The Development Of Decision Making - 1238 Words

The Development of Decision-Making in Nursing Nursing is a profession that has traditionally attracted individuals who have a desire to help others and have an interest in the health sciences (Ruesink, 2012). In the complex world of health care, good intentions only go so far in terms of client safety, quality of care, and achieving the best possible outcomes, and that is why critical thinking, decision making, and evidence based practice are crucial to the nursing profession when acting on the behalf of our clients (Fero, Witsberger, Wesmiller, Zullo, Hoffman, 2009; Ruesink, 2012; Thompson, Aitken, Doran, Dowding, 2013). In this paper I will discuss and explore three decision-making models that support nursing decision-making, how†¦show more content†¦The College of Registered Nurses of British Columbia (CRNBC), defines Clinical decision-making as: A complex and dynamic process, occurring within a larger context and drawing from various dimensions of knowledge, in which nurses collect and organize information in order to form conclusions and choose actions, with the intent of creating the best outcomes for clients (2014, slide 19). The nursing profession demands a high standard of quality and safety, compelling nurses to act professionally, be accountable for their own actions, and embrace their Professional Standards (CRNBC, 2013). The CRNBC Professional Standards requires nurses to know where to access information to support their knowledge to deliver evidence-based, competent nursing care, as well as use decision-making tools to guide their assessments, diagnoses, and treatments (2013). For nurses to make clinical decisions that enhance a client’s health, promote realistic solutions, and reduce potential risks, decision making and critical thinking must happen in sync (Fero et al., 2009; Standing, 2005). To support critical thinking in nursing practice, and help novice nurses compensate for the lack of clinical experience, decision-making models have been constructed to help navigate the multi-dimensional complexities of the

Essay on Community Policing - 3379 Words

Community policing has emerged since the 1970s as an increasingly important strategy for controlling and preventing crime and enhancing community safety. It is both a philosophy and an organizational strategy that allows the police and the community to work closely together in creative ways to solve the problems of crime, drugs, fear of crime, physical and social disorder, neighborhood decay, and the overall quality of life in the community. Community policing is difficult to define. Although it does not have a single definition, there are many elements of community policing. Champion states there are several definitions to define community policing. 1. â€Å"[Community policing is] whenever citizens and police†¦band†¦together to fight†¦show more content†¦Community policing in America can be traced from the colonial times to the 1900s. American policing activities transpired in early England at or about the time of the Norman Conquest in 1066. Chancellors were used to settle disputes between neighbors, such as property boundary issues, trespass allegations, and child misconduct. â€Å"An early equivalent of the chancellor, with similar duties and responsibilities, was the justice of the peace, dating to about A.D. 1200. Together with the chancellors or justices of the peace, reeves (now more commonly know as a sheriff) maintained order in their respective jurisdictions (Champion 22). England’s use of policing became well known. Many other regions soon adopted England’s standards. American colonist continued the English system of law enforcement and the study of law. In addition to reeve s, constables were used for maintaining law and order in colonial communities. The duties of constables included collecting fees for highway usage, collecting taxes, and presiding over minor legal issues. The position of the sheriff was created and they became the principal law enforcement officers in the various counties throughout the colonies. Early policing was characterized as urban policemen walking beats and interacting daily with merchants and other members of theShow MoreRelatedHistory of Community Policing1780 Words   |  8 Pages THE HISTORY OF COMMUNITY POLICING The movement toward community policing has gained momentum in recent years as police and Community leaders search for more effective ways to promote public safety as well as enhance the quality of life in neighborhoods. The roots of community policing come from the civil rights movement in the 1960s.Even