uncovered that proof based consideration upgrades tolerant consideration, improves result, give adequate proof to clinical, authoritative and instructive dynamic procedures. As a result of improved human services, the patients have had the option to spare huge cost that could buy medicine. Proof based practice is known to think about the impacts, regardless of whether outer or inward, on the nursing practice and begs basic deduction during its application. Professionals who use the proof accumulated can precisely pass judgment and analyze a patient. The procedure improves the nature of human services offered to the patients (Mantzoukas, 2007). The meeting included responding to preset inquiries that concentrated on surveying the ability of attendants in applying proof based practice. After enthusiastic conferences with the Hospital Review Board, consent was allowed to the supervisor nurture and the chose medical attendant to take part in the meeting. The main contact with the medical attendant was made during her week after week staff gatherings. In this gathering, the establishment audit board’s consent was passed on to the administrator attendant to encourage the meeting. The security of the partaking medical attendant was ensured all through the span of the meeting. Proof based practice was intended to give the wellbeing professionals various significant data that would empower them settle on powerful clinical choices since its initiation. The methodology was useful on the grounds that it permitted the disposing of the recently followed conventional practice with a point of improving the nature of clinical administrations. Because of the rising quantities of medical caretakers in the dynamic procedure, it is basic for them to get to and use proof in the arrangement of care. The meeting delighted that medical attendants are the dominating medicinal services suppliers in various wellbeing offices. It is

How to Find a Therapist Thats Right for You

How to Find a Therapist Thats Right for You BPD Treatment Print How to Find a Therapist Thats Right for You By Kristalyn Salters-Pedneault, PhD Kristalyn Salters-Pedneault, PhD, is a clinical psychologist and associate professor of psychology at Eastern Connecticut State University. Learn about our editorial policy Kristalyn Salters-Pedneault, PhD Updated on February 22, 2020 Universal Images Group / Getty Images More in BPD Treatment Diagnosis Living With BPD Related Conditions Finding a therapist is not always an easy task. With all the different mental health providers to choose from, it can be a confusing, time-consuming, and frustrating process. Armed with a little bit of information, you can start psychotherapy with someone who is just right for you. Know What You Are Looking For Before you start looking for a therapist, the first step is figuring out what you want and need. Make sure to jot down notes so that you can communicate your needs effectively when you start your search. Before you begin, research and think about each of the factors listed below. Your Needs Consider where you are in the process of seeking treatment. Think about what it is that you want and need right at this moment in terms of support. If you are in crisis, dont wait. Call 911 or go to the nearest emergency room. If you are in the United States, you can call the National Suicide Hotline at 1-800-273-TALK. If you are not in a crisis but have never seen a mental health provider before, you will need to first see someone for a full assessment to understand your diagnosis and develop a clear treatment plan. If you have already had a diagnosis, you may be thinking about finding someone to do long-term psychotherapy with. If you already have a long-term therapist, you might decide youd like to see a different therapist to do some short-term work on a specific issue. If thats the case, talk to your current therapist about your needs. They may even have a colleague who does the work youre hoping to undertake. Tips For Finding a Therapist When Youre a Highly Sensitive Person Location and Availability Make sure that the therapist youre considering has availability that matches your schedule. Also, consider where the therapists office is located in relation to where you live. Scheduling and location may be more important than you think. Remember: therapy only works if you are able to consistently keep your appointments. How far are you willing to travel?Do you need a therapist who is accessible by public transportation?Are you willing to travel a greater distance for a therapist who has special expertise or is an especially good match personality-wise?Is convenience more important than other factors? Therapist Payment Psychotherapists can accept different payment options, so it is important to know how and how much you would like to pay. If you have health insurance, start by calling your insurance company and inquiring about your mental health benefits. Questions to Ask Your Insurance Provider Do you cover outpatient treatment? How many sessions are covered? Will I have a copayment? If