Friday, November 29, 2019

Militarism Essays - Empire Of Japan, Militarism, Japanese Militarism

Militarism Japan's political journey from its quasi-democratic government in the 1920's to its radical nationalism of the mid 1930's, the collapse of democratic institutions, and the eventual military state was not an overnight transformation. There was no coup d'etat, no march on Rome, no storming of the Bastille. Instead, it was a political journey that allowed a semi-democratic nation to transform itself into a military dictatorship. The forces that aided in this transformation were the failed promises of the Meiji Restoration that were represented in the stagnation of the Japanese economy, the perceived capitulation of the Japanese parliamentary leaders to the western powers, a compliant public, and an independent military. The ground work for Japanese militarism was a compliant Japanese public. This pliant public was created through a variety of factors. Beginning in the 1890's the public education system indoctrinated students in the ideas of nationalism, loyalty to the emperor and traditionalist ideas of self-sacrifice and obedience. Thus ideas that were originally propagated to mobilize support for the Meiji government were easily diverted to form broad support for foreign militarism. Japanese society also still held many of the remnants of feudal culture such as strong confusion beliefs that stressed support for social order and lack of emphasis on individualist values. These values taught obedience not to a democratic but to the emperor; so the fact that the militaristic government of the 1930's ruled under the emperor meant that the Japanese were loyal to this government just as they had been to the government of the 1920's. So when Japan's militaristic government implemented programs characteristic of totalitarian governments such as strong media control, a thought police, and community organizations the public did little to protest. Shintoism provided a religious justification for nationalism and support for the militaristic government. Shintoism before the 1930's was primarily a nativistic religion which stressed nature and harmony. But during the 1930's it became a ideological weapon teaching Japanese that they were a superior country that had a right to expand and that its government was divinely lead by a descendent of the sun god. The independence and decentralization of the military allowed it to act largely on its own will as characterized in the Manchurian incident in 1931 and the Marco Polo bridge explosion in Shanghai. Because these incidents went unpunished and the Japanese public rallied around them the military was able to push for greater militarism and an increasingly active role in government till the entire government was run by the military. The London Treaty and Japan's rejection by large European powers at the Versailles conference angered many in the military who felt that Japan was being denied its place at the table with the great powers. This lead to a disenfranchisement with the parliamentary government who the military felt had capitulated to the western powers in treaties and by stopping its colonial expansion during the nineteen twenties. Once Japan commenced on the path of militarism it found that because of its technological edge it could defeat other Asian powers this increased Japan's sense of superiority and feed the fires of nationalism. These fires grew as following the 1931 Manchurian incident Japan invaded Manchuria then most China. In South East Asia Japan quickly expanded breaking up British, Portuguese, and Dutch colonialism. Japanese militarism occurred not by an organized plan but rather through passive acceptance by the Japanese public. A compliant Japanese public coupled with a independent army were two factors that pushed Japan toward militarism in the 1930's.

Monday, November 25, 2019

Why Did British Men Enlist in the British Army in 1914 Essay Example

Why Did British Men Enlist in the British Army in 1914 Essay Example Why Did British Men Enlist in the British Army in 1914 Essay Why Did British Men Enlist in the British Army in 1914 Essay is an example of making soldiers feeling guilty, as they had feelings of fear and embarrassment holding them back from participating in the war. The poster shows two children asking their father, who is sitting on a chair, if he had taken part in the war. This implies that the children look up to the father. The father has a look of guilt in his eyes, and viewers, especially young men, would not want this to happen to them. As a result, men joined the army in large numbers. Also like the White Feather method people also sent abusive letters to people who had not joined the army.. A taunting letter forwarded to a railway porter who had not yet enlisted It reads: Dear Mr. E. A. Brookes seeing that you cannot be a man not to Join the army. We offer you an invitation to join our Girl Scouts as washer up, .. Scout mistress Bath Girl Scouts. The objective of all this pressure was to push the people receiving the intimidation to feel guilty and join up right away; these men were probably less patriotic if patriotic at all because they refused to help the country. It is clear there are many reasons why the British forces needed more men, but through unforeseen circumstances the British underestimated the German forces. The reasons why the British men joined the army included: patriotism, adventure, guilt, more money, peer pressure and many more.

Thursday, November 21, 2019

Manage Finance Essay Example | Topics and Well Written Essays - 3500 words

Manage Finance - Essay Example Woolworths has been one of the important consistent and successful retailer in Australia with the adoption of various strategies like the ‘fresh food people’ and the ‘everyday low prices.’ Net operating cash flows show an increasing trend and also the firm has been paying higher interim dividends to its shareholders each year. The firm has witnessed a 10.1% increase in net profits after tax and an 8.8% increase in earnings per share according to its financial reports. There has been an efficient management of balance sheet and profit and loss statements and approximately $8.2 billion has been paid to shareholders. Wesfarmers: Wesfarmers is one of the largest retailers and listed firm in Australia and has retail operations in supermarkets, general merchandise, fuel and liquor operations etc. Wesfarmers has reported an increase of 15.8% earnings growth in 2010, as compared to 2009, with Cole’s supermarket alone delivering a 21% growth. a) Budgetary processes that exist in two of the Australian Public Companies: Budgetary process is used for formulating budgets by referring to certain principles, procedures and practices. This process should involve people at different levels in the preparation of a budget. It requires careful planning and appropriate fixation of authority and responsibility. The budget targets should be realistic, and a good accounting system should be incorporated within the organization. An efficient reporting system should be incorporated so that performance appraisal can be undertaken. Budgeting process should be established in all segments of business, therefore, there arises a need for the active participation of all employees. The budgets should be flexible because there should always be room for each employee of the firm to participate. The budgetary process involves the set up of an organization for budgetary committee, a budget officer, a budget centre and a budget manual. The budget officer presides on the budget committee. The budget committee can be further div ided into various segments which consist of production manager, sales manager, finance manager, accounts manager, personnel manager and research and development manager. The production manager prepares the production and plant utilization budget. The sales manager prepares the sales and advertisement cost budget. The finance manager prepares the receipts and payments budget. The accounts manager prepares the cost budget while the personnel manager prepares the labor budget. The research and development manager prepares a research budget. A budget manual is a document in which the responsibility of several executives should be documented and the budgetary control systems are clearly defined. On the basis of time, budgets can be classified as long, short or current budgets. On the basis of functions, budget can be classified as operating, financial and master budgets. Similarly, budgets can also be classified as fixed or flexible. Both these firms follow an appropriate operating budge t and there is a very important role of the CEO as well as the top financial management. b) Who is responsible to prepare the budget? Budget is thought to be one of the most powerful financial tools used by the companies. Budget is the plan or proposal, which determines the activities of an organization. As mentioned earlier, budget may be long term and short term budget, where short term budgets cover a period of one year whereas long term plans cover a period of

