Level One Computer Systems Essay Example | Topics and Well Written Essays - 2500 words

Level One Computer Systems - Essay Example the â€Å"de-perimeterization of security† where it has become difficult to demarcate the line between a firm and its clients, suppliers and partners (PGP Corporation, 2007). Enforcing effective security standards is a challenge in this complex milieu. There are many reasons as to why information is on longer safe and there is a need for data protection and security. The notion that sensitive information is within the walls of the organization and so is safe is no longer justified. With the advancement in technology and the new computing form factors, information can be accessed by malicious insiders. The people who are responsible for administrating the systems can also present a risk to the bypass of sensitive information. It is not easy to define who has access to what information. This also necessitates that an effective security protocol must be present to ensure that sensitive data is not leaked out. Data protection is also necessary to build a bond of trust with the cus tomers. When a customer approaches an organization, the organization is bound to protect his or her privacy. Not doing so can bring bad repute to the organization and cause it to lose its customers. A comprehensive data security system encompasses an assessment of the associated risks and threats to data security. A strategy that includes a thorough assessment of these risks enables the organization to understand the value of the data that is at risk and the consequences of any loss. Data could be lost by many ways. One can be due to malicious infections. System crashes and natural happenings such as floods can also cause the loss of significant amount of sensitive data. When considering data protection, the organization needs to review who has access to what type of data, who used the Internet, who should be given limited access, what type of firewalls and anti-malware solutions need to be in place, the usage and maintenance of passwords and the training being given to staff (Spam laws,

Syria and Israel Dissertation Example | Topics and Well Written Essays - 12750 words

Syria and Israel - Dissertation Example It analysis certain key events during this period and brings to light the disparities in the interpretation of these events from Syria's point of view. The Brainchild behind the Syrian foreign policy behavior will be the charismatic President Hafiz al Asad who led the country from the 1970s up to the early 1990s. The paper further examine the period after President Hafiz al Asad in Syria during which power was handed to his son Bashar al Asad. The concentration here will be an interpretation of certain events like the disorder that resulted from the U.S. led invasion of Iraq and how the disorder created by this invasion has made it difficult to carry on with the peace process. Adding to these will be the recent developments in U.S.-Syria relations under President Bashar al Asad and how these development have been thwarting prospects to achieve peace in the Middle East Certain writers and politicians have made analysis in the Syrian Israel peace track and their analysis would also be of great importance to this study. According to Cobban (1991), the collapse of the communist bloc was a determinant reason for Syria's change of policy. He explains that because Syria had nobody to lean on she was forced to reshape her foreign policy to suit the demands of this new development in the Middle East and the World at large. This is important to this study because changes in world politics affected changes in Syrian policy towards peace with Israel. Hinnebusch (1991) holds that the reason why peace could not be achieved between Israel and Syria could be explained from the rigid nature of President Asad who stood firm to respect and uphold Arab principles. As a result he was never ready to accept Israeli demands especially if... The paper examine the period after President Hafiz al Asad in Syria during which power was handed to his son Bashar al Asad. The concentration here will be an interpretation of certain events like the disorder that resulted from the U.S. led invasion of Iraq and how the disorder created by this invasion has made it difficult to carry on with the peace process. Adding to these will be the recent developments in U.S.-Syria relations under President Bashar al Asad and how these development have been thwarting prospects to achieve peace in the Middle East. This report of the study entails a brief understanding of the theoretical framework that will guide the investigation in to the developments in the Syria Israel peace track. This specifically will be the realist or neo realist approach to the study of international politics. This is important to the study because it is this approach that runs through Syria’s positions during the peace process over the last seventeen years. Furthermore various U.S. decisions as the main negotiator in the peace process have been closely guided by the theory of realism. The approach of realism to international politics was born after the First World War. During this period it was widely held that other theories had failed, so it became necessary to seek for new theories that could give more meaning and understanding to international politics. According to this theory, human nature, character and the persistence of state power forms the basic foundation of international relations.

