Wednesday, December 25, 2019

Human Resource Management At An Organization - 1488 Words

As a human resource manager, there is a duty to manage workforce productivity. This adds on to the normal workload and responsibility of a human resource manager but is needed for optimizing the return on investment for the organizations’ labor expense. When looking at any organizations’ human resource department the main purpose is its effectiveness both in staff and in business. In order to be effective, most human resource managers first must develop an effective professional. That begins with the hiring process, great leadership and clear goals. High-performing employees are the foundation of productivity (Sullivan, 2011). To make a decent return on workforce investments, human resource managers must hire and retain employees, set direction and execute those directions. If the manager’s goals of the organization are clear and communicated the employees will be more motivated and focused because an unclear mission will result in a lack of focus and a low lev el of engagement and commitment toward achieving it (Sullivan, 2011). Two current trends in health care that are affecting human resources are technology and rising cost of healthcare. Technology is important to every industry however in the health care industry advancement mandates it. Every record that is collected, including that of the employees, have been transcribed into an electronic system. In correlation to that, most employees in the healthcare facilities must use some form of technology in their testingShow MoreRelatedHuman Resource Management : The Management Of An Organization1250 Words   |  5 PagesHuman resource management is the management of an organization to build and maintain the relation between the employee and the organization in order to meet business objectives and employee expectations. The process of hiring and developing employees so that they become more valuable to the organization. Human resource management is the governance of an organization s employee. HRM is sometimes referred to simply as human resource. HRM is the process of recruitment, selection of employee, providingRead MoreHuman Resource Management : The Management Of An Organization980 Words   |  4 PagesHuman Resource Management Overview Human Resource Management is the management of an organization’s employees. When a company designates a Human Resource (HR) department, those in HR are the ones responsible for overseeing the well-being of personnel in the workplace, and focus on how to attract, hire, train, motivate, and maintain employees of the organization. (DeCenzo, Robbins, Verhulst, 2013, p4). According to David S. Bright from the Raj Soin College of Business at Wright State UniversityRead MoreHuman Resource Management And An Organization Essay1140 Words   |  5 PagesHuman resource management is a tool in an organization, which focuses on the recruitment, management, and giving direction to the people who work in the organization. Human resource management is a vital component, which deals with issues concerned with people. Such issues include, hiring, performance management, developmental issues, safety, staff welfare, benefits and staff motivation. An organization cannot create a group of profess ional working staff without better human resources (Stewart, Read MoreHuman Resource Management : An Organization1420 Words   |  6 PagesHuman resource management is a term that is often used loosely and is assumed to be common sense, but the people behind good human resource teams know that those accusations are simply not true. HRM is all about how to manage people in the most effective manner in order to produce the best outcome for the company. HRM has many fascists, including recruitment of employees, initial training, hiring, advising employees, developing job descriptions, providing ongoing training to all employees, developingRead MoreHuman Resource Management : An Organization3527 Words   |  15 PagesHUMAN RESOURCE MANAGEMENT: Introduction: Human resource management is the all about of recruitment, employee’s selection, providing necessary training and skill development, assessment of employees, and all other factors related to the employees in organization. Human: refers to the skilled and unskilled workforce in the organization Resource: refers to limited availability of scarce Management: refers to the process of coordination of human resource in organization to get the best results is calledRead MoreHuman Resource Management : An Organization Essay1429 Words   |  6 PagesHuman resource Management is very important in every organization. It satisfies the needs of man power and creates an atmosphere where all employees can work together to achieve the goals of an organization. HRM role is to plan how to recruit right people and give experienced and well trained workforce to organization. It makes plans for training and development of human resource in an organization. The main functions of Human Resource Management in an organization are given below: 1. RecruitmentRead MoreHuman Resource Management : An Organization1524 Words   |  7 Pagestougher competition, Human Resource Management has taken on