Criminal Activities On The Dark Web Essay - 1113 Words

A severe dilemma associated with the increasing availability of the World Wide Web is the use of the â€Å"Dark Web† as a means for criminal activities throughout the world. The â€Å"Web† consists of the Surface Web which allows access to popular sites like YouTube and Facebook, the Deep Web, which consist of private databases and libraries filtered out by common search engines like Google, and the Dark Web which is intentionally hidden for reasons of anonymity; whether for good or bad reasons. There are three main solutions that help fray criminal activities on the Dark Web: the use of specialized government agencies to regulate and police the Dark Web, the fixation of resources to combat more serious criminal activities: and conducting more research of the content and workings of the Dark Web. Further examining the need for more research of the Dark Web will help elaborate why the use of specialized government agencies and the fixation of resources on more serious cr imes should not be accepted has valid solutions. With the advancement of online anonymity tools, people world-wide can now use the Web to communicate and interact without leaving a trace of their activities or intentions. The ability to have full anonymity while using the Web has created what is call the Dark Web. The Dark Web was started originally with good intentions. For example, in the introduction section of the article â€Å"The Dark Web,† Marcia Clemmitt explains that the â€Å"Dark Web s ability to mask identitiesShow MoreRelatedThe Dark Web Is Not Accessible Without Special Browsers1709 Words   |  7 Pages The dark web, a hidden part of the internet, is unknown to most people. It has been used for many years without many people knowing. People use the dark web for many purposes, but it is mostly used for privacy. Due to the anonymity that it gives one, numerous people get involved in illegal situations. Websites range from chat rooms to drug markets. A person can view illegal government documents, buy heroin, or even watch people get murdered! Sounds like a perfect place for every person right? TheRead MoreEffects Of The Hidden Internet On The Digital Age1681 Words   |  7 PagesThe Dark Web: The Effects of the Hidden Internet on the Digital Age In the late 1990’s, the internet became a staple of society, a new â€Å"fad† that became integrated into modern culture. As more and more information was uploaded to this repository, data hubs formed, often around illegal materials such as copies of music and movie files. In 2001, a man named Ian Clarke revolutionized the internet by introducing â€Å"Freenet,† a service that allowed for anonymous access to the darkest reaches of the webRead MoreThe Iceberg Of The Internet1404 Words   |  6 Pagescrawlers to dig around. The surface web is anything that has been indexed by these crawlers, basically it’s anything that shows up in Google search results. Websites such as Wikipedia and Bing fall under the surface web category as well. However, some websites are designed specifically to block these crawlers, thus, making the website unreachable, and unable to be shown in search results. These websites are part of a different category known as the deep web. The deep web is really anything that can’t beenRead MoreMy Interest On Video Gaming833 Words   |  4 PagesMy interest in video gaming is what first brought the Dark Web in to my attention and I find myself not only fascinated but terrified by this network of information that lies under our current internet. I’ll introduce the deep web in it’s entire before I focused in on particular forums and elements such as the bitcoin, /b/, Silk Road, and Marianas web. I’ll address the effect that the dark web has on the war against drugs as well as why, even though authorities know that this form of drug peddlingRead MoreUnderstanding The Basis Of The Dark Web1494 Words   |  6 PagesUnderstanding the Basis of the dark web Sophia Sutton Florida Institute of Technology ABSTRACT The deep web is a network infrastructure that is set in a mesh topology, much like the surface web. The difference between the dark web and the surface web is the content, internet protocols and users. Most of the information that is served through the dark net is illegal. Law enforcement is working on coming up with better ways to track and shut down certain sites offering services such asRead MoreThe Dark Side Of Science1724 Words   |  7 Pagesgood things even internet has its own dark side. The Dark Web is basically just the world wide web that exists on darknets and overlay networks which use the public internet but may require special software and authorizations to access. It forms only a small part of the deep web: the part of the web not indexed by search engines (Greenberg.A,2014). Darknet users refer to the regular web as Clearnet due to its unencrypted nature. To understand how the Dark Web works we first need to understand whyRead MoreThe Internet And The Dark Web1329 Words   |  6 Pageslaw a decision by Congress to overturn new privacy rules for Internet Service Providers (ISP). This means that US ISPs will soon no longer need consent from users to share browsing history with marketers and other third parties. What is the Dark Web? The Dark web is a part of the commercial internet that is not accessible thru regular internet browser software (Internet Explorer, Chrome, Firefox). Designed in 1995 by the United States Naval Research Laboratory of the Office of Naval Research (ONR)Read MoreThe Internet Is An Commodity For College Students1423 Words   |  6 Pagesthe deep web, This Time article elaborates: â€Å"Technically the Deep Web refers to the collection of all the websites and databases that search engines like Google don t or can t index, which in terms of the sheer volume of information is many times larger than the Web as we know it.