The effectiveness of the registered nurse managing the urinary Research Paper

The effectiveness of the registered nurse managing the urinary catheter in the adult patient. Proposal Phase - Research Paper Example Secondary data collection shall therefore be the major procedure to be used by the researcher. This is perfectly appropriate because there are several existing research works on urinary catheter that can supply the researcher with adequate and sufficient data. This notwithstanding, there shall also be primary data collection procedures. Primary data collection involves the collection of firsthand data directly by the researcher. The general steps that will be undertaken will involve the collection of data on registered nurses in the site area regarding their treatment to patients with urinary catheter. Data on the progress rate of patients as well as any reported side effects with the urinary catheter shall be collected. Hospital records and forms shall therefore be the major research instruments to use. After collecting such data, the researcher shall present all of it and use existing literature to give interpretation to the data collected. The researcher expects that the outcome o f the data collection will lead to the need to design an intervention to educate nurses further on urinary catheter. After the intervention, another set of data shall be taken on improvement rate of patients. The researcher expects that the outcome will this time round be better than before.... After the intervention, another set of data shall be taken on improvement rate of patients. The researcher expects that the outcome will this time round be better than before. Researcher’s Credentials The researcher is rightly matched for this research work. This is because the researcher is well vested in issues of urinary catheter. As a health science student, who has undertaken several clinical and on job tasks in major hospitals and clinics that practice with urinary catheter, the research has the needed knowledge in the interpretation of data and other records that will be collected from the research site. What is more, the researcher has been part of a group of researchers who have been tasked with analyzing over six previous research works on urinary catheter. This means that the researcher is privileged to needed secondary sources of data to make the qualitative research analysis more authentic and reliable. Finally, as a student, the researcher has shown consistency w ith grades in nursing care. This means that the researcher is a suitable candidate for carrying out the intended interventions in the research site area. Site & Population This is a typical clinical research that demands the use of complicated equipment, access to health records and data, and realistic personnel to supply data and information. This means that the site of the research will best be constituted at a place where the researcher shall be assured of the needed equipment, health records and personnel. To this end, an intensive care unit was chosen. The researcher is hopeful that the intensive care unit has all needed equipment on urinary catheter and records of patients, both past and present. What is more,

Barriers of the Communication in the Working Environment. Essay Example for Free

Barriers of the Communication in the Working Environment. Essay No matter how good the communication system in an organisation is, unfortunately barriers can and do often occur. This may be caused by a number of factors which can usually be summarised as being due to physical barriers, system design faults or additional barriers. Physical barriers are often due to the nature of the environment. Thus, for example, the natural barrier which exists, if staff are located in different buildings or on different sites. Likewise, poor or outdated equipment, particularly the failure of management to introduce new technology, may also cause problems. Staff shortages are another factor which frequently causes communication difficulties for an organisation. Whilst distractions like background noise, poor lighting or an environment which is too hot or cold can all affect peoples morale and concentration, which in turn interfere with effective communication. System design faults refer to problems with the structures or systems in place in an organisation. Examples might include an organisational structure which is unclear and therefore makes it confusing to know who to communicate with. Other examples could be inefficient or nappropriate information systems, a lack of supervision or training, and a lack of clarity in roles and responsibilities which can lead to staff being uncertain about what is expected of them. Attitudinal barriers come about as a result of problems with staff in an organisation. These may be brought about, for example, by such factors as poor management, lack of consultation with employees, personality conflicts which can result in people delaying or refusing to communicate, the personal attitudes of individual employees which may be due to lack of motivation or issatisfaction at work, brought about by insufficient training to enable them to carry out particular tasks, or Just resistance to change due to entrenched attitudes and ideas.

Solomons The Return of the Screw :: Solomon Return of the Screw

Solomon's The Return of the Screw Mrs. Grose, playing cleverly on the governess' visions, convinces her she is seeing Peter Quint and Ms. Jessel in an effort to drive her mad. At least, that is according to Eric Solomon's "The Return of the Screw." Mrs. Grose tries to remove the governess to get to Flora. Mrs. Grose will do anything to gain control of Flora, as she proved when she murdered Peter Quint. He, along with Ms. Jessel, was too much of an influence on the children. Quint died somewhat mysteriously, on a path between town and Bly. He died from a blow on the head, supposedly from falling upon a rock in the road. The reader's only impression of the death is through Mrs. Grose's story, though, and so, Solomon hypothesizes, she filters the information to make it seem less extraordinary a demise. Perhaps Mrs. Grose killed him out of jealously. The reader can infer from this point of view that Mrs. Grose somehow also had a hand in Ms. Jessel's death. Mrs. Grose then proceeds, after the murders, to twist the new governess' visions of ghosts into visions of Quint and Jessel. Solomon does not address the issue of whether or not what the governess sees is actually there. His explanation is logical either way. If the governess sees real ghosts, or if she is imagining it all, does not matter. What matters is that Mrs. Grose tailors Quint and Jessel to the governess' descriptions. She listens to the descriptions and tells the governess' she is seeing Quint and Jessel. Mrs. Grose does not herself create the visions that the governess sees, instead, she bends them to her purpose. The governess' visions of ghosts are twisted by Mrs. Grose. When the governess reports seeing a ghost, Mrs. Grose seizes the opportunity, exclaiming that the ghost she sees must be Peter Quint. She also labels the other apparition as the ghost of Ms. Jessel. In this way, she can give the ghosts an evil quality, imparted to them because of the evil lives of Quint and Jessel. Making the ghosts evil forces the governess' Victorian mind to attempt to shield the children from the evil. Mrs. Grose knows the governess will read too far into the children's actions, and

Compare how each writer uses language to present his views of London Essay

For many centuries London has been a vast, complex place. Many have described it as the capital of the world, however there are many different views. Some would agree that London is a wonderful place where everyone lives in happiness and peace whereas other would point out that those kind of people are delirious and that it is the dirtiest most corrupt place in England. Two such views were expressed by two poets William Wordsworth in his poem named â€Å"Composed upon Westminster Bridge, 3rd September 1802† and the more political writer William Blake with his poem entitled â€Å"London†. The questions is, ‘Do both poets use language effectively to express their contradictory opinions on London?’ One difference between the two poems is the way each uses enjambrement. Blake’s poem has short, snappy lines perhaps to indicate a kind of overall lethargy among the people while Wordsworth’s poem has long lines which flow into each other to create a smooth and relaxed mood – possibly also to symbolise how he viewed the river of London. One of the interesting aspects of Wordsworth’s and Blake’s poems is their separate ways of describing the river, Wordsworth thinks of it as gliding ‘at his own sweet will’ whereas Blake refers to it as the ‘Charter’d Thames’. Wordsworth sees the river as free and sweet. By using ‘his’, he is personifying the river as if it has a choice. He enhances this by using ‘own sweet will’. Blake calls it Chartered, indicating the complete opposite of Wordsworth’s opinion. Chartered means organised and generally bent to man’s will and this is how Blake sees it. He further develops his opinion by calling it the Thames, calling it by it’s man made name. Blake sees the river as being twisted by man and disliked because of that. Blake and Wordsworth set two very different scenes, Wordsworth uses phrases such as ‘bright and glistening in the smokeless air’ and ‘The beauty of the morning; silent, bare’ to set a scene of calm glistening beauty, to set a scene of a kind of fairy-tale wonderland. Wordsworth shows the reader how the surroundings make him feel by commenting ‘Ne’er I saw, never felt, a calm so deep!’ this gives a further direct calming effect on the reader. Blake, on the other hand, uses the word ‘streets’ twice in context with ‘midnight’ and ‘Charter’d’. His repetition on the word streets is to insinuate that there are streets upon streets, creating a monotonous sameness to everything, his repetition on ‘Charter’d’ strengthens his view of unnaturalness in London. An intriguing observation is that both poets talk of glamorous and gracious buildings, but the context they are mentioned in changes their whole meaning. Wordsworth describes them as being ‘Open unto the fields and to the sky;’ indicating a certain freeness and naturalness, he is saying that buildings can be natural if natural is synonymous with good, as Blake’s man made is synonymous with bad. Blake uses ‘Palace’ with ‘blood’ and ‘Church’ with ‘black’ning’, he is indicating that the people of the Church have gone against it’s morals and the people of the Palace are sending soldiers to their death for unworthy reasons. Blake and Wordsworth set two very different scenes, Wordsworth uses phrases such as ‘bright and glistening in the smokeless air’ and ‘The beauty of the morning; silent, bare’ to set a scene of calm glistening beauty, to set a scene of a kind of fairy-tale wonderland. Wordsworth shows the reader how the surroundings make him feel by commenting ‘Ne’er I saw, never felt, a calm so deep!’ this gives a further direct calming effect on the reader. Blake, on the other hand, uses the word ‘streets’ twice in context with ‘midnight’ and ‘Charter’d’. His repetition on the word streets is to insinuate that there are streets upon streets, creating a monotonous sameness to everything, his repetition on ‘Charter’d’ strengthens his view of unnaturalness in London. Both writers enhance their scenery by hinting at colours to set a more vivid picture. ‘Blood’, ‘midnight’, ‘black’ning’, are all words used by Blake, suggestions of the colour red and black which create a gloomy surrounding. Red (blood) as in anger and black to suggest darkness, sorrowfulness and endlessness. Wordsworth suggests colour with a more subtle method using ‘Never did the sun more beautifully steep’ he hints at gold and blinding white colours, and also at cool shade coming from the buildings. Wordsworth’s rhyme scheme is planned out as a love sonnet (a b b a a b b a c d c d c d), whereas Blake repetitive and simple rhyme scheme ( a b a b a b a b a b a b a b a b a b). Wordsworth rhyme scheme is writing a love sonnet about London whereas Blake’s rhyme scheme evokes a boring repetitiveness yet again synonymous with how Blake views London. The final difference mentioned in this essay is that whereby Blake mentions quite a few different groups of people such as ‘Harlot’, ‘Soldier’, ‘Chimney Sweep’, ‘Infant’ – all unfortunate groups bar the infant which is mentioned in an unfortunate context repetitively – Wordsworth mentions no people but instead personifies the river (‘The river glideth at his own sweet will’), the city (‘This city now doth like a garment wear’, ‘The very houses seem asleep!’) and the sun (‘In his first Splendour’). Wordsworth, whilst making it evident that there is no one around but himself, is saying the city, the river and the sun are all entities of which he has just met and thinks highly of them. In conclusion, both poets are high-quality writers who know how to use language effectively to enhance their views. Although Blake is a deeper, darker and more political writer and his poem seems to be the better of the two, Wordsworth poem does have complexity going to a slightly deeper level than Blake’s but it seems naive and idealistic. Blake uses simple rhyme schemes and repetition to develop his opinion but Wordsworth uses a more complex rhyme scheme whilst subtly personifying parts of the city. With that said, both artists were good at what they did and both can use language to successfully articulate their attitudes toward London.

