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Smiley-faced monopolists
Author: Vanessa Baird
Date: July-August 2016
From: New Internationalist(Issue 494)
Publisher: New Internationalist
Document Type: Article
Length: 3,057 words
Full Text:
Does it matter that Google, Facebook and Amazon are so
successful? VANESSA BAIRD examines what their
domination means for all of us.
Wonderful, bountiful.
The ever-youthful prince of Facebook, Mark Zuckerberg, told
the world that he and his wife Priscilla Chan would
be giving away 99 per cent of their shares to charitable causes
during the course of their lifetimes.
A gesture so bold and generous: almost enough to rekindle the
notion that tech billionaires were something
different. A far cry from those grey and grubby bankers
clutching their bonuses in so unseemly a fashion, or the
brash property tycoons with exclusively located follicles and
vacant consciences.
This fresh-faced 31-year-old, still high on the birth of daughter
Max, his first child, said the shares, currently
worth $45 billion, would go towards 'education, curing disease
and connectivity'.
Zuckerberg is one of a generation of technopreneurs who have
created the fabulous success stories of Google,
Facebook, Amazon et al.
Companies so wild, so out-of-the-box creative, so limitless in
their ambitions. Space travel, robotics, driverless
cars, cryogenics --nothing is beyond the reach of their
imaginings, or the power of their pockets.
They are the trendy, friendly face of capitalism. Young
'disrupters' who have devised platforms and devices that
we cannot resist that are not only easy and smooth to use, but in
many cases free, too!
It all seems too good to be true...
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And it is, if other items that have hit the headlines are anything
to go by.
The digital titans are avoiding tax on an industrial scale. French
police investigating an estimated $1.8 billion
owed in back tax, raid the offices of Google in Paris. (1)
Facebook's supposedly neutral social media services
and Google's search engine are accused of operating a political
bias. Insider reports reveal harsh and
exploitative working conditions within Amazon at all levels,
and continued refusal to recognize unions. (2,3)
Uber, the emergent poster child of the 'sharing economy',
accused of illegal and dangerous practices, is banned
in several countries. (See box page 15.)
And there is the mounting concern about monopoly power.
At the time of writing, the European Union is about to fine
Alphabet (Google's holding company) a record $3.4
billion, following a seven-year monopoly-abuse investigation.
Google, which enjoys a 90-per-cent search-engine
market share in Europe, will be ordered to stop manipulating
search results to favour its own and its partners'
products. (4)
The network effect
John D Rockefeller's Standard Oil in the US is often cited as a
classic early 20th-century example of a
monopoly. Anti-trust laws were devised to break up such
companies, to prevent them being the sole provider of
a good or service, and to enable competition, in the interests of
fairness and to the benefit of consumers and
society at large.
Today's digital titans are technically oligopolies--a few big
players dominating the market. But the behaviour they
are displaying is distinctly winner-takes-all monopolistic.
Already Google, Facebook and Amazon enjoy astonishing
market shares. One in seven minutes spent online in
the world today is spent on Facebook and the company, by
seeking to supplant all website homepages, is
aiming to become the gateway to the internet; Amazon not only
has 67 per cent of all online book sales (print
and digital) but far exceeds Walmart as the largest retailer in
the US and is gearing up to dominate cloud-
computing services; Google's annual turnover is now higher
than that of the world's six biggest advertising
agencies--including the mighty WWP--combined.
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This may seem a bit strange--given that cyberspace was
supposed to be free and open, a place for diverse
players. In reality, what is happening is the colonization of the
internet by a few highly successful private
companies.
A closer look at the story of Google helps explain how this has
come about.
In 1996, students Sergey Brin and Larry Page created an
algorithm called PageRank that was to be the basis
for the exceptionally strong and complex Google search engine.
Soon we were all 'Googling', and forgetting all
about Alta Vista and the rest.
Google was benefiting from the 'network effect': the more
people use a search engine, the more valuable it
becomes to all of them. And of course its makers. The
monopolizing tendency is, in a sense, intrinsic.
Wired magazine's Chris Anderson observes: 'Monopolies are
actually even more likely in networked markets
like the online world. The dark side of the network effects is
that the rich nodes get richer.' (5)
Google needed to become the search engine and it did. And
because search is so important to our lives today,
Google was able to leverage its dominance in this one area to go
into another. The next stage for Google was
advertising.
Enter surveillance capitalism
Before the dot.com bust put investor pressure on companies like
Google, advertisers would simply select
search-term pages for their displays.
Google decided to try to boost revenue by using its analytical
capabilities to increase an advertisement's
relevance to users, and thus value to advertisers. To do this, it
repurposed its growing cache of behavioural
data (from previous searches, for example) to match it with ads.
Up to then, such data had been ignored or discarded; now this
by-product proved to be the goldmine.
As Harvard Business School professor Shoshana Zuboff sees it:
'Google is ground zero for a wholly new
subspecies of capitalism in which profits derive from unilateral
surveillance and modification of human
behaviour. This is a new surveillance capitalism that is
unimaginable outside the inscrutable high-velocity
circuits of Google's digital universe.' (6)
We are the raw material here. All the personal data that we
unknowingly provide while we use the internet is
incredibly valuable to those who want to predict our future
habits, and nudge us in the direction that they would
like. That includes companies trying to sell us things or
insurance companies trying to predict our behaviour. Its
profits derive primarily, 'if not entirely, from such markets for
future behaviour'.
According to Zuboff, this surveillance capitalism 'preys on
dependent populations who are neither its consumers
nor its employees and are largely ignorant of its procedures'.
She sees this as profoundly undemocratic, a 'coup from above'
which 'challenges principles and practices for
self-determination'.
Google's surveillance power is the envy of states. But, as
security expert Bruce Schneier explains, the digital
titans and governments actually interact more closely than most
of us realize (see page 18).
The venture capitalists
Behind the digital entrepreneurs is another more shadowy group
of people--venture capitalists. They have had
a profoundly distorting
impact on what the internet has become today.
In the early days, the British creator of the worldwide web, Tim
Berners-Lee, conceived of the internet as a
common resource to serve humanity. He didn't seek to make any
money out of his brilliant invention and he has
stuck to his principles, fighting to keep the net open, neutral
and free.
A similar idealism prevailed in some of the early internet start-
ups. But most were unable to withstand the
assault of megabucks. Investors poured eye-popping amounts of
venture capital into fledging companies--and
expected stellar results in return.
The capital value, the amount invested and the share price the
companies could command when they went
public, was way out of proportion to the value of the companies
in terms of any revenue they could be expected
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to make.
