Inter Professional Education Reflective Account Nursing Essay

Inter Professional Education Reflective Account Nursing Essay Throughout my time on the Year 1 Inter Professional Education (IPE) programme, I have compiled this portfolio consisting of a reflective account on my performance in throughout the programme. Included in this file are a number of secondary resources utilised in constructing the account as well as in aid of assembling the team presentation. My IPE group consisted of 4 medical, 2 pharmacy and 3 nursing students. As a multidisciplinary team, we collectively produced a presentation regarding clinical communication and ethical considerations in patient centred healthcare. Our theme was based around the growing issue of underage pregnancies throughout the capital. The wider issues of this topic ranging from the ethical, psychological, and moral implications as well as the great variety of healthcare professionals involved in managing such incidences. We chose this topic as it was something the whole group had differing views on and wanted to explore further. A copy of the article, Policy disaster as teen pregnancy rate rises to its highest in 10 years, is included for the benefit of the reader. This article from the Times Online was the key inspiration behind our choice of topic as it outlines the huge extent of the problems posed by teenage pregnancies. According to the article Britain has the highest incidence of teenage pregnancies in Western Europe. Despite the highly sensationalist tone and the incomprehensive survey of the contributing factors of teenage pregnancy, the article does offer a fascinating introspection into the ethical issues regarding pregnancy among girls below 16, the age of consent. The slideshow utilized during the team presentation, Yvonne at the clinic, is included for the benefit of the reader. As one can see it contains the key concepts the team touched upon during the presentation which was interspersed with a model role-play featuring a consultation at a sexual health clinic. Moreover, the script for the role-play has also been enclosed to help the reader appreciate the teams corroboration in conveying current issues integrated in a model scenario. Please find enclosed further evidence highlighting our effective teamwork comprising of emails, peer review forms and a diary of progress which had been logged between the IPE sessions. The essential features of a team and how it develops have been explained by Tuckmans summary of team development (1965). The model was used as a reference point for the groups progress, evaluate the teams development and to contemplate the next stage of action. The reflective account further vindicates how Tuckmans summary is clearly not exhaustive in describing the great spectrum of team behaviours. Instead, the IPE programme has enlightened the view that group dynamics are variable and so mechanical. Therefore the unpredictability arising amongst different teams, especially multi and possibly more vast amongst inter-disciplinary teams reinforces the belief that there are many contributors which affect group work. To conclude, I hope the reader finds the following account and secondary sources beneficial. In the time that has been allocated, I have tried my utmost to submit an honest account of my contribution to the IPE programme. Sincerely, Reflective Account In this reflective account, I will evaluate and analyse my performance as a team member throughout the IPE programme using the Kolb (1984) cycle1. David Kolb argues that experience is the source of learning and development. The cycle constitutes the following four stages; Concrete Experience, Reflective Observation, Abstract Conceptualisation and Active experimentation. Kolbs cycle suggests it is necessary to reflect on an experience, evaluate it and formulate concepts, which can then be applied to new situations such as working in a multidisciplinary team (MDT) 2. CAIPE uses the phrase interprofessional education (IPE) as a generic term which occurs when two or more professions learn with, from and about each other to improve collaboration and the quality of care CAIPE (2007)3. Our team consisted of nine people (four medical, three nursing and 2 pharmacy students). The application of an inquiry based learning (IBL) technique, would allow us to enhance our problem solving and communication skills. Over a period of five weeks, the team managed to present an ethical case study conveying the importance of communicative efficacy and ethical considerations within MDTs in providing patient centred care. In this paper I incorporate theoretical principles to the teams performance4-7 in a bid to divulge a deeper understanding of how and why I improve specific areas of my performance as a team member. Concrete Experience In the first IPE session, our objective was to decide the focus of our inquiry. Right from the onset, to my disbelief, the group was extremely focused and driven to the task at hand. Initially I was hesitant mainly due to the exposure of so many strangers with varying personalities but equally eager to think aloud4. This threatening situation meant that any early communication was difficult and for a considerable amount of time I found myself very quiet8. The reason for this was that my views towards this task were initially sceptical because of previous prejudices held against other disciplines. However, as the meeting progressed, I learnt that such presumptions had no basis and had arisen due to a lack of contact between the disciplines. A consensus was reached within the group to carry out our task along the lines of teenage pregnancy among girls below 16 and the wider implications it acquires. The session also included a simulated patient interview, which proved very informative and clearly highlighted the fundamental concepts of a consultation; rapport, empathy, body language, active listening and question styles. By the second session the group had conducted some research on loosely related material regarding the growing problem of teen pregnancies in the UK. In this student led session, we made a decision to commence the planning of the actual task. This was a very time