Thursday, October 31, 2019

Emergency nurse practitioner. The impact on the minor injury services Essay

Emergency nurse practitioner. The impact on the minor injury services (hospital setting A&E) - Essay Example ............................................9 Review of Existing Evidence..................................11 Introduction.............................................................11 Objective..................................................................11 Method.....................................................................12 Findings & Analysis..................................................14 Cost Effectiveness.....................................................14 Care Effectiveness.....................................................17 Patient Satisfaction.....................................................19 Waiting Time...............................................................21 Conclusion...................................................................21 Implication to Practice.................................................22 Implication to Research................................................22 References........................................... ..........................24 Literature Review An Emergency Nurse Practitioner (ENP) is an advanced practice role which delivers primary care in the emergency department (Fitzpatrick and Ea, 2011). The emergency nursing practitioner treats common urgent and non-emergency conditions either independently or in collaboration with an attending General Practitioner. Emergency nurse practitioners often have advanced postgraduate qualifications like Masters degrees which give them additional competencies to handle cases according to medical convention and independently. Emergency Nurse Practitioners (ENPs) go through training that enable them to assess patients accurately and treat certain conditions without consultation with a doctor (Evans, 1997). Amongst the areas where they can operate independently are the interpretation of x-rays, remove foreign bodies from the eyes and the prescription of a specified range of drugs (Evans, 1997). Clearly, the ENP plays a crucial role in the emergenc y unit of medical facilities. They make significant contributions by acting as the first line of call in cases which have a relatively low level of risk. The ENP provides significant support to Emergency Doctors and to an appreciable degree, they can act with a level of independence where the need arises. Hence, the ENP is involved in reducing the waiting time in emergency settings. One may therefore seek to ascertain the actual impact of the ENP in cutting down the waiting time in emergency rooms. This research is a substantive project meant to review the existing evidence in the work of an emergency nursing practitioner. This first part of the paper will involve a literature review on the effect of emergency nursing on waiting time. In attaining this end, important concepts and significant activities undertaken along those lines like reducing waiting times to a mere 4-hour period as encouraged by the British government in the year 2000. Methodology This part of the research will i nvolve a literature review of the new research and studies into emergency nursing and waiting time on patients. It will involve the review of evidence and other findings in studies about the quest to reduce waiting times and the relevant variables involved. To this end, 10 different journals which involve empirical studies will be examined in this study. The findings will culminate in conclusions. The articles examined include an array of papers and empirical research. Most of them were written in the UK. However a minority of the articles were published in American

Tuesday, October 29, 2019

Emile Durkheim's Theories on Education and Morality Essay

Emile Durkheim's Theories on Education and Morality - Essay Example But as America became more populated and as problems became more social, the focus on education had shifted to the human being in relation to society. The people realized that the human being was affected by its environment and the role of education is to transmit present societal traditions and customs to the students by using teachers as social agents. Because of Durkheim's influence, the American society began to value individual freedom and self-determination that depicted the product of Protestant ethic and the impact of psychology on educational theory. The present society now corresponds to Durkheim's theory of education. Focusing on his educational beliefs and view points, this essay aims to acquire the significance of his theoires on the past and present day society. According to Filloux, Durkheim emphasized the general needs of the individual in order to recognize the function of a social phenomenon (304). He asserted that every society has a system of education that is inflicted on individuals and has a concept of a "human ideal"-physically, intellectually and morally. He viewed it as a "methodical socialization" that ensures the "conditions of existence" of every individual in a society. For Durkheim, discipline is a factor of education and a means of averting culpable conduct (43). He viewed morality as a discipline that promotes regularity in people's actions and offers them "determinate goals" that also hinders their horizons (47). There are three elements of morality that determine the form and content of the purposes that educational sociology assigns to education at school: 1) teaching a sense of discipline, 2) group attachment, and 3) autonomy of will (308). In order to be called a moral person, Durkheim stated that the individual has to abide by a norm (23) and "act in terms of the collective interest" (xi). Thus, the function of morality is "to determine conduct, to fix it, and to eliminate the element of individual arbitrariness" (27). In the school institution, moral standards are imposed by the teacher to the pupils though they are given the freedom to learn in their own will. (Filloux 309). For Durkheim, the spirit of independence exists if there is intelligence or understanding and moral orders in certain incidents in life. Durkheim also discussed the school environment in his theory (310). He believed that the school environment promotes the habit of life in a school classroom form. He also stated that in ideal schools, it is not important to produce scientists among his pupils but fully rational beings. (311). Research Discussion Durkheim's structure-function analysis focuses on social facts (Filloux 303). He noted that in order to understand a fact, the causes and purposes must primarily be recognized. His analysis was original for he approached this from two similar viewpoints. One was that the society, made up of its organic components has a systematic entity responding to the societal needs. The other view was that "the social system lends itself to analysis in terms of

