James Joyce Concept of Epiphany Essay

James Joyce idea of revelation is one worried about a move away from strict introspective philosophy towards common minutes in which the emotional experience existing apart from everything else looks to a supernatural feeling of having a place, wonderment or motivation (Barry 2002). This is eminently caught in two of his writings known as A Portrait of an Artist and The Dubliners. Utilizing two models taken from these two messages nearby evaluates set forward by certain scholarly pundits, we will endeavor to break down his idea of revelation comparable to other huge abstract gadgets that he utilizes. In Joyce’s text A Portrait of an Artist, the story can be seen as moving ceaselessly from the idea of a target record of the real world. This dismissal of authenticity, predominant in the pragmatist novel of the mid nineteenth century, brings about a specific type of vagueness that has come to characterize numerous kindred innovators. Separating from the related omniscient account styles of the prior periods, pioneer essayists started to take on an extraordinary scope of new structures and styles, one of which being the work of the revelation in the past utilized regularly in strict composition (Bennet and Royle 2004). In A Portrait of an Artist, this demonstrations in changing the point of view of reality that is being investigated by the creator, which is accomplished through an extravagance of uncertainty as opposed to procedure of conclusion. This uncertainty is caught in an unclearness in both the author’s story and the protagonist’s considerations all through the content. For example, in one concentrate taken from the content communicating the contemplations of the heroes direct understanding, we can see this vagueness transform into a revelation that alludes to the experience itself and acts in joining it with other abstract encounters. For example, on impression of his own response or reaction to the immediate experience he is representing, the hero goes into the vagueness of his own considerations, expressing that: ‘O how cold and weird it was to think about that! All the dull was cold and weird. There were pale peculiar appearances there, incredible eyes like carriage-lights. They were the phantoms of killers, the figures of marshals who had gotten their passing injury on front lines far away over the ocean. What did they wish to state that their appearances were so strange?’ (Joyce 2003, 59) In this concentrate we can see through the division of point of view and recognition that the storyteller isn't watching, recording or representing the experience of the hero. Or maybe, he is permitting the subject the opportunity to review the experience and, in doing as such, rise above both the target the truth being represented and the type of the abstract capacity. This permits the cognizant psyche of the character to scrutinize their own immediate reaction and rework the truth existing apart from everything else by method of a revelation. This move in context from the truth being graphed by the omniscient spectator to that of an intelligent and questionable record being drawn out in the portrayal of the experience itself is alluded to by the researcher and pundit Peter Barry. In his content Beginning Theory Barry proposes this is ’the loss of the real’, that he cautions can prompt legitimizing ’a insensitive lack of interest to suffering’ (Barry 2006, 89). In any case, this loss of the genuine is maybe the direct opposite of what Joyce is endeavoring to bring out in his idea of the revelation. Fundamentally, the loss of the genuine is something of an enlivening of the supernatural denoting the start of a mental reality. This reason could maybe be viewed as a continuous flow that could be utilized to look at the supernatural connectedness between the individuals and individuals from a network based on scholarly, just as target, reality. Through the procedures consolidated in this style of story it is conceivable to permit the peruser to see the mental truth of the character and approach their encounters, making the connection between target reality and the subject a semiotic one. In this sense, the revelation is a test to the peruser. Moreover, the supernatural reality that it alludes to is likewise mainstream, as it alludes to the emotional experience as the impetus, instead of any type of heavenly nature as an estimation. In Dubliners, we can see that the reason of Joyce’s city depends on the possibility of patriotism and innovation that was pervasive all through Europe at his season of composing. This patriotism is exemplified in the city, which goes about as the wellspring of experience and reflection. From numerous points of view, this might be justifiably viewed as the swap for the supernatural God at the core of strict revelations. This is on the grounds that the object of the city is given as being in characteristic sync with the individual‘s abstract understanding. Basically, it is the impetus for the individual’s semiotic relationship with the world and the wellspring of their appearance. Basically, the city, or city life, is the wellspring of this supernatural revelation, which makes it an altogether different condition to the target and ghastly city of some of Joyce’s peers. In one concentrate, Joyce uncovers this supernatural second and how it joins with other experiential referents through the methods for the revelation. He expresses that: ‘Walk along a strand, weird land, go to a city door, guard there old ranker as well, Tweedy’s huge mustaches inclining toward a long sort of a lance. 'Meander' through awned roads. Turband faces passing by. Dull caverns of floor covering shops, huge man, Turko the horrible, situated leg over leg smoking a snaked pipe. Cries of merchants in the avenues. Drink water scented with fennel, sherbet. Meander along throughout the day. Might meet a burglar or two. All things considered, meet him. Jumping on to dusk. The shadows of the mosques along the columns: cleric with a parchment moved up. A shudder of the trees, signal, the night wind. I pass their dim language. High divider: past strings twanged. Night sky moon, violet, shade of Molly’s new fasteners. Strings. Tune in. A young lady playing one of those instruments what do you call them: dulcimers. I pass.’ (Joyce 2007, 124) In this concentrate, we can by and by observe this move away from any target detail and move towards an intelligent and abstract record of the experience. Joyce portrays the city according to the referential significance of every individual sign as the hero consolidates the record with their experience. This abstract and liquid record of the earth and its numerous inborn articles is then risen above through the revelation of the experience without reference to any God. Or maybe, it is the relationship with the city that brings out such the delineation and apparently alive story. Alluding to this detail, artistic pundit Raymond Williams expresses that: ‘In Joyce, the laws and the shows of conventional perception and correspondence have clearly vanished. The resulting mindfulness is exceptional and fragmentary, emotional fundamentally, yet in the very type of its subjectivity including other people who are presently with the structures, the commotions, the sights and scents of the city, portions of this single and hustling consciousness.’â (Williams 1973, 1) No doubt Joyce is aware of his utilization of the idea of revelation. No doubt in applying it in a mainstream way, he is dismissing the thought of a God or goal supernatural truth. No doubt this is on the grounds that Joyce accepts that it is simply the experience and the reflection as opposed to reaction of the person that can stir the supernatural domain and semiotic reality that exists in experience itself. Basically, without the thought of the revelation, the account would veer away from reality of experience itself and would refute the social and relative mechanical assembly that comprises our being. Reference index Barry, Peter. Starting Theory: An Introduction to Literary and Cultural Theory Manchester: Manchester University Press, 2002. Bennet, Andrew. and Royle, Nicholas. Prologue to Literature Criticism and Theory Harlow: Pearson Education, 2004. Joyce, James. A Portrait of the Artist as a Young Man London: Penguin Classics, 2003. Joyce, James. Dubliners Oxford: Penguin Classics, 2007. Williams, Raymond. The Country and the City London: Chatto and Windas, 1973.

