The Cost Of A University - 872 Words

As students began to look into getting a higher education, certain factors determine what college they may look into: locations, academic profile, graduation rate, school size, and ,to some the most important, the cost of the university. The cost of a university can play one of the biggest deciding factors in furthering your educations. Many students don’t have hundreds of thousands of dollars and there are many poor people in this world who want to attend college and earn a degree to support themselves and their family and be able to live a more comfortable life. Everyone should have should have the opportunity to go to college. Every year, college prices are increasing, causing it to be less affordable. This will discourage people who want to go to college but do not have the money. This will cause people to not get the job they want, forcing them to get another job that they dislike or are not interested in. People should be proud of their job and proud of what they are d oing for ,not only for their city, but the nation. High college prices might leave someone in debt for a long time, causing them to be stressed, which can affect the health of the individual in a negative way. For these reasons, I think that college should be more affordable. While there are three solutions to this problem, community colleges should be free while university are at lower rates, universities are free for everyone, and universities makes text books free to all their students, making allShow MoreRelatedCost of Universities781 Words   |  4 PagesBoth universities, local or foreign portray their own uniqueness, from the cost of studying to the environment factors and the similarity in experiences. 1) Topic sentence: The cost of studying in local universities and foreign universities is greatly different. Supporting details: ï  ¶ Cost of tuition fees in foreign universities is higher than in local universities. ï‚ § Studying in local universities need to spend about forty to fifty thousand ringgit whereas studying in foreign universities, weRead MoreCost Of An American University970 Words   |  4 PagesAccording to â€Å"Business Insider†, in 2010, there are specifically fifteen different universities that have been compared to the cost of an American University. In Mexico, tuition costs, on average, $4,615. The sad part of this cost is that their universities are not even on the top one hundred list of best ranking, yet the tuition is much greater then what the average Hispanic makes in the fiscal year. A private intuition costs up to $11,777 every semester, which hardly anyone, even in America, can affordRead MoreThe Increasing Cost of University Education in the UK754 Words   |  3 Pagesthe recent past, university tuition fees in the UK have been on an upward trend. For this reason, students are being forced to obtain student loans which are ideally supposed to be paid ba ck once a graduate secures a job. In addition to being unfair to poorer students, the high cost of university education could in my opinion negatively affect the country over the coming years. The Increasing Cost of University Education in the UK: Impact and Assessment The high cost of university education in theRead MoreGrand Canyon University/ Cost Justification910 Words   |  4 PagesCapital Purchase Justification Grand Canyon University: HCA 240 Purchasing new MRI scanners would be a good investment for the hospital. If one takes into consideration, operating costs along with repairing and purchase of the product alone. Many hospitals may consider wanting to purchase refurbished items but that would not be a good idea considering the costs to maintain and longevity of the product itself. Purchasing a brand new MRI scanner is just like the purchase of a brand new, highRead MoreNorwich University Tuition: A Souring Cost Essay1210 Words   |  5 PagesOn average college students owe $35,200 in debt due to high costs of college (Ellis). This is a very frightening statistic that is a sad reality to many college students today. Students graduate and are shocked by the dollar amount they owe because of student loans. Sadly, most struggle to pay off these debts, and it often takes years to do so. Private universities tend to be more expensive then public universities, due to the fact they are not partially funded by the state whe re they are locatedRead More University Tuition Costs are Too High Essay1239 Words   |  5 Pages The cost of tuition for higher education is quickly rising. Over half of college freshmen show some concern with how to pay for college. This is the highest this number has been since 1971 (Marill and O’Leary 64-66, 93). The amount of college graduate debt has been rapidly increasing also. With limited jobs available because of the high unemployment rate, college graduates find themselves staying in debt even longer. Although grants and financial aid are available to students, students stillRead MoreIncreasing Cost Of College Or University s Tuition1901 Words   |  8 PagesI. Introduction The increasing cost of college or university’s tuition is a concern that resonates with many people in today’s world. With the amount of money being spent on education, students want the least amount of complications while completing their education and are more select when choosing courses. This also includes the avoidance