The Metamorphosis The Misunderstood Of Students

In the United States of America, there are about 323.1 million people. 74.6 million of those are students. Students across the country are all basically doing the exact same curriculum, with the same textbooks, and the same styles of teaching. It is 2017, and times have changed. As Gregor Samsa, an outsider in the story â€Å"The Metamorphosis†, by Franz Kafka, is misunderstood, students in this country are misunderstood and are given things that are wrong for them. These things include standardized tests, excessive amounts of homework, and a lack of respect and trust. To start off, students are misunderstood as they are forced to take standardized tests. The creator of the standardized tests was quoted saying that they are to hard and†¦show more content†¦But for a lot of high school students, this definitely isn’t the case. If your child is looking to attend a competitive university, then her SAT/ACT score is more important than her GPA† (Patel, Shaan). So how is it fair that twelve years of going through school, matters less than three hours of your life. Some students work very hard to get above 3.5 and way higher grade point averages, and what matters more is just how well you do on one test. This also correlates to how much homework is given and how it is too much for some students. A second example of students being misunderstood is the ample amount of homework given to each student every week and every day. â€Å"High school teachers interviewed said they assign an average of 3.5 hours worth of homework a week. For students who study five days a week, thats 42 minutes a day per class, or 3.5 hours a day for a typical student taking five classes† (Stainburn, Samantha). Now, these numbers may vary, but that is a lot of homework. As stated earlier, students have different ways of learning. So only the students whose ways of learning are solitary or logical will it benefit. The only form of homework that should be given out to the five other learners would be studying for things, or not solving tons of problems. Students who learn by physically showing it through real life things, or by group work, or by imaging andShow MoreRelatedAnalysis Of The Metamorphosis By Franz Kafka920 Words   |  4 Pagesto a stereotypical teenage society, in the story, â€Å"The Metamorphosis,† by Franz Kafka, is a showing of how in a day-to-day â€Å"regular† lifestyle can result in the alienating of the metamorphosing of something not as typical in your self-styled day-to-day â€Å"regular† lifestyle. This also can be known as outsiders, people who do not belong to a particular group, signifying the argument that newcomers are simply those who are misjudged or misunderstood for the two reasons of. 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In order for Alice to recognize and comprehend her surroundings, she needs to be able to understand hersel f and her own uniquenessRead MoreFundamentals of Hrm263904 Words   |  1056 PagesThis online teaching and learning environment integrates the entire digital textbook with the most effective instructor and student resources With WileyPLUS: Students achieve concept mastery in a rich, structured environment that’s available 24/7 Instructors personalize and manage their course more effectively with assessment, assignments, grade tracking, and more manage time better study smarter save money From multiple study paths, to self-assessment, to a wealth of interactive visualRead MoreOrganisational Theory230255 Words   |  922 Pagessterling service in bringing together the very diverse strands of work that today qualify as constituting the subject of organisational theory. Whilst their writing is accessible and engaging, their approach is scholarly and serious. 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Alan Kendricks Was Recently Promoted To Medical Director

Alan Kendricks was recently promoted to medical director for Cardiology Associates at Southern Pennsylvania, University Hospital (SPUH). His first six months was a crash course in the roles of the different departments in the hospital. While balancing patients, and the duties of his new role, Alan has observed problems, and areas of improvements that he hopes to start implementing with change. Him and other senior executives and clinical leaders, know that cardiology is seen as the â€Å"pillar of prosperity† and they are exploring strategic potential. (Groysberg, Kaftan, McCalla, 2007) However, he has run into the resistance of tenured staff and physicians not wanting to change procedures. Alan is attempting to figure out the best way to†¦show more content†¦Griffiths tenure and Dr. Kendricks understood that. However, he believed that he needed to explore changes in order to lead the practice into having a successful future. Initiatives that Alan has already impleme nted during his first six months in his position was an open-door policy during his administrative hours. Dr. Griffiths was a much more â€Å"hands off†, collaborative director. (Groysberg, Kaftan, McCalla, 2007) Where Dr. Kendricks wants to be more direct, and confrontational at times. His new open-door policy is becoming a major distraction for Alan, he is finding himself taking his routine clinical work home so he is not interrupted with other issues. The change is leadership style has also been challenging for the hospital to come to terms with. The physicians and support staff have become complacent to the procedures and practices under Dr. Griffiths. Alan has been attempting to implement a new pay-for performance system, which includes electronic medical record (EMR), decision support systems, e-scribing of medications, and predefined disease management protocols for patients with chronic conditions. With the new EMR system, senior physicians begrudged Dr. Kendricks fo r telling them how to practice, and forcing them to use the new systems. Doctors are also complaining about how they are being forced to do work support staff should be preforming. Alan is having a hard time figuring out how to allocate the support staff’s time fairly.Show MoreRelatedA Cardiologist At The Southeastern Pennsylvania University1322 Words   |  6 PagesA cardiologist at the Southeastern Pennsylvania University Hospital by the name of Alan Kendricks had recently been promoted as medical director. Within this new promotion, he brought with him great change. The medical director before Alan had a laissez-faire approach, while Alan had a more interactive