your insurance only covers certain therapists, the insurance company will be able to provide you with a list of approved providers. Some therapists only accept patients who are paying out-of-pocket. In this case, most will provide a receipt that you may be able to submit to your insurance company for reimbursement. You can inquire about whether they will consider a lower fee if the cost is above your means. Understanding Copayments and Coinsurance Type and Level of Expertise Another factor to consider is what type and level of expertise you are looking for in a therapist. Think about the problems you need help with. There may be therapists who specialize in these concerns. Even if you arent sure exactly what you want to work on (and this is something a therapist can help you figure out), try to have a general idea of your goals for therapy. You should know, though, that expertise can often be related to higher costs of service. Although this is not always the case, you should expect to pay more if you are only willing to work with a therapist of very high-level expertise. When considering the level of expertise, remember that there are a wide variety of types of mental health providers with different types of training. More training does not necessarily mean that a therapist is more skillful, but consider whether you have a preference, and learn more about the types of mental health providers available. How Psychologists Are Trained Therapist Orientation Different therapists come from different schools of thought about how therapy works and what methods produce the best outcomes. These schools of thought are called orientations. There are many orientations and some therapists subscribe to more than one. For example, a therapist with a cognitive-behavioral orientation believes that thoughts and behaviors are tied to symptoms. They conduct therapy aimed at changing problematic behaviors and ways of thinking directly (usually through homework and in-session exercises). In contrast, a therapist with a psychodynamic orientation believes that symptoms are related to processes outside of a clients awareness which will come to light through interactions with the therapist. What Does a Therapist Do? Think a little about what might be most comfortable or the best match for you, and be sure to ask any potential therapist about their orientation and how they would describe their approach to therapy. Start Your Search Once you have a good idea about what you are looking for, it is time to find a therapist. In addition to your insurance company, you can ask for referrals from friends, family, your primary care physician, or other treatment providers. The Association for Behavioral and Cognitive Therapies and the American Psychological Association offer excellent online resources to help you find a therapist. When you call potential therapists, have your prepared list of questions and notes on hand. Try to ask all of the questions, even if you are feeling intimidated. Questions to be sure to ask include fee payment, scheduling, training, expertise, and experience in the area you would like to work on. Questions to Ask Your New Therapist Therapist Shopping Therapist shopping is a perfectly acceptable practice. It takes time to find the therapist who is right for you. You need to think about your needs Youll likely need to talk to several potential candidates on the phone or through email to see if they meet your needs. You may decide to meet with several possible therapists before you find the best fit. What Happens In Therapy?

Ethical Problem in Fault Divorce - Free Essay Example

Sample details Pages: 2 Words: 547 Downloads: 8 Date added: 2019/06/14 Category Psychology Essay Level High school Tags: Divorce Essay Did you like this example? In society, many marriages end up with divorce. Many arguments between spouses become more serious problems which may result in violence because they cannot control their feelings. Moreover, Facebook, Viber and Instagram make communication more convenient, so spouses are easily to get into new relationships with others. These are some common reasons that make modern marriages broken so easily. Among many types of divorce, fault divorce is a common ethical problem in Vietnam because it has bad psychological effects to the people involved and negative results on the children. The fault divorce is a type of divorce in which a spouse requests a divorce because another spouse has made mistakes or done something wrong. Some of the common faults include adultery, physical or emotional abuse, and cruel treatment. For instance, Ms. Nga, my friend in Vietnam, is an example of fault divorce. Her husband had an affair while he married. As the result, they divorced. Don’t waste time! Our writers will create an original "Ethical Problem in Fault Divorce" essay for you Create order Fault divorce is unethical because it affects the people involved psychologically. Spouses are hurt and have negative thinking about marriage life. They are afraid to love and remarry, for they are difficult