though its origin can be traced to this crisis in police-community relations, its development has been influencedRead MoreCommunity Policing And Community Crime1578 Words   |  7 Pages Community Policing and Community Crime Mackenzie L. Goehl Culver-Stockton College November 2015 Introduction Community policing is values that encourages organizational approaches such as strategies and policies. Community policing advises all parts of police business and also supports problem-solving practices. Community policing consist of strategies, tactics, and values. Thus, community policing is also sometimes know as problem-oriented policing. The sole purpose of communityRead MoreCommunity Policing And The Police Essay2008 Words   |  9 Pages Community policing is a police procedure forced to make a superior relationship between the police and the group. Community policing is characterized as a synergistic exertion between the police and the group that distinguishes issues of wrongdoing and clutter and includes all components of the Community in the look for answers for these issues. Does people group based policing achieve social orders coveted result and desires? This is one of many inquiries we may have about the genuinely new andRead More Community Policing in Canada Essay908 Words   |  4 PagesCommunity Policing in Canada   Community policing is a relatively new model of service delivery that is employed by the majority of police forces across Canada.   Community policing however, is not a â€Å"new† approach, it is more correctly a renewal or re-emergence of the old approach developed in Metropolitan London (Leighton Normandeau, p.21). The amendments to the current system are evident in Leighton Normandeau’s (1990) review of the future of community policing.   The ideas behind theRead More Community Organizing and Policing Essay3097 Words   |  13 PagesCommunity Organizing and Policing Introduction Community Development refers to efforts to mobilize people, who are directly affected by a community condition, into groups and organizations which enables them to take action on the social problems and issues that concerns them. 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Among them have been team policing, neighborhood policing, community policing, zero-tolerance policing and problem-oriented policing. Herman Goldstein was the first to propose problem-oriented policing in 1979. Problem-oriented policing is a policing strategy that involves the identification and analysis of specific crime and disorder problems, in order to develop effective response strategies in conjunction with ongoing as sessment. The emphasis in problem-oriented policing is onRead MoreBicycle and Horse Essay1010 Words   |  5 PagesCommunity-oriented policing is a system that addresses the top concerns of the community which implies there would need to be more communication between members of the community and police officers. The article Policing on Bicycles and Horses by Sam Swindell focuses on two types of community-oriented policing. The two types being bicycle and mounted patrol of C.O.P. Bicycle patrol is a type of community policing patrol serves well in that the police have the opportunity to encounter more citizensRead MoreCommunity Policing1234 Words   |  5 Pagesï » ¿Community policing The renowned Sir Robert Peel who helped found the London Metropolitan Police unit that was meant to be closer to the people than any other time before. His vision was to have a community where  ¦the police are the public and the public are the police ¦ (Braiden, 1992). His vision was to have a community where the idea of policing is closely interlaced between the formal police force and the community participation in the control and termination of crimes in the entire EnglandRead MorePolice Policing And Community Policing1513 Words   |  7 Pages Community Policing How effective is community policing? Community policing has several different definitions. In this paper I will prove that community policing is effective by defining, community policing as the police and citizens coming together to create a safe community, stop crime and resolve problems and also urgently responding to the community. Throughout many years, the people’s view of community policing have remained the same. There are some valid causes as to why

The Lost Symbol Chapter 22-23 Free Essays

