Thursday, August 29, 2019

Assignment Effective Approaches in Leadership and Management Essay - 1

Assignment Effective Approaches in Leadership and Management (Benchmark Assessment) - Essay Example Delivery of healthcare needs a continuous improvement of the quality in order to increase patient satisfaction rates. Since the nurses are the closet to the patients with regard to delivery of healthcare, they have the greatest opportunity to constantly identify areas in which to improve the quality of healthcare. However, as Feldman and Alexander (2012) say, the nurses cannot do this in a vacuum; they need an environment that will make it possible for them to improve the quality of services. Everyone in the healthcare environment has an opportunity as well as a responsibility to be involved in the continuous quality improvement. Continuous quality improvement should be the ethos of any healthcare facility. Needless to say, nurse managers have a very important role in making sure that the healthcare environment has the right facilities and conditions to facilitate continuous quality improvement. Since nurses have such a big role to play and are a very important resource in the implementation of the continuous quality improvement, how they are managed by nurse managers determines to what extent they are capable of implementing the continuous quality improvement programs within their area of practice. In this regard, there exists a number of management practices that such managers should consider in helping nurses to practice and facilitate continuous quality improvement. Apparently, management and leadership and are two diverse issues and this has an effect on the way nurses are capable of been productive in their work. Leadership, in the context of continuous quality improvement, has a better chance of delivering success and making it possible for the nurses to continually improve their services. For any healthcare facility to be able to benefit from nurse leadership as much as possible, it would be necessary to have the systems that help in

Wednesday, August 28, 2019

Provide critical arguments in support or against the statement that Essay

Provide critical arguments in support or against the statement that 'Leaders from Enron are accountable for its downfall as th - Essay Example Though the company seems to be very highly praised by outsiders but internally the company had a much decentralized decision making structure and financial control system which made very difficult for outsiders to get a clear view of the company activities and its operations (O’Rourke, 2007, p.199). This problem is not only due to the poor managerial performance but also due to the departmental issues which are involved in the process of ruining the ethical values and the principles of the company. The executives and the managers are the primary people responsible for the downfall of the company for not maintaining the corporate culture and transparencies in the business process. If the operational management team have worked in a proper manner in full force it could have been possible for Enron Corporation to escape the tragedy (Spedding & Rose, 2007, p.543). About the company Enron being one of the most innovative companies in America for six consecutive years and was ranked 7th on the fortune 500 companies. The Houston, Texas based firm was considered as one of the greatest energy trading companies of the world (Sterling, 2002, p.111). In the year 2000 the company reached its summit with above 19,000 people and approximately with a annual revenue of more than $100 billion. The mission statement of the CEO Kenneth Lay was not only to become the greatest company in the energy sector but also to become the world largest company. With the deregulation in the energy sector during 1980’s the business became very risky both for the customer as well as for the companies. At this critical situation Enron came with an indigenous solution of leveraging its large network of pipelines for the construction of the gas bank to act as intermediary in the transaction process which in turns lowers the risk in the market. Enron introduced a concept of buying and selling on a certain dates at a certain price with an extra premium to ensure safety against risk. The man behind this innovative idea came from the CEO and President of the firm Jeffrey Skilling. He then introduced many more products along with the gas bank. The products include various derivatives of energy and swap for Enron’s trading partners and stakeholders (Fusaro & Miller, 2002, p.31). These products give the option to the people to buy gas in the future at a predetermined fixed price which gives the company the opportunity to trade at a fixed price even when the market price is floating. This innovative strategy gave the firm immense opportunity growth irrespective of the market condition (Lawrence & Weber, n.d., p. 450-451). Rise of Enron With the new innovative way of business Skilling began to change the whole corporate culture of Enron. He recruited the best professionals from the industry to compete with the largest and most prestigious investment banks. With the immense growth and reputation for the outsiders the internal culture slowly transformed to a darker t one. With the harshest employee ranking system,

Tuesday, August 27, 2019

Booker T Washington and W.E.B bois Essay Example | Topics and Well Written Essays - 500 words

