Decleration of Independence essays

Decleration of Independence expositions Rafi Jacobs A.P. American History Report Around two months prior I despite everything felt that the Declaration of Independence was something composed two or three hundred years back, and was celebrated, yet had no genuine recorded worth. I just idea it was a decent thing, and after it became popular was adjusted as a masterpiece. Furthermore, to be straightforward I didnt even comprehend what signifagance it had and the amount it truly accomplished for out nation. Yet, in the wake of perusing the Declaration of Independence, via Carl Becker, I discovered what it truly implied. In this report I won't just demonstrate that I read the book, yet show what influence it had on our nation, the autonomous Unites States of America. As a matter of fact, the decleration wasn't even the officiol demonstration of seperation from Great Britian. That was done on June seventh, 1776, when Richard Henry Lee, for the Virginia Delegation made three goals, one that announced the United Sttes ought to be free and indipendent states, and there ought to be no association among them and Great Britain. It was casted a ballot in on July second, 1776. Be that as it may, on the tenth of June in when they concluded they ought to compose a decleration of indipendence, and they designated Thomas Jefferson, John Adams, Benjamin Franklin, Roger Sherman, and Robert R. Livingston. From the start Thomas Jefferson inquire as to whether he could compose it. He answered First, you are a Virginian, should be responsible for buissness, next I am upsetting, suspected, and disagreeable, reason number three, you are a ten times better author, Mr. Jefferson. When composing this archive, they must be mindful so as not to do a couple of things. To begin with, they didn't need this to seem like an insubordination. They attempted to make it sound like it was a good and defended activity. The objective was to make this insubordination a legitimized demonstration. Defying a lord is seriose. So they must be cautious. They couldn't simply make this against their own lord of Britian, rather they needed it to ... <!

Essay Writing Book: How to Write a Homework Paper

Essay Writing Book: How to Write a Homework PaperWriting an essay is not easy, but it does not have to be difficult if you follow some tips on how to write a thesis statement, one of the main elements in any essay. In this article I will discuss some of the best tips that will help you learn how to write a thesis statement effectively.The most important element to any essay is the structure. It should begin with a discussion of some of the ideas or events that are presented in the paper. The main points in the paper should be covered up to this point, and the rest of the paper should be built on the main idea, so as to make the thesis statement complete.Once this structure has been established in the whole essay, the writer can proceed to the next step. He or she should create a paper summary. This consists of summarizing the major ideas in the paper. It should include statements that relate back to the first point that was introduced in the introduction.By summarizing the main argum ent of the paper, the writer allows the reader to focus on the main topic of the paper. Without this, the writer could be lost in the endless details of the paper. This is why the main idea is usually covered up to this point, before going on to the conclusion.An essay is nothing without the use of examples. I highly recommend creating a list of five different examples from which to build your argument. Then, when writing the final essay, place these examples within the main section.Keep in mind that the final point should be based on a specific example, and not on a generalization of the subject. A general statement can be made without support from a particular example.When completing the final paper, put all of your hard work into practice by finishing each paragraph individually. If you find that you need to proofread, do so to make sure that everything is correct.Finally, review the paper for spelling and grammar errors, and get it back to you by sending it off to your instructo r for grading. It's also a good idea to edit the final part. If the editing proves to be necessary, submit it online to a professional editor at a small fee.

