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High School English Paper Topics
Wednesday, September 2, 2020
Constitutional Democracy Essay -- essays research papers
Protected Democracy The essential reason of a sacred vote based system is that administration has rules and the entirety of the individuals have voices. Through free and reasonable races we choose possibility to speak to us. The Constitution of the United States promises us the option to do this, and to live fairly. The designers assaulted domineering government and propelled the accompanying thoughts: that administration originates from underneath, not from above, and that it gets its forces from the assent of the represented; that men have certain regular, unavoidable rights; that it is savvy and practical to disperse and adjust powers inside government, giving nearby powers to neighborhood governments, and general forces to the national government; that men are brought into the world equivalent and ought to be treated as equivalent before the law. The designers of the U. S. Constitution looked to make these thoughts the administering standards of a country. Protected majority rule government has three fundamental components. Those being connecting values, interrelated political procedures and related political structures. The first thought of connecting esteems is well known assent. Well known assent implies that legislature must get assent for its activities from the individuals it administers. It is like greater part rule, a political procedure, in that the most famous acts or thoughts of the individuals will be embraced by our legislature. There must be a recompense or readiness for the benefit of the disagreeable gathering to lose. Popular assent may give a way to making a decision about parental assent laws for minors looking for fetus removal. Since minors are not lawfully permitted to be skilled to take part in sex, to go into contracts, or to shape adequate "informed consent" to consent to their own clinical treatment, it is unimaginable that they would be viewed as skillful to settle on an actual existence and passing choice about something that further down the road they may themselves see as a genuine individual, with singular rights Drawing on a few significant commitments of the illumination, including the political hypothesis of John Locke and the monetary thoughts of Adam Smith, independence posts the individual person as the fundamental unit out of which all bigger social gatherings are developed and concedes need to their rights and interests over those of the state or social gathering... ...ve forces of the president in like manner were prohibited in various places by assigned obligations. The legal power was to be employed by judges. Express purview of the courts was subject to congressional definition. Checks and parities are the protected controls whereby independent parts of government have restricting controls over one another with the goal that no branch will get incomparable. Maybe the most popular arrangement of governing rules works in the U.S. government under arrangements of the bureaucratic constitution. The activity of balanced governance in the national government is illuminated in the Constitution. The Constitution of the United States has managed us numerous rights. At times, those rights are in dispute. At others, we would be in political agitation without them. Established vote based system is a lovely thing. In spite of the fact that we may not all have a similar measure of riches, we have the freedom to. We have the option to be heard. Also, how is this privilege any longer exemplified than casting a ballot? Our delegates will do what we need, and on the off chance that they don't give us two or three a long time and we'll see another person who will vow to. So be it.
Saturday, August 22, 2020
Brompton Bicycles Free Essays
LB160 TMA01 Brompton Bicycles under accomplishing The new administration must move rapidly to expand deals and lift benefits. New overseeing executive, Will Butler-Adams is worried that the moderate creation time is neglecting to stay aware of interest and is harming brand name. The organization is as of now experiencing an administration and creation change and is wanting to significantly increase yield and market development. We will compose a custom exposition test on Brompton Bicycles or then again any comparative subject just for you Request Now Despite the fact that Trademark licenses have lapsed the essential structure has copyright security. The noticeable danger from low-wage Taiwanese contenders, and low evaluated bicycles could forestall future development. Costs are controlled by the expense of crude materials, brand picture and the need to hold overall revenues. Holding the profoundly prepared staff and controlling the nature of the item sold is fundamental for keeping up the brand picture. The companyââ¬â¢s organizer, innovator Andrew Ritchie is worried that quality might be undermined. Brompton Bicycles are not intrigued the large scale manufacturing of their bicycle. Their items are made in their London production line by entrenched and profoundly prepared staff. They have a bunch of retail shops in the USA. Be that as it may, they have no aim of expanding the quantity of outlets to keep up the solid brand picture. The organization must receive another abroad deals system that will permit the organization to satisfy demanding needs. Another media driven exposure drive ought to be actualized to carry the item to another client base. A cost examination for new sponsorships for bicycle dashing occasions ought to be assessed that would raise the item profile. (Words 251) Step by step instructions to refer to Brompton Bicycles, Papers
Foucault, Consumerism, and Identity Essay -- Philosophy
Foucault, Consumerism, and Identity Michel Foucault presents those progressive sorts of examinations that are rich for their substance as well as for their suggestions and novel methodological methodology. Just past the outside of his works lies such philosophical riches that one can be overpowered by contemplations of which vein to mine first, and what to think about the components subsequently separated. Iââ¬â¢ve broken earth in a few appealing locales this last week. A few, it appeared, concealed their fortunes unreasonably profound for the extent of this unearthing. Some gave me stone boundaries which I don't yet have the apparatuses to infiltrate. At different locales, the earth gave way effectively and I gained extraordinary ground, just to be overflowed out. At last, at the fifteenth hour, I have struck something sparkly. I wish to utilize Foucaultââ¬â¢s records of socialization, categorisation, and order, as the foundation for my investigation of an advanced substance I call the ââ¬Å"identity package.