Friday, November 15, 2019
Implications of Internet Piracy
Implications of Internet Piracy Internet Piracy ââ¬Å"Internet piracy in the digital age has put great pressure on both the individual and the organization within the modern business world. Ethically and morally Internet piracy is regarded as a negative force on business and the way in which companies do business. Moreover, there is increasing pressure on governments and world leaders to set up, administer and enforce laws that minimize the use of Internet piracy for illegal and destructive behavior. As the Internet is expanding and opening up in new markets, aiding faster live online connection throughout the world, it increases accessibility to software and information (Balkin, 2008; De Castro Shephard, 2008). In turn, this accessibility issue is one that many businesses may fail to address thereby leading to insufficiently protected and encrypted software. Internet piracy has arguably paved the path for software development demand, making it a very lucrative business (Balkin, 2008)â⬠. ââ¬Å"Web Piracy has developed into a phenomenon due to created Web systems as well as file-sharing programs. With all the expansion on the Web plus the elevated quantity of Web people in the world, the globe is becoming too many digitalized. Customers are expecting electronic data being easily accessible on the effect of a key. It has caused an astounding need with regard to electronic merchandise, where by piracy has become on the lead on the file-sharing phenomena. Napster, KaZaA as well as Microsoft include just about all also been in a negative way suffering from Web piracy. Even so, through the ashes connected with been unsuccessful business ventures theres still also been some sort of need by simply Web users with regard to available, inexpensive legal answers from the dominion connected with electronic advertising. It has just about all stimulated the progression connected with brand-new technologies, experienced entrepreneurship, as well as organizations which right now har vest the benefits of studying via some others errors, re-organizing company products as well as adjusting the way company is conducted in the modern world despite the fact that Web piracy is always uncontrolled. This specific thesis suggests which Web piracy is really a primary drivers with regard to Entrepreneurship in a few ways from the creation connected with brand-new thoughts and the springboard with regard to brand-new organizations as well as a frontrunner connected with engineeringâ⬠. ââ¬Å"Dahlstrom et al. (2006) discuss the technological Internet piracy phenomenon from the beginning of its presence on the Internet. Choi and Perez (2007) go a step further and take into account the fact that Internet piracy has existed since the Internet was chiefly used as a distribution tool for researchers at universities and government institutions. It is important to note however, that this copying and sharing of information was not originally referred to as ââ¬ËInternet piracyââ¬â¢. It was an important way for academics and government officials to share important information. Choi and Perez (2007) state that due to software mainly being open source code it was free and easily distributed and only when software companies started putting a price tag on their products, did Internet piracy become a regularly used word in the IT vernacular. This in turn has made Internet piracy a large and worldwide phenomenon, which greatly affects us all and has greatly influenced the de velopment of this thesisâ⬠. ââ¬Å"Napsterââ¬â¢s good results started out using Fanningââ¬â¢s perspective in order to shut the particular difference concerning supply in addition to require within the songs sector. Napster earned the latest time connected with file-sharing using todays technology by using the internet in addition to therefore solved the particular indexing issue connected with looking for songs as a result of normal Google search motors. (Oram, 2001). Napster perhaps created a new require with the supply connected with contributed digital mass media and also the availability of this. This problem in this was the particular violation on the copyrighted product. Although Napster created the latest form of technologies pertaining to document discussing this would not occur without having the problems; Internet piracy includes a negative significance inside the particular songs organization simply because eliminate buyers, profits and it probably likewise loss their reputation in addition to brand name. (Gupta, Kamala Srinivasan, 2005) While P4 mentions, the particular change in which Napster produced built the particular record companies think in addition to ââ¬Å"It can force the particular record-labels in order to confirm in addition to match the buyers. â⬠This fight Internet piracy is constant and it isnt going to seem like Internet piracy web-sites in addition to related application can vanish any moment rapidly because of the particular excessive file-sharers and also the require pertaining to readily readily available on-line itemsâ⬠. ââ¬Å"Provided that there exists a require as well as a supply which can be