The Dinner Party free essay sample

The Dinner Party Mona Gardner integrates astute portrayal, cautious clash, and an astounding goals in â€Å"The Dinner Party† to represent the topic that everyone has an alternate sum or discretion, no mater what their sex is. The story happens in India, where individuals are meeting and a little evening gathering is occurring. A colonel at that point starts to state a misogynist comment. An American visitor looks as the entertainer tenses somewhat, and requires a bowl of milk. The American acknowledges there is a cobra in the room, at that point requests that different visitors perceive how well they can test their poise, until they see the cobra as well and the ladies shout as it is leaving. The host tells the colonel how he was right, until the discover that the leader knew in light of the fact that the cobra crawled over her foot. In this manner refuting how the colonel was, and discretion differs from individual to individual which can be appeared through their portrayal, struggle, and goals. We will compose a custom paper test on The Dinner Party or on the other hand any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page In â€Å"The Dinner Party,† Gardner utilizes the colonel’s nasty demeanor and the hostess’s quiet way to demonstrate how poise may differ contingent upon the individual. The colonel says that â€Å"no matter how much restraint a lady has, men will consistently have an ounce more, and it’s that last ounce that matters. † The colonel was directly in one manner, however he winds up being off-base as well. The leader was quiet and gathered when the cobra crept over her foot, and not self-important at all when she told the gathering how she had known along these lines. Though different ladies, and even men, had bounced onto their seats at notice of the cobra in the room. In the story â€Å"The Dinner Party† Mona Gardner makes a fabulous showing of speaking to the subject that everyone has an alternate sum or poise, no mater what their sexual orientation is. She takes the misogynist colonel and quiet lady to make an incredible mind-set for the story. The contention includes an incredible method to speak to the subject, and the goals integrates the entire thought superbly. By taking in portrayal, struggle, and goals, this story demonstrates that albeit a few ladies might not have an excess of poise, it doesn't mean they all don't, and the equivalent goes for men.

Analysis Of The Book Huckleberry Finn - 1970 Words

Nigger. Throughout American history, no single word has been associated with such extensive torment, misery, and controversy as the word â€Å"nigger.† This word has been a deep concern in American history and culture, and the use of it two hundred nineteen times in The Adventures of Huckleberry Finn has caused a mass of debate. Despite critism on its complex and offensive subject matter, The Adventures of Huckleberry Finn hold enduring academic value among students and should be taught in American high schools because it serves as a medium of literary teaching, an alternative source for studying American history, and controversial topics to provoke discussion and encourage higher level thinking among students about the controversy and how it is relevant to our society and lives today. Being on the list of American literary canons, The Adventures of Huckleberry Finn is considered significant and influential to American literature and academic study today—Ernest Hemmingway claimed that all American literature sprang from this book (Mintz). In order to point out the injustices of antebellum southern society, Twain masterfully utilizes numerous literary elements, and studying these elements is not only useful, but vital for students to learn how to understand and analyze literature. First, Twain humorously presents southern society through a flippant and critical tone. He creates fraudulent, naà ¯ve, and hypocritical characters to cleverly capture southern antebellum society.Show MoreRelatedAnalysis Of The Book Adventures Of Huckleberry Finn 1332 Words   |  6 PagesMicaela Soriano AP Lit Period 2 Mr. Etheridge Adventures of Huckleberry Finn Cheat Sheet Title: Adventures of Huckleberry Finn Author: Mark Twain Publication: December 10, 1884 Setting and Time period: The setting throughout the story mainly takes place along areas by the Mississippi River, and as stated in the book, â€Å"Forty to Fifty Years ago†. Characters: Huckleberry Finn - The protagonist and narrator of the novel. Huck is the thirteen-year-old son of the local drunk of St. Petersburg, MissouriRead MoreAnalysis Of The Book Huckleberry Finn 943 Words   |  4 PagesRepresentation of Jim in Adventures of Huckleberry Finn In the opening of Adventures of Huckleberry Finn, Jim, an escaped slave previously owned by Miss Watson, is a simple, kind, and generous man who is also almost superstitious to a fault. However, Jim