Sunday, October 27, 2019

Integrating Technology In The Teaching And Learning Process Education Essay

Integrating Technology In The Teaching And Learning Process Education Essay In the 21 century, technology is everywhere. Especially the new generation is growing up with technology and gets familiar with it. Computer technologies have dramatically changed the way people reach information, do research and communicate with people all around the world. Because of this reason, schools and teachers need to be aware of improving their technological tools and skills to be able to catch the students` attentions and interests. Using technology in classrooms also makes the lesson more efficient. The presence of technology in education became a must in order to match with the development of other areas such as engineering, medicine, defense and aerospace, agriculture and science of modern times. The field of education has witnessed a great boom in the late twentieth century, but he tends to take us a broad dimensions at the beginning of this century. The governmental and private educational institutions raced towards this direction to find and provide effective means to help the student to learn easily and provide them with the ability to innovate effectively in the study and in their future work. Before we talk about the importance of technology in education, we have to know what is meant by educational technology in education. Educational technology is defined as a means or an integrated process involving theories of education, ideas, and applications through which you try to enter the means of modern technology to match the learning objectives of developing and facilitating education, and to find viable solutions to the problems and learning difficulties faced by the teacher and student. When the means of technology like computers and internet interact in enriching education then the educational process becomes simple and easy in a way that allow those working in the field of education to overcome the problems facing education easily. We can define the role that technology plays in the field of education as follows: 1 The technology plays the role of the guide , which helps the teacher in guiding the scientific material for students, and replaces the traditional method of education in explaining the lesson and providing information. The technology, by all its means of development, can simply do a major change in the private educational level of the teacher and his ability in introducing the approach to the student in a way that gives the opportunity to greater and easier chance in understanding the lessons. This will reflect the students ability to develop his mental and intellectual learning, and refine his creative talents and capabilities in his school activities. 2 A modern and educational tool like computer could focus the attention of students for using it in the field of education. Taking it as a guide or electronic assistant will guide them, by its various programs and functions, in the field of learning and discovering new talent and the development of mental abilities in various subjects and education. As well as the Internet opens a new door that helps students per semester to participate in educational activities in the field of research and exchange of information through these activities. 3 Technology provides an abundant source of information that both the teacher and student need it. Internet has become a broad sea and has a wealth of information such as encyclopedias, dictionaries, maps and other information sources that are difficult to obtain through traditional research. In the time where it takes the teacher or professor days to search for information in a particular subject, going online and surf the internet will not take more than hours (or preferably minutes) to get that information easily without any stress. 4 Technology, as a source of communication, has opened wide branches where the teacher and student stay in a continuous contact by interacting over the internet. While the teacher is sitting in front of his computer, the student can communicate with his/her mentor at home via the Internet , in this case they have found a new way to communicate, and open the door to communicate and discuss matters related to the student in his study. Students can also communicate between each other regarding their homework or their research process. Also the internet became a communication tool between the teacher and the school via emails. Modern schools interact with their teachers via emails not by paper reports. Due to the prior knowledge that I have mentioned , I decided to focus , during my observations, on integration technology in the teaching process. Does the teacher integrate the technology in his/her instructional time ? 2. Literature of review: Technology of education plays a major role in the educational process and this importance is reflected in raising the level of education and learning and the development of thinking, by: à ¢Ã¢â€š ¬Ã‚ ¢ Raising the learners attention: It is working to raise the learner to watch a film or television program or transparent segments on a particular topic. à ¢Ã¢â€š ¬Ã‚ ¢ Increase the experience of the learner: the learning techniques provide new subjects in which the classroom teacher can not provide it, thereby expanding the expertise areas of the learner. à ¢Ã¢â€š ¬Ã‚ ¢ Work on building and configuring the true trends and concepts of the learner by providing a lot of skills and ideas. à ¢Ã¢â€š ¬Ã‚ ¢ Make the learning experience more effective and more lasting impact and less likely to forget. These techniques work on the installation of information for the learners, especially when they see things, where it is difficult to forget because of viewing the content of the picture presented. à ¢Ã¢â€š ¬Ã‚ ¢ Working on the diversification of teaching methods: it can be a diversity in the methods used in education via variety of learning techniques, as they can provide a variety of topics in various ways that differ from those techniques used in the traditional education methods, through the transparent slides or television or cinema or the computer or other diverse educational devices. Mabel CPO Okojie, Anthony A. Olinzock, and Tinukwa C. Okojie.Boulder ( 2011. P. 66 ) indicate that Technology used for teaching and learning should be considered an integral part of instruction and not as an object exclusive to itself. Viewing technology integration from a wide perspective will provide teachers with the necessary foundation to implement technology into the classroom more successfully. The role of technology in teaching English : Lang (2005 ) declares that there are many advantages to the integration of technology in the classroom for students, particularly English as a foreign language. To be able to improve their language skills, such as writing and reading and listening to speak and learn the English language and the use of computers and software to make sure of its work and correct itself, and improve their language skills, and the use of Internet and e-mail to search for information, and to accede to the threats, and the dissemination of their work, and reading texts technology, and communicating between each other even. The reasons that yields for learning languages by the help of the computer: 1 Development of experiential learning in the field of the educational process. 