Thursday, September 12, 2019
Organizational Communication Assignment Example | Topics and Well Written Essays - 250 words
Organizational Communication - Assignment Example In addition, he used a leadership style that was transactional as its entailed management through enhancing compliance via punishment and rewards. The committee had been given powers to make decisions, but Gassner had the final say in every decision they made. Gassner made sure that each execute committee member headed different regions of that company (Hill, 1995). Gassner had a strategic vision which he ensured was met. He made sure BMG international became successful. He ensured that he was involved in every decision (Hill, 1995). Gassner was tough on ensuring his decisions are followed to the later. In systems theory, there is the issue of interdependence in any organization. Rudi acknowledged this fact and hence created an executive team that was in charge of various regions. He acknowledged interdependence since the regions which they operated differed on the basis of external environment that dealt with customers, competitors, suppliers, financial markets and world economy. In addition, they also differed in complex issues related to external relations, internal operations, strategic decision making plus institutional leadership (Hill, 1995). Gassnerââ¬â¢s management style was transactional. He ensured that he established compliance of the workers through coming up with reward and punishment systems. Gassner had been hand-picked by the given CEO, Dornermann. Gassner was an expertise from Polygram and had a good track record on the basis of management. He had his own style of management and involved ââ¬Ëpushââ¬â¢ and ââ¬Ëpullââ¬â¢ strategies. That ensured high level of awareness existed and resulted in accurate perception of his role and vision (Hill,
Wednesday, September 11, 2019
Engaging in Evidence Based Practice and Clinical Effectiveness Essay
Engaging in Evidence Based Practice and Clinical Effectiveness - Essay Example (Parahoo, 1997) EBP is also a key factor in the NMC (2008) Code of Professional Conduct, which states that nursing professionals are personally accountable for their quality of care giving, and must provide the highest quality of service to patients that is consistent with evidence-based research. In 2005, NICE was combined with the Health Development Agency as an independent organization to deliver quality healthcare based on professional standards of medical practice in a standardized manner across public healthcare institutions and in order to assist with government programs intended to improve the quality of service in the industry. Nurses are increasingly expected to base their practice on empirical medical research data represented in scientific literature or established medical treatment practices that are generated through research publications (Burns & Grove 1999). The purpose of this report is to apply the principles of Evidence Based Practice (EBP) to the use of supplemental oxygen (O2) in hospitals as a treatment response for myocardial infarction (MI). The rationale for this search is that supplemental oxygen is used in hospitals and clinics traditionally in ways that is inconsistent with latest medical research and this has led to a recent change in practice in healthcare institutions as well as in public policy that still may not be represented in everyday nursing practice. By applying EBP principles, a nurse can review the medical literature and research regarding the use of oxygen in MIs by focusing on the most recent clinical trials. By understanding the use and contra-indications of supplemental O2 in MIs as accepted in published literature, nurses on coronary care units (CCU) can be more prepared for work in the workplace. In order to effectively search the topic of oxygen use in clinical applications related to heart treatment, it w as important to clearly define the research by using the PICO framework (Patients, Interventions, Comparisons and Outcomes) to develop the areas of inquiry. The search criteria focused on were based initially the keywords: ââ¬Å"Myocardial, Infarction, Hyperoxic, Coronary, and Oxygenâ⬠. Published papers were identified through a search of online databases via the University of Plymouth intranet site including; CINAHL, MEDLINE, SwetsWise, Taylor & Francis, Oxford Journals & ScienceDirect. In the search, very few original research studies published between 2001 to 2011 were found, it was required to revise the search to include a more specialized use of keywords, all relating to ââ¬Å"oxygen and myocardial functionâ⬠. Five research papers were then selected as representative of consensus in medical research through peer review and implementation in cardiac treatment programs. CRITICAL REVIEW OF LITERATURE Previously oxygen was given as a standard aspect of MI treatment, re gardless of the patientââ¬â¢s level of oxygen saturation level, as part of the standard response of health practitioners to a critical care emergency such as a heart attack. Although NICE (2010) have amended their guidelines to recommend that patients only be given oxygen if their blood saturation level is below 94% , many nurses on general wards are still giving oxygen to critical heart attack patients as a regular aspect of treatment, as they are unaware of its detrimental effects in counter-indications or the latest research on the topic. Since many hospitals are