Wednesday, November 20, 2019

Education in America Personal Statement Example | Topics and Well Written Essays - 750 words

Education in America - Personal Statement Example Moreover, they do no hold enough strong financial background to support my education. Therefore, I am facing two problems at a time, my family resistance not to study more across the border as it is not in our family traditions and financial background. The only support that I have is my father who loves to see me as a high educated girl. These problems are affecting my studies as I can't give my full coverage over my studies. Not only I have to support my education but also I have to realize my family member that how important is my studies in this era. To finance my studies I am trying to earn through job that is consuming much of my time, more often I also face cultural problem at my work place. As I is Chinese born and my culture, language and traces are completely different from Americans. Though, this is a secondary problem but still this problem is also contributing in my tensions. But now as time passes, my father has contributed a lot in supporting my education, not only thi s he also realized my family that I ma on the right path. As time passes, my family when seek positive enhancements and augmentations in my personality, and when they see people respecting me as I am highly educated, they are no more criticizing my education and my stay in USA. Moreover, as I pass different levels of my education I get better jobs that support my education in better way. Though different problem aris... This cultural difference becomes a great hurdle in my social life. This enables me to restrict within a small social group who also belong to Chinese culture. But still face problem in finding such friends and groups who have Chinese culture and this pressurize me to get involve in this new culture so that life in the future become easy. Though, I accept this culture because I was compel to accept this to make the life easier in future but still I accept those things from this culture which my tradition can allow. Later on with time, when the American culture fully exposed to me, I do not accept the culture fully as I know that I have to return to my country after completing my job. But to make the journey of my education in America easy, I accept the culture of America and try with time to accept different things and this directly affect my socialization. The more I become social, the more I interact people, the more I learn from them. I have joined a student campaign that helps the other students who arrived from different culture, this campaign or organization actually help such students in their initial stages. Leading such campaign was not a problem for me as I already face all such problems and know that how I have to handle them. Therefore, I have introduces different small programs within the campaign that directly help those who are new to USA and arrived for their further studies. My leadership qualities remain my strength as I know that how I have to agree and realized my co-follows for such programs. When you know that you are on the right path and you are right in your rights than this actually enhances your leadership character because when you are internally strong than you not only lead yourself but you

Monday, November 18, 2019

Telenursing in Health Care Essay Example | Topics and Well Written Essays - 1000 words

Telenursing in Health Care - Essay Example From this research it is clear that  a healthcare center can never be successful without the implementation of information system and communication technologies because of their role in improving the system of healthcare delivery. Telenursing facilitates and improves communication between patients and healthcare professionals. Many patients are in such condition that needs them to stay at their homes where they can get medical and psychological treatment together. Moreover, elderly patients also prefer to stay at their homes during treatment because they feel more comfortable being at home. â€Å"As most elderly people prefer home care to residential care, the nursing profession must change its current practice†. Under such circumstances, the role of telenursing becomes more influential as nurses have to examine the health status of patients while being at distance from them. In addition to this, telenursing has also found its place in healthcare settings because of its role in improving the quality of life of patients.This paper stresses that nurses have the most dominant role to play in telenursing as they are the ones who have to interact with distant patients through video calling to examine their current health status, as well as to prescribe treatment to them. Nurses and patients come in direct contact through telenursing system. Patients speak about their feelings and health status based on which nurses recommend a change or continuation of the treatment.

