Thursday, February 27, 2020

PICOT question Assignment Example | Topics and Well Written Essays - 500 words

PICOT question - Assignment Example re incorrect markings, there was poor communication between the nurses and the doctors, poor teamwork, and there was miscommunication on whether it is the patient’s right or left limb that was to be amputated. In this particular situation the type of question that suits the given nursing situation is the intervention question. This kind of medical question considers a particular intervention or issue and compares it to a standard intervention or issue with regard to the effect that it will have on the population over a given period of time (Melnyk & Fineout-Overholt, 2015). In this instance, since time is not a critical factor, the analysis and search will only consider the population, the intervention , the standard comparison issues and the expected or possible outcome. These three elements ,therefore, need to be determined for the right information to be obtained from the completed PICO question (Melnyk & Fineout-Overholt, 2015). As indicated earlier, the question in this nursing situation will have four vital elements, which are necessary to allow for the execution of an effective and informative search. The population in this case is that of patients who visit various healthcare facilities for surgical operations. This is the group that has been identified to be at risk of the concerns raised. The intervention (issue) here is the use of schedule forms when preparing patients for the surgical operations. The third element for the case is the comparison intervention. From the summary of the nursing situation, it is evident that the staff at health facility relied on markings made using a pen to be able to know the body part that was to be operated on and the identity of the patient. Therefore, the comparison issue is the use of pens to carry out this marking. The final element is the outcome. In this case, it is the reduction in the number of erroneous operations. The reduction is measurable since it only re quires noting the number of operations without

Tuesday, February 11, 2020

Masters Level - Project Management in Construction Essay

Masters Level - Project Management in Construction - Essay Example However, these ideas remained a distant reality given the technological challenges posed by such a project. Nonetheless speculation thrived on the issue especially throughout the sixties and the seventies. It became clear that the only viable method of bridging up Great Britain to mainland Europe was a tunnel under the sea. The idea seemed simple at first. The project required the boring of three distinct tunnels from one side of the English Channel to the other. Tunnelling or more specifically boring had been carried out extensively even before the Channel Tunnel project so technical expertise was available on the issue. One thing that was noticeable about the Channel Tunnel project upfront was the fact that boring had never been taken up on such a massive scale before this project. While the Channel Tunnel project can be seen as a major achievement in terms of technical progress, by any other measure, it has been seen as a pure project management failure. There is little doubt in anyone’s mind that the Channel Tunnel project was less than a Pyrrhic victory. The initial costing for the project was estimated at some  £3.5 billion but the eventual execution cost the project team some  £9 billion. There was little change in the overall scope of the project but there were myriad changes in the details of the project scope. It was decided initially that the Channel Tunnel would consist of a 32 mile (51.5 kilometres) tunnel under the sea to serve two railway links separately. These two main railway tracks under the sea would be supported by a smaller tunnel in the middle of these tunnels to service shuttle trains carrying vehicles. Once construction commenced, it became apparent that air conditioning was more of a necessity than an auxiliary for the projec t. One of the more troubling aspects of the Channel Tunnel project was the involvement of the governmental machinery