approach to leading. Although Alan came with great credentials, the medical staff Alan was now in charge of was timid of this new change. A few employees who were not too keen on the new changesRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall3931 64 Words   |  1573 PagesEditorial Director: Sally Yagan Director of Editorial Services: Ashley Santora Acquisitions Editor: Brian Mickelson Editorial Project Manager: Sarah Holle Editorial Assistant: Ashlee Bradbury VP Director of Marketing: Patrice Lumumba Jones Senior Marketing Manager: Nikki Ayana Jones Senior Managing Editor: Judy Leale Production Project Manager: Becca Groves Senior Operations Supervisor: Arnold Vila Operations Specialist: Cathleen Petersen Senior Art Director: Janet Slowik Art Director: Kenny BeckRead MoreProject Mgmt296381 Words   |  1186 Pagesancillaries, including electronic and print components, may not be available to customers outside the United States. This book is printed on acid-free paper. 1 2 3 4 5 6 7 8 9 0 WVR/WVR 0 9 8 7 ISBN 978-0-07-340334-2 MHID 0-07-340334-2 Editorial director: Stewart Mattson Publisher: Tim Vertovec Executive editor: Richard T. Hercher, Jr. Developmental editor: Gail Korosa Associate marketing manager: Jaime Halterman Project manager: Harvey Yep Production supervisor: Carol Bielski Designer: Mary Kazak

SAS Institute Case Analysis Free Essays

1. Basic Business Model The business model of SAS is such that it in general it offers services coupled with software. Unlike typical firms in the industry it follows an annual software subscription model. We will write a custom essay sample on SAS Institute Case Analysis or any similar topic only for you Order Now Rather than sell its software, SAS leases to its customers – a strategy of immense importance in understanding the company’s relationship to its users. The fact that leases must be renewable annually creates a tremendous emphasis on customer satisfaction and quality in addition to stabilising its revenue. Furthermore, its products are made based on what customers require and its developmental process is almost wholly customer driven. There is also a strong focus on employee satisfaction leading to customer retention and loyalty which SAS believes is directly linked to customer satisfaction. As seen by the SAS Institute, the leasing strategy helps keep the company sharp by ensuring that technological advances are driven solely by customer needs. 2. Capabilities and Core Competencies to execute its Business Model SAS possesses many capabilities and competencies to help execute its business model effectively. These include flexibility from being a private company, an effective tacit leadership, unique corporate culture, strong brand, dedicated human capital and a considerable amount of financial resources which they efficiently allocate to certain projects whenever required. Being private, it is able to focus on the long term, continue to implement activities which have a strong focus on employee satisfaction and focus on slower but steady growth, something that would have most likely have not been possible had SAS been a public company. With a strong leadership spearheaded by CEO Jim Goodnight, coupled with a strong brand, SAS is able to recruit and retain the key talent it requires to execute its business model. Having a corporate culture which is egalitarian and based on mutual trust and respect also plays a significant role in retaining talent and keeping employees loyal and happy. With a dedicated human capital striving to continue the company’s growth, SAS does not only come up with innovative products which increase its revenue, it also saves more than $100million due to its low attrition rate. Key Success Factors The key factors are its unconventional management philosophies, customer driven developmental process and it being a private company. Unlike other software companies that focus on monetary benefits, SAS’s management philosophy is mainly employee centred with the provision of many intangible benefits. It also believes in a long term view of all issues and does not actively strive to reac h specified short term financial goals. These have led to a build up of a loyal and talented workforce and sustainable long term growth. Moreover, its products are built on customer needs and customer feedback is taken very seriously. Using the Voice of the Customer (VOC) approach, customer opinions and suggestions are compiled and used to guide the development process. Being a private company with no debt has allowed Goodnight to have a long term view of issues and also implement the abovementioned policies to provide employee satisfaction and consequently customer satisfaction as well. . Building of Capabilities and Core Competencies via People Management Practices With attraction and retention of talent central to the company’s continuing success, it has developed certain principles in its recruitment, compensation, employee benefits and outsourcing policies. It has a stringent recruitment process to ensure the cultural fit of its new hires and thereafter gives its employees as much autonomy as possible. It also actively promotes a work life balance and egalitarian culture with a promotion of non financial incentives, unlike other software firms thus creating a unique corporate culture, â€Å"One of cooperation, teamwork and mutual respect† . Moreover its flat organization structure, open door policy and informal work environment encourages communication at all levels of the organization.. This has also led to the development of a strong brand and increased employee satisfaction which not only enables the company to attract but also retain talent. As shown in the diagram above, this leads to increased customer satisfaction and thus increasing revenues. All in all, these practices have helped promote the building of its capabilities and competencies to a large extent ?Is the SAS Model perfectly in balance? With SAS focussed on long term growth and emphasizing non monetary benefits for its employees, this model has been almost perfect for them. It is not fair to say that the model is perfectly in balance as a firm’s model is largely determined by its capabilities and core competencies. A public company for instance would not enjoy the flexibility that SAS enjoys. It would not be able to provide such extensive employee benefits or focus on long term growth at the expense of short term profitability. No model can fit all organizations and be perfectly in balance and SAS is not different. For example, if its model is in balance, its attrition rate despite being low would be 0 and not 4%. 