Effects of inflation Term Paper Example | Topics and Well Written Essays - 1750 words

Effects of inflation - Term Paper Example The reduction in investments level will lead to a reduction in economic growth levels which depend on the level of investments. Inflation makes it hard for firms to plan for the amount of output to produce since the firms cannot forecast the demand for their product at the higher prices they will have to charge to cover costs. High inflation causes speculation on prices and interest rates which in turn increases the risk among potential trade partners, discouraging trade. Inflation reduces the value of depositor’s savings and as well reduces the value of bank loans. In the long run, the company’s revenue and earnings should increase at the same pace as inflation. But it could also reduce the confidence of investors by reducing confidence in investments that take a long time to mature. When there is a high rate of inflation a firm may look as if it is doing well when inflation is the reason behind the growth (Wildermuth, 2012).The effect of inflation on investment occurs directly and indirectly. People are not ready to enter into contracts when inflation cannot be predicted making relative prices uncertain. This reluctance to enter into contracts will affect economic growth. High inflation leads to financial repression as governments take action to protect certain sectors of the economy.Inflation is particularly detrimental to retirees whose pensions and financial investments have to be adjusted for inflation. Pension payments are now indexed to inflation in order to reduce the effects of inflation... When there is a high rate of inflation a firm may look as if it is doing well when inflation is the reason behind the growth (Wildermuth, 2012). The effect of inflation on investment occurs directly and indirectly. People are not ready to enter into contracts when inflation cannot be predicted making relative prices uncertain. This reluctance to enter into contracts will affect economic growth. High inflation leads to financial repression as governments take action to protect certain sectors of the economy. Inflation is particularly detrimental to retirees whose pensions and financial investments have to be adjusted for inflation. Pension payments are now indexed to inflation in order to reduce the effects of inflation Inflation can lead to a poor performance in the stock markets. In times of high inflation, if the firms cannot pass on the extra cost to the consumers they will most likely end up making losses. This will reduce the viability of their stocks and lead to the investors w ho had invested in the firms' stocks will suffer financial setback as the company makes losses. It leads to the changes in the preferred assets held by the wealthy individuals in a country. In the initial stages the three would be a preference for intangible assets so as to make a killing from the interest rates but as inflation increases there is capital flight from the stock markets by foreign and domestic investors and who instead invest their wealth in tangible assets whose value is not likely to be eroded swiftly by the inflationary tendencies. Inflation leads to a reduction in the balance of payments. When the domestic price level rises faster than it is rising

Level One Computer Systems Essay Example | Topics and Well Written Essays - 2500 words

Level One Computer Systems - Essay Example the â€Å"de-perimeterization of security† where it has become difficult to demarcate the line between a firm and its clients, suppliers and partners (PGP Corporation, 2007). Enforcing effective security standards is a challenge in this complex milieu. There are many reasons as to why information is on longer safe and there is a need for data protection and security. The notion that sensitive information is within the walls of the organization and so is safe is no longer justified. With the advancement in technology and the new computing form factors, information can be accessed by malicious insiders. The people who are responsible for administrating the systems can also present a risk to the bypass of sensitive information. It is not easy to define who has access to what information. This also necessitates that an effective security protocol must be present to ensure that sensitive data is not leaked out. Data protection is also necessary to build a bond of trust with the cus tomers. When a customer approaches an organization, the organization is bound to protect his or her privacy. Not doing so can bring bad repute to the organization and cause it to lose its customers. A comprehensive data security system encompasses an assessment of the associated risks and threats to data security. A strategy that includes a thorough assessment of these risks enables the organization to understand the value of the data that is at risk and the consequences of any loss. Data could be lost by many ways. One can be due to malicious infections. System crashes and natural happenings such as floods can also cause the loss of significant amount of sensitive data. When considering data protection, the organization needs to review who has access to what type of data, who used the Internet, who should be given limited access, what type of firewalls and anti-malware solutions need to be in place, the usage and maintenance of passwords and the training being given to staff (Spam laws,

Effects of inflation Term Paper Example | Topics and Well Written Essays - 1750 words