consuming step to achieve as fellow members failed to comprehend the purpose of the goals we had set, since our task had a large scope and appeared vague. I felt it was my duty to urge the group to clear any misconceptions at this early stage and to channel our broad research into three specific concepts which are imperative to portray to our aud ience. I put particular emphasis on the current NHS guidelines, ethical issues and relevant multidisciplinary team approaches concerning the scenario5. Our concrete material which would provide the foundational premise for the duration of the course was provided by an article claiming Policy disaster as teen pregnancy rate rises to its highest in 10 years9. This article presents great scope for discussion including the ethical issues and the role of MDTs in managing such a growing problem. According to Bruce Tuckman (1965) there are a number of key issues relating to effective team discussion and behaviour10. Stage 1 is the forming phase and it depicts a teams natural instinct for guidance. Therefore, the premise for advancement for a particular group resides in the election of a leader. When discussing and deciding the topic for our presentation it became clear that certain individuals were more confident than others and my substantial contributions during the second session5, led me to assume leadership. Although my position involved delegating specific tasks to individuals, the group as a whole was very diplomatic and hence there was no need for an autocratic leader. As a result of this, the storming phase, which Tuckman described as the episode where decisions are most challenging, was a much rapid and unproblematic phase. This was because we all had a genuine interest in the topic and felt we each could contribute to the issue. The allocation of roles was carried out based on prior research. For instance, the individual whom had researched the healthcare team had the task of producing their own slide for the PowerPoint presentation. In addition the norming process of Tuckmans model was also coming into the fore as our keen actors6 were making great progress in their role-play of a consultation at a sexual health clinic. My contribution to the presentation consisted of a brief explanation of the importance of consent and whether a minor can consent to their own treatment (i.e. Gillick case, Fraser guidelines) 11, 12. Overall, continual discussion and communication between members mainly via emails enabled the presentation to evolve into the polished product which portrayed the efficient performing (final) phase of Tuckmans model. The team worked in an efficient manner after a sluggish start. The initial reservations were quickly diminished which helped us to progress towards our goals. During the days leading to the final presentation, I and a colleague realised some discrepancies in the script and the issue of a dress code for the team presentation was brought up6. Such concerns were clarified by email communication13, but unfortunately such enthusiasm was only shared amongst a few peers. Nevertheless, it was very satisfying to see that everyone had contributed something to the final presentation which was a sentiment to my effective delegation of roles14. I felt that a certain member had not contributed much throughout the course and was continually seeking a minimalist approach which could have been detrimental to the teams performance. I voiced my opinions in her peer review form so she could improve in the future as the potential adverse consequences of a breakdown of communication within the MDT can be damaging to the patients care. The roles conducted by the team members varied from communication, ethical issues and the role-play. Margerison and McCann (1995)15 constructed a teamwork model stating a successful team encompasses individuals with a variety of skills, hence fulfilling diverse roles. All the team members were, to differing extents, creators innovators as we each contributed something constructive. I believe certain members whom had thought of the idea of a role-play were more creative and others whom had continually produced their contributions on time were deemed concluders. Another individual whom had taken the responsibility of merging the slideshow together expressed her practical skills as an assessor, whilst another member helped to support me in my leadership role. Her efforts were invaluable in making by duties more proficient and constantly reminding me to book the library rooms for scheduled meetings. She was classified, according to the teamwork model, as an upholder. Finally, the indiv iduals involved in the role-play were concluders due to their quality standards and reporters because they were capable of incorporating prior knowledge to help answer questions following the presentation. I feel that I was a thruster because as a democratic leader it was my duty to organise and motivate other members, whilst continually involving them in the decision making process. Reflective Observation After the presentations, we took part in a peer review exercise, where our observations of each others performance throughout the course had to be reflected. The irony of teamwork is that a team is made up of individuals. These individuals will have different experiences, knowledge, expectations and priorities. Thus it is important that our team developed a keen interest in the performance as a whole, as this will influence individual contributions. Amongst the majority of peer review forms, I noticed many positive comments ranging from being knowledgeable on the subject of consent8, good at arranging ideas and has good delegation skills ensures everybody has an equal role to play14. This was extremely pleasing to learn because it illustrates that my fellow team members fully appreciated the effort that I put into the project. Also, my contribution to the presentation as a team player was also acknowledged stating I had contributed the knowledge and understanding of capacity and cons ent which helped to explain the patients rights in our role-play helped the nurses learn about the Gillick test, which until then we had no understanding of16. I believe this