â⬠I will characterize this idea and show how it fits into and is recommended by Foucaultââ¬â¢s works. Following this I will manage assumed issues with Foucaultââ¬â¢s record (or absence of a record) of subjectivity. Story offers lucidness to an actual existence. Specific scenes bode well considering a joining subject. The shortsighted world perspective on the Middle Ages left individuals happy with genuinely straightforward accounts. One knew their own commitments and had an ambiguous thought of how they fit into the frameworks of lord and God. For the sovereign and the world class, their uncommon status was affirmed in function and aesthetic representations.1[1] The majority were unrepresented. The absence of interest for strengthening or change might be halfway because of the reality t... ...of this framework. The procedure of categorisation appears to have an assimilative capacity. In the event that you canââ¬â¢t beat them, mark them. On the off chance that it fits into our image, it is our own. Put along these lines, it appears as though we are detained in a threatening lattice of supernatural control. Be that as it may, as I have demonstrated to be the situation in mainstream society, we are complicit in our bondage, truth be told, very ready to take an interest. 1[1]Michel Foucault, Discipline and Punish, tr.Alan Sheridan (New York: Vintage,1995) p.192 2[2]With an expansion in administration came an increment in the significance of fastidious information; with this, more force and an increasingly unmistakable job for the scientist. 3[3]Modern promoting calls this ââ¬Å"appeal to a certain demographicâ⬠. 4[4]Quoted in: Michael Clifford, Politcal Genealogy After Foucault, (New York: Routledge, 2001) p.99 Foucault, Consumerism, and Identity Essay - Philosophy Foucault, Consumerism, and Identity Michel Foucault presents those progressive sorts of examinations that are rich for their substance as well as for their suggestions and novel methodological methodology. Just past the outside of his works lies such philosophical riches that one can be overpowered by contemplations of which vein to mine first, and what to think about the components in this manner extricated. Iââ¬â¢ve broken earth in a few appealing locales this last week. A few, it appeared, concealed their fortunes unreasonably profound for the extent of this removal. Some gave me stone boundaries which I don't yet have the apparatuses to infiltrate. At different destinations, the earth gave way effectively and I gained extraordinary ground, just to be overwhelmed out. At last, at the fifteenth hour, I have struck something gleaming. I wish to utilize Foucaultââ¬â¢s records of socialization, categorisation, and control, as the foundation for my examination of a cutting edge substance I call the ââ¬Å"identity package.â⬠I will characterize this idea and show how it fits into and is recommended by Foucaultââ¬â¢s works. Following this I will manage assumed issues with Foucaultââ¬â¢s record (or absence of a record) of subjectivity. Account offers lucidness to an actual existence. Specific scenes bode well considering a joining subject. The shortsighted world perspective on the Middle Ages left individuals happy with genuinely basic accounts. One knew their own commitments and had an obscure thought of how they fit into the frameworks of lord and God. For the sovereign and the first class, their extraordinary status was affirmed in function and creative representations.1[1] The majority were unrepresented. The absence of interest for strengthening or change might be somewhat because of the reality t... ...of this framework. The procedure of categorisation appears to have an assimilative capacity. In the event that you canââ¬â¢t beat them, mark them. On the off chance that it fits into our image, it is our own. Put along these lines, it appears as though we are detained in a threatening network of supernatural control. Nonetheless, as I have demonstrated to be the situation in mainstream society, we are complicit in our imprisonment, indeed, very ready to partake. 1[1]Michel Foucault, Discipline and Punish, tr.Alan Sheridan (New York: Vintage,1995) p.192 2[2]With an expansion in administration came an increment in the significance of fastidious information; with this, more force and a progressively particular job for the scientist. 3[3]Modern publicizing calls this ââ¬Å"appeal to a certain demographicâ⬠. 4[4]Quoted in: Michael Clifford, Politcal Genealogy After Foucault, (New York: Routledge, 2001) p.99
Friday, August 21, 2020
Project Management Green Fashion Store
Motivation behind the undertaking the executives plan Environmental contamination is one of the significant difficulties confronting the general public today. Notwithstanding this, organizations are embracing different creation and operational methodologies in an offer to boost their degree of productivity. A portion of the techniques actualized negatively affect the earth. The design business adds to different types of natural contamination, for example, air, water, and soil contamination (Cervellon et al., 2009).Advertising We will compose a custom paper test on Project Management: Green Fashion Store explicitly for you for just $16.05 $11/page Learn More An overview directed by Deloitte shows that most firms in the worldwide style industry are not dedicated towards accomplishing operational supportability (Deloitte, 2013). In this way, their commitment towards avoidance of ecological contamination is constrained and such a pattern may unfavorably influence the firmââ¬â¢s long h aul endurance. Thusly, it is basic for style firms to be aware of the earth so as to accomplish business coherence. This report traces a task plan concerning green design. Foundation - Project depiction The venture involves setting up another store that will manage ââ¬Ëgreen fashionââ¬â¢. The ââ¬Ëgreen fashionââ¬â¢ store will give the consigner a decision of picking a limit of 40% benefit subsequent to selling the garments. The rest will be given to good cause. On the off chance that the entrusted items are not sold inside a quarter of a year, they will become ââ¬Ëgreen fashionââ¬â¢ self-possessed items. The store will solely manage womenââ¬â¢s attire. In an offer to ensure nature, the store will manage recycled garments produced using ecological well disposed materials and reused fabric materials. Undertaking goals The venture expects to advance eco-accommodating business activities inside the style business. The store will be founded on the ideas of re-cycle, re-use, and re-style (Garth, 2009). Thusly, the undertaking will advance utilization of top notch ââ¬Ëgreen fashionââ¬â¢ items. The store will accomplish this end by advancing utilization of recycled design garments. In addition, the venture plans to urge customers to coordinate the idea of ââ¬Ëjust enoughââ¬â¢ in their buying patterns.Advertising Looking for article on business financial aspects? We should check whether we can support you! Get your first paper with 15% OFF Learn More Scope the executives Scope the executives is a basic angle in venture arranging forms (Hartley, 