1st poem

first sonnet Aftermath Essay The sonnet â€Å"Aftermath† composed by Siegfried Sassoon is a profoundly basic piece that talks about the enthusiastic and materialistic expenses of World War I. The explanation behind its criticality is that it was essentially a ‘plea’ to the world that we should always remember the horrible accidents that happened in World War I, however in all wars. The sonnet represents all the unfortunate credits of war to the peruser, by continually utilizing expressive negative undertones. It at that point goes further by more than once posing the expository inquiry, â€Å"Have you overlooked at this point? †. This emotive recommendation to the peruser luxuriously depicts the general message of how we should not ever overlook what has happened, as that is the best way to guarantee a positive future for mankind. The principle reason for this content was to illuminate society how we mustn’t overlook the shocking occasions that happen in war and in doing so not let history rehash itself. The explanation I felt Siegfried needed to illuminate society regarding this, is on the grounds that the occasions that happen in wartime are of such aversion that the main ‘just’ choice is to not rehash them. Occasions of such a shocking nature were alluded to various occasions all through the sonnet and incorporate the announcements â€Å"corpses rotting† and â€Å"the bound and worn down faces†. These announcements alongside various others feature Siegfried’s fundamental thought of which he was attempting to depict to both the peruser and in the long run society. A statement that intrigued me was the last line of the sonnet, where it expressed â€Å"Look up, and depend on the green of the spring that youll never forget†. The statement captivated me since it was the zenith of the sonnet; the point where the general message is hit home completely. The word â€Å"swear† I believe is the quality of this sentence, as it infers that we as a general public must swear that we won't overlook what happens in wartime. I think the explanation Siegfried needs us a general public to ‘swear’, rather then state we won't overlook, is to guarantee that we the perusers perceive this is a major issue and not one where we should mess with. This is on the grounds that in spite of past endeavors for the vision of ‘world peace’, there has been no moderate exertion to forestall war and its partners completely. In this manner Siegfried accepts on the off chance that we as a general public ‘swear’, it is almost certain we won't overlook, and thus there is an increased possibility that we as a general public may change to keep such barbarities from happening once more. This is the reason the statement â€Å"Look up, and depend on the green of the spring that youll never forget† and all the more explicitly the utilization of the word swear intrigued me, as it featured the general motivation behind the sonnet and what we as a general public ‘must’ do. Spring †new development, new possibility. Swearing on it infers that we’re being allowed to be renewed out of the ‘dead of winter’ in that capacity. Rah de rah. Another significant part of this sonnet is that Siegfried, talks from a state of understanding. This implies his remarks and the rich emotive message depicted in the sonnet isn’t one of falseness. Siegfried experienced World War I completely and because of the hardships he confronted, had a psychological breakdown that was eventually impeding to his life. The way that Siegfried experienced war, saw and felt what it does to people, social orders and countries shows that not the slightest bit were his remarks ridiculous or over overstated. Because of this Siegfried’s reaction is one of overpowering force and is the reason his message isn't just taken on board by the peruser yet acknowledged. This is because of him implementing reality on us the peruser, and makes us as well; need to ‘swear’‘lest we forget’. The sonnet â€Å"I Am† composed by John Claire is a profoundly eminent piece that examines the psychological and enthusiastic consequences for somebody that has been overlooked by society. It at that point goes further and shows the inside clash that emerges when such occasions happen to a person. .u24a8da94f312322db51dc3b932a8fb92 , .u24a8da94f312322db51dc3b932a8fb92 .postImageUrl , .u24a8da94f312322db51dc3b932a8fb92 .focused content region { min-tallness: 80px; position: relative; } .u24a8da94f312322db51dc3b932a8fb92 , .u24a8da94f312322db51dc3b932a8fb92:hover , .u24a8da94f312322db51dc3b932a8fb92:visited , .u24a8da94f312322db51dc3b932a8fb92:active { border:0!important; } .u24a8da94f312322db51dc3b932a8fb92 .clearfix:after { content: ; show: table; clear: both; } .u24a8da94f312322db51dc3b932a8fb92 { show: square; change: foundation shading 250ms; webkit-progress: foundation shading 250ms; width: 100%; haziness: 1; progress: murkiness 250ms; webkit-progress: mistiness 250ms; foundation shading: #95A5A6; } .u24a8da94f312322db51dc3b932a8fb92:active , .u24a8da94f312322db51dc3b932a8fb92:hover { obscurity: 1; progress: darkness 250ms; webkit-change: darkness 250ms; foundation shading: #2C3E50; } .u24a8da94f312322db51dc3b932a8fb92 .focused content territory { width: 100%; position: re lative; } .u24a8da94f312322db51dc3b932a8fb92 .ctaText { fringe base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: intense; edge: 0; cushioning: 0; content adornment: underline; } .u24a8da94f312322db51dc3b932a8fb92 .postTitle { shading: #FFFFFF; text dimension: 16px; textual style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u24a8da94f312322db51dc3b932a8fb92 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; outskirt: none; outskirt sweep: 3px; box-shadow: none; text dimension: 14px; text style weight: striking; line-stature: 26px; moz-fringe span: 3px; content adjust: focus; content beautification: none; content shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/basic arrow.png)no-rehash; position: outright; right: 0; top: 0; } .u24a8da94f312322db51dc3b932a8fb92:hover .ctaButton { foundation shading: #34495E!important; } .u24a8da9 4f312322db51dc3b932a8fb92 .focused content { show: table; tallness: 80px; cushioning left: 18px; top: 0; } .u24a8da94f312322db51dc3b932a8fb92-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u24a8da94f312322db51dc3b932a8fb92:after { content: ; show: square; clear: both; } READ: Aristotle’S Poetics Analysis EssayThe sonnet depends on John the author’s life, after his closest companion had exposed him to a psychological haven, so he himself could flee with John’s spouse. John claims total mental soundness and composed the sonnet â€Å"I Am† as an approach to vent his weakness; he never proposed the sonnet to be perused by any other person, which adds to its general impact. Directly from the earliest starting point, two primary idea’s are depicted to us the peruser; right off the bat that the creator is enduring and that this enduring is to some extent exacted wit hout anyone else; likewise there is the possibility that there is a living impression to the sonnet. In the primary refrain the degree of the author’s despondency with life turns out to be agonizingly self-evident. He clearly understands the endless loop that his life has become is fairly self-exacted, with his issues being given additional broadcast appointment by his own mind. This is accentuated with the expression â€Å"I am the self purchaser of my woes†. Moreover, scholarly procedures, for example, similar sounding word usage, comparisons and representations in the initial refrain give the sonnet a living impression. â€Å"Friends neglect me like a memory lost† †this straightforward utilization of a metaphor related to similar sounding word usage features the despairing and exact tone to the sonnet. The two expressions â€Å"Into the nothingness of contempt and clamor, Into the living ocean of waking dreams† and â€Å"I long for scenes where man has never trod; a spot where lady never smil’d or wept† are two that interested me. While the two of them utilized various methods with various direct messages behind them, there was a similitude between them that intrigued me. The author’s most noteworthy need and need is to be apparently independent from all that characterizes human feeling and the procedures engaged with carrying on with a full life. With the principal expression, the total balance of reality with its appearance to the creator shows how his life has become right around an equal universe to him. He yearns for a spot where feeling isn't characterized, in light of the fact that it doesn't exist. In paradise, his ‘ideal’ world, there are no difficulties. There are no colossal highs or lows that swing our characters into a spot we don’t perceive. The statement â€Å"above the vaulted sky† features this and makes the ideal end to a sonnet which is loaded up with such lament and wish for good ways from his life. This utilization of figurative language depicts in a last thrive that all the creator needs and needs, is to be bolted away from an amazing difficulties, never again to encounter all the things that caused him to feel. By the creator portraying his life thusly, we as well, question whether he is in truth crazy or potentially simply discouraged to the point of self destruction. The fact of the matter isn't we nor nobody else will ever know the response to this. Notwithstanding, the sonnet at that point goes further and makes us question our convictions into how we should treat and analyze the intellectually ‘insane’. This contention is featured for us mankind when we consider all the past events in history where we as people have judged and subsequently exposed guiltless individuals to any semblance of jail, refuges and inhumane imprisonments. In spite of the modernisation of our planet have we truly changed to the point we are reasonable for judge an individual crazy and cause them to endure subsequently? This is a definitive inquiry I feel the sonnet posed to us as the peruser. The poem’s â€Å"Aftermath† and â€?

