Sunday, March 8, 2020
Proposal of Student Jnformation System Essays
Proposal of Student Jnformation System Essays Proposal of Student Jnformation System Essay Proposal of Student Jnformation System Essay CHAPTER 1 INTRODUCTION Proposed Research Topic: Shortcoming of IFM Student Management System Meaning of Student information system Student information system is a software application for education establishments to manage student data. Also known as student information management system(SIMS),student record system(SRS), student management system(SMS). Objective of proposal: IFMââ¬â¢s students claim that student management system is very inconvenient to them as the end users of the system during day to day operations. Due to this fact, we will concentrate on enhancing the system functionalities that have proved to have weakness such as to enable the system to calculate GPA at the end of each semester and make the system reliable and available for student to view their results and fee payment. Background: The background of student information system starts from manual management of information like the result to be provided to the notes board where as the area of student to access the result. This were difficult for the student to access the information due to increase number of student, and the system were moved to computerized that start with SARIS and now SIS but there are a sort of problem. Not only student but also management increased their performance due to shifting from manual operations to computerized operations. Therefore, this project shall be conducted in team work by four members in the IFM (The Institute Of Finance Management)premises which I located at city center opposite to national Museum. The first member is a team leader and he is specialized in projects management, the second member is specialized in research and data analysis, the rest two members are specialized in system development and maintenance process. Shortcoming of Student Management System IFM student management system has proved to have a several problems (shortcoming) regarding to the user who are students. The system seems to be very inconvenient to the users as it is viewed from its different functionalities as demonstrated below: Lack of relevance information Lack of relevance information such as in the module section, because it contains non-relevant subject for example for Bsc. IT module, Audit has been indicated as one of the subject to be selected during second year study where as it not part of subject to be selected or studied by IT student so it lead to confusion and inconvenience during selection of module. It also has poor organization of necessary information, module should be divided based on semester and not year. It should enable user to see the overview/content of each subject for example in case ofâ⬠IS projectâ⬠it should shoe the content of this subject so as student should get a picture of what is going to cover regarding to the subject, this will enable student to be aware when selecting an option subject. In case of GPA The system should calculate the studentsââ¬â¢ GPA at the end of each semester. This shall make student aware of his academic performance so helping him/her to make strategic plan on how to improve his/her performance and enhance seriousness of the student System reliability The system is not reliable because when maintenance or updating information in one of its functionality negatively affect the other functionality for example during uploading of result, student may not even be able to access other functions such as fee payment, home as well as student profile despite the fact that only function that deal with result is maintained. Instead message that says â⬠system is undergoing maintenanceâ⬠appear and no any function can be accessed. Poor interface System interface should not require user to scroll down or up so as to access some information instead all information should be arranged in a manner that all features appear to fit to the screen width and height. In results and payment link Information are not integrity, this problem show that the data can be changed at any time when the system used or accessed, for example on result you can look the result on this time are not the same when you will check again it can be good result or bad result but that does not matter, it needed to get expected result. Also in payment link you can check the payment status on this time you are not debt but any time the status will show you are debt. In the student profile link The update of information to the student profile are not reliable, for example the timetable it can be better when a particular student check the timetable in his/her profile to avoid disturbance or any information are needed to be uploaded in student profile to show the accuracy of student to get new or particular information. Also there is problem when you editing information in your profile are not accuracy because you can edit and the system are not respond to make changes or sometime the changes are accepted. In the communication link In case of communication link there is no feedback/notification which can make you to know you request are sent or fail. For example you can send the email to the lecture, when you send the email have no notification which show you the email now is sent and there is no feedback from the lecturer to you, from example to tell you your request is on processed wait for a hour or a day. CHAPTER 2 LITERATURE REVIEW Literature review refers to the survey of important articles, books and other sources pertaining to your research topic. This review of the professional literature relevant to your research question will help to contextualize, or frame, your research. It will also give readers the necessary background to understand your research (Joffrey hoffer ). According to Student Management System of IFM we reviewed the whole system, the system tried to accomplish some of the need of the students and management but other task where not ell introduced. The system should be integrate means that the accuracy and consistency of stored data, indicated by