2009. Extension the board guarantees that lone the vital undertakings are embraced subsequently expanding fulfillment of the objective partners (Lau, 2005). The whole undertaking will be partitioned into little and sensible segments (Ghuman, 2010). The important authorisation, for example, a permit from ecological control organizations in Australia will be looked for. In addition, the contributio n of the projectââ¬â¢s support will be looked for. A portion of the angles will be characterized in the degree the executives stage incorporate; The stores plan; how the shop will be structured so as to wipe out ecological contamination. Publicizing the idea of green style among customers Work-breakdown structure The venture will be separated into various sensible parts. Be that as it may, the venture director will guarantee that the different sub-parts of the undertaking contribute towards culmination of the whole task. A system to quantify the achievement of the whole task will likewise be fused. The diagram underneath outlines the work-breakdown structure with respect to the ââ¬ËGreen Fashionââ¬â¢ venture. Figure 1: Work-breakdown structure Project suspicions during the time spent setting up the Green Fashion Store, the accompanying suppositions will be considered. A business person will embrace the whole procedure of building up the store. It is additionally accepted th at the business visionary will get to the important capital from supports and other credit account foundations so as to set up the store effectively. For the undertaking to succeed, it is accepted that countless ladies will coordinate green design in their utilization forms. In an offer to achieve the ideal degree of productivity, the task director expect that there are sizeable markets to empower the store build up a solid client base. The undertaking administrator accept that the essential specialists will support the store. It is expected that the venture will be finished inside the set time period. Venture requirements various dangers that exude from inside and outside sources influence ventures (Kerzner, 2009).Therefore, it is basic for venture chiefs to know about such dangers so as to incorporate ideal techniques to turn away the dangers. The accomplishment of the Green Fashion venture is probably going to be influenced by various dangers as delineated below.Advertising We wi ll compose a custom exposition test on Project Management: Green Fashion Store explicitly for you for just $16.05 $11/page Learn More Budget misfortune The complete spending assignment to the whole undertaking probably won't be adequate. Subsequently, the probability of bringing about extra expense is high. Spending misfortune may influence the firmââ¬â¢s capacity to stock the store with adequate green style items. This viewpoint will restrain the quantity of clients belittling the store. In an offer to limit the event of spending misfortune, an away from of task necessities will be plainly characterized. In an offer to decide the expense of the venture viably, the business visionary will utilize Microsoft Excel and other programming that can help during the time spent deciding expense. Time strife The way toward setting up the Green Fashion Store will expend a significant measure of time. Poor time portion may influence as far as possible inside which the undertaking must be fin ished. Accordingly, the probability of accomplishing the set goals might be influenced unfavorably. The undertaking chief will limit time struggle by incorporating Microsoft Project Server, which is programming that assistants in powerful time the board concerning ventures. For instance, the product empowers the venture chief to characterize basic ways, slack, and slag time viably (Westland, 2007). Absence of store purchase in The venture supervisor perceives the way that the undertaking probably won't get the planned help from supports. For instance, outside agents and different supporters may see the task to be a less practical undertaking. On the off chance that this recognition happens, the venture probably won't be begun. In an offer to limit the event of this pattern, it will be guaranteed that the task backers and outer lenders comprehend the practicality of the undertaking, which will be accomplished by having complete conversation with the patrons on the reasonability of th e undertaking. Thus, the probability of accomplishing the important help will increment. Moreover, the clients probably won't comprehend the idea driving green design, which may antagonistically influence the firmââ¬â¢s deals. In an offer to constrain this event, satisfactory open mindfulness on green style will be conducted.Advertising Searching for article on business financial matters? How about we check whether we can support you! Get your first paper with 15% OFF Find out More Venture possibility The projectââ¬â¢s attainability will be assessed by evaluating the dedication of the backers towards natural contamination. Most associations are putting resources into different ecological security programs. Hence, the probability of supporters being keen on the ââ¬Ëgreen fashionââ¬â¢ venture is high. The achievability of the task is additionally improved by the way that buyers are progressively getting aware of the earth. Kazmi (2008) declares, ââ¬Å"Eco-accommodating items whether in horticulture, apparel, beautifying agents, or wellbeing are being viewed as a superior substitute for engineered productsâ⬠(p. 81). Moreover, change in purchaser conduct with respect to clothing improves the probability of the projectââ¬â¢s achievement. For instance, an enormous number of buyers have many fresh out of the plastic new garments in their storage rooms that they don't wear. These garments can be exchanged as recycled garments as most shoppers are eag er to part with such garments. Undertaking assets and staff According to Rose (2005), adequate assets and work force must be incorporated in the task arranging stage. The accompanying perspectives will be coordinated. In the asset arranging stage, it will be guaranteed that all the fundamental assets, for example, shop types of gear, for example, furniture and transfer of recycled ladies style garments are accessible. Besides, the undertaking director will guarantee that satisfactory and experienced human capital is coordinated. As per Nevitt and Fabozzi (2000), the nature of the undertaking group impacts the viability and productivity with which different venture exercises are executed. Consequently, an accomplished shop administrator as to recycled design garments will be employed. Job Responsibilities The venture support Approval of the task Provision of the fundamental undertaking direction Reviewing the advancement of the projectââ¬â¢s progress Project members Executing diff erent venture exercises Identifying potential difficulties that may obstruct culmination of the task The guiding board of trustees Ensuring that assets are designated adequately Directing the undertaking supervisor Assessing the undertaking expectations Chart 1: Key staff and duties in the venture. Venture partners Prior to its execution, the task oversee will send the undertaking to various partners. One classification of partners that will be considered incorporates the different cause bunches that will be distinguished. The foundation gatherings will help during the time spent creating gifts of ââ¬Ëgreen fashionââ¬â¢ items. On gathering the style items, the consigner will reuse and sell