of incompetent or lackadaisical professors. A tool that can be used to potentially help students avoid this issue is available on the World Wide Web, the evaluationRead MoreThe Cost of Tuition Among Colleges and Universities in Highly Diversified and Indefinite926 Words   |  4 PagesThe cost of tuition among colleges and universities is highly diversified and indefinite. Students shouldn’t be financial problems that are associated with the high tuition cost for their education because it creates unnecessary stress and financial problems. The student’s primary concern should be their academic performance and learning. The tuition fee includes extracurricular expenses such as lifestyle amenities that may not be essential toward the student education yet they are still being chargedRead MoreAmerican University Should Seriously Consider Lowering Tuition Costs892 Words   |  4 Pages The price of a Soft Taco Supreme at Taco Bell is $1.49. The price of attending New York University (NYU) is about $61,997 (Jacobs, 2013). That is approximately 41,609 Soft Taco Supremes from Taco Bell, enough to feed someone for 38 years if they ate one for every meal. While most universities in the USA do not cost quite as much as NYU, tuition is still very high, even for in-state public schools. If tuition continues to rise, the amount of students that cannot afford to go to college will increaseRead MoreDifferent Types Of Thirty-11592 Words   |  7 PagesMedicine. All being in different locations, they all offer different cost for tuition, and are also known for different programs besides veterinary medicine. Besides the cost of tuition, they also have different schools within the college that they are known for. First, the wonderful Northeast region of the United States. Home to only 3 veterinary colleges: University of Pennsylvania, Tufts University, and Cornell University. The University of Pennsylvania is obviously located in Pennsylvania, but more

The Grapes Of Wrath By John Steinbeck - 1674 Words

Since the signing of the Declaration of Independence in 1776, the United States of America is known as a capitalist society. This is a society in which capitalism behavior results in the sole objective of manufacturing capital. Though this is advantageous to the ones making the money, the most destruction is recognized in the lower class where each week’s pay is how the families sustain. The novel, The Grapes of Wrath reveals the story of the Joad family traveling to California during the Dust Bowl searching for labor. The concept of how they are able to overcome the challenges presented, as well as the effect that the capitalist ideals comprised on society’s people are presented within the novel. This contrast shows that the upper-class is not able to put the blame for events that occur throughout the story in the lower class on any sole event or person. This results in the frustration of many â€Å"Okies† who have their farms taken away from them as well as any decent paying job. For the duration of the novel, the wealth of individuals is valued more greatly than the expense of human decency or lives. The novel begins with the Joad family having been forced off of their land. After spending generations living, breathing, and farming the land, â€Å"[t]he owners of the land came onto the land, or most often a spokesman for the owners came,† and asked them to leave (Steinbeck 31). Unlike the Joad family and other occupant farmers, the owners of the land had no connection to the land;Show MoreRelatedThe Grapes Of Wrath By John Steinbeck Essay1622 Words   |  7 Pages The Grapes of Wrath John Steinbeck, widely viewed as one of the most finest and powerful American writer, born to a middle-class family in 1902 in the Salinas Valley of California. Steinbeck is a writer who often spoke for the people. The Grapes of Wrath is a great movie, published in 1939, filled with many universal truths and views on human nature and society, especially where class is concerned. In the article, John Steinbeck The Grapes a wrath: A Call to Action says, â€Å"Steinbeck’s novel showcasedRead MoreThe Grapes Of Wrath By John Steinbeck1075 Words   |  5 PagesKirsten Lloyd Mr. Eldridge AP Junior English 21 August 2014 Grapes of Wrath â€Å"Sometimes even to live is an act of courage.† (Seneca), In the 1939 novel, The Grapes of Wrath by John Steinbeck, the reader accompanies the Joad family as they struggle to escape the crippling Dust Bowl of the mid- 1930’s. In hopes of establishing a new life for themselves after being forced off their land the family embark on a journey from Oklahoma to California in search of fruitful crops and steady work alongRead MoreThe Grapes Of Wrath By John Steinbeck1563 Words   |  7 Pages John Steinbeck’s novel, The Grapes of Wrath, depicts a migrant farming family in the 1930s. During this time, life revolved around the Great Depression and the Dust Bowl, making circumstances difficult for almost everyone involved, especially those who had little. This time of drought and despair caused people to lose hope in everything they’ve ever known, even themselves, but those who did not, put their hope in the â€Å"promised land† of California. Here, the grass was thought to be truly greenerRead MoreThe Grapes Of Wrath By John Steinbeck1189 Words   |  5 Pagesâ€Å"The Grapes of Wrath† Shortly after being released John Steinbeck’s book â€Å"The