Tuesday, May 26, 2020
Rumored Hype on University Admission Essay Samples for Mba Discovered
Rumored Hype on University Admission Essay Samples for Mba Discovered The Basic Principles of University Admission Essay Samples for Mba That You Will be Able to Benefit From Starting Right Away EssayEdge is the top application essay editing service on the planet. Once applicants get the video interview invitation via e-mail, they are going to have approximately 1 week to finish this requirement. The increasing number of essay writing services is totally overwhelming. Make certain you sound like someone people wish to be around, but be certain you aren't contradicting your personality either. Whatever They Told You About University Admission Essay Samples for Mba Is Dead Wrong...And Here's Why The Bay Area is home to a number of the world's leading social networking companies and gives our students a protracted classroom. Its MBA program enjoys a wonderful reputation on the planet. 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Sunday, May 17, 2020
Chronic Procrastination A Disappointing Life - 964 Words
Chronic Procrastination = A Disappointing Life By Kara Lane | Submitted On June 26, 2011 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest Expert Author Kara Lane Everyone procrastinates sometimes. We start doing this as children. If a child doesn t want to go to bed, what do they do? Tell you they need a drink of water, or they have to go to the bathroom, or they need to tell you something first. All are just forms of procrastination to avoid doing what theyâ⬠¦show more contentâ⬠¦Lack of self-confidence: I m probably going to fail anyway, so why even bother starting? Feeling overwhelmed by the enormity of the task: It s too hard; maybe I ll start tomorrow. Boredom: I don t want to do it; I d rather go do something else. Think of an area of your life where you have been procrastinating. It could be related to your health, your work, your finances, your relationships, or any other area where you have been putting off doing something you know you need to do. Do any of the reasons above apply to why you are procrastinating? If not, what is your reason? Awareness is the first step in changing our behaviors, so take the time to figure out why you are procrastinating. Next, write down all the benefits that will come if you stop procrastinating and take action. For example, if you ve been procrastinating on losing weight, write down all the benefits you ll receive if you lose weight. Don t just include general comments, like I ll look and feel better. Those are too vague to really motivate you. Go further and include specific benefits like, my husband will think I m hot, I ll be able to fulfill my dream of running in a mini-marathon, and I ll have the energy to play with my kids or grandkids. Paint a vivid picture of the benefits of taking action. Then, write down all the consequences of continuing to procrastinate. Again, be very specific. Paint a really terrible picture of the worst-case scenario. If you ve been procrastinatingShow MoreRelatedThe Negative Influences Of Procrastination1344 Words à |à 6 PagesNegative Influences of Procrastination Weââ¬â¢ve all had a paper due on a Wednesday that we had known about for the past two weeks, but for some unknown and involuntary reason, we choose to save it for a Tuesday evening, which turns into a Wednesday morning as we frantically work to finish an assignment we probably could have finished in class over a couple of days. We may have been preoccupied those couple of weeks, with a job, or sports; maybe even putting together a fundraiser of some sort. Or maybeRead MoreProcrastination: Why You Do It, When It Helps, And How1551 Words à |à 7 PagesProcrastination: Why You Do It, When It Helps, and How to Stop Jim has appealed to his boss for months: ââ¬Å"Iââ¬â¢m ready for more responsibility. Iââ¬â¢m ready to be taken more seriously.â⬠Finally, his boss gave in. The motherload of projects lands on Jimââ¬â¢s desk. One with the power to make or break his career. One that can show his boss that heââ¬â¢s more than capable of becoming an office manager. On the outset, Jim is amped up and ready to get started. He reviews the parameters of the project. He delegatesRead MoreThe Effect Of Social Media On Classrooms On The Classroom1975 Words à |à 8 Pagesdecrease in procrastination, apart from this it has allows outside controversial topics into the class room setting for an open discussion, as well as allowed the shyer children to participate and gain friends and future job connections. Lastly I would like to say that social media sites have evolved, and add on programs have been created to limit and stop any distracting or harmful outside forces from be on the page. Leaving us with a productive, educational page.â⬠With a disappointing face as ifRead MoreRational Emotive Behaviour Therapy - Essay9996 Words à |à 40 Pagesfeelings and behaviours ââ¬â an important point, as it is a reminder to the therapist that there are limitations to how far a human being can change. A personââ¬â¢s belief system is seen to be a produ ct of both biological inheritance and learning throughout life. A useful way to illustrate the role of cognition is by using Ellisââ¬â¢ ââ¬ËABCââ¬â¢ model. In this framework ââ¬ËAââ¬â¢ represents an actual event or experience, and the personââ¬â¢s ââ¬Ëinferencesââ¬â¢ or interpretations as to what is happening. ââ¬ËBââ¬â¢ represents the ââ¬Ëevaluativeââ¬â¢Read MoreDevelopment Administration5324 Words à |à 22 Pagesinstitutional inheritance of the post-colonial state. They noted however that ââ¬Å"in the ideal Weberian model, bureaucracy is an efficient instrument of policy implementation, but in many developing countries the practice of implementation had been disappointingâ⬠. This they attributed to poor administrative capacity. Looking at the colony legacy, Mills had