Spartacus Essays

Spartacus Essays Spartacus Essay Spartacus Essay Spartacus Spartacus, written in 1951 by Howard Fast, is the account of a warrior, named Spartacus. Spartacus is a slave who is purchased by a lanista, an individual who claims, sells, and battles combatants, whose name is Batiatus. Batiatus trains Spartacus to be a combatant at a gladitorial school in Capua. Since Spartacus is fearless, cherishes life, and has administration he breaks out of the school and leads a four-year long slave rebel against Rome. Spartacus is valiant. This attribute is significant as he is driving a rebel against what is then the most impressive country on the planet. Spartacus shows his mind boggling courage when ?Spartacus rose to his feet?(152) and ?the mentors lashed out their whips and knives?(152). He opposses in spite of the way that he realizes the mentors could whip or execute him. When Spartacus sees the warriors of Capua coming to battle the combatants he doesn't run yet rather tells his men that We will battle like soldiers.(160) Spartacus shows his fearlessness when he advises his officers they are to do battle against Rome. Spartacus?s fortitude is appeared by the way that he needs to annihilate Rome. Also, after they devastate Rome, he needs spartacus, slave, appears, initiative, warriors, courage, tells, slaves, rome, revolt, life, against, coaches, spartacus?s, senate, out, men, driving, knows, combatant, battle, uprightness, together, third, officers, sends, school, roman, one, country, message, love, happy, reality, crush

Abortion :: essays research papers fc

Premature birth is characterized as the end of pregnancy before the baby is fit for autonomous life. Premature births must be directed before the end off a half year, or the embryo will leave the belly and it would be viewed as an untimely birth.There are two kinds of premature births. One is unconstrained and the other is actuated. On the off chance that the hatchling ways under 18oz or is under 20 weeks into the pregnancy, it is normally viewed as a fetus removal. Unconstrained premature births are known by another name, unsuccessful labors. These normally happen during the initial three months of pregnancy. It is evaluated that 25% of all pregnancies end in unconstrained abortion.The second type of premature birth is initiated fetus removal. This is the conscious end of the baby. There are four principle kinds of prompted premature births. The principal happens as long as 12 weeks. It is called vacuum goal. This is the place a cylinder joined to a vacuum is embedded into the uterus and sucks out the undeveloped organism and all other material. The subsequent kind happens after the fifteenth week and is called saline imbuement. Here, the specialists supplant somewhat liquid with a salt arrangement. This makes the uterus contract. The embryo is then removed. The third sort is a hysterotomy. This is a comparative strategy to a cesarean segment. The main contrast is, in this activity, is that the cut is littler and lower. The fourth kind is accessible in the initial fifty days. It is a medication called RU-486. It was created in France and endorsed available to be purchased there in 1988. Clinical preliminaries in the United States started in 1994.When performed under legitimate conditions, the sooner the individual has the child, the less hazard she is at. The probability of intricacies increment as the lady gets farther into the pregnancy. Albeit, a premature birth has to a lesser extent a danger of injury than does really conveying the baby.Abortion is one subject that has been vigorously discussed. Numerous cases have gone to court over a premature birth. Maybe the most celebrated case was Roe versus Swim. It was a case that was settled in 1973 under Justice Blackman. The Supreme Court decided that they couldn't boycott premature births in the initial a half year of the pregnancy. Following a half year, the states can boycott a premature birth with the exception of in cases wherein the lady's wellbeing is at risk.I believe that there is a great deal that should be possible.