Tuesday, September 10, 2019
World War I and the End of the Progressive Movement Essay
World War I and the End of the Progressive Movement - Essay Example at everything we learned about the war, and the weapons of destruction that were used during the battles were more than just mere bullets, grenades, and canons. In fact, World War I laid out the foundation for modern germ warfare as we know it today. It is just that very little is known about how gas warfare was originally conceptualized and launched during the era. But thanks to historical researchers such as Ulrich Trumpener and his essay ââ¬Å"The Road to Ypres: The Beginnings of Gas Warfare in World War Iâ⬠, the readers are given a look into the little known facts about the Battle of Ypres which many believe to be the very first time that gas warfare was used in battle. Trumpeners argument in the essay is that the successful mounting of gas warfare at Ypres on April 22,1915 is incorrectly celebrated at the day that modern chemical warfare began. It actually began much earlier than that since records show that primitive methods of gas warfare began to see its wartime function on the battle front a year earlier in 1914. Records indicate that the French forces actually started using something similar to chemical warfare early on in the war. Trumpener also discussed the facts pertaining to the weak methods by which the German military developed their germ warfare program. Trumpner was right in saying that very little information can be found about the germ warfare program of both sides back in World War I. Reading his essay actually had a profound effect on the way that I viewed the history of the first world war. For me, it went from a war that used the most basic of armaments, to the war that redefined the meaning of battle. I originally believed germ warfare to have been used to annihilate the Jews during World War II. Little did I know that the terrors of germ warfare had been around far longer than that. In fact, it is probably the early existence and experimenting of the German forces during World War I that led to the death camps of Nazi Germany during World
Monday, September 9, 2019
Managing People Global Context Essay Example | Topics and Well Written Essays - 2500 words
Managing People Global Context - Essay Example Two major objective of HRM should be ensuring availability of the competent and developing a willing workforce of the organization (Mondal and Shastri, 2009, p.245). With the rise in competition talent acquisition and retention has become an integral part of the corporate strategy. Organizations now identify human resource as the most valuable asset. This study looks to analyze the Human resource strategy of an organization with respect to some focal points such as workforce, work environment, organizational culture, innovation, and consistency in HR strategy, extrinsic and intrinsic motivation. Keeping the focal points in mind and after conducting in depth research H & M has been chosen. H & M has been very highly appreciated due its unique and innovative human resource policy. It has also been tagged as a fun place to work and is respected as one of the leading employer brand. This study will focus on the overall HR strategy of H & M with respect to the key focal points mentioned before. H & M is famous for their innovation. Initially they were a single womenââ¬â¢s wear store in 1947. Since then they have become a global company providing fashion products for all the family members, and their home, under the variety names of H&M, Monki, COS, Weekday, Cheap Monday, as well as Other Stories and H&M Home. Therefore the employees require having ability to be flexible and adapt to changes probably a lot faster than any other tech. firm. This is where H & M is believed to be different from other firms. H & M doesnââ¬â¢t try to provide any formal learning plan to the employees. Rather they expect the employees to be self- sufficient. Many would be surprised to know that the retail sales force of H & M doesnââ¬â¢t get any formal training on selling. This is certainly unconventional to say the least. For H & M itââ¬â¢s simple. They feel that providing stagnant training can reduce self sufficiency and innovation. On the other hand self owned training and developme nt program
Sunday, September 8, 2019
Journal Entry Essay Example | Topics and Well Written Essays - 1250 words - 1