his take when he noted that ââ¬Å"the Crown Colony systems which existed in the Caribbean before the fourth decade of this century, governors exercisedRead MoreDevelopment Administration5338 Words à |à 22 Pagesinstitutional inheritance of the post-colonial state. They noted however that ââ¬Å"in the ideal Weberian model, bureaucracy is an efficient instrument of policy implementation, but in many developing countries the practice of implementation had been disappointingâ⬠. This they attributed to poor administrative capacity. Looking at the colony legacy, Mills had his take when he noted that ââ¬Å"the Crown Colony systems which existed in the Caribbean before the fourth decade of this century, governors exercisedRead MoreDeveloping Management Skills404131 Words à |à 1617 PagesStress-Reduction Techniques 144 SKILL ANALYSIS 147 Cases Involving Stress Management 147 The Turn of the Tide 147 The Case of the Missing Time 150 SKILL PRACTICE 155 Exercises for Long-Term and Short-Run Stress Management The Small-Wins Strategy 155 Life-Balance Analysis 156 Deep Relaxation 158 Monitoring and Managing Time 159 SKILL APPLICATION 161 Activities for Managing Stress 161 Suggested Assignments 161 Application Plan and Evaluation 162 SCORING KEYS AND COMPARISON DATA Stress Management AssessmentRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words à |à 1573 PagesGlobalization 16 â⬠¢ Managing Workforce Diversity 18 â⬠¢ Improving Custom er Service 18 â⬠¢ Improving People Skills 19 â⬠¢ Stimulating Innovation and Change 20 â⬠¢ Coping with ââ¬Å"Temporarinessâ⬠20 â⬠¢ Working in Networked Organizations 20 â⬠¢ Helping Employees Balance Workââ¬âLife Conflicts 21 â⬠¢ Creating a Positive Work Environment 22 â⬠¢ Improving Ethical Behavior 22 Coming Attractions: Developing an OB Model 23 An Overview 23 â⬠¢ Inputs 24 â⬠¢ Processes 25 â⬠¢ Outcomes 25 Summary and Implications for Managers 30 S A L Self-AssessmentRead MoreExploring Corporate Strategy - Case164366 Words à |à 658 Pagesbe used. Some cases are written entirely from published sources but most have been prepared in cooperation with and approval of the management of the organisation concerned. Case studies can never fully capture the richness and complexity of real-life management situations and we would also encourage readers and tutors to take every possible opportunity to explore the live strategic issues of organisations ââ¬â both their own and others. The following brief points of guidance should prove useful inRead MoreProject Mgmt296381 Words à |à 1186 Pagesof Project Management Body of Knowledge (PMBOK) Concepts to Text Topics Chapter 1 Modern Project Management Chapter 8 Scheduling resources and cost 1.2 Project defined 1.3 Project management defined 1.4 Projects and programs (.2) 2.1 The project life cycle (.2.3) App. G.1 The project manager App. G.7 Political and social environments F.1 Integration of project management processes [3.1] 6.5.2 Setting a schedule baseline [8.1.4] 6.5.3.1 Setting a resource schedule 6.5.2.4 Resource leveling 7.2 Setting
Friday, May 15, 2020
Essay on The Risks of Cosmetic Surgery - 1466 Words
Are you aware of the risks and disadvantages of cosmetic surgery? Cosmetic surgery can be very risky and dangerous if you are not aware of the outcomes. If you are thinking of going through a procedures you need to do a lot of research of what the pros and cons of the procedure you are about to undergo. Cosmetic surgeries are done all over the world and the pricing varies depending on the surgeons, and it can be very expensive. The outcome of the surgery wonââ¬â¢t always come to what you wanted but still you have to pay the price. Not only that you have to leave with it and you will want another procedure which youââ¬â¢ll have to pay another amount of money. Why go through all that when? We should be happy with who we are and appreciate what youâ⬠¦show more contentâ⬠¦Plastic surgery is not the best choice for anybody because you never know what your final outcome is which Allison A. stated in 2008. Doctors cannot guarantee you will come out successfully from the surger y room. She also said that it is like a game where you do not know if you win at the end of the play. People turn to cosmetic products for better appearances but when itââ¬â¢s not enough or not satisfying to them, they turn to plastic surgery. They never think about the consequences of what they want to look like or the dangers and risks that are involved. Veronica S. (2007) believes that cosmetic surgery is more harmful than it is beneficial. Unnecessary surgery seems to put women in danger for the sake of Hollywood beauty. We all handle healing differently. Some may heal well and some wonââ¬â¢t. Hykra (2005) states that if you have pre-existing health conditions cosmetic surgery can be really dangerous. He also reports that people with heart condition, diabetes, or if you are a smoker, or have allergies you may experience complications that others may not. In cosmetic surgery, you can get hurt emotionally as well. You can be unhappy with the outcomes of the surgery. Allison A. (2008) states that people can get depressed before and after surgery because there is never a 100 percent chance of being satisfied with appearance. There is always something, one little thing that bothers you. Because of the Hollywood figure thatShow MoreRelatedIs Cosmetic Surgery Worth The Risk?1304 Words à |à 6 PagesIs Cosmetic Surgery Worth The Risk? In today society cosmetic surgery has become more and more common. Some people see this operation as a way to improve their appearance. Often caught up in the advantages of plastic surgery such as boosting their self-image, and/or improving their physical attraction, they fail to realize the negative effects of cosmetic surgery. The truth is cosmetic surgery is not always successful, so people should be ready to accept the risks of this operation, particularlyRead