Local Environmental Issue

Local environmental issue

 

The environmental issue must be local (chesapeake in United States )

 

Find an article that is not more than 6 months old. the article about environmental issue in chesapeake such as in Maryland or Baltimore. And write an essay 4-5 pages.

 

Article must be maximum 6 months old. and must be local issue

in writing you need to cover :

1-What is the issue ?

2-Why it is important ?

3-What is policy that could address this problem ?

4-advantages and disadvantages of the policy ?

5-What do you think is this a good policy or not ?

 
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ESSAY UNIT VIII

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Copyright © eContent Management Pty Ltd. Contemporary Nurse (2013) 45(2): 264–268.

In countries around the world, academics are working in complex environments with mul- tiple and competing demands, a situation that is impacting on workplace satisfaction, staff morale and motivation. The performance-driven cul- ture in academia is highly competitive, with the requirement to develop and strengthen one’s research profile, publish in high quality jour- nals and undertake funded research in addition to teach, supervise higher degree students and actively engage with community stakeholders (Cleary, Horsfall, & Jackson, 2011; Fitzmaurice, 2008; McDermid, Peters, Jackson, & Daly, 2012).

Many universities have policy documents to inform faculty workload and such documents often incorporate consideration of scholarly activities (e.g., publications, research), commit- tee work, student advisement, and teaching and related activities (Cohen, Hickey, & Upchurch, 2009). Typically, workloads are high for academ- ics and some mistakenly equate high workloads with greater productivity (Soliman & Soliman, 1997). To successfully negotiate the teaching, research, governance, and engagement aspects of the academic role, academics can find it helpful to

Promoting integrity in the workplace: A priority for all academic health professionals

Michelle cleary, Garry Walter*,+, Jan horsfall! and debra Jackson#

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; *Chair of Child and Adolescent Psychiatry, University of Sydney, Sydney, NSW, Australia; +Child and Adolescent Mental Health Services, Northern Sydney Local Health District, Sydney, NSW, Australia; !Independent Research Advisor, Sydney, NSW, Australia; #Faculty of Health, University of Technology, Sydney, NSW, Australia

AbstrAct: The performance-driven culture of universities challenges faculty to meet workplace expectations. In this paper, we draw on the literature to identify key aspects of, and requirements for, promoting integrity in the academic workplace. Integrity is a crucial personal characteristic that can exert a powerful influence in any setting. Any threat to integrity in the workplace can result in a toxic and corrupt environment that may be deleterious to faculty and students. Such an environment can act to prevent faculty from speaking up about ethical issues or workplace concerns, which can result in failure to identify areas for improvement, continuation of suboptimal practices, and problematic professional relationships. The aim of this paper, therefore, is to present an overview of the concept of integrity in the academic work- force and to discuss some of the issues and dimensions, in the hope of creating greater awareness. This is essential if health professional faculties are to recruit and retain staff and create optimal working environments conducive to facilitating high quality outcomes.

Keywords: academia, integrity, bullying, workforce, workplace culture

form collaborative relationships with colleagues, rather than work in isolation (Cleary et al., 2011). However, the success of such collaborations is dependent on collegial trust, and the nature of the professional networks and types of working rela- tionships that can be developed.

Anecdotally, many academics with high research and publication output work in excess of prescribed hours, with little incentive apart from keeping their job or developing and maintaining a ‘track record’. This appears to be possible or manageable in early career stages, and some view this as desirable in order to establish the necessary profile and reputation. However, in the longer term this may not be sus- tainable. Further, with the current global recession, financial imperatives determine priorities (Rolfe, 2012), and money and kudos-earning demands are in conflict with the intentions and activities that are associated with and surround good teaching, rel- evant research, and authentic team work.

What is integrity? Academic integrity is defined as ‘a commitment, even in the face of adversity, to five fundamental values: honesty, trust, fairness, respect, and responsibility.

 

 

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that the preservation of moral integrity comprises six stages: (1) vulnerability; (2) getting through the day; (3) coping with moral distress; (4) alien- ation from self; (5) coping with lost ideals; and (6) integration of a new professional self-concept (Kelly, 1998, p. 1134). Stage three – coping with moral distress – occurs as a result of falling short of one’s moral convictions and standards of what it means to be a good nurse, in which nurses ques- tion their knowledge, and the kind of nurse that they are and are becoming. This struggle to main- tain integrity can lead to moral distress, which has been associated with departures from the specific work place and from the profession altogether. In Kelly’s (1998) nurse study, this led eventually to a revision of personal and/or professional identity.

In university settings, it is becoming more diffi- cult for staff to thrive professionally and personally in a manner that does not compromise values and commitments as both nurses and human beings (Rolfe, 2012). Indeed, staff can feel that they are unable to speak up or raise issues of concern, and this has implications for the quality of service that can be provided (Jackson & Raftos, 1997). Faculty may be required to make tough decisions, and the consequences of ‘being aware of “what should be done” and not having the power or the resources to act on this awareness may lead to a “troubled conscience”’ (Lützén et al., 2006, pp. 187–188). When ethical breaches are trivialized, wrong- doings denied, and principles abandoned because of fear or the requirement of self-preservation, many individuals experience moral distress (Deady & McCarthy, 2010). With time, this negative behavior can become entrenched and normalized.

