Vince Lombardi Essays

Vince Lombardi Essays Vince Lombardi Paper Vince Lombardi Paper Vince Lombardi is regarded as one of the most legendary and greatest coaches of all time. Not only did he create winning teams, his philosophy and motivational skills were key factors to his success as a high school, college, and professional football coach. Vince was Italian and grew up in Brooklyn. His father owned a meat shop, and he made sure that Vince was a responsible young man and had him do work for him when he was not in school. Much of Vines philosophy and discipline as a coach was learned from his father in his younger years. His father told him as a young man that There was only one right and wrong, and he believed that you only did the right thing all the time (OBrien, 1987, p. 23). Vince began playing football at the age of 15 and later got a scholarship to play at Fordham university. Although he did not have much playing time at the beginning of his career because there were players who had priority over him and the fact that he incurred several injuries in college football. He was among the linemen that became known as the Seven Blocks of Granite in his later college years. Vince believed in winning, and did not ever take losing lightly. While he was In college, he did well, but not above average In academics. He was a devout Catholic, and he did spend many hours studying to Improve his academic scores. After Fordham, Vince played on several semi-professional football teams, but his small stature did not prove him to be a successful football player in the pros. Afterward, he accepted a Job as an assistant football coach at SST. Cecilia High School in Englewood, New Jersey. This was the start of a long coaching career that would prove Vince Lombardi to be one of the greatest coaches in history. Vince was a oddball coach and teacher at SST. Cecilia High School from 1939 to 1947, Although he had never had any coaching or teaching experience. He felt this was his time to prove himself successful. Although he was only an assistant coach, he worked hard with head coach Andy Paula and together they formed a very successful football team. Vince used the same philosophy that his father taught him about when you do something, do it right the first time. He learned quickly that young athletes needed more time to let the plays and facts of the game sink in, so he had to adjust his expectations to their level. He lacked patience and often scolded players for making mistakes, but would always apologize and praise them privately. He had a burning desire to make his players successful and perfect in playing. A sportswriter once wrote that he demands perfection and gets it because his boys are willing to work for and with him (p. 59). In the classroom, Vince was very organized and demanding just as he was in practice. Although he wanted to move at a fast pace, Vince stated that he learned in the classroom that you cant travel faster than your slowest pupil (OBrien, p. 59). In 1942, Paula resigned as head coach leaving Vince to take over the team and have a shot at his first head coaching job in football. Although many had doubts as well as Vince himself, he took his first team to a winning season. His great preparation and innovative ideas of the game helped lead his team to many victories. Vince took an authoritarian approach to coaching the high school players. He told them that as long as he did the thinking and they did exactly what he told them to do then they would win. He had the mind of a winner and he made sure his players Ana ten same easels to win as nee 10 Vince Ana a willing record every year he coached the Saints of SST. Cecilia. Finally, he got a better offer to be assistant football coach and director of Physical Education at his alma mater, Fordham University. At Fordham, Vince worked under Deed Downward. Vince had hoped to learn a lot from him, but instead he ended up teaching himself most things he learned about football at the college level. Fordham lost all but one game that season and Vince was not happy with the lackadaisical approach Downward took toward coaching his players. The next year Vince became the offensive coach, and instead of working with Downward, he began to teach the players new plays to improve their game. Also, he took it upon himself to learn from many of the best coaches in football by meeting them at clinics or even talking to them on the phone. His desire for learning all aspects of the game showed that he had a strong will to coach football. Vince was very determined for his team to be successful and he knew he had to do whatever it took to find a way for them to win. Vince left Fordham in 1948 after only two years of coaching because of the corrupt businessmen trying to fire the head coach and replacing him with Vince without him knowing. In 1949, Vince got an offer to become an assistant coach at the U. S. Military Academy at West Point. At West Point, Vince worked under Colonel Earl Black. Black helped Vince to develop more of a coaching philosophy. He taught Vince that as long as you keep it simple, but repeatedly practice each play, that the team would succeed. Black was a coach that had the strong desire to win as well. While Vince was there, he worked long periods of time with no vacation. The coaches spent many hours after practice and games to analyze each and every aspect of their players as well as watch videos of other teams to understand how to defend them in a game situation. Together, they made a great pair because they worked so hard to fulfill their desires of winning. The team endured great success until in 1951, the Academy expelled 90 students, including 32 of the football players for cheating. This devastated the coaches and the team. Although they had a tough following year, they bounced back and won the east championship the next year. Although the team seemed to be on a new path to