Saturday, November 16, 2019

Measuring Levels of Patient Dependency

Measuring Levels of Patient Dependency Title: Should patient dependency be used to set nurse-staffing levels in general hospital wards? Introduction: In this section, we perform a literature review to discuss patient dependency in clinical settings, and examine how we can measure patient dependency levels. We also discuss whether patient dependency levels should and could form the criteria for setting nurse-staffing levels in the hospital. We will also analyze the other different methods and criteria that can help to determine nurse staffing levels within the clinical setting. Patient dependency levels indicates the requirements of nurses and the extent to which patients will need nurses for their continuous care. Nurse patient ratios are often used to discuss the nurse staffing levels and these figures indicate whether staffing levels have to be increased or decreased. We would aim our discussion of patient dependency necessitating increase in staffing levels and the patient nurse ratio as indicators of nurse staffing both within general hospital wards and at critical care and emergency units. Evidential Information Patient dependency may just form an important part of nursing staff and workload of an individual nurse. Hurst (2005) conducted an important study on the nature and value of dependency acuity quality (DAQ) demand side nursing workforce-planning methods, which are set in the context of nursing workforce planning and development. Extensive DAQ data was obtained from UK nursing workforce in 347 wards, which involved 64 high quality, and 62 low quality hospital wards. The study gives special consideration to workload and quality contexts. New insights have been generated with this study and Hurst emphasizes that poor quality care is more common in larger wards that have fluctuating and unstable workload and nurse – patient ratio. Smaller workloads having consistent and high workload of nursing staff results in inflexible nurse staffing so staff levels and performed duties remain the same. Studies definitely suggest that nursing activity and staffing differences do form an importan t part of defining and contributing to the quality of the wards with higher staffing levels and more consistent work for nurses at high quality wards and lower staffing levels and irregular services with low nurse-patient ratio in low quality wards. From this evidence, it is possible to provide recommendations for nursing management and practice and probe into more accurate relations of dependency acuity quality in DAQ measures. In a study using assessment of patient nurse dependency systems for determining nurse-patient ratio in the ICU and HDU, Adomat et al (2004) point out that a huge range of patient classification systems or tools are used in critical care units to inform workforce planning, and nursing workload although the application of these methods may not always be relevant, complete or appropriate. The systems or tools used for patient classification and categorization were developed solely for the purpose of more efficient distribution of patient across hospital sections, although now the same systems are used for workforce planning, distribution of workload, determining nurse-patient ratio in critical care settings. However these changes can raise a number of issues related to workforce planning, staffing levels and nursing management in general. Adomat and Hewison evaluate the three main assessment systems used in critical care units to effectively determine the necessary nurse-patient ratio t hat can provide the best quality service in the wards. The application of these tools is to enhance the quality of care by keeping nurse-patient ratio at its optimum. The authors suggest that decisions relating to workload planning and determining the nurse patient ratio are dependent on an understanding of the origins and purpose of the classificatory tools that categorizes patients and measures their dependency on care services. Patient dependency and classification systems as well as patient dependency scoring systems for severity of illness are measures indicating mortality and morbidity although Adomat points out that these dependency measure may not be real indicators or determinants of the nurse-patient ratio that help in measuring nursing input. The costs of providing a nursing service within critical care uses nursing intensity measures to give a framework for nursing management and patient care and also determines the exact role of patient dependency in nurse staffing leve ls. However, components of the nursing role and how it determines standards of care have not been fully determined (Adomat and Hewison, 2004). They point out that careful consideration of patient dependency and classification systems may be necessary to plan, organize and provide a cost effective critical care service. In a similar study, Adomat and Hicks (2003) evaluates the nursing workload in intensive care a there is a growing shortage of nurses in these care units. The problem identified in this shortage lies in the method for calculating the nurse/patient ratio using the Nurse Workload Patient Category scoring and classificatory system use in most intensive care units. The nurse-patient ratio is determined by using the patient category or dependency scales and the general assumption is that the more critically ill a patient is, the more care and nursing time will be required for the patient. Many critically ill patients placed on a high level of mechanical care such as a feeding or ventilator tube and in intensive units may however require less direct personal nursing care than patients who are self ventilating or have been considered to have lower levels of dependence. Thus patient dependence may be addressed by means other than direct nursing care and artificial care and support systems may b used instead of nursing staff. These and other factors show that patent dependency may not be a completely relevant measure for determining nurse –patient ratio or nurse staffing levels and many associate factors have to be considered. This study by Adomat and Hicks use a video recorder to document nurse activity in 48 continuous shifts within two intensive care units and helped to determine the accuracy of the Nursing Workload Patient Category scoring system to measure nurse workload. The data obtained from the video of nurse activity was then correlated with the Patient category scale score that was allocated to the patient by the nurse in charge. The results of this study showed that the nursing skills required in these care units were of low skill type despite the needs of care being complex in general. It was found that nurses spent less time with patients who were categorized as in need of intensive care than those in need and in high dependency range in all units. T he findings indicate that existing nurse patient ratio classifications are inappropriate as nurses spend less and less time with critically ill patients. The authors expose the flaws of classification or scaling systems that tend to correlate care with critical illness. They suggest that radical reconsideration of nursing levels and skills mix should make it possible to increase provisions and levels of intensive care providing the right numbers of staff at the appropriate units where patients need them most suggesting more flexible and alternative approaches to the use of nurse-patient ratios. In a similar study discussing relationship between workload, skill mix and staff supervision, Tibby et al (2004) proposes a systems approach and suggests that hospital adverse events or AE are more likely when sub-optimal working conditions occur. Proper working conditions are thus absolutely necessary to ensure the smooth working of the clinical setting. Tibby and colleagues analyzed the adverse events in a pediatric intensive care unit using a systems approach and observational study to investigate the association between the occurrence of these adverse events and latent risk factors including temporal workload, supervision issues, skills mix, nurse staffing and the interactions between established clinically related risk factors (Tibby et a, 2004). The data was collected form 730 nursing shifts and the analysis was done with logistic regression modeling. The rate of adverse events was 6 for every hundred patient days and the factors associated with increased AE including day shift , patient dependency, number of occupied beds, and simultaneous management related issues although these were considerably decreased with enhanced supervisory ability of the nurses. Decreased number of adverse events have been found to be related to the presence of a senior nurse in charge, high proportion of shifts handled by rostered, trained, permanent staff and the presence of junior doctors. Patient workload factors such as bed occupancy and the extent to which the patient needs help and nursing supervisory levels and level of staffing such as presence of a senior nurse have been found to be associated. This study sheds light on the factors increasing or decreasing adverse events and helps in identifying the issues closely related to the need of regulating and optimizing nurse staffing levels. As we have already suggested through a study by Adomat and Hicks, patients in high dependency units may require more frequent nursing care and higher nurse-patient ratios than critical care units where patients may be supported by artificial methods. According to a study by Garfield et al (2000) high dependency units are increasing in the hospitals and becoming more important as part of a hospital’s facilities. Although the optimum staffing ratio for patients is unknown for such units, the Department of Health and Intensive Care Society recommend a level of one nurse for every two patients. Garfield et al recorded Therapeutic Intervention Scoring System scores and Nurse Dependency Scores in high dependency units over 7 months. The results indicated a weak correlation between nurse dependency score and therapeutic intervention scoring system score. The authors argue that a nurse-patient ratio of 1:2 may be insufficient for the management of a high dependency unit and based on t heir findings recommends a nurse to patient ratio of 2:3. Balogh (1992) points out that the literature on audits of nursing care shows a strong relation between the quality of nursing care provided and nursing labour force and staffing issues. Balogh suggests that all assumptions for setting nurse staffing levels on the basis of variations in patient dependency are unscientific and there are moreover no opportunities to use personal judgment in decision-making within hospitals to determine nurse-patient ratios. Balogh points out that such methods for determining staffing levels as well as audit instruments are outdated and insufficient to optimize service levels. The paper highlights the need for greater flexibility, more decision making power, and a more significant role of nurses’ personal judgment in selection and management of appropriate nurse staffing levels in dependency and critical care units. Conclusion: In this review of literature on the exact role of patient dependency in determining nurse staffing levels, we began by suggesting that it is generally believed that the more critical condition a patient is in, the higher the requirements of direct care suggesting that nurse patient ratio should be high in critical care units. This assumption however has been refuted by studies which shows that such clear criteria may not be sufficient for nurse management and staffing level decisions and other factors have to be considered. These include artificial means of life support and other mechanical devices that minimizes the need for manual staffing and reduces a critical patient’s nursing needs. A related study suggested that high dependency units rather than critical care units should be provided with higher levels of staffing although many other factors such as supervisory levels of senior nurses, skills available and already established method of determining nurse patient ratios s eem to be crucial factors. Along with the approach taken by several authors we can also suggest that personal judgment of nurses on the care needed by patients rather than inflexible scaling or scoring systems should be used by hospitals to determine staffing levels, considering patient dependency levels as well. Bibliography Adomat R, Hicks C. Measuring nursing workload in intensive care: an observational study using closed circuit video cameras. J Adv Nurs. 2003 May;42(4):402-12. Adomat R, Hewison A. Assessing patient category/dependence systems for determining the nurse/patient ratio in ICU and HDU: a review of approaches. J Nurs Manag. 2004 Sep;12(5):299-308. Ruth Balogh Audits of nursing care in Britain: A review and a critique of approaches to validating them International Journal of Nursing Studies, Volume 29, Issue 2, May 1992, Pages 119-133 The importance of data in verifying nurse staffing requirements Intensive Care Nursing, Volume 4, Issue 1, March 1988, Pages 21-23 Lynne Callaway and Edward Major Curtis C. A system of measurement of patient dependency and nurse utilization. Aust Nurses J. 1977 Apr;6(10):36-8, 42. Donoghue J, Decker V, Mitten-Lewis S, Blay N. Critical care dependency tool: monitoring the changes. Aust Crit Care. 2001 May;14(2):56-63. Garfield M, Jeffrey R, Ridley S. An assessment of the staffing level required for a high-dependency unit. Anaesthesia. 2000 Feb;55(2):137-43. Hurst K. Relationships between patient dependency, nursing workload and quality. Int J Nurs Stud. 2005 Jan;42(1):75-84. Hearn CR, Hearn CJ. A study of patient dependency and nurse staffing in nursing homes for the elderly in three Australian states. Community Health Stud. 1986;10(3 Suppl):20s-34s. Miller A. Nurse/patient dependencyis it iatrogenic? J Adv Nurs. 1985 Jan;10(1):63-9. OBrien GJ. The intuitive method of patient dependency. Nurs Times. 1986 Jun 4-10;82(23):57-61. Prescott PA, Ryan JW, Soeken KL, Castorr AH, Thompson KO, Phillips CY. The Patient Intensity for Nursing Index: a validity assessment. Res Nurs Health. 1991 Jun;14(3):213-21. Seelye A. Hospital ward layout and nurse staffing. J Adv Nurs. 1982 May;7(3):195-201. Tibby SM, Correa-West J, Durward A, Ferguson L, Murdoch IA. Adverse events in a paediatric intensive care unit: relationship to workload, skill mix and staff supervision. Intensive Care Med. 2004 Jun;30(6):1160-6. Epub 2004 Apr 6. Williams A. Dependency scoring in palliative care. Nurs Stand. 1995 Oct 25-31;10(5):27-30. For scoring systems Depatment of health – www.dh.gov.uk Department of Health (2000) Comprehensive Critical Care; a review of adult critical care services. London. The stationary office. Its also available from the Department of health website.