Mob Protesters Right or Wrong :: miscellaneous
Horde Protesters Right or Wrong Exposition Outline: My exposition is just around one thousand 500 words in length and in that one and a half thousand words I should give purposes of perspectives from the two sides just as a presentation and this Essay Outline. The main conclusion I will expound on is the assessments of the work supporters, saying how They endured in view of the petroleum dissents, the rights wrongs and how the wrongs were or attempted to be sifted through and to what extent it took. Likewise in works resistance I will expound on how Tony Blair feels that a cut in fuel duty will mess more up later on. Likewise I will directly about the assessments of the petroleum dissenters, how they are helping the country on the over burdened fuel, since they are not doing the fights for the sake of entertainment (despite the fact that they may look fun). The papers I read indicated the thing Tony Blair said about his burdening yet where its majority was lies or deluding. Likewise what he really did with our charges and how some of it just went to squander like how he slice 140 street upgrades projects to just 37 or how his ten-year à £180billion organization with John Prescott took tree a very long time to sift through. Is this in light of his poor cash the board or would he say he is getting an additional million or two in his pocket every year? These significant focuses may crawl up with some more in my exposition. Yet, to end my exposition I will Finnish with an end that contains a general perspective on the paper. A gratitude to where I got all my data for the article, how the paper created and how my perspective created as I learnt more on what happens to our assessments while work is administering parliament. In any case, above all asking the peruser the inquiry I was given, however somewhat briefer, ââ¬Ë should we trust that a political decision will sift through the tax assessment issues or should we stand up and request lower expenses to illuminate the tax assessment problemââ¬â¢. Presentation: Should the administration have all out authority over our charges and we can do nothing about it. Should we have the option to defend the assessments we pay or should we hold up weeks, months or years for another political race. Or on the other hand should we be glad for charges realizing that itââ¬â¢s going towards our wellbeing, security and training.
Tuesday, June 30, 2020
Implementing a Nurse Practitioner Orientation Program - Free Essay Example
Nurse practitioner orientation is a relatively new but progressive topic and is usually found within the context of APRN models of care, APRN fellowship programs, or departmental orientations within hospital-based organizations. Orientating novice NPs into a hospital-based organization involves transition and are created to integrate the employee within the organization (Meleis, 2010; Meleis, Sawyer, Im, Messias, Schumacher, 2000). Additionally, orientation is a type of experienced transition that involves finding cohesion within the organization while building clinical proficiency (Bahouth, Blum, et al., 2013; Coble, 2014). Transitioning into practice is experienced by all nurse practitioners whether novice or skilled, however it is agreed by several researchers that the transition period of novice NPs tend be more dramatic (Bahouth, Blum, et al., 2013; Brown Olshansky, 1997; Coble, 2014; Horner, 2017). PICOT In novice nurse practitioners, does a structured nurse practitioner orientation program improve competency outcomes in a 12-month period at the Veteran Affairs North Texas Healthcare System? Importance of Topic Healthcare reform and the Patient Protection and Affordable Care Act (ACA) has led to the evaluation and modifications in health care delivery (Obama, 2016). The objectives of healthcare reform are to provide affordable and quality health care while increasing access to care in the United States (Collins Saylor, 2018). These objectives have become vastly examined in hospital organizations and nurses will serve as the catalysts to lead in implementing effective solutions (Collins Saylor, 2018). Nurses are the largest profession within healthcare and because of their adaptability, the nursing profession has the potential to effect a vast amount of necessary changes in the health care system (Institute of Medicine, 2011). There have been numerous studies that have demonstrated the association of nursing and patient outcomes. In 2000, the Institute of Medicine (IOM) reexamined issues of nurse staffing and patient outcomes, thus concluding that health is directly correlated by how well patients are cared for by nurses (Kohn, Corrigan, Donaldson, Institute of Medicine, 2000). Nurses have the ability to assess strengths and weaknesses within healthcare systems and therefore can provide leadership to improve access, quality, and safety while reducing healthcare costs within organizations (Needleman Hassmiller, 2009). Furthermore, nurse practitioners (NPs) are the largest advanced practice registered nurses whom are poised to assist with the access to care gaps, coordinating complex care for widespread populations, and serving as primary providers while practicing to their full scope of training and education (Institute of Medicine, 2011). Despite being well matched to serve the needs of Americans, NPs are faced with many challenges (Institute of Medicine, 2011; Kohn et al., 2000). There are more than 248,000 NPs in the U.S., and 49.9% hold hospital privileges (AANP, n.d.). The rapid growth of the hospital-based NP has led to unforeseen challenges, role confusion, i nadequate support, and fragmented onboarding processes (Bahouth Esposito-Herr, 2009). Novice NPs tend to experience more difficulties transitioning within hospital organizations which can subsequently lead to unfavorable competency outcomes (Bahouth, Blum, Simone, 2013; Bahouth Esposito-Herr, 2009). Review of Literature A literature review was conducted on NP orientation and common concepts were encountered throughout the literature review and grouped accordingly. It was discovered that most employing hospitals offer no or limited NP orientation programs with such programs varying from nonexistent to a few weeks in duration (Bahouth, Blum, et al., 2013). In several organizations, NP orientation is often grouped with registered nurse programs, provided with limited guidance, or does not occur (Bahouth, Blum, et