success once again, Vince took a Job as an assistant coach at the professional level for the New York Giants in 1958. Before Vines arrival at the New York Giants, the team was losing and the then coach was replaced with Jim Lee Howell. Vince was hired as the offensive coordinator of the team and along with Tom Laundry, helped the New York Giants overcome their slump and did not have a losing season throughout his entire career. Vince had to make several adjustments to perform his coaching effectively at the professional level. To sharpen his skills, he watched endless amounts of film and even became close with the team players to learn each of their strengths and weaknesses. Although Vince loved his Job with the New York Giants he till longed for the head coaching title he felt he deserved. He received that title in 1958 when he was hired as the head football coach of the Green Bay Packers in Wisconsin. Green Bay was known for its loyal fans and the recent poor performance of the team caused the management to find a new head coach. After much research and many interviews, they believed that Vince Lombardi, with his strong desire and confidence to win and his great coaching abilities, was the perfect selection. The Packers Ana to aureole their self-confidence. Most of the players were rumored to be wild and uncaring award their team and their fans. When Vince arrived for practice, he showed them that he meant business and laid down rules for them the first day. Those who did not play by his rules and did not display their full ability to practice to perfection, were not allowed to play for his team. Vince was famous for his exceptional pep talks. Also, his players knew he was the single reason for their newfound success. Linebacker Tom Betties stated that they were not expected to win in earlier games, but that with Vince We were trained to win. The the whose psychology was aimed that way. We got inference and spirit and we did win (OBrien, p. 151). During his reign at head coach at Green Bay, he led the team to six division titles, five NFG championships, and two Super Bowls. By instilling confidence in his players and showing them that they had what it took to win, he formed one of the best football teams for years to come. Vince had become a legend in town, and everyone thought he was one of the greatest coaches ever. Vince retired from Green Bay in 1967. Two years after his retirement, Vince decided to come out of retirement and became the head coach of the Washington Redskins. After leading them to a winning season in 1969, he found out that he had intestinal cancer in 1970 and passed away ten weeks later in September. Many people came for his funeral and many of his former players that had a tough appearance wept openly and mourned his death. Vince had left behind a great legacy, and had set the standards of excellence for professional football for years to come. While some of Lombardi coaching techniques and philosophy are similar to mine, there are also several differences. Vince had a loud, echoing voice and often lost his temper when he became impatient. On the other hand, have a lower voice and try to stay calm at all times. I would not want to be too overpowering to discourage players. He believed in criticizing players publicly and giving praise privately. As a coach, I would praise the players to give them more confidence in themselves. Instead of criticizing each player, I would recommend tips on how to improve and practice routines that ended in mistakes over and over. Vince had a strong will to win and used every resource possible to be able to improve his teams performance. I would do the same such as talk to other experienced coaches, watch films, and attend clinics and sports camps to become a more successful coach. Just as Lombardi, no matter what the situation may be, I will always have confidence in myself as a coach. Being confident in what he did as a coach was the reason for most of his success. I hope to one day be Just as level headed, organized, successful, and have the same burning desire to win as a volleyball coach as Vince Lombardi was as a football coach. Reference Page OBrien, Michael. (1987). Vince: A Personal Biography of Vince Lombardi. New York: Morrow.

How Learning Strategies Have Changed and May Continue to Change in Essay - 1

How Learning Strategies Have Changed and May Continue to Change in Relation to the Application of Information Technology (IT) in Schools - Essay Example This report stresses that information technology continues to change to achieve the objective of simplicity. These changes are brought about by the need to change leadership in learning institutions as it relates to strategic planning and the role of information technology. This paper makes a conclusion that application of information technology in schools has changed the teaching and learning strategies of students and teachers. Traditional learning strategies such as classroom instructions were dropped and use of communication technologies to transfer information has been adapted in most schools. Changes in information technology have also made it possible to learn through e-learning. Communication between instructors and students has been made possible through use of information technology devices such as computer-aided instructions. Digital libraries also make it possible for students who school through e-learning to access large volumes of information. Information technology continues to change so that it can become simpler. Complexities in technology make use difficult for a number of individuals. Simplicity will ensure technology will be accepted into more learning institutions. Application of information technology can therefore raise personaliz ation of learning strategies and still ensure labor costs are kept at a minimal. This will have positive impacts as it will motivate students and improve the education system.

