Saturday, January 25, 2020

Mentor Impact on Student Nurse Experience

Mentor Impact on Student Nurse Experience Explore the impact of the mentor on the learning experience of the student nurse The current study reports the findings of a systematic literature review of research regarding the mentorship of student nurses. Mentorship was evaluated in terms of its development, implementation, outcomes and wider effects and the identified research was presented and critically analysed with reference to each of these areas. It was found that although mentorship was based on policy and standards, the mentor role and mentorship relationship still remain unclear and requires further clarification. A need was also identified for the supervision and monitoring of both mentors and student nurses to be expanded with mentors being more available and the whole process being more regularly audited. Mentorship was found to indirectly enhance skill development through support, socialisation and the provision of opportunities to gain clinical experience. By creating appositive learning environment and mentorship relationship the mentor can maximise the probability that their student nurses will acquire the skills necessary to be an effective nurse. The effect of mentorship on patient care was identified as a complex issue with it being difficult to make confident conclusions regarding the size of any effect. It does appear that mentors can indirectly improve patient care by enhancing nursing skills in their students. Finally, the mentor can play a role in creating the learning environment and mentorship relationship which can help to ensure that the student nurses have a positive learning experience. The limitations which are associated with the methodology which was employed within this research are discussed along with the implications of the findings of this research for practice and future research projects in this field. It is concluded that mentorship has the potential to have a number of benefits for student nurses but that further research and improvements are required in each of the evaluation areas such that the effectiveness and feasibility of student nurse education can be maximised along with the quality of the care which is subsequently provided to patients. 2.0 Introduction The world of nursing has gone through a period of significant change over the last ten years. In the acute nursing environment, nurses arousing increasingly more complex health care interventions and have to incorporate the use of advances in both medical technology and disease management. Within primary care, nurses are required to face the burden of chronic disease and to facilitate patients beginning to self-manage their own health. S uch changes have been made as a result of Governmental policy and strategic approaches. For example, a Governmental economic review conducted by Winless (2002 and 2004)advocated changes to how services are organised and delivered. Such changes have resulted in there being a range of extra demands being placed upon the nurse, both during and after their training. The Royal College of Nursing (2004a and 2004b) acknowledged the change which is occurring and stated that nurse education needs to be assessed and adapted to meet the changing role of the nurse. Nurses are now required to undertake tasks which were traditionally performed by doctors. These developments have ensured that the issue of the effectiveness of a nurse’s training is of up most importance. Through these changes the need for effective mentorship within nursing has become ever more salient. As a result of the potential effects which mentor/student nurse relationship can have on the student’s learning, their experience of training, their subsequent performance on the training course, their future effectiveness as a nurse and ultimately on the quality of the care which is provided by the nurses, it is an important topic to consider within the field of adult nursing. Thus the mentor/student nurse relationship needs to be evaluated. People have been interested in relationships throughout history. As far back as the ancient times, Aristotle and Cicero were commenting and theorising about relationships (Poulakis 1997). In more recent years, novelists, play-writes, biographers and clinicians have all been interested in the study of relationships in terms of why they matter, how they work and how one can improve their effectiveness and efficacy(Wood and Duck 1995). However, it has only been in the last 50 years that researchers have started to empirically investigate inter-relationships between people. Such work has been undertaken from wide variety of perspectives including anthropology, child development, cognitive science, communication, social psychology, sociology, psychiatry and psychotherapy to mention just a few (Hinde1997). The focus of such researchers has started to address the issues regarding relationships between staff within the health care industry. This systematic review will focus on addressing the relationship between a mentor and a student nurse. Whenever one is considering these of a given intervention within a health care setting, any conclusions must be based upon the scientific research which has investigated its effectiveness and efficacy via methodologically sound techniques. Any such analysis will need to consider four key aspects, each of these will be the focus of this systematic review. The first key element of evaluation concerns the development of the intervention. Therefore this review will consider research which has assessed the theoretical and conceptual foundation of