roles that have intermeshed them with the company as a strategic partner rather than just an individualized operating type system focused on simple tasks. Critical to a corporation’s growth and success is their ability to gain a competitive edge. Superior Human Resource Management assists the organizations fulfill its goals and attain success. This paper will outline why it is essential for Human Resource Management to transform beyond itsRead MoreHuman Resource Management : An Organization Essay1418 Words   |  6 PagesHuman Resource Management As competition increases around the world, leading companies in every business category have recognized that having a quality workforce can help the company gain a competitive advantage in the market. Many companies have started hiring people irrespective of their race, sex, religion, nationality etc. The critical thing for any company is to understand and use potential of their workforce. Building and managing top-quality workforce is not as easy as it may seem. In orderRead MoreHuman Resource Management : An Organization910 Words   |  4 PagesAccording to Greer, Youngblood, and Gray (1999), it appears that in today’s business environment, one might argue that human resource management (HR) departments are being questioned to change what is described as their bureaucratic culture and to be customer –oriented, and provide outstanding service. Thus, in order to accomplish this, one might argue that it requires outsourcing in combination with an internal HR focus on a particular organization’s core competencies, particularly when it meansRead MoreHuman Resource Management : An Organization Essay3485 Words   |  14 PagesAbstract Human resource management plays an intricate role to at every company. The human resource profession has grown rapidly throughout the years creating multiple departments which specialize in specific areas. Categorized as a large corporation, Nestle Purina Petcare Company utilizes all functions of HR management. Having an organized and developed HR team allows the company to function and develop efficiently. There are seven main functions in which human resource management can be categorized

Tuesday, December 17, 2019

A Review of The Use of Prayer and Scripture in...

A Review of: â€Å"The Use of Prayer and Scripture in Cognitive-Behavioral Therapy† Summary In Tan’s article, â€Å"The Use of Prayer and Scripture in Cognitive-Behavioral Therapy† published by the Journal of Psychology and Theology in 2007, he discusses integrating prayer and scripture with Cognitive Behavioral Therapy. Tan uses examples of integration from real-life counseling sessions that he has been involved in, as a counselor. Tan’s article first discusses the usefulness of CBT and other behavioral techniques in counseling (Tan, 2007). Tan discusses very early in his article that CBT is as effective as antidepressant medications and is more effective that cognitive therapy alone according to a recent placebo study (Tan, 2007). Tan states†¦show more content†¦Tan describes the seven steps used for healing prayer. The steps for healing prayer begin with a prayer for protections from evil, guided relaxation, and peaceful visualization. This is followed by painful visualization, prayer, patiently waiting for God’s intervention, and communion with God. At the end of the healing prayer, there is a closing prayer and then a debriefing. The use of scripture in the session can be useful in correcting misconceptions that clients may have about God’s will for them. Utilizing the scripture can better inform clients according to Tan (Tan, 2007). Scripture can also inform clients about areas of their life that need adjusting or are sinful. It can also help clients to adjust their thought processes and improve character (Tan, 2007). Tan goes on to state that utilizing these aspects of Christian CBT properly is beneficial for clients who have given informed consent. It is also beneficial for the counselor to become immersed in the discipline because it helps in the development of his or her own character as well (Tan, 2007). Reflection I was actually a little upset when the article ended because I had hoped that Tan would have been able to provide examples from more than one client. I was happy that Tan discussed the story of Jane who had, had such a profound spiritual experience. Tan states in the article that not everyone has an experience like that but everyone takes away some sense ofShow MoreRelatedUse of Prayer and Scripture in Cognitive-Behavior Therapy Essay638 Words   |  3 PagesReview of Journal Article â€Å"Use of Prayer and Scripture in Cognitive-Behavior Therapy† Review of Journal Article â€Å"Use of Prayer and Scripture in Cognitive-Behavior Therapy† Summary This article talks about Cognitive-Behavior therapy and using prayer and scripture appropriately, how to approach using biblical/ Christian values in therapy. The journal also talks about an historical overview of behavioral therapy, throughout the years. The commentary discusses the two component of mindfulnessRead MoreUse of Prayer and Scripture in Coginitiv- Behavioral Therapy1247 Words   |  5 PagesUse of Prayer and Scripture in Cognitive-Behavioral Therapy Integration