† (Grossman, Lev, et al.The Deep Web. Time 182.20 (2013): 26.) Most search engines can only see what is referred to as the Surface web as is explained on OEDb.com’s short work, â€Å"The Ultimate Guide To The Deep Web, â€Å"In factRead MoreThe Internet And Its Effects On The World941 Words   |  4 Pagesfirst amendment right of fre e speech. While many countries have used internet censorship to control what the people see and can say, the Unites States would never be allowed to go that far. Internet censorship can be useful to help fight against criminal acts and not against people’s right to free speech. Well many bills have been made trying to stop privacy like SOPA and PIPA. According to Marty Schwimmer in his article, â€Å"The ‘Stop Online Piracy Act’ (SOPA) Violates the First Amendment† the majorRead MoreSale Of Credit Card Details Belonging1559 Words   |  7 Pagesdetails belonging to millions of clients. Credit card companies and banks should be able to know the kind of customer’s details that is already in the dark web and block those cards in order to avoid counterfeit use (Kandel, 2010). A majority of the cybercrime attacks against companies are usually planned through dark web message boards. Company web servers are flooded with traffic by hackers’ con trolled Computer networks up to a point when they become overloaded. This is also referred to as DDOS

Health Promotion and Teaching as Tools for Nursing Essay

Laying the Foundation for a Healthier Future Health promotion and teaching are important tools for nursing. By promoting health and health teaching, nurses can help lay the foundation for a healthier future. Major Concepts and Definitions Belief–a statement of sense, declared or implied, that is intellectually and/or emotionally accepted as true by a person or group. Attitude–a relatively constant feeling, predisposition, or a set of beliefs that is directed toward an object, a person, or a situation. Value–a preference that is shared and transmitted within a community. Behavioral diagnosis–the delineation of the specific health actions that are most likely to effect a health outcome. Health†¦show more content†¦3. Benefits of actions, the client’s assessment of the potential of the health action to reduce susceptibility or severity. 4. Costs of action, the client’s estimate of financial costs, time and effort; inconvenience; and possible side effects such as pain or discomfort. According to Edleman Mandle (1998), assumptions for Bandura’s (1986) Social Cognitive Theory are: 1. Behavior is determined by expectancies and outcomes. 2. Behavior is regulated by its consequences, but only as those consequences are interpreted and understood by the client. According to Boyd et al. (1998), assumptions from the teaching process include: 1. The teaching process is a planned and purposeful activity that nurses use to increase the likelihood that individuals will learn. 2. The teaching process follows the same steps as the nursing process: assess, plan, implement and evaluate. Man Man is an individual, holistic being, comprised of social, psych ological, spiritual and biological entities. Man is in constant interaction with the environment. Man’s well being is the perception of his or her health which is enhanced by nursing actions involving health promotion. Man is an outcome of his environment, beliefs, attitudes, values and willingness to learn. Environmental cues affect man’s reaction to health promotion and teaching. NursingShow MoreRelatedEssay on Health Promotion1354 Words   |  6 PagesHealth promotion and teaching are important tools for nursing. By promoting health and health teaching, nurses can help lay the foundation for a healthier future. Major Concepts and Definitions BeliefÂâ€"a statement of sense, declared or implied, that is intellectually and/or emotionally accepted as true by a person or group. AttitudeÂâ€"a relatively constant feeling, predisposition, or a set of beliefs that is directed toward an object, a person, or a situation. ValueÂâ€"a preferenceRead MoreBreastfeeding For The Pediatric Population1360 Words   |  6 Pagesimportant aspect of everyday nursing care in paediatric acute care facilities is the support and care of breastfeeding families† (p. 14). Nurses’ who implement the promotion of breastfeeding may pose many benefits for the well-bring of their clients such as; maternal and child bonding and health protection, child growth and development, and family and society protection (Bomer-Norton, 2014, p.88). Therefore, breastfeeding promotion is essential and relevant to pediatric nursing care. This paper will exploreRead Morehealth history and screening of an adolescent or youg adult client1112 Words   |  5 Pagesconcerns about life such as health and quality of life. Providing effective health care to diverse ethnic group, cultural minority group, need to have proper assessment tool for assessment for their cultural needs, beliefs, and their traditional health care practice. T he Heritage Assessment Tool create effective assessment of background of people include age, gender, family structure, nationality, culture, religion, and social activity. The detail information from this tool contribute to the abilityRead MoreReview of Literature1273 Words   |  6 PagesHealth promotion is an essential health care issue that should be implemented by all members of the health care team (Hosseini, Torab, Taghdisi, Vardanjani, 2013). Nurses play a critical role in health promotion for patients, family, and community because we provide direct patient care and are able to see the whole picture of the client’s situation. The population of people with chronic illness is increasing and the health care needs of clients is trending in an upward fashion (Jadelhack, 2012)Read MoreNursess Promotion Of Health Literacy Using Theories1706 Words   |  7 PagesRole in Promotion of Health Literacy Using Theories Health literacy has been a problem with our patients. 