string(125) " She paused before a large canvas depicting the Three Graces, whose nude bodies were spectacularly rendered in vivid colors\." CHAPTER 22 Pacing the library, Katherine Solomon pulled back the sleeve of her lab coat and checked her watch. She was not a woman accustomed to waiting, but at the moment, she felt as if her whole world were on hold. She was waiting for Trish’s search-spider results, she was waiting for word from her brother, and also, she was waiting for a callback from the man who was responsible for this entire troubling situation. We will write a custom essay sample on The Lost Symbol Chapter 22-23 or any similar topic only for you Order Now I wish he hadn’t told me, she thought. Normally, Katherine was extremely careful about making new acquaintances, and although she had met this man for the first time only this afternoon, he had earned her trust in a matter of minutes. Completely. His call had come this afternoon while Katherine was at home enjoying her usual Sunday- afternoon pleasure of catching up on the week’s scientific journals. â€Å"Ms. Solomon?† an unusually airy voice had said. â€Å"My name is Dr. Christopher Abaddon. I was hoping I might speak to you for a moment about your brother?† â€Å"I’m sorry, who is this?† she had demanded. And how did you get my private cell-phone number? â€Å"Dr. Christopher Abaddon?† Katherine did not recognize the name. The man cleared his throat, as if the situation had just become awkward. â€Å"I apologize, Ms. Solomon. I was under the impression your brother had told you about me. I’m his doctor. Your cell number was listed as his emergency contact.† Katherine’s heart skipped. Emergency contact? â€Å"Is something wrong?† â€Å"No . . . I don’t think so,† the man said. â€Å"Your brother missed an appointment this morning, and I can’t reach him on any of his numbers. He never misses appointments without calling, and I’m just a little worried. I hesitated to phone you, but–â€Å" â€Å"No, no, not at all, I appreciate the concern.† Katherine was still trying to place the doctor’s name. â€Å"I haven’t spoken to my brother since yesterday morning, but he probably just forgot to turn on his cell.† Katherine had recently given him a new iPhone, and he still hadn’t taken the time to figure out how to use it. â€Å"You say you’re his doctor?† she asked. Does Peter have an illness he’s keeping from me? There was a weighty pause on the line. â€Å"I’m terribly sorry, but I’ve obviously just made a rather serious professional error by calling you. Your brother told me you were aware of his visits to me, but now I see that’s not the case.† My brother lied to his doctor? Katherine’s concern was now growing steadily. â€Å"Is he sick?† â€Å"I’m sorry, Ms. Solomon, doctor-patient confidentiality precludes me from discussing your brother’s condition, and I’ve already said too much by admitting he is my patient. I’m going to hang up now, but if you hear from him today, please ask him to call me so I know he’s okay.† â€Å"Wait!† Katherine said. â€Å"Please tell me what’s wrong with Peter!† Dr. Abaddon exhaled, sounding displeased with his mistake. â€Å"Ms. Solomon, I can hear you’re upset, and I don’t blame you. I’m sure your brother is fine. He was in my office just yesterday.† â€Å"Yesterday? And he’s scheduled again today? This sounds urgent.† The man heaved a sigh. â€Å"I suggest we give him a little more time before we–â€Å" â€Å"I’m coming by your office right now,† Katherine said, heading for the door. â€Å"Where are you located?† Silence. â€Å"Dr. Christopher Abaddon?† Katherine said. â€Å"I can look up your address myself, or you can simply give it to me. Either way, I’m coming over.† The doctor paused. â€Å"If I meet with you, Ms. Solomon, would you please do me the courtesy of saying nothing to your brother until I’ve had a chance to explain my misstep?† â€Å"That’s fine.† â€Å"Thank you. My office is in Kalorama Heights.† He gave her an address. Twenty minutes later, Katherine Solomon was navigating the stately streets of Kalorama Heights. She had phoned all of her brother’s numbers with no reply. She did not feel overly concerned about her brother’s whereabouts, and yet, the news that he was secretly seeing a doctor . . . was troubling. When Katherine finally located the address, she stared up at the building in confusion. This is a doctor’s office? The opulent mansion before her had a wrought-iron security fence, electronic cameras, and lush grounds. As she slowed to double-check the address, one of the security cameras rotated toward her, and the gate swung open. Tentatively, Katherine drove up the driveway and parked next to a six-car garage and a stretch limo. What kind of doctor is this guy? As she got out of her car, the front door of the mansion opened, and an elegant figure drifted out onto the landing. He was handsome, exceptionally tall, and younger than she had