mentorship within nursing. This section will include a discussion of whether the mentoring of student nurses is based on policy or a set of standards. The second area of focus for this review relates to the implementation of the intervention. Clearly whenever one is analysing the effectiveness and efficacy of an intervention, one must consider the way in which the intervention is operationalized and implemented as this will be likely to significantly affect the ultimate success of the intervention. This section will address the way in which mentorship is employed for student nurses and whether or not sufficient measures have been put into place to ensure that the benefits of mentorship are maximised and that any potential drawbacks are minimised. The extent to which this mentoring is adequately supervised, monitored and audited will be assessed and critically analysed. The third key aspect of any evaluation process concerns the outcome of an intervention. Clearly an intervention can be assessed with regards to a wide range of outcomes such as economic factors, staff perceptions and customer perceptions. With regards to mentorship, it is important that it is evaluated in terms of the perceptions of the mentors, the student nurses and the patients such that a comprehensive evaluation of its outcomes can be achieved. As well as the perceptions of those involved, this section will address whether or not mentorship improves nursing skills and hence whether it helps to improve the care which is received by patients. The fourth and final area of evaluation which will be addressed by this systematic review concerns the wider impact of the intervention. As well as focussing on the direct effects of a strategy, it is also important to consider the effect which the intervention has on other relevant issues. In terms of mentorship in nursing, this will relate tissues such as whether or not a rewarding learning experience is related to the quality of the relationship that a student nurse has with their mentor. Although the focus of mentorship may be on improving the student nurses’ skills, it is important to critically evaluate the effect which mentorship has on the student nurses’ experiences of their training programme as this could influence their subsequent career choices. The following review will first provide some background information regarding the topic of mentorship and student nurses. The methodology which was employed within this systematic review will then be outlined. The findings of the systematic review will then be critically analysed in terms of the key evaluation aspects of development, implementation, outcomes and wider impacts The main findings of this research will then be summarised before the limitations which are associated with this research project are outlined and discussed. Finally the implications of the findings of this research will be considered along with the areas which should be the focus of future research projects within the field of mentorship and student nurses. 3.0 Background A significant amount of research has Been conducted regarding adult learning and mentorship within nursing (Bernard 1990). The teaching of student nurses has undergone significant changes in the past 20 years. These changes have particularly taken place as a result of Project 2000which changed the education of pre-registration nurses (United Kingdom Central Council for Nursing, Midwifery and Health Visiting 1986). The previous diploma level system was replaced by the Common Foundation Programme which is comprised of the four branches of Adult, Child, Learning Disability and Mental Health. Through this process, registered nurses took responsibility for the learning of student nurses. The role of the nurse is adapting to incorporate these responsibilities with the Royal College of Nursing (2004a and 2004b) calling for a particular focus upon Quality, Flexibility and Diversity. Much has been written about the practitioner as facilitator, supervisor, assessor and role model, and the overlay of role functions (Bailey 1992, Clarke et al1986, Heron 1977, Mason 1987, Myrick and Wane 1988, Windsor 1987.Despite this, there is still a lack of consensus within the literature in terms of a clear definition of what is meant by the term ‘mentor’(Hearty 1986, Morel 1990 and Phillips et al 1996). It has been argued that the task of defining the term mentor is made more complicated byte fact that other terms are used, such as assessor, facilitator and supervisor, to describe the same role (Phillips et al 1996). As result of the wide range of aspects of the role which is played by mentor, it can be stated that a definition of mentor can only be general description as anything more specific would run the risk of excluding important elements of the position (Davies et al 1994). Forth purposes of the following review, the definition of mentor which was provided by Woolskin (1982) will be adopted: ‘Mentorship is a relationship which is aimed at guiding the novice towards an established place within the profession’ (Woolskin 1982) In the nursing profession the aims of the mentor will be to form relationship with their student nurses which helps the student to be successful in their training programme and to go on to be effective nurses in the future. Jarvis (1995) emphasised that it is important to focus on the mentor’s role as a function and as a relationship with the student nurse rather than being about them as a teacher or practitioner. Through this role the mentor can help to narrow the gap between theory and practice (Arbitrage and Bernard 1991). Indeed some have argued that mentor