Journal Entry - Essay Example As a result, I lost meaningful friendships owing to barriers in communication that developed from the arguments. Previously, I had no strategy on how to handle a conflict. In the main, it is essential to uphold the principle of fairness, in which one admits a mistake when wrong and argues with a nonbiased mind. My biased arguments previously leaned on my point of view. In addition, as an introvert, I had difficulties maintaining friendships and hence I was not concerned about the outcome of a negotiation process and it effect on interpersonal relationships. However, it is essential to maintain a relationship with others and ensure that friendship continues after a negotiation process. Negotiation seeks to benefit both parties in the argument, and a resolution must favor all those involved in the process. At the end of the semester, I developed a different approach to negotiations. I have changed my approach to negotiation from an assertive approach in which I seek to satisfy my individual needs, to cooperativeness, which intends to satisfy the interests of others. I learnt the need for a structured approach to negotiation, which has so far proven successful in several cases that I have encountered in the course of the semester. The main aim of negotiation, as I have learnt, is to negotiate towards a Win-Win outcome in which both parties become satisfied. This involves a process of preparation and discussion, in which we discuss all issues and identify the main cause of the conflict. Preparation involves naming the parties involved, including witnesses to the conflict. Third parties/witnesses are invaluable in any negotiation forum because they always present an unbiased view to an argument. In addition, I have learnt the need to have a time-scale for a negotiation process to ensure that all issues are resolved in a timely manner. I have also gained skills in negotiation in the discussion process. In particular, I have
Saturday, September 7, 2019
Power of Religion Essay Example | Topics and Well Written Essays - 500 words
Power of Religion - Essay Example There are various elements in the world which are beyond the power human intellect and it is this incapacity which has made him to seek the refuge in religion from time immemorial. Thus, one finds that world religions offer its followers the scope for finding meaning to basic elements that are beyond human intellect. This important role of religions, as commented by Ezra Niesen, includes providing ââ¬Å"an explanation for what makes the universe work, some way for people to escape their physical mortality, ways for people to build healthy families and strong communities, and ways for people to make themselves feel satisfied with their lives.â⬠(Niesen). There is obvious role of religions to provide the humans with the capacity to understand the factors which completely beyond the power of their intellect. It is through the working of the hankering in every human being to go beyond what he or she can grasp and it is through the power of the intellect and the will that humans are able to reach things beyond their knowledge.
Friday, September 6, 2019
Risk and Quality Management Essay Example for Free
Risk and Quality Management Essay Executive Summary The following paper will be addressing the Risk and Quality management of one of the leading health care organizations in the world today and an organization whose benefits many of us have had the pleasure of experiencing: Kaiser Permanente, which is one of the most esteemed and flourishing organizations within the health care field. Kaiser Permanente provides and offers leading health care technologies, outstanding doctors, emergency services, laboratory needs, pharmaceuticals, and other hospital services among other things. They also have a very detailed and successful risk and quality management program which they enforce within their various organizations. Purpose of Risk and Quality Management ââ¬Å"Quality assurance, corporate compliance, and risk management have common elements, they all represent processes by which care and services are scrutinized, audited, and generate action plans intended to benefit patientsâ⬠(Sollins, JD, 2008). So it is no surprise that within the health care field, risk and quality managementââ¬â¢s main purpose is to ensure that patients and employees are always safe and receive the best care possible. Ensuring that both patients and employees are always safe reduces the possibility of any undue or unnecessary risks to the organizations which is why quality assurance and/or management go hand in hand with risk management. In health care Risk management is very critical as it covers so many different areas ranging from proper procedures when handling medications, protecting patient information, making sure training is happening for all employees, and so much more. Risk management is so important because it is what makes sure the facility is operating in accordance with regulations. Quality management insures that patients are receiving quality care for a decent market value, which includes good customer service, timely visits and advanced technology. At Kaiser