How social media are reshaping health care Essay

How social media are reshaping health care - Essay Example What do young people today play in their extracurricular activities? If your answer is still computer games, then it seems that you are out of date. Today the most popular activity among those young people is keeping fit. That is the reason as to why your friends who used to be overweight and extremely fond of junk food begun to refuse the cola you handed them and spent much time in the gym. A young man’s eight strong abdominals seem to be more attractive to girls than his luxury car. So how come? Why is keeping fit so popular? When do people start to concentrate more on their health care than how much money they make? Twitter and Facebook and other social media platforms offer individuals with health awareness tips. According to Hawn (2009), social media such as wikis, blogs, twitter, Facebook, and other social networks platforms are all about enriching and speeding up communication especially between the contact of patients and doctors. She described a kind of high-tech health care called â€Å"Hello Health† in her passage. Patients could send doctors instant messages over the Hello Health network describing their symptoms and asking them for advice; the doctor would reply with a quick e-mail, which is free. In effect, Hello Health was operating as a kind of â€Å"concierge† practice. Health insurers typically did not pay for â€Å"visits† over the Internet, which was just one reason as to why the practice does not accept health insurance. â€Å"Hello health left behind the old model of one-to-one communication and enabled communication from one to many (via a blog post or answer sheet) or from many sources to many receivers† (Hawn, 2009). The practice was based on its network communication platform to other doctors in service at hospitals or private practices across the country. Doctors would be able to freely join the network, and then

How Lady Macbeth(TM)s language reveals changes in her role and mental condition Essay Example for Free

How Lady Macbeth(TM)s language reveals changes in her role and mental condition Essay Q: By close reference to the text, show how Lady Macbeths language reveals changes in her role and mental condition. In William Shakespeares Macbeth, the language of Lady Macbeth clearly reflects changes in her role and mental condition throughout the play. At the beginning, Lady Macbeths language is confident and controlled. However, by Act 5 Scene 1, she has undergone a complete transformation of character and is in a pitiful, pathetic condition. Shakespeare uses a variety of literary techniques such as iambic pentameter (or the lack of it), rhetorical devices, powerful imagery and varied sentence lengths to reveal Lady Macbeths disposition at different stages in the play. During Act 1, Lady Macbeths character is imposing and authoritative. This can clearly be seen by analysing her language and speech patterns. Shakespeare highlights the determination and control of her speech through the use of iambic pentameter. Iambic pentameter is a poetic device, wherein each line has 10 syllables with the emphasis on each even syllable. It is used to create a rhythmic quality and to reflect ordinary speech patterns. In addition, iambic pentameter is also a technique of indicating the control and dignity of a character. In the early part of the play, nearly all of Lady Macbeths lines are written in strict iambic pentameter. The lines: (He thats coming) Must be provided for, and you shall put This nights great business into my dispatch, Which shall to all our nights and days to come Give solely sovereign sway and masterdom.1 illustrate the fact that Lady Macbeth is a cunning, shrewd woman, who is in complete control of her mind. The iambic pentameter, coupled with what she actually says, establishes the fact that she is strong and capable character. Shakespeare leads the readers to come to the conclusion that she has the dominant role in the relationship, as she gracefully takes charge of all the decision-making. This is borne out by the content of the lines as well as the sophisticated vocabulary used. These distinctive character traits of Lady Macbeth may well have been inspired by Shakespeares contemporary Queen Elizabeth I, who was also a very commanding and influential entity. Shakespeare also makes use of rhetorical devices to establish Lady Macbeths domineering personality. Rhetorical questions, in particular, are heavily used. These are a speech technique used to persuade someone and sway their mentality. In Act 1 Scene 7, Lady Macbeth uses a ton of rhetorical questions to convince Macbeth to commit the regicide of Duncan. Questions such as: Was the hope drunk/ Wherein you dressed yourself?2, Art thou afeard / To be the same in act and valour / As thou art in desire?3, and What cannot you and I perform upon / Thunguarded Duncan?4 are used to incite Macbeth and make him feel guilty. She is overly vituperative and malicious; accusing him of cowardice by saying things like hes not a man, or that he doesnt truly love her because he isnt keeping his promise