Start-up entrepreneurs soon learned from their rich backers that
their job was not to make their company
sustainable, but to make it sellable. 'They may have thought
they were engineering a new technology,' explains
digital economics writer Douglas Rushkoff, 'when they were
actually engineering a reallocation of capital.' (7)
Today the digital industry is caught in this growth trap. 'It's not
enough for an app to support a sustainable
business,' says Rushkoff, 'it has to have a path to owning the
entire marketplace, presumably forever, with a
means to take over still others. Otherwise it can't justify the
venture capital it has accepted.'
Twitter, so useful to journalists and activists in the Arab Spring
and Occupy movements, is currently under
intense pressure from its rich investor backers (which include
Goldman Sachs and Saudi billionaire Prince Al-
Waleed) to grow and get a bigger share of the advertising
market.
Last year there were complaints that the company was too far
off reaching its '100x growth potential' and its
CEO Dick Costello was forced out. Rushkoff reckons that for
Twitter to pay back 100 times the investment in it,
it would need to become a corporation bigger than the
economies of several nations. (7)
One way to grow is to gobble up other companies. Facebook and
Google, once startups themselves, now
acquire more businesses than they incubate internally (see
Facts, page 17). Since 2001 Google has acquired
more than 190 companies (now listed under Google's holding
company, Alphabet). Facebook has acquired 50
since 2005.
Political beast
The way in which the internet giants have penetrated national
economies, combined with their wealth, gives
them considerable political clout.
Their bosses appear on panels at high-level international
gatherings of the World Economic Forum or the G8,
for example. Governments want these companies on side. And
the companies want governments to go light on
regulation, give them tax breaks and turn a blind eye as they try
to monopolize.
After months of lobbying President Narendra Modi of India, and
a sustained charm offensive aimed at the Indian
people, Facebook seemed inches away from a deal that would
deliver a virtual monopoly on the internet access
of millions of new users. Then, an extraordinarily successful
mobilization by Indian net-neutrality activists
scuppered the social media giant's plans (see page 23).
A new report from the US Campaign for Accountability (CfA)
shows how Google has been ramping up its
lobbying efforts. The company already enjoys unmatched
influence in Washington. Its executives visit the White
House more than once a week on average, according to Anne
Weismann of the CfA. The organization has
documented more than 250 'revolving door' moves between
Google and the US government.
Now Google appears to be trying to replicate this level of
influence in Europe in a bid to head off anti-trust
action and attempts to tighten up online privacy. The research
suggests that Google has hired at least 65 former
government officials from within the European Union in the
past decade. Some 28 officials have been hired
from key departments in the British government. Meanwhile,
Eric Schmidt, chair of Alphabet (Google), is on
prime minister David Cameron's Business Advisory Council.
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Tamasin Cave of the British campaign group Spinwatch says:
'We need to rethink how we view Google. It's not
a search engine, it's a political beast that has captured the
attention of our policymakers. Most worryingly in
health and education, where privatization through technology is
gathering pace. Even if our politicians have
bought into its thinking, we as a public should be asking how
Google's involvement in the National Health
Service and schools will impact them. What are the
consequences, and who benefits: us or Google?' (8)
What's to be done?
We are at a critical point as we enter the 'Internet of Things', a
world where nearly all home appliances and
systems will be online; the 'smartification' of everyday life,
with Google's android system operating our smart
watches, smart cars, smart thermostats. As Silicon Valley critic
Evgeny Morozov puts it, this places Google
'between you and your fridge, you and your car, you and your
rubbish bin, allowing the National Security
Agency to satisfy its data addiction in bulk and via a single
window.' (9)
By 2020, an estimated 25 billion devices will be connected in
this way. The surveillance opportunities are
boundless, and not just for companies and Big Brother states,
but criminals and terrorists too. (Car brakes that
can be disabled remotely, for example.) The parlous state of
online privacy and normalization of bulk
surveillance make us all increasingly vulnerable to those who
would manipulate us. (10)
We have to act now if we are to change our relationship with
the digital titans who control this technology and
our data on it, and who want to carry on doing so in the most
unregulated way possible. The power imbalance
we are experiencing is not the fault of technology or innovation.
It is the result of something neither new nor
revolutionary-capitalism, and an exceptionally sneaky,
libertarian and parasitic form of it.
To stand up to it we need to have, and know, our rights. The
civil-society Madrid Privacy Declaration of 2009 is
a good articulation of some of those rights and there have been
some important legal victories in the Court of
Justice of the EU. (11,12) But it's a slow and painstaking
process.
There needs to be an independent international body to oversee
and regulate digital companies and to take
action against monopolization. We need new laws forcing
companies to collect minimum data, for a minimum
time, and more securely than they currently do. There needs to
be transparency, so we can know what they are
doing with our data, and have agency over it.
There are a number of campaigns (see Action, page 27) aimed at
empowering users in their dealings with the
tech providers. After all, we, the users, are the source of their
wealth. Some of us may, just about, still be able to
choose not to use them or to use them less or to switch to more
ethical platforms, before we all get sucked into
the Internet of Things.
Caught up in the furious profit-driven techno-rush, it's
important to remember that it does not have to be this
way. Service providers can treat their users properly. They can
respect their privacy, autonomy and need for
security. They can do business differently, in a more
cooperative and less exploitative way. Imagine, for
example, an Amazon that shared profits with its suppliers,
instead of price-gouging them out of existence before
moving on to the next hapless victim.
They can even view cyberspace, not as private space that needs
to conquered, colonized and enclosed, but as
a global commons. For net neutrality and open-source activists,
that notion has never gone away, but it needs
to be shouted out more loudly now, from the mainstream.
In foreveryone.net, a new documentary film by Jessica Yu, Tim
Berners-Lee urges us to take to the streets and
fight for an internet that is free from the domination of either
corporations or governments, and is a human right,
like access to water. (13)
Real change requires a shift in social norms and a realization
that the monopolizing billionaires who are
providing us with 'so very cheap' or 'for free' have a totalitarian
agenda that seriously undermines democracy.
So, what of Mark Zuckerberg's largesse? True, $43 billion is a
lot of money, even over a lifetime, and it seems
churlish to complain. But Facebook is a serial tax avoider, using
'Double Irish' arrangements to pay only two to
three per cent or less tax on all international revenue. That
unpaid tax could have gone to providing 'education,
11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale
Academic OneFile
https://go-gale-
com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i
d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb
8/9
medicine, connectivity' in the many countries where Facebook
is making money. But then it would have been
allocated according to priorities set by democratically elected
governments, not the personal whim of a
libertarian billionaire, who, incidentally, is retaining the
shareholder voting power of all the shares he vows to
give away.
As in most matters to do with the digital revolution and its
beneficiaries, it's best not to take too much at face
value.