is in fact the wrong term to use within the health care industry as it is not equivalent to other industries in which the term mentor is used (Donovan 1990). However one conceptualises mentorship, the benefit of having a good mentor has been reported by student nurses within previous research. Ina longitudinal study, Gary and Smith (2000) interviewed 10 student nurses at five different points throughout their three year training programme. The participants also kept a diary as part of the research. It was reported that the students noted the importance of having mentor which represented a good role model. They also thought that it was important to recognise the likes and dislikes of the mentor as this had the potential to significantly impact on their assessment outcomes. The role of the mentor was found to be particularly beneficial at the beginning of the training process. As the training progresses the students felt that they grew in confidence as they became more competent. This ensured that they were more independent and that they placed a reduced demand on their mentor. Although their continued support was said to help the students finish the course and to choose longer term career in nursing. Therefore it does appear that through effective mentorship, the chances that a student nurse completes their training programme can be increased. Research has investigated the reasons why student nurses fail their training programmes. Two key areas of reasons have been identified. The first relates to the student nurse’s inability to cope with the demands and standards required by the course (Ehrenfeld et al1997 and Fulbrook et al 2000). It could be that a mentor can help to provide support and guidance for the student nurse to improve the chances that they can meet the requirements which are placed upon them and hence complete the training course successfully. The second key area of reasons for failure are those relating to personal factors(MORI 2003 and Royal College of Nursing 2001). This includes a range of possible factors such as financial, health or a change in circumstances. The mentor could also play a role here to help the student nurse manage their problems and to cope with them more effectively. The methodology which was employed within this research will now be outlined. 4.0 Method A systematic review aims to integrate existing information from comprehensive range of sources, utilising a scientific replicable approach, which gives a balanced view, hence minimising bias (Clarke Oman 2001, Hart 1998, Muldrow 1994, Oman and Goat 1993). Another words, a scientific approach will help to ensure that research evidence is either included or excluded based upon well-defined and standardised criteria. This should ensure that the possible effects of researcher bias should be kept to a minimum. Berkley and Glenn (1999)also states that systematic reviews provide a means of integrating valid information from the research literature to provide a basis for rational decision making concerning the provision of healthcare. 4.1 Reviewing Process Whenever one reviews or compares research reports, it is important that clear set of criteria are established upon which the evaluations can be made. Table 1 below outlines the global process which was used to conduct the literature review. This process was based upon that employed by Berkley and Glenn (1999). Each selected article was reviewed with reference to a number of different issues using a Table which was also based on Berkley and Glenn (1999). This review table is displayed in Appendix 1. Once obtained each article will be filed and stored appropriately. A computer-based list will be maintained of the articles which had been reviewed. Table 2: Core Principles Used in Reviewing Selected Research Articles (adapted from McInnis 2004) Systematic reviews Adequate search strategy Inclusion criteria appropriate Quality assessment of included studies undertaken Characteristics and results of included studies appropriately summarized Methods for pooling data Sources of heterogeneity explored Randomised controlled trials Study blinded, if possible Method used to generate randomisation schedule adequate Allocation to treatment groups concealed All randomised participants included in the analysis (intention to treat) Withdrawal/dropout reasons given for each group Cohort All eligible subjects (free of disease/outcome of interested) selected or random sample 80% agreed to participate Subjects free of outcomes on interest at study inception If groups used: comparable at baseline Potential confounders controlled for Measurement of outcomes unbiased (blinded to group) Follow-up sufficient duration Follow-up complete and exclusions accounted for ( 80% included in final analysis) Case control Eligible subjects diagnosed as cases over a defined period of time or defined catchment area or a random sample of such cases Case and control definitions adequate and validated Controls selected from same population as cases Controls representative (individually matched) 80% agreed to participate Exposure status ascertained objectively Potential confounders controlled for Measurement of exposure unbiased (blinded to group) Groups comparable with respect to potential confounders Outcome status ascertained objectively 80% selected subjects included in analysis Cross-sectional/survey Selected subjects are representative (all eligible or a random sample) 80% Subjects agreed to participate Exposure/outcome status ascertained standardized way Qualitative Authors position clearly stated Criteria for selecting sample clearly described Methods of data collection adequately described Analysis method used rigorous (i.e., conceptualised in terms of themes/typologies rather than loose collection of descriptive material) Respondent validation (feedback of data/researchers interpretation to participants) Claims made for generalizability of data Interpretations supported by data 4.2 Sources of Data The methodology employed within the research will involve obtaining data from three key sources: Computerised searches, Manual searches, and the Internet. Each of these data sources will now be considered in more detail. 