to her. The result is that she successfully manipulates Macbeth into doing something that she wants. This confirms the fact that she is an intelligent, influential woman. Another literary device that shows Lady Macbeths evil persona is the strong imagery used in her speech. Imagery is a technique used in literature to make the reader visualise a picture in their minds. The lines: look like thinnocent flower/ But be the serpent undert5 creates a distinct image of trickery and deceit, and gives a clear reflection of Lady Macbeths character. Another piece of effective imagery is the lines: I have given suck and know How tender tis to love the babe that milks me: I would, while it was smiling in my face, Have plucked my nipple from his boneless gums And dashed the brains out, had I so sworn.6 The above lines form a rather disturbing image in our minds, and give us a terrifying indication of Lady Macbeths mental strength. It highlights the malevolence that is inherent in her personality, in addition to her determination and her willingness to make sacrifices. However, the nature of such a statement does provoke one to think seriously about Lady Macbeths sanity. No person in their right mind would kill a child with the brutality that was described, especially not the childs own mother. The lines shown above are one of many subtle hints of flaws in Lady Macbeths character which Shakespeare intelligently incorporates. These serve as inklings towards the total collapse in her character and mental state that is about to follow. In Act 3 Scene 4, the rapid decline of Lady Macbeth begins to take shape. In contrast to the early scenes of the play, her sentences become very short and she seems emotionally exhausted. Earlier, she would make long, influential speeches, which boasted of control and supremacy. This is not the case any more, although she does regain some composure by continuing to speak in iambic pentameter. She is now content to let Macbeth do the bulk of the talking. This indicates a reversal of roles where Lady Macbeth is no longer the dominant partner in the relationship. She is excluded from decision-making, as shown by Macbeths killing of Banquo without even bothering to consult his dearest partner of greatness.7 This scene is quite a significant one, as it marks the turning point of the deterioration in Lady Macbeths role and mental state. By Act 5 Scene 1, the language of Lady Macbeth has completely disintegrated. She is ridden with guilt and remorse, and this clearly affects her conscience immensely. Her psychological weakness at this point is illustrated by the use of prose, as opposed to iambic pentameter. This implies that Lady Macbeth has thoroughly lost all control and power which was typical of her in the first few scenes of the play. Her speech, which now mainly consists of incoherent phrases like: Out, damned spot! Out I say! One, two. Why then tis time to dot. Hell is murky8, lacks the equanimity that she possessed in Act 1. She also uses a lot of imperatives and exclamations like O, O, O,9 which show that she is uneasy and deeply distressed. She dwells over the murders committed by herself and Macbeth, making it obvious that these incidents have been haunting her and causing her much disquiet. All the stress that had been bottled up in her mind is released while she is sleepwalking, and by the end of the scene, she is in a dismal condition, muttering a whole lot of useless drivel. It is no surprise that she later decides to do away with herself, as her body and mind have both crumbled to bits. Lady Macbeths language visibly reflects her role and mental state at different parts of the play. At the start, she is shown to be powerful and domineering which is demonstrated by uses of iambic pentameter, rhetorical devices and strong imagery. She undergoes a steady deterioration and by the end, she is weak and depleted, as reflected by the breakdown of her language. The stark contrast between her mental state at the start and end of the play is clearly demonstrated by comparing two sentences spoken by her at these times: A little water clears us of this deed10 when her hands are covered in blood after the killing of King Duncan, and Here is the smell of blood still, all the perfumes of Arabia will not sweeten this hand11 while she is sleepwalking. The remarkable fall from grace of Lady Macbeth is wonderfully presented by Shakespeare, and plays a big part in the play as whole. Since it was Lady Macbeths ideas and persuasive techniques which led Macbeth to the throne, and set the foundations of his reign; her weakening, and subsequent death, is one of many indicators of Macbeths imminent downfall. Shakespeares use of various literary devices was excellent, and he is able to successfully draw attention to the decline of Lady Macbeth, and its overall significance. 1 Act 1 Scene 5 lines 64-68 2 Act 1 Scene 7 lines 35-36 3 Act 1 Scene 7 lines 39-41 4 Act 1 Scene 7 lines 69-70 5 Act 1 Scene 5 lines 63-64 6 Act 1 Scene 7 lines 54-59 7 Act 1 Scene 5 lines 9-10 8 Act 5 Scene 1 lines 30-31 9 Act 5 Scene 1 line 43 10 Act 2 Scene 2 line 70 11 Act 5 Scene 1 lines 42-43