statement portrays my effective communication amongst the team throughout the programme enabling the group to maximise our potential to work in an MDT approach. Amongst the very few negative comments, a team member justifiably observed that I was a bit quiet at the start of the IPE session8. In retrospect, I believe I should have been more expressive and honest with my group and have confidence in making alternative suggestions ultimately benefiting the group. Furthermore, another team member felt I could have taken more control/been more decisive so that people were clear of what to do17. It was interesting to note that he/she had also written that I was good at sorting out the details i.e. what exactly each person was going to go away and research17. Nonetheless, I felt that I delegated the tasks suitably because I had ensured that each member understood and had ownership of their tasks for the next session. Although the issue had never been brought up nor had I been emailed of any confusion in the allocation of roles, I believe that I should have utilized the luxury of emailing each member clearly what they had to do. Abstract conceptualisation From this experience, I have gained a lot of knowledge both on the issues regarding underage pregnancies as well as the skills required to work effectively in a team. My fellow members had enlightened me of the growing problem of teen pregnancies in certain boroughs around the capital and we all felt the government was failing this young generation. According to the article mentioned earlier, The expansion of confidential contraceptive services for young people under 169 was the main causal factor. I learnt through an inquiry based learning approach the importance of effective clinical communication and ethical considerations in managing the issue. Furthermore, a fellow member also enlightened the group on the vital role of the sexual health centres in providing education and advice for the younger generation. I have also discovered the challenges associated with controlling large teams of varying disciplines. Apart from the logistical constraints, each member of the team had their own schedule and hence the proposition of extra sessions was difficult to attain. However, many challenges and complications were dealt with very effectively via email13, thus eliminating the scheduling and logistical constraints in place. Coordinating nine members of a team demanded good organisational and most importantly time management skills. This is enormously beneficial for me because as I progress through my medical career, there is an increasing demand for efficient teamwork. Active experimentation On reflection it is clear that our team worked very well together and expressed ourselves to construct an effective presentation of the chosen scenario. The Egalitarian atmosphere during the meetings was admirable, where every decision involved a vote of confidence. Nevertheless I feel as group leader I should have struck a balance between collective decision making and being more abrupt, as well as ensuring that all the tasks are being conducted well. Also in the future, fewer people could have presented the final task. A solution could have been to make a video for the role play, thereby freeing up more space for other members of the team on the stage. Overall, the IPE programme has been an incredible learning curve which has provided an insightful experience as well as an understanding of the significance of effective communication between professionals. Lastly, this experience has emphasized my weaknesses, but I have appreciated that others may have different ways of working; different skills and knowledge, which in practice contribute to the patients healthcare.

Bringing hydrocephalus

The history of hydrocephalus dates back to the time of Hippocrates (he died c. 375) and even further to medieval times when physicians believed that it was caused by an extractable (sic) accumulation of water. Surgical evacuation of superficial fluid in hydrocephalus children was first described in detail by Balalaikas AY Zachary in 1744 (Scoff, Kramer, Hashish & Sunken, 1999).While there have been many great strides, both in research and treatment, it seems the great pool of knowledge resides not thin the medical community, but in the adult survivors of the condition. One can only wonder if this is due, at least in part, to a perception by the medical community that it is not a survivable condition. Actually the exact opposite is now true. With proper medical treatment (done in a timely manner) and LOTS of love and support from the patient's family, many hydrocephalus children can go on to live near normal lives.Introduction The modern era of hydrocephalus research began with the st udies of Dandy and Blackman in 1914 (Grittier, 2007). To this day their work is considered an unsurpassed nutrition toward the understanding of hydrocephalus. While I applaud their work, it has been ninety-nine (99) years since any work of a similar scope or caliber has been undertaken and it is beginning to show. As an example, when I was born in 1963, I showed the early stages of congenital hydrocephalus and my family was basically told â€Å"take him home to die†.Needless to say, I didn't die and have become – even according to the local medical community – one of the best sources of information in our area when it comes to hydrocephalus. Although I feel honored to eave such distinction, it's not enough – the medical community – especially pediatricians – need to possess that same knowledge and that is my purpose in writing this paper. L. 20-Year decline in the mortality rate for hydrocephalus Before getting too involved in why hydrocepha lus research needs to be brought into the 21st century, an explanation of the condition is needed.Hydrocephalus is defined as â€Å"A condition marked by an excessive accumulation of cerebration's fluid (SF) resulting in dilation of the cerebral ventricles and elevated interracial pressure; (it) ay also result in enlargement of the cranium and atrophy of the brain† (Williams, 2006). It can take one of two forms. It can be either communicating (meaning there is not visible cause for the blockage of SF) or non-communicating (meaning it results from an abnormal flow of SF in and around the brain. It is also known as pediatric hydrocephalus since it is normally present from birth. (â€Å"Nervous system diseases,† 2008). When I was born in 1963, the life expectancy for a child with this condition was approximately two (2) years and the only known treatment, placement of a shunt, was still in its infancy. Since that time, shunt surgery has been refined and could almost †“ depending on the individual patient – be considered an almost routine procedure. In an article published in the August 2005 issue of the Journal of Neurosurgery, Dry. J. H. Chi, ET. AY. Stated â€Å"Congenital hydrocephalus has an estimated population incidence of 0. To 0. 