Thus, integrity can readily become con- strained or compromised. Integrity exacts personal resources, such as the courage to stand up and hold the ethical line in situations where others with greater power and authority are not doing so them- selves. At times, this is demanded of the self against a wall of silence, lack of peer and organizational support, concerns about retribution, and lack of job alternatives. Taking the line of least resistance, conforming to group/crowd norms, fear, and awareness of limited job opportunities often sup- port inaction, even in the face of another person’s attempts to enact or promote moral integrity.

From these values flow principles of behavior that enable academic communities to translate ideals to action’ (Center for Academic Integrity, n.d.). As a concept, integrity encompasses ethical principles, such as autonomy, fidelity, privacy, and personal beliefs and values (Mcfall, 1987; Widang & Fridlund, 2003). Acting in accordance with one’s general ethical principles is also in keeping with so- called ‘moral integrity’ (Widang & Fridlund, 2003). Moral integrity requires one to distinguish right from wrong, and be prepared to speak up and act for right and against wrong, even under non-conducive circumstances. It is part of the ‘new professionalism’, encompassing personal virtues, being advocated for health professionals, and there is no reason why this should also not be applied to those in academia (Robertson & Walter, 2011).

Integrity relates closely to ‘good governance’, which addresses the ‘values, principles and norms’ of an organization’s daily operations and the requirement for a workplace to have integrity, standards, guidance and monitoring (Evans, 2012, p. 97). The way we behave towards colleagues is an important aspect of maintaining integrity, but despite the existence of comprehensive and well- intentioned protocols, the literature is replete with evidence of diverse breaches of ethical codes. In both the academic workplace and healthcare set- ting, employees are required to commit to acting with integrity through, as a condition of employ- ment, acceptance of institutional Codes of Ethics, Conduct and other codes designed to uphold work- place propriety such as policies regarding discrimi- nation, conflict of interest, open disclosure and anti-corruption (e.g., NSW Health, 2012). While such codes tend to focus on professional conduct related to teaching, research and professional activ- ity, they also require staff to uphold standards of behaviour associated with respect and collegiality.

How can moral strength in the academic workplace be supported and facilitated? Moral strength is about using ‘courage to act and the ability to provide arguments with the inten- tion to justify these actions’ (Lützén, Dahlqvist, Eriksson, & Norberg, 2006, p. 194). Moral strength contains elements of integrity and, while literature in this area is scant for nurse academ- ics, a study of newly graduated nurses suggests

 

 

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professional staff may participate in or be recipients of these intimidatory interpersonal processes. According to the literature, outspoken women in particular are commonly targeted as they are often prepared to speak up about unjust matters – their competence and success is perceived to be a threat by those engaging in the bullying behav- iours (Khoo, 2010). Therefore, targets of bullying must weigh up the advantages and disadvantages of reporting inappropriate behavior directed at them. They may become cast as ‘whistleblowers’, and this status can provide further rationalisation to extend the bullying. There is abundant literature that attests to the negative consequences of bully- ing and/or whistleblowing (Jackson et al., 2010a, 2010b). Irrespective of whether destructive behav- iours are deemed to be merely unprofessional, or are identified as bullying or mobbing activities, the on-going experience of being targeted will invari- ably lead to harmful effects on the well-being, health and/or careers of victims (Vie et al., 2011), In some milieu, the very people who stand by silently and passively hoping that they will not get in the firing line may be harmed as well (McKay, Arnold, Fratzl, & Thomas, 2008).

Workplace culture Even though bullying is perpetrated by an individ- ual or mediated through a network (e.g., in the case of mobbing), it develops as a result of the interplay between people and flourishes with passive or active support that relate to a range of organisational and cultural factors within the work setting (Bond, Tuckey, & Dollard, 2010). Factors that facilitate bullying include competitiveness, autocratic man- agers, rigid rule-bound hierarchal organizations, and environments with poor – or top-down – communication practices, often without formal policies or a culture of policy non-adherence. It is worth emphasising that the existence of formal policies per se cannot mitigate against bullying or other organisational transgressions – managers and other key personnel need to have the moral for- titude to respond appropriately and assertively to breaches when they occur (Jackson, Hutchinson, Peters, Luck, & Saltman, 2012). Currently, the pervasive university focus on performance-driven output within a corporate culture, along with the drive for profit, contributes to the creation of an

Behaviours of concern in the academic Workplace

Bullying acts involve unwanted and persistent psy- chological or physical abuse directed at one person, generally across a timeframe of six or more months (Wheeler, Halbesleben, & Shanine, 2010). Bullying is a serious workplace issue that may not initially be recognised for what it is, as the processes drawn upon can be subtle and insidious and take place in private (Cleary, Hunt, & Horsfall, 2010; Cleary, Hunt, Walter, & Robertson, 2009). Therefore, bullying behaviours can be difficult to identify and tackle, particularly if individual acts are viewed in isolation. Commonly over time, these negative behaviours can become more open and direct, with legitimate and worthy workplace activities and pro- cesses sometimes becoming corrupted and appro- priated as further instruments of oppression and violation (Hutchinson, Vickers, Jackson, & Wilkes, 2006a, 2006b; Vie, Glasø, & Einarsen, 2011).

Behaviours under the rubric of bullying can also take the form of ‘mobbing’. This involves a group dynamic in which a lead or dominant bully initiates and coordinates harassment through the bully’s various networks within an organisation that tolerates such transgressions (Wheeler et al., 2010). The behaviour can also be subtle and may involve the use of various strategies that may seem innocuous when viewed in isolation.