imagined. Even so, he projected the sophistication and polish of an older man. He was impeccably dressed in a dark suit and tie, and his thick blond hair was immaculately coiffed. â€Å"Ms. Solomon, I’m Dr. Christopher Abaddon,† he said, his voice a breathy whisper. When they shook hands, his skin felt smooth and well tended. â€Å"Katherine Solomon,† she said, trying not to stare at his skin, which was unusually smooth and bronzed. Is he wearing makeup? Katherine felt a growing disquiet as she stepped into the home’s beautifully appointed foyer. Classical music played softly in the background, and it smelled as if someone had burned incense. â€Å"This is lovely,† she said, â€Å"although I expected more of . . . an office.† â€Å"I’m fortunate to work out of my home.† The man led her into a living room, where there was a crackling fire. â€Å"Please make yourself comfortable. I’m just steeping some tea. I’ll bring it out, and we can talk.† He strode toward the kitchen and disappeared. Katherine Solomon did not sit. Female intuition was a potent instinct that she had learned to trust, and something about this place was making her skin crawl. She saw nothing that looked anything like any doctor’s office she had ever seen. The walls of this antique-adorned living room were covered with classical art, primarily paintings with strange mythical themes. She paused before a large canvas depicting the Three Graces, whose nude bodies were spectacularly rendered in vivid colors. You read "The Lost Symbol Chapter 22-23" in category "Essay examples" â€Å"That’s the original Michael Parkes oil.† Dr. Abaddon appeared without warning beside her, holding a tray of steaming tea. â€Å"I thought we’d sit by the fire?† He led her over to the living room and offered her a seat. â€Å"There’s no reason to be nervous.† â€Å"I’m not nervous,† Katherine said entirely too quickly. He gave her a reassuring smile. â€Å"Actually, it is my business to know when people are nervous.† â€Å"I beg your pardon?† â€Å"I’m a practicing psychiatrist, Ms. Solomon. That is my profession. I’ve been seeing your brother for almost a year now. I’m his therapist.† Katherine could only stare. My brother is in therapy? â€Å"Patients often choose to keep their therapy to themselves,† the man said. â€Å"I made a mistake by calling you, although in my defense, your brother did mislead me.† â€Å"I . . . I had no idea.† â€Å"I apologize if I made you nervous,† he said, sounding embarrassed. â€Å"I noticed you studying my face when we met, and yes, I do wear makeup.† He touched his own cheek, looking self- conscious. â€Å"I have a dermatological condition, which I prefer to hide. My wife usually puts the makeup on for me, but when she’s not here, I have to rely on my own heavy touch.† Katherine nodded, too embarrassed to speak. â€Å"And this lovely hair . . .† He touched his lush blond mane. â€Å"A wig. My skin condition affected my scalp follicles as well, and all my hair jumped ship.† He shrugged. â€Å"I’m afraid my one sin is vanity.† â€Å"Apparently mine is rudeness,† Katherine said. â€Å"Not at all.† Dr. Abaddon’s smile was disarming. â€Å"Shall we start over? Perhaps with some tea?† They sat in front of the fire and Abaddon poured tea. â€Å"Your brother got me in the habit of serving tea during our sessions. He said the Solomons are tea drinkers.† â€Å"Family tradition,† Katherine said. â€Å"Black, please.† They sipped their tea and made small talk for a few minutes, but Katherine was eager for information about her brother. â€Å"Why was my brother coming to you?† she asked. And why didn’t he tell me? Admittedly, Peter had endured more than his fair share of tragedy in his life–losing his father at a young age, and then, within a span of five years, burying his only son and then his mother. Even so, Peter had always found a way to cope. Dr. Abaddon took a sip of tea. â€Å"Your brother came to me because he trusts me. We have a bond beyond that of normal patient and doctor.† He motioned to a framed document near the fireplace. It looked like a diploma, until Katherine spied the double-headed phoenix. â€Å"You’re a Mason?† The highest degree, no less. â€Å"Peter and I are brothers of sorts.† â€Å"You must have done something important to be invited into the thirty-third degree.† â€Å"Not really,† he said. â€Å"I have family money, and I give a lot of money to Masonic charities.† Katherine now realized why her brother trusted this young doctor. A Mason with family money, interested in philanthropy and ancient mythology? Dr. Abaddon had more in common with her brother than she had initially imagined. â€Å"When I asked why my brother came to you,† she said, â€Å"I didn’t mean why did he choose you. I meant, why is he seeking the services of a psychiatrist?