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Nurses can be of great help in promoting health literacyRead MoreBone And Joint Health And How It Effects The Elderly Population1608 Words   |  7 Pagesdefined by the World Health Organization as â€Å"a systemic skeletal disease characterized by low bone mass and microarchitecture deterioration of bone tissue with consequential increase in bone fragility and susceptibility to fracture† This condition is a result of an imbalance in the normal processes of â€Å" bone formation† and â€Å"bone reabsorption† which work together to maintain bone strength.† (Leyland, S. 2 013) The purpose of this paper is to educate the reader about bone and joint health and how it effectsRead MoreNursing Personnel For A Learning Needs Essay1141 Words   |  5 PagesTeach/Learn Paper Assess Nursing Personnel for a Learning Need The target audience of this project are fifth semester nursing students of the Minnesota Alliance for Nursing Program at Inver Hills community College. This group of learners will be meeting the benchmark eligibility for the National Council Licensure Examination for RNs (NCLEX-RN/licensure) at the end of the semester as they complete their Associate of Science in nursing degree. The cohort contains an interesting mix of individualsRead MoreHealth Promotion in Nursing Care Essays1015 Words   |  5 PagesHealth Promotion in Nursing Care Margaret Brzoza Lauer Grand Canyon University: NRS 429v October 16, 2011 Health Promotion in Nursing Care The three levels of health promotion and prevention are primary, secondary, and tertiary prevention education. Primary health care promotion focuses on making individuals, families, and communities aware of health related issues and provides education on alternatives for a healthy lifestyle. Secondary health care promotion provides the screening necessaryRead MoreHealth Promotion and Research1278 Words   |  6 Pages11428738 Health Promotion and Research Annual Assignment – Part B. 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However, this assignment chooses to focus on three of the five approaches in particular, the MedicalRead MoreJean Watsons Theory of Caring Essay709 Words   |  3 PagesDr. Jean Watson’s Theory: The Philosophy and Science of Caring â€Å"Caring is the essence of nursing†~Dr. Jean Watson Major Concepts of Watson’s theory: †¢ Main focus in nursing is on carative factors †¢ For nurses to develop humanistic philosophies and value sytem †¢ The caring stance that nursing has is threatened by the demands of the curative factors ( Sitzman, 2007) --------------------------------------------------------------------------------------------------------------------- †¢ Published

Quality Management in Healthcare and Social Care Industry

Questions: 1. Perspectives of Royal United Hospital Bath NHS Trusts Stakeholders regarding quality?2. Standards that exist in health and social care for measuring quality?3. Evaluation of effectiveness of systems, policies and procedures used in achieving quality?4. Methods for evaluating health and social care service quality with regard to external and internal perspectives? Answers: Introduction: Effective quality management is essential for every health and social care sector in terms of providing best care to the service users. In order to improve productivity and efficiency of services they deliver the health and social care organization should focus on quality maintenance. And it has been evidenced that to improve services to users health care sector must follow proper principle, guidelines and procedures set by government or industry authorities. Though having legislation and care standards for health care industry, long term commitments, communications and facilities including all stakeholders are required. Quality standards are set for health and social care and purpose behind it is to increase quality of the sector which providing care to the community throughout responsibility. In light of all these facts this report is made up on Royal United Hospital Bath NHS Trusts to assess its quality standards and principles, discuss the perspective of stakeholders working there and will evaluate different approaches for the particular health care to implement quality standard. This report will explain the systems, policies and actions the hospital can take to tackle the determined shortfalls. 1 Perspectives of Royal United Hospital Bath NHS Trusts Stakeholders regarding quality Every stakeholder associated with the health and social care services has their own opinion and perspective about the quality provided and standard maintained by the health care home. Any service which offer satisfaction to stakeholder means quality for them. Service users perspectives of quality is depend upon their way of thinking, their values and experience they got from particular health care. For patients measurement of quality is about the treatment they get, responsiveness of hospital staff, how their dignity be respected, confidentiality and safety. If hospital fulfill all these measures then perspective of patient about hospital quality standard is good. In the case of Royal United Hospital it had been seen that patient safety indicators decreased. Patients had to wait more for surgery and elective surgical procedures were also being cancelled (ARAH, WESTERT, HURST KLAZINGA, 2006). Such incidents tend to create negative perspective of service users. Another instance we can take which shows that the Royal Hospital have not been able to met personal needs of service users. Lack of facilities like shortage of beds and availability of staff create discomfort among service users. Other