develops as a character throughout the novel in a humble passage from slave to free man and Tom Sawyer’s savior. This character transformation manifests itself throughout Jim and Huck’s time together in a search for freedom and a path back to Jim’sRead MoreAnalysis Of The Book Huckleberry Finn 1319 Words   |  6 PagesThe Adventures Huckleberry Finn is an American literature classic that tells a marvellous tale. With thrilling twists, character development, and usage of language, it is easy to understand why it is considered an American classic. The interpretation of that story is up to the reader. The similarities, or perhaps the difference of the characters in the book help make it all much more believable. The ranging personalities create imagery of real life. Yet, some of the personalities and their goal areRead MoreAnalysis Of The Book Huckleberry Finn 2017 Words   |  9 PagesAs its title suggests, the main character and protagonist of the story is Huckleberry Finn. He is the narrator of the story who desires to be free from the restraining life that he was given from the widow. He is an observational boy who knows how to survive outdoors and will try to get out of any situation. During the course of the story his conscience often bothers him about the consequences of his actions such as freeing Jim and how an event will affect the people involved such as during a scamRead MoreAnalysis Of The Book Huckleberry Finn 1974 Words   |  8 Pagesterm literary canon, the reader is left wondering whether or not Huckleberry Finn deserves its place in our literary canon? Many people like Jane Smiley, are against it being part of our literary canon for multiple reasons. For example, she is against it because of the appearance of racism and t he events throughout the book. However, despite all the criticism this book faces, one point the critics do not consider is the influence this book has on modern American culture and also about how the novel isRead MoreAnalysis Of The Book Huckleberry Finn Essay1842 Words   |  8 Pagesunderstanding others unlike ourselves, for its satirical attack against complacency regarding the evils in our world, for its use of original literary techniques, and for its profound insight into human nature and human foibles, Huckleberry Finn is one of the most teachable books. It is especially suited for the study of American literature in the eleventh or twelfth grades. This is the time when young adults are making decisions about their lives--moral, social, emotional, academic decisions. They areRead MoreAnalysis Of The Book The Adventures Of Huckleberry Finn 1310 Words   |  6 PagesThe Adventures of Huckleberry Finn has been a topic of debate for a long time. The most heated topic of d ebate is if the novel is racist and if it should then be included in school curriculum whether. Many believe this book should be taken out of school curriculum for being racist. Huckleberry FInn should be taught in schools because of its satire, views on slavery and morals, and depiction of antebellum America. Huck Finn still remains a classic Twain s use of satire is one of the many thingsRead MoreAnalysis Of The Book The Adventures Of Huckleberry Finn 1648 Words   |  7 PagesLola Parsapour Mr. Ruddy AP Lang 3 September 2015 The Value in the Adventures of Huckleberry Finn The Adventures of Huckleberry Finn, written by Mark Twain, developed into one of the most controversial books in America. The basis of this controversy can be summarized briefly for it was the use of racial slur and issues of slavery that caused tension in our society. The Adventures of Huckleberry Finn was banned for the first time one month after its publication. â€Å"â€Å"Not suitable for trash† was theRead MoreAnalysis Of The Book Adventures Of Huckleberry Finn 923 Words   |  4 Pagesrambling of thought, a major piece of literary confusion plaguing my mind something most fierce that I cannot even lay my head down to rest peacefully lest this situation be resolved. As of this moment, the majority of my latest novel Adventures of Huckleberry Finn is nearing its completion, settling at the end of its forty-second chapter, only one more concluding verbose passage revolving around in the air within my mind. While most would be elated and at peace for achieving somethi ng so grand- a nearRead MoreAnalysis Of The Book Murtagh And Huckleberry Finn 1262 Words   |  6 PagesMurtagh and Huck Finn In great works of literature many of the same traits and characteristics appear in the main characters. Adventure books where you find Heroes and villains in a constant struggle to thwart the others efforts are where you could notice the reoccurring traits the most. Heroes are often very similar, demonstrating similar strengths and weaknesses. I compare Huckleberry Finn, to Murtagh of the Inheritance series. Although Murtagh is not the main protagonist, he is most certainly