8/1,000 live births† (Chi, Fullerton & Guppy, 2005). They credit this to improvements in techniques for SF shunting; however, they state that data describing mortality from congenital hydrocephalus – or that demonstrate improvements in the mortality rate are scarce. For those not familiar with shunt implantation surgery, it involves making a small incision in both the top of the head and the abdomen (in the case of a ventricular-peritoneal (UP) shunt) to insert the shunt which drains excess fluid from the brain (Goodman, 2013).To validate their hypothesis, the doctors performed an electronic search of the National Center for Health Statistics death certificate database to identify deaths f rom 1979 to 1988 directly attributable to congenital hydrocephalus, spins biffed with hydrocephalus, and acquired hydrocephalus in all children in the United States aged one (1) day to 0 years. There were 10,406 deaths attributed to childhood hydrocephalus during the 20-year period reviewed. This translates to an overall mortality rate of 0. 71 per 100. 000 person-years.Additionally, their research showed infants had the highest mortality rate with 3,979 deaths. Overall during the period deaths from acquired hydrocephalus – meaning that it occurs after birth and is the result of a tumor, injury, or disease that blocks the uptake of SF – decreased 67. 5%, deaths from congenital hydrocephalus declined 66. 3 %, and deaths from spins biffed with hydrocephalus declined 30. 4%. What does it all mean? It means that the medical community needs to re-think their position on hydrocephalus as well as what they tell patients and their families.It means saying â€Å"Take him/her h ome to die,† is no longer an option. Does it mean re-inventing the wheel? For an older doctor it could very well mean that although, in most cases, it will not be quite so drastic. The Hydrocephalus Clinical Research Network (HCI) makes the following recommendations to its members: Reduce risk of infection associated with shunt surgery Approximately 8% – 10% of shunt operations result in an infection. A study is currently underway for a quality improvement technique that will reduce surgery- related shunt infection(s). (Woolens, 2013).The result will be a reduction in the infection rate thereby reducing the length of hospitalizing as well as patient morbidity. Management of hydrocephalus in premature children The HCI is investigating two (2) surgical procedures that are commonly used to manage IV-induced hydrocephalus in premature children. A sublease reservoir is an implant consisting of a tube which goes into the ventricle attached to a silicone bubble that sits under the skin. As fluid accumulates in the ventricle, it can be removed by a needle puncture through the skin and into the silicone bubble.The second procedure is an s sublease shunt, which is similar to the reservoir except that the silicone bubble under the skin has a reservoir has an opening in the side that allows fluid to flow out under the skin. The fluid is then absorbed into the tissues. Understanding the epidemiology and outcomes of Endoscopies Third Ventriloquist's or TV Endoscopies Third Ventriloquist's (TV) is a surgical procedure where a small perforation is made is made in the thinned floor of the third entrance allowing movement of SF out of the blocked ventricular system and into the intracellular cistern which is a normal SF space.The objective of this procedure, known as a interracial SF diversion, is to normalize pressure on the brain without using a shunt. Although TV is widely used in Europe to treat hydrocephalus, its use in North America is much less common. The H CI is working to understand when the procedure is indicated as well as its associated outcomes and possible complications. The use of TV is attractive due to the fact that infection s very rare as are other complications such as slit ventricles.Conclusion Our knowledge of hydrocephalus has come a long way since medieval times when it was believed that hydrocephalus was the result of extractable (sic) accumulation of water. It has even made significant strides since the groundbreaking work of Dandy and Blackman in 1914, but the medical community must not rest on its laurels. In order to fully bring the treatment of hydrocephalus into the 21st century, they must embrace research being done by organizations like the Hydrocephalus Clinical Research Network.I feel this increased awareness is long past due because, even though it has been almost [emphasis added] a half-century since I was born with the condition, the amount of information available to the medical community remain largely unchanged. I think that is due – at least in part – to the misconception that there is not a high survival rate, therefore, why waste the money? My research has shown that over the past twenty (20) years, the mortality rate for hydrocephalus has actually declined with 0. 71 per 100,000 errors/year (Chi, 2005).The vast majority of the deaths were the result of congenital hydrocephalus – meaning that it is present to some degree when the baby is born. Here is how the AC can help to make my â€Å"big idea† (the name given by our instructor to our project) a reality. Publish more articles about the condition, research into it, and current treatment such as shunting and Endoscopies Third Ventriloquist's. Do feature stories about both child and adult survivors because we have a story we would like the world to know about!