stakeholder is health care professionals include senior nurses and doctors. According to them quality is the outcomes of services users and result of care taken by them, positive result of their treatment. There perspective about quality is adopting adequate skills to provide proper care and treatment, taking right decisions for their patients, availability of instrument and all media of treatment in hospital define high quality (BALDOCK, 1997). The way and ability to conduct their duties to promote quality of services depend on commitment and effort of healthcare professionals. Case study of Royal United Hospital shows that Health professionals did not understand much about record systems importance which promotes quality of service. Senior nurses and some doctors are not serious about implementation of policies and procedures which essential to fulfill service users needs. Another stakeholder is Care Quality Commission (CQC) whose perspective is very important regarding to the hospital. CQCs view of looking towards hospital issues can make difference is obtaining quality of care, because they have the responsibility monitoring GP surgeries, hospital facilities and all practices conducted by hospital (BAMFORD, QURESHI, NICHOLAS, VERNON, 1999). They need to ensure about safety, effectiveness, and availability of services and care with high quality (The Royal United Hospital page 29). Royal United Hospital Bath NHS Trusts CQC perspective initiates measures through putting service users on the centre of care; they were in the favor of promoting independence and equality. Always try to improve performance of hospital to achieve standard. Inspection and regulation of hospital helps to maintain quality is the opinion of CQC which is stated in the given case. CQC also understands the need of updating standard continuously to meet needs and satisfaction of service users at NHS trust. 1.1 Analysis of external agencies role in setting standard: External agencies plays important role in order to provide good quality of services and setting standard of care for health sector. Plenty of external agencies work for it such as National institute for clinical excellence, Care Quality Commission, Health Service Commissioners and local authorities. Role of each agency is important in setting standards and achieving quality outcome for health and social care sector. National Institute for Clinical Excellence: This independent organization provides guidance in terms of promoting good health which prevent and treat ill health. In Royal United Nursing home professionals reassured before giving prescriptions to the service users having problem of anxiety and panic attacks and require regular sedatives for sleeping. For this case if required professionals also ask review and advice of government practitioner. Service providers and professionals take training of National Institute of Clinical Excellence guidelines for treating different medical conditions. As compare to CQC NICE guidance mostly used to assure about quality of services and NICE also make sure that value for money are maintained. Care Quality Commission: The care provided by local authorities, NHS, private companies and voluntary organization are regulated by CQC. They always aim to provide quality and better health care to each service user. In Royal United Hospital CQC makes minimum three inspections yearly on the measure of cleanliness, care quality and so on. CQC has the power to take action on the behalf of service user if the care and quality provided by health care is not acceptable. CQC perspective initiates measures through putting service users on the centre of care; they were in the favour of promoting independence and equality. Always try to improve performance of their hospital to achieve standard. 1.2 Impact of poor service quality on Royal United Hospital Bath NHS Trusts stakeholders: If health care sector not providing sufficient and effective service quality it leaves negative impact on its stakeholders. Stakeholder temperament seems to be changed in some cases due to the poor quality of services provided by health care. Service users complaining about getting poor service continuously and more over that no one is taking accountability that means change should be needed. Solution over it is every service user should get consultant in charge for the sake of services they are receiving. In order to maintain stability in stakeholders perspective quality measuring is required in hospital industry. Every stakeholder has their opinion about quality standard which no one can change, but coordination and same indicator of quality among stakeholder is essential. The case study about Royal United Hospital shows that lack of coordination and lack of similar opinion is main among stakeholders is main reason of poor quality services (BENZEVAL, JUDGE, 2001). Level of poor quality will be reduced with the help of monitoring and measuring quality because health care service very is complex. For instance take an example from case study which determine that service users affected due to the poor quality of care, as the record shows dehydration complaint is found in many patients due to lack of fluid intake (The Royal United Hospital CQC report 2013). 