Management Styles Essay

Is a term that refers to the nature of the relationship between managers and non-managerial workforce. It includes not only the personal relationship between people but also the style of communication and the attitudes that managers have of employees and the attitudes they generate in employees. The term â€Å"leadership† is sometimes used. This refers to the ways in which managers achieve the attitudes and actions of their employees. Usually the actions desired are those which lead to the achievement of organizational objectives. A form of leadership therefore implies a style of management Authoritarian management style In authoritarian management style all policy, the decision making and objectives are set by the manager or the person in charge of the business, the flow communication is only one way and no feedback, employees can’t answer back, there’s no communication between them. The activities to achieve the objectives are set by the manager. Often, steps are given one at the time meaning that the future steps are uncertain to the team. The manager tends to specify the type of task and work colleagues of each team member. The manager offers personal praise or criticism of each member’s work. However he also remains distant from active participation in the group except when demonstrating. An employee now’s who gives the orders so it’s a clear chain of command. The major advantage of this is that it is always clear exactly what is wanted and tasks are very precisely defined. There is more efficiency, every one knows exactly what they have to do, there is no miss understanding. There are no disagreements; no arguments because there is no feedback and the decision making are mush swifter. The major disadvantages are that subordinates are not allowed to be innovative or to suggest alternative strategies. This means that their motivation and enthusiasm are likely to be low. There is a high de-motivation because they aren’t allowed to communicate back, wish employees feel depressed and lack of recognition, is when an individual thinks he is doing a pleasant job and doesn’t get any praise from the managers. Democratic management style In democratic management style all policies, decisions and objectives are decided by group discussion, however is still the managers who makes the last decision. There is to way communication flow, the manager tries to create better understanding by seeking employee’s opinions and ideas, wish motivates the workers because they feel more valued, more motivated and willing to work harder and maybe it could increase the quality of the products. Group members are able to work with whomever they wish, with division of tasks left up to the group. The manager tries to be objective in praising and criticizing the employee. However he also tries to be a member of the team without doing too much work on the business. The main advantage of the democratic approach is that it can be highly motivating to the employees. There is more point of views to help and manage the business properly and individuals feel more valued and motivated. The main disadvantages are that it can undermine the authority of management. Decision making may take longer to occur, might be less efficient management style, its time consuming, takes long time to make a decision on the business, however it depends on the occasion. Consultative management style In consultative management style the policy, decisions are set by the manager, although group member’s views are encouraged, to way communication flow and horizontal communication. Activities to achieve objectives are communicated to team members to inform and allow their comments in how they should plan their objectives, there is lot of teamwork, and relations are lot more equal to every employee, everyone listens to your opinion, there is more power to make decisions. Employees have more autonomy, more independence. Group members may have a say in the type of task set them and the work of colleagues they are put with, however this is very important because there would be no argument between employees and more product activity would be produced. The leader may be involved with team members in the achievement of business goals. However consultative management is appropriate to self starters because they’ve got the opportunity to use their own initiative to push them self’s to a higher level and to increase the business goals. Laissez-faire management style In Laissez-faire management style the employees has got complete freedom to make decisions, policies and the objectives. The manager has minimal involvement on how the business is going. The materials are supplied by the manager who makes it know that the other materials can be produced if requested. Manger has no other participation in discussion of the work. There is no participation at all by the leader in the achievement of objectives. No attempt is made by the leader to appraise or regulate the course of activity used by the team. Few comments on the activities are offered unless requested. However there is no deadline, so they’ve got all the time of the world to complete the task. The main advantages is that it allows for innovation and new ideas and is highly motivating, because everyone has the liberty to do what they want to do, they take their own decisions. There are no deadlines to meet. The major disadvantage is that subordinates are not always clear what they are supposed to be doing, or are allowed to do, and conflicts can easily arise. Caspian’s management style In my point of view I believe not only should a style of management be chosen according to the type of organization, it should be chosen to suit the particular situation in a given organization, however in this case is ‘Caspian’, wish publishes magazines and organises events. Managers must therefore choose a management style to suit the situation. In some situations, Caspian could use Autocratic management because the company as deadlines to meet, they always have to be on time with their product, unfortunately if they don’t they would definitely loss target audience. Therefore Caspian needs a strict management to meet deadlines and to bestow respect on the business and work efficient to produce good quality to achieve the organisation goals. The advantages of autocratic management, is that it would be more swiftly for decision making. There would be no miss understandings, less disagreements, less arguments, because there is only one communication flow, there is no feed back from the employees. The most important of all is, there would be a clear chain of command between the leader and worker because all employees now who gives the orders on the business. However not all autocratic advantages are suitable to Caspian because the employees need to have a say on how the business is run, the employees need to share their point of view with the managers and communicate with them anything that is troubling them at that stage, otherwise the employees would became de-motivated and not complete their task properly. They would have Lack of recognition, when an individual feels he is doing a perfect job but receives no praise or encouragement from managers; he may gradually lose the motivation to perform so effectively well on the company. Employees might also feel dishearten because they might not get information about the organisation, only orders from the leader. Employees are dependent on the manager, if the manager becomes ill, employees want have a clue what to do because they never worked by them self’s, they wouldn’t have initiative to start a job. There is no point in having technical staff and advisors if you don’t take any notice of their opinion. However managers should be able to rely on information staff offer and must give them due consideration. Possibly more importantly, staffs need to feel that they contribute to the organisation’s success and that they are a valued member of the team, this is why democratic management techniques are required. In my opinion I think is more useful to Caspian because there is two way communication flows, and they seek for the employees decision making on how the business should be managed, however, at the end is still the manager that makes the final decision. On my point of view, democratic is useful to Caspian because they are a small business and if employees are having any problems, they can communicate with the employers and solve their problems. The relationships are a lot more equal, the employees have a little more power on how the decision making is made. The employer’s gives employees empower, wish allows them to communicate their point of view and motivate the team by empowering them to direct themselves, and guide them with a loose reign. Therefore if there is any problem with machinery, if it isn’t working perfectly, the employees would communicate with the managers and perhaps the problem might be solved. Democratic management style could help the employees to feel more inspired and work more efficient and effective, causing more product activity. Unfortunately there is a big constraint because is time consuming, everyone shares their decision making. Decision making would take longer to occur, however it depends on the occasion the business is situated. I believe I have a good balance between democratic and autocratic management styles. However no style is right all the time; both are needed on the right occasion. Have effective and directed conversations, wish leads to open consultation, leading to the gathering of the maximum amount of information and leading to quality decision making. Caspian needs to find the key to make good quality decisions, leading to better business outcomes. Enhance your ability to empower your team, leading to increased employee commitment, leading to people motivated to take action. Caspian should develop a philosophy and strategy for educating staff about final decisions, leading to informed staff with an understanding of why decisions have been made, leading to better morale, mood and culture. Maximise organisational learning through communication of decision outcomes, leading to an increased ability in staff to make informed decisions in the future. They need to develop strategies to encourage staff to engage in different ways of observing, leading to greater innovation and problem solving, leading to the organisation being able to anticipate, customer needs.

Son of the Revolution Essay

Peter Kim HIST 354 McKenzie April 2013 Son of the Revolution Essay Right at the start of the memoir, Son of the Revolution, the reader’s attention is drawn to the strict nature of the daycare center the narrator is in. We find that China’s motion towards a Socialist party is integrated down to the people’s level, even implemented and enforced in the daycares. This seems extreme to the reader, especially when the songs sung by the children are titled, â€Å"Sweeping the Floor†, â€Å"Working the Factory† and â€Å"Planting Trees in the Countryside†.One doesn’t need much context clues to figure out what these songs are about. Consequently, this level of extreme integration has caused Chinese society to value family as second-priority to this pursuit of Socialist. However, in this setting where the family isn’t that well off, we learn that Heng and his siblings were spoiled by their paternal and maternal grandmothers. In regards to Mao Zedong, the people of China are led to believe that Mao was in some sort of a deity, a god that affected everyone’s lives.Simultaneously, he was considered as a national father of everyone in Communist China. The author demonstrates this when recalling the sweet of relief he felt when he heard â€Å"that Chairman Mao had forgiven† him, and through writing exercises that required them to repeatedly practice writing, â€Å"Chairman Mao is our Great Saving Star,† and â€Å"We are all Chairman Mao’s good little children. † To many outside nations, including Americans, this seems like a way of brainwashing the people, especially at such an early age.However, we already know that the leaders of the Communist Party have no such fatherly intentions for their â€Å"children†. The â€Å"Hundred Flowers Movement,† a movement that encouraged China’s peoples to openly express their voices and opinions, turns out to be a trap set to ide ntify any Rightists in the midst of people. Trying to be helpful, Heng’s mother is accused of being a Rightist and is sent to a labor camp to â€Å"reform† her. We observe this clash of traditional Confucian value in family with the political allegiance to the Communist movement in Heng’s father, even to the oint where he denounces his own wife. The loyalty to China’s communist Party over family runs deep within its people. Upon hearing that their own father is accused of being a Capitalist and anti-Party, Liang Heng and his siblings become enraged at their own father; in other words, the children honored the communist Party more than they honored their own father, which is ironic to Liang Shang, since he abandoned his wife for the Party.In addition to the Hundred Flowers Movement, Liang Heng’s life took another major turn of events with the initiation of â€Å"The Great Leap Forward,† Mao Zedong’s attempt to transform China from an a grarian economy into a more modernized Communist society via rapid industrialization and collective farming. Naturally, private farming would become prohibited and even accused as an act of rebellion against the revolution. However, the Great Leap Forward was a massive failure with millions of people dying from starvation. Liang Heng’s family was no exception, and had to accommodate for these times.The majority of this narrative takes place during the Cultural Revolution, movement that resulted from the failure of the Great Leap Forward. The main goal of the Revolution was to shift â€Å"old,† traditional, Capitalist China into the â€Å"new,† communist China to secure Mao Zedong’s position in power. Like his other previous endeavors, we see that the Cultural Revolution brought with it confusion and chaos to the people, particularly having to do with the change in names of everything around them from roads to stores to public parks. Liang’s friends have even abandoned their old names to adopt newer â€Å"revolutionary† names.Still, holding such high regards to their Chairman Mao and failing to see flaws in his methods, our narrator strives to one day carry his own Red Guard uniform, specifically upon seeing his older sister wearing her own uniform. Ironically, his own home is later raided by these Red Guards because of his family’s â€Å"political† history – his mother’s relatives have moved to Taiwan, she herself is branded as a Rightist, his father is a writer, or â€Å"stinking intellectual. † These circumstances make it difficult for Liang Heng socially, and he is constantly persecuted and ridiculed by the rest of society because of it.