A Question Of Animal Testing - Free Essay Example

One day you came across a farm with pigs, cows, sheep, goats, chicken, and other farm animals having a wonderful time on a nice sunny day, but moments later a farmer came across with an axe, a stick, a shotgun, and a knife out of nowhere. He sets up a line for animals to come in and moments later he began hitting, abusing, and torching those poor animals because hes unsatisfied with the animals not producing enough resources for him to make a lot of money out of. This is called animals abuse, animals abuse is when an animal is being neglect or treated cruelty, is the infliction by omission or by commission by humans or suffering or harm upon any non-human.. Luckily, theres people who disagrees with animal abuse and has come up with a situation and that is to make a bill for all animals to have rights and have freedom which is called Animals Bill of Rights. The Animal Bill of Rights is a bill that people who disagree with animals abuse and wants to protect animals from cruelty and abuse by humans behavior, by passing this bill (Sign the Petition, 1). However, this bill has not yet pass because theyre some people who disagree with animals having rights because it will affect our lives. By that decision the bill hasnt yet became a bill, and we need to do something about it. I agree that animals should have the Bill of Rights to be pass and it will provide benefits for animals and for humans too. The Animals Bill of Right will bring animals to be free from exploitation, cruelty, and abuse to an end (Animals Bill of Rights, Article 1). In 2002, Congress moved to amend the AWA to exclude birds, rats, and mice from the Acts protections following successful litigation against the government by the Animal Legal Defense Fund that would have required the Act to be interpreted to include them. Together these 3 species excluded from the Acts protections are estimated to comprise over 90 percent of all used in research (Rats, Mice and Birds Excluded from Animal Welfare Act, 1). This is great to hear because its unfair for animals like birds, mice, and rats to suffer from pain and other symptom because scientist is doing a lack of care towards those animals by ejected them diseases, infections, viruses, and other things to test out what will happen to them. By supporting Animal Bill of Rights, we can stop animals from being experimenting with subjects that arent safe for animals nor hum ans. The Animal Bill of Rights will give the right of farmed animals to an environment that satisfies their basic physical needs and live free without cruelty and being abuse (Animals Bill of Rights, Article 5). In polling, 94% of Americans agree that animals raised for food deserve to live free from abuse and cruelty. Yet the majority of the nearly 10 billion farm animals raised each year in the U.S. suffer in conditions that consumers would not accept if they could see them. Most of our meat, milk and eggs come from industrial farms where efficiency trumps welfare†and animals are paying the price (Farm Animal Welfare, 1).   This tells us that the entire U.S.A population agrees that farm animals need the right to live without cruelty and if people where to see how farmers treat their animals people wont consider buying their food products. With most of the population agreeing with this, we would agree that animals should have their Bill of Rights to be established and end cruelty for farm animals to have freedom. Animals will have the benefits of having a healthy diet, protective shelter, and adequate medical care (Animals Bill of Rights, Article 3). Currently, 45 states and the District of Columbia have felony level animal cruelty provision, usually for aggravated cruelty or animal fighting or both. The remaining 5 states treat such crimes as misdemeanors, for example in Louisiana aggravated cruelty leading to death of an animals can lead to a fine $25,000 or imprisonment for a period of 10 years (Animal Bill of Rights, Article 3. Par.1).   This shows that all 50 states have penalties for animal cruelty and majority of them can agree that Animals do deserve to have the Bill of Rights established for them. All states agree that animals have rights and if they were to be mistreated like humans and will suffer the consequence depending in what state he/ her is in. Animals deserve respect because they are unharmful animals that do nothing to hurt against humans, so why hurt them. In conclusion, animal testing should be eliminated because it violates animals rights, it causes pain and suffering to the all animals. Humans cant give reasons for making life better for themselves by torturing, abusing, and executing hundreds and thousands of animals per year just to perform experiments or test products. Animals should be treated with respect and worthy, and not be treated poorly there just like humans they have children to provide food for them, they have the same life experience as humans, and they feel emotional too. After all, humans are just like animals too and that why we need to support Animals Bill of Rights.