al., 2013; Metzger Rivers, 2014). Additionally, there have been instances when key resources were not made available, contributing to inefficiency start up processes and patient safety (Bahouth, Blum, et al., 2013). As a result, novice NPs experience job dissatisfaction, stagnant professional growth, improper use of skills within their scope of practice, lack of appropriate reporting structures, and dysfunctional colleague collaboration (Bahouth, Blum, et al., 2013; Karen A. Mona P., 2009). This in turn can lead to high NP turnover rates in a time where the shortage of primary care providers is prevalent. Organizational Culture and Socialization Acclimating into the organization, establishing rapports with colleagues, absorbing the organizational culture, and the formal or informal rules of the organizational environment are integral to the success of the NP (Bahouth et al., 2013; Brown Olshansky, 1997; Horner, 2017). Because the NP must adapt to the culture of the organization, the orientee must thoroughly understand how the organization functions. Culture represents the morals, values, and behavior of an organization and can be influential of personnel and healthcare teams which in turn, influences quality (Johnson, Nguyen, Groth, White, 2018; Rovithis et al., 2017). Furthermore, the attitude towards NPs within an organization can facilitate or disrupt the success of the transition and has been linked to medical errors, accidents, and poor outcomes of the patient and the provider (Marshall, 2011; Poghosyan, Nannini, Finkelstein, Mason, Shaffer, 2013; Rovithis et al., 2017). Organizational socialization has been acknowledged as essential for the integration of employees into a hospital-based organization (Ahmadian, Soori, Ghaderi, Hejrat, Mow, 2016; Bahouth, Blum, et al., 2013). Socialization facilitates the psychological health of the novice NP and enhances developmental skills (Bahouth, Blum, et al., 2013). Additionally, socialization assists with isolation reduction, encourages hospital activity participation, and facilitates networking while providing the NP a sense of belonging (Bahouth, Blum, et al., 2013). Organizational socialization has been found to positively influence role transition, clinical development, knowledge, and engagement, thus improving competency outcomes (Bahouth, Blum, et al., 2013; Korte, 2007; Meleis, 2010; Meleis et al., 2000; Poghosyan et al., 2013). Preceptor and Didactic Education Preceptors should serve as clinical educators, role models, facilitators, and evaluators (Bahouth, Blum, et al., 2013). As clinical educators, preceptors assist with the developmental transition of the NP. Preceptors support the expansion of critical thinking and technical skills, time management, and communications with clients and staff (Bahouth, Blum, et al., 2013). The preceptor is an important evaluator by measuring the NPs strengths, weakness, progression, and competency measurements (Bahouth, Blum, et al., 2013; Bahouth Esposito-Herr, 2009). Didactic education consists of courses, conferences, presentations, journal clubs, and ground rounds (Bahouth, Blum, et al., 2013). Some hospital-based organizations already offer lunch and learn with a wide range of topics depending on the medical specialty. Didactic education is continuing education for NP and will enhance the developmental transition and facilitate expert providers (Horner, 2017). Mentorship and Collaboration Mentorship links the gap between education and reality and is important to the success of the NPs transition and job satisfaction (Bahouth, Blum, et al., 2013; Horner, 2017). Mentors are not clinical preceptors. Mentors enhance the professional and personal growth of the NP through navigating their career path and facilitating advancement of the practice. A mentor is nurturing, supportive, and influences development of the role (Bahouth, Blum, et al., 2013; Horner, 2017). Collaboration is an essential relationship among hospital-based NPs. Collaboration not only encompasses physician communication, it includes nursing, hospital administration, and other departmental relationships. Collaboration involves teaching and learning from others on the healthcare team and results in positive team relations (Bahouth, Blum, et al., 2013). Epidemiological Evidence The overall fiscal health of an organization is primarily measured by employee retention and job satisfaction (Kurnat-Thoma, Ganger, Peterson, Channell, 2017). Epidemiologic evidence was not located specifically to NPs for the Veterans Affairs North Texas Healthcare System and the oversight of recruitment and retention initiatives for nurses within all Veteranââ¬â¢s Hospital Administration (VHA) is limited. Training resources and the efficacy of nurse recruitment and retention goals have not been evaluated or monitored regularly (GAO, 2015). The government accountability office (GAO) found that VHA lacked adequate training support within medical centers and were unable to determine whether nurses were effectively meeting the health care needs of the veteran (GAO. 2015). In 2015, the GAO selected four medical centers to evaluate their nurse recruitment and training programs. One medical center had experienced high levels of nurse dissatisfaction with leadership and subsequently ex perienced a twelve percent turnover rate for NPs in 2014 (GAO, 2015). This left the medical center inadequately staffed and consequently affected access and quality of care for veterans (GAO, 2015). In 2011, the VHA began requiring medical centers to provide a Transition to Practice initiative, however the Office of Nursing Services (ONS) informed that funding was not provided to the medical centers thus the medical centers were left with their own funding determinations (GAO, 2015). Consequently, most medical centers recruited and hired only experienced nurses (GAO, 2015). Job Satisfaction There is a high probability that a novice NP will leave an organization within the first year if dissatisfied with the organizational orientation (Ziegler, 2018). Essentially, any professional workforce was found to be dependent on the satisfaction of employees (Faraz, 2017; Scruth, Garcia, Buchner, 2018). However, there are few research studies on the concept of job satisfaction related to novice NPs experience within the first year of employment. No data existed specific to novice NPs and job satisfaction within the Veteran Affairs North Texas Health Care System. According to Faraz (2017), NPs specifically demonstrated critical factors in the workplace linked to retention: professional autonomy, professional and interpersonal relationships, job benefits, and time allotted to complete work. Other studies indicated support of the NP role from colleagues and hospital administration, mentorship, and a thorough orientation were the most significant influences of job satisfaction (Duke, 2010). Outcomes Recommendations for Best Practice NPs are a diverse group of providers with unique