4.2.1 Computerised Searches The methods used in this research will include a detailed computerised literature search. Multiple databases, both online and CD–Rom will be accessed to retrieve literature because they cite the majority of relevant texts. (Loy 2000 Ford 1999) The computerised bibliographic databases are:- †¢ MEDLINE †¢ EMBASE †¢ CINAHL †¢ PSYCHINFO †¢ British Nursing Info BNI †¢ Cochrane †¢ Science Direct (All Sciences Electronic Journals) †¢ Asia †¢ DETOC †¢ HMIC However because articles may not be correctly indexed within the computerised databases, other strategies will be applied in order to achieve a comprehensive search (Sindh Dickson 1997). 4.2.2 Manual Searches A manual search will be performed to ensure that all relevant literature is accessed. The manual searches will include:- †¢ Books relevant to the topics from university libraries and web sites†¢ Inverse searching- by locating index terms of relevant journal articles and texts †¢ Systematically searching reference lists and bibliographies of relevant journal articles and texts 4.2.3 The Internet The internet will provide a global perspective of the research topic and a searchable database of Internet files collected by a computer. Sites accessed will include:- †¢ Department of Health †¢ National Institute of Clinical Excellence †¢ English National Board of Nursing, Midwifery and Health Visiting †¢ Google 4.3 Identification of Key Words The selection of key words is an important task as it will have significant impact on the articles which are identified in the search. One must choose appropriate words which maximise the chance that the most appropriate research evidence can be found. Databases use controlled vocabulary of key words, in each citation. To assist direct retrieval of citations techniques Boolean logic will be applied using subject indexing, field searching and truncation to narrow the topic focus (Loy 2000, Hicks 1996, Goodman 1993). As part of this approach, key words will be based on the components of the review question. An imaginative and resourceful technique of searching electronic databases will be used including recognising the inherent faults in the indexing of articles. Misclassification and misspelling will be included in the searches with searches utilising keywords and the subheadings, (Hicks 1996). Based on these principles, the following search terms will be used in different combinations: †¢ Mentorship †¢ Mentor †¢ Student †¢ Nurses †¢ Training †¢ Evaluation Further search terms may be used within the methodology if they are identified within some of the initial search items. Whenever one is searching literature ‘sensitivity’ and ‘’specificity’ are important issues when conducting searches of research on a database. The searches need to be as ‘sensitive’ as is possible to ensure that as many of the relevant articles are located. This may be a particularly salient issue with regards to the evaluation of mentorship in student nursing as the number of appropriate entries may be limited. Thus an attempt to locates many of these articles as possible becomes a more relevant and important objective. Furthermore, the search needs to be ‘specific’ Another words, it needs to be efficient where appropriate so that higher number of the articles identified through a database search can be included and hence the time allocated to reviewing articles which are ultimately of no relevance, can be kept at an acceptable level. 4.4 Inclusion and Exclusion Criteria In order that a manageable quantity of pertinent literature is included in this study, it is essential that inclusion and exclusion criteria are applied. In order that a diverse perspective of the topic is examined broad criteria will be used. (Benignant 1997). However, it is important to note that a balance needs to be achieved through which the scope of the inclusion criteria is sufficiently wide to include relevant articles whilst also being sufficiently specific such that the retrieval of an unmanageable set of articles is avoided. 4.4.1 Inclusion Criteria The articles which are highlighted within the proposed searches will be assessed in terms of whether or not they meet the following criteria. Each article will need to be viewed as appropriate with regards to all of these constraints if they are to be included in the final analysis.>From the pool of data which is obtained, the most appropriate articles which meet these inclusion criteria will be selected for use within the review. †¢ A literature review encompassing all methodologies will be applied ( Pettigrew 2003) †¢ International studies will be included †¢ Available in English †¢ Relate to the evaluation of mentorship within health care †¢ Relate to the training of student nurses †¢ Centre on the elderly population 4.4.2 Exclusion Criteria The articles highlighted by the searches will also be assessed in terms of whether or not they fulfil the following exclusion criteria. If a potential relevant article meets one or more of these criteria then they will be immediately excluded from the data set and will not be included within the analysis stage of the methodology. †¢ Articles relating to mentorship in industries other than health care will not be included †¢ Literature in a foreign language will be excluded because of the cost and difficulties in obtaining translation. †¢ Research reported prior to 1985 will not be included within this review. 