Khoo (2010) describes academic mobbing as comprising sophisticated malevolent behaviours in which academics ‘gang up’ on a target to undermine her/him via any mechanism available; such methods may include humiliation, trumped-up accusations, and pervasive and persistent but unpredictable ver- sions of harassment (p. 61). These behaviours may be interpreted as attempts to compensate for the lead bully’s unconscious fears and weaknesses and chan- nelling of hostility in ways that unite perpetrators against a common enemy. The targeted person – often a high achiever with strong moral principles and potentially among the organization’s best assets – is thus alienated (Khoo, 2010). Pressure may be applied in various ways, such as through innuendo, the spreading of rumours and lies, or by use of a range of exclusionary strategies.

Academia is identified as one of the common sites for such politely conducted, non-violent mob- bing. In the university, students, academics and

 

 

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undesirable practices as the negative and damaging behaviours become normalized.

Academic communities in which productive research alliances can be formed and where staff are able to work collegially within teaching and research teams are essential for the achievement of high level teaching, scholarship and research output, consistent with current academic per- formance targets (Cleary et al., 2011; Jackson, 2008). Good working environments are not magically manufactured, and an environment of mutual respect certainly requires time, good will, effort, and moral courage from leaders at all levels (Carmeli & Gittell, 2009; Fuimano, 2005).

conclusion As universities become more corporatized, faculties within academic settings are being asked to operate in ways that can potentially challenge and threaten personal integrity. Collegial work place relation- ships do not necessarily avoid challenging others or guarantee ‘success’ in every performance and outcome measure, but in the spirit of academia we must have a preparedness not only to ‘listen, share and learn’ (Rolfe, 2012, p. 736) with others, but to do so with integrity and in respectful ways.

acknoWledgement We would like to thank Sandra Mackey for her contribution to an earlier draft of this paper.

conflict of interest The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

disclosures None for any author.

references Bond, S. A., Tuckey, M. R., & Dollard, M. F. (2010).

Psychosocial safety climate, workplace bullying, and symptoms of posttraumatic stress. Organization Development Journal, 28(1), 37–56.

Carmeli, A., & Gittell, J. H. (2009). High-quality rela- tionships, psychological safety, and learning from fail- ures in work organizations. Journal of Organizational Behavior, 30(6), 709–729.

Center for Academic Integrity. (n.d.). Center for academic integrity: Fundamental values project. Retrieved from http://www.academicintegrity.org/icai/resources-2.php

overworking, exploitative, individualistic and hyper-competitive environment.

It follows that it is incumbent on university lead- ers and managers to encourage and support rela- tionship building and constructive communication flow to ensure inclusivity and a milieu that is char- acterised by dignity and respect. The organizational climate is crucial to workers’ sense of physical and psychological safety. Hence, policies, procedures and decision-making must be seen to be practicable, enforceable and equitable. For instance, when anti- bullying policies and procedures are introduced, they should ideally be accompanied by employee awareness-raising and education, and occurrences of bullying must then be acted upon in constructive protocol-following ways. It has been shown that when academics perceive organisational decision- making to be timely, thorough, transparent and fair, they are more likely to behave with professional integrity themselves (Martinson, Crain, De Vries, & Anderson, 2010). In other words, an ethical culture promotes and supports the moral integrity of individuals. Furthermore, staff who are content in the workplace are usually more productive and innovative in ways that benefit organisations and clients. These staff are more likely to have a com- mitment to their profession and plan and pursue a career trajectory (Shirey, 2009).

All academics have a role to play in identifying and bringing to attention inappropriate behav- iours, in all spheres of academic life (Walter & Bloch, 2001). Academics also have a role in sup- porting those who are willing to actively challenge violations of integrity when others are not. If these processes which are dependent on individual aca- demics, social structures, supportive managers and proactive administrators do not occur, then departmental and institutional reputations will be compromised. As well, there will be financial costs through lower productivity, absenteeism, high staff turnover, and compensation pay-outs, along with the inestimable losses associated with poor staff morale (Bond et al., 2010). Employees who remain in these negative environments may be those with less alternative employment opportuni- ties, and over time they may become demoralised, work below their peak ability, and be less commit- ted to good teaching practices and to students. Furthermore, they may themselves begin to adopt

 

 

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institution. International Journal of Nursing Practice, 3(1), 34–39.

Kelly, B. (1998). Preserving moral integrity: A follow-up study with new graduate nurses. Journal of Advanced Nursing, 28(5), 1134–1145.

Khoo, S. B. (2010). Academic mobbing: Hidden health hazard at workplace. Malaysian Family Physician, 5(2), 61–67.

Lützén, K., Dahlqvist, V., Eriksson, S., & Norberg, A. (2006). Developing the concept of moral sensitivity in health care practice. Nursing Ethics, 13(2), 187–196.

Martinson, B. C., Crain, L. A., De Vries, R., & Anderson, M. S. (2010). The importance of organizational jus- tice in ensuring research integrity. Journal of Empirical Research on Human Research Ethics, 5(3), 67–83.

McDermid, F., Peters, K., Jackson, D., & Daly, J. (2012). Factors contributing to the shortage of nurse faculty: A review of the literature. Nurse Education Today, 32(5), 565–569.

Mcfall, L. (1987). Integrity. Ethics, 98(1), 5–20. McKay, R., Arnold, D. H., Fratzl, J., & Thomas, R. (2008).

Workplace bullying in academia: A Canadian study. Employee Responsibilities and Rights Journal, 20(2), 77–100.