to open their hearts to love other although they are still young. In addition, spouses are also scared that this problem might happen, and they may hurt once again. Back to my previous example, Ms. Nga divorced because her husband had an affair. She was deeply and emotionally hurt. Until now, she still has lived alone although she is very young, twenty-eight years old. She said, I cannot handle this tremendous pain if it happens to my second marriage. Thus, fault divorce makes the involved people be painful and have negative thinking about unhappy marriage. Fault divorce is unethical to children because they have to receive bad effects from their parents divorce although they dont do any wrong. Children are miserable when they live away from either father or mother. Badly, the children have to witness their parents quarrel which are caused a damage in their development, so they tend to fear or have psychological problems. Also, children dont have enough affection from their parents, so children can be involved in social evils and higher crime such as theft, gambling, fighting. For example, Ms. Huong, my neighborhood in Vietnam, divorced her husband in 2005 because he always abused her. Day by day, she could not bear anymore because of his bad actions, so they divorced. Her daughter lived with her and her son lived with her husband. The children felt sad and boring because nobody took care of them. The children dropped out of school early. Also, her daughter fell in love and married early when she was eighteen years old. Her daughter had an unhappy marriage like her. The cycle of life repeats, and their future seems difficult because their parents divorce affected them. In conclusion, these are some reasons that fault divorce is an ethical problem. Spouses who are hurt have to take a long time to appease, and the children live without loving and warmth from both their parents. Therefore, through the essay, I hope that people can realize the importance of marriage life. They should think carefully before deciding to divorce. Life will be better if people condescend, take care of and share everything with each other.

Descriptive Essay Elle - 763 Words

â€Å"Elle! Elle!† I yell as I sprint down the sidewalk of our neighborhood. My long dark brown hair flowing behind me. â€Å"They are adding a track team to our school and the tryouts are next Monday!†I tell her once I finally catch up. I have wanted to be on a track team for as long as I can remember. â€Å"Annie, that’s awesome!† she exclaims. â€Å"The thing is, I don’t think I can make the team,† I mutter, â€Å"I love to run, but I’ve only ever done it for fun.† â€Å"That’s why you have me. Even though I am a dancer, I can still help you train!† Elle exclaims. â€Å"I don’t know about this,† I replied nervously. â€Å"Don’t worry,† Elle says as she looks into my dark green eyes. The very next day we meet on the track to begin training. The track is empty and quiet not†¦show more content†¦All of us were going to run a mile and a 50 yard dash. They called us up seven at a time, and after about an hour of waiting they call my number. I nervously walk up to the start and stand on number 5. Shaking head to toe I get into the starting position. I feel like a racehorse about to come out of the starting gate. I look to my left and up in the bleachers I see Elle give me a smile and a big thumbs up. Then I hear the coach blow their whistle and we are off. I start to run my legs take over my body and all my nervousness comes rushing out of me. Minutes turn to seconds as I finish my first lap. Then second, third! Passing girls one by one. Finally, the finish line. â€Å"Woah! We got a trailblazer on our hands!† the girls holding the red timer exclaims. I return to where the rest of the girls are and see Elle running towards me. I’m breathing heavy, but I feel good. â€Å"That was amazing!† she yells her hazel eyes growing wide. â€Å"Thanks! I can’t believe I worked myself up for a week over that.† We both laugh. Then they called my number for the 50 yard dash. I walk over to the track as a different person, no longer nervous or afraid of messing up. I run to the group of girls already standing there with confidence and ease. The coach blows a familiar whistle and we are off. I’m passing girls one by one and I come second. â€Å"Your a whole new runner,† Elle tells me as I walk back towards her. I smiled back at her.Show MoreRelatedAnalysis Of The Advertisement For Rimmel London For The New Provocalips Campaign Essay1610 Words   |  7 Pagespublished in the March 2015 edition of Elle magazine. This essay will be analyzing the connotation and denotations found in the advert, the iconic and indexical signs as well as the implied narrative and the effectiveness in conveying the intended message of the advert. The advert can be seen in many other media forums, as well as on the Rimmel London website. It is common to find a beauty campaign such as this one in well-known fashion magazines like the Elle magazine because it generally promotesRead MoreShort Story A Conversation with My Father2869 Words   |  12 Pagesclass will be conducted. Tell the principal what the students will learn and how they can benefit from the short stories writing class. 