Global Health and Issues in Disease Prevention

Global Health and Issues in Disease Prevention Application: The â€Å"Haves† and â€Å"Have Nots†: Why Are There Disparities? Bernard F. Richards Describe two health outcomes for which India and China have had different experiences in the last half century. It has long been an observation that socio-economic status influences health outcomes. Wilkinson and Pickett (2010) explain that the majority of health-related and social problems that plague nations and even sub-populations within nations are largely influenced by societal inequities (p. 173). Essentially, societies than have greater levels of inequity tend to have inferior health and social standings. This principle has been demonstrated by India and China which are nations with vast populations and shared influence from challenges brought on by globalization and urbanization. However, growing societal inequities in India served as the basis for recent dissimilarity in health status for citizens of said countries. The difference in health status of both countries can be seen in several health outcomes. According to Dummera and Cook (2008), both China and India experience similar infectious and chronic illnesses, the burden and prevalence of infectious maladies are significantly higher in India (p. 590). In India, the most common source of mortality is infectious and parasitic illnesses. Conversely, most deaths in China are secondary to chronic illnesses such as cancers. For every 1000 deaths in China, cancer is responsible for 119.7 of them. In India, this number lies at 71 out of every 1000 for cancers however, infectious causes of death lies at 420 out of every 1000 deaths (Dummera Cook, 2008, pp. 591-592). Chinese, both males and females, enjoy higher superior life expectancy at birth as compared to their Indian counterparts. In China, life expectancies for males and females in 2004 were 70.4 and 73.7 years respectively. On the other hand, that for Indian males and females was found to be male 63.3 and 64.8 years respectively. In general, China is found to be superior in almost all aspects of health-related demographics. China has better birth, mortality, fertility, and literacy rates. Additionally, there are more physicians and physical spaces within hospitals and other health facilities in China. This offers better service delivery and access to health services that are offered. These statistics suggests significant differences in policies and strategies to counteract sources of ill-health and brings to the fore the importance of social equality in ensuring population health (Dummera Cook, 2008, p. 592). Explain the reasons for the disparities noted. As previously mentioned previously, infectious diseases account for the vast majority of deaths in India as compared to chronic diseases in China. The contrast becomes even more apparent as infectious illnesses are general considered diseases of poverty. Chronic illnesses, on the other hand, are dubbed diseases of affluence. One explanation for this disparity between both nations is the difference in societal development. India has experienced less development which serves as a catalyst for population vulnerability. People live in more unhealthy environments which have been proved to increase the risk of communicable illnesses. China has experienced greater positive development which has diminished levels of social and health-related vulnerability. Chinese people are essentially living longer which predisposes to chronic conditions related to lifestyle behaviors and increased life expectancy. Additionally, the Chinese authorities have enforced strict limitations on reproduction and p opulation growth (Dummera Cook, 2008, pp. 590-592) Social division and inequality also accounts for health disparities in both countries. There is present in India a caste system called ‘jati’ which is based on segregation, marginalization and social stratification. At the summit of the social hierarchy is the Brahmins class (Priests) followed by the Kshatriyas (Warriors and rulers), Vaisyas (skilled workers, merchants, minor officials), Sudras (unskilled workers), and Pariah (outcasts, untouchables) in descending order. Hearne (2014) explains that as we progress down the caste hierarchy, social inequity and discrimination increases. An individual’s educational status, income and consequently health status are all dependent on the caste he is in. This system is culturally and historically entrenched in Indian way of life, society and even religion. This ‘legal’ segregation and discrimination has resulted in members of the society put at increased health risks as they lack the socio-economic wherewitha l to access health care and protect themselves against the negative social determinants of health. China’s people enjoy greater social equity which has been a major influence in decreasing health disparities in this territory. Describe the experience for those outcomes in Kerala and suggest reasons for why they are similar or different from the rest of India. The dynamic nature of health can be illustrated by Kerala which is a state in India. It is quite impressive to observe the wide disparity in this sub-population of India as compared to the country in general. Residents of Kerala experienced superior life expectancies when compared to the rest of the nation. Males and females in Kerala are expected to live for 71.67 years and 75.00 years respectively. In essence, Keralans live approximately 9 years more than the average Indian. Infant mortality rate is 68 per 1000 live births in the general Indian population while that for Kerala is 14 (Ministry of Health and Family Welfare, 2014). Mukherjee et al. (2011) further explains that Kerala demonstrates higher educational and income levels as well as birth, mortality, fertility, and literacy rates when compared to other Indian states (p. 2). According to Dilip (2002), Kerala has higher morbidity but less mortality rates when compared to other states. This phenomenon is due to higher life exp ectancies and increasing levels of chronic illnesses. Communicable diseases however, are found to be less prevalent than chronic illnesses in this sub-population. The differences in health outcomes when comparing Kerala to other Indian states is largely due to lower levels of inequality in educational attainment, health and social standing in spite of lower income levels (Mukherjee et al., 2011, p. 2). Although the caste system is present within Kerala, social discrimination is less pervasive. Kerala’s robust communist movement and policies directed to promote welfare has contributed. Greater social equity has resulted in greater access to health care and improved health statuses. This is evidence that removing social inequities has a positive influence on the social determinants of health. This lesson can undoubtedly benefit all nations as the world strives to achieve better health outcomes for this generation and those to come. References Dilip, T. R. (2002). Understanding levels of morbidity and hospitalization in Kerala, India. Retrieved from http://www.scielosp.org/scielo.php?pid=S0042-96862002000900012script=sci_arttext Dummera, T. J. B. Cook, I. G. (2008). Health in China and India: A cross-country comparison in a context of rapid globalization. Social Science Medicine, 67, 590–605 Hearne, T. (2014). Indias social justice minister says Christians do not deserve special caste. Retrieved from http://www.christiandaily.com/article/indias.social.justice.minister.says.christians.do.not.deserve.special.caste/49363.htm Ministry of Health and Family Welfare, India. (2014). Life expectancy and infant mortality rates for selected Indian states. Retrieved from http://infochangeindia.org/women/statistics/life-expectancy-and-infant-mortality-rates-for-selected-indian-states.html Mukherjee, S., Haddad, S. Narayana, D. (2011). Social class related inequalities in household health expenditure and economic burden: Evidence from Kerala, south India. International Journal for Equity in Health, 10(1), 1-13. Wilkinson, R., Pickett, K. (2010). The spirit level: Why greater equality makes societies stronger. New York, NY: Bloomsbury Press.