Fashion Industry

Pakistani fashion industry has grown by leaps and bounds in last twelve to fifteen years. Many famous fashion designers are working in this field and contributing their work to the progress of the industry. With opening of the new institutes and fashion schools our industry has found new horizon with new talent pouring in. As Pakistani fashion industry has many talented and creative fashion designers. Every fashion designer has new and creative ideas which make them distinguish from each other.Famous Pakistani fashion designers names are Ammar Belal, Nomi ansari, karma, Lajwanti, khaddar, Asifa and Nabeel, Sobia Nazeer, HSY, Maria B, Bee jees and more. And I selected two designers for my case study, Ammar Bellal and Tazeen Hasan. Ammar Bellal is basically my inspiration in this case study; he is doing a lot of work on men's wear. Like other Pakistani fashion designers he didn’t opt for bridle wear designing. And my 2nd selected designer Tazeen Hassan says† I design my cu ts with people from real society in mind and not just models†.Her designs are very simple. She sells Pakistani women wear embroidered dresses,bridle dresses, kameez shalwar and lehnga chooli. Although Tazeen hasan is also working good and creating style and designs according to the Pakistani culture but I like Ammar Bellal most. Ammar Bellal's success story is as follow. Ammar Bellal Ammar Belal started his career in 2003 with his street wear brand A B C D, which offered Basic casual wear with a quirky sense of design. [pic] Pakistani fashion designer Ammar Belal is son of khwaja Belal, a textile industry owner.Ammar is a famous Pakistani fashion designer. With in few years he established himself. This Pakistani fashion designer launched his high-end men's wear store. Ammar is doing good work in the field of men's wear. Collections by Ammar Belal Ammar has created many collections. Especially he is doing good work on men's wear. In Pakistan he is the designer who is working on men's wear instead of bridle wear. ABCD casual wear Ammar's previously launched his ABCD casual wear line. This line catch the attention of the many, as many likes it very much.His collection helped him to gather good clientele. [pic] [pic] [pic] [pic] There is only a slight design factor incorporated in each garment that Ammar's label ABCD produces. Men's wear Ammar's men wear includes †¢ Shoes †¢ Sunglasses †¢ Shirts †¢ Ties and others accessories [pic] [pic] [pic] [pic] Ammar felt that the local market seeks designs and quality with foreign fashion taste.After realizing these needs and wants of the local market he decided to launch a men's wear store, with high quality and low price. Recent collection of 2010 Recently he launched his â€Å"king of Pop† collection, as the title suggests, inspired by Michael Jackson. More specifically, the â€Å"Thriller† era and subsequent punk rock look complete with zipping and studding detail for both men and women. [pic] [pic] [pic] [pic] His collection is symbolized through military style embroideries and various silhouettes.His collection ranges from casual and street wear to cocktail dresses and gowns Running Projects Ammar belal is also doing work on many projects including Ammar Belal men's wear, ABCD, AS jeans, Sarah's and ABCD Ethnic. Further he is also planning to make and international corporate empire. Awards His progressive approach t showcasing fashion through music videos and films has earned him various awards that include †¢ Best Emerging Designer (lux 2005) †¢ Best men's wear Designer (Indus 2006) †¢ Best Pret Designer (Sunday 2008) †¢ Best English song (MTV/indus 2006)Apart from fashion designing Ammar has also performed in a film and released a music video. Ammar's opinion about future of fashion industry At PFDE sunsilk fashion week 2010 in Lahore Ammar Belal said, â€Å"I am very excited to be a part of the fashion week in Lahore showcased my wor k with some of the finest designers in our country. I also believe that this is just the beginning of Pakistan's exposure to the international fashion scene. It was the learning experience for us and we as an industry have a long way to go after this initial step†.Ammar is very hopeful about the good future of the Pakistan industry as designers are showing their good talent and creative work. Conclusion I am very hopeful about the best future of Pakistan industry as new and talented designers are coming in this field, and industry has found new horizon on the sky of the fashion. Business of Pakistan fashion industry is going very good, as it ran well in the bad economic condition of international fashion industry.References www. Fashioncentral. com www. bargello. com www. meraforum. com www. scribd. com Fashion Industry Essay question: Does the fashion industry exist mainly to persuade people to spend money on things they do not need? In my opinion,the fashion industry do not not exist mainly to persuade people to spend money on things they do not need. Everybody is free to decide if they want to spend money on fashion or not. First of all, we have to understand: what is fashion industry? With its beginnings in the late 17th century, the fashion industry is a globalized sector that works to meet the demand for apparel and dictates the trends for what should be worn. This industry consists of five distinct and separate levels.These levels are haute couture, luxury wear, affordable luxury wear, mainstream clothing, and discount clothing. The production part of the industry, that which takes the concept for a piece of apparel all the way to the hands of those who purchase it, is made up of four basic sectors. These sectors include producers of the goods necessary to make the apparel, those who create t he pieces, those who advertise and market the goods, and those who sell the goods. According to the concept of fashion industry, we realize that the fashion industry based on man’s demand to exist.The demand is higher so the fashion industry is higher too. The market is government by the law of supply and demand. That is why we can not agree with the essay question. In the society, there are many living standards. People who live in or below poverty line they use mainstream clothing, and discount clothing. People who have high living standard they can spend money on haute couture, luxury wear, affordable luxury wear whatever they think its suitable with their pocket. Some people look at fashion as another form of artistic expression, and as a way to allow people to express their individuality.Without the fashion industry, we wouldn't have a field of business where first a person can create unique forms of apparel, and then be able to sell them to those who want to do more wit h their clothes than just to protect from weather or prevent public indecency. And the fashion industry is like any other businesses. A business needs sales to stay afloat, so they will do whatever they can to convince a person to buy more, whether that’s through advertisement, or sales promotion. That does not automatically make a business evil. Corruption and greed are what make a business evil.If simply wanting sales made a business evil, why are not businesses in the food industry under hot water? Restaurants try to get people to eat food they really do not need; most people have food at home already. Businesses are businesses. They need to make their profits and earn a living. But that does not mean the sole existence of a business is to just make money. Same goes for businesses in the fashion industry. Not all of it is about spending excess amounts of money on luxury items. Without the fashion industry, we would not have apparel for separate events, like work or a party .We would not have special apparel that make us feel confident and boost our attractiveness. And we would not have a fun way of expressing who we are as individuals, without using words. Furthermore, fashion can help you fit in with everyone. No one wants to follow a person who has a bad sense of fashion. i know that this sounds mean and shallow, but it's true. This is the Real world! Also,when you go to school or work, the right uniform or clothes can make everyone recognise that you belong with them, this helps you fit in easily as well.Finally,Spending money on fashion it totally depends on the person. â€Å"FASHION† is there, to somewhat inspire people to feel and look good. However, we should also control ourselves on what our eyes sees, if you do not have the budget. In conclusion, the fasion industry exists because people need it. Not because it exists to persuade people to buy things that they do not really need. Again this may not be the way we want the world to be, but it is true for the real world. Ps:i would like to get some advices . My essay has many mistakes

Reading Prompt 1 Essay Example | Topics and Well Written Essays - 1000 words

Reading Prompt 1 - Essay Example company provides â€Å"skilled nursing; physical, occupational, speech and neuro-rehabilitation services; hospice services; social work; nutrition; disease management education, help with daily living activities; and other therapies and services† (United States Securities and Exchange Commission, n.d.). Gentiva serves individuals either in their home or in a hospice facility. While offering this service throughout parts of the United States, provisions of social, emotional and spiritual treatment are made to maintain the individual’s health and dignity. While providing home fitness and hospital services to the people, the company no longer provides some services to many of their patients, for the business objectives of Gentiva are changing towards home care services, which have a higher potential of growth. In 2011 several sales and purchases were made, one of them being Rehab Without Walls, a homemaker services agency based in Illinois. The Company also purchased Odyssey Health Care, giving it 100% ownership to outstanding member units based in Augusta (United States Securities and Exchange Commission, n.d.). Odyssey Health Care, Inc. was established in 1995, and, after being purchased by Gentiva, grew very quickly. While this establishment is based in Dallas, Texas, it is considered one of the largest sources of hospice providers in the United States. According to its 2010 financial statement, Odyssey had a net income of $686,438 million dollars while Gentiva’s net revenues constituted $1,152,460 million dollars. The profit generated by the hospital was 396,774 million dollars, which is almost a half of what was generated by Gentiva, that is, $598,930 million dollars. During the merger with Odyssey, Gentiva paid $27 for each share that had been issued. In Arizona, California, Ohio and Texas, Odyssey has the greatest number of facilities and makes available every opportunity to it patients in their care. They satisfy all their needs including

Speech to inform and speech to persuade Essay Example | Topics and Well Written Essays - 1500 words

Speech to inform and speech to persuade - Essay Example Fad diet constitutes simple diets that contain one or very few elements like cabbage and cottage cheese. Other than weight loss, there are other reasons why people would stick on fad food and these include taking a certain food to cure some diseases, some ignoring some food believing the food is harmful to his/her health, eating certain food to fulfill some lifestyle, being lazy or tired to prepare proper meal at home (Lappe , 23-77). This work tends to elaborate the disadvantages of fad diets. However, it is worth mentioning that this kind of diet also has got its good side. For instance, fast foods save a lot of time as well as effort to cook. The food is also cost saving since one does not incur the costs of cooking through buying the ingredients, fuel, serving utensils, and others. Instead, one walks to the nearby restaurant and picks the favorite fast food. It is convenient since there are no long lines to be served. It is considered reliable since one can get the same kind of food once he/ she makes an order thus there are no surprises or strange tastes experienced. Fast food is regarded fresh due to high turn over. Consequently, fresh food is made to cater for the high number of customers. Sometimes one is left with no choice but to pick the fast foods, for instance, when one is on a tight schedule. In this case, one is advised to pick healthier foods like the salads, bread products, lean meat, and boiled food instead of fried ones. One should avoid carbonic drinks as much as possible and instead order plain water, juices or milk containing low fats. The disadvantages of fad food include containing high sugar, fats or oil, salt and calories yet this are elements considered unhealthy when taken in high quantity as they cause complications like obesity, high blood pressure, among other ailments. Some fast foods contain high bacteria which are harmful to human life. Most fast

Research Paragraph Essay Example | Topics and Well Written Essays - 500 words

Research Paragraph - Essay Example These statistics add up to the fact that Virginia has the eighth lowest unemployment rate in the nation and the Richmond metropolitan area has the third lowest rate of the 49 largest metropolitan areas in the United States (Blackwell, 2007). Anyone considering locating in Virginia can have some confidence that they will meet an expanding labor market. When it comes to finding a job, along with a degree or a professional diploma the job seeker will need to possess the desired workplace skills. A recent study by The Conference Board titled "Are They Really Ready to Work" outlined the qualities that potential employers look for in their applicants. The report pointed out that while the 3Rs (reading, writing, and arithmetic) are still important, there are other traits that are just as necessary. Oral communications, teamwork, ethics, and critical thinking were at the top of the list of skills needed to succeed in today's workplace. Leadership was also cited by 81.8 percent as "very important for new entrants with a four-year college diploma" (p.14). While a four-year diploma has become almost mandatory for any position in the economy, employers are finding that many degree holders do not measure up.