4.5 Consideration of Ethical Issues Any research involving NHS patients/service users, carers, NHS data, organs or tissues, NHS staff, or premises requires the approval of ankhs research ethics committee (Department of Health 2001) A literature review involves commenting on the work of others, work that is primarily published or in the public domain. This research methodology does not require access to confidential case records, staff, patients or clients so permission from an ethics committee is not required to carry out the review. However, it is essential to ensure that all direct quotes are correctly referenced. Permission must be sought from the correspondent before any personal communication may be used. All copyrights need to be acknowledged and referenced. The researcher will also act professionally when completing this report and ensure that research is identified, reviewed and reported accurately and on scientific basis. The following set of chapters will now outline the research which has addressed the different aspects of the debate regarding mentorship and student nurse education. The following analysis will be conducted regarding the four different aspects of evaluation. As outlined by Kirkpatrick (1979) it is important to address each stage of any training intervention when conducting an analysis. Therefore, the development, implementation, outcomes and wider impacts of mentorship in student nurse education will all be considered. The most appropriate research regarding each of these four aspects will be critically analysed and compared to other relevant research findings. 5.0 Evaluation of The Development of Mentorship Programmes Whenever one is evaluating a health related intervention, it is important to first consider the policies, standards and theoretical perspectives which underpin the approach. In terms of mentorship, one must address the questions regarding the framework and structure which they are developed in conjunction with and to determine whether or not the approach was developed in an appropriate way. The policies and structures which underpin pre-registration nurses’ education has undergone significant changes in the last twenty years. This was particularly as a result of the introduction of Project 2000 (United Kingdom Central Council for Nursing, Midwifery and Health Visiting1986). The transformation was centred around the introduction of a Common Foundation Programme which was comprised of four different branches: Adult nursing, Child nursing, Mental Health nursing and the nursing of people with learning disabilities. This replaced the previously used diploma level education system. Through these policies, a set of standards were established for the preparation of people who are going to teach nursing, midwives and specialist public health workers. A booklet which outlines these standards was produced by the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (2004). This also sets out the guidelines for the qualifications which are recommended and required for these teachers. The English National Board has suggested that mentorship should be key part of the Project 2000 courses (An forth 1992). It is also suggested that there should be a policy to emphasise five key aspects of the role of a mentor in their relationship with their student nurse. These are Assisting, Befriending, Guiding, Advising and Counselling(An forth 1992). They also argue that the role should not include supervising, assessing or facilitating. The following discussion within this section will now move on to consider the mentorship role which has been derived based on these relevant policies and standards. The extent to which this derivation was appropriate and how the mentorship role is subsequently perceived will be outlined and critically analysed. This evaluation will now be conducted from the perspectives of theorists/researchers in this field, the student nurses and the mentors involved. In broad terms, these policies and standards appear to be appropriate in terms of providing a framework to govern mentorship within student nursing. However, one needs to look past the theoretical perspective and address the practical aspect of the development of mentorship. The extent to which these policies and standards are adequate when viewed during their application merits consideration. Researchers and theorists in this field have argued that despite these policies and standards, the role of mentor remains unclear as there are a number of models and frameworks which exist and which can be applied (Andrews and Wallis 1999). Furthermore, Andrews and Wallis (1999) also go on to suggest that many mentors attend short, local training courses which are not standardised. Although they may adhere to the appropriate standards, there still remains sufficient scope for mentors to receive different types and levels of training when becoming mentors of student nurses. Also, as a result of the continued use of the terms mentor, supervisor and assessor to describe similar roles, it is argued that this continues to contribute to the confusion within this field(Wilson-Barnett et al 1995). The policies and standards require a more specific focus such that more standardised definitions, roles and training programmes can be established