MoreCosmetic Surgery : Is It Worth The Risk?1878 Words à |à 8 PagesCosmetic Surgery: Is It Worth The Risk? In a society so consumed by the ideology of beauty, it makes sense as to why so many women these days undergo cosmetic surgery. The definition of beauty has long been obstructed and changed. In the past, if you look at the woman, you will see they are curvy, during this era being thin meant you were poor where as a beautiful and wealthy woman would be plump because she could afford fine dining. As society has changed, being slender has become the new trendRead MoreCosmetic Surgery : The Risk Of Enhancing Beauty1328 Words à |à 6 Pages Cosmetic surgery : The Risk of Enhancing Beauty Cosmetic Surgery has become popular over the years due to the advertisement of celebrities who embrace their surgery to refine their beauty. For example, an article by Anthony Elliot, he labels cosmetic surgery as Drastic plastic: The rise of cosmetic surgical culture; Celebrity obsession: Fame, fortune and faking it; Want-now consumerism: Immediate transformation, instant obsolescence; and Making the cut: Cosmetic surgical cultureRead MoreDying to be Beautiful: The Risks of Cosmetic Surgery927 Words à |à 4 Pagesto go in for cosmetic surgery. An enormous amount of men and woman go in for cosmetic surgery to make them look younger or fix a part of their face that they are unsatisfied with or they want to reshape something that to them is a disorder. They go into surgery without knowing the consequences they are going in for and they face high chances of never seeing their original face never again. Certain celebrity and modelââ¬â¢s career have gone downhill due to the fai lure of plastic surgery and have gottenRead More Cosmetic Surgery: The Cure for Low Self- Esteem? Or are the Risks too risky?881 Words à |à 4 PagesCosmetic surgery has been around for decades. As the years went by, new procedures came to surface as well as new surgical tools. The procedures that surfaced became attention grabbing from many people. New and improved procedures and equipment came as more years went by and it grabbed more attention to more people. But is cosmetic surgery the answer to a person with low self esteem? The first American Plastic Surgeon was John Peter Mettauer. He performed the first cleft palate in 1827 with surgicalRead MoreThe Side Effects of Cosmetic Surgery1325 Words à |à 6 PagesThe Side Effects of Cosmetic Surgery Reading and Writing Level 4 Kirsten Ringstrom April 14, 2009 Table of Contents 1 Introduction 2 The History of Cosmetic Surgery 3 The Trends of Cosmetic Surgeries 4 The Risks of Cosmetic Surgery 5 Conclusion References Throughout recorded history, a pale complexion has nearly always been more fashionable than a tan complexion because pale skin represents a woman who does not have to labour outdoors. So, most non-white women probably wantedRead MoreThe Pitfalls of Cosmetic Surgery Essay1569 Words à |à 7 PagesCosmetic surgery has become increasingly more popular. However, many are unsatisfied with their results. Debra Dunn decided to have cosmetic surgery to fix a bump she had on her nose as a result of a childhood injury. After having two nose jobs and spending thousands of dollars, she was so dissatisfied with her results that she was embarrassed when she left the house and avoided mirrors. When she ventured out in public, she hid behind her hair. Although doctors tried convincing her that her noseRead MoreCosmetic Surgery: A Risky and Costly Procedure1355 Words à |à 6 PagesIf one is considering cosmetic surgery I suggest reconsidering. Research shows cosmetic surgery can be a risky and co stly procedure. Society is pressuring people to look more attractive. Media shows actors to be flawless and the public feels that one should be compared to these actors. Cosmetic surgery is becoming more popular is todayââ¬â¢s culture. People are turning to cosmetic surgery for many reasons, some of them are not healthy. Why do people go to such dangerous measures to look more attractiveRead MoreCosmetic Surgery : Worth It, Or Not?1384 Words à |à 6 Pages Cosmetic Surgery: Worth it, or Not? Jazmin Bencomo Front Range Community College Cosmetic Surgery has been around ever since the early wars to repair scars and injuries. Today, as stated in an article titled, The Risk of Cosmetic Surgery Should Not Be Ignored, ââ¬Å"cosmetic plastic surgeries outnumber reconstructive ones in many countries.â⬠(Edmonds, 2012, p. 134). Cosmetic surgery continues to grow in popularity all around the world. It has now evolved to beautify anRead MoreCosmetic Surgery Essay804 Words à |à 4 PagesElective cosmetic surgery claims to enhance outward appearances. However, elective cosmetic surgery could be a consequential death wish for young adults. Cosmetic surgery is a well-used procedure that the society conforms to fixing certain physical characteristics. Most of the time, people get cosmetic surgery for medical purposes. If the person is medically well, there is no reason to consider cosmetic surgery. Young adults are still transitioning into the real world. They should focus working towards
Wednesday, May 6, 2020
The Censorship Debate - 795 Words