met as a result of P2P in addition to Bit Torrent technologies in addition to request there will be an opportunity pertaining to Internet piracy and it is people to produce the particular mass media readily available (Gibert, 2010). Napster noticed enable you to lower the particular require by simply increasing the particular supply; sadly this would not look at the lawful implications which could comply with. Even so, a large handful of application companies who have revolutionized the particular market segments using lawful alternatives ââ¬â Apple company Inc. in addition to Spotify for instance. While P6 expresses: ââ¬Å"Would weve designed remedies like iTunes Spotify devoid of the behavior connected with cutthroat buccaneers and also the lawful behavior attempting to stop piracy? We could dispute that any of us have seen the particular growth connected with application techniques in addition to economic designs good social-technical-legal-political situation in addition to consequently we could dispute in which piracy devices a few varieties of scientific progressâ⬠â⬠. ââ¬Å"Warner (2002), Picard (2005) along with Roth (2004) just about all focus on the implications connected with new technological know-how and also the popular distribution connected with software package, audio along with video tutorials on the net. Especially, many people tackle the Bit Torrent along with P2P technological know-how. Bit Torrent along with P2P was being connected with considerable importance on the improvement connected with record revealing technological know-how. Konigsberg (2002) looks at these technological know-how comprehensive along with explains the worthiness the technological know-how (and the cause code with the applications) have had for the emergence connected with record revealing software and also the Net. With nowadays, several important celebrities inside Net record revealing sector come about: Rimmer (2005) as an illustration, looks at the implications the Napster application got for the hiburan sector and also the technique these kinds of corpo rations treated Net piracy. Honigsberg (2002) additionally looks at legislation meets along with implications set forth simply by the hiburan businesses exactly who sued along with picked up legitimate fights towards Napster, KaZaA as well as other record revealing real estate agentsâ⬠. ââ¬Å"Strangely enough, World Wide Web piracy does help the particular progress regarding fresh technological innovation as well as aid in entrepreneurial growth. And also assisting organizational growth yet at the same time placing key obstacles in the way on their behalf. The entire world has to come across stability in which buccaneers tend to be definitely not hunted as witches, but some common soil ought to be fixed specifically simply by authorities as well as lawmakers as a way to target the World Wide Web piracy phenomenon. From the research regarding the way it is studies, it is obvious in which even when technological innovation is not blatantly designed for piracy it could all of which will whenever possible provide for your function. World Wide Web Piracy nevertheless, in addition has allowed pertaining to technical developments that we might or else not have observed. Finally, piracy possesses in many circumstances started out fresh opportunities pertaining to business people with whom are actually capable of utilize the fresh technological innovation pertaining to authorized as well as effective businessâ⬠. ââ¬Å"References and Bibliography :- Balk in, D., B., De Castro, J., O. and Shepherd, D., A., (2008): Can entrepreneurial firms benefit from product piracy?. Journal of Business Venturing, Vol. 23, No. 1, pp. 75-90. Beckman, E. (Responsible publisher), Pettersson, B. (Broadcast producer) (2012). Chin., W., W., Khalifa, M. and Limayem, M., (2004): Factors motivating software piracy: a longitudinal study. IEEE Transactions on Engineering Management, Vol. 51, No. 4. Choi, D.Y. and Perez, A., (2007): Online piracy, innovation, and legitimate business models. Technovation, vol. 27, no. 4, pp. 168-178. Darity, W., A., Jr., (2008): Demand. International Encyclopedia of the Social Sciences. Ed. 2nd ed. Vol. 2. Detroit: Macmillan Reference USA, 268-271. Gale Virtual Reference Library. Web. 26 Mar. 2012. McDonald, V., L., (2009): Before-and-After Case Study Design, in A., J., Mills, G., Durepos E., Wiebe (eds), Encyclopedia of Case Study Research, SAGE, Thousand Oaks, CA, pp. 52-5. Oram, A., (2001): Peer-to-Peer: Harnessing the Power of Disruptive Technologies. OReilly Media, p. 448. Porter, T., (2006): Practical VoIP Security. Rockland, MA: Syngress. Rao, L., (2011): Skype Revenue Up 20 Percent To $860M In 2010; Paid Users Up 19 Percent. TechCrunch, available at: http://techcrunch.com/2011/03/07/skype-revenue-up-20-percent-to-860m-in-2010-paid-users-up-19-percent/, viewed 25 April 2012. Rimmer, M., (2005): Hail to the Thief: A Tribute to KaZaA. University of Ottawa Law and Technology Journal, Volume 2, No 1, pp. 173 ââ¬â 218.Internet Piracy and Entrepreneurial Growth Andersson, Eventorn, Nilsson 55 Warner, M., (2002): The New Napsters. Fortune, 146, 3, pp. 115-116.esâ⬠.