(1) thestreet.com 05/24/2016 nin.tl/ta x-raid-google-paris
(2) nytimes.com 2015/08/16 nin.tl/amazon-workplace
(3) nytimes.com 2016/05/17 nin.tl/amazon-anti-union
(4) bloomberg.com 2016/05/15 nin.tl/googlefaces-eu-fine
(5) wired. com 2010/08 nin.tl/theweb-is-dead
(6) Shoshana Zuboff nin.tl/surveillancecapitalism
(7) Douglas Rushkoff, Throwing Rocks at the Google Bus,
Penguin, 2016
(8) theguardian.com 2016/jun/04 nin.tl/googlepolitical -
influence
(9) Evgeny Morozov, guardian.com 2014/jul/20 nin.tl/internet-
of-things-vdemocracy
(10) Le Monde Diplomatique, June 2016, 'Europe's New Privacy
Shield' by Janne Jarvinen and Markku
Kutvonen
(11) The Madrid Privacy Declaration 2009 nin.tl/ madrid-
declaration
(12) europe-v-facebook.org and nin.tl/max-schrems
(13) foreveryone.net also see nin.tl/ber ners-lee-interview
The sharing economy
Uber and Airbnb are at the vanguard of a new 'person-toperson'
business model that uses the internet to match
people wanting certain services with people who can provide
them. Its image is one of friendly informality, more
'social movement' than commerce. Instead of using a
professional taxi service, Uber puts you in touch with a
person with a car who is in your area right now. Instead of
going to a hotel, Airbnb lets you stay In someone's
home.
In reality, the so-called sharing economy is far from the ideal
presented in the publicity. The people who own
Uber and Airbnb are now billionaires; those who provide the
services are, after expenses, low paid. The sharing
does not stretch very far.
Uber's market valuation is $69.5 billion. It recently received a
$3.5 billion investment from Saudi Arabia's
National Public Investment Fund, with Uber CEO Travis
Kalanick commenting that 'we look forward to
partnering [with Saudi Arabia] to support their economic and
social reforms'.
Uber's approach to local law is lax. By calling itself a 'platform
that connects drivers with passengers, it works in
a regulatory grey area that enables it to slash overheads while
inflating revenue and reducing its liabilities and
11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale
Academic OneFile
https://go-gale-
com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i
d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb
9/9
obligations to the public. It operates an opportunistic price
gouging and surging policy, based on demand. In
2015 there were more than 50 lawsuits against Uber in the US
and it was accused of breaching regulations in
Belgium, Germany, Canada, Australia, New Zealand/Aotearoa
and Brazil. Uber has been banned in Spain,
Thailand and France--where legislators dubbed it 'illegal' and
'dangerous'.
Airbnb's publicity relies largely on inspirational personal
stories about how the company has provided a living for
people who do not have much money but do have a spare room.
In 2011 it had 50,000 listings; by mid-2015 it
had 1.2 million (more beds than the world's largest hotel
company). Its market valuation is $24 billion.
Airbnb does not put the big swanky hotels out of business, but
rather small, regulated, tax-paying guest houses
and B&Bs. It emphasizes that many of its hosts are 'artistic' --
and not wealthy. In fact, research shows that entire
house rentals are now the norm and, increasingly, Airbnb hosts
are well-off people with more than one property
to let.
Sources: Tom Slee, What's yours is mine--against the sharing
economy, OR Books, 2015; The Guardian, 27
April 2016 nin.tl/Uber-conquers The New York Times,
2016/06/02 nin.tl/saudi-invests-in-uber
Copyright: COPYRIGHT 2016 New Internationalist
http://www.newint.org
Source Citation
MLA 9th Edition APA 7th Edition Chicago 17th Edition
Harvard
Baird, Vanessa. "Smiley-faced monopolists." New
Internationalist, no. 494, July-Aug. 2016, pp. 12+. Gale
Academic
OneFile,
link.gale.com/apps/doc/A457106829/AONE?u=ko_acd_cec &sid
=bookmark-AONE&xid=cd43fb33.
Accessed 22 Nov. 2021.
Select
Disclaimer
Export To:
NoodleTools EasyBib RefWorks Google Drive™ OneDrive™
Download RIS*
*The RIS file format can be used with
EndNote, ProCite, Reference
Manager, and Zotero.
Gale Document Number: GALE|A457106829
http://www.newint.org/
BREASTFEEDING TEACHING PLAN
1
Student Name:
(1pt)
Nursing Diagnosis:
Anxiety related to lack of knowledge about _breastfeeding in
the post-partum period (1pt)
6pt
6pt
6pt
3pt
3pt
3pt
Learning Objectives
Content
Method of Instruction
Time
Resources
Method Evaluation
1. The mother will identify three infant hunger cues before the
next feed.
1. “The mother should attempt to breastfeed when the baby
exhibits feeding cues: hand-to- mouth or hand-to-hand
movements, sucking motions, rooting reflex (infant moves
toward whatever touches the area around the mouth and
attempts to suck), mouthing” (Lowdermilk et al.,2020, p. 541).
1. Verbal instruction/ discussion and printed sign of hunger
cues reminders
2
minutes
Breastfeeding handout found in the file drawer on 11 BT:
Breastfeeding: What Every Mother Needs to Know
If there is author, date and publisher info include here
The patient will correctly verbalize to nursing student three
hunger cues after instruction
2. The mother will verbalize the need to attempt breastfeeding
every two to three hours by change of shift.
2. “Newborns need to breastfeed at least 8 to 12 times in a 24-
hour period (AAP Section on Breastfeeding, 2012). Some
infants breastfeed every 2 to 3 hours throughout a 24-hour
period. Others cluster- feed, breastfeeding every hour or so for
three to five feedings and then sleep for 3 to 4 hours between
clusters. During the first 24 to 48 hours after birth most babies
do not awaken this often to feed. Parents need to understand
that they should awaken the baby
2. Verbal instruction and discussion
3
minutes
“Tips from the Lactation Consultant”
Information obtained from C. Cheney, LC for BUMC
The patient will correctly verbalize a feeding schedule for a
newborn before discharge
to feed at least every 3 hours during the day and at least every 4
hours at night. (Feeding frequency is determined by counting
from the beginning of one feeding to the beginning of the
next.) Once the infant is feeding well and gaining weight
adequately, going to demand feeding is appropriate, in which
case the infant determines the frequency of feedings.
(Lowdermilk et. al., 2020, p.552).
3. The mother will return demonstrate two different feeding
positions by the time of the next feed.
3. “The four traditional positions for breastfeeding are the
football or clutch hold (under the arm), modified cradle, cross -
cradle or across the lap, cradle, and side-lying. The mother
should be encouraged to use the position that most easily
facilitates latch while allowing maximal comfort. The football
or clutch hold is often recommended for early feedings because
the mother can see the baby’s mouth easily as she guides the
infant onto the nipple” (Lowdermilk et al., 2020, p. 555).