The Censorship Debate nbsp; nbsp;nbsp;nbsp;nbsp; Do words such as nigger, bitch, or ass offend you?nbsp; The answer may seem clear cut, but our nation has been struggling with the issue of censorship almost since its conception.nbsp; To many, the aforementioned words are a part of their everyday vocabulary; to others, they are vulgar and unacceptable.nbsp; The issue of censorship is much more than just words.nbsp; There have been huge controversies over the negative ideas and graphic nature of literature, music, and television.nbsp; What is too violent, too negative, too obscene, or too graphic?nbsp; And who decides what these standards are?nbsp; These are questions that are still debated by many.nbsp;â⬠¦show more contentâ⬠¦as music or literary censoring, but it still needs to be addressed.nbsp; Most programs on TV today have at least some violence in them, and many have quite a bit.nbsp; The line between what is too violent and what is acceptable is becoming increasingly blurred, as people a re becoming more accustomed to seeing it.nbsp; Despite the growing number of protests, little is being done to change the standards.nbsp; And, as many point out, if the violent shows werent getting good ratings, they wouldnt be on.nbsp; The only way for them to get good ratings is for people to be watching them, so obviously despite the protest, many Americans enjoy the violence on TV, or at least are not to offended by it to watch it.nbsp; nbsp; nbsp;nbsp;nbsp;nbsp; Many people are very offended by some of the obscene lyrics in some music, however.nbsp; Music with obscene lyrics and messages are enjoying great popularity despite the fact that many, including a large number of prominent officials, find it repulsive, offensive and a bad influence.nbsp; This music has sparked great debate over what exactly the words freedom of speech entail.nbsp; The musicians and the people who listen to the music claim that freedom of speech is absolute, while others, particularly those who find the lyrics offensive, claim that it has limits.nbsp; Artists such as Ice-T, N.W.A.,and Cypress Hill have all had clashes with censorship.nbsp; N.W.A.s music is almost entirely negative andShow MoreRelatedThe Debate of Censorship766 Words à |à 4 PagesRights guarantees its citizens the freedom of expression, but how far does that freedom extend? Does the right to express yourself include the right to observe the expressions of others? Acc ording to pro-censorship view holders, it does not. But to those who feel strongly against censorship, the freedom of information, or the ââ¬Å"right to know,â⬠should be an absolute right granted to the American public. Censoring material is the responsibility of the individual, not the institution itself, andRead MoreThe Debate About Censorship1495 Words à |à 6 PagesThe Debate about Censorship Censorship, the control of the information and ideas circulated within a society, has been a characteristic of dictatorships throughout history. In the 20th Century, censorship was achieved through the examination of books, plays, films, television and radio programs, news reports, and other forms of communication for the purpose of altering or suppressing ideas found to be objectionable or offensive. There have been assorted justifications for censorship, with some censorsRead MoreEssay on The Debate Over Internet Censorship1547 Words à |à 7 PagesThe Debate Over Internet Censorship Many people believe the Internet has become the Worldââ¬â¢s Emancipation Proclamation. They believe that this newfound cyber-freedom will free countless generations of people. These people will be of every race, creed and color, whose lives, up until now, have been restrained by the paradigm of governments. Whether it is the United States Government, or the government of a foreign nation, the Internet will be our new Underground Railroad of cyberspace. Read MoreThe American Debate Regarding Censorship Of Hate Speech2032 Words à |à 9 PagesThe American debate regarding censorship of hate speech is moving from traditional forms to newer ones found online. In particular, the internet has become a key organizing tool for hate groups. There is a large growing group of Internet members who can access the Internet and can have the opportunity to express an opinion about anything to compose their thoughts to the World Wide Web audience. The Internet allows freedom of expression without any limitations or regulation. Some viewers find theRead MoreMusic Censorship1016 Words à |à 5 PagesKevin Ung Professor Vazquez English 101 October 9, 2007 Music Censorship I enjoy and love music very much. I feel that music artists should have the right to freely express their work and I feel that I should argue about the censorship attacks on these artists. Iââ¬â¢m tired of listening to a good song on the radio with some of the words censored. It ruins the song and I canââ¬â¢t stand it. Some people think that rap is a bad influence and causes the young to behave badly. But I think all this censoringRead MoreThe Censorship of Pornography1581 Words à |à 6 Pagesï » ¿ Censorship of Pornography: Censorship is vital and takes place on a daily basis in the modern society even in nations that state their respect and maintenance of the freedom of speech. For instance, there are several regulations that restrict broadcasters in the kind of programmes to be transmitted as specific times of the day. The other ways with which censorship happens every day is through the laws that forbid people from expressing themselves publicly toward particular political or ethnicRead MoreInternet Censorship Essay886 Words à |à 4 PagesInternet Censorship Presently, it seems that the Internet is playing a very important role in everyones daily life. This multipurpose network has many different functions useful for everyday work and entertainment. Due to the freedom of the Internet various debates and protests have come to disagree with its open form of communication. Because of the misuse of the internet many people believe that there should be some kind of internet censorship, while others are against internet censorshipRead MoreFeminism and Pornography: Differing Views1221 Words à |à 5 PagesThe pornography debate has been an issue within the feminist movement that has been pushed to the periphery in recent times. It is not as widely seen on the main stage of the feminist agenda and this may be because of a division in feminist thought with regards to pornography. Generally speaking, there are ââ¬Å"pro-sexâ⬠feminists who believe that women have the right to do what they wish with their bodies and there