The real world of management Essay Example | Topics and Well Written Essays - 2500 words

The real world of management - Essay Example Power is not a preserve of the top managers and bosses; it is a prerequisite of management at all levels. When abused, power can bring a previously successful organization down to its knees. Similarly, if power is used well and for the benefit of all employees it can bring up an organization that is previously perceived to be failing (Hatch & Cunliffe, 2006). For an employee to have a sense of belonging, engagement and happiness in any organization, they need to have power and control of situations. A good leader is one who does not use power for individual benefit but for the well being of the organization. Self centred people usually seek power to satisfy individual interests at the expense of the entire organization and colleagues. Power can be as good and bad as its source. If it is obtained through threats, humiliations, frustrations and intimidation of others, it becomes absolutely difficult to channel it for the benefit of the same people (Whatley, 2002). Absolute power is sai d to corrupt. As a result, power has to be balanced and checked so that it does not destroy an organization. It should be used to enhance control that seeks to uplift the standards of an organization and not derail or rob it of the already reaped gains. The Link between Power and Control There is a very close link between power and control at the workplace. Power gives an individual the ability to control and get things done. Control is a very significant component of management which gives an employee the confidence and a sense of feeling of having jurisdiction to take care of situations and circumstances (B2Bwhiteboard, 2012). Without power, control is absolutely impossible. A good leader is one who focuses his energy to work with others as a team to get things done. He is an individual who can discharge his duties both individually and within a team. In simple terms, he should be able to control the circumstances under which he works both individually and with others. However, no matter how energetic an individual may be, he cannot be able to control the team without power. It is, therefore, very clear that power and control are closely linked. It is also very evident that both power and control if wrongly used can bring about a feeling of dissatisfaction and a feeling of isolation among those who feel deprived of it (Bratton, Mills, Pyrch, & Sawchuk, 2003). Therefore, power should be balanced and checked to ensure that an organization is controlled in a manner that is not only acceptable but beneficial to the entire organization, its stakeholders including both the internal clients and employees. This should be done with the view that power leads to control implying that absolute power leads to absolute control, which may not be healthy in an organization (Pfeffer & Salancik, 2003). There are several sources of power. It may be obtained through coercion where people are forced into doing things owing to the dire consequences of failing to do them. In such situations, employees are forced to do things to avoid the punishment associated to the failure to perform such tasks. In some cases, power is obtained through reward. In such situations, employees are promised a reward for undertaking tasks. This could be in the form of a material gift. As such their loyalty is obtained. Whether obtained through intimidation, coercion or reward, power installs into an individual the capacity to control and direct the affairs at the workplace (Simon, 2009). Tensions and Contradictions Surrounding Power and Influence In most cases, people like too much of what is good. Power, however, is seen to be good and bad. When rightly used, power

Compare contrast and analyze the coastal management and its effect on Research Paper

Compare contrast and analyze the coastal management and its effect on the population in both ghana and South Africa - Research Paper Example The destructive activities performed by individual lead to destroying of the coastline resources of the countries. In this paper, the coastal management systems of South Africa and Ghana have been discussed precisely by considering all the significant facts about its coastal areas. The reasons for the destruction of the coastal areas of Ghana and South Africa have been explained and how those have impacted on the people and business located there, are also discussed. 2.0 Coastal Management Coastal management comprises of the coastal resource management, coastal zone management and integrated coastal zone management that relates to formal or informal practices, economies, rules, technologies as well as interaction among natural resources and humans who are located near sea coast. The coastal management also includes the way through which the resources are utilized and protected1. In the coastal management process, there are five phases such as identification of issue as well as evalua tion of baseline. The second phase includes the preparation as well as adoption of coastal resource management, in the third phase there is an action plan along with implementation of project. The fourth phase is the monitoring and evaluation, and the last phase comprises of information management, outreach and education1. The term ‘Coastal Management’ came into being after United States Coastal Zone Management Act of 1972 was implemented. According to this act, sectoral management approach was not operating effectively, that was developed to focus on the individual resources such as fisheries, and other activities such as transport. Then the idea came to develop a coastal management approach with definite plans that primarily focus on particular issues related to national along with local importance. From that period new coastal management approach was applied in various situations all around the world2. The activities of coastal management takes place both in the dire ct land-sea border as well as in wider area of indirect influence of sea on land as well as land on sea. It also involves organizing the production of intertidal organisms and co-ordination of various sectors along with management agencies that have a direct along with indirect influence on the coast. The management of coast facilitates synchronization between the sectors and agencies. It also helps to develop the capability for integration of coastal consideration to the particular work2. Integrated Coastal Management (ICM) is considered as inter as well as trans-disciplinary approach of management, which was first initiated from the year 1970. The main objective was settlement of the conflicts of coastal stakeholders and to attain sustainable coastal development. Integrated coastal management is referred as the process by which several marine as well as coastal environments are managed in order to provide broad range of needs of bio-diversity protection along with sustainable use by facilitating the stakeholders to participate in the management programs3. MPA (Marine Protected Areas) is considered as an essential component of integrated coastal management program. They help in the protection of biodiversity as well as ecological

Three Summries of three Articles about Husky Energy Inc Essay

Three Summries of three Articles about Husky Energy Inc - Essay Example Despite unpredictable interruptions in Ohio refinery reducing the production rates, Husky net income rose at an average of $50 million from previous year. Exploration of new oil fields has enabled Husky Inc Company to invest in the transportation sector in order to boost efficiency to the market. For instance, the company has deployed Canadian knowledge to maximize shipping of oil and gases from the Southern China to the potential markets. These measures are intended to upstage the market operations of the competitors. Due to intensive production and accessibility to world leading energy markets, Husky is worth $6.5 billion. Partnership with CNOOC Ltd in China has enabled the company operate both swallow water transportation and gas terminal facilities thus making its production techniques competitive. CNOOC is also the primary customers of Husky. Husky energy plans to lower the 2015 budget by one third of the 2014 budget. These changes are entitled to compensate weak prices as well as the spending spree on the ongoing projects in Liwan and Southern China. The financial capacity of Husky’s Oil Company will enable it weatherproof any market conditions in order to withstand competitions from Calgary as the primary competitor. The production operations in Western Canada is streamed by 42% while the oil fields in Atlantic regions by

Decision Analysis for Management Judgment Essay Example | Topics and Well Written Essays - 750 words

Decision Analysis for Management Judgment - Essay Example Heuristics are simple and efficient rules which are using by the managers of an organization when they will go to take any important decision or making any judgment. There are three types of Heuristics and those are Availability Heuristic, Representative Heuristic, and Base-Rate Heuristic. Availability Heuristic helps to bring some plan or judgment in mind very easily and make a decision in a simple way. Representative Heuristic helps in a comparison between information and mental prototypes. Base-Rate Heuristic is a mental shortcut which helps to make decisions by using probability (Gilovich, Griffin, and Kahneman, 2002, pp. 549-554). Notion of SMARTA comprehensive plan should be made by the manager to do work and implement a plan in a smart way. Hard work is required but in the present market scenario, smart work is more needed than the hard work. Otherwise, there will be no value only for hard work. Then also a growth of the organization will be improved in a smart way. The smart method also can be used to set management objectives. Here ‘S’ means specific, ‘M’ for measurable, ‘A’ for achievable, ‘R’ means realistic and ‘T’ indicates time-based which is very much essential to set the proper objectives of a business.Simulation can be explained as a form of science. This scientific tool can be used in experimental purpose without exposure to risk. Some real world factors and some good underlying assumptions help to do this experiment.

Analyzes paper on Medea Essay Example | Topics and Well Written Essays - 1000 words

Analyzes paper on Medea - Essay Example Pasolini’s Medea effectively shows the clash that exists between ancient and old fashioned culture and the modern civilization. Through the relationship between Medea and Jason, viewers are shown how archaic or outdated culture is crashed in the hands of modern culture and the new ways of doing things. Given that the movie takes place in the 1960s, Europe, like most parts of the world at the time, was experiencing change. Through the film, Pasolini effectively shows how different groups in the society attempted to resist such changes, but were overpowered by the wave of modernity. The old was paving way for the new. In this movie, Pasolini successfully brings out the clash between the old and the new, and how the old cultures eventually die in the hands of the modern revolutionary ways. Medea is shown to be a woman of the old, ancient world who is overtaken by the changes taking place in the new world. Medea is portrayed as a woman who experiences reality in a totally differen t way, and sees herself as the only thing that has remained unchanged over time. She still holds onto barbaric and outdated traditions and practices. For example, after the boy is sacrificed and sliced into portions, other larger pieces are burnt. Medea is shown to use a kind of wheel that spins the smoke across the fields. This is an illustration of how Medea believed and prompted old-fashioned practices such as the making of human sacrifices. Her husband Jason and the two children are used to represent modernity. Jason realizes that Medea is too old fashioned for him and decides to marry the daughter of the king, who is much younger. This illustrates who modernity overpowers the old ways. Medea is used to illustrate the sufferings of the ancient people. Through the movie, Pasolini figuratively shows the audience the kind of anguish and pain the ancient people went through in the hands of other barbaric individuals. The movie thus successfully reminds the audience of the need to