of Psychology and Theology Tamala Rivers February 16, 2012 Summary This article focuses on the use of prayer and scripture in cognitive-behavioral therapy (CBT). First you must focus on the biblical approach which you acknowledge Gods love and deal with past hurts in a proper manner. You also must focus on Gods Holy Spirit and his scriptures. As the therapist you should not be in self, you have to focus on your clientRead MoreReview of Interventions That Apply Scripture in Psychotherapy1048 Words   |  5 PagesReview of Interventions That Apply Scripture in Psychotherapy Summary Garzon (2005) seeks to describe ways in which a therapist may use Scripture within psychotherapy interventions and to increase the awareness of therapists in these techniques. He bases this description by utilizing a case study by the name of George. Garzon contemplates issues surrounding scripture interventions. The article proceeds to relate interventions that use implicit scripture, psycho educational, theo educationalRead MoreThe Cognitive Behavior ( Cbt ) Method2182 Words   |  9 PagesThe Cognitive Behavior (CBT) method is suitable for case study Andrea Conceptualization and Treatment Plan 2; I find this technique to be most applicable to the client’s case. The paper will discuss a summary of the case study to provide clarity as to why this particular process would result in aiding Andrea in focusing on what is going on in her life at this time. The focus of the paper is how CBT is beneficial to the client to bring change. It will convey how this method of treatment will be assistingRead MorePsychology, Theology And Spirituality1267 Words   |  6 Pages A 4-MAT Review: Psychology, Theology and Spirituality in the Christian Counseling Introduction Mark McMinn is a trained psychologist who is known for his book that was written in 1996 called Psychology, Theology and Spirituality in Christian Counseling. McMinn had advocated for the Christians who are counselors for many years. McMinn is very experienced in the work and in his field of study. One of the biggest things that McMinn stresses is the importance of establishing and maintaining a goodRead MoreEvaluation Of A Psychiatric Treatment1610 Words   |  7 Pagesprovoked at school. Her psychotherapy sessions will consist of CBT (cognitive behavioral therapy) techniques and DBT (dialectical behavior therapy). 4.) I would refer her to an adolescent peer group counseling so she could be around other teenagers who are in treatment for suicidal ideation and bullying issues. I believe she would feel supported by a group setting as peer groups have shown that clients use and reinforce the therapy techniques learned in individual counseling towards the group counselingRead MoreAnxiety Disorder3897 Words   |  16 PagesFletcher, Student, Liberty University. Correspondence concerning this paper should be addressed to Jeffrey S. Fletcher, Jfletcher1@liberty.edu Abstract This research paper is designed to review articles and books of professional journals in anxiety disorders, definition of anxiety disorder, review of current and past treatments of anxiety disorders, the new section and changes to anxiety disorder in the DSM-5, new treatments for anxiety disorders and medications for anxiety disorders. ThisRead MoreThe Effects Of Effectual Daily Prayer On Mental Health5652 Words   |  23 PagesRunning Head: EFFECTS OF EFFECTUAL DAILY PRAYER 1 EFFECTS OF EFFECTUAL DAILY PRAYER 2 The Effects of Effectual Daily Prayer on Mental Health in Adults Diane T. Bethmann, RN, MSN Student Jennifer M. Wood, MSN, RN Chamberlain College of Nursing Author?s Note Diane T. Bethmann, MSN Student, Chamberlain College of Nursing Jennifer M. Wood, Department of Nursing Faculty, Chamberlain College of Nursing Read MoreSpirituality and Substance Abuse Recovery Essay2818 Words   |  12 PagesIntroduction According to the Center for Substance Abuse Treatment and the transtheoretical model of change, â€Å"for most people with substance abuse problems, recurrence of substance use is the rule not the exception† (Enhancing Motivation for Change, 1999, p. xvii). Relapse can and most likely will occur in recovery, and should be recognized as well as anticipated by substance abuse recovery counselors. The significant challenges to counselors are bringing a client successfully and securely throughRead MoreThe Biblical Perspectives of Crime4108 Words   |  16 Pagesminutes, one rape every 5 minutes, one robbery every 49 seconds, and one burglary every 10 (Miller, 2006). Even more crimes go unreported and many are never solved. A Christian worldview of how people should treat each other would be influenced by scriptures such as John 13:34-35 in which Jesus Christ indicated that his true followers would be identified by their love for one another (Mills, 2011). However, the Bible also points to certain spiritual influences that prompt mankind to act unloving towards

Monday, December 9, 2019

Clinical Operational Management