Appearance Versus Reality in Katharine Anne Porters He :: Katharine Anne Porter He Essays

Appearance Versus Reality in Katharine Anne Porter's He So many memories came to my mind while reading this story! I grew up in a family (or at least one side of that family) who always cared and worried about what other people thought! Most obviously, the short story, "He," by Katharine Anne Porter is about appearance vs. reality and living with a disabled child. But I also believe the story is about life, the hardships of life, poverty, the innocence of children, the trust children put into their parents, the gossip of small towns, the resentment and bitterness of the hardships of life, being a mother, rural life, denial, guilt, and compassion. Most importantly, however, I believe the story is mostly about the resentment of the hardships of life and appearance vs. reality. Edgar Allan Poe once said in his "Twice Told Tales" that a writer must give her "single effect," or thesis, in the first sentence of a story or they have made a mistake. So, I always look at the first sentence of a story when I read it to see what themes it provokes. The first sentence in "He" is: Life was very hard for the Whipples (324). Throughout the story, we get a building up of just how "hard life was for the Whipples." Through all these hardships, Mrs. Whipple seems to be resentful of every problem the family must overcome. Instead of supporting her husband and her children she complains about everything and seems to worry only about herself. For example, one of the first instances of Mrs. Whipple's true feelings of resentment of having a disabled child (and the burden that creates) comes when she butchers the pig. After she slits its throat, He runs away and Mrs. Whipple thinks to herself "with a stiff face": He'd eat it all if I didn't stop him. He'd eat up every mouthful from the other two if I'd let him (327). Here, I believe Mrs. Whipple's tone is very resentful that she has a disabled child that cannot think for or take care of himself. Mrs. Whipple must always take care of Him first before anyone else since he cannot fend for himself. She "gets tired trying to keep [Him] decent" (327). This scene also shows how resentful Mrs.