Aboriginal Cooking Methods Essay Example for Free

Aboriginal Cooking Methods Essay The traditional ways to cook for aboriginals used to involve roasting their food on hot coals, baking in the ashes steaming in ground ovens. But today theses things have changed the aboriginals have easier ways to cook using technology from today. They have adapted to make the process easier by boiling barbequing. Roasting; When cooking meat, this was the basic technique, which was almost always used. They cooked most meat, fish small turtles. To make sure the meat was cooked through, it was also covered by ashes coals, which also made tough meat softer. The meat would be eaten quickly after roasting. Shellfish were also cooked on the coals on the outside of the fire, this way when they started to froth, they could be removed quickly. Baking Bread damper was cooked in the ashes. When aboriginals made fires, they made sure they used the right kind of firewood, so that after the fire was out, the ashes could be used for cooking their bread. They were very careful as to which wood they used because some woods made to bread taste bad some caused irritation discomfort. Over time, it was the wattle seed that was found to be the most successful for cooking. It gave no bad taste, gave no one irritations produced a fine ash. Witchetty grubs only needed to be quickly rolled over the ashes to be cooked. Then damper was put beneath the ashes then covered. To cook yam, or vegetables, they would dig a small hole, place the vegetable in it, and then cover it with ash. Steaming; In the Wiradjuri areas, steam ovens still exist. The ovens were made by digging a hole in the ground, they were about 90cm long, 60cm deep. The clay left over from digging was then made into smooth lumps then would be placed on top, once the hole was filled with selected firewood. While the wood burned, the clay became hot. The clay would then be removed with tongs. The pit would be swept out then lined with still green leaves grass. Then meat such as possums (because they were small enough) would be lain inside, covered with more leaves then the clay would be placed on top. To stop the steam escaping, the ground that was originally taken out when the hole was dug covers the clay. Wrapping; Wrapping is still used in places like Arnhem Land. Vegetables are wrapped in the moist paper bark from Melaleuca trees then placed in ground ovens. Today Aboriginals use more advanced methods of cooking. They have adapted their old ways to make them easier. Boiling; Aboriginals have now learned to boil foods in galvanized cans, tins, steel drums or whatever items are available. Because of this, ground ovens are being used less less. Barbequing; Although the Aboriginals dont have top of the range barbeques, they have got their own version. It is simply a piece of wire to hole pieces of meat or dough over red coals. Aboriginal Dreaming Although the Dreamtime was in the past, it is the Aborigines religion culture that rules them today. The saying, As it was done in the Dreamtime, so it must be done today, dominates all aspects of the Aboriginals lifestyle actions. According to some Aboriginals, the Rainbow Serpent made the world. It is their belief that that is true. Religion is some peoples way, spiritualism is theirs. The Rainbow Serpent came from the Northern Territory while Australia was still in its dreaming stage. It traveled over the country, creating the mountainous locations by pushing the land into many ranges isolated areas. The Great Dividing Range is a creation of the rainbow serpents movements. Throughout its journey over under the land, it created rivers, valleys, lakes. It was also careful to leave many areas flat. Once it was satisfied with its creation of Australia, spirit people came from inside it moved all over the country to form many different lifestyles, languages different stories. When the land was finally finished, it was ready for people, but there were none .Walya-Nam-Adiki was the woman who walked out of the sea met up with a tribal man. Seen as there were no people, they talked about the problem with having such a wonderful land, but no people to live there. To fix this problem, they had many spirit children together. Walya-Nam-Adiki told all her children to go to all different places across the country to speak new languages, make keep land water management. They were to stay in their chosen areas, to make social kinship systems which would make sure that there would always be people within their tribal boundaries. Other Aboriginals believe that when the world first existed, that giant semi-mortal beings that resembled plants animals rose up from the flat land where they had been sleeping for countless ages. These beings wandered the land aimlessly. As they roamed around, they  performed the tasks that Aboriginals do today. These included camping, making fires, digging for water, fighting each other performing ceremonies. When they became tired of carrying out these rituals, the dreamtime ended. Wherever the creators had been, a natural landform now marks the place. The creators made everything which Aboriginals are in contact with everyday from which they gain their living. Apart from forming the land, they also created the laws that govern the aspects of everyday life, which some Aborigines still live by. Aboriginals in Jail Custody The idea of over-representation of Aboriginal adults in prison is set down early for the younger generation to understand. In Juvenile Detention centers, aboriginals aged 10-17 were 24.2* times more likely to be in custody than non-aboriginal children. For aboriginals aged 18-21 the over-representation rate was 9.6* Indigenous rates of imprisonment in adult prisons varied between about 4* times the non-indigenous rate in Tasmania up to over 20* times in Western South Australia. At almost any time, up to 80% of inmates in Northern Territory Correctional Facilities are of aboriginal descent. Whatever the intent, mandatory sentencing has more effect on aboriginals than any other ethnic group in the NT. Also Police custody rates for Aboriginal Torres Strait Islanders was 26.2* times more likely than people of other races. Aboriginals are 25% of people that are arrested 15% of people who are in jails are also Aboriginal. From data collected, aboriginals are over-represented in offences involving violence, breaking entering, breaches of justice procedures driving offences. Aboriginal people are 12 times more likely than others to be in prison for  homicide and 16 times for breaking and entering. One principle factor is that of the low status of the indigenous side of Australia in socio-economy culture. In 1988, Commissioner Muirhead stated that humanity and our countrys reputation demand a vigorous approach and new initiatives. Years later, Aboriginals still continue to die in police cells prisons. On 10th February, 2000 a 15 yr old boy committed suicide in the Don Dale Correctional Facility in Darwin. He had a mandatory 28jail sentence for petty theft of pens, pencils paint. He was due for his release 4 days after his death. The Northern Territory Chief Minister simply swept aside the death gave a statement There will always be deaths in custody. The death of the boy the Country Liberal Party refused to even consider the re-appeal of the mandatory sentencing laws sent a break of outrage through many leading Australian, International Aboriginal groups. Two weeks previous to the death, a Federal Senate traveled to Darwin, to make a report on the laws. None of the Country Liberal Partys officials was prepared to give evidence at the hearing. The United Nations blasted Australia over these laws, the treatment of the indigenous people to this land. Also saying that Canberra could be in breach of the UN Convention to Eliminate Racial Discrimination. *Based on records in 1998

The Great Gatsby Analysis

The Great Gatsby Analysis As a profound commentary on the American dream and a reflection of the period in which it was written, F. Scott Fitzgeralds American classic, The Great Gatsby, remains an enduring work in the American literature canon. Though the novel is relatively simple in terms of plot, the symbolism and intricacies related to that plot provide meaning and context to the reader (Gross and Gross 5). Articulating these intricacies and the basic mechanisms of the plot, however, are holistically tied to the point of view from which the story is told. The entire story is told through the eyes of the 29 year old Nick Carraway. As a result, the reader is left to determine if Nicks account is romanticized or if it is told with the necessary realism to be considered unbiased and therefore taken at face value. The process of this meaning making requires an analysis of Carraway and the way in which his point of view is expressed throughout the story. The nature of the narrative, however, provides other clue s useful to making such decisions. In this capacity, Carraway also sometimes switches to the third person, which allows for other perspectives to be considered by other characters interacting throughout the novel. Based on Carraways perception alone, Gatsby is presented as a mysterious and tragically romantic figure. This point of view is passed on to the reader; however, the addition of the third person elements also allow for commentary by other characters. This balancing process used by the author, demonstrates Gatsby for what he truly was, a complicated, tragic, romantic figure that was consumed with becoming what he thought constituted success in his respective era. Also having flaws and questionable morality, the point of view literary mechanism employed by Fitzgerald is more of a commentary on the American dream than a value judgement on Gatsby alone. Nick Carraway: A Character Analysis To understand the point of view expressed in the novel, it is first necessary to understan d who Nick Carraway is as the narrator. Carraway is man who is newly relocated to West Egg, which is a fictional place based on Fitzgeralds home of Great Neck, New York (Columbia 230). West Egg is a home to the newly rich and it is geographically located on the North Shore of Long Island (230). Bordering the Long Island Sound and close enough to New York City to be an escape for the rich, the culture of the area is affluent and a microcosm of values associated with socialites. Carraway, however, is enterprising and not yet rich himself. Having a degree from Yale and experience serving in the American military during the Great War, Carraway has the balance of a worldly person and the pedigree of an Ivy League university. Based on this two factors, Carraway is presented as a balanced character whose point of view should be taken seriously. His relocation to West Egg was connected to a desire to learn the bond business in New York City. As Daisy Buchanans cousin (Gatsbys love interest) and a neighbor of Gatsby, he naturally became part of the society movement present in the area at that time. The primary function of Carraway in Fitzgeralds tale is to translate the mysterious mans [Gatsbys] dramatic gestures into a revelation of their hidden significance (Bloom 178). Whether or not this occurs is a matter of reader perception. According to Bloom, Nick is essentially private; personality appears in public performance.[Gatsby and Nicks] individuals essential qualities remain forever hidden (178). Bloom continues, Fitzgerald makes it clear that to know another person in any substantial way lies somewhere between a leap of imaginative faith and the sheerly impossible (178). It is in the this tradition where the mystery in the Gatsby character proliferates. Though some is known about Carraways past, his character is rather benign and only seen through social interactions and his perspective on Gatsby. This leaves much to the imagination of the reader and is part of the meaning making process in Fitzgeralds point of view mechanism. Nick Carraway: Viewing Gatsby From a Romantic Perspective Gatsby can be viewed by the reader and is viewed by varying characters throughout the story as a lot of things. He could be considered a driven man, a tragic figure, an amoral character, a grossly misunderstood man or any combination thereof. As romantic figure, however, Gatsby is nearly entirely the creation of Carraways point of view (Bloom 178). Early in the novel, Carraway described the movements of the title character, Something in his leisurely movements and the secure position of his feet upon the lawn suggested that it was Mr. Gatsby himself, come out to determine what share was his of our local heavens (Fitzgerald 20). Based on this description and word choices alone, the point of view expressed by Carraway is clearly one of admiration and infatuation. Nick, through his point of view, serves as a translator of the dreams and social ambitions of the people who surround him (Giltrow and Stouck 476). As a result, designating Carraway as having a romantic view toward Gatsby is a reflection of all of the characters that live in West Egg. These characters looked at their lives, their ambitions, their potential and the material nature of their entire social microcosm romantically. It is easily reflected in the narrative that the characters overestimated the importance of themselves, their actions and their entire existence. In comparison to world events like World War I, the social ambitions of these residents seem benign; yet, these people are consumed by their designations of success. This is designated by Barrett as The unreality of reality for these people (150). In this capacity, for Carraway to be the translator of the mood and ambitions of those around him, he had to see Gatsby through the eyes of a romantic. Gatsby, in this capacity, was the extreme example of what this social world could spawn. Point of View: Third Person and Character Dialogue The way in which Fitzgerald employs point of view affords the supplemental insights of those characters sur rounding Gatsby and the third person sequences that are strewn sporadically and calculated throughout the novel. In party conversation that occurred between a female party goer, Jordan and Lucille, the following was said of Gatsby, Theres something funny about a fellow thatll do a thing like thatHe doesnt want any trouble with anybody (Fitzgerald 43). This quote is in reference to an event where Gatsby replaced the dress of girl who torn her dress at one of his parties. This act is not being heralded as a grandiose gesture by Gatsby; instead, it is being looked upon with scrutiny. This point of view reveals that Gatsby had ulterior motives for many of his actions. Gatsby was less concerned about the girls dress in this situation and more about his reputation in the social scene in which he was trying to assimilate. Assimilation into this social scene meant acceptance and the potential for winning Daisys affection. Gatsby was not born into money, as a result, he had to find ways to e arn a reputation and to earn the amount of capital that was necessary to live in the type of luxury that was common on the North Shore of Long Island at this time. His reputation was built around maneuvers like the one described by the aforementioned example and the parties that he had. In terms of the parties, they were just a built in mechanism of the desired social circle. Carraway explained, I believe on the first night I went to Gatsbys house I was one of the few guests who had actually been invited. People were not invited they went there (41). Building his wealth provided another designation about Gatsbys by any means necessary approach to social mobility. Gatsby was and had earned his money in the trade of illegal alcohol at the time. Set during the era of prohibition, Gatsby was able to fund his aspirations through criminal means. This would ultimately lead to his undoing as once this was common knowledge it would forever tarnish his reputation. For Daisy, despite feelings she may have had for him, she could only be with Gatsby if he were of the right social standing and reputation, his criminal enterprise reintroduced a reputation wedge forever that was temporally lifted when he returned to her life as a man with means. Despite the mystery and the scrutiny other characters placed on Gatsbys behavior, he was earning a positive reputation before his enterprise was ultimately discovered toward the end of the novel. Henry Gatz explained to Carraway about Gatsby, He knew he had a big future in front of him. And ever since he made a success he was very generous to me (Fitzgerald 172). While these point of views present conflicting imagery of Gatsby, they present a unified critique of the American Dream, as it is this mechanism that ultimately drove Gatsby to pursue the life that would ultimately lead to his undoing at the end of the novel. Point of View and the American Dream Gatsby ending up shot in his swimming pool at the conclusion of the novel firmly classifies the novel as a tragedy. Through the eyes of Nick Carraway, F. Scott Fitzgerald writes his own obituary of the American dream through the eyes and voice of Nick Carraway (Barrett 150). This makes the meaning of the entire novel one that is equivalent to an Anti-fairy tale 150). The pursuit of the empty American Dream is sandwiched between the conditions of the Great War and the Great Depression (Canterbery 297). The social Darwinistic nature of the life that Gatsby wanted to live ended up costing him his life (297). Through the sum of the point of view, the reader is left at the conclusion of the novel with a firm sense that it had all been for nothing. The victory, even if it had been achieved by Gatsby, would have been empty and somewhat convoluted. Had Gatsby achieved the matrimony of Daisy it would have been as much a product of him being a man of reputation and society as much as it would have been out of genuine love for the character. Love and social standing were one in the same in this dream and this sets a critique by the author of entire process. According to Layng, By novels end, Gatsby is the ghost-literally dead, his past with Daisy lost and Nick emerges as the apostle protagonist (93). As an apostle type figure, it is Carraway who is left to warn the people reading the tale about the negative potential of the American dream. The novel is very much American and many of the dynamics and intricacies of the novel are connected with these subtleties that are often lost on foreign readers (Dyson 45). Though steeped in tragedy, there is hope that can be connected with the point of view. Carraway has the potential to either leave the scene or to stay in the scene himself but serve as a warning to others venturing down the same path. Gatsbys death, therefore, has the potential to not have been in vain. According to Hawkes, For many years hope has been a word that has been lost, forgotten, and banished to the margins of romantic longing and wi shful thinking (20). In reality, the point of view used by the author expresses the unfinished American Epic (20). Using the words of Fitzgerald, Hawkes explained, But thats not matter-to-morrow we will run faster, stretch our arms fartherAnd one fine morning- are once again being heard (20). Though Gatsby and the romance associated with his dream may be problematic, that does not mean that are more responsible and less empty dream is not possible. Point of view in The Great Gatsby demonstrates a flawed dream that can be used to contrast a positive one that is only limited by the readers imagination. Point of View Conclusion The link between The Great Gatsby and the American dream is one that will be present for generations to come in any discussion of the American literary tradition. Fitzgeralds perspective on a flawed and empty American dream is articulated primarily through the point of view expressed by protagonists, Nick Carraway. Carraway, though romantically linked to the ent ire social scene of his era, is a reliable narrator that weaves his commentary in with third person dialogue that provides a very round multifaceted perspective of Jay Gatsby. Carraway is not wrong to romanticize Gatsby; however, alone this would not be enough to understand the full scope of the character. Gatsby was driven and he was willing to step outside of traditionally held values of the time when it suited his needs. Making a value judgement on Gatsby, on the other hand, requires making a judgement on the entire concept of the American dream during this particular time period. Fitzgerald skillfully establishes complexity of the entire pursuit of wealth and reputation through compelling point of view narrative.