Criricism of Wilkie Collins’ Woman in White Essay -- Wilkie Collins Wo

Criricism of Wilkie Collins’ Woman dressed in White â€Å"To Mr. Collins has a place the credit of having brought into fiction those generally secretive of riddles, the puzzles which are at our own doors.† So said Henry James in an unsigned survey of another author’s work. Be that as it may, his view was positively not shared by each one of the individuals who cast their feelings into the brawl. An unsigned audit in the Saturday Review said of Collins’ work, â€Å"Estimated by the standard of extraordinary books, the Woman dressed in White is no place. Somewhere close to these two focuses are companions and reporters of Mr. Wilkie Collins. Author George Meredith kept in touch with Collins himself saying, â€Å"The strain of the W[oman] in W[hite] isn't actually charming, however shrewdly delivered. One wearies of it...† Charles Dickens was saved as he would like to think. He saw that, â€Å"There can't be an uncertainty that it is an incredible development on the entirety of your previous writing...† and furthermore, â€Å"I appear to have seen, to a great extent, that the extraordinary torments you take communicate a play excessively, and you realize that I generally challenge your mien to give a crowd of people kudos in vain, which essentially includes the compelling of focuses on their attention...† Considering all the material Wilkie Collins was either to be adulated for concocting another style, took a gander at in disdain for his absence of character advancement, or esteemed the writer of a work that â€Å"is a substandard metal by and large, however great and important of its kind,† as the Saturday Review pundit expressed.  â â â Many pundits grumble that Collins’ characters are personifications, not characters. The unknown analyst commented that â€Å"They have qualities, yet not character,† in breaking down Wilkie’s creation. He proceeds to state, â€Å"They may all be summarized in the same number of sente... ...ring-lugger I am building named ‘Marian Halcombe‘, the bold Girl in the Story.† Dr. Griffin referenced that naming pontoons after Marian was a well known pattern after the distribution. This was the main notice of the pattern yet FitzGerald’s letters were the main individual archives not coordinated to Collins himself.  â â â Wonderful or terrible, or potentially simply reasonable, Collins’ epic pulled in a great deal of consideration and a wide range of responses. Concerning this understudy, I am slanted to concur with Mr. FitzGerald and his remarks to W. F. Pollock. â€Å"[Jane Austen] is capital to the extent she goes: however she never leaves the Parlor; if yet Magnus Troil or Jack Bruce [characters in Sir Walter Scott’s The Pirate], or even one of Fielding’s Brutes, would yet run in upon the Gentility, and swear a round Oath or two! I should think the Woman dressed in White, with her Count Fosco, a long ways past all that.† Criricism of Wilkie Collins’ Woman in White Essay - Wilkie Collins Wo Criricism of Wilkie Collins’ Woman dressed in White â€Å"To Mr. Collins has a place the credit of having brought into fiction those generally secretive of riddles, the puzzles which are at our own doors.† So said Henry James in an unsigned survey of another author’s work. In any case, his view was surely not shared by each one of the individuals who cast their feelings into the fight. An unsigned survey in the Saturday Review said of Collins’ work, â€Å"Estimated by the standard of extraordinary books, the Woman dressed in White is no place. Somewhere close to these two focuses are companions and reporters of Mr. Wilkie Collins. Author George Meredith kept in touch with Collins himself saying, â€Å"The strain of the W[oman] in W[hite] isn't actually lovely, however keenly delivered. One wearies of it...† Charles Dickens was saved as he would like to think. He saw that, â€Å"There can't be an uncertainty that it is an exceptionally incredible development on the entirety of your previous writing...† and furthermore, â€Å"I appear to have seen, to a great extent, that the extraordinary torments you take communicate a play excessively, and you realize that I generally challenge your manner to give a crowd of people acknowledgment in vain, which essentially includes the compelling of focuses on their attention...† Considering all the material Wilkie Collins was either to be lauded for imagining another style, took a gander at in disdain for his absence of character improvement, or esteemed the writer of a work that â€Å"is a sub-par metal inside and out, however great and significant of its kind,† as the Saturday Review pundit expressed.  â â â Many pundits grumble that Collins’ characters are exaggerations, not characters. The mysterious analyst commented that â€Å"They have qualities, yet not character,† in investigating Wilkie’s creation. He proceeds to state, â€Å"They may all be summarized in the same number of sente... ...ring-lugger I am building named ‘Marian Halcombe‘, the daring Girl in the Story.† Dr. Griffin referenced that naming vessels after Marian was a famous pattern after the distribution. This was the main notice of the pattern however FitzGerald’s letters were the main individual records not coordinated to Collins himself.  â â â Wonderful or dreadful, or conceivably simply reasonable, Collins’ epic pulled in a great deal of consideration and various responses. Concerning this understudy, I am slanted to concur with Mr. FitzGerald and his remarks to W. F. Pollock. â€Å"[Jane Austen] is capital to the extent she goes: however she never leaves the Parlor; if yet Magnus Troil or Jack Bruce [characters in Sir Walter Scott’s The Pirate], or even one of Fielding’s Brutes, would yet run in upon the Gentility, and swear a round Oath or two! I should think the Woman dressed in White, with her Count Fosco, a long ways past all that.†

Its the terror of knowing