2 Increase the motivation of the students for education. 3 To improving the academic achievement of students. 4 To increase the interaction between the student and the computer. 5 Individual learning through self-learning and make the student self-reliant in learning. 6 To organize the systematic creative thinking of the learner. 7 To save time and reduce the effort on the teacher and the learner. 8 Multiple sources of knowledge for the variety of programs that can be provided by the device to one student or several students to education by conclusion. Advantages of Computer Assisted Language Learning CALL: 1 Motivation: Use technology outside or inside the classrooms usually raise the students interest, where the student interacts with scientific material whether with the help of a mentor or from others, and also the student can deal with parts of the scientific material and the immediate transition from partial to another through multimedia (such as images and video . .) 2 Adapting learning to the student: Computer has an important role in the process of new learning and teaching, and without the use of computers in the educational process it is difficult for the students to achieve academic progress. Adaptation of the student with computers and software means the speed of learning and also the student will be able to choose what to learn, which makes the student more efficient. Students tend to learn in the form of stories and educational games or solve puzzles and this could be through the computer, more than the traditional direct teaching. 3 Individuality: These programs and educational tools correspond with the needs of each learner, and meet the desires and also in line with the scientific level, which allows the student to quickly learn and rely on himself to learn any educational material. 4 Cosmic: It can be accessed anywhere, at any time through these tools without barriers through multimedia, that can be used to introduce the educational material. The role of technology in teaching mathematics : Due to the enormous technical progress that we are witnessing in our time, calculators exist and become accessible to everyone, and moving away from using it in the school curriculum would negatively impact on the attitudes of students towards the study of mathematics, and thus generate a trend towards the introduction of a calculator in the mathematics curriculum, although there was disagreement about the inclusion in the curricula of primary school. The project of the British Schools Council showed that the use of a calculator is effective in the teaching of mathematics in high school, it helps students with less abilities to deal with more mathematical applications instead of spending time in the calculations of the mechanism. And also the results of many studies showed the feasibility of introducing calculators in the mathematics curriculum in high school , for example: 1. Using a calculator helps to change the method of teaching some topics where it is possible to deal with numerical data and perform operations easily while saving time and effort. 2. Using a calculator provides greater opportunities to study the attitudes and realistic dealing with numerical sequences, geometric, and exponential functions, infinite sequences. 3. Using a calculator to give rounding to irrational real numbers. 4. Using a calculator to find rounding for the root of the real roots of an equation of the third degree. We should not stop on the use of calculators only, but it should be extended to include the computer, which can serve largely the process of teaching and learning of mathematics. The computer is the most technical challenge to educators because of its impact on mathematics, and methods of teaching. Many different programs appeared that resulted in a wide range of mathematical functions in addition to the increasing of opportunities for teaching and learning of mathematics through the use of computers as an educational tool. The International Committee for the teaching of mathematics felt sorry about the doubt that still hovers on the introduction of computers to the school curriculum in the nineties, and there were many trends that support the introduction of the PC to the high school approach, whether through the study of computers and training to use it, or through the use of pre designed software or software prepared by the learners themselves. The computer is usually introduced to the curriculum under two distinct segments: 1. Studying the computer and training how to use it. 2. the use of programs to study the mathematical relationships and solving problems. The second goal diverted into two directions: 1. The learners should write their own programs. 2. Learners should use ready programs. Examples of projects that relied on the learners do their own programs (SMP) in the United Kingdom, and (CAMP) and (SOLO) in the United States of America The computer gains an educational feature it became the key that can be used as an educational tool, it can be used as : 1. Electronic board used by the teacher. 2. A mentor that facilitates the learning process of the learner. 3. A means to evaluate the performance of the learner. 4. Individual education where the programs include exercises, training, and self-evaluation. 5. A tool to perform calculations and the representation of functions, operations, 6. A tool to encourage experimentation and research, which are the components in the process of learning and teaching mathematics. It should be noted that the emergence of computer science has increased the importance of teaching mathematics-related to sequences such as counting, matrices and probability, statistics, and requests the introduction of a unit or units for a small computer programming. The major problem that students are facing in math is dealing with real world problems. Rodney X. Sturdivant, Penelope Dunham, and Richard Jardine ( 2009, p.171 ) declare that Teaching problem solving to students in a twenty-first century mathematics program simply should use available technology. Advances in recent years have led to exciting opportunities that allow students in the average mathematics class to work on problems that are much richer and more real than ever before. With these advances comes a need to develop and implement faculty development programs for technology-based instruction in mathematics departments. Integrating a technology-supported focus on problem solving into a mathematics program is, however, an evolutionary process, not a revolutionary one. The implementation involves gradual changes over time in curriculum, pedagogy, and assessment. Similarly, faculty development to support such a technology-based curriculum is best done incrementally. Used properly, technology enhances instruction and makes the class- room more exciting than ever. 3. Methodology : I used classroom observation in analyzing integrating technology during instructional time. I decided to observe an English class and a math class, twice each, for ninths graders at a high school under the name of applied technology. According to my schedule and the other teachers schedule we arranged for four observations. The first two was on Sunday during the 7th and 8th period and it was a math class, while the third and the fourth observations were on Sunday the 7th period and Monday the 2nd period respectively and it was an English class. 