Howard’s End: A Brief Introduction Essay

Howard’s End is a famous novel, which is written by a great English novelist and a versatile short story writer named, Edward Morgan Forster. It has been published and broadly released in 1910. Forster’s novel mainly depicts a unique story of class struggle during the early days in England. The story of Howard’s End has captured the heart and mind of many readers, as it showcases a distinct narration of social complexity and dilemma back in the ancient days. Due to its broad success, James Ivory has made a movie adaptation of Forster’s novel in 1992, which mainly present the identical story and theme. Class Differences in Howards End (1992) The movie Howards End serves as a successful adaptation of the novel written by Forster, more specifically in the aspect of class struggle. Considering the many similarities of the book and the movie, one of the most apparent themes that surface among the rest is the concept of class struggle (Poplaski 64). The relationships between the classes, in relation to how it is presented in the book, are shown in the film through a variety of elements and scenes. The struggle of the characters to move and relate to one another is shown through the lenses of power, material possessions, and opportunities. Definition of Class Struggle and Class Struggle in Howard’s End Class Struggle is often characterized as the conflict of different classes in the society. However, the definition of class struggle varies from different kinds of perspective and ideology. From Marxism’s point of view, class struggle is defined as a conflict between the working class (the lower class) and the capitalist (the higher class) in terms of economic and political stability in a given type of society (Slaughter). Thus, Karl Marx further defines class struggle as difference between the business class, which he called as bourgeoisie, and working employees, which he referred to as proletariat (Slaughter). On the other hand, according to Geoffrey Ernest Maurice De Ste.  Croix, a well known and reputable British historian, class struggle is â€Å"fundamental relationship between classes and their respective individual members, involving essentially exploitation, or resistance to it† (44). De Ste. Croix believes that class struggle does not inevitably involve communal action by a given class and that it either has direct or indirect activity on a political surface. As for the story of Howard’s End, class struggle is characterized as social conflict among the different classes in the society. Thus, the central theme of class struggle in the story of Howard’s end progresses around the aspects of social stability, economic strength and wealth. The Wilcoxes reflect class struggle in Howard’s End in such a way that they have enormous superiority against the Basts, as they have greater financial prowess, more especially with the amount of businesses that they possess and control as the higher or business class of the society. On the other hand, the Basts mirror class struggle in a totally different way with that of the Wilcoxes, as they struggle and work really hard to further instigate their position and worth in the society. Unlike that of the Wilcoxes, the Basts are having more difficulties in terms of getting the respect and sympathy of most people, more especially those who belong in the higher or middle class of the society. Power In general, power can be observed based on two distinguishing factors. First, it is defined by the holder of power. Second, it is defined by the basis for possession of power. In the movie, power is concentrated on the upper echelons of the society and is structured as an inverted pyramid where it trickles down but becomes less for each level. When this is applied to the characters of the movie, the greatest amount of power is concentrated on the Wilcoxes and is followed by the Schlegel sisters. The Basts are given the least amount of power, which is sometimes tantamount to having none at all. The source of power for the Wilcoxes is their wealth accumulated from the businesses they own. As for the Schlegel sisters, their share of power comes from their intellect, their status as German descendants, and a respective amount of wealth. Consequently, the Basts are given little amount of power because they lack the needed wealth in order to earn a significant position in the society. Nonetheless, the Basts, especially for Leonard, have the wealth of knowledge but this remains insignificant as a tool for earning a portion of power. The concept of power plays an important aspect in the struggle between the classes. As shown in the movie, it is associated with the rights and privileges given to a particular class in the society. While it is difficult to argue whether power influences privileges or vice versa, the fact remains that the two are related. Likewise, it is used as a means to further oppress or extend privileges to those who have a lesser share of power. For example, the amount of power held by Mr. Wilcox is used in order to relinquish the sinful affair he had with Jackie ten years ago. Despite the negative stereotypes often associated with being a lover, Mr. Wilcox is able to release himself from the possible repercussions because he is associated with power and wealth. In fact, he is able to dismiss the thought without facing severe consequences. In another part of the story, a similar deed is found with the unexpected pregnancy of Helen that is further worsened by the fact that the father of the child is married to another woman. The society also has standards for the incident but the role of power on the issue is highlighted by the remarks made by Mr. Wilcox. The relatively lesser amount of power held by Helen is not enough for her to escape from the consequences of her condition, which is why Mr. Wilcox insists on finding a way. The interference from Mr. Wilcox shows that he realizes the need for the use of his power in order to save Helen from the situation. Material Possessions In the book, the author can resort to descriptive words that rely on the imagination of the readers in order to distinguish the struggle between the classes in relation to their material possessions. However, this is not the case for the movie, which makes use of visual representations to show the inherent differences between the classes. The distinct material possessions that served as the source of the class struggle are the shelter, food, and clothing, which are essentially the basic needs of mankind. In the movie, the Shlegels are faced with problems in relation to their house. They are forced to find another place to live in because their lease is going to end to give way to the construction of new infrastructures, which Meg referred to as houses similar to that of Mrs. Wilcox. In this particular instance, it is shown that those from the lower class can be deprived of their basic needs in order to provide more for those who belong to the higher level in the class system. As Meg and Helen finds a way to move to another house soon, Meg inadvertently seeks the help of Mr. Wilcox as she considers his capabilities for finding them a house. Sooner, Meg ends up marrying Mr. Wilcox. Questions related to her intention of marrying Mr. Wilcox shows that it is related to the class to which the latter belongs. As Santas mentioned â€Å"she likes the solid businessman in him, the money-making and enterprising tycoon whose kind have helped erect the pillars of the British empire† (161). To a certain extent, Meg used the marriage in order to reap the material benefits of becoming associated with the upper class. Food and clothing remains an insignificant factor for the Wilcoxes and the Schlegel considering the abundance of such for their consumption. Similarly, the occasional scenes shot at the house of the Basts show the worse housing conditions made available for their family. Likewise, food and clothing remain scarce for the Basts. The difficulties faced by the Basts in relation to these needs are further highlighted in the wedding of Mr. Wilcox’s daughter. As soon as Meg meets Helen, who brought the Basts to the wedding, she is immediately confronted with the fact that the couple is in a state of starvation. They are allowed to eat at the gathering with the help of Helen but their presence caught the attention of Mr. Wilcox’s son and daughter-in-law. Mr. Wilcox’s son, Charlie, questioned Jackie Bast whether she is associated with the bride or the groom in order to find out if she is really a guest. The behavior of Charlie and the rest of the family towards the presence of the Bast show the detachment of the upper class with that of the lower class. In opportunities provided to them, the members of the upper class would highlight the things that set them apart from the members of the lower class. Opportunities First, the opportunities for acquiring a job remains a big issue for those in the lower class while those in the middle- and higher-class enjoys a relatively wider set of opportunities. Throughout the story, the plight of Leonard Bast is shown in relation to his employment opportunities. His problems regarding work started when Meg asked Mr. Wilcox how he could be of help to a clerk who is working at an insurance company. Mr. Wilcox, after finding out the name of the company, said that the organization is rather unstable and Leonard should find another job. The Schlegel sisters consequently advised Leonard to do as Mr. Wilcox said but he immediately got terminated from his new job. Soon after, he faced difficulties looking for a new job as he tried from one organization to another. At a later scene, Leonard shared his perspective on why he is having a difficult time in getting hired. His explanation is highly associated with the class he belongs to and compares it with the upper class. According to Leonard, the members of the upper class can easily change and find a new job whenever they are in a situation similar to what he is in as of the moment. On the other hand, the poor, like him, have a difficult time after they lose their current job. Not only is this difficulty associated with getting employed but is also related to how they would avail of services or products that they need in order to survive. In relation to this, Mr. Wilcox did not take any personal responsibility over the mishaps of Leonard’s unemployment. Despite the fact that Helen continuously pointed out that it is his fault, he remained undisturbed by the incident and is not even bothered by the condition of Basts after the advice he made. Likewise, he refused to help Leonard despite his qualifications and the availability of jobs in his company. His refusal might be related to his inherent detachment with that of the poor. In fact, he once told Helen that she should not â€Å"take up that sentimental attitude over the poor† (Forster 193). Second, the opportunities of moving from one class to another proves to be difficult and is often taken negatively by the members of a particular class. As for the Basts, their only option for marriage is someone from their own class, which did not actually enjoyed ample focus in the movie. The relationship that is focused throughout a greater part of the movie is composed of members from two different classes. The people involved are that of Mr. Wilcox and Meg, who came from the upper class and middle class, respectively. The marriage between people from the middle class and upper class is not prohibited but is often rejected by members of the upper class. In the case of Mr. Wilcox and Meg, the children of the former did not fully accept the latter even after everything that has happened. Despite the kindness shown by Meg, the children of Mr. Wilcox remained insincere with the relationship they formed with her. Likewise, they casted doubt over the favors asked by Meg from Mr. Wilcox as they considered these favors as exploitation. The behavior of Mr. Wilcox’s children is a manifestation of the common disapproval held by the upper class towards the inclusion of a person from the lower class. While there are rooms for movement in between the classes, the barriers that have to be broken remain tough and difficult to handle. Summary and Conclusion The movie Howard End is a distinctive portrayal of class struggle as it brings life to the words laid out in the novel by Forster. The film successfully represents the concept of class struggle as it is used in the novel. Despite some differences from the novel, the movie is able to invest in the scenes and the elements of the story in order to create a similar portrait of class struggle with that of the book. More specifically, the class struggle is shown through power relations, material possessions, and opportunities. Throughout the film, the idea of class struggle existed from the beginning until the end. It can be said that the centrality of class struggle is related to the real-world experience that surrounds the novel at the time of its publication.

Documentary - Latcho Drom Essays - Indo-Aryan Peoples, Free Essays

Documentary - Latcho Drom Essays - Indo-Aryan Peoples, Free Essays Documentary - Latcho Drom Moiz Bhinderwala Westford, MA A. In one paragraph describe the subjects of the documentary. Tell who they are, where the live, and why the film was made. Through the bittersweet music of the Gypsies, or Roms, and striking photography of India, Egypt, Turkey, Romania, Hungary, Slovakia, France, and Spain, Latcho Drom does just what it sets out to do: evoke both the sorrow and the joy of this nomadic people, whose strong sense of community and tradition enables them to survive their treatment as outcasts. This documentary gives a panoramic view of the extraordinary variety of the Rom's songs, music and dances in more than eight countries. It captures the resilient perseverance of the Gypsies through years of persecution and poverty. The treasures of Gypsy heritage throughout the world, from India to Spain, make up an exceptional musical palette Since leaving ancient India around the year AD 1000 on their westward journey, the Gypsies have constantly contributed to our cultural life in a multitude of ways. Scapegoats of our sedentary world, targets of the most primitive social rejection or the most rabid literary or cinematographic romanticism, they pursue their quest far from our technological and social upheaval. The Gypsies live a constant paradox: in spite of their refusal to be integrated, they have become the (sometimes exclusive) repository of the culture of the country they inhabit. Throwing tradition and fashion to the wind, the Gypsies have always used their versatility and sense of improvisation to adapt their musical style to others they discover during their travels. Each time traces of the previous country mark them as foreigners who stick out amid their now hosts. The director, Tony Galtif himself is a descendant of the Rom tribe. In this documentary is his effort to create a dazzling musical and anthology of this forgotten culture. Mixture of good and evil: In the scene where a small boy and his mother are waiting at a railway station, the director tries to bring out the belief of the Rom people about human nature being good. In that scene, the boy offers a small amount of money to one of the Rom musicians to play him a song, the musician laughs at the boy, takes the money and puts it back into the boys pocket, and then plays music for the boy for free. His group joins in, and they play delightful music for the small boy. This is a really touching scene, I thought. On the other hand, the gypsies through their songs and music, depict their history. A history which has always been stained with sadness. The gypsies have been persecuted wherever they went, they were never considered part of any society other than their own. The gypsies strongly curse their fate, and show their unhappiness towards these societies of people who have never given them any acceptance. Man subjugated by nature: The gypsies sing of their history, with a sad tone. They believe it is their fate to be wanderers. They strongly resent this fate, because it has brought with it sadness. Life demands to have at least some constants, but in the lives of this gypsies, the only constant is their change, their journey to a new place. Over these years, not much has changed about their life, they are still persecuted. This has lead to the strong fortification of the belief that they have little control over their fate, and that they cannot surpass the conditions that this life has set for them. Present Oriented: This is a particularly striking feature of their culture. The very fact that they are constantly on the move, travelling from one place to another, clearly highlights their strong faith in the importance of the present. They live in the present, since they are not aware of what the future has in store for them, they dont plan their lives for future needs, the way we do. At the same time, they associate their life also with their past, their history, their traditional values. Their songs of history bring out their sad past Growing: The gypsies are excellent musicians. Being a musician means constantly choosing between two options: either acting as the fierce guardian angel of a given musical style, or using