concerns that do not fit exclusively into the categorizations of nursing or medicine (Metzger Rivers, 2014). For hospitals to meet the healthcare needs of their communities, novice NPs will require a properly structured orientation program to successfully transition within the hospital setting (Bahouth et al., 2013; Bahouth Esposito-Herr, 2009; Metzger Rivers, 2014). The general orientation plan should encompass several components directed towards clinical knowledge, development and growth, thus improving competency outcomes (Bahouth, Ackerman, et al., 2013; Bahouth, Blum, Simone, 2012; Metzger Rivers, 2014; Yeager S, 2010). Orientation programs should include preceptorship, mentorship, didactic education content, and effective collaboration (Bahouth et al., 2013). These key components will ensure accountability for tracking and affirming clinical decisions while assisting NPs to master intricate concepts. (Bahouth et al., 2013). Another example of building clinical proficiency involve credentialing NPs for invasive procedures and clarifying the methods of how an NP will be credentialed to independently perform the procedure (Bahouth et al., 2013; Yeager S, 2010). Any NP orientation program should enhance the psychological development of NPs by building relationships through mentoring, collaboration, socialization, and networking, hence producing behavioral competence (Bahouth et al., 2013). According to Brown and Olshansky (1997), the organization should provide time beyond the graduate program in order to allow for optimal professional development. Conclusion The goals of healthcare reform are to provide affordable and quality health care while increasing access to care in the United States. Nurse practitioners are the largest advanced practice nurses whom are poised to assist with access to care gaps, improving quality and patient safety, coordinating complex care for widespread populations, and serving as primary providers. The accelerated utilization of hospital-based NPs combined with inadequate transition and orientation programs can hinder the mastery and competency of NPs. Improper transition into the organizational culture can result in role confusion, job dissatisfaction, stagnant professional growth, improper use of skills, and dysfunctional colleague collaboration. The implementation of a hospital-based NP orientation program will support the transition and professional development needs of NPs. NPs need to feel supported and empowered in their hospital roles to continue providing quality patient care while meeting the future n eeds of healthcare delivery.
Thursday, May 28, 2020
International human resource management due to globalization - Free Essay Example
As the globalisation trend advanced, IHRM (International Human Resource Management) plays a critical role in helping companies evaluate the human resource skills /capabilities and possibilities involved in moving to different regions of the world (Luthans, Marsnik and Luthans,1997). The HR (Human Resource) function is to help manage the organisations people as effective as possible based on the organisation business objectives for competitive advantage (Porter, 1990). To be successful in the global marketplace, a need for global mindset is the key source for long-term competitive advantage. The current HR issues faced by PC is illustrated in Appendix A. The HR management in PC HQ did not consult the local HR representative information on local culture, employment aspects, safety, customs and traditions in order to operate in harmony with a local companys procedures which is the root cause of the HR dilemma faced by PC. Looking at the current HR issues that PC is facing, the complexities of operating in different countries and employing people of different nationalities are challenges arising from the internationalisation of business. Also the challenge PC requires to undertake its HR strategies, policies, practices to global level for multinational ventures (Scullion Linehan, 2005). Company characteristic, business strategy and organisational structure are important elements in policy choice for the Flexibility and HRM strategies (Delery and Doty, 1996; Tsui et al., 1995; Mayne et al., 1996; Doorewaard and Meihuizen, 2000). According to Philip Condit (Finan cial Times 1997), as the era move towards globalisation, it is advantageous global companies, workforce, management transform into a global enterprise. A standardized approach to IHRM may put an organisation to disadvantage because cultural differences are ignored rather than built upon. (Adler,1991). Competing demands of global integration and local differentiation are important elements which give rise the need to develop human resources as a source of competitive advantage (Caligiuri and Stroh,1995;Schuler et al.,1993;Taylor et al.,1996). PC required adopting a geocentric approach to IHRM integration to balance between the conflicting priorities of global integration and local responsiveness (Caligiuri and Stroh (1995). GLOBE research confirmed that selected cultural differences strongly influence important ways in which people think about leaders and norms. According to Spence Hayden (1990), the most critical HRM issue for going international is to select and train l ocal managers (see Appendix B) as people is the main source for competitive advantage in international business. It is critical that PC focus on the first seven points of the HRM issues listed in Appendix B to enhance its current HR issues in Germany, France and India for the business expansion. The overall twelve HRM issues are for PC to apply for its going international plan to other Asia countries to build long term business success. The key challenge for PC is to capitalise on the diversity of global workforce without suppressing each other nations desire to maintain their own cultural heritage. Although it is tough, PC have to build, maintain and develop its corporate identity by managing its people on a worldwide basis, local responsiveness by adapting and conforming to the norms and customs of different societies in which PC operate (Laurent, 1986). This will enhance worldwide competitiveness, innovation combined with achievement, consistent across MNE units (Bartlet t and Ghoshal, 1989). According to Schuler and Florkowski (1994), for control purpose, flexible HRM policies and practices at the local level must be balanced with the requirement of MNE to maintain its global set of IHRM policies. Deeper Analysis-HRM issues a) Training and Development As noted in PC case, there is no formal training to consultants after recruited. Failure to train employees can affect the values, beliefs, and assumptions shared by employees to the organisational culture (Bunch, 2007, p. 157). Au and Chong (1993) conclude that failing to incorporate organisational culture in training programmes might lead to total failure in building a successful organisation. Listed below are the ways to determine employees