4. Difficulties in imitating SAS’s approach Being such a differentiated company compared to the rest of the industry in many aspects, it is difficult to duplicate SAS’s approach which is based heavily on intangible assets. â€Å"†¦intangible assets almost never create value by themselves. They need to be combined with other assets. † Hence, not only do these intangible assets such as SAS’s unique corporate culture take years to implement, it is also hard to imitate as the social complexity of a company’s culture is so ambiguous that it is almost impossible to find out how it works and combines with each other. ?Why few firms have tried to implement many of its People Management Practices Big companies with strong brands such as IBM could follow its stringent recruitment process but would not be able to imitate its unique culture as easily. With most companies providing incentive compensations and stock options, it would not be easy to eliminate that and emphasize non-monetary incentives. This is especially so when public companies would have to go through its board just to provide employee benefits on a similar scale as SAS. It would also be unfeasible to bring outsourced functions back in-house as it would most certainly drive up labour costs and hence be blocked by a hard-nosed board. 5. Extent to which SAS is dependent on continuation of its CEO With a flat organization structure and having 27 direct reports, Goodnight also appears o be very much on top of all the details of the organization. Conversely, he appears to give his direct reports a clear direction of where SAS Institute is going on the product or technology front, and then let them run their own areas. Even though Goodnight is no longer directly involved with most decisions related to SAS’s work culture, his original vision has spawned a self-perp etuating culture, and â€Å"new† decision makers now share his vision, which governs the variety of philosophies, strategies, and practices adopted by the company since its inception. Even though the culture looks so strong that it would survive a change in leadership, the new CEO would not only have to possess business leadership ability but also shares the same values as Goodnight so that SAS does not deviate from its current approach to its business and management. Hence, with no formal succession planning and still being heavily involved in almost all aspects of the organization, the SAS institute approach to its business and management is heavily dependent on Goodnight’s continuation. . Theory of Human Motivation and Behaviour underlying SAS’s Management Approach Maslow’s Needs Hierarchy seems to underlie SAS’s approach to people management. 7. Barriers in implementing knowledge of how SAS manages its people Firstly, a barrier in trying to implement freedom and autonomy coupled with possessing employees with intrinsic motivation is not only the lack of talent but finding talent with the required characteristics. Secondly, extensive employee benefits such as a gym, day-care and the absence of commission-based pay for its account representatives would most likely not been possible if a company is public. Thirdly, a lack of explicit support and encouragement from top management would be another barrier as this is important for the promotion of an egalitarian culture based on trust and mutual respect on top of a family-friendly atmosphere. 8. Major Challenges SAS may face in the next 5 years and its Impact Due to the changing dynamics of the software industry and increasing global competition, the company has to expand its talent pool which is already in shortage. Hence, there might be a need for the company to come out with new ways to attract talent. Practices such as providing more career advancement opportunities would be important in retaining them. Another challenge would be to develop current staff to meet future needs whilst nurturing its talent to fulfil their potential. SAS might have to change its current unstructured approach where employees are free to come up with and develop their own projects and idea. A more structured approach to its job design could be considered to help nurture and develop staff. In general, SAS’s practices have been working for them and look to be able to continue to help them succeed. However, certain aspects could be improved in the future to overcome potential future people management problems such a new generation of workers demanding a different set of benefits than the one SAS currently offers. . Lessons drawn By paying extraordinary attention to its customers and employees, the company has differentiated itself from other companies in the competitive industry, and subsequently has created this â€Å"wheel of loyalty† which resulted in both employee and customer retention. For various HRM practices such as recruitment and selection, great care must be taken to ensure all practices are designed to fit t he company’s business model and culture and at the same time also highlights its strengths, to promote a competitive advantage. For instance, during recruitment, SAS took great care to hire people to ensure a cultural fit. In addition, its job design was such to fit into its philosophy of trust and autonomy between its employees. There should also be a strong relationship between management and employees to produce competitive advantage, hence SAS’s promotion of an egalitarian culture. ?Future of HRM in firms like SAS The future of HR should be one that is committed to working with line managers to improve SAS’s bottom line, create service value for customers and create workplace value for employees. Leadership and management training should be initiated for senior managers while knowledge sharing within the HR function would be vital for SAS to move forward and expand globally. HR should also become a champion for employees while working to increase employee contributions, specifically commitment and ability to deliver results, be an agent for continuous transformation, and cultivating a culture that will improve SAS’s capacity for change. How to cite SAS Institute Case Analysis, Papers

An Introduction to Corporate Accounting