† Dr. Abaddon smiled. â€Å"Yes, I know. I was trying to sidestep the question politely. It’s really not something I should be discussing.† He paused. â€Å"Although I must say I’m puzzled that your brother would keep our discussions from you, considering that they relate so directly to your research.† â€Å"My research?† Katherine said, taken totally off guard. My brother talks about my research? â€Å"Recently, your brother came to me looking for a professional opinion about the psychological impact of the breakthroughs you are making in your lab.† Katherine almost choked on the tea. â€Å"Really? I’m . . . surprised,† she managed. What is Peter thinking? He told his shrink about my work?! Their security protocol involved not discussing with anyone what Katherine was working on. Moreover, the confidentiality had been her brother’s idea. â€Å"Certainly you are aware, Ms. Solomon, that your brother is deeply concerned about what will happen when your research goes public. He sees the potential for a significant philosophical shift in the world . . . and he came here to discuss the possible ramifications . . . from a psychological perspective.† â€Å"I see,† Katherine said, her teacup now shaking slightly. â€Å"The questions we discuss are challenging ones: What happens to the human condition if the great mysteries of life are finally revealed? What happens when those beliefs that we accept on faith . . . are suddenly categorically proven as fact? Or disproved as myth? One could argue that there exist certain questions that are best left unanswered.† Katherine could not believe what she was hearing, and yet she kept her emotions in check. â€Å"I hope you don’t mind, Dr. Abaddon, but I’d prefer not to discuss the details of my work. I have no immediate plans to make anything public. For the time being, my discoveries will remain safely locked in my lab.† â€Å"Interesting.† Abaddon leaned back in his chair, lost in thought for a moment. â€Å"In any event, I asked your brother to come back today because yesterday he suffered a bit of a break. When that happens, I like to have clients–â€Å" â€Å"Break?† Katherine’s heart was pounding. â€Å"As in breakdown?† She couldn’t imagine her brother breaking down over anything. Abaddon reached out kindly. â€Å"Please, I can see I’ve upset you. I’m sorry. Considering these awkward circumstances, I can understand how you might feel entitled to answers.† â€Å"Whether I’m entitled or not,† Katherine said, â€Å"my brother is all I have left of my family. Nobody knows him better than I do, so if you tell me what the hell happened, maybe I can help you. We all want the same thing–what’s best for Peter.† Dr. Abaddon fell silent for several long moments and then began slowly nodding as if Katherine might have a point. Finally, he spoke. â€Å"For the record, Ms. Solomon, if I decide to share this information with you, I would do so only because I think your insights might help me assist your brother.† â€Å"Of course.† Abaddon leaned forward, putting his elbows on his knees. â€Å"Ms. Solomon, as long as I’ve been seeing your brother, I’ve sensed in him a deep struggle with feelings of guilt. I’ve never pressed him on it because that’s not why he comes to me. And yet yesterday, for a number of reasons, I finally asked him about it.† Abaddon locked eyes with her. â€Å"Your brother opened up, rather dramatically and unexpectedly. He told me things I had not expected to hear . . . including everything that happened the night your mother died.† Christmas Eve–almost exactly ten years ago. She died in my arms. â€Å"He told me your mother was murdered during a robbery attempt at your home? A man broke in looking for something he believed your brother was hiding?† â€Å"That’s correct.† Abaddon’s eyes were appraising her. â€Å"Your brother said he shot the man dead?† â€Å"Yes.† Abaddon stroked his chin. â€Å"Do you recall what the intruder was looking for when he broke into your home?† Katherine had tried in vain for ten years to block out the memory. â€Å"Yes, his demand was very specific. Unfortunately, none of us knew what he was talking about. His demand never made sense to any of us.† â€Å"Well, it made sense to your brother.† â€Å"What?† Katherine sat up. â€Å"At least according to the story he told me yesterday, Peter knew exactly what the intruder was looking for. And yet your brother did not want to hand it over, so he pretended not to understand.† â€Å"That’s absurd. Peter couldn’t possibly have known what the man wanted. His demands made no sense!† â€Å"Interesting.