Evaluation of a Social Psychological Theory of Aggression...

Evaluation of a Social Psychological Theory of Aggression One of the most influential approaches to aggression is the social learning theory approach, put forward by Albert Bandura. According to this approach, most behaviour including aggressive behaviour is learned. Albert Bandura believed that aggression is learned through a process called behaviour modelling. He argued that individuals, especially children learn aggressive responses from observing others, either personality or through the media and environment. He stated that many individuals believed that aggression would produce reinforcements. These reinforcements can formulate into reduction of tension, gaining financial rewards, or gaining†¦show more content†¦He believed environmental experiences also had an influence on the social learning of violence in children. He reported that individuals that lived in high crime rate areas were more likely to act violently than those who lived in low crime areas. He also believed television was a source of behaviour modelling. Tod ay films and television shows illustrate violence graphically. Violence is often expressed as an acceptable behaviour. Since aggression is a prominent feature of many shows, children who have a high amount of exposure to the media may show a high degree of hostility themselves in imitation of the aggression they have witnessed. Bandura carried out a study on aggressive behaviour towards the Bobo doll. In the first stage of the study, children who had observed an adult model attack a Bobo doll were divided into three groups. Group 1 went straight into the playroom; Group 2 saw the model being rewarded for their aggression against the doll, while group 3 saw the adult model punished. In the second stage of the study, after the children had played with the doll, all the children were offered rewards to behave as the adult model had done. The results showed, in the first stage of the, group 3 children showed significantly less aggressive behaviour towards the dolls than group 1 and 2. In the second stage of the study, there was no difference between the groups in theShow MoreRelatedCue-Arousal Theory1557 Words   |  7 PagesWhat Is Aggression Aggressive behaviour develop where an individual is being praised or rewarded for being forceful. Being praised or rewarded for such action, can be an encouragement and reinforcement to perform such behaviour in the future. According to (Cherry) aggression is the continuous, unacceptable behaviour that can cause physical and psychological harm to people in general, or objects in out surroundings. It is a behaviour that is self ascertained with hostility and harmful tones andRead MoreViolence Is Running Rampant Within Our Society1409 Words   |  6 Pagesresulting in injury, death, psychological harm, maldevelopment, or deprivation.† Sanctuary for Families estimates that between 2.3 and 10 million adolescents witness such aggressive behavior and violence within their own home each year in the United States (2014). Further, Sanctuary for Families indicates â€Å"that children who witness such violence are at risk for maladaptive responses in one or more of the following areas of functioning: (a) behavioral, (b) emotional, (c) social, (d) cognitive, and (e)Read MoreSocial Information Processing And Hostile Attribution Bias Theory Essay1483 Words   |  6 PagesRelated to Social Information Processing and Hostile Attribution Bias Theory Tiffany L. Williams Post University Abstract This paper looks to examine several sources of research related to the development of aggressive behaviors, and criminality. The purpose of this is to assess several of the factors associated with aggression and criminal behaviors. The paper will focus on Crick and Dodge’s model of Social Information Processing, with specific emphasis on Hostile Attribution Bias theory. In exploringRead MoreThe Psychological Debate Of Nature Versus Nurture- Is Behavior Influenced By Innate Drives That We