Questions: 1. What is the research question of interest to the authors of the paper? 2. Is this an interesting question? Why? 3. Why is this question related to or of interest to Accounting? 4. What is the source of tension in the paper that requires research? 5. In what setting is this question examined? 6. What does the paper find? 7. What does the paper conclude based on its findings? 8. How convincing is the evidence presented in the paper? How valid are the results? 9. How does this paper contribute to the literature, and to our knowledge? 10. What are the implications of this paper? Answers: 1. The research question that is present in the paper is that how accrual accounting is linked to the valuation of the equity, as well as goodwill of the firm. From the accounting perspective, this research is very helpful because this will help in recording the creation, as well as distribution of wealth. It is an interesting question because accrual accounting in the case of financial activities can be seen as straightforward. 2. The question is directly linked to financing activity and hence interesting. A financial activity considers assets, as well as liabilities that have perfect markets. The accounting measures can be conceptualized with the help of book values and market values (Edwards Bell, 1961). The question is related to accounting for operating assets. It is clear from the discussion that the measurement of operating accounting earnings stress on cash flows that is adjusted for accruals and the utilization of conventions of accounting that brings a difference. The question evaluates the fact that how accrual accounting is related to valuation of the firms equity, as well as goodwill. 3. The main aim of the paper is to shed light on the link that is present between the market value of a firm and the accounting data that concerns the operating, as well as financial activities. The major question is related to accounting and linked to financing activities. Accrual accounting is vital when it comes to the techniques of accounting. This is an important consideration because when it comes to financial activities, the book value equals the market value while it differs in case of operating activities (Ryan, 1986). This paper is important in the sense that it models how the market value of the firm links to accounting data that sheds light both on the operating, as well as on financing activities. Both these concepts are important in nature because they influence the evaluation of the market value of a firm that is a major function of the financial statements. 4. The model that is shown here begins from the assumption that the firms value of equity equals the NPV of the dividend that is expected and distributed to the equity shareholders. Overall, the model and its implication is complex in nature and creates a problem. The creation of wealth is mainly recorded with the help of the accounting system. 5. The question is evaluated with the help of three main facts. The initial being the value as it pertains to the realization that is anticipated. The second being the fact that how the value rests on the accounting data realization. The third set stress how the earning is connected to starting of the book values. The paper projects that in all the three methods, the conclusion depends on the manner to which the conservatism of accounting is maintained. The presence or absence of growth in the case of operating activities is relevant only when the accounting system is conservative in nature (Needles Powers, 2013). 6. In this paper, the major stress is on the linear model where the dynamic of the information is specified and includes the book value, as well as abnormal earnings for operating purposes. The model is simple in nature and helps in derivation of closed forms that relates to market value. The model considers four main variables that are operating earnings, interest revenues, cash flow, as well as dividend (Paton Littleton, 1940). 7. The main advantage of the paper lies in the fact that the accounting relations has been shown with the help of various models and formula that is user-friendly and justify the measurements that has been considered. Moreover, the models are the best fit because the activities of the firm are in the nature of financing or operating (Stickney et. al, 1986). 8. Overall, the paper shows reliance on the LIM dynamics and this paper serves a major purpose as the structure of the accounting satisfies the properties and establishes a relationship between value and the accounting numbers. The article has praised the framework because it ensures that wealth creation must be in tune with the wealth distribution and has been justified with the help of proposition one and other classical concepts of MM (Miller Modigliani, 1961). The analysis is independent in nature and therefore, provides a clear-cut knowledge. 9. From the paper, it is observed that three concepts plays a leading role in the accounting variables and helps in derivation of the values. Firstly, the income, as well as balance sheet reconcile through the clean surplus relation. From this restriction, it can be said that the goodwill of a firm equals the present value of anticipated future abnormal earnings (Morgenstern, 1963). Secondly, the assessment establishes Millar and Modigliani concept of debt. Here, the borrowing capacity of a firm whether average or incremental yields zero NPV. Thirdly, the concept of cash flow is shown naturally if one witness the cash flow and operating earning difference. 10. From the discussion and overview of the paper, it is clear that accrual system of accounting is important, as well as vital when it comes to accounting. Various models have been proposed in order to have a clear-cut understanding (Stickney et. al, 1991). As per the study and discussion, it is evident that the linear model is best suited in this scenario. References Edwards, E.O. and. Bell, P.W 1961, The Theory of Measurement of Business Income, Berkeley, Califoniia:University. Miller, M. and F. Modigliani 1961, Dividend Policy, Growth, and the Valuation of Shares, Journal of Business, no. 34, pp. 411-433 Morgenstern, O 1963, On the Accuracy of Economic Observations, Princeton: Princeton University Press. Paton, W.A. and Littleton, A.C 1940, An Introduction to Corporate Accounting, Standards.Evanston, Ilhnois: American Accounting Association. Ryan, S.G 1986, Structural Models of the Price to Earnings Relation: Mea.surement Errors in Accounting Earnings, Working Paper, Stanford University. Stickney, C.P, Weil, R.L and Davidson, S 1991, Fmancial Accounting; An Introduction to Concepts, Methods, and Use. New York: Harcourt Brace Jovanovich.