This reflective essay is centred on pain assessment

This reflective essay is centred on pain assessment For the purpose of the case study I intend to use Gibbs(1998) model of reflection as this model is clear, precise allowing for description, analysis and evaluation of the experience, then prompts the practitioner to formulate an action plan to improve their practice in future(Jasper, 2003). Wilkinson (2007) identifies assessment as the first phase of the nursing process in which a nurse uses their knowledge and skills to express human caring. It is important to choose an organised and systematic approach when caring out an assessment that enhances your ability to discover all the information needed to fully understands someones heath status (Alfaro-Le Fevre,2004) .This can be achieved by obtaining your information form medical record and nursing charts by physical examination of the patient and also talking to patient and their families(Wilkinson,2007). The use of objective data is more helpful in collecting information when the patient is ventilated and sedated, as they are often in the critical care setting, and this can be done by examining the patients vital sign, blood pressure, heart rate, temperature and blood results (Bulman and Schutz 2004). I have chosen pain assessment in post- operative ventilated patient. I have worked in ICU for 4 years during this time I have nursed many post- operative ventilator patients who were on continuous infusion of sedatives and analgesics. Many of them showed signs of inadequate pain relief and associated complications. Having undertaken this module I further educated myself in this field of nursing assessment I now know, or rather have an improved knowledge base and understanding of the different aspects of pain assessment tools and recognize the possibility that I have probably nursed many more patients who were demonstrating symptoms of inadequate analgesia and associated complications. Given an increased awareness and knowledge I have gained through teaching, research and current literature on this topic I now, also recognise the importance of this assessment practice in particular in relation to the ventilated, non- communicated patients in ICU. According to International Association for the Study of Pain (IASP,1979) pain is described as unpleasant sensory and emotional experience associated with actual or potential tissue damage. Clinically pain is whatever the person says he or she is experiencing whenever he or she says it does (Mc Caffery 1979) .Appropriate pain assessment is crucial to pain management. Patients self- report is the gold standard of pain assessment. However pain tools that rely on verbal self-report may not be appropriate for using non- verbal ventilated sedated patients in ICU. Pain assessment tool used in our critical care setting is based on a numerical pain rating score from 0-4, a score of 0 being no pain at all and 4 being the worst pain ever experienced. There is also a visual analogue scale for patients who have difficulty communicating, they can indicate by looking at the chart and pointing at either the happy face that has no pain or a series of faces showing different stages of pain (appendix t hree). These tools were chosen by the specialised pain care nurses working for the trust. The tools are favoured as they provide nurses with a quick, easy assessment. They are used widely throughout the trust to provide continuity of pain assessment.Both of these tools have proved successful in practice and are supported by the literature as being reliable and accurate in practice. However they depend greatly on the patient being able to express themselves or communicate verbally with the practitioner .Using these methods of pain assessment is not accurate on sedated patients with altered conscious level. In nonverbal patients the use of behavioural or physiological indicators are strongly recommended for detection of pain (Jacobi et al 2006). The patient in critical care may experience pain from many sources. Along with physical pain, psychological factors such as fear, anxiety and sleep disturbances may play a significant role in patients overall pain experience (Macintyre and Ready 2002). Urden et al (2010) states, pain can be acute or chronic, sensations are different in relation to its origin. Acute pain-duration is short corresponds to the healing process, ranges between 30 days to 6 months. Chronic pain lasts more than 3 to 6 months and can either or not associated with an illness. Somatic pain is well localised sharp, acute pain arising from skin, muscle, joints. Visceral pain refers to the deep, ill localized arising from an organ. Nociceptive pain occurs when inflammation stimulates pain receptors ( Urden et al 2010). Pain experienced in critical care patients are mostly acute and has multiple origins. Mr. Smith a 45 year old gentleman admitted to ICU following Laparotomy for small bowel perforation and faecal peritonitis. Mr Smith was cardiovascularly unstable and was unable to be extubated immediately after surgery due to secondary sepsis. He was receiving an infusion of Propofol and Fentanyl to keep him comfortable and provide analgesia. His medical notes revealed his past medical history of previous Cholecystectomy for gall bladder stones and biliary obstruction. I was assigned to nurse him on his second day in ICU. During handover the previous staff member reported that Mr. Smith became very agitated and hypertensive soon after he was repositioned to his side. Mr. Smith was given a bolus dose of Propofol infusion and the rate of Infusion increased. Whilst doing the Patient assessment I noticed Mr Smith is restless and not compliant with the ventilator. Arterial Blood Gas (ABG) performed which showed Mr. Smith is hypo ventilating. Meanwhile Mr. Smith became more agitated with e scalating non-compliance with ventilator and significant increase in his Mean Arterial Pressure (MAP) which was being monitored continuously by the arterial line and transducer. He was showing facial grimaces and moving his extremities restlessly. I tried to reassure him by talking to him, reorientating him to time, place and person, explaining to him that he is safe. Adam and Osbourne (2005) identifies that critically ill patients frequently require help with coping with many of the stresses like physical discomfort, isolation, fear of pain and death. By using strategies like communicate caring and understanding and provide information repeatedly and in sufficient detail for the patient etc. helps the patient to cope with the stress. But repeated reassurance and reorienting has not made any improvements in his current status. Pain is an important problem in critical care and its detection is a priority. Pain assessment is vital to detect pain (Urden 2010). Pooler-Lunse and Price(1992) emphasises that critically ill patients who are unable to communicate effectively are at high risk of suffering from pain. Poorly controlled pain can stress the sympathetic nervous system leaving vulnerable patients at risk of complication and can compromise recovery and negatively affect both morbidity and mortality(Puntillo et al 2004, Dracup and Bryan- Brown 1995).Mr Smith was ventilated and due to the effect of sedatives his level of consciousness was altered. In critical care factors alter verbal communication is mechanical ventilation, administration of sedative agents and the patients change in level of consciousness (Hamill-Ruth R J, Marohn L 1999 ,Kwekkeboom K L, Herr K 2001,Shannon K, Bucknall T 2003). The consequences of untreated acute pain in critically ill patients include increases in catecholamine and stress hormone levels which are potential causes of tachycardia, hypertension, increased oxygen requirements and decreased tissue perfusion (Blakely and Page 2001, Hamill-Ruth and Marohn 1991). Mr Smith was increasingly hypertensive and tachycardia. Despite giving increased oxygenation Mr.Smith was hypo ventilating due to non- compliance to the ventilator. Marshall and Soucy(2003) identifies agitation is a common problem in critically ill patients and has been shown to be associated with inadequate pain management. Agitation can have serious consequences with patience removing access lines compromising their oxygen needs by self extubating (Cohen et al 2002). Following discussion with the nurse in charge of the shift it was apparent that Mr. Smith was showing behavioural signs of pain. There were no other obvious reasons as to why he had become compromised with his ventilation.When I approached the medical team concerning Mr.Smiths increasing agitation and non- compliance to ventilation I was instructed to give a bolus of propofol and fentanyl and to increase the rate of propofol and fentanyl until Mr Smith was deemed medically manageable. I was decided to increase Mr.Smiths ventilatory support. Following the treatment Mr Smith became much more stable, he became less tachypoenic was synchronising with the ventilator; his blood pressure was within acceptable limits and monitoring in sinus rhythm. The clinician did not assess Mr Smith for signs of inadequate pain management. Unfortunately due to hypoventilation and non-compliance to mechanical ventilation, Mr Smith had to be remained on high levels of ventilation and increased levels of sedatives for the next few hours emphasising evidence by Pooler-Lunse and Price(1992), the physiological complications associated with pain including Pulmonary complications and increased cardiac workload as well as depression and anxiety and increased days of hospital stay(Desbians et al 1996).Upon further reflection I should have noted Mr Smiths agitation associated with inadequate pain relief. Had I been knowledgeable in this field Mr.Smiths agitation and physiological signs of restlessness and facial grimaces would have prompted me to carry out a detailed pain assessment. Had there been a behavioural pain assessment scale on the unit where I work that may have prompted me carry out the assessment and linked these signs as indicators of inad equate pain relief. During my further assessment of Mr.Smith I had various thoughts and feelings which included feeling apprehensive and self-doubt regarding the decision to increase sedation and ventilator support. Whilst reviewing his past medication history I noticed that Mr Smith had been on regular analgesics which are co-codomol and paracetamol and there was no indication for their use in his notes. Fink R (2000) recognises that reviewing patients past pain experiences and how did he or she usually react to it can be of good value when assessing pain and can help to decide treatment options ,by questioning patients family or significant other can provide us the information about patients pain history. Later during the visiting hours Mrs Smith came to visit Mr Smith. I have