Healthcare; Use your own experience in an emergency department or those of relative or friend custom essay

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To find an essay topic, you will be expected to either:Use your own experience in an emergency department or those of relative or friend, OR ? Watch an episode of one of the TV medical shows eg. ER, Scrubs, House, Grey?s Anatomy, Dr. Oz, The Doctors Use your observation time/experience/TV episode to identify a particular issue relevant to emergency department care. The goal of the essay is to describe the issue and analyze it in the wider context of the Canadian health care system by drawing on the academic literature. If you are using someone else?s experience and that person can be identified (e.g., you refer to your mother, your brother, your spouse), your submitted essay outline and essay must include a signed and dated letter from that person giving you permission to describe their experience. references you propose to use. Use subheadings ? e.g., Introduction, Issues to Be Discussed, Issue #1, Issue #2, Conclusion (see ?essay structure? section) ? to organize your ideas and plan the structure of your essay. The outline should indicate what issue will be explored in the essay, which groups will be considered (e.g., government, doctors, nurses, patients, etc.) and finally should either give some of the references that you will use or a detailed description of how you intend to gather material for your essay. Just saying that I will look at books dealing with doctors and nurses is not acceptable. At least 5 academic references should be included. Academic references are scholarly books, journals, authoritative web sites. Use APA style for the in-text citation and the reference section at the end of the paper. Not all sources from the Internet may be considered as one of the 5 references. Internet sources that are acceptable include: ? ? Articles in peer-reviewed journals that are available electronically through the library ? Government documents Since other sources from the Internet are variable in quality, they will be considered supplementary to the 5 required references, and will not count as one of them. If you are not certain of the acceptability of one or more of your sources from the web, check with your tutorial leader. A part of this exercise is to learn to use academic articles, so that your essay and term paper draw on sources that have been peer reviewed and meet current social science standards. Newspaper and magazine articles are considered supplementary and should be used judiciously. Develop the list of references on which you will base your paper well in advance to ensure they are of acceptable quality and you will not be left at the last minute with references that are unacceptable. If you wish to cite information you got from an interview or conversation with someone here is the format. ?Joe Blow told me that he doesn?t like working in an emergency department (Joe Blow, personal communication, February 6, 2004).? Essay Structure Initial paragraph Describe the experience you used to identify the topic of your paper. For example: ?I went to the emergency department with my friend who had been hurt playing basketball. While there, I witnessed a doctor and a nurse arguing over how to treat a patient. The doctor finally told the nurse that it had to be done the way he wanted and the nurse walked away looking disgusted. Based on this experience I will examine the relationship between doctors and nurses in our health care system and whether there should be changes in the current relationship.? At the end of this paragraph you should have a sentence or two that clearly identifies what issue you will be discussing in your essay. Second paragraph Discuss the points that you will be raising in your essay, how you will be raising them and some of the main actors. To continue with the example above: ?I will look at how doctors and nurses are trained by discussing curriculum in medical and nursing schools with people teaching in these schools. In addition, since most doctors are men and most nurses are women, I will also be looking at the power relationships between men and women. Finally, I will examine the provincial regulations that describe the different functions of the two professions.? Next paragraphs This is the body of your essay. In these paragraphs you will discuss the three points that you identified above: training of doctors and nurses, how men and women relate in general, provincial regulations that govern the two professions. Concluding paragraphs The idea here is to summarize what you have presented and then to draw conclusions based on that material. For example: ?In general, when men and women are working in the same environment men tend to be more aggressive and women tend to be more passive, even when there is no difference in their knowledge or abilities. Therefore, when there is an argument women will usually give into men. Medical training teaches doctors to be assertive and to be team leaders, while nursing training tends to emphasize caring and a more cooperative relationship. When the two professions work together doctors tend to assume that they will be the leaders and nurses are willing to defer to the doctors. This relationship is reinforced by regulations governing the nursing profession that state that nurses are not allowed to diagnose or treat, these are only functions that doctors can do. Therefore, especially when it is a question of either diagnosis or treatment nurses are even more likely to give in. I believe that this relationship needs to change. Nurses spend more time with patients than doctors and often observe things that doctors miss. However, if nurses opinions are ignored then patient care may suffer. Furthermore, if this type of relationship continues nurses will feel that their work is undervalued and may leave the profession.? Obviously, your essays will be more evolved and detailed than this example but in general, this is the model that you should follow

b) Essay (30% of final mark)