and agreed by all of the key stakeholders in this debate. One of the more obvious stakeholders to consider are the student nurses themselves. The extent to which the mentorship of student nurses is appropriately grounded in policy and standards needs to also be assessed from the student nurses’ perspective. It needs to be seen to have logical foundations such that the students can have confidence in the system and that they can understand the purpose and objectives of the relevant policies and standards. One study which has addressed this topic was conducted by Watson (1999). A sample of 35 student nurses were interviewed using a semi-structured approach. The student nurses reported to key findings. Firstly they reported that the mentorship process was not sufficiently defined by the English National Board. They stated that although there were standards in place, they did not result in there being a clear understanding of what the role and purpose of a mentor actually was designed to be. The second key finding was that the student nurses perceived that the mentorship process was not clarified within their internal organisation. Irrespective of the over-riding standards outlined by the English National Board, the internal organisation could have put into place a clear structure and understanding of mentorship to ensure that its role was understood byte student nurses. Therefore, from the student nurses’ perspective, the presence of the appropriate policies and standards was not accompanied by an appropriate application and implementation of such guidelines. Having said this, the sample used in this study was relatively small and so the extent to which the findings can be generalised to the UK as a whole is questionable. Other similar explorative research has been conducted which has focused on the perspectives of the mentors The introduction of Project 2000 has placed a responsibility on many registered nurses to mentor student nurses. Although the relevant standards provided by the English National Board do address this area, again they do not appear to be standardised across the country. For example, Cahill (1996) found that there were a range of mentor selection procedures as well as a range of preparation and function definitions. Further research was conducted by Near (1997 and 2000).It involved collecting data from 155 mentors. They reported that these of the terms mentor, assessor and supervisor did result in them being confused over their role as a mentor. They were also unclear regarding their relationship with their student in terms of the nature which it should take and the extent to which they were supposed to help them. This in turn was said to lead to difficulties with regards to competency assessment as they were not sure what was expected of them and their students. Therefore, this section has demonstrated that policies and standards regarding mentorship have been provided by the English National Boards part of Project 2000. However, questions still remain regarding the extent to which these policies and standards have

Friday, January 17, 2020

Dialectical Journal Essay

Montag is confused of the fact that they are standing in front of his house, going to burn it, he understands why this is happening to him, but he doesn’t understand who told Captain Beatty about the books that Montag had in his possession, he thought about Mildred, and her friends that he had read the poem to, and he was correct. â€Å"What a dreadful surprise,† said Beatty. â€Å"For everyone nowadays knows, absolutely is certain, that nothing will ever happen to me. Others die, I go on. There are no consequences and no responsibilities. Except that there are. But let’s not talk about them, eh? By the time the consequences catch up with you, it’s too late, isn’t it, Montag?† (115). Captain Beatty is explaining that people never think that they will be caught, that it could never happen to me, and then it does, and then the consequences that come after their actions don’t matter to him, and that they shouldn’t think about what’s going to happen to Montag after they’re done burning his house, and all of his things. â€Å"It was pretty silly, quoting poetry around free and easy like that. It was the act of a silly damn snob. Give a man a few lines of verse and he thinks he’s the Lord of all Creation. You think you can walk on water with your books. Well, the world can get by just fine without them† (117-118). People that you have given little intelligence over the rest of society find themselves omnipotent to everyone and everything else, and that the world would be better off without these people living, so burn the books that give you knowledge, and there are no people to stand-up/stand out against society in any matter. â€Å"watch for a man running †¦ watch for the running man . . . watch for a man alone, on foot . . . watch†¦Ã¢â‚¬  (124). Shows that the police are after Montag, he’s on foot, and alone, but this has  not description of him, so the Police will stop a lot of people on their route of finding him, and that they need another way of singling him out from the rest of society. They would have killed me, thought Montag, swaying, the air still torn and stirring about him in dust, touching his bruised cheek. For no reason at all in the world they would have killed me. â€Å"Mechanical Hound never fails. Never since its first use in tracking quarry has this incredible invention made a mistake. Tonight, this network is proud to have the opportunity to follow the Hound by camera helicopter as it starts on its way to the target†¦Ã¢â‚¬  (133). (Thinking that Beatty would’ve killed