Comapring Sympathy For Characters in O. Henrys Furnished Room and Chek

Sympathy For Characters in O. Henry's Furnished Room and Chekov's Vanka  Ã‚   Two Works Cited   The narrators in both O. Henry's "The Furnished Room" and Anton Chekov's "Vanka" view their protagonists as desperate and helpless in a world of cold realism. With tones rich in sympathy, the narrators in both stories take pity on their characters. Both characters have yet to understand that realistically they have little control of the dismal life they lead; instead, their surroundings have more of an impact on their life. Trapped in a harshly ironic and deceitful world, the characters become pitiable symbols in a world numb to their presence. Transforming the protagonists into symbols that touch on everyday human norms (such as unending faith and one's lodgings), the narrators promote a sense of empathy. While the young man in "The Furnished Room" represents the personified room in which he lodges, Vanka resembles a sad angel in his purity and innocence. For instance, like the worn-down room in which the young man stays, his well-being depends on people and events that pass him by. The room's personified descriptions reflect all of the young man's emotions: the young man is emotionally "chipped and bruised," (41) and "desolat" (41) like the constantly abandoned room. Also, like the room the protagonist remains anonymous, as if he means little compared to his surroundings and his lost love (all of which are given names). Vanka, though also enduring a rough life, instead possesses a beam of hope in his innocence. Kneeling before his faithful letter to his Grandfather (as if to pray), Vanka resembles a sad angel. Inspite of his constant neglect and abuse, Vanka holds steadily to his faith and wishes his Grandfather "all the blessings... ...ness of mankind. The idea of diminshing hope for both characters is the narrator's final sympathy-balming attempt. The manner in which the narrators present human nature--the dark side of a merciless world in which the characters live--as well as the naive and pathetic nature of both characters, render two stories thirsty for empathy. The naivity that both characters have towards the deceit in their surroundings, as well as their lack of control in events which they endure, cause both characters to be helpless in a cruel world. Works Cited Chekov, Anton. "Vanka." Understanding Fiction. 3rd ed. Eds. Cleanth Brooks and Robert Penn Warren. Englewood Cliff, NJ: Prentice-Hall, 1979. 46-49. Henry, O. "The Furnished Room." Understanding Fiction. 3rd Edition. Eds. Cleanth Brooks and Robert Penn Warren. Englewood Cliffs, NJ: Prentice-Hall, 1979. 39-43.   

Health Policies in Relation to Nurse to Patient Ratio Essay

One suggested approach to ensure safe and effective patient care has been to mandate nurse staffing ratios. In 1999 California became the first state to mandate minimum nurse-to-patient ratios in hospitals. California is not the only state to enact minimum nurse staffing ratios for hospitals, over the past four years at least eighteen other states have considered legislation regarding nurse staffing in hospitals. Policymakers are forced to consider alternatives to nurses ratios due to nurse shortages. Whether minimum staffing ratios will improve working conditions enough to increase nurse supply is unknown. The United States healthcare system has changed significantly over the past two decades. Advances in technology and an aging population (baby boomers) have led to changes in the structure, organization, and delivery of health care services (Spetz, 2001). Low nurse staffing levels in acute care hospitals are jeopardizing the quality of patient care and is the leading cause for Registered Nurses (RNs) to leave the profession (Spetz, Seago, et al., 2000). Apprehension for the nursing workforce and the safety of patients in the U.S. healthcare system now has the unprecedented attention of healthcare policy leaders at every level (Spetz, 2001). One suggested approach to ensure safe and effective patient care has been to mandate nurse staffing ratios (Donaldson, FAAN, Bolton, Janet, Meenu Sandhu, 2005). In 1999 California did just that, it became the first state to enact legislation mandating minimum nurse-to-patient ratios in acute care hospitals (Donaldson, FAAN, Bolton, Janet, Meenu Sandhu, 2005). Assembly Bill 394 (1999), directed the California Department of Health Services (DHS) to establish specific nurse-to-patient ratios for inpatient units in acute care hospitals. This was done by creating a hospital Licensed nurses classification to include both RNs and licensed vocational nurses (LVNs) also referred to as licensed practical nurses (LPNs) (California, 2002 July). This was not the first time a legislation had contemplated a nurse-to-patient ratio. In 1996, proposition 216 would have established staffing standards for all licensed health care facilities in addition to creating a statewide health insurance system (California, 2002 Janurary). The ballot proposition  that was rejected by the voters in 1996. Again in 1998, Assembly Bill 695 was introduced and approved