they value both risk and quality management and make it a core focus at allà times. In fact, ââ¬Å"Kaiser Permanentes Care Management Institute (CMI) is one of the first organizations in the United States to earn disease management (DM) certification from the National Committee for Quality Assurance (NCQA). The 2-year NCQA DM certification was awarded in program design. The program design certification was awarded for four areas: diabetes, asthma, heart failure, and depression. CMI was one of 18 to apply for the NCQA certification/accreditationâ⬠(ManagedHealthcare.Info, 2002). Managing the Risks Like all other health care organizations Kaiser Permanente faces many risks on a daily basis, especially since they are dealing with peopleââ¬â¢s well-being. It is critical that first and foremost a health care organization knows what their risks are and what strategies are in place to address these risks. ââ¬Å"Kaiser Permanente is concerned that too many diverse drug safety programs will impose a burden on the healthcare system and on patients and that this will drive up costs and limit access to therapies. At issue is the growing number of Risk Evaluation and Mitigation Strategies. The FDA has approved nearly 100 in the last three yearsâ⬠(Wechsler, 2010). Suffice it to say any industry that deals with the making or distributing of pharmaceutical or any other type of drugs made for the consumption of the general public has to make sure they have great risk management because there are many risks involved. In drug distribution situations if situations are not handled prope rly, they can lead to not only costly mistakes but can also put peopleââ¬â¢s well being in danger. Two other typical risks for this type of organization would be patient confidentiality and cleanliness as there are so many germs and diseases that these facilities face daily. These risks could affect the quality because medication may not be correct, confidentiality breaches will have negative results on the organization and the patients, and cleanliness risks will affect the patients, and possibly even the employeesââ¬â¢ overall experience and/or health.à Kaiser is always taking steps towards better risk management and trying new policies and training to achieve this. ââ¬Å"Licensing agencies and professional organizations prescribe minimum standards for a health care risk management program. These standards require direct interaction and support between the Risk Management Team, Administration, the Legal Department, Medical Staff, and Quality Management. Mechanisms must be in place for expeditious investigation and reporting of occurrences, prospective and retrospective analysis, and implementing preventive programs. The Joint Commission on Accreditation of Healthcare Organizations published its guidelines for hospitals in its Accreditation Manual for Hospitals. A major part of health care risk management is being knowledgeable of the Joint Commission on Accreditation of Healthcare Organization guidelines and ensuring that departments comply with them. Valuable safety measures with inherent checks and balances are put into place which increase quality of care and also help to curtail liability claimsâ⬠. Kaiser believes that a complementary relationship exists between risk and quality management and that this relationship, in part, helps improve quality. It is this belief that created a synergistic approach within their Quality Management and Risk Management Departments. In the mid 90ââ¬â¢s The Los Angeles branch of Kaiser Permanenteââ¬â¢s Patient Care Management Committee voted on actions to improve their risk management. Those actions were: * Incorporation of collective instructional programs to assist in keeping health care staff updated on new techniques. * Develop deeper understanding of confidentiality practices. * Annual risk management refreshers for health care employees. * Providing courses on how to improve medical record documentation. * Updating protocols on preoperative and post-operative administration. * Educating and establishing centers of excellence for catheter replacement and selection processes. * Upgrade existing incident report forms to ensure more accurate documentation. * Revamp the use of Administration Records * Audit of Critical Care Units * Upgrading the admission policies and procedures. * Introducing policies for patient medication procedures. Managing Quality There are clearly so many factors which can negatively affect the quality of an organization let alone one that is in the health care field. In fact Health Care organizations may face a magnitude of issues which are not seen in other types of organizations. This is mainly due to the nature of having to deal with not only their employees but also with the welfare andà wellbeing of so many different patients. However, as you can imagine some internal factors that this organization or any other health care organization may face would be training, customer services, and services rendered to the