Executive summary free essay sample

Executive Summary: Education for Recovery Room Nurses on the Topic of Diverticular Disease Dina Gibson Grand Canyon University: NRS-415V November 10, 2013 Executive Summary: Education for Recovery Room Nurses on the Topic of Diverticular Disease We as nurses have a common goal of educating the people that we care for and teaching them in detail about disease management and prevention. Diverticular disease is characterized by small pouches in the colon. Most people do not exhibit symptoms, but some will have mild symptoms such as cramps, bloating or constipation. If the pouches become inflamed or infected, they develop into a condition known as diverticulitis. The most common symptom is abdominal pain usually left sided, accompanied by fever, chills, nausea, cramping and constipation. In very serious cases, this may lead to bleeding, tears and intestinal blockages which may require hospitalization. It is believed that the cause of Diverticulosis is many years of a diet that was not adequate in fiber intake. We will write a custom essay sample on Executive summary or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Since patients do not always exhibit signs and symptoms, it is often diagnosed during a routine colonoscopy. The purpose of this paper is to devise a plan of education for the recovery room staff to teach patients how to manage Diverticular Disease, and the basics of a high fiber diet. (www.ucsfhealth.org) Target Population and Audience The target audience that Diverticulosis education is intended for is the patients that have procedures in the Endoscopy suite, and the recovery room nurses that are responsible for their care. Education is a valuable resource. Recovery room nurses have the unique opportunity to be able to provide patient education and answer questions that the patient may have. Many times people are unaware that they have this condition which is diagnosed during their endoscopy procedure. If the nurse is knowledgeable in the subject matter, they will be able to provide this basic information which may help to prevent future complications. The Benefits of the Program Proper education, can help to prevent serious complications. Constipation and straining, can make this condition worse so it is very imperative that the patient be instructed on the importance of a high fiber diet. A high fiber diet keeps the stool soft and adds bulk allowing it to pass easily. Since many people may not know what foods are high in fiber, the recovery room nurse should be aware and be able to educate them on how to make good choices, and foods to add increased fiber to their diet. This also can benefit the physician by nursing staff providing this valuable education. Some fiber rich foods include fruits such as berries, apples and bananas, vegetables such as broccoli, carrots and squash. Beans and legumes are also fiber rich foods. Bread choices should consist of whole grain bread, brown rice, and whole grain cereals. The goal of a high fiber diet is to be eating 25-35 grams of fiber per day. If the diet is not currently high in fiber, it should be increased gradually. Too much fiber too fast can cause uncomfortable symptoms such as gas, abdominal pain and bloating. Fluid is also important to keep things moving, at least 64 ounces of liquids per day, and a regular exercise routine. Diverticulosis can lead to severe complications such as infection, bleeding and intestinal blockage. Another complication that may arise from Diverticular Disease, is Diverticulitis. This condition occurs when the pouches become inflamed and infected. During these flare ups patients treated with antibiotics and will be kept on a clear liquid diet, progress to a low fiber diet, and gradually return to normal diet after symptoms improve. (www.ucsfhealth.org). When complications do not respond to diet or medication, surgery to remove the infected area may be required. (www.nlm.nlh.gov). Cost of Program The cost of this educational program is minimal. Written educational materials and in-service should be provided for the staff. A face to face in-service will allow for questions and detailed clarification of the information presented. Written materials can be provided for the patient, which defines the basics of a high fiber diet and explains in detail ways to manage their Divercular Disease and prevent further complications. The recovery nurse should be available to answer questions and give explanation of the material. This minimal cost of education, can help to prevent complications of the disease and give the patient increased awareness. The educational process starts at the bedside. We as nurses can make a difference. Evaluation Evaluation process should consist of input from the recovery room staff. Their perception of how the information was received. Observation of the discharge education process should be monitored to make sure patients are receiving their education and educational materials, and that they understand them . A study can be done to monitor the rate of complications of Diverticular Disease and treatments rendered. Surveys can be given the patients upon discharge so that they can rate the level of education that they received and their understanding. Conclusion We as nurses can help to make a difference in the lives of those that we care for. Education should be one of the top priorities. Education to our patients can mean the difference of complications that may arise. Since education starts at the bedside, it is important that we have well educated nursing staff. Educational plans that are used to benefit the care that we give can start the ball rolling, and give the best possible outcomes for our patient population. Executive Summary free essay sample A Project for Quality Improvement and Cost Reduction Most of the health care organizations are very much interested in quality improvement activities since they are facing a big competition in the market. Quality improvement activities and the role of nurses in this area are increasing simultaneously. Since nurses are the primary care givers in the hospitals their influence in quality improvement is remarkable. Quality improvement is a formal method to bring the service to the next level with the aim of overall health of the organization (Public Health Foundation, 2012). Here, the author is making an executive summary to the hospital board for the approval of specialized bed which prevents bed sore and provide other safety features for the patients. The safety features include bed exit alarm on fall risk patients, automatic weight scale on the bed, nurse communication and able to help the patient turn from side to side. The hospital acquired sores and falls are the number one expenditure for the hospitals. We will write a custom essay sample on Executive Summary or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Since these beds will benefits the patients, hospital as well as the caregivers. This summary will include the purpose of the program, the target population and benefits, cost of the project and the basis upon the program will be evaluated. The Purpose of the Program The purpose of this program is to improve safety and quality in patients, caregivers and the cost reduction for the hospitals. It is the responsibility for the hospitals and every person who care for the patients is to protect the safety of the patients and the staffs. The manager and the leader play a vital role in this program. The main compliant from the care givers are the back pain from turning the patients. These specialized beds will help to turn side to side, high to low. These beds perform automatic weight check for the patient and make the surface according to the weight of the patients. Another highlight of this bed is we can able to make bed alarms according to the patient conditions. These alarms will bring the staff to the room immediately avoid falls. Over all the main aim for this project is to improve the outcome of the patients, staffs and the hospitals from quality improvement and cost