Question: Describe about the Facts and terms for Clinical Operational Management . Answer: Introduction Operation management by virtue of its characteristics has become indispensable for an organization in modern generation health care service providing industry across the world. This also holds relevance in field of clinical practices required in health care sector (Yoder-Wise, 2014). This report is based on case study of St Angels Integrated Healthcare and therefore has followed a logical pattern with focus on identification of issues as per the given case study of the health care unit. Clinical operations depend on effective operation management and this report has highlighted some measures as form of recommendation for the health care unit so that prevalent situations can be controlled by the Clinical operational manager of the case study organisation (Langabeer Helton, 2015). One of the significant issues within any industry is the high rate of employee turnover. Within the sector of health care high staff turnover is a bane and cripples the efficiency significantly. Instances of high staff turnover have been observed in St Angels Integrated Healthcare. One of the main reasons for such high rate of turnover was inter-professional conflict. Again, communication and lack of scope of practice have been identified as other significant catalysts for such high rate of turnover. Surveys carried out for ascertaining this issue revealed certain bottlenecks and pertinent strategies for arresting such abysmal rate will also be discussed in the paper. As per the Press Ganey Satisfaction Surveys three key areas have been identified that require immediate attention. These are Professional Communication, Patient Information and Satisfaction with Service. Reports received from the patients indicated that different staffs and medical officers showed little concern and exhibited lackadaisical attitude while discharging medial duties. This has also caused negative media attention and holds the potential to blight the organisational image. Apart from such practices budget report and quality surveys have illustrated deviance from industry standards including highly sensitive areas of hand hygiene and patient injury. The report will also dwell on these factors and suggest effective recourses for overcoming such lacuna while delivering services to the intended audiences. Key issues identified The analysis of the case study sheds light on some important factors which are essential for the identification of issues the St Angels Integrated Healthcare confronts with. High rate of employee turnover is a significant issue for St Angels Integrated Healthcare because of constant change practices and high working load on staffs. This is a major concern for the case study organisation as the organisational vision could not be supported with higher employee turnover which could remarkably increase the overall business expenditure and could also reduce the profitability of the organisation as well. It could be observed from the provided statistical data that employee turnover in St Angels Integrated Healthcare has increased by thirty percent (Abdelhak et al 2014). Variance for employees is high and the unit is also over budget. The reputation of the health care unit has dipped and therefore recruitment of required number of international staffs is affected. Many nurses have unwilling ness to workwith the St Angels Hospital and the Surgical Same Day Unit as they think that their scope of nursing practice is very limited in the organisation and this though prompts them to leave their jobs and to seek for knowledge development by undertaking advanced roles in nursing (Bronzino, 2014). High discontentment among staff is noticeable from the case study of St Angels integrated health care and the rising dissatisfaction among staffs are due to high work pressure and frequent change initiated by the organization leaving the employees in confusion. Decrease in quality of the services could be improved with increase in scope of practices for the nurse staffs and more effective motivational strategies for the entire workforce (Reeves et al 2013). Some remarkable achievement by the health care unit is being awarded with Equal Opportunity in the Workplace Agency (EOWA) Award, decrease in water consumption across the facilities by five percent and many others. The organisation is affiliated With Australian Council on Healthcare Standards Organisation. However some areas of improvement are highly significant for the organisation to implement changes especially service delivery as well as pre services and post services quality require improvements (Bronzino, 2014). Thus some of the most significant improvement areas for the case study organisation are staffs and patient communications, better working scope for nurses and operational performance management for ensuring better quality in the daily service related functions for satisfaction of service users and so on. Service delivery cannot be complete without staff engagement and their elevated level of motivation (Abdelhak et al 2014). In the given case scenario, it is observed that there are some negative variances which are not indicators of effective operational management practice by the St Angel- surgical same day unit (Steed et al, 2011). Negative variances were in respect of management expenditure, medical and nursing expenditure, travel, staff education and pathology assessment as well