Is Technology Beneficial Or Dangerous - 1541 Words

â€Å"The number one benefit of information technology is that it empowers people to do what they want to do. It lets people be creative. It lets people be productive. It lets people learn things they didn t think they could learn before, and so in a sense it is all about potential† (Ballmer, Steve. Steve Ballmer: AACIS Unlimited Potential Grant Announcement). Technology revolutionizes the way in which procedures are completed. As the technological movement continues to spread, many ask the question: is the expansion of technology beneficial or dangerous? The ever-expanding technology of the world is more beneficial than dangerous. Many aspects of life have been impacted by the benefits of technology such as education, warfare, the workplace, and transportation. â€Å"Education is not preparation for life; education is life itself† (Dewey, John). Education is the one of the most important aspects of human life. Technology takes education to an infinite level by adding programs that allow students to research, complete and inquire. The first major advancement of technology that truly jumpstarted education was the internet. The internet opened up an entire encyclopedia for any person with connection to view. Search engines such as Google made a very simple and easy-to-use query-based search to allow people to find and research any desired topic. Along with search engines, Google created Drive. Drive allows students and teachers to store and create documents on many differentShow MoreRelatedResults of Advancements in Technology Essay811 Words   |  4 Pagestoday’s society, modern technology is evidently developing rapidly and it is portrayed as a negative impact. It can be seen that technology is a substitution of all characteri stics of life. The purpose of every technological invention is to benefit the lives of mankind; thus re-enforcing the positive connotation of technology. However, in long term it may not be beneficial; such as, education, work and leisure are all becoming dependent on technology; cyberspace is dangerous and child obesity is increasingRead MoreTechnology And Its Impact On Technology Essay1164 Words   |  5 PagesToo Smart? What is technology? Technology is the making, modification, usage, and knowledge of tools, machines, techniques, and methods to solve a problem and to achieve a goal. Technology is rapidly advancing every day to create a more efficient human lifestyle. However, technology is advancing rapidly to the point where it is becoming too intelligent, unpredictable, and uncontrollable for the human creators to control. Although the benefits tend to be great, the risks attached is far tooRead MoreThe Harm of Genetically Modified Organisms Essay1030 Words   |  5 Pagesdifferent organisms is known as recombinant DNA technology, and the resulting organism is said to be genetically modified, or transgenic. Genetically Modified products include medicines, vaccines, foods, food ingredients and animal feeds (1). In my personal opinion I believe that genetic Modification has its advantages as well as its disadvantages. I do have reservations about this type of research as I find it unethical and dangerous for humans and wildlife. ThereRead MoreTechnology And Technology : The Use Of Technology1444 Words   |  6 PagesTechnology. According to Google, Technology is the application of scientific knowledge for practical purposes, especially in industry. Technology is supposed to be created for practical purposes,and it is. Ever since the first piece of tech was invented, people have been all over it, acquiring technology to make their lives easier. From the creations made by early ancestors to the iPhones created by Apple, technology has ruled peoples lives. Although on the surface it appears to be beneficialRead MoreTechnology Is The Most Useful Servant But Dangerous Master Essay1374 Words   |  6 PagesSomeone once said, â€Å"Technology is the most useful servant but dangerous master.† In other words, technology can be either a beneficial tool that helps in the advancement of civilization or a lethal weapon that helps in the destruction/demolishment of society. Technology is a very powerful tool t hat provides numerous services (i.e telecommunication, cloud computing, and cybersecurity, and etc) to the general public. It is not a secret that technology is an integral part of the human life. EveryoneRead MoreIs Electronic Media Beneficial in Children’s Education? Essay1408 Words   |  6 PagesIs Electronic Media beneficial in Children’s Education? Over the last decades, it is generally realized that the educational technology has developed dramatically. Electronic media has benefitted the system of education in an enormous way. Electronic media is the media which uses electronics or electromechanical energy for the audience to access the content. Video recording, audio recording, multimedia presentations, CD-ROM and online content are all forms of electronic media and any equipment usedRead MoreTechnology Has Changed The Way Of Life934 Words   |  4 Pagesimprovements of technology and new inventions have changed the way of life for mankind. Almost everything has become within arm’s reach and with hardly any physical effort. Although these changes have made life easier they have not necessarily made them better. People are now struggling with keeping themselves away from technology because it is slowly consuming their lives. While these changes are certainly beneficial the outcome may end up negatively affecting manki nd. Undeniably, technology has helpedRead MoreThe Invention Of Designer Babies902 Words   |  4 Pagesand sets out to discover what life truly is. Thinking he discovered the secret to life, Victor successfully creates a living creature out of old body parts. Unfortunately, the creature becomes dangerous and goes on to murder Victor’s family and