NSW Health. (2012). CORE values, in NSW health code of conduct. Retrieved from http://www.health.nsw.gov.au/ policies/pd/2012/pdf/PD2012_018.pdf 29 March 2012

Robertson, M., & Walter, G. (2011). Psychiatric ethics and the “new professionalism”. In D. Bhugra (Ed.), Psychiatry’s contract with society: Concepts, controversies and consequences (pp. 221–239). Oxford, England: Oxford University Press.

Rolfe, G. (2012). Fast food for thought: How to survive and thrive in the corporate university. Nurse Education Today, 32(7), 732–736.

Shirey, M. R. (2009). Building an extraordinary career in nursing: Promise, momentum, and harvest. Journal of Continuing Education in Nursing, 40(9), 394–400.

Soliman, I., & Soliman, H. (1997). Academic workload and quality. Assessment and Evaluation in Higher Education, 22(2), 135–157.

Vie, T. L., Glasø, L., & Einarsen, S. (2011). Health out- comes and self-labeling as a victim of workplace bully- ing. Journal of Psychosomatic Research, 70(1), 37–43.

Walter, G., & Bloch, S. (2001). Publishing ethics in psychiatry. Australian and New Zealand Journal of Psychiatry, 35(1), 28–35.

Wheeler, A. R., Halbesleben, J. R. B., & Shanine, K. (2010). Eating their cake and everyone else’s cake, too: Resources as the main ingredient to workplace bullying. Business Horizons, 53(6), 553–560.

Widang, I., & Fridlund, B. (2003). Self-respect, dignity and confidence: Conceptions of integrity among male patients. Journal of Advanced Nursing, 42(1), 47–56.

Received 24 October 2012 Accepted 13 February 2013

Cleary, M., Horsfall, J., & Jackson, D. (2011). Mental health nursing: Transitions from practice roles to aca- demia. Perspectives in Psychiatric Care, 47(2), 93–97.

Cleary, M., Hunt, G. E., & Horsfall, J. (2010). Identifying and addressing bullying in nursing. Issues in Mental Health Nursing, 31(5), 331–335.

Cleary, M., Hunt, G. E., Walter, G., & Robertson, M. (2009). Dealing with bullying in the workplace: Toward zero tolerance. Journal of Psychosocial Nursing and Mental Health Services, 47(12), 34–41.

Cohen, M. Z., Hickey, J. V., & Upchurch, S. L. (2009). Faculty workload calculation. Nursing Outlook, 57(1), 50–59.

Deady, R., & McCarthy, J. (2010). A study of the situa- tions, features, and coping mechanisms experienced by Irish psychiatric nurses experiencing moral distress. Perspectives in Psychiatric Care, 46(3), 209–220.

Evans, M. (2012). Beyond the integrity paradox – towards ‘good enough’ governance? Policy Studies, 33(1), 97–113.

Fitzmaurice, M. (2008). Voices from within: Teaching in higher education as a moral practice. Teaching in Higher Education, 13(3), 341–352.

Fuimano, J. (2005). Become the environment you want to create. Nursing Management, 36(3), 18–19.

Hutchinson, M., Vickers, M. H., Jackson, D., & Wilkes, L. (2006a). Like wolves in a pack: Predatory alliances of bullies in nursing. Journal of Management and Organization, 12(3), 235–251.

Hutchinson, M., Vickers, M. H., Jackson, D., & Wilkes, L. (2006b). Workplace bullying in nursing: Towards a more critical organisational perspective. Nursing Inquiry, 13(2), 118–126.

Jackson, D. (2008). Servant leadership in nursing: A framework for developing sustainable research capac- ity in nursing. Collegian, 15(1), 27–33.

Jackson, D., Hutchinson, M., Peters, K., Luck, L., & Saltman, D. (2012). Understanding avoidant leadership in health care: Findings from a secondary analysis of two qualitative studies. Journal of Nursing Management.

Jackson, D., Peters, K., Andrew, S., Edenborough, M., Halcomb, E. J., Luck, L., & Wilkes, L. (2010a). Trial and retribution: A qualitative study of whistleblowing and workplace relationships in nursing. Contemporary Nurse, 36(1–2), 34–44.

Jackson, D., Peters, K., Andrew, S., Edenborough, M., Halcomb, E. J., Luck, L., & Wilkes, L. (2010b). Understanding whistleblowing: Qualitative insights from nurse whistleblowers. Journal of Advanced Nursing, 66(10), 2194–2201.

Jackson, D., & Raftos, M. (1997). In uncharted waters: Confronting the culture of silence in a residential care

 

 

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Hbslp5

By now if you put together your SLP papers from Module 1 – 4, you have a program/intervention proposal to address a health behavior problem. Carefully read through your SLP papers from Module 1 through 4.

Write an abstract (1 page in length) briefly describing your whole proposal. Be sure to use subheadings.

SLP Assignment Expectations

The following items will be assessed in particular:

  1. Describe the problem health behavior and the target population.
  2. Summary of the program goal and objectives.
  3. Briefly describe your strategies for program implementation and evaluation.
  4. Discuss what contribution the results/findings from your proposed program will make to the field of health sciences.