Booker T Washington and W.E.B bois - Essay Example In addition, the need for change within the society should be presented effectively (Moore 56). Through examples and similarities, it is easier to build the case or idea and be able to influence the decision of the audience. In the two speeches presented to different audiences, it is evident that the success of presentation of the idea is in the speech by Du Bois. The speech by Du Bois is a true reflection of the challenges faced by the black community. Therefore, the speech by Du Bois is much better compared to the Booker Washington Speech. Effective speeches are meant to inform and inspire the public to be engaged in the change or improvement of the society. In the two speeches, the focus has been on the African American. In fact, conclusion of the speech makes it delightful and ensures that the audience understands the importance of speech and the need for action (Moore 123). The creation of the problem is done in the introduction passage effectively in the speech presented by Du Bois, which is different from the focus of the Atlanta speech. The Atlanta speech presents the issues using a system that ensures that the idea is not grasped accuracy. In fact, the ideas are not presented as fast as it should be in an audience speech. In addition, the focus of speech is presented much later. The presentation by Du Bois touch on the imperative issues associated with immigration and the need for integration of immigrants. However, the challenge of race is not addressed effectively in the Atlanta compromise. The compromise is not effective in presenting the solution to the problem. For a speech to be effective, it should bring out the challenges associated with race and conclude with the speaker’s perception and take of the challenge. For Du bois, the challenge and the conclusion is presented effectively in the speech, but Atlanta compromise does not present the ideas effectively. Speech presentation and

Monday, August 26, 2019

Article analysis Essay Example | Topics and Well Written Essays - 500 words - 2

Article analysis - Essay Example To build his argument he mentions the positive side of Fox stand. However, Bauder does not forget to mention the need of airing news that is unpleasant to the ears of its audience. He leaves the reader wondering about his stand on the debate when he takes on the opponent’s side. Towards the end of the article, Bauder takes the proposing stand to argue out his point in the article. Bauder gives support to his argument in several ways. Throughout the article, Bauder uses questions to drive his argument. Further, the use of quotation helps the reader to identify the stand of Bauder in the article. Rhetoric statements characterize the argument pointing out the cause of disagreement in the article. He compares the airtime given to Iraqi war by other channel using statistics. He sites 20% by CNN, 18% by MSNBC and 6% daytime news hole. It is probable that figures are assertive than mere use of words. He manages to use contradictory statements to exemplify his forth and back framing of his argument. This might challenge a reader who does not follow the argument. Bauder’s uses illustrative statement throughout the article to attest his argument. For example, ‘’certain folks don’t want bad news† helps to illustrate his point. This is a strategy since it sparks emotion of the reader, thus influencing readers stand on the point of argument. Another strategy that he employs in his article is the frequent use of questions to influence the stand of the reader. â€Å"So how to explain the divergent priorities?† The use of questions probably points the need to have a divergent view over the news to put in air. He effectively illustrates a situation of divergent views in the society. Moreover, he argued it is less rewarding to dwell on negative things. The central idea in his argument is the audience of they intend to serve. He points out that their intention is to give priority to the likes of their viewers. He believes

Sunday, August 25, 2019

Annotated Soap Note Assignment Example | Topics and Well Written Essays - 750 words