3.
Demonstration of breastfeeding positions and discussion
5
minutes
Breastfeeding handout found in the file drawer on 11 BT:
Breastfeeding: What Every Mother Needs to Know
(if there is author, date and publisher info, include it here)
The patient correctly demonstrated two different feeding
positions by the end of the shift
(1pt) References
La Leche League. (2015). Breastfeeding: What every mother
needs to know. La Leche League
Press: Cupertino, California.
Lowdermilk, D., Perry, S., Cashion, K., Alden, K., &
Olshansky, E. (2020). Maternity and women's health care (12th
ed.). Elsevier.
Baylor University
Louise Herrington School of Nursing
Development of Patient Teaching Plan for NUR 4335 PNP:
Transition to Practice
Teaching is a major role of the nurse and is important in all
nursing areas. There are chapters in LHSON nursing textbooks
such as Chapter 25 in your Potter and Perry text (Potter, P.A.,
Perry A.G., Stockert, P.A. & Hall, A.M. (2017). Fundamentals
of nursing (9th ed.). St. Louis: Mosby), as well as additional
references such as Bastable, S. (2017). Nurse as educator:
Principles of teaching and learning for nursing practice. Jones
& Bartlett. The LRC has excellent resources for the
development of teaching plans and guides for effective
instruction.
Instructions:
1. Identify a common learning need from your assigned unit’s
patient population. (Example: Diabetes, Orthopedics,
cardiovascular)
2. Develop a teaching plan to address these needs. Write 3
behavioral learning objectives that are appropriate to your
patient population. The objectives must be measureable,
including behavior, metric for measuring, conditions, time.
3. From these objectives, identify the specific teaching content
in the teaching column. Remember that the teaching content
should be specific enough for another nurse to take your plan
and teach exactly what you taught. (This should be what you
will teach.)
4. Then, identify the appropriate teaching methods that you plan
to use for each objective/content (ex. Discussion, 1:1, etc.) and
the approximate time estimated for teaching that content and
write in appropriate columns.
5. For each learning objective, identify the appropriate teaching
materials/resources you would use. These must be unit approved
resources like the on-line handouts from EPIC, handouts found
in the unit drawers, etc. Speak with your preceptor to find out
exactly what resources they use for patient education related to
your topic and list these in this column. Write in APA format.
6. Lastly, how will you evaluate the patient attainment of the
objective from your teaching. Be specific for this; pt will repeat
5 steps in …… without prompting. The evaluation statement
should link back to the objective you hoped to achieve.
7. Implement your teaching plan with as many patients as
possible.
Grading Rubric for Development of Patient Teaching Plan
1 point = Correctly stated diagnosis – Etiology is nurse-driven,
something for which a nurse can intervene.
2 points each objective- contains behavior, condition, metric
(measurable), time.
2 points each – content is what the nurses says in layman’s
terms
2 points each – method of instruction examples: demonstration,
verbal instruction, discussion
1 point each – time estimate
1 point each – unit resources – what is used/available on the
assigned unit – exact title and location
1 point each – method of evaluation examples: teach back,
return demonstration
Student Name:
___________________________________________________
(1pt.)
Nursing Diagnosis: Anxiety related to lack of knowledge about
_______________________ (1pt)
6pt 6pt
6pt 3pt 3pt
3pt
Learning Objectives
Content
Method of Instruction
Time
Unit Resources
Method Evaluation
1.
2.
3.
1 pt References:
Term Paper Title
Written by: (Enter all author’s names and student numbers)
(Enter course code and section code) for Alex Maletich
Date: (Enter date submitted)
Summary
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fiwjef weijf sdkjjisjdfwae iewfj viawejf oivjioaejf aidjo
faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg
nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn
oiwfiowanefoiaw
nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde
iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf
daoigjaofoasfnal;skn knasg;lkndg kln kln
Three Key Economic Issue Identified
1.
2.
3.
Three Key Economic Issue Discussion
Asdf saf sd lkdfkljadfljkasf sldkfjksdjf l;kjsdfksdf
ewiourwoeiurwqe ,mdfnkxzcnv skdfjs seoaijfsaef efj wewe
fiwjef weijf sdkjjisjdfwae iewfj viawejf oivjioaejf aidjo
faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg
nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn
oiwfiowanefoiaw
nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde
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daoigjaofoasfnal;skn knasg;lkndg kln kln
Three Economic Consequences Identified
1.
2.
3.
Three Economic Consequences Explanation
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faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg
nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn
oiwfiowanefoiaw
nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde
iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf
daoigjaofoasfnal;skn knasg;lkndg kln kln
Three Economic Recommendations Identified
1.
2.
3.