by the state legislature but vetoed by then Gov. Pete Wilson (California, 2002 Janurary). Intense lobbying by unions representing California nurses would change everything with the passage of Assembly Bill 394 (California, 2002 July). The intense lobbing paid off with the election of a new governor, Gray Davis, in November 1998, who was endorsed by unions representing nurses and other workers (Spetz, Seago, et al., 2000). California DHS proposed the minimum nurse-to-patient ratios (California Hospital, 2004). Thus ranged from one nurse per patient in operating rooms to one nurse per eight infants in newborn nurseries. The DHS proposed that the minimum ratios for medical-surgical and rehabilitation units be phased in (California Hospital, 2004). They initially set minimum ratios for these units at one RN or LVN per six patients and within twelve to eighteen months the goal was to shift to one nurse per five patients (California, 2002 July). Prior California law regarding nurse staffing in acute care hospitals were extended under Assembly Bill 394 (1999). State and federal regulations affect the demand for licensed nurses. Under the 1976-77 state legislative session, California hospitals must have a minimum ratio of one licensed nurse per two patients in intensive care and coronary care units (California Hospital, 2003). Federally certified nursing homes are required to have a RN director of nursing and a RN on duty 8 hours a day, seven days a week (California state). If the facility has under 60 beds, the director of nursing can serve as the RN on duty (Harrington, 2001). This legislation also requires that at least half of licensed nurses working in intensive care and coronary care units be RNs (California state ,Title 22, Division 5, Chapter 1, Article 6, Section 70495(e).) Legislation enacted in the early 1990s requires hospitals to use patient classification systems to determine nurse staffing needs for inpatient units on a shift-by-shift basis and to staff accordingly (California state ,Title 22, Division 5, Chapter 1, Article 6, Section 70495(e)). In January 2004, hospitals also will face minimum licensed nurse-to-patient  ratio requirements in other hospital units, as established by Assembly Bill 394 (California state, Chapter 945, Statutes of 1999). Numerous estimates of the effect of these ratios on demand for licensed nurses have been published. The DHS analysis, conducted by researchers at the University of California, Davis, predicts that 5,820 new nurses will be needed in California hospitals to meet the staffing requirements (Kravitz, Sauve, Hodge, et al., 2002). Other analyses conducted by independent researchers have reported that the increased demand for nurses due to the ratios could be as low as 1,600 (Spetz, 2002). Growing numbers of research associates important benefits for patients and nurses will arise with the Assembly Bill 394 (Aiken, Clarke, Sloane, 2002). It has been argued that nurse staffing levels are now so low as to jeopardize the well-being of hospital patients (California. Office of the Governor, 2002). Supporting Assembly Bill 394, minimum nurse-to-patient ratios assure quality by establishing a minimum standard below which no hospital can fall (Assembly Bill 394, 1999). Researchers disagree with California’s statute requiring use of acuity-based patient classification systems because it is inadequate and difficult to determine whether hospitals are complying with this mandate (California Hospital, 2004). Instead they support a, simple minimum ratios to enable nurses, patients, and family members to easily identify and report inpatient units with dangerously low staffing levels (Donaldson, FAAN, Bolton, Janet, Meenu Sandhu, 2005). It is believed that working conditions have a large influence on the number of persons willing to practice nursing in hospitals (Kravitz, Sauve, Hodge, 2002). To most, minimum staffing ratios would improve working conditions, which would in turn reduce the numbers of nurses leaving hospital positions and the nursing profession (Donaldson, FAAN, Bolton, Janet, Meenu Sandhu, 2005). Creating a better work environment and conditions also may attract more young persons to nursing (Kravitz, Sauve, Hodge, 2002). Increased attention to nursing and rising salaries are already raising interest levels; the American Association of Colleges of Nursing reports that enrollments in baccalaureate nursing programs increased in 2001, for the first time in six years (American Association of Colleges of Nursing, 2001). The Assembly Bill 394 (1999), is great and will create a safer environment for patients, and staffing ratios would help to alleviate the nursing shortage but without nurses to meet the ratios one cannot uphold and follow the nurse-patient-ratios. This is why California Governor Gray Davis announced the Nurse Workforce Initiative in his January 2002 State-of-the-State speech (California. Office of the Governor, 2002). The purpose of the Nurse Workforce Initiative (NWI) is to develop and implement proposals to recruit, train, and retain nurses both to address the current shortage of nurses in California and to support