5. ‘Students can learn better English from reading short stories than doing grammar exercises.’ Write an essay in which you either strongly support this statement or strongly disagree with this statement. Provide at least three reasons to support your opinion. 6. Your school has been putting a lot of effort in promoting the reading of English shortRead MoreMy Homework3467 Words   |  14 Pagesstudy this sound /ÃŽ ¸/ and /∂/ on chapters 16 and17.Then, do the exercises on pages 100 and 106 respectively. 4. Diary writing: Make entry of all your activities daily with dates. HOLIDAY TASK FOR S S 1 ENGLISH LANGUAGE Week 1 Essay; write a descriptive essay on the topic; my village. Read any African novel of your choice and summarize it, state the themes, setting and characters. News editorials: pick any newspaper of your choice, read and summarize the editorials and do a critical analysisRead MoreMona Lisa and Last Supper3080 Words   |  13 Pagesplays on this double-meaning, as in the French La Joconde. Both Mona Lisa and La Gioconda became established as titles for the painting in the 19th century. Before these names became established, the painting had been referred to by various descriptive phrases, such as a certain Florentine lady and a courtesan in a gauze veil. 2. The History of the Painting. It is probable that Leonardo began painting the Mona Lisa in 1503, and, according to Vasari, completed it four years later. After LeonardosRead More The Rich Diversity of Meanings of the Pardoners Tale Essay5609 Words   |  23 Pagesbetween language, and more specifically art, and the self. This essay will be as much a critical discussion of Chaucerian criticism as an interpretation of the Pardoner for much of our current understandings of the Pardoner and his performance come from nearly six hundred years of scholarship on the subject. What exactly do we now about the Pardoner? Much of our understanding of him as a literary human being rests on several key descriptive statements in the text, most about his appearance. They fail

Economics-Sectors of the Indian Economy Free Essays

CH-2-ECONOMICS-SECTORS OF THE INDIAN ECONOMY Chapter –2—Economics SECTORS OF THE INDIAN ECONOMY In order to understand the functioning of any economy, we need to study various sectors that it comprise. All around us we find people engaged in different types of activites. CLASSIFICATION OF THE ECONOMIC SECTORS: The classifications are based on 1. We will write a custom essay sample on Economics-Sectors of the Indian Economy or any similar topic only for you Order Now Nature of activity being performed. —Primary, Secondary Tertiary 2. Working conditions of the workers—Organised unorganized. 3. Who own the assets/ on the ownership basis. —Public Private PRIMARY SECTOR:  1. Activites undertaken by directly using natural resources. . Example—Agriculture, Mining, Fishing, Forestry, Dairy etc. 3. It is called primary sector because it forms the base for all other products that we subsequently make. 4. Since most of the natural products we get are from agriculture, dairy, forestry, fishing it is also called Agriculture and related sector. SECONDARY SECTOR: It covers activities in which natural products are changed into other forms through ways of manufacturing that we associate with industrial activity. 2. it is a next step after primary, where the product is not produced by nature but has to be made. Some process of manufacturing is essential, it could be in a factory, a workshop or at home. 3. Example: Using cotton fibre from plant, we spin yarn and weave cloth; using sugarcane as a raw material we make sugar or gur; we convert earth into bricks. Since this sector is associated with different kinds of industries, it is also called industrial sector. TERTIARY SECTOR: 1. These are the activities that help in the development of the primary secondary sector. 2. These activities by themselves do not produce good but they are an aid and support to the production process. . Example: a)Transportation–Goods that are produced in the primary sector need to be transported by trucks or trains and than sold in the wholesale and retail shops; b) Storage–at times it is necessary to store these products in godowns,which is also a service made available. c)Communication –talking to others on telephone); d) Banking–borrowing money from the banks. 