4. Analysis: Before start answering this question, I would like to explain some other circumstances that were going on during these periods. I used a form that divided the lesson into 3 parts : beginning Body of the lesson. Closure. These criteria of each part are illustrated in this form: The criteria that I mentioned above helps to have a good educational atmosphere during the class and to implement any strategy or method that should be used during the instructional time. In the English class the 2 periods were about reading and writing . The teacher was using a program called Edmodo for doing activities and involve the students more in the class. She uses the projector and the internet to show the students some videos related to their topic. During the writing period the teacher divided the students into groups , and each group was asked to write an essay by typing it on the laptop and send it to the other groups in order to read them and send their feedback to each other. Edmodo is an online-based interactive tool that is designed for educational purposes. It has both Learning Management System (LMS) features as well as Social Media (SM) and Twitter features/interface. The sheer fact that it looks like FaceBook (FB) makes it easier for students to learn how to use it due to their familiarity with FB. Online discussions:  the teacher post a message that opens the door to an online threaded discussion. The teacher set the minimum word limit for a response. This allows students who are not of high level to take their time before posting their responses as they tend to read the ones posted by their peers first, which is acceptable in an ESL class environment, as long as they dont plagiarize. Sharing Platform: for example, students share two links to online articles on local news. Students are asked to paraphrase the headline and write a preview of 50 words on the article to motivate their peers to read it. Within the same context, students are encouraged to share reviews of books, websites, musical albums, TV shows and even movies. Voting Pallet/ Poll:   The voting function in Edmodo allows the teacher to check Students comprehension at the end of a lesson. When students receive a question as a Poll, they dont get to see what others have chosen until they post their response, which makes this function a true simultaneous reflection of students understanding. Another use for this function is to check Students background on a topic before class, which helps the teacher in planning. Finally, its an easy and immediate way to receive Students feedback. Sharing files: teacher and students can share almost any file types. This facilitates the exchange of files in the class as Students can download the files before coming to class or preview them within the platform. In addition, the students can publish their weekly audio journals on Edmodo. MP3 files can be played automatically without having to download, which allows for immediate interaction with audio material published on the group wall. Embedding: Edmodo allows the teacher to embed any presentation, video or multimedia that comes with an embedding code, which has reduced the need to visit other platforms. The teacher embed flashcards from www.quizlet.com, video tutorials from www.screencast.com as well as Google presentations to share material with the students. During the math class the teacher was explaining how to solve absolute value equations. He was not using the traditional way, like solving on the board. He was using the smart board and the projector, while the students were using their laptops. He designed a software to solve such equations by using animations , different colors and different shapes so the students can understand and be familiar with the subject in an easier way. This program was sent to the students via email that was created by the school. This is a nice interactive way between the teacher and the students so they can communicate between each other not necessary during the school but at anytime outside the school. The teacher also used the math blog that was designed by the school to upload materials related to the subject. The student in this case can go to this blog at anytime to check and download this material that helps to understand the material. Also the teacher was using the smart and wireless pad. This pad was used by the teacher during passing between the students so he can access the board by writing on the board while explaining or moving from slide to another without the need of going back to the board and computer. This tool helps to be closer to the students specially the weak ones and this makes the interaction between the teacher and the student more effective. 5. Conclusion: Due to the rapid development of information technology and technology of education, it was not feasible to keep the teacher away from the technical scene, which has become an irreversible reality, so be the only option is to move to the era of technology itself, so that it can meet the challenges posed by the intelligence of the student, and his knowledge in every new in the world of technology, and his use of modern complicated means of communication. The supporters of technology in education are keen to emphasize that the use of modern technology does not eliminate the role of the teacher, but on the contrary, will continue his role forever, but it will become more difficult because the teacher is the essence of the educational process, and should be up to date for every new, and flexible to be creative and innovate, and can manage the work ably. So the career of teaching became a combination of the tasks of the leader, and critic and the router in order to be able to face the age requirements and its challenges and what is called globalization with its cultural, social and economic challenges. The success of the teacher is related to the best use of technology by transforming the classroom from place where the information is transmitted in one direction, from teacher to student, to a learning environment characterized by dynamic, and student-centered, where students can interact between each others as groups and with another classes from around the world via internet, and follow the teaching skills that take into account the needs and expectations of diverse and disparate recipients, and to develop a practical understanding of technology education with the continuous focus on the educational role of his personal.