any absence of any alteration in data between two updates of data record (joffrey Hoffer). now the student management system of IFM not integrated due to the reason that the available information are not consistent. User friendly refers as application, equipment, facility, process, or system that is compatible with its int ended userââ¬â¢s ability to use it easily and successfully (Balasubramanian,D 2001). According to IFM student management the system failed to maintain user friendly because there is a lot of scrolling in order for the user to see the other information which can reduce user intention. Feedback refers as the process in which the effect or output of an action is ââ¬Ëreturnedââ¬â¢ (fed-back) to modify the next action. Feedback is essential to the working and survival of all regulatory mechanisms found living and non-living nature, and in man-made system such as education system (www. businessdictionary. com). In case of IFM student management system, the system does not provide any information when the student provides the communication to the management. CHAPTER 3 METHODOLOGY According to the problem or shortcoming demonstrated above, there are various ways that can be followed to investigate the real solution to the above problems but for this case ââ¬Å"Rapid Application Developmentâ⬠and Conduct a literature review are the best methodologies to be used to accomplish the proposed project due to the following reasons * Methodologies radically decrease design and implementation time. Close collaboration between users, analysts and managers. System Development Methodology is a standard process followed in an organization to conduct all the steps necessary to analyze, design, implement, and maintain information systems. We suggest using Rapid Application Development (RAD) Methodology RAD is a software development methodology, which involves iterative development and the construction of prototypes. It involves extensive user involvement, prototyping, JAD sessions, integrated CASE tools, and code generators. Joint Application Design (JAD) is structured process involving users, analysts, and managers. Several-day intensive workgroup sessions. It uses customer involvement and group dynamics to accurately depict the users view of the business need and to jointly develop a solution. REFERENCES * Modern system analysis and design sixth edition by Jeffrey A. Hoffer, Joey F. George, Joseph S. Valacich. * www. businessdictionary. com * IFM Student Management System * Computer installation and servicing Balasubramanian,D 2001
Friday, February 21, 2020
Musculoskeletal and neurological diseases and healing in Veterinary Essay
Musculoskeletal and neurological diseases and healing in Veterinary Physiotherapy - Essay Example In addition, they include diseases such as encephalopathy, myelopathy and neuropathy. The techniques used to diagnose neurological diseases include laboratory test screening, radiography and electromyography, which research indicates can be used to confirm the location of a spinal pathology produced by tumours. The canine Wobbler syndrome is a neurological syndrome, which has different names depending on the variance in the neurological dysfunction. The syndrome is caused by abnormalities in the caudal cervical vertebrae and affects dogs. Even after a long period of research about the syndrome, there has been no medical or surgical regime, which was deemed appropriate for all the dogs affected with the syndrome. This neurological dysfunction is due to spinal cord compression from various malformations and this result to the deformity of the vertebral canal. This syndrome is caused by over nutrition because one of its symptoms is rapid growth. In the treatment of this disease, rationa l, medical, surgical and medical therapies have evolved from the recent studies of this syndrome. Musculoskeletal disease is a degenerative disease that brings inflammatory conditions causing pain and impairment of normal activities. Musculoskeletal disease affects different parts of the body, including the neck, shoulders, arms, feet, legs and the upper and lower back. The disease is caused by awkward sitting postures and doing repetitive straining activities. Musculoskeletal diseases involve soft tissues and therefore there are no visible signs of injury to the animals who have these conditions. The prevention of this condition is controlled from the places where the animals do high rates of strains activities and itââ¬â¢s in the same place where the animals are exposed to unsafe conditions. The animals subject to those risks are identified and the correct physical and psychosocial control measures taken. The control measures include
Wednesday, February 5, 2020
Helping Company Strategy to Help Your Career'The Perspective Of Middle Essay
Helping Company Strategy to Help Your Career'The Perspective Of Middle Level Managers - Essay Example Furthermore, they must work hand in hand with the senior managers to facilitate change and organizational learning. (b). How can middle level managers relate their departments/units' "strategies" or directions to the company (business line) level strategies so they can successfully manage their departments/units and their personal careers' Middle level managers must believe in their organizations and they must ensure that the strategies of their departments are aligned with the company's vision and the overall mission of the organization. Middle level managers would only succeed if their strategies are helpful in the short run as well as in the long run. They can successfully manage their departments and their personal careers when they would give utmost importance to their specified units and that how they can succeed in their careers and in their departments too. Moreover, middle level managers must believe that strategies are not just to satisfy regulatory requirements but they must be implemented in order to achieve the overall objectives of the organization. Middle level managers usually attain titles like General Manager, Plant Manager, and regional Manager etc. They can influence and shape the overall strategies of the