The Lost World Essay Example

The Lost World Essay Example The Lost World Essay The Lost World Essay This hierarchy makes the English very proud of were they stand in the world and makes them more big headed and this is a little trick I think Doyle used to make the reader at those times more interested and to make them carry on with the reading. The Doda are described as a dense mob and are fascinated and bewildered, shaggy red haired creatures. Doyle makes a contrast on page 179 by describing the Doda and the Accola; this compares them to make us have a clear picture of them. Ned describes the Accola as little, clean limbed, red fellows this makes page 179 very interesting because you see how Doyle makes the reader take the Accolas side instead of the Dodas. In page 190 you see how the British like to hunt and dont really care if they exterminate a whole species, we now this because Roxton says By George! I wish I had 50 men with rifles. Id clear out the whole infernal gang of them and leave this country a bit cleaner than we found it . We dont see this kind of behaviour in the BBC movie The Lost World. They had to make it more modern and so they cut out all the racism from the book and altered quite a few bits so that no one would get offended watching it. For example in the book we see how Edwardians treat women, they werent important in those days and they saw them as nagging housewifes. We now this because of the way challenger treats his wife near the start of the book. Mrs Challenger is angry for the way the professor treated Ned, Challenger has enough and tells her shes gone too far and light-heartedly punishes her by putting her on top of a column in the hallway! This would not happen now purely because the wife would just leave you or slap you. Also we see how the Edwardians have their views on gender because they dont have a woman in the expedition, they mention one at the start, Gladys, Neds girlfriend and Mrs Challenger, thats it throughout the whole book we dont hear from any other women. BBC had to change it or else the female viewers would most likely get bored so they have a woman to go with them and she makes the story more exiting. The biggest difference we see between Doyles book and the BBCs Lost World is the end. In the book we have Ned planning to go again with Roxton this shows the eagerness of conquering for the British. In the book the characters pretend to have faked the whole thing to protect the environment and the species that lived there. This also shows how we think differently to the Edwardians towards nature. The last difference in the book and the film is that we have a priest in the film; he represents all the people against Darwin because he chops down the tree to have the explorers stranded in the plateau instead of Gomez. The book The Lost World is so interesting because of all those points I have written in my essay, but there is also little things, like each chapter leaves you on a cliff hanger making you want to read on but there is also loads of suspense and many questions going through your mind when you are reading the book like will they get off the plateau? How will they get off? What will happen to the Indians? This is why Doyle had so much success with this book.

Quarry Sites - The Archaeological Study of Ancient Mining

Quarry Sites - The Archaeological Study of Ancient Mining To an archaeologist, a quarry or mine site is where a particular raw material- stone, metal ore, or clay- was mined in the past to be used to make stone tools, to carve blocks for building or statuary, or to make ceramic pots. Significance Some quarries used by ancient people were located near their point of use, regularly visited and fiercely protected from other groups as part of claimed territory. Other quarries, especially those for portable goods such as stone tools, were hundreds of miles away from the point of use, where the stone tools were found. In those cases, the people might have found the quarry on a hunting trip, made tools there and then carried the tools with them for a few months or years. Some high quality materials might also have been traded as part of a long distance exchange network. Artifacts made from far away resources are called exotic compared to local artifacts. Quarry sites are significant because they provide a wealth of information concerning the day-to-day living of people in the past. How well did a particular group understand and use the resources in their neighborhoods? How important was it for them to use high quality materials, and for what? How do we determine what a high quality resource means for an object or building? Questions Posed at Quarries At the quarry site itself, there might be evidence of the technical knowledge a society had about mining, such as the types of tools they used to excavate and shape materials. Quarry sites can also have workshops- some quarries were also production sites, where objects might be partly or completely finished. There might be tool marks on the outcrop showing how the workers pried the material out. There might be spoil heaps and discarded materials, which can illustrate what attributes that made a resource unusable. There might be encampments, where the miners lived while they were working. There might be inscriptions on the outcrops, such as notes about the quality of the material, or prayers to gods for good luck, or graffiti from bored miners. There could also be cart ruts from wheeled vehicles or other evidence of infrastructure suggesting how the material was transported to the point of use. The Challenge of Quarries Quarries are difficult to discover, because sometimes they are hard to see and scattered across the region. Outcrops of a particular source can cover many acres across a wide landscape. An archaeologist could find a stone tool or a pot or a stone structure at an archaeological site, but finding where the raw material to make that object or building came from is difficult, unless there are already quarries for that type of material that have been identified. Potential quarry sources can be found by using bedrock maps of the area, which are produced for the U.S. by the United States Geological Survey, and for the United Kingdom by the British Geological Survey: similar government-backed bureaus can be found for almost any country. Finding an outcrop open to the surface near an archaeological site, and then looking for evidence there that it was mined, can be an effective technique. Evidence could be tool marks, or excavation pits or campsites; but those might be difficult to identify if hundreds or thousands of years have passed since the quarry was used. Once a potential quarry has been identified, the archaeologist submits samples to a laboratory for sourcing, a process that breaks down the chemical or mineral content of a material, using Neutron Activation Analysis, or X-ray Fluorescence or another analytical tool. That provides a greater assurance that the proposed connection between tool and quarry is likely correct. However, quarries can vary in quality and content within a single deposit, and it may be that the chemical make up of the object and the quarry may never be perfectly matched. Some Recent Studies The following are some recent quarry studies, only a fraction of the available research which has been conducted. Wadi Dara (Egypt). This gold and copper mine was used during the Early Dynastic and Old Kingdom periods (3200–2160 BCE). Evidence includes pit trenches, tools (grooved stone axes and pounding slabs), smelting sites and slags from furnaces; as well as several huts where the miners lived. Described in Klemm and Klemm 2013. Carn Menyn (Preseli Hills, Wales, UK). The unique blend of rhyolites and dolerites at Carn Menyn mine were quarried for the 80 bluestones at Stonehenge, 136 miles (220 km) away. Evidence includes a scattering of broken or abandoned pillars of the same size and proportion as those at Stonehenge, and some hammer stones. The quarry was used before and after Stonehenge was built, between 5000–1000 BCE. See Darvill and Wainright 2014. Rano Raraku and Maunga Puna Pau Quarries (Rapa Nui aka Easter Island). Rano Raraku was the source of the volcanic tuff which was used to sculpt all 1,000 of the Easter Island statues (moai). The quarry faces are visible and several uncompleted statues are still connected to the bedrock. Described in Richards and others . Maunga Puna Pau was the source for the red scoria hats the moai wear, as well as other buildings used by the people of Rapa Nui between 1200–1650 CE. Described in Seager 2014. Rumiqolqa (Peru). Rumiqolqa was a quarry where Inca Enpire (1438–1532 CE) stonemasons excavated andesite for temples and other structures in the capital city of Cusco. Mning operations here entailed the creation of pits and cuts on the quarry landscape. Huge stone blocks were cut by using wedges placed in natural fractures, or by creating a line of holes then using wooden or bronze poles as pry bars, rock hammers and stone and bronze chisels. Some stones were further reduced in size before being dragged along the Inca road to their final destination. Inca temples were made of a variety of materials: granite, diorite, rhyolite, and andesite, and many of those quarries have been found and reported by Dennis Ogburn (2013). Pipestone National Monument (USA). This national monument in southwestern Minnesota was used as a source for catlinite, one of several mines scattered through the midwest that produce a sedimentary and metamorphic rock that was used by Native American communities to manufacture ornaments and pipes. Pipestone NM is known to have been an important religious and quarry site for historic period Native American groups during the 18th and 19th centuries CE. See Wisserman and colleagues (2012) and Emerson and colleagues (2013). Sources Bloxam, Elizabeth. Ancient Quarries in Mind: Pathways to a More Accessible Significance. World Archaeology 43.2 (2011): 149–66. Print.Darvill, Timothy, and Geoffrey Wainwright. Beyond Stonehenge: Carn Menyn Quarry and the Origin and Date of Bluestone Extraction in the Preseli Hills of South-West Wales. Antiquity 88.342:1099–14 (2014). Print.Emerson, Thomas, et al. The Allure of the Exotic: Reexamining the Use of Local and Distant Pipestone Quarries in Ohio Hopewell Pipe Caches. American Antiquity 78.1 (2013): 48–67. Print.Klemm, Rosemarie, and Dietrich Klemm. Gold Production Sites and Gold Mining in Ancient Egypt. Gold and Gold Mining in Ancient Egypt and Nubia. Natural Science in Archaeology: Springer Berlin Heidelberg, 2013. 51–339. Print.Kloppmann, W., et al. Tracing Medieval and Renaissance Alabaster Works of Art Back to Quarries: A Multi-Isotope (Sr, S, O) Approach. Archaeometry 56.2 (2014): 203–19. Print.Ogburn, Dennis E. Variation in Inca Bui lding Stone Quarry Operations in Peru and Ecuador. Mining and Quarrying in the Ancient Andes. Eds. Tripcevich, Nicholas and Kevin J. Vaughn. Interdisciplinary Contributions to Archaeology: Springer New York, 2013. 45–64. Print. Richards, Colin, et al. Road My Body Goes: Re-Creating Ancestors from Stone at the Great Moai Quarry of Rano Raraku, Rapa Nui (Easter Island). World Archaeology 43.2 (2011): 191–210. Print.Seager Thomas, Mike. Stone Use and Avoidance on Easter Island: Red Scoria from the Topknot Quarry at Puna Pau and Other Sources. Archaeology in Oceania 49.2 (2014): 95–109. Print.Summers, Geoffrey D., and Erol Ãâ€"zen. The Hittite Stone and Sculpture Quarry at Karakiz Kasabasi and Hapis Bogazi in the District of Sorgun, Yozgat, Central Anatolia. American Journal of Archaeology 116.3 (2012): 507–19. Print.Tripcevich, Nicholas, Jelmer W. Eerkens, and Tim R. Carpenter. Obsidian Hydration at High Elevation: Archaic Quarrying at the Chivay Source, Southern Peru. Journal of Archaeological Science 39.5 (2012): 1360–67. Print.Uchida, Etsuo, and Ichita Shimoda. Quarries and Transportation Routes of Angkor Monument Sandstone Blocks. Journal of Archaeological Science 40.2 (2013): 1158–64. Print.Wisseman, Sarah U., et al. Refining the Identification of Native American Pipestone Quarries in the Midcontinental United States. Journal of Archaeological Science 39.7 (2012): 2496–505. Print.