Effects of inflation - Term Paper Example The reduction in investments level will lead to a reduction in economic growth levels which depend on the level of investments. Inflation makes it hard for firms to plan for the amount of output to produce since the firms cannot forecast the demand for their product at the higher prices they will have to charge to cover costs. High inflation causes speculation on prices and interest rates which in turn increases the risk among potential trade partners, discouraging trade. Inflation reduces the value of depositor’s savings and as well reduces the value of bank loans. In the long run, the company’s revenue and earnings should increase at the same pace as inflation. But it could also reduce the confidence of investors by reducing confidence in investments that take a long time to mature. When there is a high rate of inflation a firm may look as if it is doing well when inflation is the reason behind the growth (Wildermuth, 2012).The effect of inflation on investment occurs directly and indirectly. People are not ready to enter into contracts when inflation cannot be predicted making relative prices uncertain. This reluctance to enter into contracts will affect economic growth. High inflation leads to financial repression as governments take action to protect certain sectors of the economy.Inflation is particularly detrimental to retirees whose pensions and financial investments have to be adjusted for inflation. Pension payments are now indexed to inflation in order to reduce the effects of inflation... When there is a high rate of inflation a firm may look as if it is doing well when inflation is the reason behind the growth (Wildermuth, 2012). The effect of inflation on investment occurs directly and indirectly. People are not ready to enter into contracts when inflation cannot be predicted making relative prices uncertain. This reluctance to enter into contracts will affect economic growth. High inflation leads to financial repression as governments take action to protect certain sectors of the economy. Inflation is particularly detrimental to retirees whose pensions and financial investments have to be adjusted for inflation. Pension payments are now indexed to inflation in order to reduce the effects of inflation Inflation can lead to a poor performance in the stock markets. In times of high inflation, if the firms cannot pass on the extra cost to the consumers they will most likely end up making losses. This will reduce the viability of their stocks and lead to the investors w ho had invested in the firms' stocks will suffer financial setback as the company makes losses. It leads to the changes in the preferred assets held by the wealthy individuals in a country. In the initial stages the three would be a preference for intangible assets so as to make a killing from the interest rates but as inflation increases there is capital flight from the stock markets by foreign and domestic investors and who instead invest their wealth in tangible assets whose value is not likely to be eroded swiftly by the inflationary tendencies. Inflation leads to a reduction in the balance of payments. When the domestic price level rises faster than it is rising

Psychological Abnormality Essay Example for Free

Psychological Abnormality Essay There are many ways of defining psychological abnormality; the two I will be discussing is deviation from social norms and failure to function adequately. Deviation form social norms is a person’s thinking or behavior being classified as abnormal if it violates the rules or norms about what is expected or acceptable behavior in a particular social group. An example of this can be anorexia, more common in females where the person sees themselves as overweight even when extremely thin and person is terrified of weight gain. The media create unrealistic, and for most people ideal images, especially of women. Most models are well below normal weight for their age and height Sufferers desperately want to be accepted and valued and tend to feel that they are not. However self-starvation is seen as abnormal in terms of social norms. Strength of deviation from social norms is that this definition takes into consideration the effect that behavior has on others in which deviance is defined in terms of breaking social rules which are usually made in order to help people live together. There are many limitations with the definition of deviation from social norms, beliefs about abnormality and social norms or morally acceptplable behavior changes over time for example homosexuality was included in the American classification system for disorders up to the 1960s. Since then attitudes have changed and homosexuality it no longer seen as a disorder. Another limitation is that context is import as we distinguish between normal and abnormal according to social norms of the time. Much of our behavior is context specific and take out of context may seem bizarre for example if you saw a person suddenly jump up from a park bench and start talking to themselves you might think of them as being very strange on the other hand if you saw a camera crew you would have thought of it being bizarre. Also culture relativity can be a limitation as different cultures have different ideas about acceptable behavior fro example some African societies cut themselves as a sign of inner beauty but in Western societies we se it as self harm. Another definition of abnormality is failure to function adequately this is when abnormal behavior interferes with daily life/functioning i. e. people are unable to live a normal life. An example of this can be when people cannot work and lose the motivation to care for themselves properly and agoraphobia or fear of crowds which is defined as an abnormal behavior where a person may have a fear of open space and can’t go shopping, school and do other everyday things because they have a fear of crowds. Strength of this definition is that it is easy to judge who is failing to function adequately because it is easy to . ist behaviors that show people are not functioning properly in their everyday lives e. g. unable to dress themselves, can’t get up in the morning etc. Limitations of this definition can be the context as starving yourself is irrational, unpredictable and maladaptive. However it is understandable when political prisoners go on hunger strike as a political pro test, so context is important. Also some people may not have psychological disorder but still have failure to function adequately e. g. dues to economic conditions it may not be possible to hold down a job and support family. Another limitation is that some people are able to maintain an adequate or high level of functioning even if they have a psychological disorder for example some people with anxiety or depression can still function. Similarity between both definitions is that they both have a limitation of culture relativity as different societies have different rules and norms of what’s normal and abnormal. A problem with both definitions is that context is important as we distinguish what is normal and abnormal behavior according to what is expected in a given situation according to the social norms at the time.