company in a number of ways. They can depict entrepreneurial behavior and can successfully achieve corporate entrepreneurship in the organization. Their charismatic attitude can change the company's business line strategies and influence the overall business model of the company. Their personal careers can experience a boost when the organizational strategies are experiencing a positive phase and that's due to middle level managers. By effectively shaping the strategies of their departments they can present a positive view in from of the top management. (d). what other effective roles can middle level managers play in the development and execution of their company strategies' Middle level managers can play different roles in the development and execution of the company's strategies. Middle level managers perform the actual implementation work of strategies and they coordinate with low level managers and then develop a strategy and execute it. They are usually known as "change masters" as they modify their strategies for the betterment of their organization (David). Top level managers usually target them and low level managers needs motivation to work therefore they help both of them in the execution of strategy. They must coordinate with the top management and should focus on the core objectives of the organization when developing or executing a strategy. (e). At personal level, how can middle level managers help/support their bosses (i.e.., senior executives) in developing and executing company/business line strategies, thus to help their own (middle level managers') careers' The careers of middle level managers are based on the performance of their organiza
Tuesday, January 28, 2020
Roles and Responsibilities of a Qualified Nurse
Roles and Responsibilities of a Qualified Nurse Professional Role Development The aim of this essay is to explore and discuss important aspects of the roles and responsibilities of the newly qualified nurse. It will look at and abroad discuss on different type of roles and responsibilities including transition. The roles and responsibilities of a qualified nurse include essential professional skills such as leading in care management and care delivery situations as well as maintaining standards of care. The focus of the essay will be discussing in detail two particular roles of the newly qualified nurse (delegation and patient group direction). It will discuss the meaning of these concepts and their importance for nurses and provide some practical contextual examples. It will also discuss the rational of chosen roles A new qualified nurse expected to be competent to work in all environments and situations. This emerging health care system requires a registered nurse workforce at all levels post initial registration capable of critical reflective thinking in order to create this system. Lofmark A (2006) claim that with registration comes a shift in professional accountability together with wider clinical management and teaching responsibilities. On becoming a qualified nurse, the expectations and dynamics of relationships changes fundamentally. Suddenly the newly qualified nurse is the one who must know the answer whether it is a query from a patient, a career, a work colleague or a student. The newly qualified nurse will encounter many challenging situations where she or he must lead care delivery. This includes dealing with care management within the team, dealing with patients/service users, dealing with other professionals and dealing with the required needs of the whole workplace environment. The NMC requires a student nurse to demonstrate professional and ethical practice, be competent in care delivery and care management and show personal and professional development in order to join the register NMC (2010). It is recognized that nurses should be provided with some form of preceptorship and supervision in their role for a period of four months time NMC (2006)) once qualified. Even in this period of preceptorship, there are new expectations and challenges faced by the newly qualified nurse. Mooney (2007) found that newly qualified nurses were faced with assumptions from others that they should know everything. This was also a high expectation they had of themselves. In meeting the NMC standards of proficiency, the nurse should have demonstrated the relevant knowledge and skills in order to practise in their career. However, it is important to recognise that not every nurse knows everything about everything in their career especially if they are practising in highly specialized fields. What they need is to be able to develop and adapt to changing situations. Therefore, for the nurse it is impossible to know everything but they should have developed the skills to find out relevant information, reflect on it, and apply this to their practice. In essence they should have learnt how to learn. There is a great deal to be learnt once qualified especially related to a nurses new area of work and a good deal of the development needs to take place on the job Lofmark A (2006). The study by Jackson. K (2005) suggested that a successful transition requires the nurse to develop a self-image relevant to the change in status to be able to do the job and that they meet the expectations with others with appropriate support. Mooney (2007) also points out that the duties faced by most newly qualified nurses were not patient contact centred. There were a lot of duties related to contacting and dealing with other professionals and services. These brought anxieties related to the responsibilities that might be faced as the nurses would become increasingly senior in their roles with others expecting them to provide the actions and the answers in complex situations. This highlights how the experience of nursing of transition from student to newly qualified nurse can be daunting. In the current environment there is an expectation that nurses have a preceptor one qualifying for aid in these transitions but the literature still suggests there is a difficulty in the transit ion process for such professionals. Hole. J, (2009) found that individual