Are Born With1660 Words   |  7 Pagesable to interpret different situations and tailor their behaviour towards them. For decades, personality psychologists have heavily debated whether personality does determine behaviour and to what degree. This essay centres around the fundamental psychological debate of nature versus nurture- is behaviour influenced by innate drives that we are born with (traits) or the environment around us (situations)? In order to get a true understanding of this debate it is important to explicitly establish whatRead MoreAggression Is A Major Problem Of Society3085 Words   |  13 PagesGenerally, aggression is a behavior that is antagonistic and could be done without any provocation or could be because of retaliation. Maccoby and Jacklin (1974) defined aggression as a â€Å"loose cluster of actions and motives . . .† with â€Å"the intent of one individual to hurt another† (p. 227). While there are a variety of ways in which people can harm one another, only a small percentage is caused by rational behavior (Buss, 1961). Physical psychological, economical, or societal damage are all consideredRead MoreThe Importance of Self-Concept and Self-Esteem1252 Words   |  5 Pageswhile the executive self is the active or behavioral self (Brown, 1998). Self-esteem and emotion. Self-esteem has been associated with a wide array of positive and negative emotions. Depending on the discipline, self-esteem has been linked to psychological states, such as depression and anxiety, to knowledge and competence, to shame and pride, to contentment and happiness, and to anger, hostility, and resentment. It is generally accepted that self-esteem is an important and central factor in theRead MoreThe Survival Value Of Emotions1076 Words   |  5 PagesThe Survival Value of Emotions In evolutionary theories of emotion, such as those established by Darwin, and further expanded by Robert Plutchik and Paul Ekman, emotions developed historically as a result of natural selection and functioned primarily for our survival (Ekman, 1992, p.169; Laurentian University (LU), n.d. 3.1 ). To respond to these needs, emotions were adaptive, meaning they had survival value, and thus were selected specifically to aid in reproduction, the protection of young, cooperationRead MoreThe Self in Social Psychology and Implications for Counseling Practice3166 Words   |  13 Pagesare present in many social psychological topics. Research studies related to self-identity, self-concept, self-esteem and other core social constructs regarding self are abundant, and there is plenty of evidence suggesting the self can be described and compared to a plethora of social motives that are researched and reviewed throughout social psychology. However, for counseling psychologists, how do we make se nse and make use of the phenomena learned through social psychological research to help ourRead MoreEssay about Partner Abuse1662 Words   |  7 Pagesthe range of violent encounters and includes physical assaults, sexual assaults, verbal assaults, intimidation, threats, extreme emotional or psychological neglect and even death. The hypothesis of this paper is do students believe that partner abuse is a problem on college campus. To find out this I will include a literary review, which will include theories of why it might occur and prof from other sources. Most important a survey given out to Curry college students and its results will be includedRead More Caregivers Behavior Contributes to Offspring Behavior1143 Words   |  5 Pagesviolence. This idea is supported by other research stating that programs that help increase self-esteem can increase aggression (Baumeister et al., 1996). Their theory about psychotherapy is that it is an adaption rather than a disorder. Violence by psychopaths might be reduced through careful monitoring and supervision therefore increasing the likelihood of detection. The researchers theory begins to take a close look into a psychopaths childhood. The theorists determine that by means of close monitoring