Wednesday, November 13, 2019

Internet and Technology :: essays research papers

Opportunities and Challenges of the Internet In a world of light-speed data transmission, any individual with little training and expertise can make a fortune from the Internet. Many companies, like E-bay or Amazon.com, thrive from business done only through Internet transactions. As computer technology progresses, data transmission becomes faster, and as high level encryption becomes available for public use, the amount of Internet consumers also grows. Technology advances also allow employees to work from home faster and safer. A manager's first challenge is to create a presence on the web. With a phone line, computer, and HyperText Markup Language (HTML) authoring tools, a business can advertise or do business over the Internet. HTML authoring tools can be freeware, like Sausage Software's Hot Dog, or advanced and expensive utilities like Microsoft Front Page. Any computer user familiar with a word processor can effectively use these applications with minimal training. Putting the HTML and graphic files on an Internet service provider's (ISP) servers is sufficient for relatively low traffic sites. Some online businesses, like Amazon.com, handle hundreds of thousands of people, or hits, everyday. They require specialized hardware and cabling to control the vast amount of traffic on there site per day. A manager's second challenge is to make the business's web site visible on the Internet. The first step in this process would be registering a domain name. Every computer connected to the Internet has a unique number attached to it called an IP address. To simplify finding specific computers on the 'Net, the numbers where substituted with alias called domain names. The names come in two levels, before and after the dot. Fees are generally a $70 startup cost then $35 per year to hold the license of the name. Network Solutions Inc. is the official registrar of domain names. Individuals in the past have registered company names, like Coca-Cola, to themselves and th en sold the domain license to the company for thousands of dollars. There are currently more than four million domain names registered with Network Solutions. Domain name registration is not required but makes your site much easier to find. Another way to make your site visible is to register certain keywords with the most popular search engines like Yahoo! and Alta Vista. Keywords are a small number of words that describe your site and business. These are the words web surfers will most likely type in to find your page.