Discussion on Plagiarism Essay Example | Topics and Well Written Essays - 500 words

Conversation on Plagiarism - Essay Example Composed works are property over which the first essayist has each privilege of practicing his territory. That being stated, there are times when it is hard to advise which words are exclusive to a creator and which are definitely not. There are numerous figures of speech, expressions, and basic articulations that, since they are utilized frequently and in easygoing way, it turns out to be about difficult to tell where the expression or explanation started. At times a clever catchphrase just takes off so quick that its sources are clouded before they could be recognized. Now and again, without planning to, we reverberation others’ musings since they had evoked an emotional response from our own. On account of Ben Domenech, nonetheless, there can be no intrigue. In spite of the fact that he contended by method of reason that he was just 17 at the time he as a matter of fact appropriated another’s work, there can be no uncertainty that even at that age the possibility of â€Å"copying† as â€Å"cheating† would have been very much instilled into his psyche and inner voice. All things considered, youngsters in their first grade realize that it isn't right to cheat, and that replicating a classmate’s schoolwork or replies in a test and passing it on as one’s own is cheating. Kids 7 years old realize this isn't right, which is the reason they put everything on the line to cover it; what more young people of 17? Domenech can't hole up behind his age, only one year shy of adulthood; this isn't, all things considered, a profound good situation. It’s essentially cheating. Concerning Rebecca’s remark, she is right on the money in underscoring Domenech’s past as an essayist for the school paper. As a school columnist, it is practically sure that he had been given some type of formal guidance before he was acknowledged into the composing staff. All things considered, the school would have known that works in the official school organ reflected upon its notoriety and trustworthiness, and its authors accordingly would be placed in the dubious situation of being the school’s mouthpiece. Domenech could consequently

The Manipulative and Evil Nature of Iago Research Paper - 1375 Words

The Manipulative and Evil Nature of Iago Research Paper (Essay Sample) Content: Name:Professor:Course:Date:The Manipulative and Evil Nature of IagoMany have referred to him as a devil in the human flesh. Some call him the perfect embodiment of evil. Others argue he is the master manipulator from hell. In the history of literary, scholars sum him up as the ultimate villain who personifies everything an evil character embodies. In the play, Shakespeare gives him the name Iago, which implies faithful to acquaintances. Hover, the play reveals to us just how opposite Iago is. He is completely unfaithful to his friends and uses them to carry out his evil plans. Iago may be deemed insane, but he is not. His manipulative nature reveals a cunning and witty individual who makes decisions by the end justifies the means (Resnik, 5). His actions are thus evil because he is cruel and enjoys seeing people undergo painful experiences. As much as the degree of madness in the play I debatable, the fact that he kills people makes him a devil incarnate. While other s could refer to him as a psychopath, I call him the ultimate devil incarnate. He is the character the audience loves to hate (Resnik, 7). Bad characters in the play are gross and evil. Iago has an astounding level of treachery that makes him a real villain in the play. Matter-of-factly, when he sets forth to do something, he moves from one evil action to another. He manipulates people because he knows the power of trust and uses it to his advantage to accomplish his evil schemes. He can deceive his friends that he is truly a kind person, an individual they could depend on. How wrong they were! Throughout the play, he crafts manipulative words to hide his true intentions and get closer to his friends who later end up as victims of deceit. He is a happy person with an honest persona, and the characters including Othello refer to him as a friend. As the play comes to an end, four victims lay by the side including Desdemona, Othello, Bianca, and Rodrigo (Resnik, 22). All these people are the victims of betrayal, deceit and utter manipulation. Iagos character suits him as the villain in the play. His immoral depth is chilling and unfathomable. He over and again demonstrates what ambition can make a man do. The fact that he uses is the position to manipulate and cause pain to his friends cements his heinous nature. In the play, two motivations push Iago to carry out his schemes. Firstly, rumor has it that Iagos wife Emilia is cheating on him with his boss Othello. Secondly, Othello overlooks Iago and gives promotion to Cassio to be his lieutenant (Shakespeare, 25). The fact he does not get the position shocks Iago who has a lot of experience in the military as compared to Cassio who has no experience at all. The jealousy that filled Iago after he is not promoted is revealed in the play. To choose the best title to describe Iago between madman, a devil incarnate or a rational person, I would say he, not a sound human because his actions are too gross and painful t o explain at times. He is not a madman because he makes conscious decisions that lack the conscience of a rational being. He was thoughtful, calculative, and manipulative and his end game was clear to him. His motives fit the description of evil actions a sane man makes (Shakespeare, 27). In the play, Iago asks Cassio to have a drink with him. The motives were hidden as he had a plan in his mind that he passes to him with the motive to create a rift with Roderigo. He planned to paint Cassio as a hopeless drunk for Otello to promote him to the position Cassio holds. The decision was rational and well calculated with the intention of soiling the Cassios reputation. While this is the least evil in comparison to his other heinous actions, it does not paint him as a madman. Another evil plan Iago developed was to manipulate Roderigo to help him carry his deeds. As a master manipulator, he convinces Roderigo to join him and succeeds. The plan, however, fails because evil actions do not a lways prevail over good deeds (Shakespeare, 47). In the play, Iago takes the name for the definite con-man and pretender. While many time in the play he is referred to as the honest man, he makes remarks to the gullible Roderigo that he is not who people think he is. In the revelations he makes to Roderigo, he reveals the kind of hate he has towards Moor. It is ironic considering that he openly tells Othello how much he loves him making him a hypocrite. Often in the book, he is portrayed as witty and intelligent and while on the battlefield he is a warrior although he is not a lieutenant to Othello. Further, in the play, he reveals a bitter and vindictive character. The fact that he is a cruel man yet can pass as a high caring individual is a feature of his character that cements his real personality. How he can keep his true feelings hidden makes him a master of deception. As a master manipulator, he cons people around him including his beloved wife (Isaksson, 23). It is amazing how conscious and intelligent people such as Cassio and Othello fail to discover his cunning nature. None of the people that include Montano and Desdemona figure his deceptive nature and many of his victims including Roderigo fall for his schemes. To carry out his plans, Iago acquires jewelry and money to woo Desdemona (Isaksson 30). In the play, the critical period is when Iago manipulates Rodrigo to kill Cassio. The scheme was after Roderigo threatened to expose Iago to Desdemona. He uses flattery to manipulate Roderigo and promises him goodies if he succeeded to murder Cassio. Iagos actions expose his evil plans. He is the master planner for the fall of Othello, the murder of Cassio, the killing of Desdemona (Isaksson, 28). To sum his evil nature, he is the murderer of Emilia and Roderigo. At the end of it all, he shows no remorse because these are just sport to him. His sadistic nature gives him the pleasure to watch others in pain and suffering. He thrives in chaotic situatio ns where he sees people undergo tremendous suffering. After orchestrating Othellos jealousy, he fakes unawareness when Othello refers...