are ââ¬Å"pro-ce nsorshipâ⬠feminists who believe pornography is inherently degrading and violentRead MoreMedia Censorship1427 Words à |à 6 PagesApril 30, 2011 Media Censorship in the United States Censorship has existed for longer than we could ever imagine. One of the first acts of state sponsored censorship occurred in 399 B.C. when Socrates, was executed for the ââ¬Å"supposed common good of the peopleâ⬠(Guarding Public Morality, 2010, p.1). Socrates was a teacher and a philosopher in ancient Greece. His teaching methods were controversial for the time, and he was charged with corrupting the youth and drawing them away from the GreekRead MoreEssay on Censorship is Not the Answer983 Words à |à 4 PagesCensorship is Not the Answer Congress shall make no law... abridging the freedom of speech, or of the press. - First Amendment to the U.S. Constitution This is true liberty when free born men, having to advise the public, may speak free. -Euripides, Fifth Century B.C. There is room for all of us - and our divergent view - under the First Amendment. - Spiro Agnew ... They have expelled Huck from their library as trash and suitable only for the slums. That will sell 25,000
The American Civil War By Evan Mawdsley - 1852 Words
ââ¬Å"A house divided against itself cannot standâ⬠- Abraham Lincoln. Civil wars are bloody times in a nationââ¬â¢s history when its citizens fight against each other for reform or other change in the nation. The American and the Russian Civil Wars are known to be some of the bloodiest wars in each countryââ¬â¢s history and having some of the bloodiest or the largest battles in the world. The books I read were The American Civil War: A Military History by John Keegan and The Russian Civil War by Evan Mawdsley. John Keegan was a senior lecturer in Military History at the Royal Military Academy and a professor of history at Vassar College. Evan Mawdsley is a professor of Modern History at Glasgow University and has written numerous books on Russian history. The American Civil War was fought over the succession of the southern states and over the unethical ideals of slavery. The southern states wanted to secede from the union because they felt the states should have more rights and that the federal government should be weaker than it was, the opposite beliefs of the northern states. John Keegan said that the American Civil War was very cruel through the pain inflicted on the participants and the anguish of the families of the fallen. The American Civil War is important because it changed the country forever. The large amount of bloodshed in the American Civil War led to the abolition of slavery and forever changed the world, as did the Russian Civil War. The Russian Civil War was
Skin care product advertising analysis free essay sample
Companies used to invest millions of dollars in mass-media advertising to reach mass market. Nowadays companies recognize that they canââ¬â¢t appeal to all buyers in the market. Thus, the advertisement creators should think about who the target audience is and how to present and promote their product to them. The Target Audience Profile Gender segmentation has long been used in cosmetics. And so does SKII, from our understanding about SKII, it is mainly focus on ladiesââ¬â¢ market. They are middle-aged, comparatively mature. By this age group of consumer, they have been working for awhile and supposed to be well-off for their income. For educational level, we can say SKII would like to attract the group which has been educated or even given high level of education as SKII used to state many technical and scientific terms in their advertisement. However, SKII does not make clear segment on occupation. Psychographic segmentation divides buyers into different segments based on social class, lifestyle, or personality characteristics. We will write a custom essay sample on Skin care product advertising analysis or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page People in the same demographic group can have very different psychographic characteristics. (Kotler P. and Armstrong G. (2010) Principles of marketing (14th ed. ), Pearson Education, Inc. , New Jersey, Chapter 7) Target market of SKII, the middle-aged ladies, is supposed to be affluent consumers. Consumers at this level of income, they donââ¬â¢t work for living, they work for better quality of life. Also, since they are well educated, they would like to seek for greater value from their purchases. They have intention to find out more information about product they are going to buy and what the benefit it is. Segments based on Psychographics emerge from patterns of responses Many companies target affluent consumers with luxury goods and convenience services. because of the rapidly changing market, marketing communications become the hottest topic in area of marketing. to present and promote their products or services to consumer market The Advertising Appeals The advertising appeals refers to the approach used to attract the attention of consumers and The Advertising executional framework(s) The level(s) of effect that the advertising is trying to achieve The recent troubled economy has provided challenges for marketers targeting all income groups. Consumers at all income levelsââ¬âincluding affluent consumersââ¬âare cutting back on their spending and seeking greater value from their purchases. In many cases, luxury marketers targeting high-income consumers have been hardest hit. Even consumers who can still afford to buy luxuries appear to be pushing the pause button. ââ¬Å"Itââ¬â¢s conspicuous nonconsumption,â⬠says one economist. ââ¬Å"The wealthy still have the wealth, [but] itââ¬â¢s the image you project in a bad economy of driving a nice car when your friends or colleagues may be losing their businesses. â⬠8 Piet Levy, ââ¬Å"How to Reach the New Consumer,â⬠Marketing News, February 28, 2010, pp. 16ââ¬â20.