Monday, November 11, 2019

Philosophy of Nursing

Every nurse holds her own personal views and beliefs about nursing. These views and beliefs encompass the nurse’s personal nursing philosophy. The nurse may find that her philosophy changes as her practice continues to grow over time. My philosophy as a new graduate nurse twelve years ago is much different from my philosophy today. I attribute this life experiences and to the growth I have experienced as both a person and a nurse. My personal definition of nursing is based on the nurse being a loving, compassionate, dependable, competent, responsible, comforting and passionate person. A nurse not only cares for her patient’s physical ailments but cares for the whole person and family unit. Nurses promote both physical and emotional well-being. Nurses should be able to recognize cultural differences and advocate for patients in a non-judgmental manner. Nursing is centered on health both good and bad. Nurses often find patients in poor health and work to assist them back to their normal health state. Often times, it is not realistic for patients to be able to return to their previous state of health. In this case nurses help patients adapt to their illness and lead productive lives despite managing chronic illness. Nursing not only consists of health promotion but also of illness prevention. Health promotion includes prevention of illness and also improving patient’s overall well-being. Nola Pender is a pioneer in health promotion and as a nurse I use her Health Promotion Model as a guide in my current nursing practice. To consider one’s philosophy of nursing, one inevitably considers our beliefs about man. I believe man exists as a unique and holistic individual within a culturally diverse society. In my culture, man is expected to be self-reliant and responsible for himself and his family. Self-reliance is attained by the ability to provide self-care. Self-care is the ability to provide for one’s own basic needs. If self-care is not maintained, illness/death may occur. My culture, like many others, considers the sick worthy of assistance. As nurses, it is our responsibility to offer assistance in bringing people back to their normal state of health if possible. Nurses do this by intervening in a manner that is acceptable to patients while also recognizing that patients have certain rights to refuse the care offered to them. It is important for nurses to recognize the many different reasons patients may not accept the care they are offering. Nurses should be non-judgmental and recognize cultural differences so that they may provide culturally competent care Philosophy of Nursing Every nurse holds her own personal views and beliefs about nursing. These views and beliefs encompass the nurse’s personal nursing philosophy. The nurse may find that her philosophy changes as her practice continues to grow over time. My philosophy as a new graduate nurse twelve years ago is much different from my philosophy today. I attribute this life experiences and to the growth I have experienced as both a person and a nurse. My personal definition of nursing is based on the nurse being a loving, compassionate, dependable, competent, responsible, comforting and passionate person. A nurse not only cares for her patient’s physical ailments but cares for the whole person and family unit. Nurses promote both physical and emotional well-being. Nurses should be able to recognize cultural differences and advocate for patients in a non-judgmental manner. Nursing is centered on health both good and bad. Nurses often find patients in poor health and work to assist them back to their normal health state. Often times, it is not realistic for patients to be able to return to their previous state of health. In this case nurses help patients adapt to their illness and lead productive lives despite managing chronic illness. Nursing not only consists of health promotion but also of illness prevention. Health promotion includes prevention of illness and also improving patient’s overall well-being. Nola Pender is a pioneer in health promotion and as a nurse I use her Health Promotion Model as a guide in my current nursing practice. To consider one’s philosophy of nursing, one inevitably considers our beliefs about man. I believe man exists as a unique and holistic individual within a culturally diverse society. In my culture, man is expected to be self-reliant and responsible for himself and his family. Self-reliance is attained by the ability to provide self-care. Self-care is the ability to provide for one’s own basic needs. If self-care is not maintained, illness/death may occur. My culture, like many others, considers the sick worthy of assistance. As nurses, it is our responsibility to offer assistance in bringing people back to their normal state of health if possible. Nurses do this by intervening in a manner that is acceptable to patients while also recognizing that patients have certain rights to refuse the care offered to them. It is important for nurses to recognize the many different reasons patients may not accept the care they are offering. Nurses should be non-judgmental and recognize cultural differences so that they may provide culturally competent care Philosophy of Nursing Abstract: This paper explores the personal nursing philosophy I plan to convey in my nursing career. I believe the nature of nursing is rooted in commitment to public service and the undeniable desire to help those in need. Nursing is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to the needs of each patient.My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe nursing care should be holistic while honoring patient values. A crucial aspect of nursing is interprofessional relationships, and collaborative efforts among healthcare professionals promote quality patient care. My philosophy of nursing extends to my community in which health promotion is something I will continually strive for.Personal Philosophy of NursingFor as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. I feel most fulfilled when I am serving and caring for others, and my personal nursing attitude is one that is centered on compassion and service. According to Merriam-Webster’s online dictionary (2012), a philosophy is â€Å"an analysis of the grounds of and concepts expressing fundamental beliefs,† and before entering to the profession of nursing, it is important to explore my personal values and principles that will guide my nursing practice.My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. My philosophy is one that focuses on the empowerment each patient in the delivery of holistic nursing care. This paper will explore the values I feel are necessary in relating to patients as well as health professionals, my personal work culture, and society as a whole.Personal Philosoph yThe Nature of NursingThe nature of nursing is something that cannot be simplified to one word or phrase. Nursing is more than a profession; it is more than treating those who are ill, rather it is a model of care and service to others, and it is  continually evolving. The nature of nursing revolves around commitment to public service and an undeniable desire to help those in need. It is my belief that crucial aspects of nursing include the prevention of illness, the treatment of the ill, and the promotion of health, as well as caring for clients.Caring acknowledges what is important to the patient (Austgard, 2006), and I feel this shapes the delivery of nursing care. I believe to say that caring is not intertwined with nursing is to say that breathing has nothing to do with oxygen; for the two go hand and hand, and nursing would not be what it is without its aspect of caring, just like breathing would not be possible without oxygen. The nature of nursing should revolve around res pect for each patient and reverence of human dignity.The nature of nursing is also rooted in science and medical knowledge. It is the goal to prevent illness and treat those who are ill, and this requires a base level of medical knowledge to make nursing care possible. Since the medical field is something that is continually evolving, nurses must keep up to date with the current best practices and delivery of patient care. Nursing is a process that requires continual research and learning.Nursing and Patient CareIn regards to nursing and patient care, my philosophy of nursing focuses on holistic, patient-centered care, as well as a caring and compassionate patient relationship. A holistic view of the patient allows the nurse to connect with patients on a relational level in which nurses get to understand the values of patients, and this kind of practice separates physician care from nursing care.