friends. Though Frankenstein is fictional, with modern technologies, the creation of designer babies is an increasing reality. Designer babies are genetically engineered in vitro for specially selected traits, which can vary from lowered disease risk to genderRead MoreThe High Speed Machining ( Hsm )881 Words   |  4 PagesManufacturing engineers are doing research and invent better new technology to improve the quality and production performance with higher profit, as well as lower cost. For instance, the invention of the high-speed machining (HSM) and robots in manufacturing had significant improvement to the productivity rate. Accord ing to Msaddek, Bouaziz, Baili, Dessein (2014), â€Å"HSM is one of the latest technologies being a part of the means provided for the enterprises to make important productivity gains† (pRead MoreShould Drones Shape Future Of Warfare?898 Words   |  4 PagesShape Future of Warfare? Over seventy countries in today s society have access to drone technology and there are many others still trying to acquire it. These drones have become present in many settings such as farming, service and warfare. In terms of warfare, there are two main types of drones that have been established: UAVs (unmanned aerial vehicles) and RPASs (remotely piloted aerial systems). This technology is arising in warfare situations and there is much controversy over whether drones should

Overpopulation Essay - 1010 Words

Overpopulation While overpopulation is a problem that plagues many developing nations, it would be wrong to assume that it is their main problem, or that the countering of overpopulation should receive priority above all else. There are more serious problems facing the third world. Poverty and the unequal distribution of wealth are two that must be dealt with first. The causes of poverty and inequality are very complex and there is no single solution to such vast problems. However, the problems could generally be reduced by the equal distribution of basic resources such as food, land and water. These Basic human needs can be met in three steps. Firstly, by investing a small amount of capital in items such as†¦show more content†¦This can be achieved by the boosting of the International Emergency Food Reserves through constant donations from countries with surplus food. The methods of distributing this emergency relief needs to be improved. Equipment such as aircraft and trucks and res ources such as mechanical support, health workers and nutritionists must be available at short notice and be able to be deployed immediately in the event of a crisis. All this should be accompanied by forcing the rich countries to pay fair prices for commodities that they purchase from poor countries. The profits resulting from this can be reinvested in such a way that it enables development of projects such as irrigation, reforestation and technical advice, etc., that will develop appropriate infrastructure for self-sufficiency. Land is the second basic need that eludes the poor in most developing nations. Much of the cultivatable land in the world is owned by people with large farms, particularly in the Americas. For example, in the 1970s in Central America, the richest 10% of land owners controlled 80% of all farmland. This means that the large farmers are able to dominate the market as it is easier for them to get credits and loans which in turn helps them afford mechanization and fertilizer seeds, etc. This means that the large farms can mass produce. The mass production of crops forces the prices down and small farmers lose out and are forced to sell theirShow MoreRelatedThe Problem Of Overpopulation And Overpopulation872 Words   |  4 PagesHuman overpopulation. Human population can be defined as the condition whereby, the total count of the human inhabiting a certain area exceeds the carrying capacity of the area Bongaarts, (2011). This brings out an issue of the carrying capacity of the region which alludes to the number of individuals who can inhabit a certain area for a given period. It may also be looked at as the situation whereby the available renewable resources in a certain area can satisfactorily support the current populationRead MoreOverpopulation : The Problem Of Overpopulation1251 Words   |  6 PagesOverpopulation: The Top Worry Yet to be Proven by the Worried The definition of hysteria is an exaggerated or uncontrollable emotion, usually found within groups of people. An example of hysteria includes overpopulation, the futuristic â€Å"problem† that is not and will not be a dilemma in the foreseeable future. Back in 15,000 B.C., the world population was five million. Today, it is a staggering seven billion plus. This has caused unease that overpopulation will be a problem for our future generationsRead MoreOverpopulation Is A Problem Of Overpopulation1529 Words   |  7 Pagesthe whole humankind. Overpopulation is a problem that every nation is facing but sometimes over looked by due to lack of understanding and awareness. This is a serious issue that should be taken care of immediately. Overpopulation is an undesirable situation where the number of existing human populace surpasses the carrying capability of Earth. There are main factors that are contributing overpopulation such as the rising birth rate and declining of mortality rate. Overpopulation occurs when the birthRead MoreOverpopulation1587 Words   |  7 Pageshuman race, while others think it is beneficial to continue on this path. The ongoing debate on world overpopulation allows many different people to offer their unique opinions, such as Erle C. Ellis, Joel Kotkin, Robert Walker, and Alon Tal. These writers offer perspectives that support and conflict the different aspects of the overpopulation issue. Both Ellis and Kotkin believe that overpopulation is not an issue, while Walker and Tal strongly believe that it is. Ellis believes that humans