2 Standards that exist in health and social care for measuring quality: Standard is level of quality against which performance of health care can be measured. Having standard is essential and requires ensuring and measuring safe and effective practice. It designed in order to encourage and support a better practice environment in health care. Due to implementing standard individual would be able to receive right care within health and social care. Person-centered approach can be facilitated through quality standards. Due to implementing specific standards in health care sector error will be reduced and quality will be increased (Department of Health, Social Services and Public Safety 2006). Care Quality Commission introduces many quality and safety standards and record keeping is one of them. Record keeping standard ensures that patients do not get unsafe and incorrect treatment and care standard in any manner (Care Quality Commission, 2010). In record keeping it is initiated that patients treatment, medical condition and other important information related to care should be recorded by service provider on regular basis. The maintained records have been assessable whenever it will be required. Service users experience and trust improve due to keeping such relevant record. Level of health professionals practice can raised. As far as our case concern it is found that record keeping system did not implemented by the RUH bath and hence the fail to meet CQC standard of record keeping. Though RUH Bath maintained some records but when CQC requested to look those records they were not easily assessed (The Royal United Hospital CQC report 2013). Another standard incorporated by CQC to maintain high quality of care is respecting dignity and rights of individuals (Care Quality Commission, 2014). It is important to increase satisfaction level of service users and their experience that their dignity should be maintained. Dignity is related with individuals feeling and behaviour. But contrast is experienced in RUH Bath as per the case study which evidenced that some of the times patients dignity was not respected. Safeguarding people who use services from abuse is also the essential standard quality and safety of CQC. It simply required that people should be protected from abuse and staff should respect their human rights. 2.1 Evaluation of different approaches to implementing quality systems: In above section the important of providing quality care to the service users is discussed. Now it is also essential to understand and evaluate the approaches that are very crucial for implementation of quality system. The quality management systems are important and focused towards patients satisfaction and derive value for their money. First quality management system we discuss here is Total Quality Management (TQM) system. The application of quality management processes throughout the organization. This includes working on problems and strengthening areas that cross departmental lines. This quality management system is person focused and it aims to increase satisfaction and care standard of service users and provide value for their money. Another quality system is benchmarking which work on compare and implement basis. It is required to compare your organization quality and care with other competitive organization. Through this comparison best and different trends are discovered and projected into our organization practices. It will help to improve and meet the expectation of people working in and getting served through the organization. It adopt the process which compares current data of the health care organization with its old records and compare the performance which helps to determine difference between current and past performance. The variation determined alert the manager to implement changes. Approaches to implement quality system: Policies and procedures: These are outlines in various government document and these guidelines can also set things informed through regulations. Different policies and procedures are implemented for different situations in health care such as in accidental case hospital first file a report of resident accident, after that their family members are being informed about accident (BOYNE, 2002). The patient is treated and then precautions are put to avoid future consequences. Policy of infection control helps to prevent spread of infection within health care. All the protective measures have to be followed while handling the infectious wastes and treated residents. Resources: Adequate and efficient amount of staff help to provide highest quality of services and most importantly services are provided on time and quality of those services maintained. If hospital have appropriate resources then total quality management will be easy to manage. Benefits of applying resources: Due to applying policies and procedures hospital cannot have to face any legal consequences. If procedures are followed properly it will create positive image of the hospital obeying the policies like infection control will help to prevent people from infection and maintain quality standard of hospital Availability of proper resources helps to serve the service users on time and hence people would not have to wait longer for getting treated. Availability of proper equipment and machines and tools will help to treat any kind of disease without wasting time. Consequences: Lack of adequate resources and late in treatment lead to dissatisfaction of service users because they are unable to get adequate services as well as service provider are over worked so that they unable to do anything Best Approach for RUH is increasing the resources. Because it is found at various situation that patients had to wait more for surgery and elective surgical procedures were also being cancelled. Such incidents tend to create negative perspective of service users. Another instance we can take which shows that the Royal Hospital have not been able to met personal needs of service users. Lack of facilities like shortage of beds and availability of staff create discomfort among service users. 