implementation of new hospital nurse-to-patient staffing ratios also announced in late January 2002 (Seago, Spetz, Coffman, Rosenoff, O’Neil, 2003). The Governor made available $60 million over three years for the NWI (California, 2002 July). His goal is to use components designed to address the nurse shortage using both short and longer term strategies. This can range from working in partnership with local hospitals, scholarships for nursing students, career ladder projects, workplace reform efforts, and other strategies to increase the number of nurses (California, 2002 July). An evaluation will be done to determine which strategies to increase the supply of nurses are most effective and improve the understanding of the labor market dynamics for nurses (Seago, et al, 2003). Whether minimum staffing ratios will improve working conditions enough to increase nurse supply is unknown. The experience of hospitals in Victoria, Australia, one of the few jurisdictions to implement minimum nurse-to-patient ratios in hospitals, is instructive (Needleman, Buerhaus, Mattke, Stewart, Zelevinsky, 2001). Large numbers of nurses returned to the nursing profession after the minimum ratios were established. However, hospitals continued to face a shortage of nurses, because there were not enough returning nurses to meet demand, forcing hospital to close hospital beds (Needleman, Buerhaus, Mattke, Stewart, Zelevinsky, 2001). Besides, minimum staffing ratios address only one piece of the ‘  dissatisfaction with hospital nursing. Staffing is a major concern of many nurses, but RN job satisfaction indicates that they are also dissatisfied with other aspects of their work, including low salaries, lack of control over work schedules, lack of opportunities for advancement, lack of support from nursing administrators, lack of input into policy and management decisions, and inadequate support staff to perform non nursing tasks (Spetz, 2002). Maine and Massachusetts state affiliates cut their ties with the American Nurses Association (ANA) in 2001, in large part because they did not fully agree with the ANA’s opposition to minimum nurse-to-patient ratios (American Nurses Association, 2003). This led to the establishment of the American Association of Registered Nurses in February 2002, leaders of unions representing nurses in California, Maine, Massachusetts, Missouri, and Pennsylvania joined to establish a new national association (New England, 2005). The unions will join forces on national projects and support one another’s state legislative, collective bargaining, and organizing campaigns. Further research is needed to establish the number of states in which nurses’ unions have sufficient political power to enact minimum nurse-to-patient ratios. In the short term, the number of states is likely to be small. California’s rate of unionization among nurses, approximately 25 percent, is much higher than that of most states (Aiken, Clarke, Sloane, 2002). In addition, ANA affiliates are more powerful in other states than in California. Proactive ANA affiliates may be able to persuade policymakers to implement other reforms that address nurses’ concerns about hospital staffing (American Nurses Association, 2003). Other important variables include the political influence of state AHA affiliates and elected officials’ ties to organized labor (American Nurses Association, 2003). California is not the only state to enact minimum nurse staffing ratios for hospitals, over the past four years at least eighteen other states have considered legislation regarding nurse staffing in hospitals (New England, 2005). Twelve states have considered bills that would mandate minimum nurse-to-patient ratios in hospitals. Fourteen states have considered  legislation that attempts to address nurses’ concerns about staffing through other means, such as requiring hospitals to develop staffing plans based on patient acuity, mandating disclosure of nurse staffing ratios, and establishing a task force to study and monitor nurse staffing. Oregon, has enacted legislation that requires acuity-based staffing plans (New England, 2005). Policymakers in other states may wish to consider a well-designed acuity-based ratio system as an alternative to minimum nurse-to-patient ratios (New England, 2005). Many states have regulations that require hospitals to use patient classification systems to determine nurse staffing, but these regulations face much criticism, as discussed above. Although many of these regulatory systems do not function well today, they could form the basis for strong but flexible staffing regulations in the future (New England, 2005). States could mandate particular patient classification systems, develop methods of ensuring that staff and patients are aware of the required staffing during every shift, and establish effective enforcement mechanisms (New England, 2005). Alternatively, states could require that hospitals submit information relevant to their staffing needs every quarter and could mandate a ratio for that quarter based on an analysis of patients’ needs, availability of support staff, and other factors (New