Was there an opportunity to discuss with the midwife- what did you learn from that?

Student Midwife’s Written Reflective Report- Shoulder Dystocia. 2000 words
(UK Practice)
Event that I witnessed- Tania, a 28 year old para 1, had a BMI of 40. She had a previous forceps delivery a year ago at 39+4 weeks gestation. She was on high risk antenatal care pathway due to her BMI, but her pregnancy was uncomplicated. She was admitted to the labour ward at 38+6 weeks gestation when her membrane raptured at home with strong contractions with her partner present. She made good progress in labour and received epidural at 6cm, which worked well. She was contracting strongly 4 in 10 and was fully dilated after 6 hours. Due to the epidural, she commenced active pushing after an hour, as per the trust guidelines. 45 minutes into pushing, vertex was visible but advancing slowly. Maternal observations were normal, as with the CTG. An hour into pushing, indicators of turtle neck were present, however the midwife failed to interpret the signs presenting and continued assisting Tania with pushing. The midwife in charge had come in the room for routine check, after assessing the situation, she observed shoulder dystocia and immediately urged Tania to stop pushing and pulled the emergency buzzer for obstetric intervention. An emergency call (2222) was placed for obstetric emergency shoulder dystocia as well as neonatal emergency. A female infant was delivered with respiratory distress and was transferred to NICU for respiratory support. Tania suffered PPH of 1L shortly after delivery, which was well managed by the obstetric team.
Introduction- 250 words
Use Gibbs’ reflective cycle – briefly state the rationale for the chosen model rather than another and state why it is found useful in the context of reflecting on clinical incidents. Also discuss the significance of reflecting on incidents.
Main Report- 1550 words
This is not a reflection on incident itself, but rather the legal, professional and ethical aspects and the learning that takes place!
• Demonstrate knowledge and understanding of professionalism, legal and ethical dimensions to practice, professional regulation and related development in practice.
• Examine clinical governance and clinical risk, providing an analysis of how these components affect an individual midwife’s practice
•Incident reporting- why is this important. What legal re-dress do clients have if harm has been caused. How does this affect the midwife’s duty of care? What is Datix?
• The importance of culture, communication and documentation.
• Duty of care, accountability and duty of candour.
• Human factors
• Why is working as a team important?
• Description of the incident- be succinct
• Can be human failure
• Systems failure
• Mitigating circumstances
How the incident was managed and how was it escalated/reported? Datix
• Why report incidents & barriers to reporting: blame culture/fair culture
• Reporting through Risk management discuss and analyse in the context of incidents
• Were statements requested/the significance of statement writing. Link to your professional/student responsibility?
• Was there round table-and root cause analysis: discuss its significance
• What were the outcomes of the incident: for the client?
• Client involvement
• How did you learn from it?
• Was there an opportunity to discuss with the midwife- what did you learn from that?
Analysis:
· The analysis section is important to argue your points using words such as however, nevertheless on the other hand and whereas. Decide what particular points of the incident you will analyse, tell the marker why you have chosen those aspects-might be because it had the greatest impact on clients care and your learning. Support with appropriate references: citing research papers where possible is essential.
Action plan as part of your reflective report
· What you intend to do in future and how it will be achieved. Also, how it will be evaluated.
Conclusion- 200 words
· Please ensure you have a conclusion that brings all the points of your reflective account together- relating it to learning and to your practice. Include references in your conclusion. Relate your points to theory and to the reality of practice and always to the client involved in the incident.
Harvard style reference ONLY!
Always support statements with relevant research and credible citations.
· References should demonstrate a depth and breadth of reading.
· Be clear why you have included a reference in your text – use it to make your point more clearly by giving additional information.
· Use up to date literature evidence
· Relevant to UK practice.
· Minimum 25 references- Journals and books relevant to UK practice.
· Journal DOI must be included with references.
· Support arguments with references from research texts – make a P=point, support with a reference, provide an E=example, counter that point with a different reference – this then becomes an argument and then L=link to the next paragraph (PEL). Do not just state one point and move to the next point.

Explain McDonald’s practices for each of the SunZi’s theories.

Explain McDonald’s practices for each of the SunZi’s theories.

Sun Zi’ Theories: –
• Theory 1: Those who arrive first at the battleground will have sufficient time to rest and prepare against the enemy and those who arrive late at the battleground will have to rush into battle when they are already exhausted

• Theory 2: The general is like the guardian of the nation. If the guardian is a thoughtful and detailed person, the nation will be strong and mighty. However, if the guardian is full with character flaw, the nation will be weak and vulnerable

• Theory 3: Speed is essential factors to be survive and die in the battle

• Theory 4: In the conduct of war, there is no fixed situation and condition, just like water has no constant shape and configuration

Review on the surrogate role is not one that is frequently mentioned in recent nursing practice literature. Is that role as defined by Peplau relevant to nursing practice as currently experienced. If so, in what way. If not, why?

Review on the surrogate role is not one that is frequently mentioned in recent nursing practice literature. Is that role as defined by Peplau relevant to nursing practice as currently experienced. If so, in what way. If not, why?

Write an essay to explore the nature of truth and how it should be given out.