Three Economic Recommendations Explanation
Asdf saf sd lkdfkljadfljkasf sldkfjksdjf l;kjsdfksdf
ewiourwoeiurwqe ,mdfnkxzcnv skdfjs seoaijfsaef efj wewe
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faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg
nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn
oiwfiowanefoiaw
nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde
iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf
daoigjaofoasfnal;skn knasg;lkndg kln kln
Closing Paragraph
Asdf saf sd lkdfkljadfljkasf sldkfjksdjf l;kjsdfksdf
ewiourwoeiurwqe ,mdfnkxzcnv skdfjs seoaijfsaef efj wewe
fiwjef weijf sdkjjisjdfwae iewfj viawejf oivjioaejf aidjo
faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg
nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn
oiwfiowanefoiaw
nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde
iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf
daoigjaofoasfnal;skn knasg;lkndg kln kln
112221, 212 PM Smiley-faced monopolists - Document - Gale A

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112221, 212 PM Smiley-faced monopolists - Document - Gale A

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  • 7. Academic OneFile https://go-gale- com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb 2/9 Gale Academic OneFile Basic Search Search... Submit Advanced Search Highlights and Notes View All Highlights and Notes Your session has timed out after 20 minutes of inactivity. If you do not click continue session, you will be logged out in 60 seconds https://go-gale- com.centennial.idm.oclc.org/ps/dispBasicSearch.do?userGroupN ame=ko_acd_cec&prodId=AONE https://go-gale- com.centennial.idm.oclc.org/ps/redirectSearch.do?userGroupNa me=ko_acd_cec&page=dispAdvSearch.do%3FuserGroupName% 3Dko_acd_cec%26prodId%3DAONE&prodId=AONE javascript:void(0); https://go-gale-
  • 8. com.centennial.idm.oclc.org/ps/scribbledList?userGroupName= ko_acd_cec&citationFormat=AUTOFORMAT&inPS=true&prod Id=AONE 11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale Academic OneFile https://go-gale- com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb 3/9 Smiley-faced monopolists Author: Vanessa Baird Date: July-August 2016 From: New Internationalist(Issue 494) Publisher: New Internationalist Document Type: Article Length: 3,057 words Full Text: Does it matter that Google, Facebook and Amazon are so successful? VANESSA BAIRD examines what their domination means for all of us. Wonderful, bountiful. The ever-youthful prince of Facebook, Mark Zuckerberg, told the world that he and his wife Priscilla Chan would be giving away 99 per cent of their shares to charitable causes during the course of their lifetimes. A gesture so bold and generous: almost enough to rekindle the
  • 9. notion that tech billionaires were something different. A far cry from those grey and grubby bankers clutching their bonuses in so unseemly a fashion, or the brash property tycoons with exclusively located follicles and vacant consciences. This fresh-faced 31-year-old, still high on the birth of daughter Max, his first child, said the shares, currently worth $45 billion, would go towards 'education, curing disease and connectivity'. Zuckerberg is one of a generation of technopreneurs who have created the fabulous success stories of Google, Facebook, Amazon et al. Companies so wild, so out-of-the-box creative, so limitless in their ambitions. Space travel, robotics, driverless cars, cryogenics --nothing is beyond the reach of their imaginings, or the power of their pockets. They are the trendy, friendly face of capitalism. Young 'disrupters' who have devised platforms and devices that we cannot resist that are not only easy and smooth to use, but in many cases free, too! It all seems too good to be true... https://go-gale- com.centennial.idm.oclc.org/ps/advancedSearch.do?method=doS earch&searchType=AdvancedSearchForm&userGroupName=ko_ acd_cec&inputFieldNames[0]=AU&prodId=AONE&inputFieldV alues[0]=%22Vanessa+Baird%22 https://go-gale- com.centennial.idm.oclc.org/ps/aboutJournal.do?contentModule
  • 10. Id=AONE&resultClickType=AboutThisPublication&actionStrin g=DO_DISPLAY_ABOUT_PAGE&searchType=&docId=GALE %7C0JQP&userGroupName=ko_acd_cec&inPS=true&rcDocId= GALE%7CA457106829&prodId=AONE&pubDate=120160701 11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale Academic OneFile https://go-gale- com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb 4/9 And it is, if other items that have hit the headlines are anything to go by. The digital titans are avoiding tax on an industrial scale. French police investigating an estimated $1.8 billion owed in back tax, raid the offices of Google in Paris. (1) Facebook's supposedly neutral social media services and Google's search engine are accused of operating a political bias. Insider reports reveal harsh and exploitative working conditions within Amazon at all levels, and continued refusal to recognize unions. (2,3) Uber, the emergent poster child of the 'sharing economy', accused of illegal and dangerous practices, is banned in several countries. (See box page 15.) And there is the mounting concern about monopoly power. At the time of writing, the European Union is about to fine Alphabet (Google's holding company) a record $3.4 billion, following a seven-year monopoly-abuse investigation. Google, which enjoys a 90-per-cent search-engine market share in Europe, will be ordered to stop manipulating
  • 11. search results to favour its own and its partners' products. (4) The network effect John D Rockefeller's Standard Oil in the US is often cited as a classic early 20th-century example of a monopoly. Anti-trust laws were devised to break up such companies, to prevent them being the sole provider of a good or service, and to enable competition, in the interests of fairness and to the benefit of consumers and society at large. Today's digital titans are technically oligopolies--a few big players dominating the market. But the behaviour they are displaying is distinctly winner-takes-all monopolistic. Already Google, Facebook and Amazon enjoy astonishing market shares. One in seven minutes spent online in the world today is spent on Facebook and the company, by seeking to supplant all website homepages, is aiming to become the gateway to the internet; Amazon not only has 67 per cent of all online book sales (print and digital) but far exceeds Walmart as the largest retailer in the US and is gearing up to dominate cloud- computing services; Google's annual turnover is now higher than that of the world's six biggest advertising agencies--including the mighty WWP--combined. 11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale Academic OneFile https://go-gale- com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i
  • 12. d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb 5/9 This may seem a bit strange--given that cyberspace was supposed to be free and open, a place for diverse players. In reality, what is happening is the colonization of the internet by a few highly successful private companies. A closer look at the story of Google helps explain how this has come about. In 1996, students Sergey Brin and Larry Page created an algorithm called PageRank that was to be the basis for the exceptionally strong and complex Google search engine. Soon we were all 'Googling', and forgetting all about Alta Vista and the rest. Google was benefiting from the 'network effect': the more people use a search engine, the more valuable it becomes to all of them. And of course its makers. The monopolizing tendency is, in a sense, intrinsic. Wired magazine's Chris Anderson observes: 'Monopolies are actually even more likely in networked markets like the online world. The dark side of the network effects is that the rich nodes get richer.' (5) Google needed to become the search engine and it did. And because search is so important to our lives today, Google was able to leverage its dominance in this one area to go into another. The next stage for Google was advertising. Enter surveillance capitalism
  • 13. Before the dot.com bust put investor pressure on companies like Google, advertisers would simply select search-term pages for their displays. Google decided to try to boost revenue by using its analytical capabilities to increase an advertisement's relevance to users, and thus value to advertisers. To do this, it repurposed its growing cache of behavioural data (from previous searches, for example) to match it with ads. Up to then, such data had been ignored or discarded; now this by-product proved to be the goldmine. As Harvard Business School professor Shoshana Zuboff sees it: 'Google is ground zero for a wholly new subspecies of capitalism in which profits derive from unilateral surveillance and modification of human behaviour. This is a new surveillance capitalism that is unimaginable outside the inscrutable high-velocity circuits of Google's digital universe.' (6) We are the raw material here. All the personal data that we unknowingly provide while we use the internet is incredibly valuable to those who want to predict our future habits, and nudge us in the direction that they would like. That includes companies trying to sell us things or insurance companies trying to predict our behaviour. Its profits derive primarily, 'if not entirely, from such markets for future behaviour'. According to Zuboff, this surveillance capitalism 'preys on dependent populations who are neither its consumers nor its employees and are largely ignorant of its procedures'. She sees this as profoundly undemocratic, a 'coup from above' which 'challenges principles and practices for