Grapes of Wrath† was banned because many critics viewed the novel as promoting communist propaganda, or socialist ideas. The ideas that many of these critics point to is Steinbeck’s depiction of the Big Banks/ Businesses as monsters, the comparison of Government camps to a utopia in contrast of the makeshift â€Å"Hoovervilles,† and the theme of the community before the individual, In his novel â€Å"The Grapes of Wrath† John SteinbeckRead MoreThe Grapes Of Wrath By John Steinbeck1093 Words   |  5 Pages In John Steinbeck s The Grapes of Wrath, Tom Joad and his family are forced from their home during the 1930’s Oklahoma Dust Bowl and set out for California along with thousands of others in search of jobs, land, and hope for a brighter future. The Grapes of Wrath is Steinbeck’s way to expound about the injustice and hardship of real migrants during the Depression-era. H e utilizes accurate factual information, somber imagery, and creates pathos, allowing readers connections to the Joad’s plightRead MoreThe Grapes Of Wrath By John Steinbeck1190 Words   |  5 PagesThe Grapes of Wrath April 14th, 1939, John Steinbeck published the novel, The Grapes of Wrath. The novel became an immediate best seller, with selling over 428,900 copies. Steinbeck, who lived through both the Great Depression and the Dust Bowl, sought to bring attention to how families of Oklahoma outdid these disasters. Steinbeck focuses on families of Oklahoma, including the Joads family, who reside on a farm. The Joad family is tested with hardship when life for them on their farm takesRead MoreThe Grapes of Wrath by John Steinbeck702 Words   |  3 PagesJohn Steinbeck’s use of the intercalary chapters in The Grapes of Wrath helps weave the reader’s sympathy of the Joad family into a more broad sympathy for the migrant farmers as a whole, in the hopes that the readers would then be compelled to act upon what they have read. During the Great Depression, people had a big disconnect about what was happening in various parts of the country. People often struggle to find sympathy for events when they can’t even visualize a person who is suffering throughRead MoreThe Grapes Of Wrath By John Steinbeck2144 Words   |  9 PagesThe Grapes of Wrath is a well-known beloved novel of American Literature, written by John Steinbeck and published in 1939. Whoever said a road is just a road has not read The Grapes of Wrath. From the time we read when Tom Joad, novel’s protagonist, returns home after four years in prison; the meaning of roads changed. Route 66, also known as the mother road the road of flight, was a lifeline road, which allowed thousands of families to pursue their hopes and dreams. This road is also the road thatRead MoreThe Grapes of Wrath by John Steinbeck1014 Words   |  5 PagesJohn Steinbeck’s novel, The Grapes of Wrath, was first written and later published in the 1939. Fr om the time of its publication to date, the exemplary yet a simple book has seen Steinbeck win a number of highly coveted awards including Pulitzer Prize in 1940 and later on Nobel Prize for Literature in 1962. Set at the time of the Great Depression, the book most remarkably gives a descriptive account of the Oklahoma based sharecropper Joad’ poor family in the light of economic hardship, homelessnessRead MoreThe Grapes Of Wrath By John Steinbeck1064 Words   |  5 PagesThe Grapes of Wrath, originated from a John Steinbeck’s book, a legendary film that focus on a major point of American history. The story follows the Joad family on their journey to California trying to survive the hardships. This film, focus on the social problems of America like the Dust bowl, The Great Depression, and industrialism. The Grapes of Wrath was filmed in a journalistic-documentary style, which displayed the realism of the epidemic in the thirties. The thirties the period The Grapes

Working Title Ring Around The Rosy - 1948 Words

Working Title: Ring Around the Rosy Introduction Attention Getter: We all know the common childhood rhyme â€Å"Ring Around the Rosy,† what many readers do not know is that symptoms of the Black Death, also known as the Bubonic Plague show up in the nursery rhyme. This correlation leaves many scholars believing that the two have a sickening connection. (History.com Staff) Thesis: Although the Bubonic Plague was tragic in itself, the horrid disease has a correlation to other common diseases today, including the Zika virus, which is very prevalent in the news. Black Death Overview: There are three forms of plague currently known by Doctors, bubonic being one of them. It is caused by the bacteria Yersinia pestis, is highly contagious. Bubonic†¦show more content†¦(History.com Staff) â€Å"Churches stopped masses, peasants halted plowing fields, merchants closed shops, taxes went uncollected.† (Woolf) England- France war halted to return in 1355 (Woolf) â€Å"lust for old women to overeating† were thoughts on how you catch it. (Woolf) Punishment from God (Woolf) women-lepers, practicing witchcraft or poisoning water supply (Woolf) â€Å"Corruption of the air due to a particular conjunction of the planets.† (Woolf) The death ships were ordered out of the harbor by the Sicilian statesman. However, the disease had already begun spreading. In five years time, the Black Death would incinerate approximately two million people. A third of Europes population (History.com Staff) Symptoms Treatment â€Å"...at the beginning of the malady, certain swelling either in the groin or under the armpits†¦ waxed to the bigness of a common apple, others to the size of an egg, some more some less, these the vulgarly named plague - boils.† Giovanni Boccaccio (History.com Staff) Blood pus would ooze from these swellings, after all, common symptoms came death. (History.com Staff) Since many believed that the plague was spread through the air, incense was common (Woolf) Isolation was very common (Woolf) How, What, Where it Spread Winter 1348 (Woolf) plague seemed to disappear, fleas went dormant in winter, the following spring; the plague returned, it killed new victims for the next 4 years, 25 million people had died