accountability, delegating duties without appearing bossy and some challenging clinical situations such as death and dying and specialised technological roles were found to be stressful by qualifying nurses. Issues of the preceptorship of newly qualified nurses become apparent and important in dealing with the transition from supervised student to autonomous practitioner. The approach taken throughout the rest of this essay will be to provide a discussion of the main theories, concepts, and issues related to the roles and responsibilities of delegation and PGD for newly qualified nurses. It will discuss the meaning of these concepts and their importance for nurses, and provide some practical contextual examples. The rational of choosing these two roles are because: Firstly delegation is a huge newly qualified nurses concern. According Hole. J, (2005) newly qualified nurses are not capable to delegate tasks to someone else and they end up overloading themselves. This is because an accountability issue or not knowing the staffs well as they is new to the ward. Secondly, it is a legal requirement that newly qualified nurses need to have knowledge of PGDs in order to work within legal and ethical frameworks that underpin safe and effective medicines management NMC (2010). For this reason, I personally was interested and picked them to discuss in order to develop my understanding and prepare me to successfully make the transition from student nurse to a registered professional. Delegation is a major function of an effective manager of patient care and is an essential skill when directing the activities of others at all levels in an organization. It is the means by which an individual is able to accomplish needed tasks with and through others. Although the delegator remains accountable for the task, the delegate is also accountable to the delegator for the responsibilities assumed. Delegation can help others to develop or enhance their skills, promotes teamwork and improves productivity Sollivan.E.J et al (2009). Therefore, delegation is the area where newly qualified staff experience huge difficulties. Often they do not feel confident enough to ask someone else to do something for them. Consequently, they try to do all of the work themselves and end up leaving late or providing less than adequate standards of care. Other members of staff will not mind if they delegate tasks to them as long as they apply the basic rules such as ensuring that it is something they are competent to do. When delegating, the delegator remain responsible for that care if he/she do not delegate appropriately as stated by NMC (2008). It is also important that the delegator explained clearly what it is he/she want them to do and why because he/she might genuinely busy or is it just something that he/she does not want to do. Hole.J, (2005) point out that as long as he/she asks the other member of staff in a courteous manner and stick to the rules, there will be few problems. However, there may always be someone who has the potential to react in a negative way to his/her request. These people are often known for this type of behaviour and it should be dealt with swiftly by the manager. This type of reaction experience should be discussed with the member of staff or if he/she not feels confident enough to do this, he/she should talk to the manager. As mention above this will be a difficult skill for a newly qualified nurse especially at first. They will need to get to know the other staff before they will feel truly comfortable delegating to others in the team. They may feel guilty about asking others to do tasks which they feel that they should be doing themselves. What they need to realise is that they cannot possibly do everything themselves and that they will need to work as a team in order to deliver good patient care. The new qualified nurses may well feel that they cannot ask others especially HCAs who have worked on the ward for years to do things for them. The nurse will probably feel self-conscious and embarrassed. The answer is that it is not what the nurse asks them to do that are important. It is how he/she asks them. Good communication is the key to successful delegation. The nurse should take a few minutes to discuss with the HCA/student with whom he/she is working who will be doing what during that shift. Share the workload and be realistic. Therefore the newly qualified nurses must not overload themselves with care they do not really think they can give. The member of staff would rather know what their workload is at the beginning of the shift so that they can organise their time effectively. If the delegator has to ask them to take on extra work during the shift, they will find this difficult Ellis, J.R. and Hartley, C.L, (2005). So the delegator should keep communicating with them during the shift, and if he/she is held up with relatives or an acutely ill patient, he/she should tell them and explain that he/she will try to help them as soon as possible. According to Hole.J, (2005) when the new qualified nurses are delegating, it is important to ensure that this is appropriate as it is their responsibility to ensure that the member of staff to whom they delegate is competent to perform the task. This means that if they delegate a task to a member of staff who is not competent and they perform the task wrongly, they are accountable for the harm caused to the patient. Although the member of staff responsible, they remain accountable. For example, they cannot assume that the HCA/student with whom they are working is competent in the skill of measuring and recording a patients blood pressure. Just because the member of staff has worked on that ward for a period of time, this does not mean that they have been taught correctly. They must assess their competence to perform the task before they allow them to do this independently. They can then justify their delegation of that skill if necessary. A Patient Group Direction (PGD) is a written instruction for the supply and/or administration of a licensed medicine (medicines) in an identified clinical situation signed by a doctor or a dentist