as pharmaceutical expenses. Thus total negative variance is -340,400 due to difference in actual and budget expenses 1,548,400 and 1,208,000 respectively and this situation implies poor operational efficiency by the organisation (Reeves et al 2013). Lack of cost control initiative and cost control measures have generated this situation that have increased expenditures related to management, pharmaceutical, nursing and medical along with travel and training of staffs. The variance could be reduced with focus on implementing proper operation management and review of cost involvement and requirement of expenditures in the areas that increased the actual cost (Yoder-Wise, 2014). Again, one of the key issues as has been revealed by inspections and surveys was hand hygiene. Lack of compliance to this basic practice further complicated the issues within this particular entity. Reports of non adherence and disobedience have resulted in infection. Specific indicators of hand hygiene compliance were 82% for St Angels and 68% for Surgical Same Day unit. Such deviation from the established standard was in stark contrast to 6C's of nursing. In Australia, almost 10% of people admitted to hospital contracted Health Care Associated Infection (HCAI) costing the exchequer significant amount of money. Several barriers to hand hygiene are lack of awareness about hand hygiene, reluctance to frequently wash hands with soap due to concerns about dermatitis and even workloads. The Nursing and Midwifery Board of Australia stresses on the importance of hand hygiene and states that hand hygiene for nurses should be a daily practice. Alcohol based hand rub (AHR) has also been sugge sted as a viable alternative for individuals who have a tendency to develop dermatitis. Role of effective hand hygiene has also been eulogised by WHO and it was opined that such practices helped in preventing HCAI. One of the alarming trends as deciphered by quality report was the declining quality of treatment observed across a wide range of areas. Some of these areas include referral rates, cases of relapse post the surgery period, medication errors and patient injury rate. With the inception of the Surgical Same Day Unit the reputation of St. Angels was also bolstered. However the KPIs have been inconsistent of late with anomalies reported from areas like medication safety, falls and injuries and cases related to pressure injuries. Most of these issues can be tackled by adhering to the basic tenets of nursing and medication. Role of mentors have assumed a great role in providing quality care to patients and to demonstrate care, compassion and commitment while discharging duties. The six main areas include Hospital Acquired Complications, core, hospital-based outcome indicators, and patient safety reporting for hospitals, patient experience surveys in hospital and practice level indictors Dissatisfaction among patients has multiplied due to the factors like staffs dissatisfaction and lack of practice scopes for nurses as well. Lack of professional communication and consequent service deterioration has led to increasing patient complaints and discontentment. The poor operational performance of the organisation has resulted into over budget expenditures of the company which makes the situation even worse (Yoder-Wise, 2014). In terms of overall medication quality the picture is not by any means satisfactory. Units Acquired Infection Rate is above the national standards and also there is rise in number of patients returning to after surgery procedure and this pinpoints that medication and care practices by the organisation are erroneous (Gallan et al 2013). In the table given below the identified issues are presented with possible opportunities for improvement corresponding to each type of issues NUMBER ISSUES IMPROVEMENT OPPORTUNITIES 1 High employee turnover Encouragement of work among staffs by high level of motivation, reorganisation of work for reducing high work load, proper change management. 2 Lack of satisfaction among patients Collection of their feedbacks for reinforcing the weak areas of service and practices. 3 Over budget expenditures by the health care unit. Effective operational governance and cost control not at the cost of quality and services for patients or service users. 4 Lack of professional communication with patients Possibilities of improvement in current scenario by encouraging patient participation as well increase in communication with patients by providing them with timely feedbacks and answers to their queries, development of organisational communicational system depending latest technological facilities like ICT software. 5 Lack of scope of practices Assessment of current practices and focus on some domains for expansion of scope. The areas of practice could be medication management and associated process, ordering of investigations when deemed to be required as well as discharge management. 