Reflection on theory and knowledge in nursing

Reflection on theory and knowledge in nursing The aim of this report is look at a critical incident that occurred in practice and relates this to the theory and knowledge regarding communication and interpersonal skills, so as to demonstrate an understanding of my views on the art and science of reflection and the issues surrounding reflective practice; that is to say, what skills were and were not used at the time of the incident. Confidentiality will be maintained as required by the Nursing Midwifery Council Code (NMC, 2008).    There is a discussion appraising the concept of reflection both generally, and in my particular area of practice of urgent care. Reflection is part of reflective practice and is a skill that is developed. It can be seen as a way of adjusting to life as a qualified healthcare professional and enhancing the development of a professional identity (Atwal Jones, 2009). Reflection is defined as a process of reviewing an experience which involves description, analysis and evaluation to enhance learning in practice (Rolfe et al 2001).  This is supported by (Fleming, 2006), who described it as a process of reasoned thought. It enables the practitioner to critically assess self and their approach to practice. Reflective practice is advocated in healthcare as a learning process that encourages self-evaluation with subsequent professional development planning (Zuzelo, 2009). Reflective practice has been identified as one of the key ways in which we can learn from our experiences. Reflective practice can mean taking our experiences as an initial point for our learning and developing practice (Jasper, 2003). Many literatures have been written in the past that suggest the use of reflective assignments and journaling as tools to improve reflection and thinking skills in healthcare (Chapman et al, 2008). Reflective journals are an ideal way to be actively involved in learning (Millinkovic Field, 2005) and can be implemented to allow practitioners to record events and document their thoughts and actions on daily situations, and how this may affect their future practice (Williams Wessel, 2004). MODELS In order to provide a framework for methods, practices and processes for building knowledge from practice there are several models of reflection available. All can help to direct individual reflection. Some may be particularly useful for superficial problem solving, and other better when a deeper reflective process is required. Reflective models however are not meant to be used as a rigid set of questions to be answered but to give some structure and encourage making a record of the activity. Johns (2004) reflects on uncovering the knowledge behind the incident and the actions of others present. It is a good tool for thinking, exploring ideas, clarifying opinions and supports learning. Kolbs Learning Cycle (1984) is a cycle that reflects a process individuals, teams and organisations attend to; and understands their experiences and subsequently, modifies their behaviour. Schà ¶n (1987), however, identifies two types of reflection that can be applied in healthcare, Reflection-in-action and Reflection-on-action. Reflection-in-action can also be described as thinking whilst doing. Reflection-on-action involves revisiting experiences and further analysing them to improve skills and enhance to future practice. Atkins and Murphys model of reflection (1994) take this idea one step further and suggest that for reflection to make a real difference to practice we follow this with a commitment to action as a result. Terry Bortons (1970) 3 stem questions:  What?,  So What?  and  Now What?  were developed by John Driscoll in 1994, 2000 and 2007. Driscoll matched the 3 questions to the stages of an  experiential learning cycle, and added trigger questions that can be used to complete the cycle. Gibbs (1988) reflective cycle is fairly straightforward and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion where other options are considered and reflection upon experience to examine what you would do if the situation arose again. CHOSEN MODEL The reflective model that I have chosen to use is Gibbs Reflective Cycle (1988) as a framework, because it focuses on different aspects of an experience and allows the learner to revisit the event fully. Gibbs (1988) will help me to explore the experience further, using a staged framework as guidance ad I feel that this is a simple model, which is well structured and easy to use at this early stage in my course. By contemplating it thus, I am able to appreciate it and guided to where future development work is required. Before the critical incident is examined it is important to look at what a critical incident is and why it is important to nursing practice. Girot (1997), cited in Maslin-Prothero, (1997) states that critical incidents are a means of exploring a certain situation in practice and recognising what has been learned from the situation. Benner (1984, cited by Kacperek, 1997) argues that nurses cannot increase or develop their knowledge to its full potential unless they examine their own practice. Context of incident In the scenario the patients name will be given as Xst.   