and pharmacist. It applies to a group of patients who may not be individually identified before presenting for treatment NPC (2009), page 11. In simple terms, a PGD is the supply and/or administration of a specified medicine or medicines by named authorised health professionals for a group of patients requiring treatment for the condition described in the PGD. Conversely the health professional must be registered. RCN (2004) state that implementing PGDs may be appropriate both in circumstances where groups of patients may not have been previously identified for example, minor injuries and first contact services and in services where assessment and treatment follows a clearly predictable pattern such as immunisation, family planning and so on. Professionals using a PGD must be registered or equivalent members of their profession and act within their appropriate code of professional conduct. This differs from supplementary prescribers and independent prescribers who must also successfully complete specific prescribing training and be appropriately registered before they may prescribe. However, organisations using PGDs must designate an appropriate person within the organisation. For example, a clinical supervisor, line manager or General Practitioner to ensure that only fully competent, qualified and trained healthcare professionals use PGDs. Individual practitioners using a PGD must be named NP C (2009). A Patient Group Direction allows specified registered health care professionals to supply or administer a medicine directly to a patient with an identified clinical condition without him/her necessarily seeing a prescriber. For example, patients may present directly to health care professionals using PGDs in their services without seeing a doctor. Alternatively, the patient may have been referred by a doctor to another service. Whichever way the patient presents, the healthcare professional who works under the PGD is responsible for assessing the patient to ensure that patient fits the criteria set out in the PGD. In general, a PGD is not meant to be a long-term means of managing a patients clinical condition. This is best achieved by a health care professional prescribing for an individual patient on a one-to-one basis NPC (2009). The use of PGDs is widespread throughout the NHS and since April 2003, some non-NHS organisations have been able to use them suggested by NPC (2009). Organisations must ensure that staff responsible for the development / implementation of PGDs and those authorised to work under PGDs have the experience, knowledge and skills necessary to do so. However, different supplementary prescribers, nurse independent prescribers and healthcare professionals using PGDs do not have to become specifically qualified to do so. Alternatively, they must be assessed by their organisations as fully competent, qualified and trained to operate within a PGD. A suitably competent and experienced health care professional who will be working under the PGD should be involved in the writing of the PGD to ensure that the PGD meets the needs of the service. NPC (2009) suggests that there is no specific national training for healthcare professionals producing PGDs. Therefore, the role by RCN (2004) for nurse proposes that the registered nurse must be assessed as competent in medicines administration, must be trained to operate within a PGD and must follow the 6 Rs of medicines administration. Also In order to work under the PGD, register nurses need to be qualified for at least 6 months. They must assess the patients to ensure they fit the criteria as detailed in the PGD as well as ensuring the PGD meets the necessary legal requirements. Importantly, the supplying/dispensing or administration stage cannot delegate to another registered nurse or student nurse. The newly qualified nurses are not expected to be able to operate under a PGD until competent in medicines administration. However, they need to have knowledge of PGDs for their patient safety. For example, if patient under PGD admitted to the ward, the nurse must ensure that the medicines not stopped. The NMC (2010) code of conduct outline that newly qualified nurses to be fully understood all methods of supplying medicines. This includes Medicines Act exemptions, patient group directions (PGDs), clinical management plans and other forms of prescribing. They are expected to demonstrate knowledge and application of the principles required for safe and effective supply and administration via a patient group direction including an understanding of role and accountability. And also demonstrate how to supply and administer via a patient group direction. The newly qualified nurses may be involved with PGDs such as assisting and identifying areas where a PGD would offer more benefits than a PSD, understand the principles and processes of PGDs and be fully conversant with all the principles associated with dispensing and administering medicines they may also be working in a variety of settings where PGDs are used for example prison health care setting, nurse led service, walk in centres In my conclusion, I have learnt the roles and responsibilities of newly qualified nurses and I have developed skills and professional knowledge to work effectively with others. The Patient Group Direction helped me how the laws and policies are set up to ensure safe and effective delivery of care given to service users under a patient group direction. I am now prepared for the challenges I will face on being a newly qualified nurse by providing the knowledge and skills required to become effective and accountable practitioners. Clinical decisions will still have to be made in relation to meeting the needs of the people within my care. However, becoming a qualified nurse brings with its wider responsibilities in making and taking decisions related to the nursing team, other staff, and the work environment as a whole. These changes require a large shift from the experience of being a student and a mentored supervised learner, so it is essential that I am equipped with all the skills re quired to successfully make the transition.