Rites Of Passage :: essays research papers fc

Rites of Passage When an individual experiences movement, or a change from an affixed position in society to another position, that individual can easily describe their change as a passage into a new realm of living. A new realm of living is the way in which the individual and society views, acknowledges, and proceeds with their life. Their changes are monumental not only for the individual, but for his/her society as well. Many changes take place during the span of a persons life. They become rites of passage and rituals of initiation-which are more than just simple changes. A plethora of come with these rites and are found in all corners of the globe. Going on vision quests, by the plains Indians of North America, to circumcision by certain Australian cultures, rites of passage present a vast table of religious comparisons(Eliade, p. 287-88). This essay will examine two rites of initiation, by comparing and contrasting their importance to each culture, and discussing how that importance affects that particular individual as well as their society. Finally, the essay will explore possible reasons as to why these initiation rites hold a deep meaning in their respective societies. The Kurnai of Australia have an initiation rite for the sons of married men in their perspective villages. Within a section by A. W. Howitt, in Eliade's book, From Primitives to Zen: A thematic Sourcebook of the History of Religions , a ceremony known as the "Showing the Grandfather" is described(Eliade, p. 288) In this initiation the Kurnai have a formal way of bringing a man's son into the highest, and most secret realm of their religion. By incorporating the use of the father and son relationship, this particular ritual involves the revelation of the central meaning, or "mystery" of their religion. The men and women are separated. Secrecy is one the most important traditions in this initiation. The initiation is not revealed to the women, or anyone else not of their society. The sons, or "novices" as Howitt calls them, are taught the proper religious traditions that they need to know for the ceremony, and for the rest of their lives, as this initiation will conclude their step into religious righteousness, and manhood. This all takes place the day before the ceremony, while other men, who have already been through the ceremony, prepare by hunting for food and arranging a site, not too far from the village, where the initiation will take place. The next morning, a new day at hand, the novices are taken to the site at which time the ceremony commences.