Breaking Down the Pros and Cons of Grade Retention

Grade retention is a process in which a teacher believes that it would benefit a student to keep them in the same grade for two consecutive years. Retaining a student is not an easy decision and should not be taken lightly. Parents often find the decision agonizing, and it can be difficult for some parents to climb entirely on board. It is necessary to note that any retention decision should be made after much evidence is collected and after several meetings with parents. It is essential that you do not spring it on them at the final parent/teacher conference of the year. If grade retention is a possibility, it should be brought up early in the school year. However, intervention and frequent updates should be the focal point for most of the year. What Are Some Reasons to Retain a Student? There are many reasons that a teacher may feel that retention is necessary for a particular student. The biggest reason is typically the development level of a child. Students enter school at around the same chronological age but with ​varying developmental levels. If a teacher believes that a student is behind developmentally compared to the majority of students in their class, then they may wish to retain the student to give them â€Å"the grace of time† to mature and catch up developmentally. Teachers may also choose to retain a student because they simply struggle academically when compared to students at the same grade level. While this is a traditional reason for retention, it is necessary to note that unless you figure out why the student is struggling, it is likely that the retention will do more harm than good. Another reason teachers often retain a student is due to the student’s lack of motivation to learn. Retention is often ineffective in this case as well. Student behavior can be another reason that a teacher chooses to retain a student. This is especially prevalent in lower grades. Poor behavior is often tied to the developmental level of the child. What Are Some Possible Positive Effects? The biggest positive effect of grade retention is that it provides students who are truly behind developmentally a chance to catch up. Those type of students will begin to thrive once they are developmentally on grade level. Being in the same grade two years in a row can also provide a student with some stability and familiarity, especially when it comes to the teacher and the room. Retention is most beneficial when the child that is retained receives intensive intervention specific to the areas in which they struggle throughout the retention year. What Are Some Possible Negative Effects? There are many adverse effects of retention. One of the biggest negative effects is that students who are retained are more likely to drop out of school eventually. It is also not an exact science. Research says that students are more negatively impacted by grade retention than they are positively affected by it. Grade retention can also have a profound impact on a student’s socialization. This becomes especially true for older students who have been with the same group of students for several years. A student who has been separated from their friends could become depressed and develop poor self-esteem. Students who are retained are likely physically bigger than their classmates because they are a year older. This often causes that child to be self-conscious. Students who are retained sometimes develop serious behavior issues, especially as they age. What Grade(s) Should You Retain a Student? The rule of thumb for retention is the younger, the better. Once students reach fourth grade, it becomes virtually impossible for retention to be a positive thing. There are always exceptions but, overall, retention should be primarily limited to early elementary school. There are so many factors that teachers need to look at in a retention decision. It is not an easy decision. Seek advice from other teachers and look at each student on a case-by-case basis. You could have two students who are remarkably similar developmentally but due to external factors, retention would only be appropriate for one and not the other. What Is the Process for a Student to be Retained? Each school district typically has its own retention policy. Some districts may oppose retention altogether. For districts that do not oppose retention, teachers need to make themselves familiar with their district’s policy. Regardless of that policy, there are several things a teacher needs to do to make the retention process much easier throughout the year. Identify struggling students within the first few weeks of school.Create an individualized intervention plan to meet that students individual learning needs.Meet with the parent within a month of initiating that plan. Be straightforward with them, provide them with strategies to implement at home, and be sure you let them know that retention is a possibility if significant improvements aren’t made over the course of the year.Adapt and change the plan if you are not seeing growth after a few months.Continuously update the parents on their child’s progress.Document everything, including meetings, strategies used, results, etc.If you do decide to retain, then follow all school policies and procedures dealing with retention. Be sure to monitor and comply with dates concerning retention as well. What Are Some Alternatives to Grade Retention? Grade retention is not the best remedy for every struggling student. Sometimes it may be as simple as providing a student with some counseling to get them going in the right direction. Other times it is won’t be that easy. Older students, in particular, need to be given some options when it comes to grade retention. Many schools provide summer school opportunities for students to attend and make improvements in the areas in which they struggle. Another alternative would be to place a ​student on a plan of study. A plan of study puts the ball in the student’s court sort of speak. A plan of study provides students with specific objectives that they must meet over the course of the year. It also provides assistance and increased accountability for the student. Finally, a plan of study details specific consequences for not meeting their specific objectives, including grade retention.