It’s the terror of knowing DID YOU KNOW? Norah Jones is the daughter of sitar virtuoso Ravi Shankar. So Ive got a photographic record of picturesque Barcelona, but I figure that can wait a few days. Because I got to thinking this afternoon. The other day Mike, who I may or may not know, asked What are you thinking about doing for grad school? and the emphatic answer is I DONT KNOW! I NEED SOME TIME TO THINK! So here are a few of my thoughts on the subject right now, which I hope will give you some insight into being an MIT undergrad. 1. I think that, along with most of the chemical engineering Class of 2007, Im getting a little tired of being in school right now. Not that this is MITs faultMIT is, of course, the greatest school that will ever exist in the entire universebut after three years of problem sets, finals, UROPs, all-nighters, super burritos, Pour House, and everything else, most of my classmates arent too excited about the prospect of another 4.5 6 years of higher education including 2 years of classes and a 250-page final paper. Now, this might be a result of the chemical engineering curriculum at MIT, which is structured to hit you with most of your major classes and labs between your sophomore spring and your junior spring. True storylast semester my fellow UROP Adam 07 produced a paper for the one-semester class 10.26: Project Laboratory in Chemical Engineering that was longer than the thesis written by his grad student over a 6-year period. My own work paled in comparison, a mere 84 pages of graphs and charts detailing effectively two weeks of research. So, understandably, coming right out of 10.26, not many of us are excited about getting our own research projects in grad school. But Im going to take it pretty easy next year and try to take a few more interesting humanities classes that Id always neglected, so maybe I wont be so stressed out when it comes time to pick a grad schools. 2. The discipline I chose, Chemical Engineering, doesnt really need graduate work. If you go into something like chemistry or biology or another scientific field, the nature of most undergraduate curriculums is such that youre probably going to need more than a bachelors degree to get a chemistry- or biology-oriented research job. Otherwise you might end up as a lab tech or something like that. Engineering doesnt really work that wayalthough more jobs are open to you with a masters degree or PhD, from what I understand there are jobs in industry open to people with only bachelors degrees. Some people in my class are looking for work to get a feel for industry, then planning to return to grad school with a more balanced perspective between industry and education. The 29-year-old grad student I currently work with in lab took this approach. A few of my classmates are even searching for the much-coveted holy grail of a nice company that will pay for you to go back to grad school. Not even everybody in my chemical engineering class even wants a chemical-engineering related job, though. Some are selling out and going into finance right out of undergrad. Some are pre-med, devoting like the next ten years of their life to the poverty-stricken pursuit of higher education. This is why they tell probably everyone that chemical engineering is absolutely the most versatile major, even though they really only say that at chemical engineering faculty luncheons and choice of major fairs. 3. I cant go to MIT for a PhD. Now, this isnt a bad thing, because after four years of Boston winters and twenty years in the (relative) Northeast, I think I might be ready for a slight change of scenery anyway. But, in case you might be wondering, almost every engineering course does accept MIT undergraduates with appropriate qualifications into their PhD programs. The lone exception is chemical engineering, because professors have decided there are too many similarities between the engineering and curricula. For this reason, most of the science courses also refuse graduate admission to MIT undergraduates, with the recent exception of biology. In fact, in the chemistry curriculum, most grad students are required to take classes like 5.04: Principles of Inorganic Chemistry II with undergrads, for whom its an elective. I have heard people ask whether, for this reason, it might be better to go somewhere else for undergrad and then go to MIT for grad school instead. Well, I have no regrets doing it this way so far. The chemical engineering PhD program here seems to be great based on grad students Ive talked to, but Im sure there are other opportunities out there for you. 4. And do I really want a PhD right now? Another option, detailed by Mitra, is to go for a five-year Masters of Engineering degree. Currently, you can get these in Chemical Engineering, Electrical Engineering and Computer Science, Mechanical Engineering, Civil Engineering, and Biological Engineering, even without overloading on courses in your undergrad and ending up looking like some caffeine-addled toddler. Its not quite the same as an Master of Science, which you would get in most two-year programs. In fact, for the chemical engineering degree, instead of doing a thesis, you go out into workplaces and solve problems for actual companies. One grad student I know got to go to General Mills and use knowledge of steam tables to engineer the spherical shape of Cocoa Puffs. The only problem with this option is that if I decide that I later want a PhD, well, there was a year of higher education that I kind of wasted. 5. Well, I dont really want to know what I want to be when I grow up. If anything, MIT has only confused my childhood dreams, but in a good, horizon-broadening way. Coming into MIT, I knew exactly what I wanted to be when I grew upan actuary (at the time, it was rated as the #2 job in the world in terms of profitability and lack of stress). Two majors later, I really dont know where my MIT education is going to take me yet. Right now, as a result of my UROP (turning turkey carcasses into oil), Im mostly interested in energy, but I could see that changing depending on the opportunities that came along, and I feel confident that there are a lot of jobs where my chemical engineering knowledge will be useful. Somehow I cant shake the feeling I might make a difference to the human race. But that difference could require a PhD to find, or it could need me to get right out of undergrad and start looking for it. Sometime during freshman year, I realized that finding success at MIT is not quite as easy as it was in high school, when I got good grades and applied to top colleges just because it was the right thing to do. There are lots of different paths to happiness that dont involve getting all As and overloading on classes. The exception is if you are pre-med, in which case yeah, getting good grades and applying to top med schools is pretty much your only goal. See you when youre 30! So I think I just talked myself into grad school with this entry, but well see what I think when I wake up tomorrow. For now, Ive been looking at applications and thinking of essay topics in my free time at work, and Ill try my best to rock the career fairs at MIT (open to all students, by the way), so hopefully you can get another entry to this effect next April. Then I will achieve my ultimate dream of pulling an Alex Doonesbury on my blog. You know why I am having so much trouble deciding? Because there is no gradschool.mitblogs.com. Get on it, Ben Jones! And other college admissions departments too! I know youre reading this! I have Statcounter! Next up, some real rambling this time in La Rambla, in Barcelona!

