Practical Barriers to Healthcare Provisions in New Zealand

Practical Barriers to Healthcare Provisions in New Zealand 5. Write a comparative analysis about the practical barriers that exist in the healthcare provisions in New Zealand and in those of one overseas country of your choice through using the following determinants: a. Safety issue New Zealand According to the organization of GNS Science, as faults lines are running under New Zealand, more than 15,000 earthquakes happened per annum. Therefore, New Zealand is threatened by the risk of several magnitude 6 earthquakes once a year, which might cause a lot of damages to inhabited areas. J.K. Mclntosh et al (2012), reported the 22nd February 2011, Mw 6.3 Christchurch earthquake in New Zealand caused major damage to not only infrastructures, but also to the healthcare system of Canterbury region. It is often said that big natural disasters will bring confusions and disorganizes to healthcare system, for example, damaging to facilities, shutting down of lifeline, running of medicine, shortage of human power, and increasing of patients, consequently, it is one of the major safety issue in New Zealand. India According to the website of Indian Journal of Occupational Environmental Medicine, the lack of amenities, in particular, sanitation is a major public health issue in India. Inadequate sanitation system causes public health issue, for example, diarrhoeas and respiratory infections. Additionally, a person whose immune system is weak is easily to be infected by these diseases, and areas where are not urbanised are more lacking of infrastructures. Generally, once they are in sick, they tend to be in critical conditions, and take long time to be recovered. In India, some inhabitants suffer from unavoidable disease, because of lacking of sanitary conditions. b. Geographical barriers New Zealand In New Zealand, some regions, such as the Far North District and Southland District, a variety numbers of inhabitants need more than 30 minutes to visit GP. Therefore, it is possible to say that some remote rural areas have a difficulty to access to GP due to geographical isolation. This barrier is revealed to The New Zealand Health Survey, which is conducted by the Ministry of Health in 2011/12. According to this survey, 3.4% of New Zealanders did not visit GP, because of lacking of transportation, consequently, the distance to GP prevents from visiting GP. Furthermore, some people would visit GP after symptoms and the stage of illness become worse, and as a result, some of them might not be received effective treatments. India Looking at geographical feature of India, the safety of India is threatened by new clear weapons, which Pakistan and China posse, and to make the matter worse, the relationship between India and Pakistan is intense. Moreover, India has 19 nuclear plants, so it obtains a highly risk of nuclear power both inside and outside of country. Therefore, if there will be an explosion of nuclear weapons at outside of country or some damages to nuclear plats will occur accidentally in India, the land will be contaminated. Furthermore, not only inhabitants, but also healthcare providers will be exposed to radiation. When these situations will happen in the future, hospitals will be the frontline of treatment, and it will affect huge impact to provision of healthcare in India. c. Cultural barriers New Zealand According to the website of Ministry of Social Development, the ethnic diversity of New Zealand’s population will continue to increase, and, in particular Asian population is projected to have the largest growth, averaging 3.4 %, annually. Therefore, the number of people whose first language is not English is increasing in New Zealand. For non-English speakers, language is the biggest barrier to communicate when they have medical treatment. For international patients, it is difficult to tell details of symptoms and to use medical terminologies when they need to talk to healthcare providers. Therefore, for both patients and healthcare providers, language is the biggest barrier to receive effective treatments. India In India, people, particularly living in rural areas generally have their own beliefs and practices pertaining health, and some tribe groups still believe that disease comes from violation of taboos and breach of spirits. Furthermore, some of them follow treatment, which has no evidence and inherited mouth by mouth. Therefore, it might have difficulty to intervene for healthcare providers if people strongly follow their own thoughts and beliefs. d. Socioeconomic barriers New Zealand The New Zealand Health Survey, which is conducted by the Ministry of Health in 2011/12 revealed that 14% of New Zealanders did not use GP service, although they had medical issues. In addition, 7% of adults did not used after-hour services, and 8% of adult did not collect prescription items. The main reason of this is especially for people from low socioeconomic group, it is difficult to afford medical cost. However, medicines are subsidized for people only need to pay relatively small amount for each prescription. Moreover, to compare to the percentage of above percentages between Maori and non-Maori, Maori