Required Readings

Guide to Community Preventive Services (2011). What works to promote health? Retrieved July 1, 2012 fromhttp://www.thecommunityguide.org/index.html

Kahn, E.B., Ramsey, L.T., Brownson R., Heath, G.W., Howze, E.H., Powell, K.E., Stone, E.J., Rajab, M.W., Corso, P. and the Task Force on Community Preventive Services (2002). The effectiveness of interventions to increase physical activity: a systematic review. American Journal of Preventive Medicine, 22(4S), 73-107. Retrieved July 1, 2012 fromhttp://www.thecommunityguide.org/pa/pa-ajpm-evrev.pdf

Task Force on Community Preventive Services (2002). Recommendations to increase physical activity in communities. American Journal of Preventive Medicine, 22(4S), 67-72. Retrieved July 1, 2012 fromhttp://www.thecommunityguide.org/pa/pa-ajpm-recs.pdf

Optional Readings

Committee on Health and Behavior: Research, Practice, and Policy, Board on Neuroscience and Behavioral Health (2001). Findings and recommendations. Health and behavior: The interplay between the biological, behavioral, and societal influences (pp. 329-350). Washington, DC: National Academy Press. Retrieved fromhttp://books.nap.edu/openbook.php?record_id=9838&page=329

 

 
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Ergonomic Questions

Hey can you answer these ergonomic questions for me? I need them this morning (ASAP).

 

1. Beth, the administrative assistant, continues to have headaches. Using the ideas of positive feedback loops and negative feedback loops (control processes), comment on what Beth could do to relieve these headaches. The treatment options could include medications and how the employee responds to those, adjustment of the lighting within the work site, sound, smell, etc. Also comment on non-medicinal therapies that might be available for this employee. Your response should be at least 200 words and site references.

 

2. The communication of the message from the man to the machine is one factor to be considered. The other factor is the communication of the responding message from the machine to the man. Consider the word processor (i.e., Microsoft Word) you are currently using. In an essay, discuss how you are commanding the machine to do certain things and how the machine is responding to the commands. Discuss how this could go wrong and what could be done to prevent a failure from occurring. If the machine fails, how do you ensure that the work is completed? Your response should be at least 200 words and site references.

 

3. The amount of information can sometimes hamper the outcome expected by the end user. In other words, clutter can hinder the intended message. One example of clutter (or too much information) is prescription-drug packaging. Explain why it is important for ergonomics professionals to understand the concept of clutter or “too much information”. Your response should be at least 200 words and site references.

 

4. Communication is a key factor to successfully completing a task, especially if others are involved in the task completion. In an essay, discuss the items that can go wrong with a communication system. Discuss the elements of a communication system and what the ultimate impact might be due to some sort of failure. Your response should be at least 200 words and site references.

 
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Ppp: national fire

The History of American Fire Prevention

author

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What is national fire problem

National Fires are the accidents which occur most frequently, whose causes are the most diverse and which require intervention form the government and the respective agencies to employ resources, methods and techniques in order to prevent and fight the conditions and needs of each incident.

Depending on the type of fire (nature of the material ablaze), meteorological conditions (wind) and the effectiveness of the intervention, material damage can be limited (a single car, building or production or storage warehouse installation), or affect wide areas (forest or agricultural fires, hydrocarbons, gas or other highly flammable products, storage or piping installations, harbor installations and rail or marine transport equipment). Explosions are in a different category. Each type of fire is the object of specific technical prescriptions as regards prevention, intervention and the behavior of the population affected. It is also relevant to note that many fires have a criminal origin and that in times of armed conflict or crisis as well as of indirect wars (sabotage) human intervention also provokes major accidents.

Fire problem overview in America

Thousands of Americans die each year, tens of thousands of people are injured, and property losses reach billions of dollars. There are huge indirect costs of fire as well, such as temporary lodging, lost business, medical expenses, psychological damage, and others. The National Fire Protection Association has estimated that the total economic cost of fire loss in the United States reached over $300 billion in 2008. These indirect costs may be as much as 8 to 10 times higher than the direct costs of fire.

The annual losses from floods, hurricane, tornadoes, earthquakes, and other natural disasters combined in the United States by comparison averages just a fraction of those from fires. The public, media, and local governments are generally unaware of the magnitude and severity of the fire problem to individuals and their families, to communities, and to the Nation.

USFA is committed to providing national leadership to foster a solid foundation in prevention, preparedness, and response.

Fire analysis in 2014 and the overall trend in 2015

In 2014, there were 1,298,000 fires reported in the United States. These fires caused 3,275 civilian deaths, 15,775 civilian injuries, and $11.6 billion in property damage.

494,000 were structure fires, causing 2,860 civilian deaths, 13,425 civilian injuries, and $9.8 billion in property damage.

193,500 were vehicle fires, causing 345 civilian fire deaths, 1,450 civilian fire injuries, and $1.5 billion in property damage.

610,500 were outside and other fires, causing 70 civilian fire deaths, 900 civilian fire injuries, and $237 million in property damage.

Key Findings

Over the last 15 years the total number of fires that local municipal fire departments reported continues to be on a downward trend for a decrease of 29%. Over this same period however the number of structure fires has remained relatively constant.

Fires are still fatal. 84% of all fire deaths occur in home fires.

In communities with less than 5,000 population, the frequency of fires per thousand population is higher and the rate of civilian fire deaths is significantly worse than in larger communities.

Average loss per structure has remained relatively unchanged since 1977 on average at $19,500 per structure in 2015 dollars.

In 2014, 64% of fire department responses were medical aid (ambulance, EMS, rescue) responses.