Ã‚  The consequences of my actions for the client will be explained and how they might have been improved, including what I learned from the experience. My feelings about the clinical skills used to manage the clients care will be established and my new understanding of the situation especially in relation to evidence based practice will be considered.   I will finally reflect on what actions I will take in order to ensure my continued professional development and learning.    Description Miss Xst is 55 year old woman who has a 10 year old daughter.   She suffers from psychiatric problems, lack of motivation and has difficulties in maintaining her personal hygiene and the cleanliness of her flat. She was one of my mentors clients to whom I had been assigned to coordinate and oversee her care. Mental health Nurses owe their patients a duty of care and are expected to offer a high standard of care based on current best practise, (NMC 2008).   Ã‚   Miss Xst had been prescribed Risperidone Consta 37.5mg fortnightly, which is a moderate medication. Risperidone belongs to a group of medicines called antipsychotic, which are usually used to help treat people with schizophrenia and similar condition such as psychosis. Although her condition is acute, it is not extreme and the reason for this medication is to help Miss Xst to stabilise her thought so she is able to support herself in the community (Healey, 2006). Miss Xst did not like attending depot clinic and she missed three consecutive appointments. My mentor decided after the third non-attendance to raise the issue in the handover meeting where it was decided to see Miss Xst in the morning but when we arrived she was not there. We left a note for her to call the office. We did not hear from her and a further home visit was carried out to arrange for her next depot clinic appointment. I called a meeting of the multi-disciplinary team (MDT) who agreed that there would be a problem if the next injections were missed. The social worker who was part of the team said that she will arrange for a community support worker to help clean Miss Xsts flat on a weekly basis (Adams 2008). We waited for about an hour for Miss Xst to attend the clinic for her depot injection but she failed to attend. I then informed the Community Psychiatry Nurse (CPN) that Miss Xst had expressed negative feelings about her medication and thought she did not need them; she had claimed she was already feeling well and therefore wanted the medications to be discontinued.   At a subsequent meeting with the patient, she agreed a joint visit with the CPN and myself to re-assess her condition and consider if it was necessary to   Ã‚  refer her case to the consultant (Barker, 2003).   I was given the opportunity to carry out the initial assessment, which showed that her behaviour was very unpredictable and very forgetful. Her inability to take her medication and to manage her personal hygiene clearly demonstrated that she was not well. The assessment tool I used was the Mental State Examination which helps determine the level of her insight into her illness and indeed I found out that she was in denial (Barker, 2004). I talked to Miss Xst about her non-concordance with her medication, but she persisted in saying she was well.   I reminded her that continuous use of the medication would benefit her mental health and protect her against relapse.   We agreed that she could discuss this with the doctor on her next outpatient appointment, with the option of reviewing or reducing her medication. I stressed the importance of her communicating any side effects or reservations she may have about the medication to doctor. She appeared to understand this and following the discussion, she finally complied with her depot injection. Even though the NMC (2008) maintains that nurses have a responsibility to empower patient in their care and to identify and minimise risk to patient. The principle of beneficence (to do well) must be balanced against no maleficence (doing no harm) (Beauchamp and Childress, 2001).   All these transactions were recorded in Miss Xsts care plan file and in computer. Good record keeping is an integral part of nursing and midwifery practice, and is essential to the provision of safe and effective care. It is not an optional extra to be fitted in if circumstances allow NMC (2009).   The consequences of my actions for the patient and her daughter were that she attended to her daughters needs and to her personal hygiene, and made regular fortnightly visits to the clinic. Her mental condition was improved, she was allowed to continue on her moderate medication and she did not have to be readmitted in the hospital. Feeling During the handover, I was nervous as I felt uncomfortable about giving feedback to the whole team. I was worried about making mistakes during my handover that could lead to inappropriate care being given to Miss Xst or could cause her   readmission to hospital. As a student nurse I felt I lacked the necessary experience to be passing information to a group of qualified staff members.   