Tuesday, May 5, 2020
Caring Culture in Health Care
Question: Discuss about theCaring Culture in Health Care. Answer: Introduction: The healthcare system is focused to improve the quality of life and safety of the community with various diagnosis, treatment and prevention plan that can be involved in the reduction of the health impairments in human beings. The work of the healthcare professional is to provide primary, secondary and tertiary care to the public health. The delivery of modern care varies from country to country and the also depends on trained professionals and paraprofessionals who all work together as a team. According to Purnell (2012), the culture of the healthcare workplace in the present is influencing in the delivery of person-centered care, clinically effectual, and progressing in the direction of improvement in response to the changing environment. Evidences reveal the fact in the year 2000, healthcare especially organizational and the corporate cultures gave too much attention on culture rather than the primary culture provided to the patients. As discussed by Grol et al. (2013), gathering on expertise with practice development which is a complex methodology that has the objective to attain effectual workplace cultures which are person-centered, in dissimilar healthcare settings can be applied in order to remove the toxic culture out of the healthcare sector. The respiratory specialty ward in a healthcare arena, there exist elevated amount of toxicity in the environment. Such toxic or inappropriate culture can produce negative patient health outcome. This report will focus on the caring culture that predominant in this specialty and the recommendations of improvement through a project will be discussed. Background: According to Jeffreys (2015), any established work culture is resistant to change and can be unreceptive to those who are trying to bring any modification. History reveals Severe acute respiratory syndrome (SARS) broke in Hong Kong in the year 2003. Around 1750 cases have been detected with SARS cases in the country between four months of 2003 and almost 286 people died during that period. The SARS has gone through three different phases. First one was outbreak in the teaching hospital where the students and hospital employees were affected. The second phase involved the outbreak in the community. The third phase is the elevation of the number cases which was estimated around eight hospitals and 170 housing estates in the city. However, in the recent past the work culture has taken a turn and has recognized the active organizational support to be an essential strategy in the achievement of potential practice development. (Dixon-Woods et al. 2013). During this phase the prevention method that was adopted by Hong Kong involved five major steps. Firstly, education based on prevention and publicity was given, secondly, tracing of the infection source was done and thirdly, the five major controls were introduced. These controls involve isolation, surveillance, termination of the education sessions, epidemiological information exchange, and temperature check of the travelers at the entry and exit point and campaign based on cleansing. Moreover, the collaboration and communication between Mainland China and WHO was strengthened during this phase. Lastly, a diagnostic test related to SARS was developed. The Pilot Scheme of Hospital Accreditation was launched in the year 2009 in the month of May in Hong Kong which adapted the Australian Council on Healthcare Standards (ACHS). This helped in assessing feasibility of this accreditation, evaluation of readiness, recognize the infrastructure and implications of resources and recommendation of the future healthcare model. Patient centered care can be defined as an approach which has gained much emphasis in the present days. It is an approach where the healthcare professionals constantly adopt patients perspectives and then mainstream the various aspects of the healthcare system and its related process. As stated by Weaver et al. (2013), patient care is an important aspect in the medical arena for every medical professional. With the advent of the modern technology there has been a drastic in the treatment procedure over the past few years. The advancement of technology have developed an environment which creates an efficient patient care and turns out to be helpful for the patient. In the recent years patient care has become first priority for the clinicians and has flourished in the current years (Smith et al. 2013). Until the beginning of the twentieth century patients were not segregated according to the specific disease on basis of their diagnosis. As stated by Preston and Kelly (2016), the medical advances made during the Second World War have reflected the emergence of medical specialties. Although in the mid 1990s there were more nursing specialists, in regards to the respiratory specialty, very few have fulfilled the criteria based on patient care. As discussed by Carayon (2016), the roots of the nursing practice can be traced to the care and management of patients with tuberculosis and involve roles such as TB family visitor. According to Morgan and Yoder (2012), with the advent of 1980s, the advancement in the medicines and modifications in the delivery in terms of health care continued, the outcome has elevated the number of the clinical professionals in a broad range of respiratory setup. For example, work practice within TB clinics, Chronic Pulmonary Disease (COPD), asthma, ventilatio n services, sleep apnea services and pulmonary rehabilitation programs (Brownie and Nancarrow 2013). Evidences reveal the fact that as the number of healthcare professionals increased with time in the last 5 to 10 years, in the respiratory specialty there has been an improvement in the knowledge and psychological issues in regards to respiratory care and management (Entwistle and Watt 2013). Moreover, technologies have made significant difference in realizing the requirements of patients living in the in factious prone zone. In this arena changes in the political climate, transformation in the leadership in the health professionals, organizational modifications, rising costs, pressures on the services and quality and rapid development in the technology and medicine over the last twenty years have certainly led to the construction of fresh, innovative and more efficient ways for improving this sector (Kogan et al. 2016). Several studies reveal the fact that with the increase in demand of the respiratory care due to the elevation in the morbidity and mortality, the roles of the health care providers have also changed. Within the past few years there has been a change in the leadership qualities in the health practitioners. Still there exist certain flaws that can be improved transformation in the leadership, teamwork, person-centered care, implementing safety and promoting open communication. According to Starfield (2016), in the contemporary health care settings related to the respiratory ward needs management and leadership skills and the professionals provide compassionate care after identifying the physical, cultural, mental and spiritual framework in which the patients associated with respiratory diseases live. As discussed by Gaugler et al. (2015), the last few years have witnessed different grades of health practitioners