Eating Disorders Physical and Psychological Damages...

Eating Disorders: Physical and Psychological Damages Anorexia nervosa, bulimia nervosa, and disordered eating. Thats all we see in the bathroom stalls on the seventh floor in Hayes Ââ€" Healy. What exactly are anorexia nervosa, bulimia nervosa, and disordered eating? Anorexia, bulimia, and disordered eating are habits that become an eating disorder. There are two sides to understanding the problems of eating disorders. One side is the emotional or psychological side that is affected by eating disorders. The other is the physical side. Eating disorders are harmful and can cause physical and psychological damage to ones body. According to Craig Johnson, Ph.D., and director of the eating disorders program at Laureate Hospital in Tulsa, Oak.†¦show more content†¦This activity of eating and taking turns purging in the bathroom is more of a competition to see who can exist on the fewest calories then it is a bonding ritual. Based on Susan Mackey, Ph.D. clinical psychologist, and other experts say we can point fingers towards the media for encouraging your men and women to have a certain physical look. 490 of the largest colleges and universities (by student population) took a poll conducted by People found that 41% of the respondents who could estimate the prevalence of eating disorders on their campuses say that at least one in ten of their female students have had an eating disorder; 18% say the figure is at least one in five. 70% reported that eating disorders are widespread. 20% say it is pressure from peers and the media to stay thin. The media has a major impact on young adults to fit this certain thin waif look. These days, young adults have to fit this certain image the media portrays to be accepted into the liked groups. Most young adults have a hard time fitting this image so they trigger the psychological side to the beginning of an eating disorder. The psychological side is the start to the physical side creating bad habits that will lead to an eatingShow MoreRelatedEating Disorders : Anorexia Nervosa And Bulimia Nervosa1303 Words   |  6 Pagesperfection within our physical appearances. The desire to be thin becomes an obsession and girls will view thinness as something you have to achieve. Most girls’ will try all different kinds of diets and exercise compulsively. The obsession over girls’ appearances and weight has lead to an increasing number of cases of eating disorders. According to a National Institute of Mental Health article (Eating Disorders, 2016), an eating disorder is an illness that causes physical disturbance to your everydayRead MoreThe Three Main Types Of Eating Disorders1305 Words   |  6 PagesEating Disorders The three main types of eating disorders: anorexia nervosa, bulimia nervosa, and binge eating, are complex pschyatriac disorders. The classification and diagnosis of each disorder is challenging because diagnostic symptoms and behaviours overlap. These disorders consist of various biological, psychological and sociological factors. They frequently coexist with other illnesses such as depression, substance abuse, or anxiety disorders. (ANAD) Eating disorders are commonly associatedRead MoreTaking a Look at Eating Disorders1708 Words   |  7 Pages EATING DISORDERS Introduction: Eating disorders are conditions characterized by abnormal eating habits that include excessive or insufficient food eating habits that hampers a person’s mental as well as physical health. Anorexia nervosa and bulimia nervosa are the most common types. Others are binge eating disorder and eating disorder not otherwise specified. Classification: †¢ Anorexia nervosa (AN), †¢ Bulimia nervosa (BN), †¢ Eating disorders not otherwise specified †¢ Binge eating disorderRead MoreEating Disorders And Anorexia Nervosa Essay1948 Words   |  8 Pagesnotion of an â€Å"ideal† body and eating disorders, there is no consensus as to the root cause of eating disorders. The general belief is that eating disorders result from one or more biological, behavioral, and social factors including genetics, unpleasant experiences/trauma, peer pressure, teasing, and family members with eating disorders, among others. There are numerous types of eating disorders. Both women and men are affected by eating disorders each day. Eating disorders can occur from an early ageRead MoreThe Problem Of Eating Disorder Recovery3374 Words   |  14 Pagesall while weighing less than 84 pounds and suffering in and out of eating disorder recovery clinics. At 33, both women are hopeful that they will someday recover; however, due to the societal misunderstanding that those with eating disorders are â€Å"fully recovered† once they no longer have eating disordered behaviors the twins are skeptical that they will ever be able to rid themselves of their eating disordered thoughts. Eating disorder recovery is more difficult to achieve, and often ends in relapseRead MoreEating Disorders And Anorexia Nervosa Essay1857 Words   |  8 Pagesbody and eating disorders, there is no general agreement as to what the main cause of eating disorders really is. The prevailing belief is that eating disorders are a product of one or more behavioral, biological, and social factors including genetics, horrible experiences, being traumatized, being a victim of peer pressure, being teased and family members with eating disorder. There are numerous types of eating disorders. Both women and men are affected by eating disorders each day. Eating disordersRead MoreDifferences and Similarities