How successful was Henry VIII’s foreign policy? Essay

Henry VIII was a young king with many aims for England. His foreign policies mainly focused peace and security as expected by most kings however he choose to achieve this through war. Wolsey however wanted it through many peace agreements. Henry VII’s foreign policy can therefore be split in to aims he tried to achieve. These were: to please the pope, to increase security, to maintain the ‘balance of power’ to increase his prestige and finally for the image of a glorious kingship or his own reputation. Henry had to try and please the pope as the pope was god’s voice on earth and people were very religious including Henry in his youth. If the pope was an ally of Henry’s he could gain more prestige and increase security. In 1521 Henry proved his loyalty to the Catholic Church by writing his book called defiance of 7 sacraments. This he wrote this after Martin Luther started Protestantism. This gave Henry the title of ‘Fidei defensor’ (defender of the faith) which the monarch still has today. Although pope Paul III did try to take this title away in 1530 after Henry being excommunicated from the church, however in 1544 the English parliament declared through an act it to be reinstated. In 1512 Henry was invited in to the Holy league which was a group headed by Pope Julius II. The group was England, the Holy Roman Empire, Spain and the pope all against France. However in 1525 the king wanted his marriage to Catherine annulled. This was a problem as he had to get permission to marry her as she was her brother’s widow. No pope should ever overturn any decision of another since they are god’s voice on earth so what they say god says and if 1 pope says another is wrong that means god was wrong. Henry could therefore not marry Anne Boleyn while he was a member of the Catholic Church. So he left it and England became protestant. He was also then excommunicated which is being kicked out of the church but he already left. Another bad foreign policy was the Avignon project which was Wolsey saying he would step in as pope why the actual pope was in captivity by the holy roman emperor. This was bad as people saw this as Wolsey only wanting to be the pope. In summary it was a short term success hence Henry being given the title by the pope and him being invited into the holy league. On the other hand it was a massive failure in the long term as he quits the religion and then is excommunicating leaving England a country with no allies and no democratic significance. Due to Henry being a young king he would also be seen as a weak one. This would then put security as a big aim of his. The treaty of London in 1518 increased security massively as it called a cease fire across Europe. However was also seen as a failure since it collapsed with the uprising of Charles V in 1519. The field of the cloth of gold also increased security as it cemented the friendship between France and England using competitive sports. This replaced violent confrontation with peaceful competition. On the other hand the treaty of Cambrai in 1529 was made by French, pope and Charles to exclude Henry from forefront affairs making him very isolated. In conclusion it was a short term success as the treaty of London did stop any wars for a short time however it collapsed but it was due to Henry so could still be a success because he could not stop Charles becoming powerful so could not stop the collapse. Also Henry was never invaded so in the long term it was still a success. Henry had to maintain a balance of power because if one country was to get too much power it would risk his security. The holy league and treaty of London are examples of were nations have got together to maintain a balance of power. Although Charles did stop the treaty and upsetting the balance more by becoming a super power in Europe. The league of cognac in 1526 was though set up by pope, France, Venice, Florence and England against Charles to maintain a balance. An argument against the success would be that he went to war with France upsetting the balance furthermore. To sum up it was a success until Charles V arrived then he upset the balance of power to much. Prestige was important in Europe as England has never been seen as a major country compared to Spain or France any king especially Henry wants to be better then both countries. The field of the cloth of gold helps this showing a strong relationship with a strong ally. The battle of Flodden in 1513 is also a good example because James IV dies along with many of his nobles weakening Scotland. However it could be seen as a mockery towards Henry as Catherine is the person who led the fighting why he is fighting in France. Also the treaty of Noyon showed a friendship between France and Spain forming which meant no need for Henry to be the middle man weakening his prestige. In summary this was a failure as it was not Henry at Flodden although it did increase the countries prestige it lessened Henry’s personal prestige. Finally Glorious kingship was Henry wanting to be remembered throughout history as a great king. He also wanted to increase his own reputation in Europe. The war in France increased the image as a glorious king according to Henry as he seed the best way to gain it by going to war and winning which is what he did at the battle of spurs in 1513 where he gained Tournai and Therouanne in northern France. Henry did not want to use treaties to gain the image as Wolsey suggested he should do. Treaty of more in august 1525 was therefore seen as a failure because Henry had to give back the land he had in France which he just spent time, money and men capturing for his annual pension to be resumed. In conclusion this was a short time success as the wars did give him a great image but the treaties to follow did not. On the other hand Henry is still remembered today but not as a glorious king but as a fat king with many wives. Overall henry’s foreign policy was very successful but only in the short time. The treaty of London possible the best thing he did. However once Charles came to the scene everything went bad and his foreign policy did not work. Finally leaving the church left him very isolated and without support since all the big powers in Europe were catholic and he was not.