Monday, January 20, 2020
Barry Sanders :: Sports Athletes Essays
Barry Sanders Barry Sanders arguably the best back ever to play the game of football. Barry is not one of those players who is just out there to make money, he loves the game and is always trying his hardest when he is out there. Barry Sanders was born July 16th, 1968 in Wichita, Kansas. He grew up in a family being one of eleven other children. When Barry was a kid he was considered to be too short to play football well at the college level. In fact, his 1,417 yards rushing in his senior year of high school wasn't enough to impress college recruiters. One recruiter told Barry's coach, "We don't need another midget." Only two colleges offered Barry a football scholarship. Barry accepted a scholarship from Oklahoma State University and the rest is now history. Here are some of Barrys career achievements that he has done in the short time he has played the game. Which has made him such the over achiever that he is. 1988, won the Heisman Trophy Award for best player in the nation. 1989, lead the NFC in rushing and was Rookie of the Year. 1992, became the Lions' All-Time leading rusher. 1994, rushed for the fourth best NFL season record of 1,883 yards and included a 237 yards in week 11 vs. Tampa Bay. In 1996, became the first player in NFL history to rush for over 1,000 yards in his first eight seasons, won the NFL rushing title, selected to the Pro Bowl for the eighth time and became the first player to rush for over 1,500 yards in three consecutive seasons. Sanders continues adding to his extraordinary numbers on the field. He has run for 1,300 yards and now stands seventh among the NFLââ¬â¢s all-time rushers with 11,472, having surpassed Ottis Anderson, O.J. Simpson and John Riggins. Heââ¬â¢s 128 yards behind Kansas Cityââ¬â¢s Marcus Allen, Sandersââ¬â¢ boyhoodhero when he was growing up in Wichita, Kan., and Allen was a Los Angeles Raider. Next year, providing he keeps up this trend of 1,000-yard seasons, Sanders will pass Franco Harris (12,120), Jim Brown (12,312) and Tony Dorsett(12,739) and slide into third place behind Eric Dickerson (13,259) and Walter Payton (16,726). Sanders is the first player in league history to rush for at least 1,000 yards in eight straight seasons, and Thursday he was named to his eighth straight Pro Bowl. ââ¬Å"Anytime he touches the ball, itââ¬â¢s a highlight reel,â⬠says Allen, now in his 15th NFL season.
Saturday, January 11, 2020
Research Summary and Ethical Considerations Essay
ââ¬Å"According to statistics presented by the National Interview Survey (2010) there are approximately 7.1 million children in the United States who have asthma.â⬠(U.S. Department of Health and Human Services [USDHHS], Centers for Disease Control and Prevention National Center for Health Statistics [CDCNCHS], 2010). ââ¬Å"Asthma is an inflammatory disease that is characterized by airway obstruction and may cause episodes of wheezing, coughing, and difficulty breathing.â⬠(Walker, 2012). ââ¬Å"Studies have shown that these symptoms are difficult to manage in obese asthmatic children as the medications used to treat asthma are less effective on them due to the added weight. This paper summarizes a quantitative study showing that enhanced physical activity and asthma management education can reduce asthmatic symptoms in children.â⬠(Haines & Kim, 2013). It includes introduction, background, methods, results, ethical considerations and conclusion summary of the study. Introduction ââ¬Å"Children with asthma are at risk for obesity and resultant severity of the disease due to their reluctance towards physical activity. In order to prevent this risk an educational and activity program was developed for elementary schoolchildren with moderate persistent asthma utilizing a quantitative study design. The introduction of this program resulted in significant improvement in lung conditions and reduction of the number of emergency room visits while potentially reducing the risk of obesity later in life.â⬠(Haines & Kim, 2013). Background of Study ââ¬Å"Reports show that seventy five percent of all children in the United States who need emergent care due to their asthma are overweight. Children withà moderate to severe persistent asthma have a higher incidence of also being obese. Obese asthmatics are less responsive to medications used to treat asthma. The reluctance to physical activity is due to the fear of asthma attack with exercise. This leads to obesity and obesity leads to more severe asthma symptoms. In order to break this cycle effective intervention is necessary. The most effective intervention is increased physical activity. Developing and evaluating understanding the mechanisms of asthma control and promoting physical activity in participating asthmatic elementary school-aged children was a pilot program resulting in reduced severity of asthma symptoms which was also the purpose of the study.