6 Improper quality controls by the organisation and quality variance compared to national norms. Quality to be focused on much adequately so that national benchmark could be complied with properly resulting into higher level of satisfaction among patients and profitability improvement. Improvement in medication and safety in medication could ensure reduction in errors in clinical practices. Implementation plan for development The given case scenario has originated the need of implementation of an appropriate development plan that would encompass several improvements in the aspects that required maximum focus by the management of the organisation. The implementation plan for development includes several strategies that could bring about overall improvement in the operational gamut in the St Angels Integrate health care. Low motivation among the staffs could be improved by planning for better motivational strategies for employees including better training, career growth opportunities, performance appraisal systems, good work environment, supportive leadership practices and many other strategic approaches. These will elevate the motivation among staffs (Steed et al, 2011). It is also vital to have nurse leadership in the organisation in this care setting. Work load can be properly allocated among the staffs by maintaining proper roster by considering some aspects like type of patients and acuity, staffs experience and number of patients, variation in shifting and available support to staffs. Implementation of digital database systems for managing daily work responsibility allocation operations for the staffs could be a greater help in that case (Yoder-Wise, 2014). Through nurse leadership, the care services and the medication could be much better as nurses can facilitate better care governance within the scope of policies and health care legislations. Nurse leadership can be effective for measuring risks for patients and also advocacy for patients and coordination at the time of care can be substantially enhanced (Hall, 2013). St Angels Hospital and the Surgical Same Day Unit need to implement clinical governance as a operational approach for ensuring higher level of service quality and care for patients. This needs to be worked as an integrated system for managing patient safety as well as to manage risks of decrease in quality (Nuti et al, 2010). At the same time the clinical workforce needs proper guidance in support of best available care options and technologies for improving care quality. It is has also become vital to review the skills of the managers, senior nurses and clinical professionals so that their abilities for providing better quality services to the patients and providing better guidance to the follower employees could be realised . Identification of care incid ents are required to be reported to the proper authority of the hospital and analysis of the incidents can be effective for improving safety systems by identifying the causes of the incidents. Budget variances need to be understood by finding out the causes of the variances (Abdelhak et al 2014). Special attention for cost reduction can be helpful for the hospital to control costs and decrease in variances between actual and budgeted. The hospital need to initiate talk with its suppliers if it is seen that cost is higher due to price increased by suppliers. Unrealistic and ambitious budget could increase negative variances and the hospital must ensure proper care while deciding projected expenditure (Reeves et al 2013). Benchmark to measure success Acquired infection rate in the hospital has increased beyond national standards and this requires the hospital staffs to follow hand hygiene and the standard in this respect is that eighty percent of the workers in the care setting need to follow 5 steps in hand hygiene. They must ensure that they cleanse their hands before they touch a patient, before cleaning or aseptic process, after body fluid exposure or risks, after touching a patient and surroundings of patients (Yoder-Wise, 2014). Current hand hygiene compliance is 82% by the St Angels hospital and 68 percent by Surgical Same Day Unit and this need to be improved more. Data as has been collected by an audit for Data Period One, 2016 contained reports gathered from 906 hospitals spread across the territory of Australia covering both the public and the private sector. The compliance rate was found to be 84 % with total moments being 647,349 and correct moments being 543,544. Thus it may be seen that St. Angels Hospital together with Surgical Same Day Unit are below the compliance level. The audit also revealed that compliance rate was highest after a procedure or Body Fluid Exposure Risk. When this rate is considered as a benchmark it may be observed that scope for improvement exists for St. Angels Hospital to develop hang hygiene compliance. Specific attenuation has to be given both before and after a procedure with greater care on Body Fluid Exposure Risk. (CQI) or Continuous quality improvement is effective benchmarking aspects that could be beneficial for the hospital to monitor and check quality issues (Lewis et al, 2014). For the hospital, local quality-collaborative acts as benchmark where in some performances encompass performance related data or knowledge and therefore the hospital could measure its performances and can try for ensuring improvement (Steed et al, 2011). Another basis of benchmarking is health related information