4. Since these activit ies are generate services rather than goods it is also called Service sector. Q. How do we count the various goods and services and know the total production in each sector? As thousands of goods and services are produced, it is an enormous task to add up all these. To get to this problem economists suggested that the value of goods and services should be used rather than adding the actual numbers. But only one precaution is to be undertaken ie. , only final value of the goods and services should be counted as it already includes the value of all intermediate goods. GDP—  The value of final goods and services produced in each sector during a particular year provides the total production of the sector for that year. And sum of production in three sectors give Gross Domestic Production—GDP of the country. –It is the value of all final goods and services produced within the country during a particular year. –GDP shows how big the economy is. Q. Who measures the GDP in India? This mammoth(huge) task in India is carried on by the Central government ministry , with the help of various govt. Departments of Indian states and union territories. The information relating to total volume of goods and services and their prices is collected and then estimates the GDP. Historical change in the sectors: three stages. INITIAL STAGE: After observing the changes that have come in the development patterns of the sectors, it has been found that – in the Initial stages of the development the Primary Sector was the most important sector of economic activity. -As the methods of farming changed and agricultural sector began to prosper, it produced much more food than before and many people could takeup many other activities which led to the increase in number of activities. -However at this stage most of the goods produced were natural products from the primary sector, hence most people were employed in this sector. SECOND STAGE: Over a long time(more than hundred years or so) because new methods of manufacturing were introduced, factories came up and started expanding. -People began to work in factories in large numbers, and also people started using factory goods in large numbers as they were cheap. -Secondary sector gradually became the most important in total production and employment. There was a shift and t he importance of the sectors also changed. THIRD STAGE: In past hundred, there has been a further shift from Secondary to Tertiary sector in the developed countries. -The service sector has become the most important in terms of total production. Most of working people are also employed in the service sector. Q. What does the history of developed countries indicate about the shifts that have taken place between sectors? (book question) It indicates that both secondary and tertiary sectors are developing and are becoming major contributors of the GDP. -This shift has come up with the improvement in the agricultural sector, people now had more time for other activities and the number of craft persons, traders (SECONDARY) increased and also buying and selling activities also increased . Now there were many transporters, administrators, army etc. TERTIARY) Rising importance of tertiary sector in production: Over thiry years between 1973 and 2003, production in the tertiary sector has increased the most, and it has emerged as the largest producing sector in India replacing the primary sector. Q. Why the Tertiary sector is becoming so important in India? There are several reasons to it: 1. In any country several services such as ho spitals , educational institutions, post and telegragh services, police stations, courts, village administrative offices, municipal corporations, defence, transport, banks, insurance companies etc. are required. These services are called the’ Basic services. ’ In the developing countries the government has to take the responsibility for provision of these services. 2. The development of the agriculture and industrial leads to the development of services such as transport, trade, storage and the like. Greater the development of primary and secondary sectors more will be demand of such services. 3. As the income level rise, certain sections of people start demanding many more services like eating out, tourism, shopping , private hospitals, professional training etc. This is found especially in the big cities. 4. Over the past decade or so certain new services such as those based on the information and communication technology have become important essential. INDIAN SECTORIAL GROWTH: It is a remarkable fact that while there has been a change in the share of three sectors in GDP, a similar shift has not taken place in employment. –Service sector in India employs many different kinds of people—at one end there are a limited number of services that employ highly skilled workers and on the other end there are a very large number of workers engaged in services such as small shopkeepers, repair persons, transporters etc. Hence only a part of sector is growing in importance. — More than half of the workers in the country are working in primary sector, mainly in the agricultural, producing only a quarter of GDP. In contrast to this secondary and tertiary sector are producing three-fourth of the produce whereas they employ less than half the people. Q. WHERE ARE MOST OF THE PEOPLE EMPLOYED? WHY? The primary sector employs the largest number of people in India. –It is because not enough jobs were created in the secondary and tertiary sectors. Q. Even though primary sector employs largest number of people yet its share in GDP is