Is Abortion A Medical Procedure - 966 Words

Abortion is the name given to a medical procedure, which involves the killing of a foetus, which is a baby. You are one in 250 million sperm cells that made it to the egg to create you surroundings Even at the 6th day you are special, around 2/3rd of embryos fail at this stage, but you made it. You proved that you were healthy enough to be embedded in your mothers lining. By week four your tiny little heart already has a beat. At week four your face has already started to take shape, and at 8 weeks later (week 12) your own unique finger tips are forming. At week 14 your immune system is starting to develop, a week later males are reaching the starting point of their testosterone levels males receive more at this stage and that is how their genitals are formed. Females receive less and that is why they don’t grow penises. At week 28 your eyes are beginning to see your surroundings. Limbs have fully developed by week 11 and you are able to flex them, this is when you are in the process of becoming a left or right handed person, which ever arm you stretched out more or favoured sucking one thumb. There are around 500 abortions per day in the UK; this means one in five pregnancies ending in abortion. This statistic is disgusting, an abortion is murder. If a woman cannot care for a child then she should not take the risk of becoming pregnant. Even the use of contraception is not 100% guaranteed to prevent all pregnancies, but at least the couple is trying to be safe. MostShow MoreRelatedAbortion : A Medical Procedure1213 Words   |  5 PagesAbortion is, as defined by Merriam-Webster’s Dictionary, â€Å"a medical procedure used to end a pregnancy and cause the death of the fetus.† A procedure done within the first 9 weeks of pregnancy is done with medicines and the effects are similar to that of a natural miscarriage. This medicine can also be used from 9-20 weeks into pregnancy with heavier doses of the medicine. From 7-15 weeks of pregnancy, a suction termination is performed. This is where they use anesthetic and a suction tube is insertedRead MoreAbortion Is A Medical Procedure Essay1522 Words   |  7 PagesAbortion is a medical procedure done to terminate a human pregnancy and is performed, generally, within the first 28 weeks of conception (WebMD, n.d.). In America, abortion is a hot button topic for debate. Many laws have been enacted and changed over the years to control who can or cannot have this procedure done throughout the states. Abortion has a vast history, variety of procedures, and some interesting data specific to the state of Arkansas. Even before Roe VS. Wade, women had been terminatingRead MoreAbortion : The Only Medical Procedure1251 Words   |  6 PagesAbortion in Queensland is the only medical procedure that is still considered a criminal offence in the Criminal Code Act 1999 (Qld). Since the abortion laws were introduced societies attitudes, safe medical practices and women’s status in Australian society have changed. As a result the current laws do not reflect modern day’s society’s view and does not effectively protect stakeholder’s rights. Abortion should be decriminalised and made legal up to 17 weeks. However abortion past 17 weeks can onlyRead MoreAbortion As A Medical Or Surgical Procedure1443 Words   |  6 Pages Abortion is described as a medical or surgical procedure to remove a fetus and the placenta from a woman’s uterus by a trained healthcare worker (Nih.gov.2014). After hearing a case named Roe vs. Wade the Supreme Court, abortion was made legal in the United States in 1973. For a very long time, I was against abortion due to lack of information and exposure to other cultures. Because I grow up in a very religious household, the word abortion was definitely not part of the vocabularyRead MoreAbortion : A Common Medical Procedure979 Words   |  4 PagesAbortion remains a common medical procedure in today’s society, even though its rates have steadily dropped since 2000. Studies show that one in three women will have an abortion sometime in their life. There has been a constant religious and political debates between health care and abortion services. Many people believe they shouldn’t have to pay for their own abortion, just like they don’t hav e to pay for their birth control, doctor visits, or dental. This is an accusation that many pro-life peopleRead MoreAbortion Is The Most Common Medical Procedures Essay1702 Words   |  7 PagesAbortion is removing the fetus or embryo from the uterus before it is ready to be born. Spontaneous, which is also referred to as a miscarriage and the purposeful abortion, which is an induced abortion are the two major forms of abortion. Having a professional medical procedure conducted for an induced abortion is the safest way to handle the abortion under the local law. Annually, abortions are the most common medical procedures done in the United States, over 40 percent of women have terminatedRead MoreAbortion And The Social Aspects Of Abortion1683 Words   |  7 Pagesin Australia will have an abortion procedure in their life . Abortion data is only gathered by South Australia, Western Australia and the Northern Territory. However, South Australia is the only state to publish data and r eport findings annually. Abortion is a heavy topic which has the nation spilt into two groups; pro-life or pro-choice. Pro-life is in favour of the foetus and they believe that by killing the foetus it is equivalent to murder. Pro-choice is for abortion, as they believe that theRead MoreAbortion Is The Ending Of Pregnancy1341 Words   |  6 Pages  Abortion is the ending of pregnancy by removing a fetus or embryo from the womb before it can survive on its own. surgery has lower risk of side effects. When allowed by local law abortion in the developed world is and has long been one of the safest procedures in medicine. Uncomplicated abortions do not cause any long term mental or physical problems. Every year unsafe abortions cause 47,000 deaths and 5 million hospital admissions. Around 44 million abortions occur each year in the world, withRead MoreShould Medical Abortion Be Legal? Essay1555 Words   |  7 Pagesmillion abortions performed in the U.S., and by the age of 45, 30% of women would have had an abortion. When considering having an abortion, the surgeon must first indicate how many weeks is the patient because there is different procedures for different week stages. Abortion alone is very dangerous, therefore there are many risks that the patient must consider before agreeing to it. First the patient must decide to what type of abortion they want to go with because there is medical abortion and there’sRead MoreSelf-Induced Abortion Essay1171 Words   |  5 Pagesgoing to the Hospital to get a proper procedure. Immigrant women, like this one, are deciding to abort their own baby instead of leaving the procedure to medical experts. Many consequences arise when immigrant women used different types of methods to abort their child because the fear of deportation or being shun by their community. Immigrant women should leave the abortion method to medical experts regardless of personal problems that might arise later on. Abortion is defined as the removal of a fetus