The World's Best Managers and Leaders Are the Best Communicators Essay

The World's Best Managers and Leaders Are the Best Communicators - Essay Example This research will begin with the statement that communication is a significant aspect of everyday life. Communication in organizations is extremely vital for success since it is the chief tool that organizations use to achieve coordination. Organisational communication is achieved by downward, upward and sideways (lateral) communication. Communication is a transaction, which is a two-way process of reaching a mutual understanding. Participants in the communication process exchange information (encoding and decoding), news, feelings, and ideas and share the meaning of that information. Communication is a chief function of management at all levels ranging from the top levels to the lowest management levels. There is so much power in communication. For instance, in the speech given by President John Kennedy in Berlin in 1963, Kennedy said: â€Å"Today, in the world of freedom, the proudest boast is bin ein Berliner†. The speech was in a rejoinder to the Soviet threat during the cold war era. The words were what the people wanted to hear, and they were swept by a flow of pride and warmth. The speech moved the massive audience as it was made during a desperate context in history. In addition, this communication had an impact since it was given by a great orator, which is a spectacular example of how communication made President Kennedy a renowned leader. Leadership can also be exhibited through communication in less dramatic circumstance, particularly in organizations. ...Branson is a living proof that leadership and communication are two inseparable things. His success comes from his ability to gain trust and support of partners, bankers, customers and other stakeholders. He demonstrates a democratic leadership style that entails listening to other s and empowering them as well. Branson management does not follow recipes highlighted in text books in his leadership. Although he never graduated from university, Branson leadership leaves a lot to be desired. There is no preset recipe for management according to Branson. One of the management philosophies employed by Branson is communication. He believes that communication is a key tool for motivating workers. In his work schedule, the first thing in the morning is reading emails from various people, and responding top complaints. Richard also sends success stories that he has read to his employees as he believes it as a way of sharing success to others. He believes in commucation throughout all level s of an organisation. He interacts with his staff even in out of office situations. He believes that business should be viewed as fun, and fun entails listening to people. Branson is popularly known for his communication with his employees and customers, as well as his ability to mix with populace of all status. This sets apart from other business leaders. In addition, Branson has a special gift in public relations. He does not feel to make his voice known to the media, and he has always gets away with the media to attract attention and has an instinctive comprehension of what appeals to them. Moreover, he does not fear being interviewed by journalists, which is not common among business leaders. Branson communication skills may be

Network Security Principles Essay Example | Topics and Well Written Essays - 750 words

Network Security Principles - Essay Example In other words, in order to ensure network security computer users must follow security plan or guidelines (Laudon & Laudon, 1999; Kaminsky, 2010; Ray, 2004). In the past few years several technologies have emerged throughout the whole globe and networking technology is without doubt the most amazing achievement in this era. On the other hand, security has turned out to be a challenging task for present network administration. In fact, the advancements of information technology have also offered a lot of benefits for the negative minded people. Now they have a wide variety of tools and technology which they can use to get illegal access to a network. In this scenario, it is essential for an organization to implement strict security policy. However, if an organization fails to put into practice an effective network security then an attacker or competitor can get access and use the important or secret data and information, probably causing data destruction or damage, or even the entire destruction of the computer network (Kaminsky & Foster, What is Network Security? , 2011; Armoni, 2002; Bhattacharya & Ghosh, 2009). It is an admitted fact that the emergence of the Internet has modernized our lives. On the other hand, it has as well introduced some of the severe safety and confidentiality issues. These issues can be tremendously devastating for private information. Hence, in an attempt to effectively deal with these issues organizations use network security rules and measures (Kaminsky & Foster, What is Network Security? , 2011; Armoni, 2002; Bhattacharya & Ghosh, 2009). As discussed above to deal with network security threats and an organization must implement an effective security policy. This policy should be an agreement, explaining in depth the organization’s decisive resources and how sound they are organized. In fact, the fundamental aim of creating a network security policy is to provide the organizational employees with a brief outline of the "acce ptable usage" of some of the business information and resources. Additionally, this policy is also intended to adeptly illustrate the permissible rights of workers and as a result employing them in securing the data and information. In actual fact, a security plan works like a "must interpret" fashion of business information for everyone exploiting in any form, computer and network resources are believed to be possible targets. On the other hand, a high level and excellently created security policy is supposed to tackle some these subsequent fundamentals: (Danchev, 2003; Kim, Lee, Han, & Kim, 2009) How vulnerable business data must be organized and managed How passwords and other credentials have to be maintained securely How to respond to a possible security issue, disruption efforts, etc. How to make use of resources such as computers and the Internet in a better way How to properly make use of the business communication infrastructure In general, the most important reasons follow ing the creation of a security policy is to establish an organization’s private data and information security basics. Another aspect is to inform to workers how they are responsible for the security of business resources and assets, and give emphasis to the implication of taking benefit from secured business communic

The Women of the Qing Dynasty Essay Example | Topics and Well Written Essays - 750 words

The Women of the Qing Dynasty - Essay Example Many women were abused verbally and physically by their in-laws and spouses. Women were expected to be obedient toward men in their birth and marriage families. Ethnic Han Chinese women belonging to the upper and middle classes would have their feet bound. This practice was implemented as a way of ensuring that their mobility is limited and they remain close to home. Besides, bound feet were also considered as a symbol of beauty and femininity particularly among the elite class. This is the reason why poor families often felt tempted to bind the feet of their daughters. They thought that doing so, their daughters would be identified with rich families and the chances of her getting married into a rich family would be optimized. The practice of foot binding was very painful as the girls had to go through a series of painful developments. First, foot binding broke their arch bones. Their feet were tied into the lotus position with a long cloth strip. Bound feet deterred these women fro m working in the fields, so the families used this practice to symbolize that they were too rich to have their daughters work in the fields. Many women painters and poets emerged during the early Qing dynasty. However, it was not until the 17th century that women were identified as professionals and their artwork’s sale was considered a respectful means of livelihood (Yuho, 1993). He Shuangqing was a famous poet of the Qing dynasty. Ropp (2002) describes her background, talents, and features in the book in these words, â€Å"He Shuangqing, style name Qiubi, came from Danyang (in the southwestern part of today’s Jiangsu Province) in the Qing dynasty. Born into a peasant family, she lived in the vicinity of Siping Shan. Very beautiful, multitalented, and a lover of literacy works, she was married in 1732 into a poor family of woodcutters surnamed Zhou† (Ropp, 2002, p. 219). Having a

CHANGE MANAGEMENT (CASE STUDY) Case Study Example | Topics and Well Written Essays - 2750 words

CHANGE MANAGEMENT ( ) - Case Study Example Organizations can be transformed by creating a new system in a new place with new personnel, or by renewing the old system in the same place with the same personnel. Critics admit that when change is conducted by taking the "renewal" alternative, it usually entails the positioning of a new top manager or top managerial team. In business organizations, Ford, like many other firms, created separate plants to develop new technology and new products. In total institutions, the creation of a radical new vision that really rehabilitates is possible by starting out with a new strategy, guards carefully chosen to be rehabilitators, and a new, dedicated staff. Ford is one of the oldest automakers in the world. The history of the company goes back to 1903 when the first converted factory was opened. Today, Ford is the second largest automaker with 17.5% market share. Historically, Ford sought to compete against the industry's leader, General Motors (GM), by increasing its presence in foreign markets. Ford's International Automotive Operations co-ordinates activities in twenty-six countries grouped in three principal regions (Europe, Latin America, and Asia Pacific). In the late 1970s, Ford produced outside the United States half of its worldwide vehicle production - compared with GM's one-fourth. The Ford Motor Co. has also been a leader in introducing or rapidly adopting technological innovations in the industry (Lessons In Change From Ford Motor Company n.d.). Henry Ford, the founder and president of the company, is considered the father of mass production. In the difficult decade of the 1980s, Ford showed its capability to rapidly adopt the Japanese system of production and to move faster than any other auto maker in seeking the integration of its operations on a global basis. The company was also a pioneer in the internationalization of production, as it was the first to open an assembly plant in Canada (1904), in Mexico (1925), and in many other countries. Historically, the company has had a leading role in developing an automotive capability in those countries, and its strategies have been characterized by its responsiveness to local government demands and its relatively high levels of export activity (Lessons In Change From Ford Motor Company n.d.; Ford Home Page 2007). The change process within the company is influenced by the industry requirements and competition. In order to survive and maximize profits, auto makers like Ford must comply with structural rules. Structural rules are derived from production technologies (hard and soft technologies) that are successful in producing cars efficiently. An automobile is a complex product, which consists of over 10,000 parts and requires multiple and complex processes for its manufacture. Mass production proved successful in efficiently producing automobiles, which explains that for almost seven decades, it determined the structural rules for the automobile industry. It is a complex system that needs to be understood in order to comprehend Ford's strategies. Where they existed, differences in strategy or goals between the US Big Three (Ford, GM and Daimler Chrysler) stemmed basically from each firm's ability to conform to the rules of competition and from its relative power position in the industry. Durin g 1990s, Ford had little room for designing

Case study Example | Topics and Well Written Essays - 750 words - 22

Case Study Example Ellen can consider having trademarks that would help her to stop anybody from using the marks she chooses for her products (Rustad & Cyrus 6). Design rights will help protect the form of Ellen’s products. The things that Ellen can protect using design rights include computer icons, software fonts, on screen displays and trading name. Ellen’s databases of educational materials, social bookmarking tools, digital stories, and collection of audio recordings should be protected using database right. This right extends to metadata that compilers create to encourage the addition or subtraction of files and datasets relating to the structure and arrangement of data in a given database (Rustad & Cyrus 7). Children between age four and six lack a mastery of ethical thinking and needs web operators like Ellen to protect them from unethical use of the internet. Ellen has to be cognizant of the children’s temptation of viewing obscene content in the internet. Obscene content in the internet includes sexually suggestive content sent or received through the internet. This is what has come to be popularly known as sexting. Pornography and sexually explicit materials is another ethical issue with young internet users. Exposure to violent media has been found to be an important correlate of aggressive behavior among children. Privacy issue has gained prominence as an ethical issue among young internet users. Children are tricked into disclosing personal information such as those required to allow access into certain internet content. This information can be used to cause harm to the child or their families (Rustad & Cyrus 8). The Children Online Privacy Protection Act requires web operators to include privacy policies. The act also requires operators to provide ways of seeking verifiable consent from parents and specifies an operator’s responsibilities in protecting

CHANGE MANAGEMENT (CASE STUDY) Case Study Example | Topics and Well Written Essays - 2750 words