less. Why? –More than half of the workers in the country are working in primary sector, mainly in the agricultural, producing only a quarter of GDP. In contrast to this secondary and tertiary sector are producing three-fourth of the produce whereas they employ less than half the people. –This also means that there are in agriculture more people than necessary and even if we move a few people out, production will not be effected. In other words, workers in the agricultural sector are under-employed. UNDER-EMPLOYMENT: It is a situation, where people are apparently working but all of them are made to work less than their potential. –if few people move out , it will not effect the production. –it is hidden in contrast to the open unemployment where a person is clearly or visibly without job. –it is also called disused unemployment. –this underemployment also happens in the other sectors for example there are thousands of casual workers in service sector in the urban areas as painters, plumbers, repair persons etc. HOW CAN WE CREATE EMPLOYMENT? There are various ways in which govt. an create employment opportunities as†¦ 1. The govt. can spend some money or banks can provide loans to construct well ect. Which will reduce the dependency of farmers on rains, and they will be able to grow two crops a year. 2. Construction of Dams and Canals can lead to lot of generation of employment in agricultural sector itself. 3. If govt. invests some money on trans portation and storage of crops or makes better rural roads, it can provide productive employment not just to farmers but alsoto other who are in services like transport or trade. 4. If local banks give credits at reasonable rates to the small and marginal farmers ,they will be able to buy necessary inputs for their crops in time. 5. Another way to solve this problem is to identify , promote and locate industries and services in the semi-rural areas where a large number of people maybe employed. Example:many farmers grow arhar chickpea for them a dall-mill to procure and process these sell in the cities;opening a cold storage will give an opportunity to thefarmers to store their produce like potato onion and sell them price is good; villagers near forests can start with honey collectionect. . To improve health situation we need health centres, hospitals for that doctors, nurses, workers. 6. Similarly to provide education to all children we would need lot of schools which can also generate employment. 7. Tourism:every state or region has the potential for increasing the income and employment for people in that area. This can also be done by promoting tourism or regional craft industry. 8. News services like IT are also creating jobs. All these are the long term projects but govt also has certain short term projects for people as:NREGA-2005. NREGA—2005 –National Rural Employment Guarantee Act 2005. –started by the Central govt. — made a law implementing Right to work in 200 districts of India. –all those who are in need of work will get guaranteed 100 days work and if the govt. fails to do so, it will give unemployment allowances to them –the work will of the type which will in future help to increase the production from land. How to cite Economics-Sectors of the Indian Economy, Essay examples

Nurse Staffing free essay sample

Abstract Nurse staffing has always been an issue in the hospital setting. Different units with different patient acuities are staffed accordingly usually based on the patient census. While nurses who are in direct contact care with patients feel that a decreased patient load will lead to greater benefit for the patient, others who are usually in managerial positions are not persuaded that such a correlation exists. As of this time, no such research has been done with an intentional change in staffing ratios that has shown actual proof of such connection with nurse staffing and patient outcome. In the hospital setting, no matter what unit a Registered Nurse (RN) works on, there always exists a nurse to patient ratio. The actual number of patients per nurse depends on the type of unit. Usually, the Intensive Care Unit (ICU) always has the least number of patients per nurse, while the general medical floor is one of the units which has the most number of patients assigned per nurse. We will write a custom essay sample on Nurse Staffing or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The staffing ratio of RNs to patients has always been a great debate between nursing staff with direct patient care and management. While nurses who have direct patient contact argue that a lower patient load will help lead to increased patient satisfaction and increased positive outcome, some members of management do not see this to be true. In order to tackle this debate properly, there must be a study of whether an actual change in staffing ratios will lead to greater good for the patient. Currently, there has been no research of an intentional change in RN staffing to see the effects on patient outcomes (Shekelle, 2013). The reasoning behind this is mainly