Friday, October 25, 2019

President Woodrow Wilson :: essays research papers

Woodrow Wilson The name of the person I read about is Woodrow Wilson,but when he was young people called him Tommy.When Tommy was only a year old his father [Dr.Wilson]moved his family and him from Virginia to Augusta,Georgia.He moved in 1857.Tommy's father became pastor of the First Presbyterian Church in Augusta,Georgia. Woodrow came from a strict,caring household.Dr.Wilson liked to take Woodrow places like cotton mills,iron and steel foundries,and other local industries.He did that to teach Woodrow the manufacturing processes.Dr.Wilson also taught Woodrow respect for other people.His mother[Jessie Wilson] was shy and reserved,but looked and acted like Woodrow. Woodrow's life was different from mine by the way he went to school.His father taught him till he was nine,and then he went to school. Woodrow spent some of his spare time with his gang, called the Lightfoot Club.Also when Woodrow was fourteen,his education was continued at a private school with fifty boys enrolled that cost seven dollars an hour. One of the parts of the book that I liked was when Woodrow Wilson won the Presidency.One of the things that helped him win was when he made two alliances.One alliance was made with Colonel Edward M. House.The other was made with William McCombs. Both of these alliances profound effect on his future. A sad incident that happened in this story was when Woodrow suffered his paralytic stroke.Rumors spread that Woodrow was incapable of handling even the smallest duties.Wilson kept succeeding though. There was still many people that believed in him. If I could choose one thing that Wilson did that I could do it would be a lawyer.First of all most lawyers make a good living.Another thing is that people depend on you.Finally it would be challenging for me. The main thing that Wilson is remembered for is being President.He really put a lot of effort into being President.He worked hard,he acted in control,and he acted mature about the situations he was in.The main thing is that he