can relyRead MoreOverpopulation : The Convoluted Problems Of Overpopulation896 Words   |  4 PagesOverpopulation The convoluted problems concerning overpopulation remain to be a highly discussed issue in various countries throughout the world. Some issues that are in support of overpopulation include the opportunity to place innovative ideas into action, aids in stimulating the economy, creates job openings in new growing industries, increased human resources, encourages competition, advancement in urbanization and development, creates a demand for industries like farming, and allows for cheaperRead MoreOverpopulation And The Problem Of Overpopulation1747 Words   |  7 PagesOverpopulation Programs There are many organizations that deal with the problem of overpopulation or problems related to the effects of overpopulation such as environmental effects. Some of the organizations that I found related to this topic are the United Nations Population Fund, a group called Population Matters, another group called the World Population Balance and the Center for Biological Diversity. All of these groups deal with the issue of overpopulation and the effects that overpopulationRead MoreOverpopulation And The Problem Of Overpopulation1388 Words   |  6 PagesTo begin with, in demography, the term overpopulation refers to a condition wherein the total population of a particular region far exceeds the carrying capacity of the region. Although the term by and large refers to the ratio between population and the available area, the ratio between the population and available resources cannot be ignored. First, the rate at which the population is growing; the data compiled by the United Nations shows that the world population grew by 30 percent betweenRead MoreOverpopulation Is An Issue Of Overpopulation930 Words   |  4 PagesOverpopulation is an issue that many in the world may never face, however, the ones that do experience this issue know the struggles that it can pose to the overall quality of life. There are multiple reasons on why overpopulation is an issue and why it can affect quality of life, but ones that have a major impact on the world is the shortage of food, overconsumption of fossil fuels, and decline in health care. These specific issues were selected because of the widespread availability of informationRead MoreOverpopulation And Its Effects On Human Overpopulation1103 Words   |  5 PagesPopulation growth is another negative factor linked to the disruption of natural selection from medical advancements that causes problems both socially and environmentally. Overpopulation happens when there are too many people and not enough resources. The key to solving overpopulation is to find and retain the perfect size for the population before it is too late and all the natural resources are consumed or ruined. The world population is rapidly increasing†¦ â€Å"[w]ith over 7 billion people livingRead MoreOverpopulation1123 Words   |  5 Pages Formative essay 1 – Overpopulation World population and why has it become such a growing issue during the last 10 years Student name: John Williams Module: Tutorial DXX – 1007 Tutor: Ms Sian Pierce 3rd November 2017 Introduction: As the World keeps developing, so does the population. Today the Earth is home to just over 7 billion people and is continuously growing at a rapid rate. It has become clear however as

Journal Community Hospital Internal Medicine-Myassignmenthelp.Com

Question: Discuss About The Journal Community Hospital Internal Medicine? Answer: Introduction Electronic medical records (EMR) represents "an electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one healthcare organization" (Chang Gupta, 2015). EMR further serves as one of the key developments in healthcare settings which have substantial benefits to physicians, clinical practices, and healthcare organizations. Besides, EMR improves patient care by enhancing communication between multiple healthcare providers and the patients, reduces the risk of medical errors and promotes safe practice (Palabindala, Pamarthy Jonnalagadda, 2016). In this regard, the associated positive effects of EMR in healthcare settings is profound. However, the adoption of the technology and effective integration in practice both primary care setting and hospitals experience significant challenges. However, healthcare can adopt different change management practices to mitigate against major barri ers to the adoption of EMR. The report will explore the adoption of EMR in an existing 800-bed tertiary teaching hospital based on the possible barriers and effective approaches to mitigate the barriers or ensure integration in healthcare practice. Possible Barriers to EMR Adoption EMR adoption in healthcare setting requires effective change management approaches since it's based on changing healthcare practices thus high chances of experiencing barriers. Some of the possible barriers to effective adoption of EMR involves the acceptance barrier by the healthcare providers primarily healthcare professionals with little or less knowledge on the use of the technology. Acceptance barrier serves as the greatest challenge of EMR adoption which creates the need for the healthcare leaders to have effective change management practices (Hamid Cline, 2013). Acceptance challenge is also more common when the healthcare stakeholders are not involved in the decision regarding the adoption of EMR. According to Ajami Bagheri-Tadi (2013), the majority of the healthcare professionals having acceptance issues are influenced by the perception towards EMR and poor understanding of the role and operation of the technology in healthcare practice. Another possible barrier to EMR adoption involves the overall cost of adoption. According to Khalifa (2013), EMR requires healthcare organizations to make significant investments in purchasing the EMR system as well as training