CHANGE MANAGEMENT ( ) - Case Study Example Organizations can be transformed by creating a new system in a new place with new personnel, or by renewing the old system in the same place with the same personnel. Critics admit that when change is conducted by taking the "renewal" alternative, it usually entails the positioning of a new top manager or top managerial team. In business organizations, Ford, like many other firms, created separate plants to develop new technology and new products. In total institutions, the creation of a radical new vision that really rehabilitates is possible by starting out with a new strategy, guards carefully chosen to be rehabilitators, and a new, dedicated staff. Ford is one of the oldest automakers in the world. The history of the company goes back to 1903 when the first converted factory was opened. Today, Ford is the second largest automaker with 17.5% market share. Historically, Ford sought to compete against the industry's leader, General Motors (GM), by increasing its presence in foreign markets. Ford's International Automotive Operations co-ordinates activities in twenty-six countries grouped in three principal regions (Europe, Latin America, and Asia Pacific). In the late 1970s, Ford produced outside the United States half of its worldwide vehicle production - compared with GM's one-fourth. The Ford Motor Co. has also been a leader in introducing or rapidly adopting technological innovations in the industry (Lessons In Change From Ford Motor Company n.d.). Henry Ford, the founder and president of the company, is considered the father of mass production. In the difficult decade of the 1980s, Ford showed its capability to rapidly adopt the Japanese system of production and to move faster than any other auto maker in seeking the integration of its operations on a global basis. The company was also a pioneer in the internationalization of production, as it was the first to open an assembly plant in Canada (1904), in Mexico (1925), and in many other countries. Historically, the company has had a leading role in developing an automotive capability in those countries, and its strategies have been characterized by its responsiveness to local government demands and its relatively high levels of export activity (Lessons In Change From Ford Motor Company n.d.; Ford Home Page 2007). The change process within the company is influenced by the industry requirements and competition. In order to survive and maximize profits, auto makers like Ford must comply with structural rules. Structural rules are derived from production technologies (hard and soft technologies) that are successful in producing cars efficiently. An automobile is a complex product, which consists of over 10,000 parts and requires multiple and complex processes for its manufacture. Mass production proved successful in efficiently producing automobiles, which explains that for almost seven decades, it determined the structural rules for the automobile industry. It is a complex system that needs to be understood in order to comprehend Ford's strategies. Where they existed, differences in strategy or goals between the US Big Three (Ford, GM and Daimler Chrysler) stemmed basically from each firm's ability to conform to the rules of competition and from its relative power position in the industry. Durin g 1990s, Ford had little room for designing

Managerial accounting Essay Example | Topics and Well Written Essays - 1250 words

Managerial accounting - Essay Example Following which it will be discussed how the company has implemented this strategy in the day – to – day working. As mentioned earlier JIT was firstly introduced by Henry Ford and was clearly described in his book ‘My Life and Work’ in 1923. It was then that Henry Ford had realised that inventory stocking was a waste of investments in terms of the amount locked up in forms of inventory as well as storage and transportation costs. The JIT process is simple and defines stocking of goods to be a waste. Companies using this method follow the thumb rule of ordering for stocks whenever it is required by the company. This process exposes the hidden costs that the company incurs for storing and transporting of the inventories. The process might seem simple however when it comes to incorporating it into the daily business, the companies face a number of issues as it would mean completely changing the process flow of the company. There are a number of different disciplines that are followed to ensure the correct timing for ordering the goods to fit in correctly into the process flow of the company. This process involves aspects of statistics, behavioural science, production management and industrial engineering. In simple terms JIT is a process ensures that the inventories of a company are available at the right time, at the right place, the right amounts and finally the right materials (Sandras, 1989). Toyota is one of biggest motor company in the world. The company has been existent from times before the first ever air conditioner, colour television and even the first ever cheese burger was invented. It was started way back in 1934, where the first engine was produced by the company. It was later in 1935 that the first car was produced. In 1937 the company was split off. The company’s production was very limited between the years of 1936 -1945. The company however picked up motion in 1945 and the production was seen to grow rapidly since then.

Manti TeO Case Essay Example for Free

Manti TeO Case Essay By having read the comprising articles and the reader comments on the college football player Manti Te’o, this issue has many different meanings to many different readers. And as Gail Collins stated, â€Å"All I can say is, the story tells you a lot†, this open ended story clearly does give off a large amount of information and arouses a series of questions that anyone would hope to have answered for a better understanding. To me, this issue comes off as confusing, disturbing, and at the same time wretched. Even though Te’o had explained that he was hoaxed, I still am confused to what I believe. For some reason, I feel as though he has something to do with the person that has been hoaxing him all this time to make him not look completely foolish. In order for someone to accept to be in an online relationship, they must be absolutely desperate or grasping for a lot of attention. Especially because this is becoming a problem with someone like Manti Te’o is just puzzling. From someone who is a senior at Notre Dame College, and more than likely having dealt with a wide variety of different situations, anyone would think he would have had more common sense to go along with something like this. That is why most individuals, including me, can give a long explanation to why we are confused. After reading these articles, a different question popped up in my head after every sentence and this situation would be a lot more understandable if they were answered. To make a fake profile, and to use it as a way to make another individual feel sorrow for you is just alarming. It is incredible that today’s society has people that stimulate and have to deal with situations like this one. The fact that you can be in an extremely serious relationship over the internet, without ever meeting face to face, and knowing that Manti Te’o is one of the very many makes this society even more provoking. You hear about these types of issues more and more as time progresses. This issue is wretched because it is what today’s society is evolving to and society makes it okay for issues like this to occur. Television shows, social networking sites, magazines, and movies are putting ideas in people’s head and allowing them to think these types of occurrences are okay to perform. It is just absolutely terrible because issues like this are going to continue to occur because no one is attempting to put an end to it and people seem to be just falling into these types of pits more frequently. Consequently, if this situation was to teach anything, it was that our society has a lot ahead of us. Anyone can be a phony, everything in a way can be unreliable, and people need to realize this is become a truly large struggle. Gail Collins statement â€Å"All I can say is, the story tells you a lot† is an understatement. This story tells you much more than a lot and it tells you exa ctly what our future is beginning to become.

Leadership And Change Management At Mcdonalds Business Essay

Leadership And Change Management At Mcdonalds Business Essay McDonalds started his business in 1940 with 1st restaurant opened in San Bernardino, California by Richard. It was the result of the thoughts of two young brothers, Mac McDonalds and Dick who introduced a new revolutionary restaurant Speedee Service System in 1948 which was established on principles of the modern  fast-food restaurant. Speedee completely replaced with  Ronald McDonalds  by 1967. McDonalds as Trade Mark is time used on May 4, 1961, with the description of Drive In Restaurant Services and still continues until end of June, 2010. The logo M with double arched overlapping as trademark was introduced in Sep 13 1961. The double overlapped as trade mark symbol M as logo temporarily disfavoured by September 6, 1962. The modern double arched M symbol started in November 18, 1968. (McDonalds, 25 August, 2010, http://www.mcdonalds.co.uk ) Big Mac started in 1968, Egg McMuffin started in 1973, Happy Meal for children started in 1979 and Chicken McNuggets started in 1983 .At the present time, McDonalds have more than 31,000 restaurants in 119 different countries of the world of which a lot are franchised. (www.mcdonals.com.uk) McDonalds vision is to become worlds best and quick service experience restaurant for this purpose McDonalds delivering outstanding quality, service, cleanliness, and value, so that we make every customer in every restaurant smile. In mission statements includes best employer or our people in each community around the world, excellent operational for delivery to customers and enduring profitable growth by expanding the brand and leveraging strength of McDonalds through innovation and technology McDonald Corporation ,2010) Change and Resistance to Change: According to Rev Sharon Patterson that which people want to changes are babies who have wet diapers. We can be explained that change is the pain full processes in the place of work towards real physically changes are consists exciting incentives. (Bernerth, 2004) Change Process Model Though we all know and believe that success is change so every one want and need success because everyone want earning profit and want to hold this success but on the other hand we dont forget that every change have some resistances and resistance only in the response of change. (Duck, 1993) According to Duck (1993) bluntly he pointed out that Changes are strongly personal. According to Petersen (2002) many people consider that change basically factor of Fear and uncertainly and some Doubts. (Peterson, 2002) As change broadly accepted all over the world as usual from top management to down management and its also brings high management and those people who are in the capacity of manage by any management they always show resistances against the change before application of change or before forward change its duty of manager to make a such type framework which should be overcome over all resistance before implementation. (Peterson, 2002) Resistance to change can be defined as its an apparent attitude of organization employees or members who are declined to admit any change within organization. (Cheng and Petro Vic Lazar Vic, 2004). James Hunt says Resistance isnt an indication that something is wrong with what you are trying to change. It is an indication that something is happening. Ansoff defined Resistance as its only cause of creation unexpected delays and different types of costs or losses which create instabilities into the process of costs and instabilities into the process of planned change (Ansoff, 1988) Resistance is any employee behaviour trying to stop or delay in any change. (Bemmels and Reshef 1991) Real example of the change process and its implementation. British Airways. Past in 1981, British Airways hired on board of Directors a new chairperson.  When this chairperson joined, he noticed that the company was very unproductive and was wasting a lot of valuable resources in useless activities.  To make the organization efficient and increasing the profit ratio he decided to restructure the entire organization.  He realized that Change Methodology Management Plan is the best way to serve that purpose. (Jean Scheid, 2010) Systematically, the British airways started reducing workforce.  But, before started this, through his change management leadership, the chairman gave the all reasons for the restructuring and privatization of the company in order to prepare them for the future change.  He directed his company through a hard time that could have been terrible without  effective change management resistance communication just only through his Leadership Communication (Jean Scheid, 2010) Scope of the Change at McDonalds. Every organisation has different departments with their own value and importance. These departments have their own specific objective. Marketing is one of them department which is most important part of and company and organisation. So in McDonalds integrated market campaign has played vital role in development of business. This campaign has important goal is adopting latest rules and regulation of health and safety. That is latest styled of awareness about health and safety for the children by focusing the market. Through this IMC, McDonalds has launched new low fat healthy meal deal menu for children and try to give answer of awful advertising of the McDonalds. Moreover, McDonalds have basic aim to make customer happy and proving good healthy diet which is beneficial for the childrens and parent as well. McDonalds have offered new meal deal for childrens which are McKids deal especially for the healthy food of kids. In addition, for progress of business, McDonald has started new integrated marketing communications which has helped out in the advertisement and for convey the message to the customer. This new system has attracted the Childers more than parents. For adopting and accepting the responsibilities McDonalds has make team which will be handle the change as well. This type of strategies will bring change not only in marketing mix and will increase in sale and advertisement as well which will help to achieve their gaols, objective and success. McDonalds has faced many bad responses in the menu of children which is mostly issues were related to nutrition. So IMC has turned the McDonalds status in eyes of the customers. IMC is a developed way to focus on the aim and in progress of company. IMC has helped to promote the advertisement level. Basically purpose or scope of change in McDonalds is application of the integrated Integrated Communication (IMC) as essential part of the strategy of the marketing in McDonalds. In this way of change, very important area where we should attention is the advertisement and promotional activities of the McDonalds. Mostly promotional activities and advertisement campaign concerned with offering new services or any new products through any mode of communication. For this purpose there is lot of sources which are used to for this type advertisement or campaign by company. Basic purpose of this new change to concentrate on sales activities and promotional activities and try to increase sale of the company and this change give the important of Integration Marketing system as important part of the marketing strategy of the company. (McDonalds Corporation 2009) According to Forgeson and Green Basically there are three major categories of change resistances are organizational, group and individual. The following are resistance or conflicts faced by McDonalds during implementation of this change: McDonalds workers, customers, culture and behaviour. (Mabin, Forgeson Green, 2001) Resistances and Conflicts to change at McDonalds:   1st resistances due to reactions of the McDonalds staff and customers of the company, some employees are in favour of this new change and some are against this new change mean using the Integrated Marketing communication. Managers and some employees only against this change due to fear, they think might be this change instead of resolving problem it will increase the problems of the company. There are not only employees have negative reaction towards this change but also customers are not showing positive reaction towards this campaign so it lead o another conflict in the shape of not positive attitude of customers towards this new change in this way McDonalds cant achieve benefit from this change as whole of the company.   One more resistance against this new change of the company the shortage of qualified personnel in company who assigned the maintaining these tasks to maintaining crew and application of this new marketing change but they are not much professional so this is the conflict in the way of new change. The fear of stakeholders of McDonalds for insufficient budget and ineffective use of different mass communication for this new change and chance of failure of this new change is also conflict and resistance in the way of this new change. The difference in culture between the different employees of the organization is another inner conflict. Due to difference in cultures in McDonald in different members of the company so in this way they unable to do work in pleasant environment and in good way and also this cultural leads to create difficulties in the way of implementation of new change in organization. According to Wilkins Dyer the management of the McDonalds and main administration of the McDonald must point out empowerment of the culture of the organization mean the empowerment culture of the McDonalds and should also identify the relation between the empowerment of the culture and planed system of the McDonalds and also relation between both empowerment and culture (Wilkins Dyer, 1988). Recommendation: In restaurant industry managers play vital role in any change so in this way what McDonalds managers pay specific attention at the time of implementation and initiating change towards reducing possible resistances and achieve better organization performance. Manager is the person who initiating and start the change and employees have to accept and adopt it. Through Effective communication, awareness of manager actions, employees attitude and harmonious working situation can be overcome resistances to change and also play important role in attaining better organizational performance. Process for change implementation in Restaurant Industry Effective communication is the most important components in restaurant industry and played a vital role in the success of organizational operations. Effective communication is very important among the managers and employees and among the employees to employees. Good listening skills are the essential for a successful manager of any organization especially in fast growing fast food industry. Before, after and during the change process managers should carefully listen to the employees opinion and should modify the new change according to the opinion of the employee. For implementation of successful change in organization it is compulsory for manager he should always alert regarding employees reaction towards change. McDonalds Managers should realize that if employees against that change and dont want to cooperate with them so in this way customer service delivery will get worse. Conflict may arise amongst colleagues and managers when employees resist change. In this way employees may not perform well which directly effecting reputation of restaurant and might be it will also become cause of resignation of employees. So before implementation of new change McDonalds managers listen very carefully arguments of employees and change the situation according the time need and should avoid the create bad environment in which employees proved poor environment for work and end all go for resignation. Not only this but also they should encourage the employees for better service and development of performance of the company as well as the employees. There should be a proper action of plane for development of or improvement of different customer services and development in working environment within the organization. This strategy or procedure will always encourage to managers as well employees to sure things are well done. We should understand that improvement is with only change. If there is no improvement, it means no change in this way restaurant become sluggish due to not improvement and any other reason like occurring unforeseen and unexpected circumstances in the restaurant and this way it will very difficult to maintain that position in market and compete the competitors. Managers should also provide a pleasant environment to employee for keeping happy to workers and happy workers are great part of high performance and great motivation. Well motivated staff is in this position to do work in good manners and in good pleasant way and strong relations with their colleagues. Its duty of managers to provide and keep very good and pleasant environment for work and we well know a good pleasant environment always get good result and a poor and boring environment always get a poor result and this the negative impact on the repute of the restaurant (A Paton, R. and Maccalman, J. ,2008) Further more, the success of the new change is still under process and difficult to convert the children attitude towards healthy fast food meals. But at the other hand, there are very strong chance for this success due to strong campaign and promotion activates for prompting the characteristics of the this new change. Furthermore, McDonalds should assure the message has been reached to every child in 119 countries where McDonalds is serving for this purpose help from every type media is the best strategy. There should be a new theme for new advertisement I love it even more! and hopefully this new theme and way of advertisement will inspire the parents and also encourage the childrens towards healthy food. This campaign should be long lasting, strong concerned on healthy characteristics of this new change and should be in friendly way like kiddie-friendly way. If McDonalds carefully make plan and use best strategy and good and effective method for implementation of this new change so there are bright chance of the success of this new change and in this way company can achieve very easily mission and objectives of the company. The most concerned of this company to give image of health conscious which is good match with the latest trend of health conscious measures for this world and also for the future world. Conclusion: According to Beverage the management change leaders must be willing to keep their fingers on the pulse of the organization, by monitoring what is working and what is not working and in the change process.   It is duty of managers to reassure, support and take commitment before application of this new change and for getting positively and good result of this new change. The managers should make a strong strategy and should make strong plans of actions regarding this change before implementation of this change and for making this successful. (Beverage (2003) Therefore, we can be concluded now that changes of management is not bad until they enhance the competitiveness and power of an industry. If any change implicated through proper planning and investigation so it will be very effective and will also increase the performance of the organization. So organizations should impose the any change at the right time when studies proved that no time of change. Because we dons forget the change management system not only critical and complex but also very sensitive so only one wrong decision of any company in any change might be it push company to in under clouds and prove harmful for organization profit and inspite giving development instead company feel difficult to survive in perfect market. This is strongly recommendation for McDonalds that must see and again and again ensure that future changes are well very planned there implication is very carefully because these changes will be cause of the success /or failure of any company.