However, I dealt with the situation with outward calm and in a professional manner. I was very pleased that my mentor was available during the handover to offer me support and this increased my confidence. Evaluation What was good about the experience was that I was able to carry out the initial assessment and identify what caused Miss Xst failure to comply with the treatment regime.   From my assessment I documented the outcome and related what had happened to the MDT with minimal assistance. Accurate documentation of patients care and treatment should communicate to other members of the team in order to provide continuity of care (NMC, 2008).   The experience has improved my communication skills immensely, I felt supported throughout the handover by my mentor who was constantly involved when I missed out any information. Thomas et al, (1997) explains that supervision is an important development tool for all learners. The team were very supportive throughout the process as they took my information without doubt.   What was not good about the experience was the fact that my mentor had not informed me that I was going to handover the information; as a result I had not mentally prepared myself for it.   I also felt that I needed more time to observe other professionals in the team carrying out their handovers before I attempted to carry out mine.   During the original MDT meeting, I felt that we did not provide enough time to freely interact with Miss Xst to identify other psychosocial needs that could impact on her health. However, in any event, she was unable to fully engage because of her mental state. Turley (2000) suggests that nursing staff should include their interaction with the patient when recording assessment details, which can be used to provide evidence for future planning and delivery of care. Dougherty and Lister (2004) have suggested that healthcare professionals should use listening as part of assessing patient problems, needs and resources.      Analysis The literature regarding communication and interpersonal skills is vast and extensive. Upon reading a small amount of the vast literature available, the student was able to analyse the incident, and look at how badly this situation was handled. I realised communication is the main key in the nursing profession as suggested by Long (1999) who states that interpersonal skills are a form of tool that is necessary for effective communication. I found it difficult to communicate with a patient because I did not understand her condition. It was also difficult for me not to take her behaviour to heart and show emotion at the time, it is clear that this is an area I need to build on for the future. However, Bulman Schutz (2008) argue that this is failure to educate and for us to learn from practice and develop thinking skills. I would agree with them, as I learn best from practical experience, and build on it to improve my skills. With this is mind, I am now going to focus on my weaknesses, in both theory and practice, and state how, when and why I plan to improve on these. Through effective communication I was able to convince Miss Xst of the need to take her medication. I was able to pass on the information to the MDT for continuity of care.     Roger et al (2003) concluded that communication is an on-going process but can be a difficult process when dealing with mental health problems.   During the handover I was pleased that the MDT members were supportive and interested in what I was saying and they asked questions.   The patient had no recollection of what she had said to me and since the incident she has made these comments to other staff, which has put me at ease and made me realise that I had done nothing wrong. My mentor explained that a patient with Parkinsons can often behave like this as they develop dementia, which Noble (2007) also confirms. Since the incident I have read about Parkinsons and am now aware that the patients expressionless face Netdoctor (2008), also made her comments appear more confusing and aggressive. Conclusion   In conclusion, I have learnt that through effective communication, any problem can be solved regardless of the environment, circumstances or its complexity.   Therefore, nurses must ensure they are effective communicators.   I have identified the weaknesses that should be turned to strengths. I am now working on strengthening my assertiveness, confidence and communication skills. Participating in the care of Miss Xst, I have realised that a good background information and feedback about mental health problems before providing care to a clients can assist in accurate diagnosis and progress monitoring.  Ã‚   A good relationship between client and staff nurse is therapeutic and help in building trust.   This can be achieved by a free communication that allows the client to express their feelings and concern without the fear of intimidation.   