the healthcare providers on the effective use of the system in order to achieve the maximum benefits. Besides, the adoption of the system creates the need for the healthcare organizations to invest in information technology resources which increases the overall costs of full adoption of the system. The associated costs of adoption are significantly high which serves as a possible barrier to EMR adoption primarily among healthcare organizations that are not well funded (Ajami Arab-Chadegani, 2013). The inability of the EMR system to meet the healthcare organization needs or fit its purpose can also serve as a key barrier to effective adoption. EMR is expected to solve key problems in healthcare settings such as communication between different healthcare providers in regards to patient care or ensure efficient access to patient information. However, in situations where the designed EMR does not fit its purpose, there is a possibility of experiencing barriers or challenges. Additionally, the ability of the ability of the system to integrate with other existing electronic system or healthcare practices can lead to barriers creating the need to adopt systems that are flexible and can be easily integrated with different systems within the healthcare settings (Esquivel, Sittig, Murphy Singh, 2012). The aspect is common when the system design fails to include the clinical processes and workflow. As an 800-bed tertiary teaching hospital the adoption of EMR is critical; however, the po ssibility of challenges are high due to the number of clinical practices and systems that must be integrated to achieve positive outcomes. As such, the inability of the system to effectively address the key clinical practices and systems serves as a key barrier to adoption. Another significant barrier involves the lack of skilled workforce and resources that can ensure continued support for the system. Majority of the healthcare providers lack the necessary skills to effectively adopt new technologies which create concerns when such systems are introduced in healthcare settings. Besides, the majority of the care providers have concerns about the system becoming obsolete which limits their support or acceptance of the EMR system. The key barriers demonstrate that healthcare organizations require effective leadership and the need to demonstrate the importance of EMR's in transforming healthcare functions such as safety, quality, and care efficiency. Different mitigation measures can be adopted prior to the adoption of the system to enhance the success rate in the implementation process (Granlien Hertzum, 2012). Mitigation to Overcome the Barriers Effectiveness in Real World It's evident that EMR adoption is likely to face key barriers, however, different approaches can be adopted to mitigate and overcome the barriers. The first key approach involves the inclusion of all the stakeholders in decision-making regarding the implementation of the EMR system. Healthcare organizations should engage its stakeholders to educate them on the need for the system as well as seek their opinion. The approach plays a significant role in enhancing the support for the system during the adoption or implementation stage (Hamid Cline, 2013). Besides, the approach is effective in reducing the negative perception in real-world implementations which influence the healthcare providers decision to reject the systems. Additionally, the approach is deemed effective since it increases the feelings of inclusion in decision-making as well a motivating the healthcare providers. Additionally, McGinn et al., (2011) notes that engaging the stakeholders provides the opportunity to clear d oubts on the system, present its key components and demonstrates its advantage towards improving the healthcare practice thus achieving greater support. The second key mitigation approach involves establishing a strong change management and communication strategy within the healthcare institution. The approach is critical in preparing the healthcare staff for changes in the clinical practice. Additionally, the communication strategy is effective in communicating the need for the system to the healthcare setting as well as its key components. Change management helps adopt an effective strategy to enhance the acceptance to change by creating an implementation strategy or support levels based on different leadership levels in the healthcare settings (Neumeier, 2013). The approach further helps focus attention on the positive effects of EMR to the healthcare practices rather than the associated costs, skills or resources. As such it contributes in shaping the healthcare professionals perception or negative attitude towards the system. Another key mitigation measure involves establishing training and development program for the EMR users to enhance their chances of fully using the system to achieve the maximum benefits. Training is critical in reducing the barriers associated with lack of knowledge and skills on EMR among the healthcare providers. In real life situations, the case is evident since the majority of the healthcare professionals lack the technical knowledge to adopt the system which influences their resistance towards change (Esquivel, Sittig, Murphy Singh, 2012). However, the healthcare organization investment on training and development empowers the workers ensures knowledge required to effectively use the system. Another key mitigation approach involves enhancing the healthcare settings investments in technology. The approach helps in addressing the resources challenge and ensures the healthcare settings have the necessary resources necessary to fully adopt the system such as communication systems (El Mahalli, 2015). Besides, resources help in the continued maintenance of the EMR in the healthcare setting as well as providing the users with continued support. The approach is effective