2.2 Analysis of RUHs potential barriers in delivering quality health and social care services: External barrier: Barrier created due to external factors in front of the RUH prevent the hospital from achieving quality standards and are given as below: Legislation: In certain cases it is found that RUH has to face certain legal issue. This type of controversies effect on hospitals image and quality of care was affected. Warning notice from the CQC standard had also been issued after the inspection of their team. Social policy: In terms of ensuring the experience of service user at the highest quality level, safety has to be promoted and value for money in place of health is required. In lack of social setting staff do not able to empower with the right skills and training in quality improvement and measuring techniques. Internal barrier: Interaction between people: Having right staff and correct attitude towards quality is basic criteria for maintaining good practice in healthcare. But it is not being practices in RUH identified in case study. This attitude and less interaction create potential barrier in front of hospital. Organizational structure: RUH need to make changes in structure of its organization in order to gain quality standard. Value, ethics and believes of staff should be improves and for this proper training is required to be arranged. Impact of the barriers are quite obvious, as staff does not feel motivated and satisfied while working in the hospital and providing services to the patients. As it is known less satisfied and motivated staff cannot be committed towards their organization which will impact through their services provided. If service user get less quality service they got dissatisfied and such dissatisfaction chain lead RUH towards less quality and service provider organizations category. 3 Evaluation of effectiveness of systems, policies and procedures used in achieving quality: The first policy RUH used as specified in case scenario was safe wandering policy. This has implemented occur need of attaching bracelets to the wrists of some people with dementia and had at the risk of wandering off the ward. These would only be attached on the recommendation of the consultant for the ward. Another policy identified is trust policy. This policy had been detailed that when and how the bracelets could be used. It was also emphasized that Deprivation of Liberty Safeguards had to follow (CHALLIS, CLARKSON WARBURTON, 2006). Different procedures are implemented for different situations in health care such as in accidental case hospital first file a report of resident accident, after that their family members are being informed about accident. The patient is treated and then precautions are put to avoid future consequences. The escalation procedures are used in RUH in order to manage the waiting times. It is being told by senior staff and surgical outpatients that if due to new referrals impact on appointment waiting time had been occurring then it is the right of service user to notify it to lead consultant who should provide other doctor or additional clinics to complete the service. The quality systems identified in scenario was Total Quality Management (TQM) system. The application of quality management processes throughout the organization. This includes working on problems and strengthening areas that cross departmental lines. This quality management system is person focused and it aims to increase satisfaction and care standard of service users and provide value for their money. Benchmarking work is to compare and implement facts. It is required to compare your organization quality and care with other competitive organization. Through this comparison best and different trends are discovered and projected into our organization practices. It will help to improve and meet the expectation of people working in and getting served through the organization. It adopt the process which compares current data of the health care organization with its old records and compare the performance which helps to determine difference between current and past performance (DAVIES CHALLIS, 1986). The variation determined alert the manager to implement changes. 3.1 Analysis of factor influencing the achievement of quality in RUH: In order to get success in any work it is important to have any support along with the hard work. The same thing goes correct about RUH there are various factor which influence the health care organization to achieve quality of services and getting positive feedback from service user. Funding: In order to perform service, provide facility and having sufficient resource it is important to have sufficient funding. This is the factor which goes correct for RUH that they got proper funding the trust received 2.35 million of NHS funding which promote it towards improvement of services. This was increased trust confidence and it leads significant change effectively. The funding had been used by RUH to support the innovative changes and new ideas would help to improve the quality. User of service expectation: When someone expect from you more you automatically starts to improve yourself in order to meet their expectation. Same thing happen with RUH, it got large amount of funding which means people want to see them working more quality work and serve people with excellence. This pressure automatically leads the hospital towards improvisation in its working practices and its service providers working with more discipline. Media: when patients dissatisfaction graph goes high and patient started complaining about the services and quality of facilities provided by RUH media builds pressure on the hospital. The pressure of media and media reports lead the hospital to improve its quality of services. 