Body Image Essay example -- Psychology

Laurie was a size fourteen at age eleven and weighed one-hundred fifty-five pounds. She went through elementary school being the kid that everyone called fat and never felt love from any of her peers. Even a counselor at her after-school YMCA program made an example of her to the other children. The teacher told all the children that she used to be as big as Laurie. Putting aside all the criticism from her fellow peers and teachers she found the courage and strength to lose weight. She began doing sit-ups and eating â€Å"healthier†. In all reality, she was eating less and less every day. She went from a size fourteen to a nine and then from a nine to a five. This all happened to her between summer and Christmas. By the following summer Laurie was a size double zero. During the following school year, she was called to the nurse’s office to be weighed and the scale read ninety-seven pounds. Laurie had become anorexic from the mentally abusing childhood she experienced f rom her peers. Every culture has a â€Å"perfect body image† that everyone compares their own bodies to. Girls especially have the mental thinking that they have to live up to the models on TV and magazines. In the United States the skinnier the girls, the more perfect their image is perceived. The â€Å"perfect body image† has an intriguing background, health and psychological problems, and currently few solutions. Background The history of having an â€Å"ideal body† type goes all the way back to the colonial times. Jennifer L. Derenne and Eugene V. Beresin have researched the â€Å"ideal body† from the colonial times up until now. During the colonial times, women were valued who were fertile, physically strong, and able women. This was because women during this time helped tend to t... ... (Ed.), Nutrition and Well-Being A to Z (Vol. 1, pp. 69-71). New York: Macmillan Reference USA. Retrieved from http://go.galegroup.com Drugs (Illegal). (2006). In J. Merriman & J. Winter (Eds.), Europe Since 1914: Encyclopedia of the Age of War and Reconstruction (Vol. 2, pp. 886-891). Detroit: Charles Scribner’s Sons. Retrieved from http://go.galgroup.com Franco, K.N., Alishahie, M., & Bronson, D. L. (2004). Body Image. In S. Loue & M. Sajatovic (Eds.), Encyclopedia of Women’s Health (pp.110-112). New York: Kluwer Academic Publishers. Retrieved from http://go.galegroup.com Gleason, W. (2006). Leisure. In J. Gabler-Hover & R. Sattelmeyer (Eds.), American History Through Literature 1820-1870 (Vol. 2, pp. 639-644). Detriot: Charles Scribner’s Sons. Retrieved from http://go.galegroup.com http://www.eating.ucdavis.edu/speaking/told/anorexia/a42laurie.html

