WZT Task 1 Essays - Health, Medicine, Nursing,

WZT Task 1 Amara Smallcombe A1. Article Bradley, S., Mott, S. (2010). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32. http://www.ajan.com.au/Vol30/Issue1/Bradley.pdf A2. Graphic Introduction Routinely, change of shift report in the hospital setting was given away from the patient in a designated area. In this article, the researchers set out to see if giving report at the bedside in front of the patient would be safer and, possibly, decrease the amount of time necessary to give report. Review of Literature I found several references, which were reputable, that showed the facts/ statistics during which time the research was completed. The info on satisfaction for the patients and the staff along with the info for safety was provided but I could not find any info relating to the economics or cost effectiveness. A period of 62 year was covered from 1947 to 2009; the earlier sources are indirectly related. I did not find any data which related to any adverse safety concerns while shift change report was being conducted elsewhere. But, I could see the inference which was made that adverse events decreased when switching to bedside report. Discussion of Methodology A mixture of quantitative and qualitative methods were used in this study. Three small hospitals with a group of 48 nurses were involved with solely giving report to the oncoming shift at the bedside. This was conducted in three stages. First, quantitative. This stage showed the amount of time it took to complete bedside report and if any adverse events regarding the patients had occurred. Second, ethnographic. This showed what kind of information was discussed during report and what kind of terminology was used. Last, interviews. This last stage would show what the nurses thought of it and if they liked it better than before, and if it was a quicker process from start to finish. These three things were done before and after initiation of the change. Data Analysis When a quantitative study is done, the researchers gather numerical data and examine it. This such data for this study was how long it took to give report before and after the change. A graph was made to show the differences. Qualitative data was collected from the nurses in interview format which showed that the nurses believed that giving report away from their patients was a challenge and took up a lot of time. There were graphs which showed this data comparing three sites. This showed a mixed model approach. Researcher's Conclusion The researcher came to the conclusion at the end of this research that showed that bedside shift change report took less time than giving report in another designated area away from the patient. There was no discussion, though, about how saving this time would be cost effective. It was also shown that a reduction in adverse events, which parallels the idea that bedside report leads to an increase in patient safety. More research needs to be completed to find out if this type of report is more accurate and if it leads to better communication. A3. Assessment of Evidence It was concluded that the researchers represented accuracy in their results. The purpose of this study was to show that giving report to the oncoming shift at the bedside would be quicker and more beneficial for the staff and for the patients. It was, also, the intentions of the researchers to show how this method would improve patient safety and save money for their facility. Another thing that the researchers wanted to display was the attitudes and perceptions of the staff relating to the process before and after the change in procedure. In review, the bedside method was quicker than giving report away from the patient. It is unfortunate, however, that no benefit of cost was equated while completing this study. At the conclusion of this study, it was shown that adverse events regarding patient safety decreased in number from 18 to seven signifying an increase in the safety involving patients. It was reported from all three sites that participated in this study had improve d on report duration. The researchers did acknowledge, however, that there were limitations in this study because of sample size and the