Gender Identity

Gender Identity Kenneth Williams Psy 340 4/1/2013 Raymond Bragg Sex may be biological and although we may be born male or female, culturally that is not only what defines our gender roles, agree or disagree, there are many cultural influences that affect today’s gender roles. We are at a point culturally were traditional definitions are often a moot point, in my home and the homes of my children traditional roles are followed, but in many homes today that is not the case, cultural influences have often taken over for traditional values what may have been the standard once is no longer.Include the roles of biological factors, nature and environmental influences, nurture on sexual differentiation and gender identity. Nature is responsible for the growth of a person from the sperm and egg level until the natural development into a normal adult. The genetic makeup of a human being is responsible for their sex, skin color, color of their eyes and hair as well as distinguishing feat ures which are inherited from their parents. Nature can only assist in the growth of a fetus into a normal well-developed adult who may have inherited some special talents.Thus it can be concluded that nature uses the genetic coding to help in physical development and does impart some positive or negative traits to an individual’s natural development. However, it is nurture which can be used to improve he positive traits and diminish the negative traits in a child. It is indeed important to recognize that nature in the form of inherited traits does exist but a person’s overall behavior is influenced a great deal by the nurture or â€Å"upbringing† and the environmental factors involved in this upbringing. Several recent studies carried out on infant and child behavior have shown that there is significant evidence to support the fact that nurture strongly influences human development especially in the early years† (Collins 2000). In traditional society most parents encourage their kids to take part in extracurricular activities like learning music, dance or sports in accordance with the child’s talents and interests. The talents have been given by nature but they can only be developed into skills through the hard work of nurture.Based on your evaluation, determine which has the greater influence on gender identity: nature or nurture. Undoubtedly, nurture plays a very big role in early human development. Nurture in some way or another aids in speeding up an individual's capacity to study and learn new things. There is the common saying that â€Å"practice makes perfect,† so an individual can improve knowledge by practicing to adapt to all the situations in these circumstances or environment (Sports or academia). The part which nurture plays in human development has been demonstrated by psychologists in experiments in which stepping practice was administered to a cohort of inference for just a few minutes many times in a d ay. It was later that these children were able to walk several days earlier than infants who had not been given stepping practice† (Zucker2000). Influence has its effect on any outcome. Discuss the current arguments about sexual identity and how evidence from biopsychology may help resolve the argument.It is obvious that nature is responsible for producing healthy and well-developed babies, but it is also nurture that plays an important role in the early stages of human development also. †Research has concluded beyond doubt that early human development is quicker and more focused due to nurture as it builds up on the talents provided by nature. Nature may be responsible for the normal development of the fetus into a normal and healthy infant, but it cannot entirely develop that fetus into an intelligent, knowledgeable or athletic adult. (Collins 2000) This is possible only through the exposure and influence that nurture gives a person. Therefore, it would be a true state ment to say that nature has some degree of influence, nurture also strongly influences early and further human development. To determine where the greater influence comes from is based on one’s own morals, beliefs and own personal influences. The argument on wheatear someone is born gay or influenced is an argument that has been going on for ages and will continue, is it nature or nurture?Are great athletes born or made, there has to be genetic influence, but, that natural ability has to be nurtured, the same argument can be made for something as meaningless as being a model, they may be born beautiful but, the care of one’s self has to be taught. Resources www. apa. org/helpcenter/sexual-orientation. aspx Lalumiere, M,. Blanchard, R,. Zucker, K,. (2000) Sexual orientation and handedness in men and women: A meta-analysis. Psychological Bulletin. 126. 575-592. Collins W. A. , Maccoby, E. E. , Steinberg, L. , Hetherington, M. E. , Bornstein, M. H. (2000). The case for na ture and nurture. Am. Psychol. 