Sentrong Sigla

â€Å"All the evidence that we have, indicates that it is reasonable to assume in practically every human being, and with certainly in almost every newborn baby, that there is an active will toward health, an impulse toward growth, or towards the actualization. † -Abraham Maslow Introduction Department of Health or the Kagawaran ng Kalusugan is the principal health agency here in the Philippines. The department is responsible for ensuring access to basic public health services to all Filipinos through the provision of quality health care and the regulation of providers of health goods and services.DOH has three major roles in the health sector: (1) leadership in health, (2) enabler and capacity builder, and (3) administrator or specific services. The DOH’s vision is to be the leader of health for all in the Philippines, and its mission is to guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for excellence i n health. While pursuing its vision, DOH adheres to the highest value of work such as: integrity, excellence, compassion and respect for human dignity, commitment, professionalism, teamwork and stewardship of the health of the people.Because of the department’s dedication in guaranteeing equitable, accessible, sustainable and quality health services for all Filipinos, especially the vulnerable group, the department has formulated different programs to ensure quality health services and one of them is the Sentrong Sigla Program. Sentrong Sigla The Department of Health’s (DOH) Quality in Health (QIH) Program seeks to institutionalize Continuous Quality Improvement or CQI in health care in order to create health impact in terms of health promotion and disease prevention control.Sentrong Sigla Certification has been identified as one of the components and strategies of this program. The quality standards cover total systems quality for outpatient care and public services g raduated into three levels. This quality standards list (QSL) covers the basic certification level or Level 1. The next higher levels of specialty award and award for excellence, Levels 2 and 3 respectively have their own standards lists. Aside from the QSL, other tools available for use of the health facility staff are the Supervisory Forms (SF) and the Facility Certification Form (FCF).The Birth of Sentrong Sigla Quality Assurance Program (QAP) Goal: To make DOH and LGUs active partners in providing quality health services. Key Strategies: 1. Certification / Recognition Program (CRP) 2. Continuous Quality Improvement (CQI) In 1999, QAP was renamed the Sentrong Sigla (â€Å"Center of Vitality†) Movement (SSM). Sentrong Sigla Movement Goal: Quality health – quality health care, services and facilities. Objectives: Better and more effective collaboration between DOH and LGUs.Where DOH: serves as a provider of technical and financial assistance package for health care. L GU: serves as prime developers of health systems and direct implementers of health programs. Specific Objectives: * Institutionalization of quality assurance * SS certification targeting 50 % of health facilities in 2003 and 60% in 2004. Pillars: * Quality assurance * Grants and technical assistance * Awards * Health promotions Phases: Phase| Period| Standards| I| 1998 – 2000| Input Quality | II| 2001 – 2004| Process Quality|III| 2005 – 2010| Outcome or Impact Quality| Guiding Principles for Sentrong Sigla Movement To ensure that Sentrong Sigla remains focused on its quality goals and objectives, the following guiding principles are hereby adopted: * Recognition for achieving good quality shall be the main incentive in SS certification. Advocacy and social mobilization activities should be used to enhance the value of prestige and recognition. Other incentives shall not be overemphasized and should only be secondary to recognition. * Quality improvement is an un ending process.SS certification should promote the continuing drive for ever – improving quality by providing multi – tiered and progressively higher quality standards. * SS certification shall focus on core public health programs that have been proven to be most cost – beneficial to the people such as child health, maternal care and family planning, prevention and control of infectious diseases and promotion of healthy lifestyle. Public health programs are best integrated, synergized and synchronized to achieve maximum health impact. Quality improvement is a partnership that empowers all stakeholders. In SS, communication between the DOH and the health facilities to be certified shall be open and shall be based on mutual trust and transparency. All quality standards and the methods by which these shall be assessed shall be openly shared and discussed to ensure clear understanding and strong commitment by all concerned. * In the same spirit, roles, responsibilit ies and contributions shall promote appropriate counterpart and reciprocity. To ensure even distribution of quality health services, DOH assistance shall be purposive, targeting to achieve quality improvement in health facilities that have been identified using carefully selected health priorities and health needs. These should include health facilities in far – flung and underserved areas, in congested urban centers or in marginalized communities. * To ensure objectivity and broad, varying perspectives, SS assessment shall involve partners in health from non – DOH units such as other government and non – government units agencies.They shall be encouraged to actively advocate for and give support to SS. Sentrong Sigla Certification Phase I Phase I of the certification component started in mid – 1999 and extended until 2002. Sentrong Sigla seals were given to health facilities that met at least 80% of the standards. By mid – 2002, 44% of health cent ers, 13 % of district and provincial hospitals, and 1 % of BHS have been certified Sentrong Sigla. Additional national awards were given to several health facilities, the prize for which included P 1 Million for health centers, P 3 Million for district hospitals and P 5 Million for provincial hospitals.More than 135 Million pesos have been awarded to these facilities. The Sentrong Sigla certification during the first phase was successful in terms of promoting interests and participation of local government units in raising the quality of health care in public health facilities and in generating additional support from local chief executives for health and channelling local resources to fund basic equipment, amenities and supplies of local health facilities.The strategy also confirmed that a mechanism that recognizes good quality health services is a powerful tool to maintain DOH leadership in health, with high potential for eventually creating health impact through more effective an d better quality public health programs. Valuable Lessons during Phase I * The realization of the need for total systems quality standards that combine simple yet basic input process and output standards. While the health facilities met input – only standards in Phase I, SSM itself had to be positioned as a total quality movement.Thus, consumers will equate SS with total quality. â€Å"Input only† certified health facilities would raise doubts on the SS seal as a certification of genuine total quality. Changing the standards over the years, as originally planned, was difficult to implement. Besides, The LGUs preferred a stable core of total system quality standards. * The importance of careful selection of incentives. While it is important that incentives be attractive, these should also be appropriate, sensible and sustainable.During SS Phase I, monetary rewards were too much focused. This generated unprecedented interest but distracted the LGUs away from the real qua lity objectives of SS. The quest for the million peso prize led them to skip the capability – building step which was really the most important step in the process. * The need for changing procedures to provide adequate time for crucial processes like the internalization of the quality standards by the Local Chief Executive and is local health staff, the provision of supportive technical assistance by the DOH and other quality improvement activities prior to formal assessment. There was also need to provide multiple, progressing quality standards to drive continuing quality improvement. Formulation of the Philippine Quality in Health Program and the Transition into SS Phase II In 2001, with the change of DOH administration, the effort to raise quality of health services was intensified, leading to the expansion of concern for quality beyond the DOH – LGU interaction level into the entire health sector.Other instruments and interventions that can drive quality higher, s uch as mandatory licensing and the accreditations and payment scheme of the Philippine Health Insurance Corporation (PHIC) were included. Other efforts of professional societies were also acknowledged and incorporated, resulting in the more integrated Philippine Quality in Health Program AO No. 17 – B s. 2003, replacing the Sentrong Sigla Movement. The certification strategy of the â€Å"movement† – The Sentrong Sigla Certification – remained an important strategy in the accreditation approach of the broader Philippine QIH Program.To harness the full potential of the SS Certification in achieving its quality goals and objectives, basic modifications were adopted for SS Phase II (2003 – 2007) in terms of revised quality standards, procedures and incentives scheme. Goals: As one of the accreditation strategies in the QIH Program, Sentrong Sigla Certification has the same long term and intermediate goals as the Philippine QIH Program: Long – Te rm Goals:To institutionalize within the health sector the leadership processes, knowledge, attitudes, skills, and organizations that will generate Continuous Quality Improvement in health care thus creating health impact in terms of health promotion and disease prevention and control. This goal is a process and systems goal, fully recognizing that the quest for better quality health care and services is a continuing or unending process. This is also an expanded goal, aimed to cover the entire health sector, not only the public health or government sections of the sector. Intermediate (5 – year) Goal (2003 – 2007)To improve the quality of health care in outpatient health facilities, hospitals, and the public health services in the communities. In specific terms, this goal will be carried out by establishing specific quality criteria and by targeting (a) to raise the average quality of out – patient care, hospital care and community / public health care; and (b) t o reduce the variation around the average quality of care among these different categories of providers and services. Specific Goal: To improve the quality of outpatient health care (public and private) and of public health services in communities.For 2003 – 2007, SS will put emphasis on improving the quality of services in local government health facilities and of public health services in communities. Objectives for 2003 – 2007, Phase II Sentrong Sigla Certification has the following objectives for 2003 – 2007, Phase II: By 2007, 1. To establish an efficient systems of providing technical and other forms of assistance to outpatient health facilities, of assessing health services against established criteria, and of monitoring key indicators in the Ss certification process. 2.To progressively raise the average quality of public health services through recognition of successful attainment of quality standards: * At least 50% of health centers in the country succ essfully meet the revised SS Phase II Basic Certification (Level I) standards. * At least 20% of Level I certified health centers successfully meet SS Phase II Specialty Award (Level 2) standards for all four core public health programs (child care, maternal care / family planning, prevention and control of infectious diseases, and promotion of healthy lifestyle. 3. To raise public awareness of, public support and demand for, and client participation in SS certification of their health services and facilities. Overall Certification Process The quality standards cover total systems quality for outpatient care and public health services graduated according to the following levels: Level| Category| Description| Level 1| Basic Certification| Minimum input, process and output standards for integrated public health services for 4 core programs, facility systems, regulatory functions and basic curative services. Level 2| Specialty Award| Second level quality standards for selected public h ealth programs (includes other health programs in addition to Level 1 core programs) and facility systems. | Level 3| Award for Excellence| Highest level quality standards for maintaining Level 2 standards for the 4 core public health programs and Level 2 facility systems for at least 3 consecutive years. | All the local health centers and rural health units are qualified to apply for Level I certification. Only those that passed the Level I can go to Level 2; only those that passed the Level 2 can proceed to Level 3.The certification process starts with participatory self – assessment at the local health facility level assisted by the DOH Representative to the area. Then, for a period of about 3 – 6 months, depending on the deficiencies noted, the local health facility will have to improve its systems and services to meet the quality standards for the appropriate level. DOH Representatives and other regional technical staff shall assist the LGU in this transformation process, providing appropriate technical packages and other assistance as needed.Multi – sector Regional SS Assessment Teams that have been trained and certified as assessors shall conduct formal assessments using the appropriate Facility Certification Form. These teams will then recommend the certification of health facilities that successfully meet the standards criteria. Major Steps for SS Certification Step 1: Orientation and invitation. Step 2: Self – assessment by LGU. Step 3: Provision of technical assistance. Step 4: Formal assessment for Level 1, Basic Certification.Step 5: Maintenance of Level 1; working for Level 2 certification. Step 6: Formal assessment for Level 2 certification. Step 7: maintenance of Levels 1 and 2; working for Level 3 certification. Step 8: Formal assessment for Level 3 certification. Step 9: Maintenance of Level 1, 2, and 3 | The above strategy is designed to promote the continuing progression of health facilities towards higher qualit y levels. The pace of progress towards higher levels depends on the motivation of the health facilities.However, should health facilities not actively apply for certification into the next higher levels after 2 years, renewal of their SS certification status would be validated by Regional Assessors every 2 years. The following is the recognition scheme: Level| Recognition| Level 1Basic SS Certificate | SS seal, individual recognition| Level 2Specialty Award| Specialty banner, individual recognition, others| Level 3Award for Excellence| SS trophy, individual recognition, media exposure, others| Levels 1 and 2 recognition shall be conferred by the DOH through its CHDs.Recognition for Level 3 Award of Excellence shall be given at the national level. Matching grants shall be a mechanism to provide assistance to LGUs to achieve basic SS Certification and to continue to attain higher levels of quality. Region – specific procedures to assess needs and motivation shall guide prioriti zation of such grants. Facilities that did not progress into higher level certification after 2 years, but maintained their current certification status based on Regional validation, shall be given stickers confirming the renewal of the validity of their SS status.Validation shall be done every 2 years. There shall be no other incentives for mere renewal of SS status. Grants for technical assistance towards attaining higher level quality, however, may still be granted by the respective CHDs based on thorough assessment of the needs and the commitment of the health facility. The SS Certification Flow Chart Procedures 1. 0. Technical Assistance 2. 1. Self – assessment and planning This process is participatory involving all key staff of the health facility, other units of the local government and the local executive.The DOH Representative to the area is the primary technical assistant of the DOH. He / She shall ensure that the LGU has all the necessary documents and materials n eeded for the certification and that all key LGU staff understands the standards and processes involved. The DOH Rep shall either provide actual technical inputs or tap other regional resource person and technical services to assist his / her LGU. Based on the QSL, The LGU, assisted by their DOH Rep, shall conduct a system and services analysis and shall formulate a plan, synchronized with the DOH Rep‘s assistance plan, to achieve the standards in the QSL. . 2. Designing and providing technical package Based on the improvement plan, the DOH Rep shall provide the technical inputs and packages. 2. 3. Systems improvement Improving the quality of systems, such as logistics and information systems, are better facilitated through field exposure in facilities that demonstrate model systems or by bringing in resource persons knowledgeable in systems analysis and systems improvements. These special arrangements are possible through the DOH Rep and regional TA teams. 2. 0. Assessment 3. 