3.2 Suggest ways in which the health and social care service could improve its quality: Improving quality required find out problem first and the as per the case scenario RUH having some problems. In some occasion it is found that patients had not been treated with respect by service providers. Their dignity had not been maintained and staff need more training to maintain safety while treating children and in serious situation. According to the CQCs view of looking towards hospital issues can make difference is obtaining quality of care, because they have the responsibility monitoring GP surgeries, hospital facilities and all practices conducted by hospital. They need to ensure about safety, effectiveness, and availability of services and care with high quality (The Royal United Hospital page 29). Service users perspectives of quality is depend upon their way of thinking, their values and experience they got from particular health care. For patients measurement of quality is about the treatment they get, responsiveness of hospital staff, how their dignity be respected, confidentiality and safety. If hospital fulfill all these measures then perspective of patient about hospital quality standard is good. In the case of Royal United Hospital it had been seen that patient safety indicators decreased. Patients had to wait more for surgery and elective surgical procedures were also being cancelled. Such incidents tend to create negative perspective of service users. Another instance we can take which shows that the Royal Hospital have not been able to met personal needs of service users. Lack of facilities like shortage of beds and availability of staff create discomfort among service users. Hence quality improvement needs effectiveness, safety, and efficiency of services. 4 Methods for evaluating health and social care service quality with regard to external and internal perspectives: In order to evaluate effectiveness of quality of service use of surveys and questionnaires is important. Due to questionnaires uses it perspective of different people from service users to service providers and commission is get clear and hence survey and questionnaires are used. From the survey it is observed that service users perspectives of quality is depend upon their way of thinking, their values and experience they got from particular health care. For patients measurement of quality is about the treatment they get, responsiveness of hospital staff, how their dignity be respected, confidentiality and safety. If hospital fulfill all these measures then perspective of patient about hospital quality standard is good. In the case of Royal United Hospital it had been seen that patient safety indicators decreased. Patients had to wait more for surgery and elective surgical procedures were also being cancelled. Such incidents tend to create negative perspective of service users. Another instance we can take which shows that the Royal Hospital have not been able to met personal needs of service users. Lack of facilities like shortage of beds and availability of staff create discomfort among service users. Hence quality improvement needs effectiveness, safety, a nd efficiency of services. Questionnaire help to provide area of improvement, measure level of satisfaction and motivation and also provide information about expectations. This will also be used by hospital authorities in order to reduce errors in hospital facilities and operating systems. There are advantages and disadvantages of using surveys and questioners. Some of advantages involve real word observation of the service, involvement of many people who can offer huge amount of information and different points of view, and an opportunity to produce a huge amount of data at small format. As disadvantages could be consider lack of details information, lack of respond, and validity of information produce (Kelley, K. et al 2003). 4.1 Impact that involving users of services in the Evaluation process has on service quality: Today patients are involved in all the aspects of design and delivery and hence their response and advice would be valuable for hospitals. Royal United Hospital Bath NHS Trusts CQC perspective initiates measures through putting service users on the centre of care; they were in the favor of promoting independence and equality. Always try to improve performance of hospital to achieve standard. Inspection and regulation of hospital helps to maintain quality is the opinion of CQC which is stated in the given case. CQC also understands the need of updating standard continuously to meet needs and satisfaction of service users at NHS trust. There perspective about quality is adopting adequate skills to provide proper care and treatment, taking right decisions for their patients, availability of instrument and all media of treatment in hospital define high quality DAVIES, B., FERNNDEZ, J. L. NOMER, B. (2000b). The way and ability to conduct their duties to promote quality of services depend on commitment and effort of healthcare professionals. Case study of Royal United Hospital shows that Health professionals did not understand much about record systems importance which promotes quality of service. Senior nurses and some doctors are not serious about implementation of policies and procedures which essential to fulfill service users needs. Conclusion: For improving productivity and efficiency of quality and services provided by the health care sector it is important to maintain quality standard. It is concluded through the report that different stakeholders have their different opinion and hence hospital should respect and use their perspective to improve quality of services. And it has been evidenced that to improve services to users health care sector must follow proper principle, guidelines and procedures set by government or industry authorities. Though having legislation and care standards for health care industry, long term commitments, communications and facilities including all stakeholders are required. Reference List: Academy of Medical Royal College (2010). 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