Wednesday, November 13, 2019
Internet in Schools :: essays research papers
Internet in Schools Everything revolves around the internet these days. Every business, big or small has a internet website for you to visit. Letââ¬â¢s face it, the internet is not going away, we as a people must learn to use this tool and not think of it as a negative thing. The internet must be used positively to benefit us. We can find anything we want through the internet. The internet can be abused but we must educate our children so they can use it effectively to their advantage. We definitely need to make most schools have the internet in classrooms, there is no doubt about it. Internet needs to be in the classrooms of schools in the new millennium. If you canââ¬â¢t get on and surf the internet by yourself then you are looked down upon. The internet is the new big thing, itââ¬â¢s technology at itââ¬â¢s best. Thatââ¬â¢s why we must keep our students in schools educated and updated with it, the internet has endless possibilities. Students would never run out of information for their reports in school, they can either go to the library and look for the information they need and hope that the book they need is not checked out, which could take up to a couple of hours. While on the internet you can find the information in the matter of minutes. Many books are outdated and you would be lucky to check one out if everybody in the class is doing the same report! The internet keeps up with current information coming in every day of the week. I donââ¬â¢t think students abusing their time on the internet is a problem, I think we need teachers or someone to monitor where they are going on the internet. There are programs advisors can download that can block out any material not suitable for students at schools. The world is at your fingertips with the internet, you can do anything imaginable. It is the schools duty to have the internet, forget the library, Iââ¬â¢m sure students would agree with me that using the internet would be much easier to find the information you are looking for than the library. If you donââ¬â¢t know how to use the internet then you are missing out, anything you want is on there. The internet alone could be a career, there are online businesses that make just as much money as jobs outside your home.
Sunday, November 10, 2019
Physioex 9.0 exercise 4 activity 1 Essay
Your answer : b. The hypophysectomized (Hypox) ratââ¬â¢s BMR will be higher than the normal ratââ¬â¢s BMR. Predict Question 2: What do you think will happen after you inject thyroxine into the three rats? Your answer : a. The normal rat will become hyperthyroidic and develop a goiter. Predict Question 3: What do you think will happen after you inject TSH into the three rats? Your answer : a. The normal rat will become hyperthyroidic and develop a goiter. Predict Question 4: Propylthiouracil (PTU) is a drug that inhibits the production of thyroxine by blocking the attachment of iodine to tyrosine residues in the follicle cells of the thyroid gland (iodinated tyrosines are linked together to form thyroxine). What do you think will happen after you inject PTU into the three rats? Your answer : d. The normal rat will become hypothyroidic and develop a goiter. Stop & Think Questions: 1h. Calculate the oxygen consumption per hour for this rat using the following equation. ml O2 consumed/1 minute x 60 minutes/hour = ml O2/hour Enter the oxygen consumption per hour in the field below and then click Submit to display your results in the grid. You answered: 420 ml O2/hr 1i. Now that you have calculated the oxygen consumption per hour for this rat, you can calculate the metabolic rate per kilogram of body weight with the following equation (note that you need to convert the weight data from grams to kilograms to use this equation). Metabolic rate = (ml O2/hr)/(weight in kg) = ml O2/kg/hr Enter the metabolic rate in the field below and then click Submit to display your results in the grid. You answered: 1673.306773 ml O2/kg/hr 2h. Calculate the oxygen consumption per hour for this rat using the following equation. ml O2 consumed/1 minute x 60 minutes/hour = ml O2/hour Enter the oxygen cnsumption per hour in the field below and then click Submit to display your results in the grid. You answered: 384 ml O2/hr 2i. Now that you have calculated the oxygen consumption per hour for this rat, you can calculate the metabolic rate per kilogram of body weight with the following equation (note that you need to convert the weight data from grams to kilograms to