Ken Wolfs Personalities and Problems Essay - 1359 Words

Ken Wolfs Personalities and Problems Ken Wolf, a professor of history at Murray Sate University and author of Personalities and Problems, wrote with the intent to illustrate the varied richness of human history over the past five centuries. He took various personalities such as adventurers, princes, political leaders, and writers and categorized them in a way for readers to draw lines between them to create a clearer view of world history for himself. Beginning each new chapter with a specific question about worldly concerns and disciplines allowed the readers to relate the topics to broader, more general scenarios of their cultures. Answering the questions in essay form gave examples of how certain cultures/ parts of the world†¦show more content†¦The church thought they had a solution to their problem with Luther by excommunicating him; however, he fought a tough battle. Implications show that he never gave up or threw in the hat. Nevertheless, if Luther did give up, there would have never been a Protestant r eform at that time and maybe we would be struggling and fighting Luther?s battle today. Aside from that example, Wolf added a plethora of admirable characters to his work. Not only did Luther set an example for readers that fighting for what one thinks is right is not easy, so did Elizabeth I. Readers may admire Elizabeth for trying to find a common ground by keeping a Protestant title, by allowing the practice of other religions. Wolf states she proceeded to do this ?using her cunning, energy, and intelligence to control friends and enemies alike (p.145).? Other admirable people included the great philosophers with the likes of Confucius and Plato. Both Confucius and Plato believed that in order to have a ?perfect? or ?good ?society, the ruler needed superior virtue and wisdom. Both of these philosophers set the guidelines for future philosophers and can be considered of the ?great teachers? throughout history. Wolf also follows through with his purpose to explain the richness of human history. By interconnecting some of the same people to various essays he helped the readers to draw the lines between the characters and make connections. For one, just

Analyzing the Work Culture of Starbucks and DHL - 1037 Words

Custom research material provided by: Student Network Resources, Inc. Topic: Starbucks and DHL Order ID: #A2093813 Writers Username: johnfitz44 The document attached to this email constitutes research material from which certain passages, ideas, and/or information may be referenced and properly cited. In its entirety, the document may not be sold, reproduced, transmitted, or otherwise claimed in any manner without the written permission of Student Network Resources Inc. IMPORTANT: Please remember that the charge on your credit card bill or statement will appear as Student Network Resources. We record each customers unique IP address. It is illegal to claim that you have not received your order. This delivery email is documented proof that your order was delivered to the email address that you provided. Student Network Resources will prosecute to the fullest extent of state, federal, and/or international law anyone who attempts to commit fraud against our service. Disclaimer: When you requested and paid for the services of Student Network Resources Inc., you agreed to be bound by our terms and conditions. Student Network Resources Inc. is not responsible, in any way, for your individual use of the research material drafted by the freelance author. You have agreed to properly reference the research material at your own risk, and will not use any passages, ideas, and/or information from the materials without proper citation. Student Network Resources Inc. retainsShow MoreRelatedTrung Nguyen Internation Business20210 Words   |  81 Pagesits products as well as Trung Nguyen’s business. Moreover, as we researched, Romania seems to be a potential market for Trung Nguyen’s product to establish and develop. This paper is the business plan for Trung Nguyen Company while considering and analyzing many important issues and aspects about globalizing to enter into a new market in a new country - Romania. At first, the report will provides an overview of the country-Romania in term of Geography, population, government, economic and society. InRead MoreTrung Nguyen Internation Business20216 Words   |  81 Pagesits products as well as Trung Nguyen’s business. Moreover, as we researched, Romania seems to be a potential market for Trung Nguyen’s product to establish and develop. This paper is the business plan for Trung Nguyen Company while considering and analyzing many important issues and aspects about globalizing to enter into a new market in a new country - Romania. At first, the report will provides an overview of the country-Romania in term of Geography, population, government, economic and society.Read MoreStrategic Marketing Management337596 Words   |  1351 PagesSecond edition 1997 Reprinted 1998, 1999, 2001, 2003 Third edition 2005 Copyright  © 1992, 1997, 2005, Richard M.S. Wilson and Colin Gilligan. All rights reserved The right of Richard M.S. Wilson and Colin Gilligan to be identified as the authors of this work has been asserted in accordance with the Copyright, Designs and Patents Act 1988 No part of this publication may be reproduced in any material form (including photocopying or storing in any medium by electronic means and whether or not transientlyRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 Pagesobtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458. Many of the designations by manufacturers and sellers to distinguish their products are claimed as trademarks

Electronic Health Record Implementation Health And Social Care Essay Free Essays

The passage from paper records to electronic wellness records has been a challenge in the province of Mississippi. This research survey will concentrate on electronic wellness record ( EHR ) preparedness of ague attention infirmaries in the province of Mississippi. The survey will turn to the factors associated with execution every bit good as the benefits, barriers and hazards. We will write a custom essay sample on Electronic Health Record Implementation Health And Social Care Essay or any similar topic only for you Order Now The survey will besides supply information as to the position of EHR execution in the province of Mississippi. Introduction. The Bush disposal mandated a call to action for the execution of electronic wellness records within a decennary in 2004. Healthcare suppliers were given a timeline for execution and the confidence that the authorities would be an active protagonist. In 2009, the Obama disposal outlined funding in the American Reinvestment and Recovery Act for EHR support. Suppliers must choose a system and seller that is certified by the Certification Commission for Health Information Technology ( CCHIT ) in order to measure up for federal support. With the 2014 deadline looming, some installations have non started the procedure of EHR choice and execution. In 2008, a comparable survey was performed measuring EHR preparedness in the province of Alabama. A self-completed study was mailed to 131 managers in the wellness information direction ( HIM ) section of Alabama infirmaries. Harmonizing to the research provided in the survey, of 91 reacting infirmaries ( 69 per centum response rate ) , merely 12.0 per centum have completed execution of EHRs ( Houser A ; Johnson, 2008 ) . Background of the Problem. In 2004, President Bush called for widespread acceptance of the EHR within 10 old ages. Traveling from paper to EHRs has been a challenge for many infirmaries and doctors ‘ offices. Although attempts toward EHR execution started about two decennaries ago, the procedure has been slow ( Amatayakul, M. K. , 2007 ) . Harmonizing to a recent study on EHR advancement, the acceptance of EHRs â€Å" is non happening every bit quickly as hoped, † and the U.S. is dawdling in acceptance of EHRs ( Robert Wood Johnson Foundation, 2006 ; Powell, A. , October 12, 2006 ) . Recent studies suggested that EHR execution was between 17 to 24 per centum in doctors ‘ offices in an ambulatory attention puting ( Robert Wood Johnson Foundation, 2006 ; A Jha, A. K. , T. G. Ferris, K. Donelan, C. DesRoches, A. Shields, S. Rosenbaum, and D. Blumenthal, October 2006 ) . EHR usage in any format in hospital scenes was estimated to be 20 to 25 per centum, and the usage of computerized physician order entry ( CPOE ) was about 15 per centum ( Blumenthal, D. , March 2006 ) . Compared to urban infirmaries, EHR usage in rural infirmaries was less common ( Bahensky, J. A. , M. Jaana, and M. M. Ward. 2008 ) .Ward ‘s survey indicated that more than 80 per centum of urban infirmaries reported utilizing computing machines to roll up basic clinical information for possible usage in an EHR and CPOE system, while merely 30 to 40 per centum of rural infirmaries were making so ( Ward, M. M. , M. Jaana, J. A. Bahensky, S. Vartak, and D. S. Wakefield,2006 ) . Purpose of Study. The intent of the proposed survey will concentrate on the figure of healthcare organisations in Mississippi that have implemented electronic wellness records. The survey will place barriers and benefits to execution and buttocks preparedness province broad. Significance of Study. A survey done in April 2009 entitled â€Å" Use of Electronic Health Records in U.S. Hospitals † stated that of responses from 63.1 % of infirmaries surveyed, merely 1.5 % of U.S. infirmaries have a comprehensive electronic-records system ( i.e. , present in all clinical units ) , and an extra 7.6 % have a basic system ( i.e. , present in at least one clinical unit ) . Computerized provider-order entry for medicines has been implemented in merely 17 % of infirmaries. Larger infirmaries, those located in urban countries, and learning infirmaries were more likely to hold electronic-records systems. Respondents cited capital demands and high care costs as the primary barriers to execution, although infirmaries with electronic-records systems were less likely to mention these barriers than infirmaries without such systems ( Jha, 2009 ) . The EHR has several distinguishable advantages over paper wellness records. One definite advantage is the fact that there are increasing storage capablenesss for longer periods of clip. Besides, the EHR is â€Å" accessible from distant sites to many people at the same clip â€Å" ( Young 99 ) and retrieval of the information is about immediate. The record is continuously updated and is available at the same time for usage everyplace. Information is instantly accessible at any unit workstation whenever it is needed. Presently the paper record represents â€Å" monolithic atomization of clinical wellness information. † ( Schloeffel et al. 1 ) This non merely causes the cost of information direction to increase but besides â€Å" atomization leads to even greater costs due to its inauspicious effects on current and future patient attention † ( Schloeffel et al. 1 ) . The EHR can besides supply medical qui vives and reminders. EHR systems have some â€Å" constitutional intelligence capablenesss, such as acknowledging unnatural lab consequences, or possible dangerous drug interactions † ( Koeller 11 ) . Research findings back uping diagnostic trials and the EHR â€Å" can associate the clinician to protocols, attention programs, critical waies, literature databases, pharmaceutical information and other databases of health care cognition † ( Young 100 ) . Computer systems should non take the topographic point of doctors ‘ critical judgements nevertheless, â€Å" a well-designed EHR supports accountable liberty, roll uping and circulating information to help the medical professional in determination devising † ( Wellen, Bouchard, and Houston 2 ) . Another benefit to an EHR is that it allows for customized positions of information relevant to the demands of assorted fortes. The EHR is â€Å" far more flexible, leting its users to plan and use coverage formats tailored to their ain particular demands and to form and expose informations in assorted ways † ( Dick, Steen, and Detmer 46 ) . As a direction tool, the EHR can supply information to better hazard direction and appraisal results. Today, reimbursement is based on results hence healthcare organisations â€Å" must seek advanced ways to better quality of attention and results while pull offing costs † ( Dray 3 ) . An EHR can diminish charting clip and charting mistakes, hence increasing the productiveness of health care workers and diminishing medical mistakes due to illegible notes. â€Å" Reduction of medical mistakes is the concern of the populace at big, province legislators, health care suppliers, and many other wellness professionals † ( Waegemann et al. 11 ) . There have been legion narratives about fatal errors happening because of illegible notes written by doctors. EHRs â€Å" address a job that has plagued medical staff really perchance since the first physician put pencil to paper [ aˆÂ ¦ ] ( Dobias 3 ) . Since â€Å" script is natural, and hence hard to alter † ( Dobias 3 ) automated systems can assist extinguish this job. Although some systems may look dearly-won, the additions in efficiency far offset the costs. Chart chasing is eliminated, as is duplicate informations entry of the same information on multiple signifiers. â€Å" Highly paid, skilled clinicians no longer are delayed by the hunt for elusive paper charts, and useable result information becomes available without several yearss of informations digest † ( Wellen, Bouchard, and Houston 3 ) . Financially, the EHR will supply more accurate charge information and will let the suppliers of attention to subject their claims electronically, hence having payment quicker. The patient is even happier, because old information is available so the