Poverty Case Essay

Question: Choose an issue of importance to you—the issue could be personal, school related, local, political, or international in scope—and write an essay in which you explain the significance of that issue to yourself, your family, your community, or your generation. My parents had a life where there were no three meals a day, no electricity and so many other things. They used to tell â€Å"you never know how bad poverty is until you experience it†. Poverty is the leading cause of death in every developing county. We all know about poverty but we do nothing to stop it. According to UNICF more than 22000 kids die every day because of poverty. The food that we waste everyday will be enough to remove world poverty. My parents and grandparents came from world of utter poverty. When I talk about poverty I know how bad it is and I want the new generation to everything they can to remove poverty. Have anyone gone hungry for a day or two? We all eat at least three meals a day but there are people in the world who don’t even have a single piece of bread to eat. Mahatma Gandhi once said â€Å"there are people in the world, so hungry that god cannot appear to them except in the form of bread.† We all are living in a country where we have everything but there are people in the world who have to drink dirty water to slake their thirst. In Africa more than 5000 kids die each day because of drinking dirty water. We all know about this but we do nothing to stop world poverty. Remember that today’s kids are tomorrow’s future. If we put the all the billionaires in the world together they may be able to remove world poverty from this world. According to human nature if we want to do something we have the ability to do it but no one is there to take the lead. As a 17 year old teenager I care about my fellow citizens and the coming generation. I don’t want them to see a world of poverty and death. I want them to see a world of evergreen sunshine. Poverty is not something that we can remove in two or three days. It takes time to remove world poverty. As a member of the new generation let’s all make sure that we show our kids that we are living in a country with no poverty.

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How The Increase Of R Certified Movies Is Impacting...

How the Increase of R Certified Movies is Impacting American Society Imagine a family walks into a movie theater and is trying to figure out what movie they want to see; the mother wants to see the hot new chick flick movie that is rated PG-13, the daughter wants to see the cute new children’s movie that is rated G, but the father has absolutely no interest in either and wants to go see the exciting new R rated action movie. The family debates the issue at hand and analyzes whether the R rated movie is appropriate for their daughter to watch. The first thing that must be understood is what qualifies a movie for an R certification. This R certification can be issued because of many different reasons for example; clear and convincing actively flowing blood (not a puddle or a bit of red makeup on an actor), frequent use of vulgar language, nudity, and clear and convincing drug use (Rebecca, 2010). To fully understand where the Motion Picture Association of America comes from with their certifications, there must be some background knowledge of the former certification system called the Hays Code. The Hays Code was implemented in 1930 and, while it may not be used anymore, inspired the Motion Picture Association of America’s certification system; the Hays Code is religion-based, several of the ideas have been reformed today, and moralistic in fact, one of the general principals is â€Å"No picture shall be produced that will lower the moral standards of those who see it. Hence theShow MoreRelatedAn Evaluation of an on-Farm Food Safety Program for Ontario Greenhouse Vegetable Producers; a Global Blueprint for Fruit and Vegetable Producers51659 Words   |  207 Pagesspecific focus on the Ontario Greenhouse Vegetable Growers (OGVG) hazard analysis critical control point (HACCP)- based initiative. 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Jeffersonian Republicans Vs. Federalists Essay - 1176 Words

As the young colonies of America broke away from their mother country and began to grow and develop into an effective democratic nation, many changes occurred. As the democracy began to grow, two main political parties developed, the Jeffersonian Republicans and the Federalists. nbsp;nbsp;nbsp;nbsp;nbsp;Each party had different views on how the government should be run. The Jeffersonian Republicans believed in strong state governments, a weak central government, and a strict construction of the Constitution. The Federalists opted for a powerful central government with weaker state governments, and a loose interpretation of the Constitution. Throughout the years, the political parties have grown, developed, and even dispersed into†¦show more content†¦Also, when Jefferson passed The Embargo Act, he was going against the Republican Party beliefs. Supported by Document C, the Embargo Act was a great upset to the American public. No where in the listing of the presidential power s did it state that a law such as the Embargo Act could be passed. When Jefferson passed this Act, he may have had the good of the country at heart, but he was following the Federalist principle of power in the central government and a loose interpretation of the powers in the Constitution. As the Jeffersonian Republicans grew together and learned a great deal more about their nation, they realized that some of their principles had to change. The country would never stay united if the country kept advancing and the government stayed in the same spot. As Jefferson once wrote, â€Å"†¦I know also, that laws and institutions must go hand in hand with the progress of the human mind†¦institutions must advance also and keep pace with the times.† (Document G). Jefferson realized in this letter to Samuel Kercheval that, sometimes, people’s ideas and beliefs must grow and change in order to make things better and stay with the times. The Jeffersonian Republicans also realized this. That is why as the nation progressed they obtained more of the ideals of the Federalists. nbsp;nbsp;nbsp;nbsp;nbsp;James Madison was a great president of his time; he made many excellent decisions, many of whichShow MoreRelated Federalists VS Jeffersoneans Essay710 Words   |  3 PagesFederalists VS Jeffersoneans With respect to the federal Constitution, the Jeffersonian Republicans are usually characterized as strict constructionists who were opposed to the broad constructionism of the Federalists. As history dictates, this is found to be substantially accurate. Federalists were firm believers in the production of a strong central government and a broad interpretation of the Constitution. However, the Democratic Republicans believed that the government should followRead More1998 Ap Ushistory Dbq Essay1078 Words   |  5 PagesNardine Salama 1998 DBQ ESSAY AP. 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Corruption Claims and Other Scandals