him, with no second thought about it, the hound was programmed never to make a mistake, and if Montag didn’t intervene than he would be dead, and in a body bag by now, and no one would’ve cared, and for no good reason he would be dead) The force has no sent another hound after him, to hunt him down, seize him, and them kill him in as little time as possible, this shows that no one questions why they are doing this, and they just want a good show. Would he have time for a speech? As the Hound seized him, in view of ten or twenty or thirty million people, mightn’t he sum up his entire life in the last week in one single phrase or a word that would stay with them long after the Hound had turned, clenching him in its metal-plier jaws, and trotted off in darkness, while the camera remained stationary, watching the creature dwindle in the distance— a splendid fade-out! What could he say in a single word, a few words, that would sear all their faces and wake them up?(135). He is thinking that if he was caught, would he have time for the last words anyone will ever hear him speak? If he did what would he say, how would he say it? Would anyone care after t he hound is done with it’s brutal job that is being streamed on 30 million televisions, could he say something that could get the society think about what the people with more power are doing, right now, no one is, but later will someone. â€Å"And he was surprised to learn how certain he suddenly was of a single fact he could not prove. Once, long ago, Clarisse had walked here, where he was walking now† (145). He couldn’t prove that Clarisse had been on these exact railroad tracks, but he is certain she has been in this situation before, a loner, on the outside looking in, getting away from the people that want to harm you, leaving everything you’ve ever had or known behind, as Montag was doing now. â€Å"They’re faking. You threw them off at the river. They can’t admit it. They know they can hold their audience only so long. The show’s got to have a snap ending, quick! If they started searching the whole damn river it might take all night. So they’re sniffing for a scape-goat to end things with a bang. Watch. They’ll catch Montag in the next five minutes!† (148). Granger is saying that the newscasters that are pursuing Montag have already located him, and they are trying to make it suspenseful for the audience to watch, so that the show will have a quick, effective ending that leaves everyone is a good mood, and happy with their entertainment. â€Å"Right now, some poor fellow is out for a walk. A rarity. An odd one. Don’t think the police don’t know the habits of queer ducks like that, men who walk mornings for the hell of it, or for reasons of insomnia. Anyway, the police have had him charted for months, years. Never know when that sort of information might be handy. And today, it turns out, it’s very usable indeed† (148). A poor man, a peculiar man, that is not Montag is being persued, instead of the actual Montag, he has been tracked for years without his knowledge, and the police know everything about him, that can be used to frame him, and be portrayed as Montag, and now’s he’s dead, taking the place of Montag death to be shown on national television. The search is over, Montag is dead; a crime against society has been avenged.  (149) â€Å"They didn’t show the man’s face in focus. Did you notice? The newscasters are lying about Montag’s death, he is still alive and about, and people know, due to the un focused view that the camera has put on his face, so while the news chase comes to an end, Montag is still alive and breathing, and in Granger’s care, where he is safe and â€Å"dead†. Even your best friends couldn’t tell if it was you. They scrambled it just enough to let the imagination take over. â€Å"Hell,† he whispered. â€Å"Hell.† (149-150) Shows that the news has scrambled the image of Montag’s fake body on the television to where even the people that are very close to Montag cannot recognize him, so that no one asks question about who that actually is, and why is Montag still living, and Granger wants people to know that Montag is not dead, so that the people know that the media are frauds. Walk carefully. Guard your health. If anything should happen to Harris, you are the Book of Ecclesiastes. (151) Shows how important Montag had become in the last minute of conversation, and that Montag will be safe with the band of â€Å"ex-professors† that have taken him under their wing, and shows that they represent the book nation, and will help restore through the knowledge of books that everyone once knew. â€Å"The most important single thing we had to pound into ourselves is that we were not important†(153). Shows that their clan needs to remember that they can’t feel superior to any one in the world, that they need to be nothing more than dust jackets for books, and of no significance otherwise when passing on their teaching to the rest of the world. â€Å"It’s strange, I don’t miss her, it’s strange, I don’t feel much of anything†(155). Shows that even though his ex-wife will die in the next few hours, he doesn’t feel emotions, no emotions of pain or love, he doesn’t feel anything towards the death of people, and the feeling of being alone when no one else is. The first bomb struck. â€Å"Mildred!†(159). When the jets flying above them drop the first bomb on the city behind them and levels it, he is thinking about Mildred, he saw the walls go dark on Millie’s face, he heard her screaming in his mind, the million of tons of bricks, metal, plaster and wood to meet the other people in the hive below. He thought about no more Mildred.