† Dr. Abaddon paused and took a few notes. â€Å"As I mentioned, however, Peter told me he did know. Your brother believes if he had only cooperated with the intruder, maybe your mother would be alive today. This decision is the source of all his guilt.† Katherine shook her head. â€Å"That’s crazy . . .† Abaddon slumped, looking troubled. â€Å"Ms. Solomon, this has been useful feedback. As I feared, your brother seems to have had a little break with reality. I must admit, I was afraid this might be the case. That’s why I asked him to come back today. These delusional episodes are not uncommon when they relate to traumatic memories.† Katherine shook her head again. â€Å"Peter is far from delusional, Dr. Abaddon.† â€Å"I would agree, except . . .† â€Å"Except what?† â€Å"Except that his recounting of the attack was just the beginning . . . a tiny fraction of the long and far-fetched tale he told me.† Katherine leaned forward in her seat. â€Å"What did Peter tell you?† Abaddon gave a sad smile. â€Å"Ms. Solomon, let me ask you this. Has your brother ever discussed with you what he believes is hidden here in Washington, D.C. . . . or the role he believes he plays in protecting a great treasure . . . of lost ancient wisdom?† Katherine’s jaw fell open. â€Å"What in the world are you talking about?† Dr. Abaddon heaved a long sigh. â€Å"What I am about to tell you will be a bit shocking, Katherine.† He paused and locked eyes with her. â€Å"But it will be immeasurably helpful if you can tell me anything you may know about it.† He reached for her cup. â€Å"More tea?† CHAPTER 23 Another tattoo. Langdon crouched anxiously beside Peter’s open palm and examined the seven tiny symbols that had been hidden beneath the lifeless clenched fingers. â€Å"They appear to be numbers,† Langdon said, surprised. â€Å"Although I don’t recognize them.† â€Å"The first is a Roman numeral,† Anderson said. â€Å"Actually, I don’t think so,† Langdon corrected. â€Å"The Roman numeral I-I-I-X doesn’t exist. It would be written V-I-I.† â€Å"How about the rest of it?† Sato asked. â€Å"I’m not sure. It looks like eight-eight-five in Arabic numbers.† â€Å"Arabic?† Anderson asked. â€Å"They look like normal numbers.† â€Å"Our normal numbers are Arabic.† Langdon had become so accustomed to clarifying this point for his students that he’d actually prepared a lecture about the scientific advances made by early Middle Eastern cultures, one of them being our modern numbering system, whose advantages over Roman numerals included `positional notation’ and the invention of the number zero. Of course, Langdon always ended this lecture with a reminder that Arab culture had also given mankind the word al-kuhl–the favorite beverage of Harvard freshmen–known as alcohol. Langdon scrutinized the tattoo, feeling puzzled. â€Å"And I’m not even sure about the eight-eight- five. The rectilinear writing looks unusual. Those may not be numbers.† â€Å"Then what are they? Sato asked. â€Å"I’m not sure. The whole tattoo looks almost . . . runic.† â€Å"Meaning?† Sato asked. â€Å"Runic alphabets are composed solely of straight lines. Their letters are called runes and were often used for carving in stone because curves were too difficult to chisel.† â€Å"If these are runes,† Sato said, â€Å"what is their meaning?† Langdon shook his head. His expertise extended only to the most rudimentary runic alphabet– Futhark–a third-century Teutonic system, and this was not Futhark. â€Å"To be honest, I’m not even sure these are runes. You’d need to ask a specialist. There are dozens of different forms– Hlsinge, Manx, the `dotted’ Stungnar–â€Å" â€Å"Peter Solomon is a Mason, is he not?† Langdon did a double take. â€Å"Yes, but what does that have to do with this?† He stood up now, towering over the tiny woman. â€Å"You tell me. You just said that runic alphabets are used for stone carvings, and it is my understanding that the original Freemasons were stone craftsmen. I mention this only because when I asked my office to search for a connection between the Hand of the Mysteries and Peter Solomon, their search returned one link in particular.† She paused, as if to emphasize the importance of her finding. â€Å"The Masons.† Langdon exhaled, fighting the impulse to tell Sato the same thing he constantly told his students: â€Å"Google† is not a synonym for â€Å"research.† In these days of massive, worldwide keyword searches, it seemed everything was linked to everything. The world was becoming one big entangled web of information that was getting denser every day. Langdon maintained a patient tone. â€Å"I’m not surprised the Masons appeared in your staff’s search. Masons are a very obvious link between Peter Solomon and any number of esoteric topics.