Between Bulimia and Anorexia Essay1163 Words   |  5 PagesSimilarities Between Bulimia and Anorexia In this essay similarities and the differences between anorexia nervosa and bulimia nervosa are considered. Similarities in the explanations of the two eating disorders are discussed through psychodynamic, behavioural, genetic and biochemical explanations. Anorexia nervosa is a complex emotional problem characterized by an obsession with food, weight, and thinness. Victims actually starve themselves, eating fewer calories thanRead MoreEating Disorders Essay983 Words   |  4 PagesTabitha HernandezMrs. HammillBiologyJune 11th, 2012 Eating Disorders Eating disorders are a worldwide problem and effect the lives of many. Women are much more likely than men to develop an eating disorder. One of three women have eating disorders, most of these women began to have the eating disorder due to stress, depression, and anger. Eating disorders stem is often formed with problem with self image caused by the media. Eating disorders are complex conditions that arise from a combinationRead MoreWhat are Eating Disorders?1373 Words   |  5 PagesEating Disorders It starts off at very young ages. Growing up, every little girl sees how the idols in their lives are supposed to look. Models, Disney princesses, and even Barbie dolls have one body type: thin. It seems like every girl’s dream is to someday be like them. They want to be thin and pretty like the models they see on television and in magazines or like the Barbies they play with every day. The desire could often become an obsession and young girls often see thinness as being a neededRead MoreAnorexia Nervosa Is A Problem That Affects Many Women2036 Words   |  9 Pages Anorexia nervosa is a problem that affects many women in the United States. We are influenced by what we see in the television and magazines. Women (that are easily affected) get a negative self-image and self-esteem, and then do damaging things to their bodies, such as not eating. A woman who is suffering from this psychological disorder purposely starves herself sometimes to the point to death. Anorexia nervos a usually starts during the teenage years and early twenties and is characterized by

Components of Quality Improvement Collaboratives †Assignmenthelp

Question: Discuss about the Components of Quality Improvement Collaboratives. Answer: Introduction: For health care organizations in Australia, fulfilling the vision of safe and high quality of care for all Australians is important as per the Australian Safety and Quality Framework for Health care. The quality aspects in health care can be defined by having an optimal balance between framework of norms and the key care component for each patient. The quality of the health care system is also dependent on the performance of health care professionals, engagement of patients and the contribution of the whole health care system. A study also supported the fact that information related to causal association between organizational structure, process of care and outcome of care is necessary to determine whether optimally effective care is provided in health care setting or not(Donabedian, (1988)). Hence, the assessment of quality is dependent on presence of specific structural attributes, process attributes and outcome attributes for safety. This essay further highlights the assessment pr ocess for quality in health care by explaining about the core aim of health care institutions and identifying process and data outcome related to quality and safety in health care. More clarity regarding the process is also provided by means of giving an example regarding a clinical care activity in which process and outcome data were collected to evaluate the quality of care. The core business of health care organization is to provide all kinds of advanced, fully developed emergency, and special department for addressing the health issues of patients. The main goal behind developing specialized health care department is to deliver appropriate health care service to those people in greatest need. A major focus is on improving health outcome of patients because this is reflective of a high quality and safe care in health care setting. To achieve the objective of high quality care and patient safety, the health care organizations focus on the elements of safe and effective care, patient-centeredness, timeliness, efficiency and equitability(The Six Domains of Health Care Quality | Agency for Healthcare Research Quality., 2017).Health care organization mainly aims to address the above mentioned components within the organization to maintain the quality of care. The health care perspective and aim regarding quality improvement is also to improve access to quality health care and service. This is done by strengthening the capacity of the health care staff, improving the efficacy of the health care system, increasing the enrollment in health care insurance. Health care managers divide the functions in the health care organization into risk management and quality(Nadeem, et al., (2013)). Hence, all organizational process and structure is framed around patient safety and efficiency of the health care system. Another researcher has also emphasize that in health care organizations, human factor system approach is critical for health care quality and patient safety(Rodriguez, et al., 2014). This means redesigning the whole health care system and processes to maintain quality of care. This is based on having the knowledge of the system and the impact