patient does non hold to go on to supply the same information over and over once more ( Gurley, 2006 ) . The completion of this survey will add to the organic structure of cognition by detailing the grounds for or against partial or full electronic wellness record execution in Mississippi. Chapter 2 – Reappraisal of Literature Reappraisal of the Literature A literature reappraisal for this topic has provided many relevant articles covering the subject of electronic wellness record execution. After choosing articles that were more closely aligned with the range of this research, I examined the mark population ( infirmaries in Mississippi ) , research intent ( designation of factors, barriers, and benefits of execution ) , the differing research methods, the information analysis method, variables, demographics every bit good as sample size. The literature systematically reflects positive benefits of utilizing this engineering. The study survey design was most normally used in the literature and seems to bring forth more measureable consequences. Sample sizes varied depending on the geographic part. The first article was entitled, â€Å" Percepts Sing Electronic Health Record Implementation among Health Information Management Professionals in Alabama: A State-wide Survey and Analysis. † The intents of this survey were to measure the position of execution of EHRs among Alabama infirmaries ; the factors that are associated with EHR execution ; and the benefits of, barriers to, and hazards of EHR implementation.A A self-completed study was mailed to 131 managers in the wellness information direction ( HIM ) section of Alabama infirmaries. Of 91 reacting infirmaries ( 69 per centum response rate ) , merely 12.0 per centum have completed execution of EHRs. The cardinal factor driving electronic wellness record ( EHR ) execution was to better clinical procedures or workflow efficiency. Lack of equal support and resources was the major barrier to EHR execution. Rural infirmaries were less likely to implement EHRs when compared with urban infirmaries ( p = .07 ) . Adoption of EHRs should be evaluated in deepness for infirmaries, and peculiarly for rural infirmaries. Wayss to seek appropriate support and supply equal resources should be explored ( Houser, 2006 ) .A The 2nd article, â€Å" Use of Electronic Health Records in U.S. Hospitals † is sing the usage of electronic wellness records from a national position. The research workers surveyed all ague attention infirmaries that are members of the American Hospital Association for the presence of specific electronic-record functionalities. Using a definition of electronic wellness records based on adept consensus, the research workers determined the proportion of infirmaries that had such systems in their clinical countries. We besides examined the relationship of acceptance of electronic wellness records to specific infirmary features and factors that were reported to be barriers to or facilitators of acceptance ( Jha et.al, 2009 ) . The research workers collaborated with the American Hospital Association ( AHA ) to study all ague attention general medical and surgical member infirmaries. The study was presented as an information engineering addendum to the association ‘s one-year study of members, and like the overall AHA questionnaire, was sent to the infirmary ‘s main executive officer. Hospital main executive officers by and large assigned the most knowing individual in the establishment ( in this instance, typically the main information officer or equivalent ) to finish the study. Non-responding infirmaries received multiple telephone calls and reminder letters inquiring them to finish the study. The study was ab initio mailed in March 2008, and their in-field period ended in September 2008 ( Jha et.al, 2009 ) . The research workers found that less than 2 % of ague attention infirmaries have a comprehensive electronic-records system, and that, depending on the definition used, between 8 and 12 % of infirmaries have a basic electronic-records system. With the usage of the definition that requires the presence of functionalities for doctors ‘ notes and nursing appraisals, information systems in more than 90 % of U.S. infirmaries do non even run into the demand for a basic electronic-records system ( Jha et.al, 2009 ) . These articles focused on information which will turn out to be good as I move frontward with this research undertaking. There is a demand for extra literature hunt in order to study/research extra stuff related to this peculiar survey. Chapter 3 – Methodology Methodology Research Design. The research worker will utilize study research design and analysis. Each HIM manager was sent a validated study comprised of multiple pick and open ended inquiries. The information for the survey will be collected anonymously via study mailed to infirmaries in Mississippi. A random control figure will be assigned to each study and envelope. There will be no linkage to individuality of establishments, merely aggregated informations will be published. Population and Sample Design. The choice of sample size was based on the figure of infirmaries in the province of Mississippi. This survey will measure perceptual experiences sing electronic wellness record execution in assorted types of infirmaries in Mississippi. The sample will be a convenience sample of all HIM managers in the province of MS, consisting all major geographic locations and/or hospital size. Data Collection Procedures. In September, 2010, the research worker mailed self completed studies to infirmaries in Mississippi. Participating installations had 4 hebdomads from the day of the month they received the study to return it in the ego addressed stamped envelope provided. Addresss and contact information for the installations was gathered from the American Hospital Directory, the Mississippi Department of Health, and the Official State of Mississippi web sites. By December 2010, the thesis will be complete and ready for presentation. Research Questions. Each participant was asked inquiries sing demographics alone to their installation. The study inquiries we focused on sensed hazards and benefits of implementing an EHR wholly and in portion. The participants were besides asked inquiries sing their degree of instruction, certificates, and age scope. Profile of Sample Population A missive and ego completed study was mailed to 90 managers of wellness information direction in Mississippi infirmaries. Data Analysis. A quantitative research method will be used as the method of analysis. The information will enable a graded comparing of infirmaries in Mississippi that have non-implemented, partly and to the full implemented electronic wellness records. We will utilize descriptive statistics to supply a sum-up of the informations collected. Chapter 4- Consequences Features of Respondents Of a sum of 46 study respondents, a big bulk ( 96 per centum ) were HIM managers, and the staying respondents ( 4 per centum ) were hospital administrative forces ( Figure 4 ) . 