England, 2005). Texas is pursuing a totally different approach to the nursing situation that is tailored to the unique circumstances of individual hospitals. Under regulations issued 24 March 2002, hospitals are required to establish committees to develop nurse staffing plans and to use data on nurse-sensitive patient outcomes to assess and adjust staffing plans (Texas Nurses Association, 2002). At least one-third of the members of these committees must be RNs engaged primarily in direct patient care (Institute, 1999). The minimal nurse staffing on patient acuity or nurse-sensitive outcomes respond to nurses’ justifiable concerns about hospital staffing without imposing rigid mandates (Harrington, 2001). The flexible staffing approaches seem more appropriate than ratios, given the complexity and rapid pace of  technology changing the delivery of hospital care. (Harrington, 2001). Nurses’ job satisfaction and retention may enhance the opportunities for hospital nurses to play a more direct role in staffing decisions (Kravitz, Sauve, Hodge, 2002). The key is without more nurses no ratio can be met. So the focus needs shift on reaching as many young people as possible by showing them that they to could be a good fit in the nursing community. They need to know that nurses are people too, and the traits of a nurse, such as not being squeamish over the sight of blood comes with time. Stepping out into the high schools and broadcasting information about nurses can translate into only one thing, more students who pursue a nursing career. There is no better way to start, than by planting a seed in the mind of a young person who is about to step out into the world and choose a career. The more educating and qualified young people health care workers can get to chose a nursing career, the better off the nurse-to-patient ratio becomes, allowing for a safer environment for future patients, by permitting more effective health care. References Aiken, L., & Clarke, S., & Sloane, D. (2002). Hospital Restructuring: Does It AdverselyAffect Care and Outcomes? Journal of Nursing Administration, 30(10), 457-465. American Nurses Association. (2003). Nurse Staffing Plans and Ratios. Retrieved June, 10, 2007, from http://nursingworld.org/GOVA/STATE/2003/ratio1203.pdfAmerican Association of Colleges of Nursing. (2001, December 20). Enrollments Rise at U.S. Nursing Colleges and Universities Ending a Six-Year Period of Decline, Press Release, Retrieved 10 June, 2007, from www.aacn.nche.edu/Media/NewsReleases/enrl01.htmAssembly Bill 394. (1999). Retrieved 10 June, 2007, from http://info.sen.ca.gov/pub/99-00/bill/asm/ab_0351-0400/ab_394_cfa_19990628_171358_sen_comm.htmlCalifornia Hospital Association. (2004). California’s nurse-to-patient staffing ratios: Proposedmodifications. Retrieved March 14, 2005 from http://www.calhealth.org/public/press/Article/124/Ratio%20Modifications%20Fac t%20Sheet%20finaCalifornia Hospital Association. (2003, September). Hospital minimum nurse-to-patient ratios asrequired by AB 394. Retrieved April 13, 2005 fromhttp://www.calhealth.org/public/press/Article/113/Nurse%20Ratio%20chart.pdfCalifornia. Office of the Governor. (2002, January 22). Governor Gray Davis Announces Proposed Nurse-to-Patient Ratios. Press Release, Sacramento: Office of the Governor. California. Office of the Governor. (2002, July 15). Sets Nation’s First Safe Nursing Standards: Governor Davis Announces Nurse-to-Patient Ratios, Press Release, Retrieved 10 June, 2007, fromhttp://www.calnurses.org/nursing-practice/ratios/ratios_index.htmlCalifornia state legislature Retrieved 10 June, 2007, from http://www.legislature.ca.gov/Donaldson, N., & FAAN, B., & Bolton, L., & Janet E., & Meenu Sandhu, M. (2005, August 08). New study examines impact of nurse-patient ratios law, California. Retrieved 10 June, 2007, from Policy, Politics & Nursing Practice’s website: http://ppn.sagepub.comHarrington, Charlene. 2001. â€Å"Nursing Facility Staffing Policy: A Case Study for Political Change.† Policy, Politics, and Nursing Practice, 2(2), 117-127. Institute for Health and Socio-Economic Policy. (1999 September). California Health Care: Sicker Patients, Fewer RNs, Fewer Staffed Beds. Retrieved 10 June, 2007 from www.calnurse.org/cna/pdf/StaffingRatios6.pdfKravitz, R., & Sauve, M., & Hodge, M. (2002). Hospital NursingStaff Ratios and Quality of Care. University of California – Davis, report submitted to State of California, Department of Health Services, Licensing andCertification. Needleman, J., & Buerhaus, P., & Mattke, S., & Stewart, M., & Zelevinsky, K. (2001). Nurse Staffing and Patient Outcomes in Hospitals. Washington DC: Bureau of Health Professions, U.S. Department of Health and Human Services. Retrieved June, 10, 2007, from http://bhpr.hrsa.gov/nursing/staffstudy.htmNew England public policy center and the Massachusetts health policy forum. (2005, July). Nurse-to-patient ratios: Research and reality. Retrieved 10 June, 2007, from http://www.bos.frb.org/economic/neppc/conreports/2005/conreport051.pdfSpetz,

Academic Motivation And Career Development - 1358 Words

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