with the training that is required for the health assessment, diagnosis an d treatment. Trainees have started understanding the significance pulmonary rehabilitation and ask for opportunities to gain initial experience in this area. Knowledge of process of administration of supplemental oxygen and the suitable collection of patients since this is essential (Barry et al. 2012). Person-Centeredness in your Practice: According to Partridge and Baxter (2016), Person-centered care can be defined as an approach of providing care where the person availing the health facility is considered as an equal partner in developing, planning, and monitoring care to meet their needs. This approach considers the desires, values and social situations and lifestyle of the person availing the healthcare service. Being person-centered reflects that the healthcare practitioners always have the persons safety, comfort and well-being uppermost in their mind. Person centered care is based on four principles and they are care, compassion, dignity and respect. As a part of the respiratory unit of my organization, I have the responsibility to improve on the person centered approach of care (Oshima and Emanuel 2013). After the outbreak of the SARS in Hong Kong the Hospital Authority Head Office (HAHO) the number of hospitals treating this disease increased. Previously it was 13 acute hospitals and so limiting care was provided. But later more hospitals kept a sector for entertaining the SARS patients. As stated by Moorhead (2013), the past practice in the clinical field in the respiratory ward is evident enough to show that in the professionals including me deliver best results possible to the patient, give peer opinion to the patients family, also keep a check on the lifestyle of the patient like restriction in smoking. Sometimes patients with chronic pulmonary disorders get admission who are diagnosed, and clinically treated involving them in the taking certain medical decisions. In several occasions it has been seen that the organization has arranged for health programs that ultimately helped in improving the quality of service, skills of the health professionals and encouraged the patients to develop confidence related to self-management (Hockenberry and Wilson 2014). Moreover, this process has also improved the patient-clinician interaction and transformed it into collaborative partnership. As a health care professional it is important to elicit the correct medical condition of the patient to him and his family members, make proper diagnosis, risk assessment and prevention plan. During the SARS outbreak period the Infection Control Enforcement Team (ICET) was established in every hospital to obtain updated information regarding infection control policies from HAHO. A coordinated patient centered care was provided in regards to these policies. In addition to this delivery of the right treatment for respiratory failure, care for the active smokers, supporting the patient with behavioral change, self-management and work across professional and organizational barriers are a part of my person centered care practice (Quill and Abernethy 2013). Moreover, as it is a known fact that the respiratory ward is an area which is prone to infection that can be bacterial, viral of fungal infection. These are highly contagious in nature. In case of diseases such as tuberculosis, whooping cough, flu, mumps and rubella are highly contagious. In this ward different patients related to respiratory diseases get admitted every day. In order to reduce the hospital acquired infection rate and cure the patient cleanliness and maintenance of sanitation should be one of my first priorities (Hockenberry and Wilson 2014). Observation: Evidences reveal the fact that there are several factors which contributes to the patient centered care. The factors involved are leadership, involvement of the patient and his family in the decision making, provision of supportive environment, strategy that needs to be communicated, quality of care, advanced technology and feedback (Barry et al. 2012). Empirical evidences based on the surveys conducted on patients reveal the fact that health care experiences provides another more quantitative assessment of progress. Evidences reveal that during the outbreak of the SARS infection in Hong Kong, in one case around 90 patients were suffering from SARS according to laboratory criteria, all required ICU care and out of these 90 patient four died. Statistical surveys reflects that even in this generation people who were infected by SARS still have a long term affect. (Hockenberry and Wilson 2014). Although there has been improvement in the person centered care in the recent years, international survey conducted recently indicated that there are still several problems that exist in this area. According to Purnell (2012), the Commonwealth survey in five different countries revealed that there are still substantial gaps which exist between the physician and his patient related to communication in regards to treatment options and health management plans. Around sixty percent of the patient in United States complained about difficulty in getting emergency care on weekends or at nights. The CAHPS 2005 survey data shows on average sixty percent of respondents stated that health care practitioners explained the possible side-effects of medicine to them (Barry et al. 2012). The Center for Health Care Design launched the Pebble Project in 2000 as a research attempt to systematically manuscript the evidence which is supportive and fostering physical environments are therapeutic for care receivers, encouraging the family involvement, promotive of staff efficiency, and curative for employees under stress. Presently more than forty percent of the organizations and they conducted systematic documentation. In one study patient centered care has been demonstrated in order to measure the improvement in patients with chronic diseases such as COPD. In 2002 meta-analysis of almost thirty nine interventional studies, revealed that thirty out of thirty nine studies found at least one process measure improved Purnell (2012). Analysis of Caring Culture: Culture is one of the most important aspects, when especially nursing is considered. One of the studies reveals the fact that culture is a key determinant that influences the quality of care. The effects of culture do not only impact on the wellbeing of the health care employees but also it can be recognized that their views are respected or not. Over the last two decades, constructing and developing an effective healthcare cultures which is evidence based and person centered has been the key objective to implement this into the nursing practice Partridge and Baxter. After the outbreak of the SARS in Hong Kong, the government has become aware of other infections and is prepared to experience and withstand more infection outbreak and also bioterrorism. The multidimensional and flexible health plans during the SARS outbreak has been successful in controlling the infection (2016). It has been analyzed that the role and responsibility of the respiratory nurses in terms of secondary care is significant in developing and managing a care plan that is holistic, compassionate and dignified in nature. A multidisciplinary team (MDT) approach is required for providing holistic care to the patient. As discussed