Thursday, October 24, 2019

Brent Staples’ Black Men and Public Spaces

Antoinette Johnson English 100 Prof. Horna October 3, 2012 In the essay â€Å"The second shift†, by Arlie Hochschild, he explains how the wives of two-job families with small children typically work an extra 24-hour day in a year, between the pages 145(bottom) and 148(top). I agree with Hochschild’s determination because once women come home from first shift, they go straight into second shift. Whereas men come home from first shift, and get to pick and choose when to work second shift.Most men wonder why the level of affection is lacking in the home. I believe that the man in two-job families with small children are optimistic about the things that should be done around the house. I believe that they feel because they’re the â€Å"dominant† figure, that the women are supposed to do the majority of the work around the house. Then the men/husbands start to feel a type of way because the women become resentful,.I don’t blame the men for their actions, I blame the fathers and their father’s father for not showing them the correct way to uphold their households. In my eyes women has always been the life support or backbone of any family. So really the women are the â€Å"dominant† figure. It takes a strong individual to work an eight-hour shift, then come home to cook and clean for another eight-hours. To also cater to the children and husbands with all their needs. Women should demand more help from their husbands during the second shift.That extra 24 hours should be split between the two of them. If women stood up for themselves more often, men would start to appreciate them more while still in the relationship instead of when their relationship is over. In conclusion, as time goes on, the younger generations will get it together, I believe. Husbands and wives need to come together and make arrangements to better uphold the home. A more understanding husband plus a more no holds bar wife equals a better home.

Wednesday, October 23, 2019

Bullying: The Worst Social Problem in the U.S.

A social problem is when the public or some segment of the public perceives a condition or a bad situation as a problem to the whole society. I think that one of the worst social problems in the United States of America is bullying. Bullying can affect everyone that is involved including the person being bullied, the bully, and the bystander. It can only have a negative effect on people's lives, and usually bullying comes from an outside source which is making the bully act in such a disgusting manner.In America's youth, bullying has progressively become a bigger problem over the past years. There are many different types of bullying that can be done like physical bullying, mental bullying, or something lie cyber bullying. Kids who are bullied usually end up with negative problems down the road in their lives. Kids who are bullied are very likely to experience things like depression or anxiety, feeling sad and lonesome in the world, negatively changed sleeping and eating habits, and just lack of generally caring about anything.Being bullied instantly results in the student being picked on dropping their grades in their classes. This would happen because the kid will start to skip school or class just so that they could avoid any chance of seeing that bully, so they will not be abused for another time. Many of the kids being bullied could resort to something like violence and that is never the answer. An example is, most of every school shooting in history was motivated by one person picking on the person doing the terrible act off school shooting.If a kid bullies in the young art of their life, the aggression will most likely carry on into the latter stages of their life as well. Kids who bully a lot in school are more likely to abuse alcohol or other drugs when they get older and more mature. They also tend to get in to doing bad things like get into fights, vandalize property, and even drop out of school completely. When bullies get older as adults, they gene rally tend to be the ones that are getting pulled over by the policemen and getting tickets and citations, and many of them also turn out to commit stupid crimes and get locked away for them.Because bullies are always filled with rage for their entire lives, they sometimes take their rage out on their significant other and perform an act of domestic violence on them. Domestic violence is a major problem in our country. Kids who witness bullying and then do nothing about it can also be greatly traumatized by what they have seen with their eyes. It messes with them to the point where they have to rely on something like cigarettes or drugs and alcohol to keep the calm and not worried about it.They usually have problems with anxiety and sometimes oppression later on in their life because of the events they watched and did nothing about. Bystanders will also drop out of school or start to skip class because watching another person get treated so poorly by another person has become too mu ch of a burden for them to bear. When people are bullied their suicide risk automatically goes up. Being bullied makes a person feel normalized and separated from society completely. I believe that every person needs a support group because without one, it is hard to retain a positive outlook on life.This can lead to loneliness, and a person will start to contemplate if their life is really worth living. If somebody is not of the norm then they will usually be made fun of or bullied because of their difference. That will also contribute to feeling alone, and being alone makes a person think about everything very thoroughly, then they come to the conclusion in their head that they are not good enough for this world. Physical bullying is a terrible form of bullying. It involves a person hitting another person, hurting another person, or destroying or stealing someone's possessions.In physical bullying, the same victim is targeted many different times, the bully IS attempting to hurt, embarrass, or intimidate another person, and the bully usually picks a target that is smaller than him so that he has a definite chance of winning. Accessibility is when a child or teenager is harassed, humiliated, embarrassed, threatened or tormented using digital technology. It can happen on the internet and also over the phone through text messages or phone calls. When a person gets bullied over the internet or through text it is different from getting physically bullied.The accessibility messes with their mind and they are often damaged psychologically from it. Cyber bullying can lead to terrible things like self-harm, severe depression, and even suicide. Bullying is a major problem in the United States of America's schools. It needs to be stopped because everyone involved is seriously hindered by the psychological effects of bullying, and then it is hard for them to grow and mature as normal human beings. Children react easily to physical and mental harassment and their need to be harsher consequences for people that get caught bullying.