  • 14. self-determination'. Google's surveillance power is the envy of states. But, as security expert Bruce Schneier explains, the digital titans and governments actually interact more closely than most of us realize (see page 18). The venture capitalists Behind the digital entrepreneurs is another more shadowy group of people--venture capitalists. They have had a profoundly distorting impact on what the internet has become today. In the early days, the British creator of the worldwide web, Tim Berners-Lee, conceived of the internet as a common resource to serve humanity. He didn't seek to make any money out of his brilliant invention and he has stuck to his principles, fighting to keep the net open, neutral and free. A similar idealism prevailed in some of the early internet start- ups. But most were unable to withstand the assault of megabucks. Investors poured eye-popping amounts of venture capital into fledging companies--and expected stellar results in return. The capital value, the amount invested and the share price the companies could command when they went public, was way out of proportion to the value of the companies in terms of any revenue they could be expected 11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale
  • 15. Academic OneFile https://go-gale- com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb 6/9 to make. Start-up entrepreneurs soon learned from their rich backers that their job was not to make their company sustainable, but to make it sellable. 'They may have thought they were engineering a new technology,' explains digital economics writer Douglas Rushkoff, 'when they were actually engineering a reallocation of capital.' (7) Today the digital industry is caught in this growth trap. 'It's not enough for an app to support a sustainable business,' says Rushkoff, 'it has to have a path to owning the entire marketplace, presumably forever, with a means to take over still others. Otherwise it can't justify the venture capital it has accepted.' Twitter, so useful to journalists and activists in the Arab Spring and Occupy movements, is currently under intense pressure from its rich investor backers (which include Goldman Sachs and Saudi billionaire Prince Al- Waleed) to grow and get a bigger share of the advertising market. Last year there were complaints that the company was too far off reaching its '100x growth potential' and its CEO Dick Costello was forced out. Rushkoff reckons that for Twitter to pay back 100 times the investment in it, it would need to become a corporation bigger than the economies of several nations. (7)
  • 16. One way to grow is to gobble up other companies. Facebook and Google, once startups themselves, now acquire more businesses than they incubate internally (see Facts, page 17). Since 2001 Google has acquired more than 190 companies (now listed under Google's holding company, Alphabet). Facebook has acquired 50 since 2005. Political beast The way in which the internet giants have penetrated national economies, combined with their wealth, gives them considerable political clout. Their bosses appear on panels at high-level international gatherings of the World Economic Forum or the G8, for example. Governments want these companies on side. And the companies want governments to go light on regulation, give them tax breaks and turn a blind eye as they try to monopolize. After months of lobbying President Narendra Modi of India, and a sustained charm offensive aimed at the Indian people, Facebook seemed inches away from a deal that would deliver a virtual monopoly on the internet access of millions of new users. Then, an extraordinarily successful mobilization by Indian net-neutrality activists scuppered the social media giant's plans (see page 23). A new report from the US Campaign for Accountability (CfA) shows how Google has been ramping up its lobbying efforts. The company already enjoys unmatched influence in Washington. Its executives visit the White House more than once a week on average, according to Anne Weismann of the CfA. The organization has
  • 17. documented more than 250 'revolving door' moves between Google and the US government. Now Google appears to be trying to replicate this level of influence in Europe in a bid to head off anti-trust action and attempts to tighten up online privacy. The research suggests that Google has hired at least 65 former government officials from within the European Union in the past decade. Some 28 officials have been hired from key departments in the British government. Meanwhile, Eric Schmidt, chair of Alphabet (Google), is on prime minister David Cameron's Business Advisory Council. 11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale Academic OneFile https://go-gale- com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb 7/9 Tamasin Cave of the British campaign group Spinwatch says: 'We need to rethink how we view Google. It's not a search engine, it's a political beast that has captured the attention of our policymakers. Most worryingly in health and education, where privatization through technology is gathering pace. Even if our politicians have bought into its thinking, we as a public should be asking how Google's involvement in the National Health Service and schools will impact them. What are the consequences, and who benefits: us or Google?' (8) What's to be done?
  • 18. We are at a critical point as we enter the 'Internet of Things', a world where nearly all home appliances and systems will be online; the 'smartification' of everyday life, with Google's android system operating our smart watches, smart cars, smart thermostats. As Silicon Valley critic Evgeny Morozov puts it, this places Google 'between you and your fridge, you and your car, you and your rubbish bin, allowing the National Security Agency to satisfy its data addiction in bulk and via a single window.' (9) By 2020, an estimated 25 billion devices will be connected in this way. The surveillance opportunities are boundless, and not just for companies and Big Brother states, but criminals and terrorists too. (Car brakes that can be disabled remotely, for example.) The parlous state of online privacy and normalization of bulk surveillance make us all increasingly vulnerable to those who would manipulate us. (10) We have to act now if we are to change our relationship with the digital titans who control this technology and our data on it, and who want to carry on doing so in the most unregulated way possible. The power imbalance we are experiencing is not the fault of technology or innovation. It is the result of something neither new nor revolutionary-capitalism, and an exceptionally sneaky, libertarian and parasitic form of it. To stand up to it we need to have, and know, our rights. The civil-society Madrid Privacy Declaration of 2009 is a good articulation of some of those rights and there have been some important legal victories in the Court of Justice of the EU. (11,12) But it's a slow and painstaking process.
  • 19. There needs to be an independent international body to oversee and regulate digital companies and to take action against monopolization. We need new laws forcing companies to collect minimum data, for a minimum time, and more securely than they currently do. There needs to be transparency, so we can know what they are doing with our data, and have agency over it. There are a number of campaigns (see Action, page 27) aimed at empowering users in their dealings with the tech providers. After all, we, the users, are the source of their wealth. Some of us may, just about, still be able to choose not to use them or to use them less or to switch to more ethical platforms, before we all get sucked into the Internet of Things. Caught up in the furious profit-driven techno-rush, it's important to remember that it does not have to be this way. Service providers can treat their users properly. They can respect their privacy, autonomy and need for security. They can do business differently, in a more cooperative and less exploitative way. Imagine, for example, an Amazon that shared profits with its suppliers, instead of price-gouging them out of existence before moving on to the next hapless victim. They can even view cyberspace, not as private space that needs to conquered, colonized and enclosed, but as a global commons. For net neutrality and open-source activists, that notion has never gone away, but it needs to be shouted out more loudly now, from the mainstream. In foreveryone.net, a new documentary film by Jessica Yu, Tim Berners-Lee urges us to take to the streets and fight for an internet that is free from the domination of either corporations or governments, and is a human right,
  • 20. like access to water. (13) Real change requires a shift in social norms and a realization that the monopolizing billionaires who are providing us with 'so very cheap' or 'for free' have a totalitarian agenda that seriously undermines democracy. So, what of Mark Zuckerberg's largesse? True, $43 billion is a lot of money, even over a lifetime, and it seems churlish to complain. But Facebook is a serial tax avoider, using 'Double Irish' arrangements to pay only two to three per cent or less tax on all international revenue. That unpaid tax could have gone to providing 'education, 11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale Academic OneFile https://go-gale- com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb 8/9 medicine, connectivity' in the many countries where Facebook is making money. But then it would have been allocated according to priorities set by democratically elected governments, not the personal whim of a libertarian billionaire, who, incidentally, is retaining the shareholder voting power of all the shares he vows to give away. As in most matters to do with the digital revolution and its beneficiaries, it's best not to take too much at face value.