† â€Å"Yes,† Sato said, â€Å"which is another reason I have been surprised this evening that you have not yet mentioned the Masons. After all, you’ve been talking about secret wisdom protected by an enlightened few. That sounds very Masonic, does it not?† â€Å"It does . . . and it also sounds very Rosicrucian, Kabbalistic, Alumbradian, and any number of other esoteric groups.† â€Å"But Peter Solomon is a Mason–a very powerful Mason, at that. It seems the Masons would come to mind if we were talking about secrets. Heaven knows the Masons love their secrets.† Langdon could hear the distrust in her voice, and he wanted no part of it. â€Å"If you want to know anything about the Masons, you would be far better served to ask a Mason.† â€Å"Actually,† Sato said, â€Å"I’d prefer to ask someone I can trust.† Langdon found the comment both ignorant and offensive. â€Å"For the record, ma’am, the entire Masonic philosophy is built on honesty and integrity. Masons are among the most trustworthy men you could ever hope to meet.† â€Å"I have seen persuasive evidence to the contrary.† Langdon was liking Director Sato less and less with each passing moment. He had spent years writing about the Masons’ rich tradition of metaphorical iconography and symbols, and knew that Masons had always been one of the most unfairly maligned and misunderstood organizations in the world. Regularly accused of everything from devil worship to plotting a one- world government, the Masons also had a policy of never responding to their critics, which made them an easy target. â€Å"Regardless,† Sato said, her tone biting, â€Å"we are again at an impasse, Mr. Langdon. It seems to me there is either something you are missing . . . or something you are not telling me. The man we’re dealing with said that Peter Solomon chose you specifically.† She leveled a cold stare at Langdon. â€Å"I think it’s time we move this conversation to CIA headquarters. Maybe we’ll have more luck there.† Sato’s threat barely registered with Langdon. She had just said something that had lodged in his mind. Peter Solomon chose you. The comment, combined with the mention of Masons, had hit Langdon strangely. He looked down at the Masonic ring on Peter’s finger. The ring was one of Peter’s most prized possessions–a Solomon family heirloom that bore the symbol of the double- headed phoenix–the ultimate mystical icon of Masonic wisdom. The gold glinted in the light, sparking an unexpected memory. Langdon gasped, recalling the eerie whisper of Peter’s captor: It really hasn’t dawned on you yet, has it? Why you were chosen? Now, in one terrifying moment, Langdon’s thoughts snapped into focus and the fog lifted. All at once, Langdon’s purpose here was crystal clear. Ten miles away, driving south on Suitland Parkway, Mal’akh heard a distinctive vibration on the seat beside him. It was Peter Solomon’s iPhone, which had proven a powerful tool today. The visual caller ID now displayed the image of an attractive middle-aged woman with long black hair. INCOMING CALL–KATHERINE SOLOMON Mal’akh smiled, ignoring the call. Destiny pulls me closer. He had lured Katherine Solomon to his home this afternoon for one reason only–to determine if she had information that could assist him . . . perhaps a family secret that might help Mal’akh locate what he sought. Clearly, however, Katherine’s brother had told her nothing of what he had been guarding all these years. Even so, Mal’akh had learned something else from Katherine. Something that has earned her a few extra hours of life today. Katherine had confirmed for him that all of her research was in one location, safely locked inside her lab. I must destroy it. Katherine’s research was poised to open a new door of understanding, and once the door was opened even a crack, others would follow. It would just be a matter of time before everything changed. I cannot let that happen. The world must stay as it is . . . adrift in ignorant darkness. The iPhone beeped, indicating Katherine had left a voice mail. Mal’akh retrieved it. â€Å"Peter, it’s me again.† Katherine’s voice sounded concerned. â€Å"Where are you? I’m still thinking about my conversation with Dr. Abaddon . . . and I’m worried. Is everything okay? Please call me. I’m at the lab.† The voice mail ended. Mal’akh smiled. Katherine should worry less about her brother, and more about herself. He turned off Suitland Parkway onto Silver Hill Road. Less than a mile later, in the darkness, he spotted the faint outline of the SMSC nestled in the trees off the highway to his right. The entire complex was surrounded by a high razor-wire fence. A secure building? Mal’akh chuckled to himself. I know someone who will open the door for me. How to cite The Lost Symbol Chapter 22-23, Essay examples