reduction. The Target Population and the benefits of the program Target population is very important when planning for a project submission. The target populations consist of patients with bedsores, patients who are bed bound for long time, all high risk patients for skin break down, obese patients and fall risk patients. Caregivers are other target populations. The benefits of this project will be received by the patients, caregivers and the hospital. Patients with respiratory distress will benefit from propped up positions. Special positioning helps for airway clearance for pneumonia and emphysema patients. The high risk for skin break down patients will benefits from pressure reduction surface of the bed. The fall risk patients will benefit’s from bed exit alarms. . One to one sitters are big cost for the most of the hospitals. These bed alarms will reduce the use of one to one sitters and the hospital will benefits from paying for an extra staff. For the smooth running of the facility care givers need to be taken care off. These beds give an extra hand to the caregivers. The risk of injury rise when they lift and move the obese and contracted patients. According to the hospital employ health reports most of the work related injuries are back and shoulder hurts from patient lift. These products will help the caregivers from work related injuries and protect their health as well (Hill-Rom, 2012). The Cost or Budget Justification According to Agency for Healthcare Research and Quality (AHRQ) report 2. 5 million patients per year are affected with pressure sores in the hospitals. The pressure sores cost $ 9. 1 billion to $11. 6 billion per year in the United States. There are greater than 17, 000 lawsuits are reported annually related to pressure ulcer. Approximately 60, 000 people die from the direct outcome of pressure ulcer every year (AHRQ, 2011). This project will take $1 million to $1. 5 million expense approximately for the initiation. However 40% of the yearly cost reduction could be accomplished once this project executed. The Basis of the Program Evaluated According to Centers for Disease Control and Prevention (CDC), a current evaluation is a needed for the systematic way of improvement for the project under taken (CDC, 2012). In this case an evidence based research should be used to evaluate the outcome of the project. This should be an evidence based record for the prevention of pressure ulcers, hospital falls, work related injuries for the caregivers and the cost reduction for the organization. The evidenced based research should show the benefits of the program and that will outweigh the expenses of the project. Conclusion This paper had discussed an executive summary of quality improvement project for the implementation of specialized hospital beds in the unit. The summary included the purpose of the program, target population, benefits and cost of the project. Finally, the evaluation based on the basis is also mentioned. To bring this quality improvement project in to action is really be determined by the support of the employers, managers and administrators. Many state and federal agencies, stakeholders and quality improvement agencies could support financially to accomplish this project. Over all patient safety and satisfaction should be the number one priority for the organizations. Executive Summary free essay sample Pressure ulcer prevention (PUP) in surgical patients has become a major interest in acute care hospitals with the increased focus on patient safety and quality of care. A pressure ulcer is any area of skin or underlying tissue that has been damaged by unrelieved pressure or pressure in combination with friction and shear. Pressure ulcers are caused due to diminished blood supply which in turn leads to decreased oxygen and nutrient delivery to the affected tissues (Tschannen, Bates, Talsma, amp;Guo, 2012). Pressure ulcers can cause extreme discomfort and often lead to serious, life threatening infections, which substantially increase the length of stay and total costs of care and compromise quality of care. The main purpose of this paper is to provide an executive summary of a project that is introduction of pressure relieving surfaces to reduce the occurrences of pressure sores in surgical patients to the Board for approval of funding of the project. We will write a custom essay sample on Executive Summary or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Indeed prevention and management of pressure ulcers is a priority for all health care settings, the purpose of this project is to emphasize the importance of using gel filled overlays in operating tables and use of high specification foam surfaces for post operative patients and allow funding for the project. The main concept behind the project is to provide the surgical patients with mattresses that are pressure reducing, pressure redistributing or pressure relieving. The high specification foam mattress moulds or contours to the body, helping to relieve pressure and stop ulcers from developing. Our target population includes all surgical patients undergoing prolonged surgeries and the post operative patients. Surgical patients are particularly at high risk. Patients undergoing surgical procedures who are immobile for long periods are unable to change positions are at greater risks than patients who are mobile. Because of sedation and anesthesia, surgical patients cannot sense the numbness or pain that prolonged pressure causes and subsequently are unable to change position to relieve the pressure. The vulnerable bony areas prone to pressure ulcer are back, heels, hip, spine, elbows, shoulders and back of head. Studies have proved that total operating time and overall number of surgical procedures are significant predictors of pressure ulcers. A research conducted by Lindgren et al found that 14. 3 % of surgical patients acquired a pressure ulcer during the time from surgery to twelve weeks after surgery. For every thirty minutes the surgery went beyond four hours, the risk for a pressure ulcer increased by approximately thirty three percent. As we are all aware that there is no reimbursement for a hospital acquired pressure ulcer and the cost for each pressure ulcer has to be absorbed by the facility. A patient’s development of a pressure ulcer while under the care of health care provider or facility is viewed as grounds of a professional liability law suit. The mere existence of pressure ulcer is often viewed as a physical evidence of medical negligence. The cost to treat pressure ulcers are expensive, the United Sates (US) health care system spends more than one billion dollars annually to treat pressure ulcers. It has been estimated that the cost of treating pressure ulcers is 2. 5 times the cost of preventing them (Whitehead amp;Trueman, 2010). In order to reduce the strain on hospital budgets caused by pressure ulcers, we need to implement a planned approach to PUP and management by incorporating a range of pressure relieving surfaces leading to improvements in health care and patient’s quality of life. Studies show that the uses of high specification foam mattress are likely to cost less overall and more effective than standard hospital mattress. For my budget justification I will be using an example from a research conducted in the University of Oxford, United Kingdom (UK) on four different patient groups. A standard hospital mattress range from ? 39 to ? 62 and high specification foam mattresses range from ? 97 to ? 422 and overlay cost for operating tables range from ? 100 to ? 300. The pooled estimate of the four studies yielded a relative risk of 0. 29 (95% CI 0. 19–0. 43), or a relative reduction in pressure ulcer incidence of 71% (95% CI 57–81%). Calculations were based on the total costs and total number of pressure ulcers that would develop using high- specification foam mattress and standard hospital mattress. The cost of providing a standard hospital mattress for a100 patient episodes was only ? 11, whereas the cost of providing a high specification foam mattress was higher at ? 