  • 21. (1) thestreet.com 05/24/2016 nin.tl/ta x-raid-google-paris (2) nytimes.com 2015/08/16 nin.tl/amazon-workplace (3) nytimes.com 2016/05/17 nin.tl/amazon-anti-union (4) bloomberg.com 2016/05/15 nin.tl/googlefaces-eu-fine (5) wired. com 2010/08 nin.tl/theweb-is-dead (6) Shoshana Zuboff nin.tl/surveillancecapitalism (7) Douglas Rushkoff, Throwing Rocks at the Google Bus, Penguin, 2016 (8) theguardian.com 2016/jun/04 nin.tl/googlepolitical - influence (9) Evgeny Morozov, guardian.com 2014/jul/20 nin.tl/internet- of-things-vdemocracy (10) Le Monde Diplomatique, June 2016, 'Europe's New Privacy Shield' by Janne Jarvinen and Markku Kutvonen (11) The Madrid Privacy Declaration 2009 nin.tl/ madrid- declaration (12) europe-v-facebook.org and nin.tl/max-schrems (13) foreveryone.net also see nin.tl/ber ners-lee-interview The sharing economy Uber and Airbnb are at the vanguard of a new 'person-toperson' business model that uses the internet to match
  • 22. people wanting certain services with people who can provide them. Its image is one of friendly informality, more 'social movement' than commerce. Instead of using a professional taxi service, Uber puts you in touch with a person with a car who is in your area right now. Instead of going to a hotel, Airbnb lets you stay In someone's home. In reality, the so-called sharing economy is far from the ideal presented in the publicity. The people who own Uber and Airbnb are now billionaires; those who provide the services are, after expenses, low paid. The sharing does not stretch very far. Uber's market valuation is $69.5 billion. It recently received a $3.5 billion investment from Saudi Arabia's National Public Investment Fund, with Uber CEO Travis Kalanick commenting that 'we look forward to partnering [with Saudi Arabia] to support their economic and social reforms'. Uber's approach to local law is lax. By calling itself a 'platform that connects drivers with passengers, it works in a regulatory grey area that enables it to slash overheads while inflating revenue and reducing its liabilities and 11/22/21, 2:12 PM Smiley-faced monopolists - Document - Gale Academic OneFile https://go-gale- com.centennial.idm.oclc.org/ps/i.do?p=AONE&u=ko_acd_cec&i d=GALE|A457106829&v=2.1&it=r&sid=AONE&asid=f23660cb 9/9
  • 23. obligations to the public. It operates an opportunistic price gouging and surging policy, based on demand. In 2015 there were more than 50 lawsuits against Uber in the US and it was accused of breaching regulations in Belgium, Germany, Canada, Australia, New Zealand/Aotearoa and Brazil. Uber has been banned in Spain, Thailand and France--where legislators dubbed it 'illegal' and 'dangerous'. Airbnb's publicity relies largely on inspirational personal stories about how the company has provided a living for people who do not have much money but do have a spare room. In 2011 it had 50,000 listings; by mid-2015 it had 1.2 million (more beds than the world's largest hotel company). Its market valuation is $24 billion. Airbnb does not put the big swanky hotels out of business, but rather small, regulated, tax-paying guest houses and B&Bs. It emphasizes that many of its hosts are 'artistic' -- and not wealthy. In fact, research shows that entire house rentals are now the norm and, increasingly, Airbnb hosts are well-off people with more than one property to let. Sources: Tom Slee, What's yours is mine--against the sharing economy, OR Books, 2015; The Guardian, 27 April 2016 nin.tl/Uber-conquers The New York Times, 2016/06/02 nin.tl/saudi-invests-in-uber Copyright: COPYRIGHT 2016 New Internationalist http://www.newint.org Source Citation MLA 9th Edition APA 7th Edition Chicago 17th Edition Harvard
  • 24. Baird, Vanessa. "Smiley-faced monopolists." New Internationalist, no. 494, July-Aug. 2016, pp. 12+. Gale Academic OneFile, link.gale.com/apps/doc/A457106829/AONE?u=ko_acd_cec &sid =bookmark-AONE&xid=cd43fb33. Accessed 22 Nov. 2021. Select Disclaimer Export To: NoodleTools EasyBib RefWorks Google Drive™ OneDrive™ Download RIS* *The RIS file format can be used with EndNote, ProCite, Reference Manager, and Zotero. Gale Document Number: GALE|A457106829 http://www.newint.org/ BREASTFEEDING TEACHING PLAN 1 Student Name: (1pt)
  • 25. Nursing Diagnosis: Anxiety related to lack of knowledge about _breastfeeding in the post-partum period (1pt) 6pt 6pt 6pt 3pt 3pt 3pt Learning Objectives Content Method of Instruction Time Resources Method Evaluation 1. The mother will identify three infant hunger cues before the next feed. 1. “The mother should attempt to breastfeed when the baby exhibits feeding cues: hand-to- mouth or hand-to-hand movements, sucking motions, rooting reflex (infant moves toward whatever touches the area around the mouth and attempts to suck), mouthing” (Lowdermilk et al.,2020, p. 541). 1. Verbal instruction/ discussion and printed sign of hunger cues reminders 2 minutes Breastfeeding handout found in the file drawer on 11 BT: Breastfeeding: What Every Mother Needs to Know
  • 26. If there is author, date and publisher info include here The patient will correctly verbalize to nursing student three hunger cues after instruction 2. The mother will verbalize the need to attempt breastfeeding every two to three hours by change of shift. 2. “Newborns need to breastfeed at least 8 to 12 times in a 24- hour period (AAP Section on Breastfeeding, 2012). Some infants breastfeed every 2 to 3 hours throughout a 24-hour period. Others cluster- feed, breastfeeding every hour or so for three to five feedings and then sleep for 3 to 4 hours between clusters. During the first 24 to 48 hours after birth most babies do not awaken this often to feed. Parents need to understand that they should awaken the baby 2. Verbal instruction and discussion 3 minutes “Tips from the Lactation Consultant” Information obtained from C. Cheney, LC for BUMC The patient will correctly verbalize a feeding schedule for a newborn before discharge to feed at least every 3 hours during the day and at least every 4 hours at night. (Feeding frequency is determined by counting from the beginning of one feeding to the beginning of the next.) Once the infant is feeding well and gaining weight adequately, going to demand feeding is appropriate, in which