of any complexity on patient care. On this basis, effective patient safe culture is established in h ealth care organizations and risk control measures are established. Apart from organizational structure and work process, the nurses also have a contribution to safety of patient as they are the one who spend maximum time with patients. The main role of the nursing sector in health care organization is to follow all the standards of practice related to engaging in therapeutic relationship with patient, collaborating with other professionals, maintaining the skills needed for practices, conducting high quality assessment, providing safe and responsive care and evaluating outcome to inform nursing practice(Birks, et al., 2016). Based on these professional standards, the nursing sector acts as the source to maximize well-being of patients and enhance the quality of care. They act as the gatekeeper of patient safety as they spend more time with patients. Another researcher also argues that nurses are an important component of the health care system and maintaining their ratio is crucial to safety-focused outcome(Needleman, 2009). Some of the critical tas k that is carried by nurse includes engaging in routine assessment and monitoring of patients, coordinating with other providers and educating patients and family members post discharge. Developing the nursing staff in health care setting is important not just to improve quality, but also to maintain cost too. This can be said because increasing staffing level reduces the risk of complications and length of stay at hospital. This consequently reduced the cost of the health care system too. Donabedian, (1988) presented a clear association between the process data and outcome data in relation to quality and safety. During the preliminary quality assessment process in health care organization, the process data gives information regarding the system or procedure present in an organization for receiving and delivering care. It involves both patient related activities such as their engagement or approach adapted whole seeking care and health care staff related activities such as diagnosis of illness and implementing interventions. Level and type of safety related measures present in a organization also gives information regarding process data for health care organizations. To collect the process related data to measure safety initiative in organization, health care managers can inquire whether patient safety culture is present or not. If it is present, critical analysis needs to be done regarding the reliability of the present system for safer care and the approach needed to further increase the quality of care(Latif, A., Holzmueller, Pronovost, J., 2014). Another approach to collecting process data for health care quality and safety includes quality measurements. In this process, the data related to clinical procedure is collected to evaluate the effectiveness of specific organizational protocols and performance of health care providers against quality indicators. This form of quality measurements can be done by various ways such as evaluating the characteristics of a care setting, patient related health outcomes and the process or service present to provide care. The process data is useful to compare and analyse whether the current health care procedure in health care organization is consistent with routine clinical care or not(Measuring Health Care Quality: An Overview of Quality Measures. , 2017). Hence, the data related to process measures mainly aims to evaluate whether the procedure in clinical setting is consistent with established standards of care or not. Having well-defined process measures ensure that recommended care is pr ovided and professional standard of care is maintained. Despite the benefit of process data on identifying areas of improvement and disease management in health care organization, collecting these data is very challenging. This is because certain process data in specialized area of care is not available. Majority of process data focus on preventive care procedure and this ignores data related to teamwork and organizational culture, which is also an indicator for quality of care in health care organizations(Moore, et al., 2015). Hence, in future, it is recommended to collect process data in the area of care coordination and technology too as this also influences the quality of care. As stated by Donabedian, (1988), data related to quality of care in health care organization is categorized into the structure, process and outcome. The outcome data is the information related to effects of care or particular services on the health status of individual patient or patient group. Some example of outcome data may include degree of patient satisfaction level after care, improvement in health status and changes in behavior after intervention. Therefore, the purpose of outcome measures in health care organization is to look at the effects of care on patients health, functioning, behavior and health status. Outcome measures are most important for patients and the data is often collected by patient-reported surveys or observation report. It may involves data related to remission rate, number of hospitalizations needed after care and quality of life related outcome of patient after care. Collecting appropriate and well-defined outcome measures is also limited because identify meaningful outcome measures related to a service may be difficult. Secondly, obtaining detailed information and evaluating them is