taining needs: In todays highly competitive global business environment, human resources play an important role in developing and sustaining organisation competitive advantage (Brewster, 2002). IHRM has enforced common methods of acquisition of knowledge through hiring and training, distribution of knowledge via training and development, and utilization of knowledge via performance management in an organisation. Training Assessment is used to determine if and what type of training is necessary to acquire skills, knowledge, and imp rovement in order to perform well for the organisation growth and success. (see Appendix C -General Systems Model of Training and Development). Cross cultural training is also critical for international assignments, for managers to be acculturated to other societies value, norms and behaviour. Training is also recognised as an important means for socialisation (Child, 1984; De Meyer, 1991; Derr and Oddou, 1993; Ondrack, 1985). Orientation is where new employee learns the organisational goals, corporate culture, job and to develop realistic expectations. Formal training on the other hand promotes shared values and facilitates network building between headquarters and subsidiaries. Only successful organisation (example: Accenture) will believe/continue to train, develop their employees in order to adapt to the constant change in the dynamic working environment as new technologies develop and emergence of global assignments. (see Appendix D Diagnostic steps in Development Progra mmes) According to Bramley, 2003, extensive training, learning and development are important. Learning organisations (example: Xerox, General Electric) have applied three stages of learning perspective. PC needs to ensure that outstanding talent remain at the forefront of its field in terms of professional expertise and product knowledge gained through training which facilitates learning so that employees can become more effective in carrying out their task. It is essential as people, technology, jobs, and organisations are always evolving. Technology is advancing at a staggering pace. Therefore, it is vital that employees be trained and developed to utilise the latest technology so as to attain the highest levels of productivity. b) International Managers As International business continues to grow intensely, PC must understand the need for highly qualified international managers, a crucial factor in implementing global strategies for business success (Gregersen, Morrison, Black, 1998). Overall International managers need to have effective cross cultural communication, non-judgemental capability, flexibility, empathy (Berrell et al.2002:92). Expatriates A successful expatriate manager must have sound knowledge of technical, functional, cultural, social, and political skills (Bartlett, 1986; Bartlett Ghoshal, 1994; Ghoshal Barlett,1997). The most common factors that determine the expatriates success or failure is illustrated in Appendix E. Expatriate managers that possess an acculturation characteristic will be able to adapt/adopt themselves to any region for international assignment. The key point for international transfer is to initiate, expand and control international operations to ensure various organisational units strive towards achieving organisation common goals which is linked to HQ control aspects. (Edstrà ¶m and Galbraith,1977). Appendix F described why transfer of international managers happen. According to Roessel (1988), the benefits of various functions of international transfers can enhance internationalisation of the MNE, which make it more sustainable in international market. Inpatriates The value of managers with unique local market knowledge can develop a dynamic capability for global assignments. In this manner, inpatriate manager is another option envisioned to build managerial talents which organisations can develop distinct competitive advantage in the market they entered. The inpatriation process is positively related to the global HRM for organisations development of organisational capabilities: quality, low-cost operations, speed learning, innovation and customer focus (Lawler, 1996; Urlich Lake, 1990). The criteria and characteristic of the right candidate for inpatriate managers are similar to the expatriate factors which illustrated in Appendix D. Although HQ prefers the expatriate managers contribution in multicultural management on the stabilisation control aspect for competitive advantage (Dadfer Gustavsson, 1992; Granstrand, Hakanson, Sjolander, 1993), inpatriate managers do play an important part in the bridging role between HQ and the emerging market that the organisation wish to penetrate (Harvey et al., 1999b,c,d). Inpatriate managers, as substitutes and complements of expatriates, can provide accurate advice on adaptation of technical dimensions of HR processes (recruitment criteria, compensation, appraisals, training and development of host country nationals). Inpatriate managers also act as a mentor to calibre managers from host country nations to insure a succession plan when new inpatriate managers are moved into the home country organisation. If PC would to consider inpatriate manager option, it has undertaken the step in developing a multicultural strategic leadership capability, developing a global learning organisation to compete effectively in a globalised world (Aguirre, 1997; Hofstede, 1980, 1984; McBride, 1992; McMillen, Baker, White, 1997; Nemetz Christensen, 1996; Reynolds, 1997). Statement to the Board of Paine Co (PC) Core Components of HR Strategy IHRM policies and practices are influenced by the organisations structure, strategy, its institutional and cultural environments (Ngo et al., 1998; Schuler and Rogovsky, 1998; Schuler et al., 2002; Sparrow et al., 2004). For management consulting multinationals, definition of HRM policies at international level should be followed by a more standardised local implementation (Boxall and Steeneveld (1999). At the same time, applying the right kind of policies and practices was a condition of ongoing viability, the success to implement HR policies and practices synergistically constitute the basis for competitive advantage. IT consultancy firm, like PC depends highly on qualified and specialised professionals to offer services based on their creativity and intellectual work. This profession requires versatility, adaptability and constant learning due to its ever evolving job nature (Starbuck, 1992; Ram, 1999; KaÃâà ¨rreman, 2002). In this case, PC should look at the nee d for highly qualified multicultural workforce as a means to build managerial talents, develop organisations competitiveness in the market it enter. Furthermore, global competition has caused organisations to be more conscious of cost and productivity. Therefore, HRM strategies must reflect clearly the organisations strategy people, profit and overall effectiveness in managing an increasing diverse workforce to compete