Lying is a fairly hot topic in morality, for we are not suppose to lie, but are there not times when doing the moral thing means we actually should lie? In the PowerPoint you read on philosophy and informal fallacies, I had a slide with the different types of lying; in that slide I had the contention that belief without proof is actually worse than lying, because someone who believes without proof is saying truth has no value.
The issue is complex: Last month, I was talking to some students about the UFOs over North Texas, and as I spoke to the people… I became convinced that if the Federal Government knows what is going on with UFOs, our Government should hide it from the people… .
Write an essay to explore the nature of truth and how it should be given out.
Read “BY THE WATERS OF BABYLON” by Stephen Vincent Benét – see attachment.
A good source: http://www.tkinter.smig.net/Outings/RosemountGhosts/Babylon.htm (Links to an external site.)
INQUIRY: For how is it we actually do come upon the TRUTH of things? Should TRUTH be given out in small doses, or should the truth — facts and reality — be wholly available to each and every person?

You must use at least:
1) Two argument supports from a primary source, and
2) Should have at least two supports from an additional source (Benet).
Requirements: MLA style, type, size-12 Times New Roman, double-space. Answer inquiry usingcluster-style. 1,000-2,500 words.

Explain how Gatsby fits into the term of becoming a “self-made” man.

You need to know about The great gatsby book

Assignment: Type up an outline responding to one of the following 5 prompts and submit the outline online.
Note: Please submit your document with your last name first. (Example: Schilf-Great-Gatsby-Outline.pdf)
Literary Analysis Prompts on The Great Gatsby
Choose one only:
How can the corruption of the American Dream be defined in The Great Gatsby?
What characteristics of Nick make him a hypocritical narrator?
Fitzgerald distinguished between different social status groups in West Egg, East Egg, and the Valley of the Ashes. What are the struggles between class, wealth, and social standing?
Explain how Gatsby fits into the term of becoming a “self-made” man.
Illustrate how Gatsby’s inability to accept the past contributes to his tragic end.

Assess the conditions which would support the change of foundational business practices.

Assess the conditions which would support the change of foundational business practices.Redman (2019) states that the world is changing quickly, change is hard, and many change efforts fail. A leader must have a good plan in place to navigate through these changes to stay successful. Now you will apply that knowledge to a company scenario, building an implementation plan into the process so it is actionable. Select one business from the current winners of the Malcolm Baldrige Award Recipients (http://www.nist.gov/baldrige/award-recipients) Assume that you are the new CEO of this business who has goals of expanding your business. Depending on your choice, you can select one or more from the following list:
Expand nationally or internationally
Change your business offering(s) or target customers
Merger or acquisition
Another goal of your choice
For Section 2, support your thoughts with at least four sources from the readings, as well as four other sources you uncover in your research. For this section, you may use sources that are not considered scholarly as your additional sources.
For Section 3, support your thoughts with at least two sources from the readings, as well as two other sources you uncover in your research. For this section, you may use sources that are not considered scholarly as your additional sources.
For this 6- to 8-page APA-compliant paper (not including title and reference pages) respond to the following:

Section 1 – Overview and Goal Description
Select the company that you will use for this paper. Provide an explanation and rationale for your choice. As there are many categories in the Baldrige site, you may want to explore an industry you know well or look to expand your knowledge by selecting an industry you are unfamiliar with.
Describe the vision, mission, and values as individual components in the current state of the company. Explain the systems relationship of these elements, and how they are related to helping the company achieve success.
Provide any additional background information (i.e., financials, primary products and services, etc.) to ensure the funding agency has an overview of the organization.
Identify the growth goal(s), you as the new CEO, would like to achieve including a rationale for this choice(s).
Section 2 – Mission
Present research supporting the advantages and disadvantages of changing a company mission statement. Support your content with at least two readings/videos from the module readings, as well as two other sources that do not need to be scholarly.
Identify what impact changing a mission statement could have on other company business processes. This should include descriptions for all stakeholders. Support your content with at least two readings/videos from this module, and at least two other sources you uncover in your research (see note below for use of sources). You may also include any personal examples you have to share, if applicable.
Conduct research on at least two companies that have changed their missions statement, and:
Identify the differences between the original mission statement and the revised version. Discuss what the advantages and disadvantages were to changing the mission.
Review the revised mission statement, and discuss if it met the standards set by Burkus.
Given the research you have conducted as the new CEO of your company, will you be changing the mission statement? If you will be changing the mission, what process will you be using?
Section 3- Values
Values-Based Leadership. In this section you will be covering the items listed below. Support your content with at least two readings/videos from this module and at least two other sources you uncover in your research (see note below for use of sources). You may also include any personal examples you have to share, if applicable.
Describe the importance of values-based leadership.
Discuss how the values can be integral to a company’s profitability and success.
Identify best practices for cascading company values throughout the organization.
Discuss the process you completed to create a personal values profile. List the values.
Based on your research, describe the process you will use to complete the following. You may use both descriptive and graphic representation tools (i.e., flow chart) to present this process.
Determine how completely the current values are embedded throughout the organization.
Gain stakeholder input into how your values can be incorporated into the current values.
Measure the success of this new values profile on business success.

Write a-word reflection on Cornel West’s New Cultural Politics of Difference.

1) Write a-word reflection on Cornel West’s New Cultural Politics of Difference. (25 points)
2) Write a 200-word reflection on Stuart Hall’s ‘What is is this ‘Black’ in Black Popular Culture.’ (25 points)
Here I am looking to see how you are engaging with the texts. What do you find interesting? What surprised you? What aspects of these texts are applicable to Black artists?
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