given her a brief update of his condition including the changes made to his sedation and ventilation. Then I enquired to Mrs Smith about the indication of those analgesics he was on .She revealed that Mr.Smith developed back pai n when he discharged to home after undergone cholecystectomy six months ago and he was prescribed those analgesics by his G.P(General Practitioner). She also mentioned that he had problems getting optimal pain relief post operatively even when he had cholecystectomy, and he would not tolerate lying on his sides. This co-related his agitation and restlessness happened when the night staff turned him to his side. I notified these things to the ICU doctors and raised my concern that lack of adequate pain management could be the reason for Mr Smiths earlier agitation. They also agreed on this possibility and advised to change fentanyl infusion to remifentanyl and to adjust the rate of the infusion to keep Mr Smiths pain relief optimal. Remifentanyl is potent analgesics, so ensure the patient is pain free but prevents over sedating the patient, allows rapid arousal and recovery from sedation thus facilitates daily sedation holds and neurological assessment( Dhaba et al 2004). He was also prescribed regular paracetamol and Tramadol when required. It was then decided to reduce Mr.Smiths sedation as he was haemodynamically stable, he was then able to respond and started following commands. Mr. Smith was now able to communicate if he had pain or not by squeezing my hand to command. Invasive technology can restrict the reliance on many behavioural indicators of pain (Bucknall and Shannon 2003) on the other hand it is argued that invasive lines enables constant monitoring of blood pressure (B.P) and heart rate (H.R), two commonly utilised indicators of pain and thus help to assess pain (Bucknall and Shannon 2003) .Even though Mr Smith was hypertensive and tachycardic this was presumed to be due to agitation. In a contradicting statement Bucknall and Shannon(2003) points out that the sympathetic symptoms i.e. Increasing B.P and H.R are also been found to be unreliable. Pooler-Lunse and Price (1992) emphasises that the Para sympathetic stimulation can result in less observable signs with prolonged pain, but pain intensity remains unchanged. The American Society for Pain Management Nursing (ASPMN) recommendations cited in Herr k et al ( 2002) emphasises that vital signs can be affected by other distress conditions, homeostatic changes and medications there for they should not be considered as primary indicators of pain.With conflicting evidence it is difficult to make decisions that best support this assessment practice. Anand K J S,Craig K (1996), Herr K et al (2006) states that behavioural indicators are strongly recommended for pain assessment in non- verbal patients , few tools have been developed and tested in critically ill patients. The Behavioural Pain Scale (BPS) and the Critical Care Pain Observation Tool (CPOT) are suggested and supported by experts for using uncommunicative critically ill patients (Li-D, Puntillo, Sessler 2008). BPS was tested and validated exclusively in ventilated, unconscious patients (Payen et al 2001,Young G 2006, Aissaoui Y et al 2005).The Behavioural Pain Scale (BPS) includes three behaviours 1) facial expression 2)movements of upper limbs3)compliance with the ventilator. Each behaviour is rated on a scale from 1 to 4 for a possible total score from 3 to 12. The BPS can be used quickly (2 to 5 minutes), most clinicians were satisfied with its ease of use (Payen et al 2001). The Critical Care Pain Observation Tool (CPOT) was tested in verbal and non- verbal critical ly ill adults (Gelinas C 2006,2007) its content validity supported by ICU experts including nurses and physicians (Gelinas C 2009). CPOT includes four behaviours 1) facial expression 2) body movements 3) compliance with the ventilator 4) muscle tension. Each behaviour is rated from 0 to 2 for a possible score of 0 to 8.Gelinas C and Hammond reports that feasibility and clinical utility of CPOT were positively evaluated by ICU nurses and agree it is easy to complete, simplicity to understand the usefulness for nursing practice. My experience of using a behavioural pain scale tool is limited, however I feel that if practitioners were able to assess pain more accurately then they would be able to manage there patients pain more effectively. Use of a behavioural pain score (BPS) evaluating facial expressions, limb movement and compliance with the ventilator has proved to be a valid reliable tool in practice. A recent study evaluating the reliability and use of the BPS consistently identified increases in pain scores after repositioning patients in the ICU. There were only small non- specific changes in the BPS after non painful intervention of eye care (Gelinas etal 2006). I nursed Mr Smith again 5 days later. He had since been extubated and was alert and oriented. Even though he could not remember the events when he was ventilated and sedated, he learned from his wife what had happened. He was very thankful to me for investigating the possible reason for his agitated behaviour and prompting the doctors about this and thus provide him adequate pain relief. Upon further reflection and evaluation of my assessment of Mr.Smith I feel there have been positive and negative aspects of the assessment. The positive aspects include- I have been able to gain further knowledge in various aspects and tools of pain assessment .By reviewing patients medical notes and gaining history from his wife I have linked his agitated behaviour and taken the possibility that these are signs of inadequate pain relief and I have managed to convince the medical team regarding this in order to act on it. Current research identifies multidisciplinary collaboration provides optimum care for the patient (Bucknall T, Shannon K 2003), this emphasises the need to perform regular, accurate pain assessment and care full documentation (Bucknall T, Shannon K 2003). When considering the negative aspects of my assessment I feel I did not use a holistic approach instead I considered Mr.Smiths agitated behaviour as a physical problem, I was concentrated to treat the symptoms and not the patient. As described in Roper Tinney L(1989) assessment tools achieving patient centred nursing is important. I could not identify Mr.Smiths behavioural indicators of pain primarily due to my lack of knowledge about this assessment tool as well as there was no unit assessment protocol which includes the behavioural assessment scale, Unfortunately this is not isolated, it is in fact a universal problem .Camp (1998) points out that like many speciality nurse critical care nurses and physicians recognises that there basics education was insufficient for caring for patients in pain. Accurate detection of the critically ill patients pain is not an easy task for ICU nurses especially when the patient is unable to self-report because of mechanical ventilation or due to the effects of sedatives. Stanton (1991) argues that pain assessment and management may be significantly improved by enhancing nurses knowledge combined with improved communication of the problem. NMC(2008)emphasises that having appropriate knowledge, skills and attitude towards pain, pain assessment and its management is essential to provide optimum patient care. Use of pain assessment tools is highly recommended by Kaiser(1992), identifies that an effective pain assessment tool as part of the documentation improves communication between patients and nurses as well as nurses and medical staff. Even though we had a pain assessment tool (0 to 4 numeric pain assessment scale) due its limitations on the use in non-communicative patients it was not contributing much in patients pain management. The previous practitioner documented the patients pain score is Unable to assess as the patient is sedated and ventilated. This highlights the inappropriate use of our pain tool currently being used in practice as a patient is unable to verbalise or communicate their pain if they are sedated and ventilated. Although todays guidelines strongly suggest that the use of a standardised behavioural pain scale to nurses who care for uncommunicative patients, further research is still needed to fully understand the behavioural and physiological responses of critica lly ill patients who are experiencing pain (Herr K et al 2008). On reflection my underpinning knowledge and confidence in this area of assessment has developed tremendously. I feel that I have gained knowledge and insight into an important patient assessment, from an initial lack of sufficient knowledge I am now able to bring evidence based practice in the clinical area which will benefit the patient and my colleagues. By understanding the physiology, pain assessment tools and the complications of poorly managed pain, I will have the knowledge and skills to manage these patients. The use of sedatives and analgesics places a great deal of responsibility on critical care nurses and they must understand how the drugs work , complications of their use and how to monitor effectiveness staff must understand sedation does not equate analgesia (Ashley and Given 2003). The use of an appropriate pain assessment tool and management algorithm is essential for adequate pain management. Since undertaking this study, it is of interest to note that our practice development nurse and the specialist pain nurse for ICU ,have jointly developed a behavioural pain assessment scale similar to the BPS and CPOT scale, and staffs are encouraged to use it routinely. I feel that my action plan and recommendations are to promote the use of the pain assessment tool by educating the nurses and emphasising the importance of this assessment to improve patient outcome. The need for education to train staff on how to use the tool would take both time and money. The NHS is already under extreme financial pressures and money for training is not readily available. However if an improvement in pain management was successful then patients stay may be shorter, thus having a beneficial effect. I am also aware of the importance of not relying solely on the assessment tools but the use of both good nursing assessment and assessment tools to improve optimal patient management, shortening the recovery time and reducing the likely hood of complications (Ashley and Given 2003). A sedated, ventilated, non-communicative patient is vulnerable and relies completely on those providing care for them but as to their family at this anxious time. Education and training will improve patient care and ultimately patient safety which is paramount. Therefore I will take the knowledge and information I have acquired back to my clinical area as I have a duty to provide a high standard of practise and care at all times (NMC 2008)