55:218-232. Gender Identity Gender Identity Kenneth Williams Psy 340 4/1/2013 Raymond Bragg Sex may be biological and although we may be born male or female, culturally that is not only what defines our gender roles, agree or disagree, there are many cultural influences that affect today’s gender roles. We are at a point culturally were traditional definitions are often a moot point, in my home and the homes of my children traditional roles are followed, but in many homes today that is not the case, cultural influences have often taken over for traditional values what may have been the standard once is no longer.Include the roles of biological factors, nature and environmental influences, nurture on sexual differentiation and gender identity. Nature is responsible for the growth of a person from the sperm and egg level until the natural development into a normal adult. The genetic makeup of a human being is responsible for their sex, skin color, color of their eyes and hair as well as distinguishing feat ures which are inherited from their parents. Nature can only assist in the growth of a fetus into a normal well-developed adult who may have inherited some special talents.Thus it can be concluded that nature uses the genetic coding to help in physical development and does impart some positive or negative traits to an individual’s natural development. However, it is nurture which can be used to improve he positive traits and diminish the negative traits in a child. It is indeed important to recognize that nature in the form of inherited traits does exist but a person’s overall behavior is influenced a great deal by the nurture or â€Å"upbringing† and the environmental factors involved in this upbringing. Several recent studies carried out on infant and child behavior have shown that there is significant evidence to support the fact that nurture strongly influences human development especially in the early years† (Collins 2000). In traditional society most parents encourage their kids to take part in extracurricular activities like learning music, dance or sports in accordance with the child’s talents and interests. The talents have been given by nature but they can only be developed into skills through the hard work of nurture.Based on your evaluation, determine which has the greater influence on gender identity: nature or nurture. Undoubtedly, nurture plays a very big role in early human development. Nurture in some way or another aids in speeding up an individual's capacity to study and learn new things. There is the common saying that â€Å"practice makes perfect,† so an individual can improve knowledge by practicing to adapt to all the situations in these circumstances or environment (Sports or academia). The part which nurture plays in human development has been demonstrated by psychologists in experiments in which stepping practice was administered to a cohort of inference for just a few minutes many times in a d ay. It was later that these children were able to walk several days earlier than infants who had not been given stepping practice† (Zucker2000). Influence has its effect on any outcome. Discuss the current arguments about sexual identity and how evidence from biopsychology may help resolve the argument.It is obvious that nature is responsible for producing healthy and well-developed babies, but it is also nurture that plays an important role in the early stages of human development also. †Research has concluded beyond doubt that early human development is quicker and more focused due to nurture as it builds up on the talents provided by nature. Nature may be responsible for the normal development of the fetus into a normal and healthy infant, but it cannot entirely develop that fetus into an intelligent, knowledgeable or athletic adult. (Collins 2000) This is possible only through the exposure and influence that nurture gives a person. Therefore, it would be a true state ment to say that nature has some degree of influence, nurture also strongly influences early and further human development. To determine where the greater influence comes from is based on one’s own morals, beliefs and own personal influences. The argument on wheatear someone is born gay or influenced is an argument that has been going on for ages and will continue, is it nature or nurture?Are great athletes born or made, there has to be genetic influence, but, that natural ability has to be nurtured, the same argument can be made for something as meaningless as being a model, they may be born beautiful but, the care of one’s self has to be taught. Resources www. apa. org/helpcenter/sexual-orientation. aspx Lalumiere, M,. Blanchard, R,. Zucker, K,. (2000) Sexual orientation and handedness in men and women: A meta-analysis. Psychological Bulletin. 126. 575-592. Collins W. A. , Maccoby, E. E. , Steinberg, L. , Hetherington, M. E. , Bornstein, M. H. (2000). The case for na ture and nurture. Am. Psychol. 55:218-232.