technology vendor that allow evaluation in support their systems. Prevention and management of pressure injuries are also to be ensured by the hospital (Langabeer Helton, 2015). Standards for preventing falls and reduction in harm need to be complied with the hospital as the performance of the hospital is not satisfactory. National benchmarks are meant for making it obligatory for a health care unit to follow care practices for health benefits of patients. Also depending on the benchmarks, performance of the hospital can be evaluated by its management and large differences among actual performance and the standards could be minimized. This could be turned into significant level of improvement in the health care sector and the performance of the clinical operations as well as satisfaction among patients can be improved (Reeves et al 2013). Conclusion If the available scope of practices could increase level of contentment among staffs then, then as per the willingness of the nurses, medication management and process, discharge management and ordering of evaluation could be implemented but at the same time, the hospital need to have cost control mechanism for reducing costs for the purpose of reducing variance among actual and budget (Cardo et al, 2010). While implementing change the existing level of discontentment among staffs and low level of motivation could dissuade the change initiative by the hospital. Increase in motivation among the staffs could support the change initiative and change can be better managed (Reeves et al 2013). The case scenario given in the assignment reflects that St Angels Integrated health care has confronted several problems such as higher staff turnover, negative variances, drop in quality aspects, poor level of patient-staff coordination, and inadequate scope of practices for nurses leading to high attrition, lack of cost control mechanisms which are largely prevalent (Hall, 2013). Many nurses in the hospital were dissatisfied due to limited scope of practices and this has caused the hospital to suffer immensely in form of low level of care services for the patients or service users (Bronzino, 2014). The case scenario reflects some requirement of improvement by implementation plan including motivation strategies for staffs, consideration on enhancement of scope of practices for nurses, cost control mechanisms for controlling variances among actual and budget cost. Quality of medication and care for patients can be improved by comparing performance with benchmark performance in quality and service attribute for helping patients (Garland et al, 2010). This will improve the reputation of the hospital and the problem like difficulty in recruitment of skilled and talented staffs can be solved and the workforce can ensure better care in form of effective care services along with better medication and support to patients (Langabeer Helton, 2015). References: Bronzino, J. D. (Ed.). (2014).Management of medical technology: a primer for clinical engineers. Butterworth-Heinemann. Link https://www.abebooks.com/book-search/author/J-D-BRONZINO Cardo, D., Dennehy, P. H., Halverson, P., Fishman, N., Kohn, M., Murphy, C. L., Whitley, R. J. (2010).Moving toward elimination of healthcare-associated infections: a call to action.Infection Control Hospital Epidemiology,31(11), 1101-1105. Garland, A. F., Bickman, L., Chorpita, B. F. (2010). Change what? Identifying quality improvement targets by investigating usual mental health care.Administration and Policy in Mental Health and Mental Health Services Research,37(1-2), 15-26. Link https://www.people.vcu.edu/~masouthamger/mcleod-et-al-cpsp-special.pdf Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L. (2014).Medical-surgical nursing: assessment and management of clinical problems, single volume.Elsevier Health Sciences. Link https://www.ctcpjournal.com/article/S1744-3881(15)30026-8/references Nuti, S., Vainieri, M., Bonini, A. (2010). Disinvestment for re-allocation: a process to identify priorities in healthcare.Health Policy,95(2), 137-143. Link https://onlinelibrary.wiley.com/doi/10.1002/hpm.2201/full Steed, C., Kelly, J. W., Blackhurst, D., Boeker, S., Diller, T., Alper, P., Larson, E. (2011). Hospital hand hygiene opportunities: where and when (HOW2)? The HOW2 Benchmark Study.American journal of infection control,39(1), 19-26. Link https://textlab.io/doc/570814/validation-of-the-how2-benchmark-study Langabeer II, J. R., Helton, J. (2015). Health care operations management. Jones Bartlett Publishers. Yoder-Wise, P. S. (2014). Leading and managing in nursing. Elsevier Health Sciences. Reeves, S., Perrier, L., Goldman, J., Freeth, D., Zwarenstein, M. (2013). Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev, 3(3). Abdelhak, M., Grostick, S., Hanken, M. A. (2014). Health information: management of a strategic resource. Elsevier Health Sciences. Hall, R. (Ed.). (2013). Patient flow: reducing delay in healthcare delivery (Vol. 206). Springer Science Business Media. Gallan, A. S., Jarvis, C. B., Brown, S. W., Bitner, M. J. (2013). Customer positivity and participation in services: an empirical test in a health care context. Journal of the Academy of Marketing Science, 41(3), 338-356.