in an increasingly complex, competitive world. (see Appendix G -Important Factors /Requirement in HRM). According to Sparrow 1998, recognising organisations need for multiple and parallel flexibilities especially in a time of increasing international competition and technological change is vital (Atkinson, 1987; Tsui et al., 1995). The proposed core components of HR strategy that PC should apply is highlighted in Appendix H, taking into consideration the difference in nationality, culture and institutional factors, to enhance its organisation performance and build long-term competitive advantage. Notes to the Core Components Based on Best Practice HRM, staffing need to be highly selective, performance regularly and systematically assessed, teamwork orientated, autonomy and responsibility were encouraged (Huselid, 1995; MacDuffie, 1995; Delery and Doty, 1996). With the growth of PC business internationally, PC needs appropriate information to develop its HRM policies and practices through comparing cross-national dimension on an international perspective (Brewster et al., 1996; Clark et al., 1999; Kochan, Dyer, Batt, 1992), a business strategy to develop bigger market share one step ahead of its competitors. Cross-national HRM policies and practices are also influenced by both culture-bound variables such as national and organisational culture, institutions, industrial sector dynamics and culture-free variables such as age, size, nature, and life cycle stages of organisation (Brewster, 1995; Hofstede, 1993; Jackson Schuler, 1995; Sparrow, 1995). The degree and direction of influence of these fac tors varies from region to region (Jackson Schuler, 1995; Locke Thelen, 1995). Creating a global corporate culture requires a geocentric mindset, drawing upon cultural capabilities that exist across the global operations and incorporating diverse cultural values and practices. Understanding HRM roles/strategies requires a contextual approach, underlining the importance of taking the institutional context into account (Paauwe, 2004). The table below shows the factors determining cross culture HRM practices. A detailed list of the subcomponents factors/variables in determining cross-national HRM is listed in Appendix I. The strategic importance of a unique, specific and valuable human capital for knowledge-intensive firm like PC would suggest a preference for employment internalisation (Matusik and Hill, 1998; Lepak and Snell, 1999). PC must actively seek creative destruction of its existing competencies to retain competitive advantage in the marketplace (Schumpter, 1934 ,1942) via an adequate HRM policies and practices. The organisational competitiveness of PC will depends on its strength/capacity to shape a unique set of resources where competitors find it hard to copy, which mobilized with the help of developed organisational and managerial systems that provide the organisation with a series of distinctive capacities that allow to generate long-term sustainable income (Fernà ¡ndez Rodrà guez, 1995). The process of continuous learning and modification of resource bundles for efficiency and effectiveness of strategies contribute to development of the organisations dynamic capabilities (global management capabilities difficult to imitate) to gain/sustain competitive advantage. (Teece,1988; Teece, Pisano Shuen, 1997). According to Barney (1991), if resources meet the following elements, the firm earns a unique strategy profile which assist for international expansion. On the other hand, Behavioural Theory is based on the assumption th at different strategies require different behaviours, attitudes and capabilities in workers (Schuler, 1987). According to this theory, HR practices do influence workers behaviour which results in improvements of organisational performance (Lawler,1986; Huselid, 1995; Becker, Huselid, Pickus Spratt, 1997; Guest, 1997;Appelbaum et al., 2000; Takeuchi, 2003). This implies PC must implement a set of personnel practices consistent with the organisations business strategy to build its international presence successfully (see below). When workers have positive perceptions, this will increase their work commitment with the organisation, degree of involvement and their level of working satisfaction, which results in better performance for PC and talented workers can be retained for future prospect. Developing a systematic approach of HR policies and practices consistent with business strategy can assist in the integration of business competitive advantage, where every possible s ource of competitive advantage need to be identified/utilised in facilitating the learning and knowledge transfer processes across units (Schuler et al. (1993:427). A high performance work system (HPWS) practices is perceived by employees as organisations commitment (Batt, 2002). [see Appendix J] Definitely with HPWS implemented in PC, it will be able to develop talented, motivated employees to meet organisations objective to achieve competitive advantage in the international arena (McDuffie (1995). By developing the necessary skills, knowledge and increasing motivation of employee contribution, PC can reflect the opportunities to realize economies of scale at the international level. With the rapid evolving technologies, this encourages PC to engage in innovation and continuous learning across its operation. According to Wright Snell (1991), a successful organisation should have motivated workers who are involved in the achievement of organisational objectives. Manager s are responsible to create a more positive working environment where employees can flourish and increase their feelings of wellbeing at work (Tehrani et al., 2007). Line managers are also responsible to deliver the HR practices and to ensure that the perception of support, trust, fairness and consistency are maintained amongst employees. The biggest mistake unsuccessful global organisations make is to assume that there is one best way to structure HRM policies and practices. Trying to apply HRM principles that work well in one environment may not lead to the same level of degree of success in another. Challenges Globalisation competition has become so intensify, HRM professionals require to optimise the skills, talent, creativity of every employee more effectively. Failure to do so will probably mean the organisation cannot compete in the flat world. Every aspect of HRM strategic can be influenced by cultural differences in one or more dimensions. Therefore, PC needs to understand the cultural differences and ensuring HRM and cultural orientation of workers are coincide with one another without sacrificing efficiency. Conclusion To be successful in the international marketplace, PC must ensure HR policies are fit with strategic international plan of the organisation and with the work-related values of foreign culture due to cross-national interaction. Total word count=2,593
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