Question: Discuss about the Corruption Claims and Other Scandals. Answer: Introduction The beautiful sporting world has over the years been rocked by corruption claims and other scandals that destroy the importance of sports. Sports involve billions and billions of dollars from stakeholders and sponsors. Sport has close ties with political and private bodies thus offering an avenue for corrupt activities (Bartram, 2014, p.74). Rich individuals who politically tend to bribe their way through results while making lots of money. There is no one major way of corruption, and these selfish individuals will use whichever way they know best to fulfill their selfish interests. Tennis sport has recently come under a lot of criticism and scrutiny for alleged corrupt activities. Tennis is a racket sport played in singles or doubles. In singles, an individual plays against a single opponent while in doubles, two teams of two players each face off at the same time (Perrotta, 2016). The purpose of this report is to investigate, determine and analyze the different forms of corruption practices that are rocking the beautiful game of Tennis. Sports corruption takes different forms. Players, referees, and key match officials take inducements to fix matches. Money laundering in the form of sponsorship deals and advertising arrangements add to the long list of corruption practices in the sporting world. In some instances, Governments and private companies rig bids for lucrative construction contracts (Nassif, 2014, p.123). Club owners, coaches and even sport governing bodies have been hit with major corruption scandals. A new form of corruption that has hit the sporting world is match fixing through betting firms. The bookies in collaboration with club owners, players, coaches and even match officials fix the result of various matches thereby making the bookies make a lot of money which they split amongst themselves (Teng et al, 2012, p.345). These practices are very unethical given that people compete to find a winner, fans go to sporting events to entertain themselves and offer support to their preferred teams. Sport unit es the world and thus it should not be an avenue for people to satisfy their selfish needs. Gambling corruption Another form of tennis corruption involves the Tennis Umpires and gamblers. Umpires have been courtsiding allowing gamblers to defraud bookmakers. In this latest scam involving Tennis officials, gamblers, and the Umpires make a lot of money in a matter of seconds without the knowledge of the players. The Guardian newspaper carried out investigations regarding this corruption in Futures Tour in 2016. Umpires are supposed to update the scoreboard after each point has been made. In this case, they delay updating the information by around a minute which gives gamblers a window to place bets already knowing the outcome in some cases it was alleged that Umpires went to a mile further by texting the gamblers directly even before updating the score on their tablets and computers. When umpires delay updating the scoreboard immediately, bookmakers and live-score sites retain the information they have thus no update on bets. These unscrupulous officials should not be left unmonitored, and the T ennis Integrity Unit should move swiftly in dealing with such corrupt activities. Another official by the name Kirill Parfenov was decertified for life in 2015 for engaging in misconduct activities. The Tennis Umpire was found guilty by the International Tennis Federation (ITF) for contacting another Umpire via Facebook in an attempt to manipulate the scoring of matches. Kirill was banned alongside Pitner, but the bans kept in secret. Kirills actions portray what is happening in secrecy in the Tennis sport, and the ITF should take legal action and discipline these individuals. An official who is found guilty of fixing matches and helping gamblers to defraud bookmakers should not only be handed a life ban but should also be given a jail sentence to act as an example and a warning to others (John, 2016). Doping corruption The tennis world has been hit with numerous doping issues involving star players such as Maria Sharapova and Fernando Romboli. Fernando Romboli was given a eight and a half month suspension for testing positive for banned substance in a drug test. Though the ITF is cracking the whip on these actions, the announcements of the bans are made even six months later after the player has probably served the ban. Maria Sharapova was banned for two years for doping. Marias urine tested positive for Meldonium, a drug banned by the World Anti-Doping Agency. It is clear that doping corruption is present in tennis and the games governing federation and all other stakeholders have to address the issue urgently to protect the transparency of the game. Match-Fixing corruption Other than lower ranked players fixing matches the stars who are ranked above the top 50 have also been found to deliberately lose matches to make money. Nick Lindahl was found guilty of fixing a match in Queensland and attempted to conceal his actions from the police. Lindahl was investigated by the Tennis Integrity Unit (TIU), NSW Police and the Victoria Police and found guilty (Reid et al, 2007, p.670). The investigations revealed that Lindahl had revealed to two acquaintances named Matthew Fox and Ryan Wolfenden of his intentions. Lindahl had planned to tank his match against Andrew Corbit knowing that Matthew and Ryan would use the information to place bets. The match was considered a minor tennis match for Lindahl who was the favorite to win. It is alleged that Lindahl had been paid by some gamblers or a bookie to fix the match and let the opponent win. He was later caught authorities intercepted communication between him and Fox instructing Fox to delete all the information re lated to the scam. Both