It’s Time to Organize an International Environmental Protection Agency :: Environment Environmental Pollution Preservation

It’s Time to Organize an International Environmental Protection Agency After more than two centuries of destroying the Earth, we have finally come to the point where doing anymore harm will destroy not only our planet but also ourselves. The year is 2100. With average worldwide temperatures rising by six degrees Fahrenheit (EPA qtd Washington Post 1) numerous environmental problems have resulted. With the temperature rise Arctic and Antarctic ice caps began to melt, the resulting sea level rise wiped out numerous coastal cities. Along with the sea level rise came the destruction of ocean habitats and changing currents resulted in the death of numerous species of fish and sea life (Last 6). Temperature increase caused many diseases that only appear in warm parts of the world to spread across the Earth (EPA 5). And temperature rise wasn’t the only problem to plague the population. Over the past century the increase of car and air pollution helped to enlarge the size of the ozone layer. The increased amount of radiation coming in to the Earth made the number of cancer related deaths around the world go up 25 percent (Greenpeace 4). Not only did cancer rates increase due to radiation; immune system deficiencies due to radiation (McMichael 35) caused disease rates to increase. Because of emission increases in the 20th century the amount of carbon dioxide in the air doubled since the beginning of the industrial age (Quayle 1). As many third world countries continued to develop, they also continued to raise their air pollution rates (CO2 rates increased by more than 300%, rates were especially high in China and developing countries in Africa and Latin America (Ciba 62)). Combined with the already existent pollution, the number of reported lung cancer and other air pollution related health problems rise substantially. Although over the past one hundred and fifty years more than a few environmental laws were past by individual countries to try and stop large companies from dumping their waste in unsafe and illegal ways (and places), little worked. This large amount of industrial waste (air, land, and water based) is one of the reasons the world is in such dire environmental straits. In the beginning of the industrial age many countries around the world did nothing to try and stop companies from pumping waste into the world. As time went on it became apparent that steps needed to be taken to stifle pollution.

The Scarlet Letter: The Unavoidable Truth :: essays research papers

The Scarlet Letter: The Unavoidable Truth Chapter II (pg. 59, 60, 64) The isolation and courage that Hester Pryne felt when she walked to the scaffold to face reality brought out my deepest sympathy and respect for her. Hester, followed by a crowd of "stern-browed men," "unkindly visaged women," and "curious school boys," begins the walk from the jail to the scaffold. She seems to be proud and dignified. However, internally, she feels great agony, for she was scorned and mocked by the accusing Puritans. She finally arrives at the scaffold, displaying the two results of her adultery; the scarlet letter and her child, Pearl. In order to escape her isolation, Hester goes into her inner soul and into the past. In Hester's "dusky mirror" of imagination, she remembers her old home in England, her mother, her father, and most of all, her own youthful face. Then, she thinks of the marital life with her husband, a "tuft of green moss on a crumbling wall". The "green moss" symbolizes Hester's youth, which was clinging onto the "crumbling wall", which represents her aged husband. She tries to loser herself in past memories, but reality rears its ugly head. A few moments later, her mind jumps back to reality. In astonishment, she clutches the child and places her finger on the scarlet letter. This shows that reality is unavoidable, even though we try to escape from it sometimes. This courageous journey to reality won my admiration and understanding. When I was eight years old, I distinctly remember the time when our family celebrated the Chinese New Year. Since I was still young and didn't have much manners, I had to sit alone on a separate table. The more I saw the adults enjoying themselves, the more furious I got. However, I felt helpless for I couldn't do anything about it. Then, I saw my aunt rising from her chair to get a bowl of soup from the other end of the table. I quickly took this opportunity and pulled the chair away from her. Unaware that the chair was missing, she sat down and fell backwards, dropping the bowl and making a mess. My enraged parents, grabbing me by the ears, made me kneel down in front of everybody and apologize. Being the stubborn person I am, I refused. Thus, I kept on kneeling on the ground. Looking at my own reflection off the polished floor, I wondered why I got in such a mess. Memories of the past swept into my mind. I start ed pondering about my leggo collection and how awesome it was.

Partnership with Parents Essay

Parents are experts on their own child and are their child’s first and main educators. To meet the needs of children in our care effectively, childcare centers have to build strong relationships with parents and make sure that the sharing of information is a two-way, on going process. Aim for practitioners should be to achieve an open, supportive relationship with parents, who will be made to feel welcome, involved and fully informed about what happens in the childcare center. The preschool experience is often a young child’s first significant experience away from home. The first separation from home frequently places stress on the family until the transition is made. I have vivid memories of the first day I dropped off my son at preschool. I must have had a thousand questions and a million concerns: Would he behave? Would he cry? Would the teachers be able to keep up with him? The questions and concerns went on and on until I and my son finally felt comfortable with the preschool staff and environment. Positive parent-teacher partnerships assist young children with the transition from home and promote healthy growth and development. Even though actively reaching out to parents requires time, patience, and energy, teachers benefit by understanding children’s home environments. If the partnership between parents, staff and child is going well, each need to be able to trust and respect the other. The self-esteem and well-being of the people in the partnership are important when they are working together. Very important is a good start. Childcare staff should to help parents and children to feel welcome when they first arrive at the setting for e. g. parents and visitors are given a friendly welcome by staff; an attractive display in the entrance area showing some of the recent activities that children have been involved in; information showing the names of staff, with their photographs. Important is positive image and messages about diversity- for e. g. different languages, ethnicities and genders. The key to success in the partnership is good communication. Practitioners can sharing information with parent for one-way or two – way communication. One-way communication occurs when teachers seek to inform parents about events, activities, or children progress through a variety of sources, such as an introductory letter at the beginning of the preschool year, newsletters, report cards, communication books, childcare center Web sites, and so on. Two-way communication involves interactive dialogue between preschool’s teachers and parents. Conversations may occur during telephone calls, home visits, parent-teacher conferences, open houses, and various preschool-based community activities. Teachers should actively incorporate both strategies to maximize sharing information with parents. Parents and teachers share in the responsibility of a child’s education. The two should work cooperatively to foster a positive educational experience for a child. Often times, however conflicts do arise. Conflicts between teachers and parents can arise in a number of ways. A parents sometimes have a hard time dealing with the fact that someone else is â€Å"parenting† their child. Another common parental gripe is that the teacher is not giving the child enough attention or otherwise treating her inappropriately. Additional problem may be language barrier. An increasing number of parents do not speak English as a first language so they are unable to understand communications from the preschool. This can be a real issue and preschool teacher should assess whether hi or she is in a position to address this. When it comes to things like parents meeting teacher can invite some of parents family or friends who know English and can translate Even those parents who are fluent in English can have trouble understanding some communications from the preschool. Preschool teachers may be always think carefully when communicating with parents and ensure that they don’t use the jargon they might use with they colleagues. The key to a good relationship between teachers and parents is open communication. Parents should always talk directly with the teacher about the problem. Good communication prevents conflict from arising and makes resolutions a lot easier.