patients. In addition, some external factors that can affect the quality of an organization would be third party vendors, budget cuts, and technical issues with electronic medical records or even any other technology system. These factors could be detrimental to any organization if not addressed properly and quickly. However, one of the reasons that Kaiser is considered one of the leading health care organizations is that Kaiser has a very large focus on quality management and wants to makes sure they are always providing the best quality. Their attention to detail is not only evident in how they perform but also in the reputation that they have acquired based on their extreme attention to these details. According to ââ¬Å"Health Spanâ⬠(n.d). ââ¬Å"The Kaiser Permanente Quality Management program was designed to improve the quality and safety of clinical care and the quality of services provided to our members. The Quality Improvement (QI) program prioritizes quality activities aligned with the regionââ¬â¢s strategic plan and provides resources in support of achieving the QI work plan. This complies with applicable regulatory and accrediting body requirements. Kaiser Permanenteââ¬â¢s QI work plan must address: * Quality and safety of clinical care * Quality of service * Program scope * Yearly objectives * Yearly planned activities * Timeframe within which each activity is to be achieved * The staff member responsible for each activity * Monitoring of previously identified issues * Evaluation of the Quality Improvement (QI) program Kaiser Permanenteââ¬â¢s Goals Kaiser Permanenteââ¬â¢s organization has many goals many of which include helping to lower the nationââ¬â¢s obesity rate, promoting wellness care, promoting global health care, educating the public on health and wellness through classes and seminars, offering the best quality health care for aà good price, and much more. According to the organizationââ¬â¢s website in 2002, Kaiser Permanente and CAPH/SNI entered into a formal business cooperative effort to broaden their ability to offer quality care as well as work towards improving the type of health care that is available in many communities regardless of their economic standing. This goal is not only one that would benefit the communities in which they are used but also serve to broaden the vision of those involved in the partnership at the state and local levels between community health care providers, organizations and leaders and staff of Kaiser Permanente to cooperate towards mutal objectives which include: * Collaborating on strategies and resources to promote quality care and enhance the efficiency within the systems * Working in association with community partners to improve the health within our neighborhoods In closing, Kaiser Permanente is one of the leading health organizations in the nation and it is no surprise that they also have some of the best risk and quality management practices to go along with their great reputation. In my experience with Kaiser risk and quality management are a focus at all times. One policy that I know is in place, just from visiting them, is that they conduct mailer surveys regarding patient satisfaction. This is important because it gives the patient the opportunity to voice what they think is great or what the organization could improve about the quality of care and services they received. It is also an important point that this industry has and strives to maintain good risk and quality management because they are dealing on a daily basis, every day of the year with the health and wellness of quite a number of people. Based on the facts stated above, Kaiser is always striving for the best quality and risk management possible. It is evident thru the numerous awards that this organization receives, that they are clearly doing a great job and they are example of how an organization should and could properly manage risk and quality management in a way that not only benefits the organization itself but also the people which it serves. References California Health Care Safety Net Institute. (2013). Partnership with Kaiser Permanente. Retrieved from http://safetynetinstitute.org/goals/enhancequalityofcare/kaiserpartnership/ Health Span. (n.d). Kaiser Permanenteââ¬â¢s Quality Management program. Retrieved from http://providers.kaiserpermanente.org/html/cpp_oh/quality.html#Kaiser%20Permanente %E2%80%99s%20Quality%20Management%20program ManagedHealthcare.Info, . (2002, November 11). Quality Assurance; Kaiser Permanente institute earns NCQA Disease Management Certification. NewsRx. Retrieved from http://search.proquest.com.ezproxy.apollolibrary.com/docview/210597878?accountid=458 Sollins, JD, H. L. (2008, May June). Quality Assurance, Corporate Compliance, and Risk Management: Overlapping but Not Identical Tools. Geriatric Nursing, 29(3), 157-159. Wechsler, J. (2010, February). Kaiser Questions Safety Policies. Pharmaceutical Executive, 30(2), 1-18. ProQuest.
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