The Last Clinical Placement

Question: Identify ONE practical learning need from your last clinical placement, in relation to your continuing professional development. Critically reflect and critically analyse how you met this practical learning need on your THIRD year placement. Answer: Learning need from the last clinical placement: Going through the description of the nursing task that I performed in the elderly ward with the patient suffering from Alzheimers disease and diabetes it is starkly highlighted that I lacked the ability to work with confidence. The lack of knowledge in me regarding the handovers is also clearly depicted in my missing of noting down the essential details of the patient. It limited my efficiency of caring for the patient because as conveyed by O'Connell Penney (2001), without the complete knowledge of the medical details of the patient it is impossible to deliver an effective care service. It is evident from researches revealing a higher percentage of patients reflecting dissatisfaction with those nurses who lacks apt knowledge regarding the patients. I was aware that I prevent myself from asking questions about the patient during the handover. This limits me to extend my knowledge and hinders my capability of providing high quality care and therapeutic relationship towards the patients. Henderson et al. (2012) suggest that by questioning practices I will encourage myself to explore evidence around different patient management strategies. Considering the hospital where I worked, the hospital management system appeared unorganized. It led me to face issues while visiting the chamber of the ward manager. It consumed a lot of time and left me with very less time to prepare the handover. Although I was prepared for the handover, ultimately I had no time to prepare it and had to depend on my colleagues to prepare it correctly. According to Finnell, Osborne Gerard (2011), the medications and the interventions are the most important part for the recovery of a patient. If there is any kind of mistake in the intervention or medication the n entire treatment will go wrong. With the lack of adequate knowledge and confidence, I depicted the inefficiency to identify the details of medications and interventions of the patient thereby lowering my ability to help recovery of the patient efficiently. Initially I bored a very theoretical perspective regarding the patient information collection and trying to remember in a mechanical way. However, later on I developed the perspective necessary to conduct my work, which is to consider the care for the patients as a duty and service from heart. I felt happy that my colleagues helped me to make the handover successful. I was embarrassed due to the fact that being a student nurse working at level 6, I was supposed to do it rather than receiving guidance from others. I was concerned about my impression on others due to my incapability of conducting my own work efficiently and handling a small incident as such. It clearly indicated two things, firstly I was lacking the required knowledge for a successful handover and secondly, I was deeply lacking in relevant clinical knowledge for handover preparation. Research suggests, when student nurse are placed in clinical situation they tend to face issues due to lack of practical knowledge and an xiety developed due to self-consciousness (Mellinclavage, 2011). With regard to personal learning experience, it was a valuable experience. As far as pre-registered student nurse is concerned they are not expected to know everything of a clinical situation. I am happy, that I have identified my practical need much ahead of my final placement as a registered nurse. If this incident had occurred during my professional career, it would have affected me much from professional as well as personal point of view. I was strongly supported by colleagues, mentor and my friends also. This was another factor, which helped me in overcoming fear, anxiety and developed my skills. Research shows support of senior staffs enhances the handover skills and only through their support, the newly registered nurse can gain knowledge and perform better (Kerr et al. 2011). Critical analysis of meeting the need: In order to rectify my mistakes and improve my efficiency in aspect of confidence and knowledge regarding the handovers, I need to adopt a more patient-centric approach for my nursing practice. As opined by Tilford Dylak (2015), improvement of the patient care efficiency can be brought about by searching for nursing journals, and articles, which suggest how to go for an effective handover. Following this, I collected all