Fox and Lindahl were arrested and prosecuted according to the law. Tennis has been hit with scandals involving corruptions and to stakeholders in the game, this is not an unusual thing. In 2007, Mark Davies, an influential figure in the betting world claimed that tennis has always been liable to corrupt activities. Davies who was the managing director of an online bookmaker called Betfair mad these claims while speaking to the Telegraph in an interview by Mark Hodgkinson. Davies had an agreement with tennis authorities to always raise the alarm when he identifies suspicious gambling patterns (Hosmer-Henner, 2010, p.33). Many players engage in corruption for different reasons best known to them. Davies strongly argues that match fixing has always gone undetected, and the courts have always left these criminals free by fining them peanuts forgetting they are coming back to spread the vice to other younger professionals. Davies disputes the idea that tennis and the sports world suddenly has corruption because of the rise in gambling patterns (Futterman et al, 2016). Even before gambling was widespread corruption was slowly poisoning the game under the watch of cartels and players. Mark Davies goes further to state that any all sport has been liable to corrupt activities especially tennis. For the very reason, that tennis matches have to produce clear results one way or another is the basis of corruption. Davies gives an example of how chariot races were rigged for financial rewards. It would not be true to say that a certain sport has no corruption while corruption in sport started ages ago with our fore fathers. In August 2007, Betfair refused to pay out on bets wagered on a Russian tennis player by the name Nikolay Davydenko. The match had shown irregular betting patterns signifying that it may have been fixed but without the bookmaker's knowledge (Rothenberg and Drape, 2016). Davies finished the interview by stating that the amount of money bet in the illegal market may have grown, and thus many individuals are getting tempted. To substantiate claims that tennis has always been liable to corruption, I looked at another article by Michael Mewshaw in the Daily Beast called Tennis has always been corrupt. Michael claims that the BBC and BuzzFeed News had reported that the Tennis Integrity Unit had kept secret files on some players purported of fixing matches. In the same year, eight of those players were competing in the Australian Open while the authorities had not taken any action or opened any proceedings against these individuals. Reports by The New York Times claimed that legal gambling operations took certain matches off the board due to suspicious betting patterns. The article also reveals that during the times the game was official amateur, some players took inducements, and the often the bagmen were responsible for enforcing the rules. Even after the game became professional some players demanded bribes to compete in tournaments. Betting corruption In the history of Tennis, top players have been paid to lose matches by lower ranked players, bookmakers, and gamblers. These players are paid large sums and then lose to their opponents while the gamblers make a fortune (Muspratt, 2016). In the case of Davydenkos match against Argullero, it was pretty obvious who the favorite to win the match was. It was in 2007 when then ranked number four in the world Nikolay Davydenko, played against the Argentine Martin Vassallo Arguello ranked far below and little known in the tennis world. Even before and at the start of the match, Davydenko was the favorite to win the match. As the game was going on, strange things seemed to be happening in the bookies in Russia and Italy. Davydenko had won the first set and was leading the second set, but he was still not the favorite. Some Russian and Italian gamblers continued to place huge bets of a sum of millions against Davydenko. This was very strange, and it was brought to the attention of the author ities. Betfair made all bets on the match void to the anger of the Russian gamblers who were sure of an Arguello win. A team of experienced investigators from Britain was hired to look into the match-fixing allegations and the suspicious betting. They spent almost a year, but their findings were never made public, but a whistleblower passed the findings to BuzzFeed News and the BBC News. The contents of the inquiry gave a lot of insight on what the investigations had hatched. The investigation team lead investigator wrote that in his whole life working in the betting industry he had never seen a match or a race at such unrealistic odds. He goes on to conclude that the suspected Russian account had adequate knowledge that Arguello would ultimately win the match (Antonopoulos, 2015, p.170). In the investigations, the two players denied knowing each other. One of the Russian gamblers was approached, but he did not give much information either. He ended up threatening a Betfair personnel in Moscow. In 2008 both players were cleared of any allegations, but the matter was still far away from being finishe d. Phone conversations between Arguello proved that the match had been fixed and that the two players had contacted each other severally. In one of the conversations Arguello tells the gambler that Davydenko does not intend to lose the match. Later he texts the gambler saying that everything was okay. He went to win the match at greater odds making the punters very productive. Other forms of corruption Appearance fees These appearance fees, occasionally exceeded the declared the prize money and so these stars lost on purpose but end up pocketing huge sums of money than the winners. Some players and stakeholders in the tennis sport have come out openly to state the hidden facts of corruption in Tennis. One Tennis great, Bud Collins stated that tennis had been born in dishonesty and had never outgrown it. Recently Mens tennis has legalized guarantees for players. Top players can now collect money upfront then decide how much they care about the tournament later. This is just corruption that has been legalized. Why should someone be paid just for appearing at a tournament? And why is it only the mens tennis? These questions need answers from the very men and women who legalized guarantees while we have entrusted to run our sport and make it as transparent as possible. Favoring by umpires Another form of corruption is conducted by the Referees and Umpires. The referees would swing