registered highly percentages in each category. The root of this result is because of lower income and highly unemployment rate of Maori compared with other ethnic groups, and it becomes obstacles of visiting GP and collecting necessary medicines. To sum up, financial issue is the biggest barrier for people who are necessary to visit hospital and to take medicines. India In India, there is a huge gap of the number of medical facilities between urban areas and rural areas. Aust. J. (2002) indicated that 69% of hospitals are located in urban areas, however, the population of rural areas are three times than that of urban areas, and in urban are the majority of inhabitants are people from low socioeconomic groups. Aust. J (2012) insisted that ‘the basic nature of rural health problems is attributed also to lack of health knowledge and awareness, poor maternal and child health services and occupational hazards.’ Additionally, the rural area, their living and working conditions are abysmal, so that they are relatively straightforward to become victims of pandemics of diseases. To make the matter worse, even if they become a sick, they are not able to afford medical cost. In India, the socioeconomic gap is the big barrier, which exists in healthcare practice, and some causes of death are preventable. e. Organizational barriers New Zealand In New Zealand, ambulance service is mainly operated by St John, which is not fully funded by the government. According to the article of The Press (2014), ‘St John is being forced to reshuffle its limited ambulance resources in an attempt to shoulder ballooning demand and multimillion-dollar funding shortfalls.’ The background of this issue is that New Zealand is an aging society, therefore, a lot of elderly people have conical illnesses, and, then, demands of ambulance has been increasing. However, St John is a charity organisation, their funds and resources are limited. Therefore, it might cause the slower response to arrival time of an ambulance, in particular, rural areas. It is often said that in case of emergency, how quickly patients are received medical services is vital to be rescued, so, slow response affects directly to city dwellers’ lives. India Dr. Mohammad Akram (2013) mentioned the situation of sanitation in India at the conference of Sociology of Sanitation National Conference. According to him, 55% of population has no access to toilet in India, and most of them are living in slums and rural areas. In many developed countries, the sanitation is the first priority that the authority organized. However, in India, the interest of public health system was weaker than to be grown up economically, and the policy makers of government were not attracted by sanitation. The government has a power to make policies but if members of the government are not aware of importance of it, it becomes obstruct to improve the satiation and condition. (1254 words) References: Website: GNS Science. (n.d.). Earthquakes and Faults. Retrieved from http://www.gns.cri.nz/Home/Learning/Science-Topics/Earthquakes/Earthquakes-and-Faults Map of India. (n.d.) New Clear Plants in India. Retrieved from http://www.mapsofindia.com/maps/india/nuclearpowerplants.htm Ministry of Social Development. (2010). Ethnic composition of the population. Retrieved fromhttp://www.socialreport.msd.govt.nz/people/ethnic-composition-population.html Sociology of Sanitation National Conference. (2013). Sanitation, Health and Development Deficit in India: A Sociological Perspective. http://www.sociologyofsanitation.com/honble-guests/sessionspeakers/sanitation-health-and-development-deficit-in-india-a-sociological-perspective/ The Press. (2014). Ambulance service short of millions. http://www.stuff.co.nz/the-press/news/9627350/Ambulance-service-short-of-millions Books: Aust. J. (2002). Current Health Scenario in Rural India. http://www.sas.upenn.edu/~dludden/WaterborneDisease3.pdf Ganesh,S. K, Sitanshu Sekhar.K,andAnimesh.J. (2011). Health and environmental sanitation in India: Issue of prioritising control strategies. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299104/ Health and environmental sanitation in India: Issues for prioritizing control strategies Health and environmental sanitation in India: Issues for prioritizing control strategies Health and environmental sanitation in India: Issues for prioritizing control strategies Health and environmental sanitation in India: Issues for prioritizing control strategies J.K. McIntosh, C. Jacques, J. Mitrani-Reiser, T.D. Kirsch, S. Giovinazz, and T.M. Wilson. (2012). The Impact of the 22nd February 2011 Earthquake on Christchurch Hospital. Christchurch, New Zealand: University of Canterbury Ministry of Health. (2012). The Health of New Zealand Adults 2011/12: Key findings of the New Zealand Health Survey. Wellington, New Zealand Ministry of Health Lars Brabyn, Ross Barnett. (2004). THE NEW ZEALAND MEDICAL JOURNAL Vol 117 No 1199 ISSN 1175 8716. http://researchcommons.waikato.ac.nz/bitstream/handle/10289/2019/Brabyn%20population%20need.pdf?sequence=1 Pakistan Institute of Legislative Development and Transparency. (2003). Pakistan India relationships. http://www.millat.com/democracy/Foreign%20Policy/brief3eng.pdf