 

 

Picture of figures of the effects

 

Graphical analysis in 2014

Fire Prevention Practices History

Established in 1922 was (Fire Prevention Week) to commemorate the Great Chicago Fire, the tragic 1871 conflagration that killed more than 250 people, left 100,000 homeless, destroyed more than 17,400 structures and burned more than 2,000 acres. Fire Service Recognition Day is to express appreciation for the many public services rendered by members of the Canadian fire service.

In 1974, United States Fire Administration passed the Federal Fire Prevention and Control Act which established the USFA and the National Fire Academy (NFA) to help decrease tragic losses and to promote professional development of the fire and emergency response community. The U.S. Fire Administrator oversees, coordinates, directs, and sets policy for these efforts; serves as the fire protection and emergency response community expert to the FEMA Administrator; and acts as an advocate at the Federal level to address challenges facing the Nation’s fire service.

Within the scope over years of these efforts, it is essential that USFA engage government and private stakeholders in exploring research, development, testing and evaluation of programs that will address emerging fire, emergency medical and disaster response needs of the fire service. USFA must develop and deliver education to the public, Federal, State, local, tribal, and non-governmental organizations that lead to the control of the evolving fire hazards, such as the expanding wildland/urban interface zones, and addressing the needs of an aging population requiring greater support from the fire and fire-based emergency medical services community.

The combined efforts of USFA and fire service stakeholders have contributed to a decline in fire-related deaths through public safety education, fire prevention inspections, fire code initiatives, and installation of smoke alarms and residential sprinkler systems. In the general population, fire related deaths declined by 18.6 percent from 2001-2010. In addition, the number of on-duty firefighter fatalities, excluding the events of September 11, 2001, and the Hometown Heroes’ fatalities, decreased 26 percent. The Nation has also seen recent progress in further reducing firefighter-line-of-duty deaths. For the last three successive years, we have experienced firefighter death totals below 100.

 

 

Great Chicago Fire Massacre

 

The Philosophy and Timing Behind Regulations for Fire Prevention

Despite making progress over time, USFA analysis of international and domestic fire statistics show that the United States fire problem remains among the worst in the industrial world. Thousands of Americans die each year, tens of thousands of people are injured, and property losses reach billions of dollars. There are huge indirect costs of fire as well, such as temporary lodging, lost business, medical expenses, psychological damage, and others.

NFPA has many reasons to expand its global influence. New fire protection challenges are constantly evolving, from tall wooden buildings and stored energy systems to alternative fuel vehicles, climate change, and terrorism—challenges shared by societies around the world, including the United States.

 

Companies/Organizations forming fire prevention efforts

Engine or Pumper

A unit that pumps water. Modern engines are almost always “triple-combination” units that have a pump, a tank of water, and hoses. This company has the primary responsibility of supplying water to a scene, to locate and confine the fire, and extinguish the fire.

Truck or Ladder

A unit that carries ladders and an aerial device to access buildings above ground level. Primarily, the company performs the ladder work and supplies master streams to the fireground. The company also performs structural ventilation and overhaul, primary and secondary search & rescue, securing of utilities, and often supplies rapid intervention teams.

Rescue

A unit that carries a large variety of tools to assist in the search and rescue of victims at an incident such as a fire or traffic collision. It may or may not provide emergency medical response and may or may not transport patients to hospital.

Squad

This type of unit has many different local and regional definitions. In the New York City Fire Department, for example, a Squad is a hybrid company consisting of an apparatus equipped with supplies necessary to perform some levels of rescue operations as well as engine and truck company operations. In some areas it is identical to a Rescue or a Medic company.

Medic/Rescue Ambulance

A unit that provides EMS, often at the paramedic level. Many fire services offer some form of EMS and companies may or may not transport patients to hospital.

Quint

Short for quintuple-combination engine. The unit has the three items that an engine does — pump, tank, hose — but also carries ground ladders and has an aerial device.

Tanker or Tender

A unit that has a large water tank. It may or may not also have a pump.

Preventive and fighting practices

 

Agencies

National Fire Protection Association NFPA

The Firemen’s Association of the State of New York (FASNY) provides information, education and training for the volunteer fire and emergency medical services throughout New York State

U.S. Fire Administration USFA

National Fire Information Council (NFIC)

National Fire Equipment Ltd.

National Fire Academy

National Fire Data Center (NFDC) Through the National Fire Incident Reporting System (NFIRS)

National Emergency Training Center (NETC)

 

 

Prevention efforts which other nations have experienced

Attention is being given to the latest studies from Tri-Data and the Centers for Disease Control & Prevention on fire prevention efforts around the world

The United Kingdom, Australia, New Zealand, Japan, Sweden and many others are devoted to a concept called integrated risk management. This simply means that there’s more than one way to mitigate the risks associated with fire. In some cases, fire deaths are more than 40 percent lower in these countries than in the United States.

Now USA our annual loss rate is closer to 3,500. But we know from other countries’ experience that we’re capable of 40 percent below that—which begs the question: How can we get there?

Other nations reach out to their high-risk audiences, visiting them where they live. Home-safety visits aren’t a new concept to us in the States.

These nations routinely partner with community agencies, working with housing providers to install smoke alarms, with home health agencies to spot vulnerable seniors, and with law enforcement to reduce cases of arson. Home visits are performed on those properties identified as having the highest incidence of fires and fire deaths and injuries. That’s an oversimplification, but I think it captures the heart of what we should be tried in the United States.

 

 

 

 

Current Programs and Initiatives

National Fire Academy. We continue to administer educational programs for community leaders and first responders to help them prepare for and respond to emergencies regardless of cause or magnitude.