recent articles from Google database, MedLine, PubMed and CINHAL database. I categorised them as per my need. Post categorisation, I made notes of handover protocols recommended, skills required for handover and how to perform better in pressurised situation. As per the articles and journals, I noted down all those information, which I need to share with my colleague who will be taking over charge from me. I also made some notes on exactly what to make her understand in which aspects. I realised it is essential to prepare a note prior to handover. However, at the same time it seemed to be time consuming. In an environment like health care sector being a nurse or a student nurse, I cannot afford to spend much time behind such note preparation. In addition, I was getting heavily used to it, which was making my progress very slow in practical. I decided to reduce the note to such points, which are of utmost importance. It is evident in several studies by Bhabra et al. (2007) that note taking during a verbal handover significantly improved the amount of information retained. On missing any information regarding the patient from the handover, I can go through patient folders and note down the information that I misheard or missed. I followed the patient file as a guide. Although, I was very nervous due to the amount of accountability but it gave me an immense pleasure as well as confidence to go for my next handover without any note preparation. This practice improved my self-consciousness along with the enhancement of my communication skills with the colleagues. As conveyed by Sturm Dellert (2015), it reduced the feeling of low self-esteem. As a nurse, I determined to approach the patients personally and utilise my enhanced communication skills to develop a close relationship with them. It enabled me to identify their issues and requirements along with the details noted in the handover. I got the idea of which tasks to prioritise keeping in mind the concerns and needs of the patient. It assisted highly in the delivery of an effective health care service earning higher level of satisfaction from the patients. The experience helped me to gain self-confidence. I was able to fasten my process of writing the handover (Currie, 2002). This helped me to reduce the time to a considerable extent. It also helped me to gain information about the patient. Taking notes helped me to keep a track of the necessary information about the patient. I could reduce my mistakes to a considerable extent. The patient file provides detailed information about the patient. I could easily add new information about the patient in the hardcover. This helped be perform my job in a more efficient manner. Nursing handover is defined as oral communication with the person who is taking charge in context of patient health status and interventions. Although, many scholars argue for a written context also, still the most accepted one is the oral communication. nal (2012) opined communication as the key to successful caring relationship towards the patient and effective teamwork. The central theme of any handover is the patient safety, which has been supported constantly by scholars from years. The reflective model proposer John has also defined handover as an aesthetic value added by a nurse by briefing colleague about patient health (John, 2013). Research articles indicated observation could help in improving the handover skills (Gordon Findley, 2011). Whatever knowledge I have accumulated with regard to handover, it was through observing my seniors and staff colleagues. Nevertheless, currently the SBAR tool is made which has included different skills and requirements to make handover to be effective for students or qualified nurses, as this will shape them to be eligible and ready for clinical placement. I was lacking in knowledge of handover, which should not have occurred if I would have given proper attention towards my curriculum (Wilson, 2011). Although, research suggest there is a huge gap between theory and practical in context of nursing where students fail to implement theoretical knowledge in a practical situation. While searching Internet database, I found OSSIE guidelines for clinical handover published by Australian Commission for Safety and Quality in healthcare (2010) (Manser Foster, 2011). It was a wonderful guideline, which has not only explained how a handover process should be, but also has different sections on how handover guidelines developed based upon evidence-based studies. I think searching for this and such other guidelines earlier would have helped me in effective handling of situations to improve my handover management skills and activities. Research suggest written handover can act as helping guide for those nurses and other allied staffs who have been managed service and less knowledge about the settings (Welsh, Flanagan Ebright, 2010). At the same time, it reduces the time of reporting. I was happy, that my approach towards handover in a written format was not odd and research has shown its advantages too. The staff colleagues gave me good support and said they also have faced similar issues during their student time. This gave me good amount of self-confidence that I can also attain such expertise only by improving my knowledge and implicating it in my routine practice. While improving my capabilities of