a time consuming process and many enough data cannot be found. There are also chances of biasness in such data because of the effects of social determinants of health on health outcomes of specific patient. The background and difference in patient population groups cannot give true information regarding quality improvement in health information of patient(Price, et al., 2014). However, the data is useful in assessment of quality care in health care setting. Nowadays, great attention is pa id to performance improvement and outcome monitoring as both helps to track the quality and efficiency of care. Process and health care outcome data can be collected for the clinical activity of fall prevention in health care organization. Preventing falls in vulnerable patients is considered important for health care organizations because fall or injuries is associated with traumatic injuries, increase in hospital stay and increase in health care cost too. The clinical care activity related to fall prevention is in relevance with improving the quality and safety of patients during hospital stay. As patients come with conflicting health issues, it is important to maintain physical and mental functioning in an individual(Ganz, A., Shekelle, G., 2013). This is done by fall prevention activities like managing the fall risk factor of patients and optimizing nursing care and hospital environment to maintain the safety of patients. However, the clinical priority of engaging in effective fall prevention activities is difficult for nurses and other staffs because this needs to be balanced with many o ther considerations such as providing the best possible care to patient and maintaining the mobility of patients. Secondly, the success of fall preventing activities in health care setting is also dependent on interdisciplinary approach to care(El-Bendary, et al., 2013). During a nursing care placement, a hospital was found to have high rate of falls and injuries after admission. To evaluate the performances of hospital in fall prevention activities and reasons for deteriorating in quality and patient safety outcomes, process data and outcome data related to the fall prevention and management in the hospital was collected. The main aim of collecting process data was to identify the current protocol for fall management and how interprofessional health care team coordinated with each other to prevent falls. Therefore, main purpose of collecting process data was to identify the system level improvement in fall prevention activities to prevent falls. One of the initial areas of focus during the collection of process data was to evaluate organizations readiness for fall prevention activities. This was collected by means of survey tools which focused on getting the following information of the health care organization: Do all members and health care provides understand the need to prevent patient related injuries or falls in hospitals? Do health care leader support the fall prevention initiative? Are all resource and protocol related to fall management established in the organization Is the need for compliance with the fall prevention activities communicated all health care staffs? The informations or data collected for the above questions can give great detail regarding the commitment of the organization to prevent fall and manage fall risk in patients. Another approach that was useful in assessing the quality of care was the use of hospital survey method to evaluate the culture of safety present in the hospital. Collecting data in this area is also important for assessment of quality and safety because safety culture and fall prevention are found to be interlinked to each other(Hempel, et al., 2013). Presence of safety culture is an indicator of positive attitude towards change. In a safety culture, the interprofessional teams are bound to follow all systematic activities to prevent falls. This may includes assessment of patient after intervention, controlling the fall risk factor, educating patients about preventing falls and modifying the environment around patient to prevent falls(Wang, et al., 2014). Hence, data related to safety culture can determine the organizations preparedness or lack of preparedness regarding the fall prevention activities. Apart from collecting the process data to identify strength and limitations in assessment and management of fall, outcome data related to falls were also collected. This was done to get a clear picture regarding the process present for fall prevention as well as the effect of the activity of patients outcome. Such method of data collected will eventually expose the human or organizational factors that impedes standards fall prevention activities and lead to formulation of plan to improves the current process of fall prevention and management too(Neily, et al., 2007). Therefore, the data related to the outcomes of fall prevention activity was collected by surveying patients and analyzing the incident to determine the cause of injuries in patients. The key data elements that can be collected from surveys included fall rates in hospitals, types of falls reported, severity of falls and impact of fall on quality of care and daily life activities. The incident reports can be specifically designed to inquire about the time, location and type of falls in particular patient. On the basis of categorization of anticipated falls or unanticipated falls, it can be easily judged whether the nursing staffs or other inter-disciplinary team took the right approach