Public Education and Awareness. USFA continues to deliver fire safety messages, develop national campaigns targeting high risk populations (e.g. children, seniors), and leverage our distribution/impact by working with a wide range of public/private partners

Data Collection and Analysis. USFA assists State and local entities in collecting, analyzing and disseminating data and special reports on the occurrence, control, and consequences of all types of fires, emergency medical incidents, and other emergency activities through the efforts of the National Fire Data Center (NFDC)

Research and Technology.

Emergency Response Support. USFA provided technical expertise and assistance during the development of All Hazard Incident Management Teams (AHIMTs). Teams today are representative of local, State, tribal, and Urban Area Security Initiative regions.

Outreach materials and educational programs

Working with the media

Fire protection technology

 

 

Current and Upcoming Trends/Challenges

Changing Nature of the Fire Threat. A number of factors have led to a significant increase in the intensity and severity of residential fires, including changes in home design, furnishing materials, and building construction.

Wildland Urban Interface Fires (WUI). For the firefighting community, this translates into a greater need for response to WUI fire incidents. We must continue to assist communities in reducing risk and mitigating the impact of WUI fires.

Demographic Changes. Over the coming decades, there is a risk that fire deaths and injuries among older adults will increase, based upon the projected increase in that segment of the population

Budgetary Realities. Current trends indicate that there may be a long-term reduction of emergency response budgets at the local, State, and Federal level.

Increasing Fire Service Role in Disaster Response. USFA has and must continue to work with fire service stakeholders and partners to expand local fire service participation in emergency preparedness.

 

References

Karter, MJ, Jr. (September 2012). “Fire Loss in the United States During 2011” (PDF). National Fire Protection Association Fire Analysis and Research Division. p. 24. Retrieved 2013-04-26.

Karter, MJ, Jr. (January 2013). “Fire department calls”. NFPA Website. National Fire Protection Association. Retrieved 2013-04-26.

Urbina, Ian (2009-09-03). “Firefighters Become Medics to the Poor”. New York Times. Retrieved 2013-04-26.

Michèle Dagenais, Irene Maver, Pierre-Yves Saunier. Municipal services and employees in the modern city, p. 49

Maria Mudd-Ruth, Scott Sroka. Firefighting: Behind the Scenes, Houghton Mifflin Harcourt, 1998, p. 7

Hajishengallis, Olga (September 29, 2013). “Fire departments find it hard to recruit volunteers anymore”. Florida Today (Melbourne, Florida). p. 14A. Retrieved September 29, 2013.

 
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UNIT IV

ANSWER QUESTONS 1 & 2 IN APA FORMAT WITH 200 WORDS EACH.

 

 

1. Compare and contrast the types of prevention and detection systems used for explosions. Why would it be more difficult to design controls for a room containing explosive materials than a room containing only flammable liquids?

 

 

2. Discuss the unique properties of combustible dusts. What are some prevention and suppression controls that can be used for areas containing combustible dusts? What methods would you use to identify areas where combustible dust is present?

 

 

PREPARE A CASE STUDY WITH THE ARTICLE ATTACHED

The case study and any additional sources must be cited in the text and references provided in APA style.

A case study about a fire in either a hotel or high-rise office building. Write a review of the case that is a minimum of 300 words in length. Your review should answer the following questions:

· What were the main factors that caused the fire?

· What was the fuel source for the fire?

· Were there design flaws in the building that contributed to either the start of the fire or the size of the fire?

· Were there issues with the building design or maintenance that hindered the fire response?

· What recommendations would you have made to the building design or maintenance that you believe would have prevented the fire from starting or reduced the severity of the outcome?

 
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THCPcase 1

Module 1 – Case

HEALTH OF THE AGING

Case Assignment

Your task is to write a paper discussing the impact of the Patient Protection and Affordable Act on the elderly by addressing the following topics:

1. What specific elements of the Act impact the elderly?
2. What is the intent of these elements with regard to the elderly?
3. Do you think it will make healthcare more affordable and accessible for this group? Why or why not?

Make sure that you critically analyze the policy and provide scholarly support for your justification.

Assignment Expectations

You will be expected to provide a scholarly basis for your response. Your opinions should be justified with evidence from the literature. References should be cited properly in the text of your essay, as well as at the end. Several scholarly references should be cited for this assignment. Please limit your response to 2–3 pages

Required Readings

Community-based care transitions program. (n.d.).Retrieved from http://innovation.cms.gov/initiatives/CCTP/index.html

Frank, R., & Newhouse, J. (2008, Jan/Feb). Should drug prices be negotiated under Part D of Medicare? And if so, how? Health Affairs, 27(1), 33-43.

Grabowski, D., O’Malley, J., & Barhydt, N. (2007, Nov.). The Costs and Potential Savings Associated with Nursing Home Hospitalizations. Health Affairs.26(6),1753-61.

Additional Readings (Optional)

Kim, H., & Lyons, A. (2008, Spr.). No Pain, no strain: Impact of health on the financial security of older Americans. The Journal of Consumer Affairs, 42(1), 9-36.

Lau, D., Glasser Scandrett, K., Jarzebowski, M., Holman, K., et al. (2007, Dec.). Health-related safety: A framework to address barriers to aging in place. The Gerontologist. 47(6), 830-837.

McAuley,W., McCutcheon, M., & Travis, S. (2008, Spring). Advance directives for health care among older community residents. Journal of Health and Human Services Administration. 30(4), 402-418.