in real-world implementations such as the healthcare setting with 800 beds suggesting that it serves a large number of patients. In this regard, accessing each patients records is challenging creating the need for the EMR system and the key resources such as computers, servers, and networking tools among others. The approach further translates to safe healthcare practice as well as the improvement in the quality of care provided to patients (Souther, 2012). Strong leadership in the healthcare organization can also help in mitigating the barriers as well as supporting full adoption of the system. Leadership promotes the chances of resolving issues or problems as well as addressing key setbacks that affect the timely implementation of the system such as financial resources. Effective leadership further help in communicating the need for EMR and have better chances of influencing support from other healthcare professionals (Kruse et al., 2015). Strong leadership also helps in advocating support for the EMR as the solution to a broad range of healthcare challenges such as medical errors. Another key approach involves the design of an organization-based system that is based on addressing the specific needs of the healthcare system. Such an approach is critical since it ensures the inclusion of all the clinical practices and user needs thus promoting the overall implementation process. Besides, it ensures the system is flexible with the chang ing nature of the organizational needs. The approach is effective in real-world situations since healthcare organizations vary in size or the number of patients served suggesting that a universal system may be ineffective (Devkota Devkota, 2014). Another key mitigation measure involves shaping the EMR to align with the organizational goals and priorities such as patient safety and quality of care. The aspect helps in communicating the positive impact of adopting EMR as part of the patient safety improvement. Additionally, the approach helps address the public concern on patient safety primarily in the current world characterized by increasing cases of medical errors and patient safety challenges. The aspect is also critical in real-world situations since it ensures operation in accordance with the existing laws or policies in the healthcare system (Esquivel, Sittig, Murphy Singh, 2012). Conclusion The review presents the notion that EMR is critical in healthcare settings since it impacts positively on patient safety, quality of care and clinical practice. However, the effective adoption of EMR in healthcare settings has significant barriers that limit its effectiveness. Some of the key barriers involve acceptance by the key stakeholders, overall costs, and resources required, technical skills and perception towards the system. However, different mitigation measures have been put forward and can also be adopted in a real world situation where they have demonstrated effectiveness. Some of the mitigation measures include strong leadership in the healthcare organizations, the inclusion of all the stakeholders in decision-making, proper change management and communication in regards to the system need. Additionally, the creation of EMR that is specific to the healthcare organization needs can also help in achieving positive outcomes. EMR is deemed effective in enhancing clinical pr actice leading to reduced cases of errors, promoting the quality of care and enhancing patient safety. References Ajami, S., Bagheri-Tadi, T. (2013). Barriers for adopting electronic health records (EHRs) by physicians.Acta Informatica Medica,21(2), 129. Ajami, S., Arab-Chadegani, R. (2013). Barriers to implement electronic health records (EHRs).Materia socio-medica,25(3), 213. Chang, F., Gupta, N. (2015). Progress in electronic medical record adoption in Canada.Canadian Family psychology,61(12), 10761084. Devkota, B., Devkota, A. (2014). Electronic health records: advantages of use and barriers to adoption.Health Renaissance,11(3), 181-184. El Mahalli, A. A. (2015). Electronic health records: Use and barriers among physicians in eastern province of Saudi Arabia.Saudi Journal for Health Sciences,4(1), 32. Esquivel, A., Sittig, D. F., Murphy, D. R., Singh, H. (2012). Improving the effectiveness of electronic health record-based referral processes.BMC medical informatics and decision making,12(1), 107. Granlien, M. S., Hertzum, M. (2012). Barriers to the adoption and use of an electronicmedication record.Electronic Journal of Information Systems Evaluation,15(2), 216- 227. Hamid, F., Cline, T. (2013). Providers acceptance factors and their perceived barriers to electronic health record (EHR) adoption.Online Journal of Nursing Informatics,17(3). Kruse, C. S., Mileski, M., Alaytsev, V., Carol, E., Williams, A. (2015). Adoption factors associated with electronic health record among long-term care facilities: a systematic review.BMJ open,5(1), e006615. Khalifa, M. (2013). Barriers to health information systems and electronic medical records implementation. A field study of Saudi Arabian hospitals.Procedia Computer Science,21, 335-342. McGinn, C. A., Grenier, S., Duplantie, J., Shaw, N., Sicotte, C., Mathieu, L. Gagnon, M. P. (2011). Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review.BMC medicine,9(1), 46. Neumeier, M. (2013). Using Kotter's Change Management Theory and Innovation Diffusion Theory In Implementing an Electronic Medical Record.Canadian Journal of Nursing Informatics,8(1-2). Palabindala, V., Pamarthy, A., Jonnalagadda, N. R. (2016). Adoption of electronic health records and barriers.Journal of Community Hospital Internal Medicine Perspectives,6(5), 10.3402/jchimp.v6.32643. https://doi.org/10.3402/jchimp.v6.32643 Souther, E. (2012). Implementation of the electronic medical record: the team approach.Computers in Nursing,19(2), 47-55.

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