The Development Of Ancient Systems Of Writing In Iraq And Egypt :: essays research papers

The Development of Ancient Systems of Writing in Iraq and Egypt Ancient systems of writing in the Middle East arose when people needed a method for remembering important information. In both Ancient Iraq and Ancient Egypt each of the stages of writing, from pictograms to ideograms to phonetograms, evolved as a response to the need to express more complex ideas. Satisfaction of this need gave us the two most famous forms of ancient writing, cuneiform from ancient Iraq, and hieroglyphics from ancient Egypt. Both of these forms of writing evolved and their use spread to other peoples even after the originators of the scripts had passed on. Some of the oldest writing found in the Middle East dates from 8000 to 3000 B.C. This corresponds to the approximate time period that the people of the region went from living a nomadic life to settlement in villages and trading among themselves. When trading large or varying types of commodities you need a method for recording. To meet this need developed a token system for the recording of financial data. These tokens were of varying shapes for various things, two to three centimetres in size, and used for enumeration and keeping track of goods and labour. These tokens eventually had to be stored so they wouldn't be misplaced or lost. To secure them, they were placed in opaque clay envelopes. To indicate what was inside the envelope markings were made on it, eventually someone realized that all you had to do was mark on the clay what was in the envelope and you discard the tokens altogether. With this major development we get the first writing on clay tablets. In Ancient Mesopotamia the most readily available material for writing on was clay. When writing on clay first arose, the scribe would try to make an artistic representation of what he was referring to. This is a logical first step in writing as if you wanted to record that you had three sheep, you would draw a picture of a sheep and then add to the picture some marking to indicate that you had three of them. Thus the earliest stage in writing arose, pictograms. Pictograms, although not really writing in the modern sense of the term, do represent a method of communicating an event or message. They also "led to true writing through a process of selection and organization." As people wanted to write more down and in a faster method, the pictograms lost their artistic look and took on a more "stylised representation of an object by making a few marks in the clay . . . ." The writing was eventually written in "horizontal lines