Williams, D. (2005). Patterns and Causes of Disparities in Health. Chapter 8 in: Policy Challenges in Modern Health Care. Ed. By Mechanic, D., Rogut, L., & Colby, D. Rutgers University Press. ISBN 0-8135-3578-6. *Please note that this excellent textbook is available in TUI’s ebrary.

Winakur, J. (2007, Nov.,Dec.). Dad’s Legacy. Health Affairs, 26(6), 1728-1734

 
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Ems Unit VI Case Study

Unit VI Case Study

This chapter focuses on the ability to influence others through communication. Whether in a crisis or not, the ability to

influence is an important part of public safety leadership and management. Consider the following scenario:

As the emergency services director for High Park County you have been asked to speak at a town forum prior to a

special election to decide on the fate of a bond referendum designed to raise funds for two new rescue stations.

Additional information regarding the referendum:

High Park County has four stations, three that are over 30 years old. One of those three stations was recently found

to have asbestos and mold that are at significantly high levels, and a second has been found to have questionable

structural stability. Only one of the stations has room for a ladder truck and each of the older stations only has

sleeping quarters enough for four staff.

Using one of the methods of influence discussed in this chapter, develop a two- to three-minute speech for the town forum

trying to persuade them to vote to support the bond initiative.

 
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THCPCASE4

Module 4 – Case

CONSUMER DRIVEN HEALTH CARE

Case Assignment

Please write a paper in which you discuss Consumer Driven Health Care (CDHC) in the following scenario:

Suppose that you are a health care provider. Over a lengthy dinner conversation, a person across the table argues that patients do not receive good medical care if they don’t have much money.

  1. First explain the basic intent of consumer driven health care (i.e. medical consumerism) to that person in your own words (one paragraph maximum).
  2. Identify at least one argument against CDHC. Find and analyze information from scholary sources to defend this position.
  3. Based on your own research, summarize how the National Health Care plan recently odopted by Congress will impact CDHC.

    You will be expected to provide a scholarly basis for your response. Your opinions should be justified with evidence from the literature. References should be cited properly in the text of your essay, as well as at the end. Several scholarly references should be cited for this assignment. Please limit your response to 2–3 pages.

      Limit your responses to a 2-3 pages. Times new roman font 12 pt.  DS. Please use sub headings.

    3.   Please support your discussions with scholarly support (3-5 references). Be sure to properly cite all references in text citations and reference page

    4.   Apply critical thinking skills the the assignment component.

    Module 4 – Background

    CONSUMER DRIVEN HEALTH CARE

    The following articles/readings will provide you with a solid background on consumer-driven healthcare. You should have a comfortable understanding of this material before you proceed to completing the writing assignments.

    Required Readings

    Catherine, M. W. (2010). Consumer-driven healthcare: What is it? The Journal of Medical Practice Management : MPM, 25(5), 263-265. Retrieved from ProQuest.

    Ha, S., & Yun, J. L. (2011). Determinants of consumer-driven healthcare. International Journal of Pharmaceutical and Healthcare Marketing, 5(1), 8-24. doi:http://dx.doi.org/10.1108. Found in ProQuest.

    Hughes-Cromwick, P., Root, S., & Roehrig, C. (2007, Apr.). Consumer-driven healthcare: information, incentives, enrollment, and implications for national health expenditures. Business Economics, 42(2), 43-57.

    Rodwin, M. (2003). The dark side of a consumer-driven health system. Frontiers of Health Services Management, 19(4), 31-34.

    Additional Readings (Optional)

    Feinberg, D.T. (2007, Mar.). Consumer-Directed Health Care: Not Quite the Cure Yet. Journal of Child and Adolescent Psychopharmacology, 17(1), 143-145.

    Lutz, S. (2008, Mar/Apr.). What Do Consumers Want?Journal of Healthcare Management, 53(2), 83-87.

    Scheffler, R., & Felton, M. (2006). Consumer-driven health plans: new developments and the long road ahead.Business Economics. 41(3), 44-48.

    Consumer Driven Health Care Institute (2008). Retrieved from http://www.cdhci.org/.

    Gould, E. (2006). Consumer-driven health care is a false promise. Retrieved fromhttp://www.epi.org/publication/webfeatures_viewpoints_consumer_driven_healthcare

 
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BOS 3125 Unit 3 Case Study

BOS 3125 Unit 3 Case Study

You have been hired as a consultant by your town’s emergency management coordinator to help develop emergency action plans. One of the reasons you were selected is your expertise in using the General Behavior Model (GEBMO) to assess risks. Your first task is to assess the hazardous material risks at a local gas station. The station has one 30,000-gallon underground storage tank compartmentalized to hold 10,000 gallons each of the three gasoline grades, and there is one additional 10,000-gallon tank for diesel fuel.

The station has four pumps, and each one can deliver all four products. Also on site is a 2,500 sq. ft. concrete block building used for the cashier and retail sales of service station and convenience store items. The station is located at a busy intersection near the center of town. It is adjacent to several other local businesses that do a brisk business during the day. Across the street from the station is a large housing development with an elementary school. Behind the station is a city park with playgrounds, baseball fields, and a large wooded area.

Use the GEBMO framework to assess the risks related to the fuels in the underground tanks. Consider physical, chemical, and natural hazards that may contribute to the risks.

1. Discuss how you applied each of the steps in the GEBMO process and what risks you identified.

2. Provide recommendations for preventing spills or releases.

3. Discuss response actions required in the event of a spill or release.

 
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