35 of the 46 respondents ( 76 per centum ) were between the ages of 40 and 59, 6 respondents ( 13 per centum ) were 22 to 39, 4 respondents ( 9 per centum ) were over 60, and one participant chose non to react ( Figure 13 ) . 55 per centum ( 25 respondents ) held Registered Health Information Administrator ( RHIA ) certificates, 12 respondents ( 26 per centum ) held Registered Health Information Technician certificates ( RHIT ) , 1 respondent ( 2 per centum ) held Certified Professional Coder ( CPC ) enfranchisements, 4 respondents ( 9 per centum ) were dually certified keeping RHIA certificates and a Certified Coding Specialist ( CCS ) enfranchisement, 1 respondent ( 2 per centum ) held an RHIT certificate and Certified Coding Specialist ( CCS ) enfranchisement, and the staying 3 respondents ( 6 per centum ) chose non to react ( Figure 14 ) . The highest degree of instruction attained by the HIM professionals was besides included in the information aggregation. 61 per centum ( 28 respondents ) had obtained a unmarried man ‘s grade, 26 per centum ( 12 respondents ) had obtained an associate ‘s grade, 5 respondents ( 2 per centum ) had obtained certifications, 1 respondent ( 2 per centum ) had obtained a maestro ‘s grade, 2 respondents ( 4 per centum ) had obtained other grades in topics non related to HIM, and 1 respondent did non take part in this inquiry ( Figure 15 ) . While 28 per centum of the reacting HIM professionals have strong input, another 56 per centum have small or merely some input on determinations sing EHR execution in the infirmary. Eleven per centum of the respondents had no input sing EHR execution. Of the full pool of respondents, there were no HIM Directors or administrative forces who held the concluding decision-making power related to EHR execution in their infirmaries ( Figure 5 ) .A Among these study respondents, 54 per centum of their infirmaries have less than 100 beds, 31 per centum had 100-400 beds, and 13 per centum had more than 100 beds at their installation ( Figure 1 ) . Of the 46 study respondents, 61 per centum were from non profit/not for net income infirmaries while 24 per centum were for net income infirmaries ( Figure 2 ) . Of the respondents, 76 per centum were from rural infirmaries and 20 per centum were in urban countries ( Figure 3 ) . From a sum of 90 possible infirmary respondents, 46 ( 51 per centum ) responded and 44 ( 49 per centum ) did non react. Status of EHR Implementation When asked about the position of EHR execution in their infirmaries, merely 8 ( 17 per centum ) of the 46 study respondents reported that their infirmaries had implemented an EHR system. Twelve infirmaries ( 26 per centum ) of the infirmaries had non implemented an EHR system when the study was conducted, with the staying 26 infirmaries ( 57percent ) being in the execution procedure ( Figure 10 ) .A Of the 8 infirmaries with to the full implemented EHRs, 3 ( 38 per centum ) are in rural countries, 4 ( 50 per centum ) are in urban countries, and 1 did non react to location. All 12 ( 100 per centum ) of the installations without an EHR or any timeline regarding execution are in rural countries. Of the 26 staying installations with EHRs in advancement, 20 ( 77 per centum ) are in rural countries, 5 ( 19 per centum ) are in urban countries, and 1 is in a suburban country. Harmonizing to the informations collected, rural infirmaries are more likely non to hold a timeline for execution. Of those infirmaries who had implemented an EHR system, merely one had completed the procedure before the twelvemonth 2000, and another seven had implemented it between 2000 and 2006. The figure of EHRs implemented between 2000 and 2006 mirrors the statistics reported in a comparative survey completed among HIM professionals in the province of Alabama. Of the 46 respondents, 32 per centum of the infirmaries with enforced EHRs and in execution advancement, want both inmate and outpatient capablenesss for EHR support.A Of the infirmaries that had non implemented or were in the procedure of implementing an EHR system, 30 per centum indicated that they would implement EHRs within a twelvemonth. Another 14 per centum stated that they would implement EHRs in the following two old ages, and 17 per centum of respondents reported that they were non certain when EHR execution would take topographic point ( Figure 10 ) . Factors Driving the Need for EHR Systems When asked â€Å" What factors drive the demand for the EHR systems within your infirmaries? † 36 ( 86 per centum ) of the 46 respondents felt that the two major demands or concerns were to better the quality of health care and the demand to portion patient record information among healthcare professionals ( Figure 6 ) . Other factors were the demand to better clinical procedure or workflow efficiency ( 34 respondents or 74 per centum ) and regulative demands of JCAHO or HCQA ( 22 respondents or 48 per centum ) . When asked â€Å" what is the greatest factor that drives the demand for EHR systems? † the most of import drive factor was to better health care quality ( 33 per centum ) . Benefits of Implementing EHRs The respondents were asked, â€Å" What would be the benefit of implementing the EHR system? † 42 of the respondents ( 91 per centum ) indicated that bettering work flow would be the major benefit of implementing the system ( Figure 7 ) . Some other benefits were stated as cut downing medical mistakes ( 70 per centum ) , and cut downing cost ( 43 per centum ) , cut downing intervention clip ( 17 per centum ) , increasing gross ( 17 per centum ) , and minimising malpractice claims ( 13 per centum ) . The major benefit, as indicated by the respondents, is the betterment of work flow and efficiency. Barriers to Implementing EHRs The figure one perceived barrier for implementing an EHR system was deficiency of equal support and resources ( 39 per centum ) ( Figure 8 ) . 