Hourly Rounding: Does It Really Make a Difference Essay

Hourly rounding is something that has been around for a while. One of the first things we learned in nursing school was that you should check on your patient every hour or every 2 hours (depending on nursing aid assistance). I started my research by looking at what hourly rounding entails. From there I found the majority of articles that think hourly rounding really does affect patient care and only a few opinion articles that think the opposite. Develop a focused question Since there were so many articles on hourly rounding, picking through them to find ones that related to the direction I was going with my research was really difficult. The main question that came into my head when thinking about hourly rounding was, does it really make a difference in patient care or just patient satisfaction? Hourly rounding is used for an assortment of reasons. Anticipating patient’s needs before they have to ring the call bell, along with patient safety are key reasons for hourly rounding. The majority of the articles I found focused on patient satisfaction. Although patient satisfaction is a huge deal, the direction I wanted to go was more with patient safety. Initial and related terms I started out my search by using phrases like â€Å"patient hourly round significance†, â€Å"why is hourly rounding important for patients†, and â€Å"how does hourly rounding affect patients†. This didn’t get me very many articles, so I tried a different approach. I broadened my search by just writing in â€Å"nursing hourly rounds† and â€Å"nursing rounds† and this got me a lot of articles on hourly rounding. Evaluation of articles I found after reading my four articles, the critiquing using the Johns Hopkins form was pretty difficult. To me the forms are confusing because I don’t have a lot of experience using them or doing much research. All four articles that I chose to use had adequate information to help me come to a conclusion for the question I formulated. All four articles supported at least one finding from the other articles. This helped me conclude that the research done was adequate information that could be used to evaluate the ore focus of my questions. The studies that were done or talked about in the articles were easy to pick out and straightforward. Identification of outcome Based on my research I learned that hourly rounding during the hours of 0600-2200 and 2-hour rounding from 2200-0600 is effective in providing patient safety, anticipating patients needs, decreasing the amount of call bell rings and increasing patient satisfaction. All of the articles had similar studies done to provide these conclusions. The article that I found most helpful was Hourly Rounding: A Replication Study by Todd Olrich, Melanie Kalman and Cindy Nigolian. This article clearly stated the three studies that were done and their results. All the articles though had similar results, which is how I came to the conclusion that hourly rounding during the day and 2-hour rounding during the night is effective. â€Å"Results indicated both hourly and every 2-hour rounding decreased call-light usage and increased patient satisfaction. Patient satisfaction increased significantly on the units from 79. 9 to 91. using a 100-point scale, patient call-light usage decreased significantly, and falls decreased only when rounding was done hourly† (Olrich, Kalman, Nigolian 2012). All but one of the articles talked about doing a base-line measurement first to see how often the call bells rang, how often patient’s fell and how satisfied they were with the care they were getting. The base-line measurement studies went on from 4-8 weeks before the actual studies began. This is a great way in my view to get an overall look at what happened before the hourly rounding was implemented and what happened after. In one of the articles I chose, nurses had a hard time following the hourly rounding format. â€Å"Registered nurses and TPs from both study units overwhelmingly viewed hourly rounding as more work instead of a proactive process that might have benefits for them and their patients. However, some staff members did feel that hourly rounding was a good idea but difficult to accomplish because of competing priorities and tasks† (Deitrich, Baker, Paxton, Flores, Swavely 2011). This is the only article I found that the nurses had a hard time following the hourly rounding protocol. All of my articles that I chose besides one were research articles. The only one that wasn’t was more of a review of other people’s work that had been done. Even though this article was only a review and only talked about the results that were found and not the actual studies that were done, the information was very relevant to my question and easy to understand. â€Å"In 5 of 6 studies (83%) that examined use of call lights, the use was reduced. Fall rates were reduced in 7 of 9 studies (77%) in which falls were evaluated. In 8 of 9 studies (88%), researchers discovered improvements in overall patient satisfaction and likelihood of recommending the hospital, as well as satisfaction with anticipation and attention to personal needs, timeliness of nurses’ response, and management of pain† (Halm 2009). All four articles stated what the nurses and nurse’s aids did during hourly rounding and they were all very similar. Two articles said they attended to the â€Å"4 P’s†: pain, positioning, potty (elimination) and proximity of personal items. The other two articles had similar actions during hourly rounding. Overall, the main actions done were: pain assessment, toileting, patient positioning and comfort, environmental check (call light, telephone, TV remote, water, tissue box within reach, bedside table close to bed, and floor free from clutter), and the last thing they all did was ask the patient if there was anything else they could do for them before they left the room and told the patient the next rounding would be in an hour. After doing all of these things, patients overall were more satisfied with the care they got, falls were recorded less because patients weren’t trying to get up on their own, and call bells were going off less. Learning that occurred While doing this research project I learned that patient rounding is significant in increasing patient safety, satisfaction and decreases call bell use. Before this project I had an idea of why nurses checked on patients hourly, but these articles helped me better understand what really needs to me done on these checks besides toileting. I also learned more about how to research a topic. I had a difficult time narrowing down my search but finally got the hang of it by going to the library for a little extra assistance. By being forced to use the Johns Hopkins forms, I learned more about filling them out. Although they are still a little confusing to me, this project helped me understand them more. Conclusion My conclusion from all of this research is that hourly rounding is necessary to help keeps patients happy, healthy and safe.  As a first year nursing student, a lot of the things we do in nursing are foreign to me and I’m constantly asking myself why nurses do things the way they do. This project helped me to pick one of those questions that I ask myself and really start to understand why. I really think this project helped to better my nursing career. Now that I fully understand hourly rounding, it will also help me to tend to my patients needs more.

Essay On India In World War 1 - 1335 Words

India has played a major part in World War One in the aiding of Great Britain in the war to end all wars. India saw World War One as an opportunity to gain their own self-government and also be able to give Britain more firepower due to India’s great amount of soldiers. Throughout the course of the war, many countries were beginning to see how much of a contributor India really was. I total of 1.5 million Indian soldiers or volunteers served under the name of Great Britain. This amount of soldiers and contribution gave the people a reason to believe that they will be able to get their own self-government and freedoms from Britain. However, this does not come to be true and their social status with Britain dramatically decreased. Edwin†¦show more content†¦This might sound good in some cases for India; however, Britain’s main enemy, Germany, were in the works of creating an Anti-British movement that would be able to throw off the British government. Critic and author William Archer explains how this attempt to create rebellion within would make the nation of India â€Å"burst into a blaze of rebellion† and ultimately draw India completely against Britain. A key factor for Indian economic growth was the ability to trade with other countries. Throughout WW1, India was a flourishing empire in business and economics, and were able to bring in mass quantities of goods to support their country. However, due to their increased support and spending towards Britain, they began coming into more competition with Britain based goods. Before the war, India’s sole trading partners consisted of those in the Central Powers and they were able to obtain a surplus of 6.2 million dollars, but by the next year, they were in debt of almost 14 million dollars, which completely broke their economy down. Selling and making goods for trade also decreased and made millions out of work. 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