Annotated Soap Note - Assignment Example The pain does not extend to other areas and the mass is located close to the nipple and feels hard when touched. The lump emerged about three weeks ago. The patients report no change in the size of the breast and there is no discharge. Pertinent medical: immunizations up to date (last TD Jan 2015). She has undergone post mastectomy radiation therapy six months, 20mg/day tamoxifen, and 600mg ibuferon. The patient denies ever using hormonal drugs. Family history: Her mother passed away due to breast cancer at the age of 65 years. The father living (70-year-old) has history of hypertension and DM. has two siblings (brother 35 years old and sister 37 year old) both in good health. Social history: She admits smoking three to five cigarettes a day but denies using hard drugs and alcohol. The patient is single and has no children. She is an active dancer and participates in swimming. Her current diet is low calorie with a lot of fruits and vegetables. General: Presents in a normal state of â€Å"good† weight and health. No recent weight loss or gain. No presence of rash around the nipple of the left breast. There is pain on the lump when pressed. No lumps on the armpit. HEENT: no problem with hearing or vision. No headaches or dizziness. Normal nasal diameters, and no running nose or congestion. There is no evidence of removable or permanent dental. Last dental assessment conducted on January 2015. The lump is smooth, rubbery and moves with ease within the breast tissue. A fine needle aspiration was conducted to obtain a tissue for testing. There is no bleeding or discharge from the nipple and neither is there any change in color. The diagnosis is based on three assessments imaging, cytopathological and clinical. The three assessments aim to reduce the effect of any technique of diagnosis being less than 100% specific and sensitive to diagnose or eliminate breast cancer. The clinical assessment aim to

Saturday, August 24, 2019

Travel and Tourism in Sri Lanka Essay Example | Topics and Well Written Essays - 2500 words

Travel and Tourism in Sri Lanka - Essay Example This "Travel and Tourism in Sri Lanka" essay outlines the recommendations what the travel organization of Sri Lanka should do to succeed on the international market and contains detailed and effective marketing strategy and action plan. Marketing strategy should be associated to the corporate and business strategies and should be consistent in directing competitive thrust on superior management level. As marketing has a large number of activities it has to decide on how it will serve its targeted customers. The marketing strategies should be a guide to achieve goals and objectives in an organisation. It is the base on which marketing decisions are made. These strategies are to be mixed appropriately which helps to achieve the goals in an easier way in an organisation. This mix is known as ‘Marketing Mix’. Marketing mix consists of four primary components. These are: Product: Product refers to the goods as well as services which an organisation offers to the consumers of the product and in return it charges certain amount of price. The buyer pays not for the product but for the satisfaction the product will give. The Sri Lankan company may place its travel packages as their product in the UK market. Price: Price refers to the amount that is charged against the products and the services the organisation offers. Pricing mix is an important element as it influences the demand of a product and the profitability of the organisation. An organisation has to keep the demand, buyers’ capability to pay for the product and etc.

Friday, August 23, 2019

Evidence Base Practice of Repeat Cesarean Sections and Vaginal Birth Research Paper

Evidence Base Practice of Repeat Cesarean Sections and Vaginal Birth after Cesarean Section - Research Paper Example The important aspect to highlight in each of the two is the underlying benefits and risks of each method of child birth. There have been observed cases of repeated cesarean as well as that of vaginal birth after cesarean section (VBAC). These aspects will be explored in this paper and evidence of practice presented. Repeat Cesarean Sections Health care specialists have noticed the rising cesarean numbers around the world. These specialists alongside other associate experts have begun campaigns to advocate for reduced cesareans. Women have intentionally and unintentionally opted for cesarean sections. Some cesarean sections have been involuntarily administered, while others have been termed voluntary. When a woman is on labor and fails to give birth the normal way, surgical teams have been availed to address the issue by carrying out a C-section in a bid to assist the mother. Some cesareans have been carried out on voluntary grounds. Women who are capable of delivering normally have h ad to undergo cesarean section by choice (Menacker 2003). Cesarean sections have increased maternal-newborn health complications. Surgical procedures have been associated with a number of complications that affect both the mother and the newborn. Increased cesareans have also resulted to increased cost of health care especially in the US. This is so due to the health care financing modes of the different states. However, whether the C-section is intentional, unintentional, voluntary or involuntary, the benefits and risks of its practice are important to consider. It is also important to outline what benefits and risks relate to planned or unplanned cesarean. An unplanned cesarean is carried out during labor, when it is established that the mother is not in apposition to deliver normally. This has been termed as an emergency in many reproductive health care institutions. Surgical teams are provided in delivery rooms in case of an emergency. On the other hand, a planned cesarean is a voluntary one. The woman prefers to undertake a cesarean instead of going through the natural birth giving process. Medical researchers have