to respond to anticipated risk of falls(Quigley, et al., 2017). Hence, the outcome date related to fall prevention activities can give idea about the overall pattersn and trends related to fall occurrence in hospital setting. Hence, by means of surveys with nurses, health care providers and evaluating incident reports related to fall in hospitals, both outcomes measure and process measures for preventing and managing falls can be evaluated. This data can be eventually used to promote quality and safety by addressing the organizational factors or process related to fall prevention and changing the attitude of staffs towards fall prevention too. One research study gave an idea about the successful patient safety programs where root cause analysis helped to identify the factor of communication problem leading to fall and injuries in hospital(Miake-Lye, et al., 2013). This limitation of lack of communication and inter-professional collaboration for managing fall of patient was addressed by setting three strategic objectives. This included implementing tracking system to identify patients at high risk of fall and communicate to all health care staffs regarding the changes needed in plan of care. Secondly, stri ngent system was set in place to timely report about falls rates and injuries on the basis of severity. A reporting and signage program was also implemented to systematically communicate about patients who are at risk of fall(Quigley, et al., Measuring fall program outcomes., 2007). Hence, the data collected process related to process and outcome measures finally promotes changes in the right area which enhance the quality of care and safety of patients too. The essay summarized the need to provide high quality health care to patients and assessment regarding the quality of care in health care organization was proposed by collecting data related to structure, process and outcomes measures for health organization. This process of quality assessment is considered critical for quality improvement and driving the positive change process in health care organization. The essay gave a discussion regarding how process and outcome data related to a clinical activity can be collected and how this process can inform about the inefficiency present in the system, structure or health care staffs or patient. The whole process was made clear by giving example regarding the quality assessment and data collecting process for evaluation of fall prevention activities in health care organization. Bibliography Birks, M., Davis, J., Smithson, J., Cant, ., R. (2016). Registered nurse scope of practice in Australia: an integrative review of the literature. Contemporary nurse,, 52(5), 522-543. Donabedian, A. ( (1988)). The quality of care: how can it be assessed? Jama,260(12), 1743-1748. El-Bendary, N., Tan, Q., Pivot, C., F., . . . A. (2013). FALL DETECTION AND PREVENTION FOR THE ELDERLY: A REVIEW OF TRENDS AND CHALLENGES. International Journal on Smart Sensing Intelligent Systems, 6(3). Ganz, A., D., Shekelle, ., G., P. (2013). Inpatient Fall Prevention Programs as a Patient Safety StrategyA Systematic Review.. Annals of internal medicine, 58(5_Part_2), 390-396. Hempel, S., Newberry, S., Wang, Z., Booth, . . . ., D. A. (2013). Hospital fall prevention: a systematic review of implementation, components, adherence, and effectiveness. Journal of the American Geriatrics Society, 61(4), 483-494. Latif, A., Holzmueller, C. G., Pronovost, ., J., P. (2014). Evaluating safety initiatives in Healthcare. Current anesthesiology reports, 4(2), 100-106. Measuring Health Care Quality: An Overview of Quality Measures. . (2017, August 28). Retrieved from https://Measuring Health Care Quality: An Overview of Quality Measures Miake-Lye, I. M., H., S., Ganz, A., D., Shekelle, ., G., P. (2013). npatient Fall Prevention Programs as a Patient Safety StrategyA Systematic Review. Annals of internal medicine, 58(5_Part_2), 390-396. Moore, F., G., Audrey, S., Barker, M., . . . Bonell, C. H. (2015). Process evaluation of complex interventions: Medical Research Council guidance. bmj, 350, h1258. Nadeem, E., Olin, S., S., Hill., C., L., Hoagwood, . . . M., S. ((2013)). Understanding the components of quality improvement collaboratives: a systematic literature review. The Milbank Quarterly,, 91(2), 354-394. Needleman, J. . (2009). The role of nurses in improving hospital quality and efficiency: real-world results. Health Affairs, w625-w633. Neily, J., N., R., Watson, M., N., M. S., BSN, M. W., C., R. N., . . . N., M. S. (2007). MEASURING FALL PROGRAM OUTCOMES. Online Journal of Issues in Nursing, 12(2). Price, A., R., Elliott, N., M., Zaslavsky, M., A., . . . D., P. (2014). Examining the role of patient experience surveys in measuring health care quality. Medical Care Research and Review, 71(5), 522-554. Quigley, P., Neily, J., Watson, M., . . . K. (2007). Measuring fall program outcomes. Online journal of issues in nursing,, 12(2), 1-17. Rodriguez, A. J., Hundt, S., A., Hoonakker, P., Holden, R., . . . P., A. (2014). Human factors systems approach to healthcare quality and patient safety. Applied ergonomics, 45(1), 14-25. The Six Domains of Health Care Quality | Agency for Healthcare Research Quality. (2017, August 28 ). Retrieved from Ahrq.gov. : https://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.html Wang, X., Liu, K., You, M., L., . . . W., X. (2014). The relationship between patient safety culture and adverse events: A questionnaire survey. International journal of nursing studies,, 51(8), 1114-1122.