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Question: Discuss about the Ceaseless Service Delivery and Development. Answer: Introduction Practice development is defined as a ceaseless process focused on improvement by increasing the effectiveness in patient-centered care. It is based on several principles that are applied in healthcare, one of the principles is person centered care defined as an approach in which the beliefs, values and preferences of the patient are expressed and used in the whole process of management (Manley McCormack 2004). According to Manley (2004) it is a philosophical approach to service delivery and development that focusses on services through the needs, preferences and values of the people under care. This paper shall focus on person-centered care which is one of the principles under practice development. From image one, person centered care revolves around the patient through basing decisions on the needs of the patient rather than the perspective of the practitioner. This represents what the care is all about. To understand person-centered care we need to understand the definition of person, caring and person centeredness. The person is believed to be unique, authentic, worthy and dignified and is recognized, respected and trusted to deal with anything(McCormack McCance 2010). Person centeredness is seen as the characteristic of people depending on relationships and living in a social world while each exists in their own context making them recognized, respected and trusted as a person(McCormack McCance 2010).This means that practitioners have to change the care process from whats the matter with you to what matters with to you as shown in Image 2, where the focus is the needs of the patient rather than the problems that they have. The person-centered care is built on four areas. First we have the prerequisites which define the nurses attributes that affect the care given(McCormack McCance 2010). The other area is the care environment which describes the entire context in which care in offered. Person-centered process is the other area that focuses on the activities employed during care delivery. Through a holistic approach, the care revolves around patient by incorporating the family, healthcare team and healthcare instructions to achieve the best approach that meets the specific needs of the patient as shown in Image 3. Lastly, its the outcomes expected after the implementation of person-centered care. The main role of the approach is to develop better relationships between the parties involved in the process. Through a holistic approach that integrates the family, healthcare practitioners and medical instructions to the needs of the patient. Better relationships are formed thus leading to increased healthcare outcomes. From Image four, the practitioner is the driver of the vehicle while the patient is passenger who determines whether the practice is appropriate or not. Lastly, through participation in developing clinical outcomes, people become proactive in meeting their needs thus reducing pressure on health and social services. Conclusion Person centered care is one of the principles for practice development and has been able to foster a therapeutic relationship between the patient and provider through the patients engagement and involvement in care. Healthcare organizations need to restructure their processes and ensure that they focus on meeting the needs of the patient. The approach can improve healthcare outcomes by observing the varying needs of the patient in a hospital set up. References Brummel?Smith, K, Butler, D, Frieder, M, Gibbs, N, Henry, M, Koons, E, Loggers, E, Porock, D, Reuben, DB, Saliba, D, Scanlon, WJ, Tabbush, V, Tinetti, M, Tumlinson, A Vladeck, BC 2016, 'Person?Centered Care: A Definition and Essential Elements', Journal of the American Geriatrics Society, vol 64, no. 1, pp. 15-18. Manley, K 2004, 'Transformational Culture: A Culture of Effectiveness', in B McCormack, K Manley, R Garbett (eds.), Practice Development in Nursing, 1st edn, Blackwell Publishing Ltd, Oxford. Manley, K McCormack, B 2004, 'Practice Development: Purpose, Methodology, Facilitation and Evaluation', in B McCormack, K Manley, R Garbett (eds.), Practice Development in Nursing, 1st edn, Blackwell Publishing Ltd, Oxford. McCormack, B McCance, T 2010, Person-Centred Nursing Theory and Practice, 1st edn, John Wiley Sons Ltd, West Sussex.