Thursday, January 9, 2020

Mindfulness For Beginners By John Kabat Zinn - 1276 Words

Mindfulness for Beginners Summary John Kabat-Zinn, the author of Minfulness for Beginners, suggests that we often search for wholeness, but it is already present within us. Mindfulness is the practice of accepting the deeper inner thoughts that infiltrates our lives. Mindfulness for Beginners educates you on how to change your relationship with the way you feel, think, work, love, and play. Strengthening your relationship will stimulate and manifest who you really are. The author, John Kabat-Zinn, demonstrated the benefits of mindfulness in three different ways. The author created the format of the book to be read and explored at random, a complete start to finish read, or a lesson per day on mindfulness practice. Entering, Sustaining, Deepening, Ripening, and Practicing are the sections in the book. Beginner level and advanced level meditators are able to find valuable and applicable information in this book. The key attitudes and essential practices of mindfulness explain why heartfulness is the same mindfulness, the significance of becoming attentive to our bodies and senses, how our thoughts are released when affected by awareness, the causes of distress, and how mindfulness heals. Mindfulness for Beginners provides enlightening information, answers, and instruction to guide the change into a more pure, spacious, dependable, and caring connection with ourselves and the world. There is a complimentary disk and instructions on how to start mindfulness meditation atShow MoreRelatedEnergy Healing Essay examples10168 Words   |  41 Pageschronic pain patients have been conducted by John Kabat-Zinn, Ph.D., the founder and Director of the Stress Reduction Clinic at the University of Massachusetts Medical Center, and Associate Professor of Medicine in the Division of Preventative and Behavioral Medicine at the University of Massachusetts Medical School. Kabat-Zinn and his program were featured on the American public television (PBS) series Healing and the Mind, with Bill Moyers. Dr. Kabat-Zinns studies have demonstrated decreases in

Wednesday, January 1, 2020

The Tempest Of Innovation Has Brought Forth The Socially...

The tempest of innovation has brought forth the socially antithetical devil himself, social media. It perceives to introduce every aspect of your life from morning to night – keeping you alert until the battery dies. Simple tasks have become ever more time consuming due to the terrible urging of sinister push notifications. The devil hasn t just brought an intense hostility to being social into play, it also brings forth other different cards in the face of its seemingly good intentions. All of this is fully encapsulated in the obscurity of social media. Communication in the past was simple and meaningful. It was exceptionally short-sighted and required a more noteworthy arrangement of exertion this typically included writing, stamping, encompassing, conveying and lastly posting the letter. This was an enjoyable labour that gave greater meaning and sincerity to the message you wished to deliver, than effortlessly tapping on a screen and pressing the send button. This ‘easier’ alternative is social networking. It has managed to re-mould our way of communication bringing us further into the â€Å"Future† as we like to believe, but is this way of socialising really bringing us a better future? We sit serenely with an, iPhone in our grasp, our lap or some place near our reach skimming through the devil’s domain - not paying a solitary piece of thoughtfulness regarding the demolition we re intuitively making each day ourselves, as well as to the whole of society. This