General

Your essay should be approxmately 1500 words (5 double spaced typed pages) or a maximum of 6 pages, not including the reference page.

At least 5 academic references should be included. Academic references are scholarly books, journals, authoritative web sites. Use APA style for the in-text citation and the reference section at the end of the paper. Not all sources from the Internet may be considered as one of the 5 references. Internet sources that are acceptable include:
?

? Articles in peer-reviewed journals that are available electronically through the library
? Government documents
Since other sources from the Internet are variable in quality, they will be considered supplementary to the 5 required references, and will not count as one of them. If you are not certain of the acceptability of one or more of your sources from the web, check with your tutorial leader. A part of this exercise is to learn to use academic articles, so that your essay and term paper draw on sources that have been peer reviewed and meet current social science standards. Newspaper and magazine articles are considered supplementary and should be used judiciously.

Develop the list of references on which you will base your paper well in advance to ensure they are of acceptable quality and you will not be left at the last minute with references that are unacceptable.

If you wish to cite information you got from an interview or conversation with someone here is the format. ?Joe Blow told me that he doesn?t like working in an emergency department (Joe Blow, personal communication, February 6, 2004).?

Essay Structure

Initial paragraph
Describe the experience you used to identify the topic of your paper. For example:

?I went to the emergency department with my friend who had been hurt playing basketball. While there, I witnessed a doctor and a nurse arguing over how to treat a patient. The doctor finally told the nurse that it had to be done the way he wanted and the nurse walked away looking disgusted. Based on this experience I will examine the relationship between doctors and nurses in our health care system and whether there should be changes in the current relationship.?

At the end of this paragraph you should have a sentence or two that clearly identifies what issue you will be discussing in your essay.

Second paragraph
Discuss the points that you will be raising in your essay, how you will be raising them and some of the main actors. To continue with the example above:

?I will look at how doctors and nurses are trained by discussing curriculum in medical and nursing schools with people teaching in these schools. In addition, since most doctors are men and most nurses are women, I will also be looking at the power relationships between men and women. Finally, I will examine the provincial regulations that describe the different functions of the two professions.?
Next paragraphs
This is the body of your essay. In these paragraphs you will discuss the three points that you identified above: training of doctors and nurses, how men and women relate in general, provincial regulations that govern the two professions.

Concluding paragraphs
The idea here is to summarize what you have presented and then to draw conclusions based on that material. For example:

?In general, when men and women are working in the same environment men tend to be more aggressive and women tend to be more passive, even when there is no difference in their knowledge or abilities. Therefore, when there is an argument women will usually give into men. Medical training teaches doctors to be assertive and to be team leaders, while nursing training tends to emphasize caring and a more cooperative relationship. When the two professions work together doctors tend to assume that they will be the leaders and nurses are willing to defer to the doctors. This relationship is reinforced by regulations governing the nursing profession that state that nurses are not allowed to diagnose or treat, these are only functions that doctors can do. Therefore, especially when it is a question of either diagnosis or treatment nurses are even more likely to give in.

I believe that this relationship needs to change. Nurses spend more time with patients than doctors and often observe things that doctors miss. However, if nurses opinions are ignored then patient care may suffer. Furthermore, if this type of relationship continues nurses will feel that their work is undervalued and may leave the profession.?

Obviously, your essays will be more evolved and detailed than this example but in general, this is the model that you should follow.

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