Music: a Magicful Medicine

Music:A Magicful Medicine Fine arts always have been a good way to express oneself for thousand years. One of them is a magical and a powerful way to affect people,both negatively and positively. Music is not just a way to fun or just an art. Almost everyone loves it,some of them say that they can not live without it. However,above all,music is able to do many things. There are a lot of ways that music effects people. As it was mentioned above, music has both negative and possitive effects on us. But these effects are usually possitive.First of all, and it is the most interesting affect maybe, it can cure diseases. Of course it can not be as effective as pills but it really helps during the cure. Due to the fact that music has an enormous affect on humain brain, it helps Alzheimers mostly and it is used as a rehabilitation. It reduces the worst effect of the disease: it brings back the lost memories. Until today, a lot of patients made a good progress by listening to music. In additi on, music also repairs patients’ brains damage, like ‘Kenny Roger Effect’. It is a vacation that shows how music can repair a human brain. Because songs by country performer Rogers were among the stroke patients’ preferred tunes,we were thinking of calling this the Kenny Rogers Effect. ’ was said in an interview by Dr Soto. And interestingly, Rogers’ songs also provided the greatest benefits, according to some study findings. Another disease which music can be used as a cure is cancer, maybe the most dangerous one ever. Just like in Alzheimer, there are a lot of good examples which can prove music’s effects on cancer. Firstly, it reduces stress and makes people feel more cheerful.We all know that what kind of songs we listen to can change our mood easily, we can suddenly start crying or feeling better just by listening to music. During the cancer rehabilitation, patients’ moods, feelings and thoughts are very important. Music ca n raise patients’ spirit and help them to feel better and less stressful. On the other hand, music is a very good way to learn and understand easily. Because of that, it can be applied education, especially in childhood. Music helps children during their education life. It is a really effective way to make a good progress in education.According to the last researches, children who play a musical instrument are more succesful in their school life than the others. The reason is simple: Playing an instrument makes a lot of parts of your brain work at the same time which is a very beneficial thing,especially for children. By the same token, children who interest in music are also more succesful than the others. There are two benefits of music for children. First, it helps them to understand easily. Today, people goes courses to understand and concentrate quickly. Because by just listening a song (a special song of course) you can do this.Classic music for example is a good altern ative. Listening a song from Beethoven can make your brain waves decelerate and this is one of the ways to improve your brain’s capasity. Another good effect of music is that it can improve intelligence. We all have seen a Mozart cd for babies or children at least for once. It is because there are so many examples of listening classic music can improve babies intelligence especially during the pregnancy. The works of Mozart and Beethoven are famous for mental function, because the frequencies used are very specific and place the mind in highly distinctive states.Studies have repeatedly shown that babies IQ rises by 3-5 points. Classic music also can make the memory stronger –not for just babies for everyone- and a strong memory is a good proof of an intelligence. To sum up, listening to music is just a free-time activity for a lot of people but in fact it is like a magical medicine for us. It has unbelievable effects on our body and brain and today these effects are be ing used as cures for cancer and Alzheimer. In other words, music is like a gift for people. Birnur Sahin Section:22 28/12/12

Nurse Practice Act Essay Example | Topics and Well Written Essays - 1000 words

Nurse Practice Act - Essay Example This means all hospitals should have a staffing plan that provides adequate, appropriate and quality delivery of health care services and protects patient safety; and is consistent with the requirements of this title. The bill explains nurse-to-patient ratio in various settings. Like, in trauma emergency care unites, this equates to one nurse with one patient; in operating room units, it is one nurse to one patient along with an additional scrub assistant; in critical care units, it is 2 patients to one nurse; 3 patients to one nurse in emergency room units and so on. From the Nursing Practice Act perspective, this allocation should be regarded as highly critical for nurses because a nurse who leaves an inadequately staffed unit could be charged with client abandonment (White, 2000, 92). In addition, the bill also specifically describes certain restrictions and prohibitions to the staffing function. Hospitals are required to maintain and display uniform notice to evince registered nurse-to-patient ratios in each unit. In case of failure to do so, or found incoherent with reality, the hospital as well as nurses can be charged with responsible for dangers and/or damages. In case of inadequate staffing or absence of nurses, it could result in substandard care and be charged with legal complications. Staffing that does not comply with requirements in critical care unit and pediatric units could be at high risk of attracting physical damage to patients and child abuse, respectively, which may render dangerous legal consequences to the hospital as well as nurses. In spite of this bill, and its related consequences on the Nursing Practice Act, hospital nurse staffing still does not really seem to be adequate, looking at huge number of vacant positions in the nursing field. The bill requires the state board to assist hospitals in implementing this bill