by Partridge and Baxter (2016), the MDT involves therapists, pharmacists and psychologists. In the recent few years secondary care mainly addresses diagnostic needs in the patients with acute and chronic disease and palliative changes such as patients with COPD, asthma, interstitial lung disease and cystic fibrosis. The management of the infectious diseases such as pneumonia, tuberculosis and influenza has become quite easy with the advancement in the technological tools and medications (Quill and Abernethy 2013). According to Oshima and Emanuel (2013), the respiratory nurse gives care around exacerbation management, disease education, rehabilitation, palliation and smoking cessation. This is a key component in providing support in the nursing practice. As discussed by Quill and Abernethy (2013), it has been identified that the number of nurses that has been employed by NHS has grown in number with time and they have become more specialized. In the present few years, the culture of care in the nursing practice has changed. A holistic approach is needed to treat the patient rather than the disease, since several patients have co-morbidities. Although the nurses in the recent few years have adapted the culture changes related to the patient care, there are still gaps that need to be filled in order to remove infection, morbidity and mortality from the respiratory section of the health organization(Quill and Abernethy 2013). The health practitioners need to understand the requirement of the patients and their families and provide care that can be person centered. Nursing care is also linked to several ethical issues and therefore, a nurse should be careful about these issues while providing nursing care (Oshima and Emanuel 2013). Conclusion: The health care sector is responsible for providing care to the community based on the type of service, work culture and management. The delivery of modern care varies from country to country and the also depends on trained professionals and paraprofessionals who all work together as a team. The culture of the healthcare workplace in the present is influencing in the delivery of person-centered care, clinically effectual, and progressing in the direction of improvement in response to the changing environment. In order to plan the nursing care the patient need to be assessed physically, clinically and mentally which is also termed as holistic approach. There are several factors that a nurse and other health care professional need to incorporate in their practice in order to provide person centered care are therapeutic communication, team work, leadership, skill, open communication, high support and life-long learning. After the onslaught of the SARS in Hong Kong, the whole community h as become aware of the emerging and dreadful infection. The evaluation of the hospital preparedness and plans has thus improved. Over the past few years this practice have been improved but still there exist gaps and flaws that can be implemented through designing of a project. Therefore, a project needs to be constructed regarding the promotion of nursing care in the respiratory specialty so that the rate of cure can be higher than the morbidity and mortality. Several recommendations can be incorporated into the project that can bring about change in the nursing health care culture. Such a project can develop the self-management of the patient, help to grow the effective communication among the patient and the health practitioner and lead to a successful clinical treatment in the respiratory specialty. The recommendations are as follows: Person centered care in practice has been known to possess the ability for making a critical difference to the staff and patient care experience. Care and treatment should consider the preferences and needs of the patient. The recommended caring culture in this regard is that the people suffering from respiratory diseases should be provided the opportunity for making informed decisions regarding their treatment and care along with their care providers (Wildevuur and Simonse 2015). Effective communication between the patients and the care providers is essential and should be supported by the written information that is evidence based and tailored according to the needs of the patient. Care, treatment and information that the patients are given has to be culturally appropriate. On request from the patient, the carers and families should be involved in the decisions about care and treatment and they should be provided with the required support and information. Active engagement is sugge sted with the managers for ensuring a collaborative approach to manage and recognize the context where care is delivered (Satta et al. 2014). This is done so that the team can effectively work together for creating an improved culture of care. A culture of care should be developed to support person centered care in everyday practice acknowledging the fact that the implementation is challenging, chaotic, stressful and unpredictable. It is important to determine for ensuring that person centered care becomes a cultural norm for everyday practice. Apart from person centered care, education can serve to build the capacity for improving respiratory care by empowerment of the healthcare workers to support, diagnose and detect their patients suffering from respiratory diseases by addressing the inequalities in their local contexts. Professional training and education of the healthcare workers is an essential part of improving the care culture as it acts as a global response to the challenges existing in the management of the respiratory conditions in primary care (Higginson et al. 2014). Adherence to the guidelines of care can also be beneficial for improving the duration of stay in the hospital and other outcomes. Educating the healthcare providers on the implementation of the new diagnostics can serve to improve the treatment and healing duration. The organizational culture has an impact on the care culture and consists of the norms, beliefs and values that are relevant to the care of the patient. It includes the behaviors and a ttitudes of the healthcare providers that are related to the safety of the patients and are considered appropriate and effective for promoting patient safety. Therefore, nursing leaders or leadership development has also a crucial role to play in improving the care culture in the respiratory ward. It is important for the nursing leaders to assess adequately the safety culture in the ward and develop a framework for guiding other healthcare personnel for working towards increasing the safety in their respective work settings (Kacmarek, Stoller and Heuer 2016). The safety cultural measurements that are action based helps the healthcare organizations to compare their records with various other organizations that in turn, helps to promote the attitudes that are safety focused and initiate the required intervention for improving the care culture in the ward. References: Barry, M.J. and Edgman-Levitan, S., 2012. Shared decision makingthe pinnacle of patient-centered care.New England Journal of Medicine,366(9), pp.780-781. Brownie, S. and Nancarrow, S., 2013. Effects of person-centered care on residents and staff in aged-care facilities: a systematic review.Clinical interventions in Aging,8, p.1. 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