57. However the incidence of pressure ulcers and the treatment cost are lower with high-specification foam mattress. In a group 100 patients where 20 developed a pressure ulcer only six would do so with a high-specification hospital mattress. For example in a group of 100 patients, where 20 developed pressure ulcers the cost of treating them was ? 750 x 20 = ? 5,000, in patients cared for on a standard hospital mattress, whereas for patients cared on high-specification mattresses the cost was ? 750 x 6 =? 4500, as more pressure ulcers were prevented (Legood amp;McInnes, 2005). Therefore even though the high-specification foam pressure relieving mattress cost more to purchase, the treatment savings accruing through the reduced number of pressure ulcer outweigh the increased costs. Pressure ulcers continue to affect the lives of patients and are have a significant impact on patients and health service resources. In light of current financial constraints it is highly acknowledged that high specification surfaces are more expensive than the standard surfaces, however the budget analysis reveals pressure relieving surfaces can reduce the number of pressure ulcers and the associated costs of treatment. Furthermore avoiding an adverse event during a hospital stay, such as pressure ulcer not only produces financial efficiencies but also prevents loss of quality of life and pain and suffering which patients may experience. Executive Summary free essay sample The purpose of the program The nosocomial infection prevention program has been developed to serve as basic practical resource to all health care individuals, as well as for those who work in the infection control department in our health care facility. The program will provide helpful information, rationales and recommendations in our join effort to fight hospitals’ acquired infection. This program will assist our hospital administrators, infection control personnel and, those involved in direct patient’ care to prevent hospital acquired infections. The target population or audience Disturbing to many is that most infection-related deaths are preventable. Nosocomial infection, also known as hospital-acquired infection (HAI) is defined as infection acquired in health care settings. Patients are hospitalized for reasons unrelated to infection (CDC, 2013). According to the U.S. Centers for Disease Control and Prevention (CDC), nosocomial infections are the forth leading killer in the United States. Two million hospital-acquired infections occurring per year result in about 100,000 deaths. We will write a custom essay sample on Executive Summary or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This is more than the amount of people who die from auto accidents and homicides combined (CDC, 2013). Despite advancements in infection surveillance and healthcare practices, nosocomial infections continue to develop in hospitalized patients. Many studies indicate that hospital acquired infections increase as older and sicker patients enter our hospitals. Although it is true that anyone entering a hospital may acquire an infection, elderly patients or those with chronic conditions that have weakened immune systems are at an increased risk. Trauma patients and victims of auto accidents, patients with severe burns, cancer and newborns are highly susceptible populations (Warye Granato, 2009). The benefits of the program We are dedicated to provide first-rate primary and specialized care with a commitment to zero tolerance for nosocomial infections. This commitment signifies a tremendously positive step towards staying ahead of the curve on this issue, setting standards and successfully implementing proven best practices for others to follow. Our institution can no longer afford to be reactive in dealing with hospital-acquired infections. Our goal is to outline a framework for success that will enhance our strategy as it pertains to the improvement of patient safety through the reduction of nosocomial infections. The cost of budget justification The implementation of the proposed infection prevention program requires funding of $145.000.00 dollars annually, to ensure that our hospital achieve the best possible outcomes for all patients. This fund will enable existing projects to be expanded and modified to long-term care settings. Involvement in this initiative will allows us to step away from viewing this as a one-time infection control project and to see the bigger picture leading toward sustainable changes. Rising costs for treatment of nosocomial infections requires a need for change. The impact of hospital-acquired infections is considerable from both a patient safety and financial perspective. A patient who contracts an infection may require a longer hospital stay, more involved treatment options, readmission, or even further surgery, which inevitably increases use of hospital resources (IHI, 2013). For example, postoperative sepsis, a serious type of bloodstream infection, increases a hospital stay by 10.89 days on average and adds, on average, $ 57,727 in charges. The CDC estimates that hospital-acquired infections contribute over $10 billion of additional costs to the healthcare system annually (CDC, 2013). According to Donald Berwick, MD, MPP, President and CEO, Institute for Healthcare Improvement, â€Å"Improvement is local, rather than system-wide, and is sustained with difficulty, rather than becoming an intrinsic feature of care† (Berwick, 2013). This signature effort introduces six proven healthcare improvement initiatives called â€Å"bundles†. A bundle is defined as a grouping of best practices with respect to a disease process that individually improves care, but when applied together results in substantially greater improvement. We are committed to standardize best practices in two areas, under the following bundled approaches: 1. Prevention of Central Line Infections: -monitoring hand hygiene -maximal usage of barrier precautions -application of chlorhexidine skin antisepsis -site selection for optimal catheterization -daily updates and review of lines necessity with prompt removal of unnecessary lines 2. Prevention of Surgical Infections (SSI): -appropriate use of antibiotics -appropriate hair removal -preoperative glucose control monitoring -preoperative normothermia monitoring The basis upon which the program will be evaluated Multidisciplinary task forces will be created to develop education and communication strategies system-wide. Implementation of each evidence-based â€Å"bundle† will enable us to leverage best practices system-wide to enhance patient safety and improve outcomes. Proper hand washing is the common link across the bundles that will allow for success. We are developing a more comprehensive physician, nursing and employee orientation on hand hygiene. Similar educational efforts will take place to educate current staff through multiple forums throughout the health system. In addition, proper hand washing will be assessed as part of nurses’ and physicians’ competency on a yearly basis. To ensure improved outcomes and better patient care within an environment of zero tolerance for nosocomial infections, we will require the support and commitment of every health system employee. Quality indicators will be aggregated and submitted to IHI to measure overall success and intervention-level data will be reported quarterly for internal performance measurement comparison with national standards. Accountability at each site will reside with: Infection Control Committee, Quality Management, Executive Director and the Board of Trustees. Conclusion As a leading healthcare organization in the nation, we are responsible for preventing nosocomial infections. Employee involvement across all disciplines and levels of expertise coupled with the commitment of senior leadership is critical to the success of this initiative. Behavior change that will ultimately lead to a shift in culture is needed to ensure improved outcomes and better patient care within an environment of zero tolerance for nosocomial infections.