  • 27. case the infant determines the frequency of feedings. (Lowdermilk et. al., 2020, p.552). 3. The mother will return demonstrate two different feeding positions by the time of the next feed. 3. “The four traditional positions for breastfeeding are the football or clutch hold (under the arm), modified cradle, cross - cradle or across the lap, cradle, and side-lying. The mother should be encouraged to use the position that most easily facilitates latch while allowing maximal comfort. The football or clutch hold is often recommended for early feedings because the mother can see the baby’s mouth easily as she guides the infant onto the nipple” (Lowdermilk et al., 2020, p. 555). 3. Demonstration of breastfeeding positions and discussion 5 minutes Breastfeeding handout found in the file drawer on 11 BT: Breastfeeding: What Every Mother Needs to Know (if there is author, date and publisher info, include it here) The patient correctly demonstrated two different feeding positions by the end of the shift (1pt) References La Leche League. (2015). Breastfeeding: What every mother
  • 28. needs to know. La Leche League Press: Cupertino, California. Lowdermilk, D., Perry, S., Cashion, K., Alden, K., & Olshansky, E. (2020). Maternity and women's health care (12th ed.). Elsevier. Baylor University Louise Herrington School of Nursing Development of Patient Teaching Plan for NUR 4335 PNP: Transition to Practice Teaching is a major role of the nurse and is important in all nursing areas. There are chapters in LHSON nursing textbooks such as Chapter 25 in your Potter and Perry text (Potter, P.A., Perry A.G., Stockert, P.A. & Hall, A.M. (2017). Fundamentals of nursing (9th ed.). St. Louis: Mosby), as well as additional references such as Bastable, S. (2017). Nurse as educator: Principles of teaching and learning for nursing practice. Jones & Bartlett. The LRC has excellent resources for the development of teaching plans and guides for effective instruction. Instructions: 1. Identify a common learning need from your assigned unit’s patient population. (Example: Diabetes, Orthopedics, cardiovascular) 2. Develop a teaching plan to address these needs. Write 3 behavioral learning objectives that are appropriate to your
  • 29. patient population. The objectives must be measureable, including behavior, metric for measuring, conditions, time. 3. From these objectives, identify the specific teaching content in the teaching column. Remember that the teaching content should be specific enough for another nurse to take your plan and teach exactly what you taught. (This should be what you will teach.) 4. Then, identify the appropriate teaching methods that you plan to use for each objective/content (ex. Discussion, 1:1, etc.) and the approximate time estimated for teaching that content and write in appropriate columns. 5. For each learning objective, identify the appropriate teaching materials/resources you would use. These must be unit approved resources like the on-line handouts from EPIC, handouts found in the unit drawers, etc. Speak with your preceptor to find out exactly what resources they use for patient education related to your topic and list these in this column. Write in APA format. 6. Lastly, how will you evaluate the patient attainment of the objective from your teaching. Be specific for this; pt will repeat 5 steps in …… without prompting. The evaluation statement should link back to the objective you hoped to achieve. 7. Implement your teaching plan with as many patients as possible. Grading Rubric for Development of Patient Teaching Plan 1 point = Correctly stated diagnosis – Etiology is nurse-driven, something for which a nurse can intervene. 2 points each objective- contains behavior, condition, metric
  • 30. (measurable), time. 2 points each – content is what the nurses says in layman’s terms 2 points each – method of instruction examples: demonstration, verbal instruction, discussion 1 point each – time estimate 1 point each – unit resources – what is used/available on the assigned unit – exact title and location 1 point each – method of evaluation examples: teach back, return demonstration Student Name: ___________________________________________________ (1pt.) Nursing Diagnosis: Anxiety related to lack of knowledge about _______________________ (1pt) 6pt 6pt 6pt 3pt 3pt 3pt Learning Objectives Content Method of Instruction Time Unit Resources Method Evaluation
  • 32. 1 pt References: Term Paper Title Written by: (Enter all author’s names and student numbers) (Enter course code and section code) for Alex Maletich Date: (Enter date submitted) Summary Asdf saf sd lkdfkljadfljkasf sldkfjksdjf l;kjsdfksdf ewiourwoeiurwqe ,mdfnkxzcnv skdfjs seoaijfsaef efj wewe fiwjef weijf sdkjjisjdfwae iewfj viawejf oivjioaejf aidjo faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn oiwfiowanefoiaw nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf daoigjaofoasfnal;skn knasg;lkndg kln kln
  • 33. Three Key Economic Issue Identified 1. 2. 3. Three Key Economic Issue Discussion Asdf saf sd lkdfkljadfljkasf sldkfjksdjf l;kjsdfksdf ewiourwoeiurwqe ,mdfnkxzcnv skdfjs seoaijfsaef efj wewe fiwjef weijf sdkjjisjdfwae iewfj viawejf oivjioaejf aidjo faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn oiwfiowanefoiaw nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf daoigjaofoasfnal;skn knasg;lkndg kln kln Three Economic Consequences Identified 1. 2. 3. Three Economic Consequences Explanation Asdf saf sd lkdfkljadfljkasf sldkfjksdjf l;kjsdfksdf ewiourwoeiurwqe ,mdfnkxzcnv skdfjs seoaijfsaef efj wewe fiwjef weijf sdkjjisjdfwae iewfj viawejf oivjioaejf aidjo faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn oiwfiowanefoiaw nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde
  • 34. iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf daoigjaofoasfnal;skn knasg;lkndg kln kln Three Economic Recommendations Identified 1. 2. 3. Three Economic Recommendations Explanation Asdf saf sd lkdfkljadfljkasf sldkfjksdjf l;kjsdfksdf ewiourwoeiurwqe ,mdfnkxzcnv skdfjs seoaijfsaef efj wewe fiwjef weijf sdkjjisjdfwae iewfj viawejf oivjioaejf aidjo faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn oiwfiowanefoiaw nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf daoigjaofoasfnal;skn knasg;lkndg kln kln Closing Paragraph Asdf saf sd lkdfkljadfljkasf sldkfjksdjf l;kjsdfksdf ewiourwoeiurwqe ,mdfnkxzcnv skdfjs seoaijfsaef efj wewe fiwjef weijf sdkjjisjdfwae iewfj viawejf oivjioaejf aidjo faofdnaiwej iwjfd ioajwf iwaojf oiwjf oiwajf iwiwoejfiojhiterjtg nkdafnoiwf fna[oieg aif iaew fnikawnfianwefi wfnaiwoefn oiwfiowanefoiaw nfeiowanefoinfioanewfiawnfioeawnfoawinfnawef iwnf iwfnde iwnefinwaefinaewfainwenfiawenf aoiwnefoiawnf daoigjaofoasfnal;skn knasg;lkndg kln kln