their judgment towards another player openly favoring them. It may be an error from the referee, but an error after an error calls for attention. In the 2004 US Open tennis quarterfinals between Serena Williams and Jennifer Capriati the linesman and the umpire made error after error. The pair made one bad call after another as the Worlds best player watched in disbelief. One call after the other went for Capriati (Crouse, 2016). When a professional makes error after error it is no longer an error but match fixing or favoritism to the other player. How comes both the linesman and the umpire were making such errors given that they were refereeing such a big match at a critical stage in a huge tournament? The decisions were so egregious that they attracted the attention of US Open officials. The chair umpire was dismissed for the remainder of the tournament, and they apologized to Serena Willia ms for the errors (Wertheim, 2013, p.57). Tsonga, a professional Tennis player from France, came out strongly against erroneous line called by the linesman when he faced Rafael Nadal at the Sony Ericsson Open. Tsonga claimed that the umpires decisions and calls were all favoring Nadal. He further goes forward to state that he lost his concentration because he became too focused on watching the lines in case he needed to challenge a ruling. Tsonga claimed that he was right most of the time he complained and the umpire never overruled. Only in obvious cases could the umpire rule against. Tsonga claimed that maybe the Umpire feared Nadal and so worked hard to impress him because if Nadal did not like him, the umpire would never get a chance to umpire in bigger matches. His claims shed much light in how the stars in the game swing the rules in their favor. Why should a player have the ability to make a choice of who will umpire his or her match? This is unfair to another player who does not have the influence may continue gettin g bad results not because they are not good but because the system is working against them. Most prolific form of corruption in Tennis The most prolific form of corruption in tennis is gambling corruption. The gambling watchdog, ESSA that collaborates with TIU released some shocking figures regarding suspicious sporting activities. A total of up to 73 tennis matches had suspicious betting patterns according to betting operators in 2015 (Rothenberg, 2016). A total of 24 tennis matches were noticed by betting firms in 2015 to be too suspicious. The suspicious activities took place in five different continents with the highest number eight from turkey and seven in Tunisia and Argentina each. These figures are worrying given that those were the only once noticed but what about the others that went unnoticed. Likely emergent form of corruption in Tennis The likely emergent form of corruption in Tennis is match-fixing. Players are tempted to engage in match fixing to raise enough money to meet their needs. A staggering high number of tennis players earn little money that cannot meet their needs. Close to seven eighth of players earn very little money in competitions and tournaments. In most tournaments only the top twenty in tournaments get enough money that can sustain their lifestyle but the rest are forced to settle to minimal prize giving. It is thus easy to for lower ranked players to get influenced into fixing matches to get the extra amount to meet their needs. On top of the stars getting more money by securing better positions in tournaments, they are also given a lot of money as appearance fees. Efficacy of the cheating at gambling Australia developed the Efficacy of the Cheating at Gambling provision in a bid to protect its sports and to regulate gambling. Though the Cheating at Gambling provision is an improvement on previous statutory approaches, shortfalls remain. There is great concern from stakeholders and lovers of sport whether the provision will adequately deal with tanking corruption and inside knowledge that has over the years taken over the sport if not embraced by some sports. Sport and gambling generate a lot of revenues especially to the Australian Government and thus attract a lot of individuals who want to capitalize on certain situations. The provision has failed to cover corrupt punters who tend to affect a betting outcome for their bets to have a larger payout. The gambling industry is very sensitive, and such a provision should be advanced enough to cover such issues that affect sport especially Tennis. Some bookmakers are found to have blacklisted some athletes who they believe are often i nvolved in match fixing (Bloomberg, 2008,). These bookmakers will not put the matches these athletes are playing in as they may acquire many losses as a result of those events. The provision is an improvement though not yet powerful enough to bring transparency to betting and sport. Recommendations The International Tennis Federation which is the world governing body for tennis should develop proper policies to be used in governing the sport. Officials found engaging in corrupt activities should be given lifetime bans from the sports activities and open criminal charges against them in the court of law (Clark, 2016, p.30). Any member who has been given a ban should be announced publicly to avoid a repetition of Pitners case. ITF should collaborate more with governments to improve in their betting legislations and provisions to cover any form of betting mischief such as having inside knowledge. Players found guilty of tanking their matches should be banned immediately and their stripped of their titles. It is only by acting and punishing corrupt individuals that the sport will be transparent and not by denying allegations leveled against an individual. Linesmen and Umpires should have adequate training and provisions to guide their activities (Bruner, 2016). The introduction of technology is a positive step towards limiting errors made by Umpires. Finally, there should be no payment of guarantee fees to stars for attending tournaments. Conclusion Tennis is a charming game that has a huge fan base worldwide. It is rather very unfortunate that the game is rocked by corruption and bribery allegations to unscrupulous individuals. The governing body ITF should impose its judgment swiftly to make the game transparent enough. Provisions such as Cheating at Gambling should be developed for the world to guide and control the gambling activities. 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