10 Important Events in the History of Latin America

10 Important Events in the History of Latin America Latin America has been always shaped by events as much as by people and leaders. In the long and turbulent history of the region, there were wars, assassinations, conquests, rebellions, crackdowns, and massacres. Which was the most important? These ten were selected based on international importance and effect on the population. It is impossible to rank them on importance, so they are listed in chronological order. 1. Papal Bull Inter Caetera and the Treaty of Tordesillas (1493–1494) Many people do not know that when Christopher Columbus discovered the Americas, they already legally belonged to Portugal. According to previous papal bulls of the 15th century, Portugal held claim to any and all undiscovered lands west of a certain longitude. After Columbus return, both Spain and Portugal laid claims to the new lands, forcing the pope to sort things out. Pope Alexander VI issued the bull Inter Caetera in 1493, declaring that Spain owned all new lands west of a line 100 leagues (about 300 miles) from the Cape Verde Islands. Portugal, not pleased with the verdict, pressed the issue and the two nations ratified the Treaty of Tordesillas in 1494, which established the line at 370 leagues from the islands. This treaty essentially ceded Brazil to the Portuguese while keeping the rest of the New World for Spain, therefore laying the framework for the modern demographics of Latin America. 2. The Conquest of the Aztec and Inca Empires (1519–1533) After the New World was discovered, Spain soon realized that it was an incredibly valuable resource that should be pacified and colonized. Only two things stood in their way: the mighty Empires of the Aztecs in Mexico and the Incas in Peru, who would have to be defeated in order to establish rule over the newly-discovered lands. Ruthless conquistadores under the command of Hernn Cortà ©s in Mexico and Francisco Pizarro in Peru accomplished just that, paving the way for centuries of Spanish rule and enslavement and marginalization of New World natives. 3.  Independence from Spain and Portugal (1806–1898) Using the Napoleonic invasion of Spain as an excuse, most of Latin America declared independence from Spain in 1810. By 1825, Mexico, Central  America, and South America were free, soon to be followed by Brazil. Spanish rule in the Americas ended in 1898 when they lost their final colonies to the United States following the Spanish-American War. With Spain and Portugal out of the picture, the young American republics were free to find their own way, a process that was always difficult and often bloody. 4.  The Mexican-American War (1846–1848) Still smarting from the loss of Texas a decade before, Mexico went to war with the United States in 1846 after a series of skirmishes on the border. The Americans invaded Mexico on two fronts and captured Mexico City in May of 1848. As devastating as the war was for Mexico, the peace was worse. The Treaty of Guadalupe Hidalgo ceded California, Nevada, Utah, and parts of Colorado, Arizona, New Mexico, and Wyoming to the United States in exchange for $15 million and forgiveness of about $3 million more in debts. 5. The War of the Triple Alliance (1864–1870) The most devastating war ever fought in South America, the War of the Triple Alliance pitted Argentina, Uruguay, and Brazil against Paraguay. When Uruguay was attacked by Brazil and Argentina in late 1864, Paraguay came to its aid and attacked Brazil. Ironically, Uruguay, then under a different president, switched sides and fought against its former ally. By the time the war was over, hundreds of thousands had died and Paraguay was in ruins. It would take decades for the nation to recover. 6. The War of the Pacific (1879–1884) In 1879, Chile and Bolivia went to war after spending decades bickering over a border dispute. Peru, which had a military alliance with Bolivia, was drawn into the war as well. After a series of major battles at sea and on land, the Chileans were victorious. By 1881 the Chilean army had captured Lima and by 1884 Bolivia signed a truce. As a result of the war, Chile gained the disputed coastal province once and for all, leaving Bolivia landlocked, and also gained the province of Arica from Peru. The Peruvian and Bolivian nations were devastated, needing years to recover. 7.  The Construction of the Panama Canal (1881–1893, 1904–1914) The completion of the  Panama Canal  by Americans in 1914 marked the end of a remarkable and ambitious feat of engineering. The results have been felt ever since, as the canal has drastically changed worldwide shipping. Less known are the political consequences of the canal, including the  secession  of Panama from Colombia (with the encouragement of the United States) and the profound effect the canal has had on the internal reality of Panama ever since. 8.  The Mexican Revolution (1911–1920) A revolution of impoverished peasants against an entrenched wealthy class, the Mexican Revolution shook the world and forever altered the trajectory of Mexican politics. It was a bloody war, which included horrific battles,  massacres, and assassinations. The  Mexican Revolution  officially ended in 1920 when Alvaro Obregà ³n became the last general standing after years of conflict, although the fighting continued for another decade. As a result of the revolution, land reform finally took place in Mexico, and the PRI (Institutional Revolutionary Party), the political party that rose from the rebellion, stayed in power until the 1990s. 9.  The Cuban Revolution  (1953–1959) When  Fidel Castro, his brother  Raà ºl  and a ragged band of followers  attacked the barracks at Moncada  in 1953, they may not have known they were taking the first step to one of the most significant revolutions of all time. With the promise of economic equality for all, the rebellion grew until 1959, when Cuban President  Fulgencio Batista  fled the country and victorious rebels filled the streets of Havana. Castro established a communist regime, building close ties  with  the Soviet Union, and stubbornly defied every attempt the  United States  could think of to remove him from power. Ever  since  that time, Cuba has either been a festering sore of totalitarianism in an increasingly democratic  world  or a beacon of hope for all anti-imperialists, depending on your point of view. 10. Operation Condor (1975–1983) In the mid-1970s, the governments of the southern cone of  South America- Brazil, Chile, Argentina, Paraguay,  Bolivia, and Uruguay- had several things in common. They were ruled by conservative regimes, either dictators or military juntas, and they had a growing problem with opposition forces and dissidents.  They, therefore,  established Operation Condor, a collaborative effort to round up and kill or otherwise silence their enemies. By the time it ended, thousands were dead or missing and the trust of South Americans in their leaders was forever shattered. Although new facts come out occasionally and some of the worst perpetrators have been brought to justice, there are still many questions about this sinister operation and those behind it. Sources and Further Reading Gilbert, Michael Joseph, Catherine LeGrand, and Ricardo Donato Salvatore. Close Encounters of Empire: Writing the Cultural History of U.S.-Latin American Relations. Durham, North Carolina: Duke University Press, 1988.LaRosa, Michael and German R. Mejia. An Atlas and Survey of Latin American History, 2nd edition. New York: Routledge, 2018.Moya, Jose C. (ed.) The Oxford Handbook of Latin American History. Oxford: Oxford University Press, 2011.Weber, David J., and Jane M. Rausch. Where Cultures Meet: Frontiers in Latin American History. Lanham, Maryland: Rowman Littlefield, 1994.