From the experience, I feel the knowledge I have acquired will aid me in future while in practice should such situation arise again. ACTION PLAN FOR MY LEARNING NEEDS So that I could identify my strengths and weaknesses in both theory and practice easily, I found that the use of a SWOT analysis provided a good framework to follow. I have then built on this by producing a development plan that focuses on my weaknesses and how, when and why I plan to improve on them. I will now begin to work on these, the main reason being of course, that I am determined to be a competent, professional nurse in the future. I am now more prepared for any future patients with this disease as I have researched it. I will take the time to talk to them, to make sure they are at ease with me, before providing any care. If they appear distressed I would get another member of staff to help me to reassure them. Learning Need Planned action to meet this learning need Target time to meet the learning need. To improve my knowledge about patients illnesses and the risks of relapse associated with not taking Medication. Read books about different illnesses and causes of relapse End of third year To identify and have good background information and feedback about patients mental health problems before providing care to them To read my patients notes. On- going To ensure a good rapport exist between my patient and I, in order to build up a therapeutic relationship with them and to gain their trust. I will have regular meeting with my client On-going Effective communication with the patients and other members of the multidisciplinary team A locating time to talk to patients and their relatives participating in the ward round. On-going skills to develop throughout the training. Being prepared Talking with senior members of staff On-going CONCLUSION I have clearly demonstrated that by using a reflective model as a guide I have been able to break down, make sense of, and learn from my experience during my placement. At the time of the incident I felt very inadequate It was also difficult for me not to take her behaviour to heart and show emotion at the time, it is clear that this is an area I need to build on for the future. According to Bulman Schutz (2008), nursing requires effective preparation so that we can care competently, with knowledge and professional skills being developed over a professional lifetime. One way this can be achieved is through what Schon (1987) refers to as technical rationality, where professionals are problem solvers that select technical means best suited to particular purposes. Problems are solved by applying theory and technique. REFERENCES Adams, L. (2008). Mental Health Nurses can Play a Role in Physical Health. Mental Health Today. October 2008 pp27 Barker, P. (2004). Assessment in Psychiatric and Mental Health Nursing. Cheltenham, Nelson Thornes Barker, P.   Ed (2003). Psychiatric and mental health nursing: The craft of caring Arnold, London Beauchamp, T. and Childress, J. (2001) Principles of Biomedical Ethics, (5th   Edition): Oxford University   Press. Bolton, G. (2001) Reflective Practice. Writing and Professional Development. Paul Chapman Publishing Limited, London. Bulman, C. Schutz, S. (2008) An Introduction to Reflection. In: Bulman, C. Schutz, S. (ed.) Reflective Practice in Nursing, 4th edition. Oxford, Blackwell Publishing Ltd, pp 6 8 Burns, T. Sinfield, S. (2008a) How to organise yourself for independent study. In: Essential Study Skills The Complete Guide to Success at University. 2nd edition. London, Sage Publications Ltd, p 64. Burns, T. Sinfield, S. (2008b) Going to University. In: Essential Study Skills The Complete Guide to Success at University. 2nd edition. London, Sage Publications Ltd, p 16. Dougherty, L. and Lister, S. (2004) Royal Marsden of clinical nursing procedures. 6th edition. London: Blackwell publishers.   Gamble, C and Brennan, G (2005) Working with serious mental illness: a manual for clinical practice. Oxford: Bailliere Tindall. Kenworthy et al (2003) Marrelli, T. M (2004) The Nurse Managers Survival Guide: Practical Answer to Everyday Problems, United States of America : Elsevier Nursing and Midwifery Council (2004) Code of Professional Conduct NMC: London. Nursing and Midwifery Council (2008) The Code Standards of conduct, Performance and Ethics for Nurses and Midwives. London: Nursing and Midwifery Council. Nursing and Midwifery Council (2009) Record keeping: Guidance for nurses and midwives. London: Nursing and Midwifery Council.  Ã‚   Rolfe,   G., Freshwater, D. Jasper, M (2001) Critical Reflection for Nursing and the Helping professor; a Users Guide. Palgrave Macmillan, London. Roger, B. Ellis, Bob Gates, Neil Kenworthy. (2003) Interpersonal Communication in Nursing: Theory and Practice, 2nd edn. Churchill Livingstone, London, UK. Schon, D.A. (1983) The Reflective Practitioner. Basic books. Harper Collins, San Francisco Schon, D. (1987) Preparing Professionals for the Demands of Practice. Educating the Reflective Practitioner. San Francisco, Jossey Bass, pp3 21. Thomas, B. Hardy, S. and Cutting, P. (1997) Mental health Nursing: Principles and Practice London: Mosby Turley, J.P.( 2000) toward and integrated view of health informatics. Information Technology in Nursing 12 (13).