Pros and Cons of Technology in Health Care: The Case of NHS England

Abstract The focus of this study is NHS England, delving on the advantages and disadvantages of technology, specifically mobile technology in healthcare. A systematic review is conducted, using secondary data as a method of data collection. The advantages include improved cost, efficiency, effectiveness, safety, and quality in healthcare, as well as ability to address NHS’ current budget cuts in the midst of several admissions. The study does not find any disadvantages but barriers, including cost, usability, privacy issues, battery power efficiency, low interest in health information and monitoring services, and non-reliance on the available mobile technology. Recommendations include preparing nurses and other medical staff for mobile technology system in NHS England, and pursuing an evaluation study on the efficiency of mobile technology in the organisation. 1. Introduction With the advancement of technology, even the healthcare sector has eventually adopted its benefits towards better patient care. Current studies focus on curing diseases using technology and using mobile phone technology in chronic illness management (e.g. Blake, 2008). In NHS, mobile technology is used in improving the quality of health care services (NHS England).1.1 Aims and ObjectivesThis study aims to discuss the advantages and disadvantages of using mobile technology in healthcare. It also aims to highlight the extent to which NHS England uses mobile technology in care services. The objectives are the following: To conduct a survey of literature on the use of mobile technology in the healthcare practice; To pursue a systematic review in addressing the research question; To identify implications for practice and provide recommendations for future research1.2 Research QuestionThe research question that this study intends to answer is: What are the advantages and disadvantages faced by NHS England in its adoption of mobile technology? 2. Literature Review The review of literature pertains to the survey of various works and studies to find evidence to the study (Oermann and Hays, 2010). Standing and Standing (2009) emphasised that amidst the recognition of the benefits associated with the use of technology in healthcare, its widespread adoption continues to lag. The authors proposed that the major barriers to such adoption pertain to certain basic systemic issues and that its problematic adoption is caused by the fragmented health care system, inappropriate outcome measures, and conflicting incentives. The authors stressed that a systems perspective must be taken vis-a-vis using technology adoption frameworks. No statistical data were tested for hypothesis and only secondary data were used for the discussion, which enabled sufficiency of the discussion. The importance and urgency of adopting technology in healthcare was supported by Avancha et al. (2012) who claimed that the cost, efficiency, and quality of healthcare can be enhanced through information technology. With this in consideration, the authors examined mobile technology privacy requirements that can potentially transform healthcare systems. The use of mobile technology can allow physicians to monitor their patients’ health conditions in a remote manner and likewise enable individuals to also manage their own health. The authors surveyed the literature and developed a conceptual privacy framework for mobile health, which was adequate to generating conclusions. The study of Avanche et al. (2012) was contrary to that of Burley et al. (2011) in their claim of a high failure probability of information technology in healthcare. Nonetheless, they declared seeing an emerging development amongst healthcare professionals who use mobile technology in their profession. The study revealed through content analysis that individual healthcare professionals are the ones mostly making optional innovation decisions. Content analysis as a methodology to draw analysis had been appropriate for this study. Contrary to the study of Burley et al. (2011), that of Boulos et al. (2011) indicated that the overpowering computing technology of the current smartphone generation allows such technology to function as handheld computers. Contributory to this occurrence is the fact that these handheld computers are capable of large memories and application development. The authors cited Apple, Android, Windows, etc. as the available platforms for mobile computing and focused on applications (apps) that target patients and healthcare professionals in a variety of settings, such as health and lifestyle management and public health monitoring. The barriers to adopting apps for healthcare smartphone were identified as cost, usability, privacy issues, and battery power efficiency. These barriers must be taken into account when developing mobile technology in NHS. The study surveyed the literature to come up with the analysis, which had been viable to drawing inferences on the subject. Conversely, a national survey involving around 1,400 Americans demonstrated various concerns on the popularity of mobile healthcare technologies based on radio frequency identification (RFID). Positive association was found between interest in RFID personal medical technology and high trust levels associated with social support. The study revealed overwhelming interest in nascent intervention services but not much in the areas of health information and monitoring (Katz and Rice, 2009). This is contrary to that of Boulos et al. (2011) which highlighted health and lifestyle management and public health monitoring as areas of healthcare mobile technology. The survey was an appropriate methodology for this study to produce the desired outcomes. Similar to Avanche et al. (2012) and Boulos et al. (2011), Brady et al. (2012) stated that mobile phones help in boosting the efficiency of clinical communication and are becoming more progressively involved in healthcare delivery. However, it was found that pathogenic bacteria can reside in healthcare workers’ mobile phones and could further magnify when doctors bring additional communication electronic devices without the necessary guidance on use and decontamination. The study involved 87 mobile phones owned by doctors, sampled for bacterial growth and discovered that 87 percent of doctors knew that such bacteria could in fact reside in their phones but only 8 percent cleaned them on a regular basis. The conclusion suggested simple cleaning remedies to decrease the possibility of cross-contamination from mobile phones. The methodology adopted was appropriate to the generation of expected results. The actor-network theory offers perspectives for understanding people and their interactions with inanimate objects, i.e. mobile technology. Cresswell et al. (2010) argued that being informed by this theory can provide beneficial outcomes to healthcare services research, particularly to complex IT systems. The actor-network theory can enable an understanding of the manner in which social effects are generated as a result of the relationship between various actors within the network. The method used by the authors is descriptive, which is suitable to the contents of the topic. 3. Research Methodology3.1 Research DesignThe research methodology purports to address the research questions and aims and objectives identified in this study. The qualitative research design is pursued in order to properly tackle the advantages and disadvantages of mobile technology in healthcare. This research design focuses on creating meanings in processes and producing inductive analysis (Bryman and Bell, 2003).3.2 Data Collection MethodThe data collection method being utilised in the study is secondary, which indicates the use of secondary sources only, such as books, academic journals, and online resources. Secondary data collection method is defined as the method in which the researcher uses non-original data for a specific purpose not originally intended by the one who has collected it (Grinnell et al., 2012). In this study, all secondary data are intended for the purposes of addressing the research question. The study takes on a desk-based approach as it adopts a systematic review, which is a method used in understanding broad prices of information and contributing to the answers to questions (Jesson et al., 2011).3.3 Inclusion and Exclusion CriteriaThe search for literature is done using inclusion and exclusion criteria. The inclusion criteria for the survey of literature include data published from 2009 up to 2014, discussing mobile technology in healthcare in the UK and other countries. The exclusion criteria are therefore data published in 2008 and older.3.4 Search ApproachThe search engines used are Google, Scholar Google, and Books Google. The search is limited to â€Å"mobile technology in healthcare† and â€Å"mobile technology in NHS.† 4. Research Results Recent news indicates that the National Health Service is utilising smartphone technology to help nurses deal more efficiently with patients and improve the quality of healthcare in the organisation (Watson, 2014). NHS is at the moment facing budget cuts and increasing admissions, making its professionals of all levels to become beleaguered to do more with less resources (See Appendix-A). Increased efficiency, patient care, and reduced cost are anchored on targeted investment in certain identified areas of healthcare settings. The NHS Nursing Technology Fund is one recent initiative in this regard, which provides some hope for NHS and the forefront of health services to improve its overall care delivery (NHS England, 2014). The Prime Minister announced in 2012 that the Nursing Technology Fund will be launched to support nurses and other medical staff toward optimising the use of digital technology in all aspects of care settings in order to realise safer, more efficient, and more ef fective care delivery (NHS England, 2014). Recent information submitted to NHS England also stressed that notwithstanding NHS’ planned paperless healthcare setting by 2018 (See Appendix-B), continued reliance on handwritten notes and hallway conversations to discuss patient condition are still being carried out by majority of nurses and other medical staff in NHS (Watson, 2014). This indicates lack of preparedness and exposure to mobile technology, which by this time must already be carried out amongst healthcare professionals. 5. Findings and Recommendations Watson’s (2014) article about utilising smartphone technology to help nurses toward more efficient care delivery and improved healthcare quality in NHS is congruent to that of Avancha et al. (2012), which emphasised the importance of information technology to improve cost, quality, and efficiency in healthcare. The adoption of mobile technology, given this description by Avancha et al., would enable tackling its current budget cuts in the midst of increasing admissions. This is one advantage of mobile technology system for NHS. The hope for increased quality of care and safer and more effective care delivery through NHS Nursing Technology Fund is also parallel to the studies of Boulos et al. (2011), Avancha et al. (2012), and Brady et al. (2012). However, Watson’s (2014) article on the continued reliance of nurses and other medical staff on handwritten notes and hallway conversations rather than on mobile technology to discuss patient condition are not harmonising wit h the discussions of these authors who highlighted the various advantages that a healthcare setting can draw from mobile technology. It only means that at this stage, NHS is not yet fully utilising the benefits of mobile technology despite the availability of this technology now. The actor-network theory supports NHS’ inclination towards adopting mobile technology in healthcare services with its understanding of the network occupied by humans and their interactions with inanimate objects, i.e. IT systems (Cresswell et al., 2010). The literature did not cite disadvantages to adopting mobile technology in healthcare; instead, it cited certain barriers to ease of adoption, such as that of Boulos et al. (2011) who mentioned cost, usability, privacy issues, and battery power efficiency, as well as Katz and Rice (2009) who suggested lack of interest in health information and monitoring services. In his article for The Guardian, Watson (2014) also indicated that despite the planned paperless organisation by 2018, nurses and other staff at the NHS had not really relied on the already available technology for fundamental patient information. Recommendations for the study include the following: Prepare nurses and other medical staff for mobile technology system in NHS England by implementing a policy on its ultimate use. This policy will enable nurses and medical staff in NHS to be thoroughly accustomed to the system until the full adoption of paperless healthcare setting by 2018. Pursue an evaluation study on the efficiency of mobile technology in NHS. This study will be centered on the extent to which mobile technology system has been effective for NHS. 6. Conclusion This study has centred on the advantages and disadvantages of mobile technology in healthcare, with specific emphasis on NHS England. A systematic review is carried out to fulfill the aims and objectives as well as the research question of the study. The findings identified such advantages as improved health care quality, improvement in the areas of cost and efficiency, being able to tackle NHS’ current budget cuts in the midst of enormous admissions, and safer and more effective care delivery. The study did not identify certain disadvantages to such adoption but cited barriers instead, including cost, usability, privacy issues, and battery power efficiency. Additional barriers include lack of interest in health information and monitoring services as well as non-reliance on the already available technology. Implications for practice include further research toward improved technology innovation in healthcare, and training and expertise in using mobile technology as a fundamental aspect of quality and safe healthcare. References Avancha, S., Baxi, A., and Kotz, D. (2012) Privacy in Mobile Technology for Personal Healthcare. Journal of ACM Computing Surveys, 45 (1). Blake, H. (2008) Mobile Phone Technology in Chronic Disease Management. Nursing Standard, 23 (12), 43-46. Blogger, R. (2011) Cameron is Spending Less on the NHS Than Even Thatcher Would Have. Accessed on 19 November 2014 from http://liberalconspiracy.org/2011/10/31/cameron-is-spending-less-on-the-nhs-than-even-thatcher-would-have/ Boulos, M. N. K., Wheeler, S., Tavares, C., and Jones R. (2011) How Smartphones Are Changing the Face of Mobile and Participatory Healthcare: An Overview with Example from eCAALYX. Biomedical Engineering Online. Accessed on 18 November from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3080339/ Brady, R. R. W., Chitnis, S., Stewart, R. W., Graham, C., Yalamirthi, S., and Morris, K. (2012) NHS Connecting for Health: Healthcare Professionals, Mobile technology, and Infection Control. Telemedicine and e-Health, 18 (4). Bryman, A. and Bell, E. (2003) Business Research Methods. Oxford: Oxford University Press. Burley, L., Scheepers, H., and Fisher, J. (2011) Diffusion of Mobile Technology in Healthcare. Accessed on 18 November from http://www.grchina.com/mobility/lab/Archives/EuromGov2005/PDF/8_R356BL.pdf Creswell, K. M., Worth, A., and Sheick, A. (2010) Actor-Network Theory and Its Role in Understanding the Implementation of Information Technology Developments in Healthcare. BMC Medical Informatics & Decision Making, 10: 67, doi: 10.1186/1472-6947-10-67. Grinnell, R. M., Gabor, P. A., and Unrau, Y. A. (2012) Program Evaluation for Social Workers: Foundations of Evidence-Based Programs. Oxford: Oxford University Press. Jesson, J. K., Matheson, L., and Lacey, F. M. (2011) Doing Your Literature Review: Traditional and Systematic Techniques. London: SAGE Publications Ltd. Katz, J. E. and Rice, R. E. (2009) Public Views of Mobile Medical Devices and Services: A US National Survey of Consumer Sentiments towards RFID Healthcare technology. International Journal of Medical Informatics, 78 (2), 1014-114. [NHS] National Health Service (2012) Digital Technology Essentials Guide. London: QIPP Digital Technology. NHS England (2014) High Quality Care for All, Now and For Future Generations. Accessed on 18 November 2014 from file:///G:/WRITE%20ENTERPRISE/8819%20PROS%20AND%20CONS%20TECHNOLOGY/SOURCE%20OF%20NHS.htm Oermann, M. and Hays, J. (2010) Writing for Publication in Nursing. Second Edition. NY: Springer Publishing Company, LLC. Watson, S. (2014) Mobile Technology Will Nurse the NHS Back to Health. The Guardian. Accessed on 18 November 2014 from http://www.theguardian.com/healthcare-network/2014/apr/17/mobile-technology-nurse-nhs-health