4.Quality Standards for SS Phase II Level 1 (Basic Certification) The 78 SS Phase II Level 1 standards are organized into 4 sections: integrated public health programs, facility systems, regulatory functions, and basic curative services. Integrated Public Health Programs. Only four â€Å"core† public health programs are currently included in Level 1 Basic Certification in order to focus the services on the most crucial public health priorities in child health, maternal health and family planning, prevention and control of infectious diseases especially tuberculosis, and the promotion of healthy lifestyle.Integration is stressed to emphasize the need to combine similar and related interventions, such as child targeted programs like EPI, CDD – ARI, nutrition and others, infection prevention and control interventions, maternal care and family planning, and healthy lifestyle approaches. Integration is achieved by ensuring that facility – based services are reinforc ed by well – planned and well – coordinated, synergistic home – and community – based activities. The synthesized protocols emphasized â€Å"proven† interventions, excluding experimental interventions not yet proven to be cost – beneficial or effective such as the syndromic approach to STD.Note that for Level 1, the program selected is maternal care and family planning, not Women’s Health. This is because there are many developmental and experimental areas in the expanded field. Women’s Health and other programs not in Level 1 Basic Certification are to be included in Level 2 SS. Facility Systems. These standards include systems and services that cut across various programs and support all health facility services. These include planning and budgeting, human resources development, management and health information systems, logistics system, referral system and community systems.Regulatory Functions. Regulatory functions include two aspects: compliance of the health staff with health laws and the performance of the responsibilities of the local health staff in the enforcement of these health laws. Basic Curative Services. The standards refer to routine history – taking, physical and laboratory examination, and systematic assessment of these signs and symptoms. 3. 5. Quality Standards for Level 2 and 3 ideas and direction These standards are still being developed.The concept for Level 2 Specialty certification is to define program – centered higher level quality standards for selected programs. The programs include the four core public health services in Level 1 and other programs that include developmental components, for instance women’s health or reproductive health. Level 2 standards would also include higher quality systems standards. Level 3 standards would be very much like Level 2 standards with emphasis on maintenance of these high quality service levels. 3. 6. Tools for Measur ing SS Quality StandardsAs in any certification process, accurate measurement of the attainment of the quality standards is difficult. The methods of measurement used in SS include direct observation, records reviewand interview of health staff and clients. Of the total 78 standards in the QSL, 53 shall be measured using the Facility Certification Form (FCF). The rest are measured by suing the Supervisory Form, which in turn is also verified through the FCF. Facility Certification Form. The measurement methods include mostly simple direct observation, short review of records and short interviews with either staff or clients.Supervisory Form. These are taught to the health facility supervisors, mainly the nurses or physicians. The methods included in the SF are the lengthy and more highly technical observations of actual patient care, the more thorough review and analysis of records, and the more detailed interview of staff or clients. The records of the supervisory activities, in tu rn, are those assessed by the SS Assessor. 3. 7. Scoring The scoring system puts more weight on the integrated public health services and facility systems. The â€Å"must have† standards are those listed in the FCF. Nice to have† standards are either in the supervisory form or in the discretionary list for SS assessors. 3. 8. Training and certification of assessors To prevent bias and too wide variation of judgement between assessors, only duly trained assessors will be certified to conduct assessments. Assessor Field Supervisors recruit, train and recommend certification / renewal of certification of assessors in the field teams under them. Advocacy, IEC, and Social Mobilization The table below is the media communication plan for SS listing the basic messages and target groups.National advocacy activities will focus on wide tri – media popularization of the SS seal and its symbol. Regional advocacy will focus on raising the commitments of local executives to SS and the awareness and demand for quality services among the communities. Target Audience| Messages| Scope: Media| General public(including politicians) | What is SS? What is the SS seal? What are the SS standards? What facilities have to meet these standards? What are the general benefits of having SS certified health facilities?What can you do to demand for SS certification or help / support the program? | Nationwide: multi – media| Health staff(LGU, DOH, private health sector)| Reinforce the value of quality in health care. What are the updates on SS? (revisions, etc. )What are the specific benefits of being an SS certified facility? Using the revised SS certification processes, how can the health facility become SS? What are the specific and relevant guidelines for LGU action? | By region & LGU: sales conferences, symposia, meetings, handouts, manuals. | Monitoring, Research and EvaluationThe quality level of each health facility, including the deficiencies of those not ye t SS certified, are monitored to detect the increasing average quality level and the needs for assistance. Research is used to develop improved quality standards program components and training packages and top evaluate the SS achievements. Organization and Functions The National Sentrong Sigla Certification Committee (National SSC Committee) sewrves as the multi – sector body that oversees policy recommendations and coordinates the various activities of SS.This committee also assesses the performance of the various subcommittees and DOH units involved in the implementation of the strategy. The subcommittees of the National SSC Committee with their respective functions are as follows: * Sub – Committee on Standards and Procedures 1. Develops and recommends standards and procedures for Sentrong Sigla certification, as well as basic messages to various stakeholders, through multi – sector consultation and pilot – testing and taking into consideration other quality initiatives and accreditation programs of other agencies in the country. 2.Develops and disseminates guidelines on SS implementation to DOH staff at all levels. 3. Coordinates training of various stakeholders on standards, procedures and basic messages. 4. Performs other functions as relevant to the development and dissemination of standards and procedures in SS. * Sub – Committee on Technical Assistance and Monitoring Assists the DOH Regional Offices / CHDs in the following functions: 1. Dissemination of SS standards, procedures, guidelines, and basic messages to the other members of the health sector such as the local government units (LGUs) and private practitioners, among others. 2.Development of training assistance packages, systems and tools that will facilitate the attainment of SS standards. 3. Coordination of various sectors involved in the SS quality assessment of health facilities. 4. Development of monitoring tools and performance indicators and analysis o f the SS results of the database for all health care facilities (certified and not yet certified). 5. Monitoring of the achievement of identified SS program indicators of performance. 6. Identification and coordination of grants and projects that will facilitate the SS certification of target health facilities and systems in the country. . Other functions necessary to assist the LGUs and other members of the health sector in attaining SS quality standards. * Sub – Committee on Advocacy and Awards 1. Designs and recommends revised, graduated incentives scheme that puts emphasis on excellence rather than monetary incentives. 2. Identifies and mobilizes funds and partners in order to deliver these incentives. 3. Develops projects to facilitate SS certification of target health facilities and systems and performs the necessary processes to get these projects approved and implemented efficiently. 4.Advocates for multi – sector participation in the SS program based on the ba sic messages developed by the Standards and Procedures Sub – Committee with emphasis on the quality improvement benefits to different sectors involved. 5. Performs other functions necessary to make the SS incentives focused on the excellence and to sustain interest and participation in the certification strategy. Functions of the DOH Regional Offices / CHDs in SS Certification In addition to the technical assistance functions mentioned under the Sub – Committee on Technical Assistance and Monitoring, the DOH Regional Offices shall: 1.Organize Regional SS Assessment Teams and SS Technical Assistance Team. 2. Advocate for SS certification within their respective regions. 3. Identify and mobilize resources and partners to help enhance the attractiveness of the SS incentives scheme without putting too much emphasis on monetary or material rewards. 4. Develop regional projects that will promote and facilitate SS certification and active partnership. 5. Perform other functio ns as necessary to implement SS certification and quality improvement activities within the health sector.National Structure for Sentrong Sigla Certification Regional Structure for SS Certification Financing SS activities are funded from multiple sources. The BLHD provides funds for SS national operations, including national advocacy and the activities of the National SSC Committee. Regional Health Offices provide the funds for regional operations including regional advocacy, matching grants and other rewards such as the SS seals, certificates and trophies. BLHD may augment the funds of regions that seek financial assistance.BLHD, in coordination with DOH financing units, monitors selected financial indicators for SS certification such as funds allocated and disbursed at all levels, including counterpart funds from LGUs. Future Directions SS Certification is expected to further develop in many directions. The quality standards are expected to reflect higher levels of quality and oth er changes through the years. Assessors and TAs will have to be retained as these changes are incorporated. New programs and new or revised protocols may be added in the â€Å"core† list. Future standards may be developed to cover other units in the LGU and the community.Within 2007, initiatives shall include preparations for expansion of the coverage of SS certification into private outpatient health facilities and the development of Level 2 and 3 standards. In the future, it is also expected that the Licensing requirements would eventually absorb the â€Å"safety† standards currently in SS. PHIC – developed standards for hospital services are expected to become the SS standards for hospitals. Definition of Terms 1. Quality – degree of excellence or desirability of a product, usually measured in relation to conformity with given standard. 2. QualityControl (QC) – set of functions designed to insure quality in manufactured products by relying on pe riodic inspection of finished products, analysis of results of inspection to determine causes of defects and systematic removal of such causes. 3. Quality Assurance (QA) – set of functions designed to insure quality in manufactured products by preventive or pre – emptive removal of potential sources of defects through constant improvement of production technology, engineering design, materials, processes, equipment and workmanship. 4. Quality Management (QM) – the organization – wide pursuit of quality. . Quality Improvement (QI) – the broad all – encompassing generic term for processes involve in the continuing pursuit to improve quality. 6. Performance Improvement – a type of QI focused on the systematic and continuing improvement of organizational performance in order to achieve total quality. 7. Total Quality Management (TQM) – the pursuit of quality that involves not just the production organization but also its clients an d customers, suppliers and sub – contractors, competitors and oversight agencies in the market, and all other stakeholders in the community. 8.Total Quality – the ultimate goal in improvement which involves doing the right thing right the first time and all the time while meeting the needs of internal and external stakeholders and customers. 9. 1998 Quality Assurance Program – refers to DOH quality program formulated in 1998 that is focused on improving the DOH – LGU partnership to provide quality health services. The QAP started the certification and recognition strategy for improving health services in health centers, rural health units and baranggay health stations. The Sentrong Sigla Movement replaced the QAP. 10.Sentrong Sigla Movement – the term used in 1999 to refer to the 1998 QAP. The SSM is essentially the same as the 1998 QAP, with some minor revisions like the inclusion of local hospitals in the certification and the listing of 4 pillar s to support the process. This term was also used to refer to other quality – related concepts such as the quality improvement philosophy, the multi – sector nature of CQI, and the value changes in CQI. The Philippine QIH Program replaced the SSM. 11. QIH Program – refers to the Philippine Quality in Health Program, the current quality improvement program (AO 17 – B s. 003) that replaced the QAP and the SSM. The QIH has expanded the scope of the quality initiatives to involve the entire health sector, not only the DOH and the LGU services, and now includes the licensing and other efforts such as accreditation by PHIC or other professional societies in its strategies. 12. Sentrong Sigla Certification – refers to the strategy of assessing health facilities against established health services criteria and recognizing those that successfully meet the criteria. The certification process is expected to lead to changes in the health facility when they str ive to meet the criteria. 13.SS Quality Standards List (QSL) – the list of basic SS criteria to be met by health facilities. In SS Phase II, the QSL for Level 1 certification includes input, process and output criteria. 14. SS Facility Certification Form (FCF) – the form that is used in the formal assessment of health facilities. The FCF contains standards that will be measured by the SS Assessor and the method by which these will be measured. It also works as the scoring sheet. 15. Supervisory Form (SF) – the form used by the health facility supervisor (the nurse or the physician) in assessing the capability of his / her health staff, usually midwives.This contains the standards that are measured mostly through direct observation of provider – client interactions and in depth review and analysis of records. 16. Inputs – the resources needed to provide care or services such as staff, equipment and supplies. 17. Processes – a series of activi ties or tasks. 18. Outcomes – the result of the processes. Conclusion In 2001, according to the World Bank, â€Å"The quality of service varies between different types of health facilities with the facilities providing better quality of service to be more heavily utilized by the individuals from the higher income groups.Public health facilities such as the rural health units and barangay health stations are generally perceived to provide low quality health services. Few have emphasized the quality of services and most systematic efforts to improve based on findings about the delivery process have been limited to health facilities with adequate resources. † Everybody deserves to receive quality health care. Whether you came from the poorest of the poor or the richest of the rich, there should be a same level of quality care. Sadly, here in the Philippines, the quality of health care services and management system has been widely deficient.With this in mind, quality impr ovement in health system needs to be organized systematically to bring about genuine health systems reform. We should change the general perception that the Philippines have fragmented planning, funding, and management of the quality initiatives. And in order to achieve this – thus achieving quality health care – there should be coordination and collaboration between the government, NGOs, and the community. And it shouldn’t stop there. In order to achieve excellence in health services, it should be remembered that the quest for quality health care is continuous.Honestly, I’m not really aware what Sentrong Sigla Movement is. I don’t know what it is for, how was it being implemented, etc. Because of the limited knowledge I have, and the lack of information and resources, I have decided to visit DOH and ask for information. I have learned that the Sentrong Sigla Movement has been stopped in the year 2007, and only reached the Level 2 where trainings h ave been conducted but there was no implementation. It is stopped because of the PHIC Bench Book, where it is just the same as the Sentrong Sigla Movement, because the DOH also included most of the inputs in the said proposal.Unfortunately, it is still not being implemented, thought it has been revised and just waiting for the sign and review of the Secretary of DOH. I guess, the lack of funds has a major impact why an important program such as Sentrong Sigla was being stopped. But I am sure that there will be always a quest for excellence in providing health care services. I wish that there will come a time that it will not matter if you’re in a public or private hospital for they are providing same quality care.Nevertheless, we should remember that the success of quality initiatives lies in producing change the way people and organization work rather than concentrating standards and measurement alone. Bibliography * Cuevas, F. P. , Reyala, J. , Borja, V. , Serafica, L. , Ma nlangit, C. , Mendoza, M. T. , Ramos, L. , Ruzol, C. , Soliman, R. , Aricheta, J. , Garfin, A. M. C. , Niola, R. , Bocobo, M. , Hipolito, H. (2007). Public Health Nursing in the Philippines 10th Edition. * http://www. doh. gov. ph/sentrong_sigla