due to financial restraints. Nursing staff costs money, and hospitals are not willing to spend resources to for a study that does not guarantee a positive outcome. However, there is still some research on whether nursing staffing ratios actually have an impact on patient outcome. According to Shekelle (2013), it was found that there existed a consistent relationship between higher RN staffing and lower hospital related morbidity. It was found that an increase of RN per shift was related to a 9% reduction in the odds of death in the ICU, a 16% reduction in the surgical setting, and a 6% reduction in the medical setting. Other findings including lower rates of hospital acquired pneumonia, pulmonary failure, unplanned extubation, failure to rescue, and nosocomial bloodstream infections were related to higher RN staffing which were found by other studies. However, there was no clear relationship to staffing with incidents of falls, pressure ulcers, and urinary tract infections, when these were thought to also be highly sensitive to nursing staffing. This finding was the meta-analysis of 28 other research studies aimed to find a correlation between nurse staffing and patient outcome. Legislation recently passed in California called for an increase in nurse staffing. However, this law does not require the strict use of RNs. As a result, Licensed Practical Nurses (LPNs) as well as Licensed Vocational Nurses (LVNs) were used to fill the staffing requirements, more than the increase of the RN staff (Harless et al. , 2013). This increase in staff allowed the RNs additional time in enhanced surveillance to assess and help prevent the deteriorating conditions of the patients. This ultimately led to reduced missed care and decreasing failure to response rates. This early detection resulted in increased prompt treatment and decreased patient length of stay. However, not all of the findings were positive. There was no obvious decrease in the number of falls, pressure ulcers, or restraint use following the increased staffing. There was also a finding that there was an increase in postoperative infections and sepsis significantly more in California that other states due to medical care with the increased use of LPN and LVN staff, as compared to RN staff used by other hospitals (Harless et al. , 2013). A study performed in Thailand tried to show a connection between nurse staffing and burnout. It was found that nurse burnout was directly related to the nurse staffing ratios. For each patient added to the nurse’s load, there was an increase of 1. 02 times in the odds of the nurses to report higher emotional exhaustion (Aiken et al. , 2011). This was directly related to the nurses reporting a lower perception of patient quality of care. Nurses with favorable work environments were 30% less likely to report a lower patient quality of care score than those with less than ideal environments. More favorable nurse staffing and work environments led to more favorable nursing outcomes such as reduced burnout and lower turnover rates, which then lead to a better quality of care (Aiken et al. , 2011). On the other end of the spectrum, a study performed by surveying management members found that there was no direct correlation between an increased staffing ratios and increased quality of care (Chapman et al. , 2009). Nurse satisfaction did increase after implementation of the ratios, but was not found to be clearly linked to job retention or quality of patient care. Budget cuts were made to ancillary staff, which ultimately lead to decreased patient satisfaction. Based on these findings, there are some elements of nurse staffing that could be changed. The use of LPNs or LVNs to increase staffing might look great on paper, but they cannot replace the role of the RN. Limiting the use of LPNs and LVNs can help decrease incidences in patient care. Increasing the number of RNs on staff to decrease patient load can lead to decreased burnout, which can prevent the decline of the nurse’s perception of patient care. For those who believe that the number of RNs used on a shift might not make a great difference in patient care, then the use of higher quality RNs can. Registered Nurses who are certified in their special units are usually more competent than their non-certified counterparts. This can lead to earlier detection of declining patient status and decreased failure to save rates. Hiring of more nurses might not be practical due to financial reasons, but the hiring of certified nurses without increasing the staff count is another alternative that is not necessarily more expensive in the long term. Based on these mixed results, it is not very clear whether nursing staffing has a direct connection with improved patient outcome. A study of intentionally increasing the staff would be necessary to properly test this research study, but that is the major problem. While staff nurses might feel that it is necessary to deliver higher quality of care, management might not be willing to accept it without researched proof of its benefits.?