Sunday, December 1, 2019

Thou still unravishd bride of quietness, Essays - Identifiers

Thou still unravish'd bride of quietness, Cause/Effect: The passage gives human quality to the urn such as making the urn a "bride of quietness". However, as the "bride" is " unravish'd ", assumably , the urn is innocent and shy (quietness). Maybe the speaker alludes to the frozen picture of the urn? ( quietness ) Interpretation: If something is unravish'd and quiet, it means that the object obtains a lot of history in it. Thus, the urn is archaic object. Thou foster-child of silence and slow time, Cause/Effect: The urn is described as a "foster-child". It was grown by silence and slow time. Here, the author conveys an ancient ambience of the urn, making the urn mysterious due to "silence" (depiction of the urn) that the urn contains. If something is ancient, people needs to research more on the ancient object to find out what it is. Interpretation: The urn contains a lot of story by the look of the depictions on urn, however, the urn is frozen so it cannot tell us the story (silence) Sylvan historian, who canst thus express A flowery tale more sweetly than our rhyme: Cause/Effect: The speaker admires the urn as if it is godlike. Its expression is more than how we could express something. Interpretation: The speaker is telling the surroundings in the depiction "sylvan historian". The depictions are so magnificent that the speaker doesn't know how to express its appearance. What leaf- fring'd legend haunts about thy shape Of deities or mortals, or of both, In Tempe or the dales of Arcady? Cause/Effect: The speaker conveys a confused tone by establishing question marks at the end of the lines. The characters in the depictions acquires mysterious attributes. The poem gets intensive and the reader gets curious about the characters. Interpretation: The speaker is describing a specific part of a depiction, however, he is also confused and couldn't certain if the "legend" is a deity or mortal and its habitat. What men or gods are these? What maidens loth? What mad pursuit? What struggle to escape? What pipes and timbrels ? What wild ecstasy? Cause/Effect: The speaker creates a wild and extreme tone to the poem. I don't know the effect here I think it is just describing the depiction? Interpretation: Men or gods are chasing the maidens. The maidens are "loth" which means reluctant. If men or gods are chasing reluctant women, it means that they are doing something wrong. However, there are songs playing and the scene is ecstatic. The women seemingly enjoys the chase. Heard melodies are sweet, but those unheard Are sweeter; therefore, ye soft pipes, play on; Cause/Effect: The speaker is using comparison in these lines. He asserts that unheard melodies prevails heard melodies. Can unheard melodies even exist if melodies are sound yet it is unheard? Interpretation: Sometimes, imaginary sounds and object can be more pleasant to us. As an example, we imagine dating with a girl - which is common but for me, it is a wish that can hardly be accomplished . However, imagine dating a beautiful girl like celebrity or Jacinth ^_^ - an impossible wish but a delicate imagination experience. Not to the sensual ear, but, more endear'd , Pipe to the spirit ditties of no tone: Cause/Effect: The speaker elaborates on the preceding lines of the "Unheard melodies". However, the explanation is ambiguous because the speaker associates the "unheard melodies" to "spirit ditties of no tone". He also alludes to imaginary world, getting the clues from "spirit", "unheard", and "no tone". Nonetheless, how can "ditties" have "no tone"? Song with a no tone .. Interesting Interpretation: The speaker again alludes to the imaginary sound or world. The interpretation will be same as "unheard melodies". Fair youth, beneath the trees, thou canst not leave Thy song, nor ever can those trees be bare; Cause/Effect: The speaker evokes the eternal nature of the urn. This description makes the urn beautiful - frozen in time but the depictions are admirable. Interpretation: Trees can never be bare .. Leaves aren't going to fall which means there is one season in the depiction which will never change - eternal nature of the urn Bold Lover, never, never canst