14 respondents in rural countries and 4 in urban countries cited fundss as a major barrier. Some other barriers were deficiency of support from medical staff ( 37percent ) , deficiency of cognition of EHRs ( 33 per centum ) , deficiency of employee preparation ( 28 per centum ) , and deficiency of structured engineering ( 20 per centum ) . Vendor issues and deficiency of corporate organisation and action were besides stated as barriers to EHR execution. The respondents identified the deficiency of equal support as the major barrier to EHR execution. Chapter 5- Conclusions and Recommendations As the deadline for electronic wellness record transition nears, there are still several Mississippi installations that have non begun or completed the execution procedure. Harmonizing to the informations gathered in this study, EHR execution is mostly uncomplete. Merely 17 per centum of the reacting sites have to the full implemented records. Another 57 per centum are in the procedure of implementing and 26 per centum have no clear timeline as to when execution will get down. There are restrictions sing this study. Without the staying 49 per centum of the studies completed and returned, there is no manner to measure the stage of execution at those installations. However, the figure of respondents that did take part indicates the demand for an immediate call to action in order to run into the 2014 end. Educating clinical and administrative staff and parties with vested involvement will help in undertaking the obstructions impeding EHR execution. Nationally, EHR acceptance rates among infirmaries vary widely. Jha ‘s survey reviewed 36 different studies conducted between 1995 and 2005 and recorded a scope between 4 per centum and 21 per centum for execution of computerized patient order entry among infirmaries ( Jha, 2006 ) . The slow advancement of execution can be mostly attributed to fiscal restraints. Lack of support in fiscal resources is the major factor that contributes to fewer Mississippi infirmaries, rural and urban, holding completed EHR execution. In add-on, deficiency of cognition sing EHRs and a deficiency of bargain in from clinical and administrative staff besides play a major portion in the slow execution procedure. While fundss are a hinderance, there are funding chances through federal statute law to back up EHR execution. The American Reinvestment and Recove ry Act ( ARRA ) of 2009 included the Health Information Technology for Economic and Clinical Health Act ( HITECH ) which seeks to better American wellness attention bringing and patient attention through an unprecedented investing in wellness information engineering. The ARRA developed an Electronic Health Record Incentive plan that authorizes the Centers for Medicare and Medicaid Services ( CMS ) to do incentive payments to eligible infirmaries to advance the acceptance and meaningful usage of interoperable certified EHR engineering ( ( IHS Office of Information Technology, 2010 ) . These incentive programs offer funding to healthcare suppliers who implement an EHR that is certified through the Certification Commission for Healthcare Information Technology ( CCHIT ) . These inducements will countervail the fiscal load of the installations as the passage into an electronic wellness record. HIM professionals play a major function in EHR execution. There is a great demand for persons with cognition and instruction in IT and EHR application and engineering. The 10,000 Trained by 2010 act was introduced in the House of Representatives in 2009 would authorise the National Science Foundation to present grants to establishments of higher instruction to develop and offer instruction and preparation plans. This would include instruction in the field of wellness information sciences. The debut of this measure indicates the turning demand for trained HIM professionals and the built-in portion they will play in EHR transition and execution. In order to accomplish the end of countrywide execution by 2014, there must be a greater push and increased support for health care suppliers. Government statute law and execution inducements are major paces in a positive way but there are still barriers that hinder EHR execution. It is necessary for suppliers to place the hazards, benefits, and factors driving EHR execution in order to cognize where and how to get down the procedure. Increased community consciousness, a good trained work force, support, and support from the clinical and administrative staff are all imperative in the successful execution of electronic wellness record engineering. How to cite Electronic Health Record Implementation Health And Social Care Essay, Essay examples

Camping Campfire and Best Friend Essay Example For Students

Camping: Campfire and Best Friend Essay People say taking a vacation is becoming expensive and a waste of time. Well living in the country as a child was like camping every weekend. We spent hours out in the forest of trees we had on the property, many adventures were made there. We had our own swim hole at the river on the property. My brothers had built a fort out of railroad ties. We spent many nights sleeping out under the stars, camping to me is like reliving childhood. I feel that its a chance to reconnect with family and friends, experience new adventure, and enjoy the outdoors. I had such a time camping with my best friend and family July of 2004. Our trip was at Lake Solano in Winters, Ca. we spent two wonderful days there. Our first night after setting up camp, we spent the evening by the river bank. Enjoying the outdoors has a way of bring out your imagination. There was a full moon that casted a light over the river and reflected up on the other side. Looking at the landscape, we decided to play a game, using the trees line above to make images. We stared at the trees, letting our imagination go. We saw a mother bear with a cub, a man carrying a fishing pole, an elephant standing on a ball. This went for hours. What was real funny, we went back the next morning, the images we had seen the night before were not the same. One of the joys of Mother Nature, the daylight had changed the landscape. While camping, you also experience new adventures. One day we rented a canoe. We had planned to go up the river back to camp, well that was easier said than done. Its best to know how to row a canoe, seeing that this was my first time, I had no clue. Rhonda, my best friend, tried to give me a quick lesson. I could not get the hang of it. She became so angry with me, because we kept ending up on the bank of the river. I wasn’t helping matters by laughing so hard, I thought was hilarious. We did make back to camp, no help from me. We switched over to kayaks, this time I was on my own as far as rowing. This too was a new challenge, kayaks are a lighter. You need to keep yourself balanced very well, otherwise you’ll tip over. It took some time, and a few close calls, but once I got the hang of it I relaxed. I found being on the water and gliding across it so easily was very relaxing. Overcoming new challenges gives you a sense of accomplishment. Another benefit of vacation is reconnecting with friends and family. Each day begins, and ends at the camp fire. Talking about the different activities for the day, or telling about the things that happened that day, gives you a time of reconnecting with everyone. Sitting around the campfire, making meals, roasting marshmallows to make smores, or just enjoying the quiet surroundings of nature. I feel camping is a great way to relax, spend time with family and friends, enjoy nature, and experience new adventures. In these American times we value hard work, we are always pushing ourselves to work harder, and get ahead in life. At times we need to take a moment for ourselves to rejuvenate from the stressful lifestyles we live. Camping enables us to relax and enjoy a slower pace of life.