â€Å"Holism involves studying and understanding the interrelationships of the bio-psyc ho-social-spiritual dimensions of the person, recognizing that the whole is greater than the sum of its parts,† (Dossey, 2010, p.14), meaning holistic nursing is not only concerned with a patient’s physical well being, but it also concerned with patient’s emotional, spiritual, and mental well being. Nurses, by nature are concerned with a patient’s comfort, for â€Å"comfort remains a substantive need throughout life and, as such, should be considered an indispensable constituent of holistic nursing care,† (Malinowski & Stamler, 2002).Patients who feel comfortable cope better with their illness and have faster rates of healing then those patients who admit to being uncomfortable  (Malinowski & Stamler, 2002) and as a nurse it is my goal to make sure my patient is physically comfortable as well as mentally and emotionally comfortable. It is my mission to make my care centered upon the patient’s needs and wishes. I believe it is important for patient’s to be informed and be active in their care, and I hope to have a collaborative relationship with my patients so that their needs and wants are met.I want my personal nursing to revolve around building a trusting and caring relationship with patients because â€Å"to establish a trusting relationship is necessary in order to see the situation from the patient’s perspective and an absolute prerequisite for acknowledging and realizing a patient’s values,† (Austgard, 2006, p.16). I value what is important to each patient, and even if his or her wishes are something I personally disagree with, it is still my moral and ethical responsibility to treat the personal needs of my patient and work for the best possible outcome.Nursing and Healthcare ProfessionalsNot only is nursing concerned with patient relationships, but also it involves relations with many other health care professionals as well, for nursing care could not be effective would not effectiv e without the help of other health care professionals. In the past, health care relationships stemmed from the hierarchal basis, and communication took place on a vertical level, but with health care delivery evolving, interdisciplinary teamwork has become a prominent aspect in patient care. As a nurse, I desire to have an open, honest, and effective relationship with other health care professionals while keeping the patient’s needs and wishes as the driving force for care.Communication is a key element in any relationship and it is essential in the health care relationships. Interprofessional collaborative practice has shown to improve patient outcomes and retention of medical staff (Wood, Flavell, Vanstolk, Bainbridge, & Nasmith, 2009), thus collaboration is something I feel is critical for my nursing practice. I would like for my relationship with other health care professionals to be one of collaboration, rather than competition.â€Å"Health professionals must be able to work in collaborative practice models such as interprofessional teams in order to ensure consistent, continuous and reliable care,† (Wood et al., 2009) and this supports the notion that interprofessional teamwork in nursing care is essential for the best patient care. I feel that effective  patient care and positive patient outcomes should be the driving force behind interprofessional health care relationships.Nursing and the Work CultureA work culture is the attitude and personality of a hospital unit, and I feel that a work culture can significantly influence patient care delivery. My preferred work culture would be one consisting of interprofessional collaboration, open communication, and positive attitudes. Teamwork is an essential component of nursing, and I would like to work on a unit in which teamwork is valued and put into practice.Communication is critical for a positive work culture, and I personally would like a culture in which the opinion of the staff is encou raged and valued. It is my philosophy that a positive work culture will positively affect patient moral, and this contributes to better patient outcomes. Nursing and the Environment and SocietyAs a nurse, I feel as though my responsibility to the health and safety of others goes farther than the hospital of clinic I work in. â€Å"Nursing has a disciplinary goal to contribute to the health of individuals and the overall health of society,† (McCurry, Revell & Roy, 2009) and I believe nurses are obligated to promote health in their communities and nationwide. Since my philosophy of nursing is more than a profession and that is something that is focused on the commitment to public service, it would be unethical for me to ignore the health care needs of my community.As a nurse, it is very important that I aid in addressing the healthcare needs of my personal community and environment as well as society as a whole. I feel as though it is my duty and responsibility to take an activ e role in healthcare issues among the country, including issues such as smoking cessation and primary prevention of health care. I personally would like to be a resource for my environment and take a role in health promotion throughout society.Nurses across the nation should take and active role in promoting health across the nation in working for the safety of all individuals. Not only do I feel as though it is important to focus on my community, but I also feel responsible for helping those who have limited healthcare access, especially those in underprivileged areas of the world. I desire to take part in medical trips  oversees to promote health education and wellness in areas where this information is limited.Vision of Personal Nursing PracticeMy vision for nursing practice focuses on what is doing what is most beneficial to my patient. I hope to build caring, trusting relationships with my patients as well as play a positive role in their health outcome. No two patients will ever be the same, and my vision is to individualize care for each of my patients so their personal, emotional, and physical needs can be met. I always want to value each patient as an individual and respect his or her needs and dignity.My goal is to empower each patient to be active in their care in hopes of improving patient outcomes. Personally, I would like to continue to practice nursing care that is congruent with the best evidence to date, and continue to research and discover better ways of doing things. My vision of my nursing practice is to deliver quality and reliable patient care while promoting health in my community.ConclusionThrough this philosophy paper, I have explored what nursing truly means to me, and have become more aware of principles I value for clinical practice. I value holistic nursing and want to value each patient as an individual with varying needs. Respect for every patient is essential in preserving a patient’s dignity.My goal is for the patient to always be the focus of care and to make sure the patient’s values are understood. Interprofessional collaboration is an aspect I hope to implement in my nursing practice in order to better serve my patients. I desire to work in a healthy working environment in which open communication is encouraged. Nursing is something I plan to extend beyond the hospital in an effort to improve the health of my community and the country as a whole. This information and these personal values will serve as a guide for my personal standards of nursing practice. Philosophy of Nursing Every nurse holds her own personal views and beliefs about nursing. These views and beliefs encompass the nurse’s personal nursing philosophy. The nurse may find that her philosophy changes as her practice continues to grow over time. My philosophy as a new graduate nurse twelve years ago is much different from my philosophy today. I attribute this life experiences and to the growth I have experienced as both a person and a nurse. My personal definition of nursing is based on the nurse being a loving, compassionate, dependable, competent, responsible, comforting and passionate person. A nurse not only cares for her patient’s physical ailments but cares for the whole person and family unit. Nurses promote both physical and emotional well-being. Nurses should be able to recognize cultural differences and advocate for patients in a non-judgmental manner. Nursing is centered on health both good and bad. Nurses often find patients in poor health and work to assist them back to their normal health state. Often times, it is not realistic for patients to be able to return to their previous state of health. In this case nurses help patients adapt to their illness and lead productive lives despite managing chronic illness. Nursing not only consists of health promotion but also of illness prevention. Health promotion includes prevention of illness and also improving patient’s overall well-being. Nola Pender is a pioneer in health promotion and as a nurse I use her Health Promotion Model as a guide in my current nursing practice. To consider one’s philosophy of nursing, one inevitably considers our beliefs about man. I believe man exists as a unique and holistic individual within a culturally diverse society. In my culture, man is expected to be self-reliant and responsible for himself and his family. Self-reliance is attained by the ability to provide self-care. Self-care is the ability to provide for one’s own basic needs. If self-care is not maintained, illness/death may occur. My culture, like many others, considers the sick worthy of assistance. As nurses, it is our responsibility to offer assistance in bringing people back to their normal state of health if possible. Nurses do this by intervening in a manner that is acceptable to patients while also recognizing that patients have certain rights to refuse the care offered to them. It is important for nurses to recognize the many different reasons patients may not accept the care they are offering. Nurses should be non-judgmental and recognize cultural differences so that they may provide culturally competent care