Free Essays on Examining Gender Gaps in Heterosexuals Opions

EXAMINING GENDER GAPS IN HETEROSEXUAL’S OPINIONS ABOUT LESBIANS AND GAY MEN Abstract This study uses a focus group technique to examine gender differences in heterosexual attitudes towards homosexuality. The interactions and content of two focus groups, one all male and one all female, are compared. The female group is found to be supportive and in favour of adoption rights for same-sex couples, whereas the all male group express their distaste of homosexuality and agree no such rights should be afforded same-sex couples. Introduction Despite heterosexual society’s apparent acceptance of homosexuality, there is still widespread prejudice, misconceptions and stereotypical beliefs about gay people and same sex couples. Gregory M Herek (2002) found that heterosexual women were more supportive than men of adoption rights for gay people and less likely to hold stereotypical beliefs about gay people. Heterosexual men were generally found to have very negative attitudes towards gay men and were least supportive of adoption rights for gay men. This report looks at distinguishing attitudes towards lesbians and those focused on gay men, and also examines the differences in opinions between male and female heterosexuals. The qualitative method of collecting data was chosen because it was felt that the focus group would bring more honest views to the surface. The alternatives such as questionnaires or one-to-one interviews tend to produce answers that participants feel the interviewer wants to hear and also that give a favourable impression of themselves. Focus groups also allow the researcher to collect a greater amount of information in a very short time. Method Two focus groups were conducted, each with five participants, one of which consisted of all females and the second one all males. Participants were university students aged from 18 to 4* and were an opportunity sample. The participants were seated around a ... Free Essays on Examining Gender Gaps in Heterosexual's Opions Free Essays on Examining Gender Gaps in Heterosexual's Opions EXAMINING GENDER GAPS IN HETEROSEXUAL’S OPINIONS ABOUT LESBIANS AND GAY MEN Abstract This study uses a focus group technique to examine gender differences in heterosexual attitudes towards homosexuality. The interactions and content of two focus groups, one all male and one all female, are compared. The female group is found to be supportive and in favour of adoption rights for same-sex couples, whereas the all male group express their distaste of homosexuality and agree no such rights should be afforded same-sex couples. Introduction Despite heterosexual society’s apparent acceptance of homosexuality, there is still widespread prejudice, misconceptions and stereotypical beliefs about gay people and same sex couples. Gregory M Herek (2002) found that heterosexual women were more supportive than men of adoption rights for gay people and less likely to hold stereotypical beliefs about gay people. Heterosexual men were generally found to have very negative attitudes towards gay men and were least supportive of adoption rights for gay men. This report looks at distinguishing attitudes towards lesbians and those focused on gay men, and also examines the differences in opinions between male and female heterosexuals. The qualitative method of collecting data was chosen because it was felt that the focus group would bring more honest views to the surface. The alternatives such as questionnaires or one-to-one interviews tend to produce answers that participants feel the interviewer wants to hear and also that give a favourable impression of themselves. Focus groups also allow the researcher to collect a greater amount of information in a very short time. Method Two focus groups were conducted, each with five participants, one of which consisted of all females and the second one all males. Participants were university students aged from 18 to 4* and were an opportunity sample. The participants were seated around a ...

Read 3 Coursework Example | Topics and Well Written Essays - 500 words

Read 3 - Coursework Example Therefore, my relationship to technology has improved significantly upon learning that it is possible to create creatures that imitate and act like humans through technology. The question one asks on this is the morality surrounding the creations of these creatures, or whether such creatures have a conscience, feelings or a soul. Green is quoted saying â€Å"sometimes we forget that we are still in the middle of history.† In this quote, Green was implying that modern science is engaging in research activities and end up creating creatures that come back to harm its creators, who in this case are human beings. Through this quote, Green was questioning the extent of which scientists need to engage in while performing their experiments. Therefore, all research and scientific initiatives need to remember that the human race is still in the middle of the entire process. The same concepts relate to Frankenstein in the manner of which he ended up destroying one creature for fear that they would reproduce an offspring that would be beyond the control of its creator (Shelley 95). All of this was in the name of limiting the extent of scientific experiments. The concept thus tells the reader that ethical and social issues need to be in place while engaging in any scientific experiments, especially those concerni ng the creation of new creatures. From the presentation, Green questions if Victor sees himself as a god and if he is a good or bad god. Green also asks if the monster deserved his exile. To answer this question, there is a point where Victor was comparing himself to Lucifer, who was an Archangel with the inspiration to beat God through his dying monologue. He went ahead to state that this experiment will take place again. On killing the monster, Victor saw himself as the superior to the creature that he had created, thus justifying his decision to exile the monster. Victor’s experiment fails in that context that he was unsure of what the