Hourly Rounding free essay sample

A change that a nurse manager could implement that would help improve patient care is hourly rounding. In order to implement this change successfully, the nurse manager needs to clearly communicate the expectations, and then follow up with good monitoring. When the nurse manager sees the staff meeting the expectations the staff should be acknowledged rewarded/recognized and celebrated. On the other side, if the staff is not meeting the expectations they should be reminded, coached, and counseled. Sticking to the communicated expectations can have powerful results when the nurse manager diligently and consistently puts the plan into practice. Justification to Improve Patient Care and Perspective Theories to Support the Change As a manager an area of change that could improve patient care is hourly rounding. Hourly rounding involves rounding on patients every one to two hours and practicing a series of 8 specific behaviors. There are seven recognized reasons patients use their call bells. We will write a custom essay sample on Hourly Rounding or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page These seven reasons include bathroom/bedpan assistance (15%), IV/Pump alarm (15%), pain medication (10%), needed a nurse or CNA (9%), position assistance (4%), accidental hits of the call light (13%), miscellaneous reasons (13%). Studies show by using the hourly rounding on patients the percent can decrease by bathroom 40%, pain 35%, positioning 29%, Iv/pump alarms 40%, and miscellaneous 39% (Studer Group, 2010). Hourly rounding is more than just â€Å"checking in† every hour. Once this practice becomes part of the nurse’s workflow, the organization will begin to see decreases in lost charges, incidental overtime, med errors, and an increase in nursing and patient satisfaction. Strategies and Internal and External Need for this Change: The first step to implementing this change is to gather baseline data on falls, hospital acquired decubiti and call light statistics. Falls and decubiti information may be acquired from the quality department, for call lights stats have the unit clerk keep a log on all call light activity for two weeks. This process will allow you to demonstrate the positive outcomes from hourly rounding. Next, explain the rounding process to the nursing staff. Making sure to connect â€Å"why† this is being done and â€Å"why† it matters. Ask nurses how often they are in a patient’s room and then reinforce the difference between â€Å"checking† on a patient and performing the eight behaviors associated with hourly rounding. Some nurses may state that they are in the patient’s rooms often. However, the nurse manager will still receive complaints from patients about not seeing their nurses. Nurses are in some patient’s rooms often, while not being in others rooms at all. Hourly rounding will help to ensure that every patient sees their nurse hourly. Assess the Steps in Hourly Rounding As the hourly rounding is being implemented it is important to recognize and reward the nurses who are consistently performing the hourly rounding behaviors. The eight behaviors are (Studer Group, 2010): 1. Use opening key words to decrease anxiety 2. Perform scheduled tasks 3. Address the â€Å"3 p’s† – pain, potty and position 4. Assess additional comfort needs 5. Conduct environmental assessment 6. Ask â€Å"Is there anything else I can do for you? I have time. † 7. Tell each patient when you will be back 8. Document the process in a rounding log posted in the patients room These behaviors help to create a specific desired outcome. Thank your nurses for incorporating this best practice into their daily routines. Ask the nurses what the positives have been, and are there any barriers that the nurse manager needs to address. The Three Stages to Implementing Hourly Rounds There are three stages to implement changes. They are unfreezing, moving and refreezing (Grohar-Murray Langan, 2011). Unfreezing is the breaking of the old practices and habits. In order to be successful in this stage, the nurse needs time to process the information along with positive motivation as to why this change is needed. The next stage is moving. This step requires reeducation with exactly what is expected during this change, and the tools that will be needed. As the nurse manager, you will need to reinforce how this change will increase patient care and safety. The last stage is refreezing. This stage shows consistent evidence that the change is stable, integrated, and internalized by the staff. The nurse manager  will need to continue to monitor the effectiveness of the change. This can be done by having the unit clerk continue to log the call bells, doing their own rounding on the patients, and evaluating the feedback from the nurses and patients Skills for the Change Agent The skills needed for a change agent are experience, success, respect, and leadership skills, and management competencies (Grohar-Murray Langan, 2011). A change agent is any one who has a positive attitude, communicates the goals of the organization and is willing to get involved to help facilitate these goals. Strategies to Improve Responses to Change Strategies that could be used to improve responses to change could be to continue to educate the nurse on the importance of the change. Another strategy may be to educate the staff on how the change will help to improve patient care and will also give them more time. Make sure to have conversations about what the expectations will be in regards to the extra time the nurses will have. Also, allow them to suggest their ideas, and concerns about the extra time. It is important to identify to each individual nurse how they are doing in the change process. The nurse manager should discuss the positive areas that they are achieving and where they could still improve. This communication will allow the nurse to know where he/she stands in their performance. It also gives the nurse manager a way to document each nurse’s response to the change and identifies which ones need further education and /or reinforcement of the change. Evaluation of the Change of Hourly Rounding Once hourly rounding has been implemented you will need to evaluate the success of the implementation. This can be done through clinical quality, patient satisfaction, and efficiency. The nurse manager should think about where to display the number of days without a fall and without a hospital acquired decubiti, what questions on the patient satisfaction survey will be watched closely to evaluate the success, and when to re-measure the number of call lights to ensure the achievement of the decrease. Once this information has been identified and collected, the nurse manager can present it to the staff. This should be done so that the information resonates to the employee’s. An example could be to show a math equation of how many call lights the unit started with, minus the amount of call lights there are now. Then make this information meaningful by showing how much time was saved and by saving time, how many nurses can now have a 30-minute lunch break! Conclusion Hourly rounds get results. When staff members start seeing the results, they will naturally strive to become even more efficient and effective. Once the staff sees how much happier and healthier their patients are because of hourly rounds, this will increase their enthusiasm. Hopefully, this will make the staff more willing to give other changes a chance, and their organization will keep getting better and better because of these changes.