Friday, November 8, 2019

Motivating employees Essay Example

Motivating employees Essay Example Motivating employees Essay Motivating employees Essay Motivating employees Name: Course: Institution: Instructor: Date: Outline Abstract Introduction Discussion Importance of motivation Ways of motivating employees Conclusion Abstract Employees are an important asset of a business. Their input determines the performance of a business. If employees have low input, the business is likely to perform poorly. If the employees give large amounts of output, the business will perform well. The business has a responsibility of motivating employees to maintain high levels of output. The human resource department is supposed to determine the possible ways of motivating employees and implementing them. Motivating employees plays a role in retaining employees in the business (Longenecker, 2010). Motivating employees Introduction Motivating employees depends on the nature of work and the needs of the employees. Studies have proved different employees are motivated differently. It is important for the management to understand how their employees become motivated. For instance, some employees prefer non-material rewards while others prefer monetary motivation. Motivating employees improves their discipline and reduces labor turnover. Motivation gives employees satisfaction and sense of belonging in the work place (Lauby, 2005). Discussion The most important motivation is a comfortable environment for working. Employees should have all the facilities they need to do their work. If they lack a good working environment, they will not utilize their full potential. Some of the employees will feel they are not exploiting their skills fully hence look for another job (Lauby, 2005). Relationship between management and employees must be smooth and professional. This is another important motivator for employees. It is difficult for employees to cope well with insolent and unreasonable managers. Business managers should adopt a leadership approach, which will motivate employees. For instance, they should initiate effective communication with the employees. They should learn their problem in the work place and look for solutions. Address the employees in way suggesting the management and employees are part of each other. There should be a culture of teamwork between the management and the employees. This aspect is significant in achieving success in the business. Employees who are free with their managers can approach them with any issues they have. This comfort motivates the employees in their work (Longenecker, 2010). The most common way of motivating employees is giving them an attractive salary. A large number of employees are attracted by big salaries. In today’s world, career people are advancing their education to get better bargain of salary. Research shows a large percentage of labor turnover since most of these employees are seeking jobs with better salaries. Businesses should offer their employees salaries according to their professional qualification. It will motivate and retain the employees in the business. A business loses a lot due to labor turn over (Silverstein, 2007). Training programs and workshops are suitable motivators. Employees get a chance of learning more and enhancing their skills. Enhancement of skills makes employees to feel competent and motivates them to work harder. It also enables them adjust to the changes in the work place. Guidance and counseling about topics like attitude in the work place, performance and other relevant is necessary. It makes employees understand their work and improve their attitude their attitude towards their work. They also acquire knowledge of different aspects of their duties (Lauby, 2005). Conclusion There are many other methods, which business owners could use to motivate their employees. A business should do everything possible to avoid labor turnover caused by lack of motivation to the employees. The business will lose time and production units for the absent employees. It will also incur expenses of recruiting and hiring other employees. This is why the management should ensure the employees have a good working environment. Motivation is directly proportional to employees output. Motivated employees will always have better output than demotivated employees will (Longenecker, 2010). Reference: Lauby, S. J., American Society for Training and Development. (2005). Motivating employees. Alexandria VA: American Society for Training Development. Longenecker, J. G. (2010). Small business management: Launching growing entrepreneurial ventures. Australia: South-Western Cengage Learning. Silverstein, B. (2007). Motivating employees. London: Collins.