confidence and knowledge about handovers in the nursing practice I also identified the learning need for developing an effective communication skill to ensure an efficient nursing practice. Communicating with staff nurses with regard to the encountering problems can help in solving them with ease (Levett-Jones Burgeois, 2010). As I saw, regularly working with other staff nurses and clearing doubts slowly reduced my dependency upon notes. Bi-directional communication has also been suggested as a tool for development of nursing skills (Drach Shilman, 2015). The failure in carrying out a handover resulted in valuable feedback from my team and my staff nurses. Research suggests, when student nurses are given valuable feedback on their work in a positive way, the chances of error reduces. Feedback also helps student nurses to assess their knowledge and skills, improvise upon their loopholes and march towards perfection (Henderson et al. 2012). During m y handover, I was so disturbed I have uttered patient name and age in a loud voice to my staff nurse, which I was not supposed to as it breached patient confidentiality. Time management is an important aspect to be learnt by a nurse. I learnt from my experience that the handover contains the most important information about the patients. If I fail to put them accurately, especially information about the medication and intervention then it can result in any kind of wrong treatment risking the patients life. I have to be very careful while preparing the handover. My experience reveals that a nurse has to be very patient towards the patients and colleagues to manage the several complexities that might arise in the nursing practice. Another thing, which I learnt from my experience, is that a nurse should have clear idea about the tasks to be performed. The nurse should not take any decisions based on assumptions as assumptions can lead to big mistakes. Conclusion: The current essay reveals the significance of developing an effective communicative skill by the nurses to ensure the efficiency in handover preparation. The inability of the student nurse in preparing an accurate handover for the patient is seen to affect the patients health massively. Especially it is potential in producing detrimental results to the patients due to incidents as wrong treatment. However, SBAR tool and other such mechanisms emerge efficient in developing the capability of preparing a correct handover of patient. The essay also identifies the learning need for time management as well, which is vital in the nursing practice context. References Bhabra, G., Mackeith, S., Monteiro, P., Pothier, D. D. (2007).An Experimental Comparison of Handover Methods.Annals of The Royal College of Surgeons of England, 89(3), 298300. Currie, J. (2002). Improving the efficiency of patient handover. Emergency Nurse, 10(3), 24-27. doi:10.7748/en2002.06.10.3.24.c1064 Drachà ¢Ã¢â€š ¬Ã‚ Zahavy, A., Shilman, O. (2015). Patients' participation during a nursing handover: the role of handover characteristics and patients' personal traits.Journal of advanced nursing,71(1), 136-147. Finnell, D., Osborne, F., Gerard, V. (2011). Development of the Patient-Centered Recovery Resource System for Veterans on Long-term Mental Health Medications.Archives Of Psychiatric Nursing,25(4), 235-244. doi:10.1016/j.apnu.2010.08.006 Gordon, M., Findley, R. (2011). Educational interventions to improve handover in health care: a systematic review.Medical education,45(11), 1081-1089. Henderson, A., Cooke, M., Creedy, D. K., Walker, R. (2012). Nursing students' perceptions of learning in practice environments: A review.Nurse education today,32(3), 299-302 Johns, C. (2013).Becoming a reflective practitioner. John Wiley Sons. Kerr, D., Lu, S., McKinlay, L., Fuller, C. (2011). Examination of current handover practice: evidence to support changing the ritual.International journal of nursing practice,17(4), 342-350 Levett-Jones, T., Bourgeois, S. (2010).The clinical placement: An essential guide for nursing students. Elsevier Health Sciences. Manser, T., Foster, S. (2011). Effective handover communication: an overview of research and improvement efforts.Best practice research Clinical anaesthesiology,25(2), 181-191 Melincavage, S. M. (2011). Student nurses' experiences of anxiety in the clinical setting.Nurse education today,31(8), 785-789. O'Connell, B., Penney, W. (2001). Challenging the handover ritual. Collegian, 8(3), 14-18. doi:10.1016/s1322-7696(08)60017-7 Sturm, B., Dellert, J. (2015). Exploring nurses' personal dignity, global self-esteem and work satisfaction.Nursing Ethics. doi:10.1177/0969733014567024 Tilford, S., Dylak, P. (2015). What leaders need to know about patient safety collaboratives.Nursing Management,21(9), 11-11. doi:10.7748/nm.21.9.11.s11 nal, S. (2012). Evaluating the effect of self-awareness and communication techniques on nurses' assertiveness and self-esteem.Contemporary Nurse, 1839-1862. doi:10.5172/conu.2012.1839 Welsh, C. A., Flanagan, M. E., Ebright, P. (2010). Barriers and facilitators to nursing handoffs: Recommendations for redesign.Nursing outlook,58(3), 148-154 Wilson, R. (2011). Improving clinical handover in emergency departments: Ron Wilson reviews findings from an audit of a simplified handover process that can involve patients and their families in discussions about care.Emergency Nurse,19(1), 22-26.