â⬠(Haines & Kim, 2013). This study is significant for nurses as they take care of children with asthma in clinics a nd hospitals effectively intervening to improve their health. Methods of Study ââ¬Å"A quantitative, non-experimental, longitudinal design was used to evaluate a pilot asthma program with emphasis on physical activity in order to improve asthma control among children with moderate persistent asthma. Asthma symptoms, lung condition, and willingness to participate in physical exercise were compared before and one month after the six week asthma program. As a pilot study, this program was an intervention-only program without a control group. The sample was collected from participants of Breathe LAââ¬â¢s Lung Power program with moderate persistent asthma. Ten children between the ages of seven to twelve years old both males and females who volunteered for the study were selected for a six week asthma program. Barriers to proper asthma management were identified and treated by parental interviews. Introductory and concluding spirometry tests were done to assess the actual improvement in lung volume post program. Physical activity was closely monitored and performed only after sufficient management skills were taught to and reinforced by the participants and parents. Six lessons were prepared and delivered over two hours weekly sessions.â⬠(Haines & Kim, 2013). Results of Study ââ¬Å"Throughout the six week program the participantsââ¬â¢ asthmatic attack rates dropped significantly. Weekly and monthly asthmatic incidences also decreased significantly. Although not statistically significant, emergencyà room visits dropped after the six week program and the participants also engaged in significantly more physical activities in a given week and month compared to pre-program activities. The spirometry test post-program results showed a slight, but significant increase in lung volume.â⬠(Haines & Kim, 2013). The implications of this study to nursing are very significant. Being the caregiver to children with asthma in clinics and hospitals nurses can make a huge difference in their lives by sharing the significant findings of the study and incorporating it in their daily care regimen. Teaching proper symptom management and physical activity to parents and children will significantly improve their health. Ethical Considerations of Study The authors are affiliated with California State University Fullerton and the study was reviewed by editorial board, blind peer, and expert peer. The study sample was a sub-group of pre-existing participants of the Breathe LAââ¬â¢s Lung Power program. In adherence to the code of ethics for the research study patient privacy was protected through the initial program. Only patients who volunteered were included in the study and the program was held in the Breathe LA facility located in Los Angeles. ââ¬Å"Facilitators present throughout the program included a respiratory therapist and volunteer respiratory therapy students.â⬠(Haines & Kim, 2013). Parents were to observe at all times and intervene as appropriate to the study. The article fails to mention approval acquired from an institutional review board. There is a possibility that there may be a blanket consent that covers the research study via the initial Lung Power program which was in accordance to laws in Los Angeles. Conclusion ââ¬Å"Children with asthma represent a population group more prone to becoming obese than their non-asthmatic counterparts. Understanding the mechanism of what causes asthma and being able to control asthma enough to engage in physical activity is significant. Therefore, future asthma management programs should incorporate more supervised physical exercises. Educators, therapists, nurses, parents and coaches need to understand that moderate physical exercise is a remedy for asthma symptoms, not the cause and should take an active role in providing asthma education for children with moderate persistent asthma. Increasing supervised, moderate physical exercise forà these children can reduce asthmatic symptoms and risk for obesity later in life.â⬠(Haines & Kim, 2013). References U.S. Department of Health and Human Services, Centers for Disease Control and Prevention National Center for Health Statistics. (2010). Summary health statistics for U.S. children: National Health Interview Survey, 2009. (DHHS Publication No. (PHS)-2011-1575). Retrieved from http://www.cdc.gov/nchs/data/series/sr10/sr10247.pdf Walker, V. (2012). Factors Related to Emotional Responses in School-aged Children Who Have Asthma. Issues In Mental Health Nursing, 33(7), 406-429. doi:10.3109/01612840.2012.682327 Haines, M. S., & Kim, D. H. (2013). A Study of the Effects of Physical Activity on Asthmatic Symptoms and Obesity Risk in Elementary School-Aged Children. American Journal Of Health Education, 44(3), 156-161. doi:10.1080/19325037.2013.779905
Friday, January 3, 2020
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