Wednesday, November 6, 2019

The Relationship of the American TV Family versus the real life essays

The Relationship of the American TV Family versus the real life essays The Comparison of the TV family to the everyday real life family can take many avenues to explore, but I'll try to keep it as basic as possible. First I'll break down the animated TV family "The Simpsons", and then I'll break down a real life middle class family that I know all to well. I. The Simpsons; Father, Mother and three children. The various daily problems they encounter in their middle class suburban lives. a) The Father. Hopeless fool. Everything he attempts turns into total chaos, from his job, home life, to hanging out with his buds. b) The Mother. Hard working sensible women trying her hardest to maintain some form of sanity in her insane world. c) The children. The broad spectrum from the rowdy to the innocent. II. The real life middle class family Father, Mother, and three children. The somewhat different, but similar problems they encounter in their real middle class suburban lives. a) The Father. Typical father figure trying to juggle a million things at once. b) The Mother. Homemaker and confidant', going in every which direction to fulfill everyone's needs. c) The children. Intelligent know it all's. "Been there done that " attitude. To summarize the we look at the comparison of the American Family portrayed on TV and the real life family living in the in the suburbs. Now we must wonder if our friends and neighbors see our families as "The Simpsons" or as well-adjusted functional members of society. The Comparison of the TV family to the everyday real life family can take many avenues to explore, but I'll try to keep it as basic as possible. First I'll break down the animated TV family "The Simpsons", and then I'll break down a real life middle class family that we might know all to well. The Simpsons: a family that consists of a father, mother and three children. The various daily problems they encounter in their middle class suburban lives. Makes you wonder ...

Monday, November 4, 2019

Latin American Bond Markets Essay Example | Topics and Well Written Essays - 1000 words

Latin American Bond Markets - Essay Example an that, it examines Latin Americas international capital markets access starting 1980 to 2005 while dwelling mostly on the role of factors both domestic and external. Since the nineties, several of the Latin American countries have undertaken major policy reforms directed at ensuring the development of bond markets that had previously been non-existent. This has resulted, decades later, in an unevenly developed bond market, with thriving government and private bond markets that are still yet to be consolidated. These markets mainly concentrate on small numbers of large suppliers and show spurs in monetary growth that is unsustainable over time. As such, in several of these countries, bank credit is still the main source of financial credit to date. However, market based financing has experienced a lagging performance. Several efforts to explain this lag in performance have been made, none of which has explicit focus on the bond markets. This has left many questions regarding these markets unanswered. 1Empirical approaches to the capital markets have been descriptive with no intent to pursue models looking into market participant behavior. This raises the question as to whether, basing on policy, private bond markets development is crucial for the growth and development of economies of the involved countries, and if so, to what extent? In recent years, domestic bond markets in Latin America have constituted a growing finance source for the economies of respective countries and for global investors, a portfolio allocation. This brings up the question as to whether the region’s countries can borrow, at longer maturities, in local currency. Over the past decade, domestic issuance of securities has had a rapid expansion. This growth has led to fixed income markets domination as a funding source for both private sector and public sector. It is clearly evident that bond markets in Latin America have a long way to go in as far as policy reformation is concerned.

Saturday, November 2, 2019

Inportance of HR Policy and Other Factors in Employee Engagement Essay

Inportance of HR Policy and Other Factors in Employee Engagement - Essay Example The findings of this research will provide insight of Human Resource (HR) department that has earned a fundamental status in any organization in the recent history. It facilitates the formation of an effective infrastructure in which employees can excel and achieve goals in accordance with the vision of the company. HR functions encompass the art of providing an environment for the managers such that they are able to engage their employees and achieve desired results. Alfres, Truss, Soane, Rees and Gatenby defined employee engagement as the presence and active participation of the employee in the happenings of the organization, alongside maintaining effective and meaningful relations with the colleagues. Lockwood stated that the employees who possess greater levels of commitment with the organization tend to perform 20% better than the others and there are 87% less chances of them leaving the organization. Therefore, it can be said that better organizational results can be linked to greater employee engagement. A performance driven environment that is fuelled by competent employees is achieved by the presence of effective HR policies. Humane, flexible and clear HR policies ensure a fair and amiable working environment that helps to engage employees by protecting their rights and interests. However, the formulation of valuable HR policies is not the only factor that is used to attain employee engagement in the organization.... Figure 2: Managers’ practices influence the level of employee engagement and ultimately the business results (Vance, 2006) Alfres, Truss, Soane, Rees, and Gatenby (2010) considered the following factors to bear great relevance when employees rate their line managers; communication, trust and level of fairness. Along these lines, the managers are expected to assign tasks in a fair manner in accordance with the skills and expertise of the employees. The employees expect clear and unambiguous guidelines from their managers so that the employees can direct their efforts in a consistent direction and produce results according to the expectations of the managers. Vance (2006) discussed the job characteristics model from the 1970s that increased the attention on the relation of job design with job satisfaction. This model promotes the consideration of the following aspects; skill variety, clear identification of task, relevance of task, independence to perform the task and feedback o f the performance. Line managers are also responsible for ensuring that the efforts of the employees are rewarded in an according manner. 2.2 Team Cohesiveness and Mutual Support Mutual understanding and cohesiveness are important traits of any team since these factors work towards the enhancement of employee engagement. Albercht (2010) stated that exchange of knowledge, skills and abilities (KSAs) helps the employees to improve their work performance and stay directed towards the achievement of the goals of the team. Mutual support promotes an amiable environment in the team which develops personal relations within team members; such relations provide the feeling of belonging to a specific establishment.