Topic CRITICAL REFLECTION AND DECISIONMAKING REPORT RELATED TO THE Essay

Topic CRITICAL REFLECTION AND DECISIONMAKING REPORT RELATED TO THE UTILISATION OF EVIDENCE - Essay Example Therefore, it is a necessity on the part of the nurse to review appropriate research in the area to check if her approach to that particular clinical problem is appropriate, effective, and ethical. In this assignment, I will present my critical thinking and reflective practice on the issue of use of restraint on patients, which I encountered in my practice based on analysis of evidence as indicated in literature and as summarised in Joanna Briggs Evidence Based Practice Information Sheet for Health Professionals Part I for use in acute and residential care facilities in the following format. The Part II of the document could not be retrieved due to copyright issues (Joanna Briggs Institute for Evidence Based Nursing and Midwifery, 2002). This document has been created from the systemic reviews of evidences reflected in literature. There is a guide for level of evidences so the reader can evaluate the effectiveness, meaningfulness, and appropriateness of the evidence. The authors succinctly present the overall objectives of the guidelines in relation to use of restraints in acute and residential care settings. ... Therefore this document presented the findings from a systemic review on this topic as the best evidence-based guideline that can be used in practice. This design is appropriate to the objectives since this can lead to more vigorous evidence than personal opinion, and the evidence can be tailored to the specific focus of the review. This objective identifies an area of practice where practice needs summarised evidence through systemic reviews of international research. This puts an emphasis on rational action through a structured appraisal of empirical evidence, where unquestionably effective healthcare may be delivered (Evans D, et al. 2002). Aspect ii The clinical question(s) covered by the guideline is (are) specifically described. This document elicits the clinical questions, and the guidelines clearly address these problems. The first part of this document talks about the use and impact of restraints and the possible adverse effects from their use. Although the second part is not available here, the need to minimise restraints has been projected, which links to the guidelines. The guidelines have been derived from the recommendations in the literature which can be examined based on level of evidence. Thus this document both generates evidence and synthesise them so they can be utilised. The problem essentially is routine use of physical restraints and bed side rails in acute and long-term care facilities in an attempt to reduce liability and fall events that these patients are prone to suffer, even to the extent of 25 to 85% and in many cases unnecessary. Restraints themselves may be associated with many complications. As a result, these should be used minimally and

Outline and discuss the evolution of CSR, including its history, role Essay

Outline and discuss the evolution of CSR, including its history, role in the financial crisis and prospects for the future. Supp - Essay Example In this documentary film, Moore conducts an investigative research on the impact that the closure of General Motors’ auto plants in Flint, Michigan, United States, had on the local communities. From the documentary film, it is clearly noted how by 1988 a leading company in the caliber of General Motors failed to denote its significant contribution to the local communities where it operated and it even failed to establish a clear structure of how the organization relates with the local communities. At the time of the Closure, Moore, reported that General Motors was making substantial amounts of profits but its decision to relocate its plants to Mexico was mainly motivated by the fact the company was seeking to lower its operating expenses by using cheap labor that was available in Mexico. Whilst making this decision, Mr. Roger Smith, the chairperson of the corporation at that time, failed to be socially responsible because of the fact that his decision led to 30,000 jobs losses , and a severe economic recession within the Flint area. Moreover, there was increase in cases of crime, evictions across the area because of failure to pay rent, and massive exodus of people from the area. Presently, General Motors Corporation is one of the leading companies in the world, which has a well-elaborate corporate social responsible unit that is managed through the GM foundation, and this is a clear indication that corporate social responsibility has evolved overtime and it has grown to become an integral part of the business model of most business organizations. This present essay is based on company law and it seeks to outline and discuss the evolution of corporate social responsibility, including its history, role in the financial crisis, and prospects for the future. The history of corporate social responsibility The writings by McWilliams et al. (2006), aimed at demonstrating the evolution, which human resource management and corporate social responsibility have und ergone. This writings succeeded in doing this by first establishing a valid point that during the early stages of industrial revolution, which was taking place across various countries that are now developed, all of the companies treated their employees as machinery that were designed for performing various tasks and being rewarded. This means that companies did not put into consideration the welfare of their employees. However, following the establishment of the