use this equation). Metabolic rate = (ml O2/hr)/(weight in kg) = ml O2/kg/hr Enter the metabolic rate in the field below and then click Submit to display your results in the grid. You answered: 1567.346939 ml O2/kg/hr 3h. Calculate the oxygen consumption per hour for this rat using the following equation. ml O2 consumed/1 minute x 60 minutes/hour = ml O2/hour Enter the oxygen consumption per hour in the field below and then click Submit to display your results in the grid. You answered: 378 ml O2/hr 3i. Now that you have calculated the oxygen consumption per hour for this rat, you can calculate the metabolic rate per kilogram of body weight with the following equation (note that you need to convert the weight data from grams to kilograms to use this equation). Metabolic rate = (ml O2/hr)/(weight in kg) = ml O2/kg/hr Enter the metabolic rate in the field below and then click Submit to display your results in the grid. You answered: 1549.180328 ml O2/kg/hr Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800). The normal rat is You correctly answered: b. euthyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800). The thyroidectomized (Tx) rat is You correctly answered: a. hypothyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800). The hypophysectomized (Hypox) rat is You correctly answered: a. hypothyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the thyroxine injection. The normal rat is You correctly answered: c. hyperthyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the thyroxine injection. The thyroidectomized (Tx) rat is You correctly answered: c. hyperthyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the thyroxine injection. The hypophysectomized (Hypox) rat is You correctly answered: c. hyperthyroid Which of the rats developed a goiter after injection with thyroxine (select all that apply)? You correctly answered: d. None of the rats developed a goiter with this injection. Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the TSH injection. The normal rat is You correctly answered: c. hyperthyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the TSH injection. The thyroidectomized (Tx) rat is You correctly answered: a. hypothyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the TSH injection. The hypophysectomized (Hypox) rat is You correctly answered: c. hyperthyroid Which of the rats developed a goiter after injection with TSH (select all that apply)? You correctly answered: a. the normal rat c. the hypophysectomized rat Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the PTU injection. The normal rat is You correctly answered: a. hypothyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the PTU injection. The thyroidectomized (Tx) rat is You correctly answered: a. hypothyroid Judging from their basal metabolic rates (an indicator of thyroid function), categorize the rats as hypothyroid (low thyroid levels; BMR below 1600), euthyroid (ââ¬Å"good,â⬠or normal, thyroid levels; BMR = 1650-1750), or hyperthryoid (high thyroid levels; BMR above 1800) after the PTU injection. The hypophysectomized (Hypox) rat is You correctly answered: a. hypothyroid Which of the rats developed a goiter after injection with PTU (select all that apply)? You correctly answered: a. the normal rat
Friday, November 8, 2019
Read Emma Watsons 2016 UN Speech on Gender Equality
Read Emma Watson's 2016 UN Speech on Gender Equality Emma Watson, actor and UN Goodwill Ambassador, is using her fame and position with the United Nations to shine a spotlight on the problem of gender inequality and sexual assault at universities and colleges around the world. Watson made headlines in September 2014 when she launched a gender equality initiative called HeForShe with a rousing speech at the UN headquarters in New York. The speech focused on gender inequality around the world and the important role that men and boys must play in fighting for equality for girls and women. Speaking Out for Women In a more recent speech given at the UN headquarters in September 2016, Ms. Watson turned her attention to the gender double standards that many women encounter when they study and work at universities. Importantly, she connects this issue to the widespread problem of sexual violence that many women experience in the course of pursuing higher education. Ms. Watson, a proud feminist, also used the occasion to announce the publication of the firstà HeForShe IMPACT 10x10x10 University Parity Report, which details the challenges of gender inequality and the commitmentsà to fighting them made by ten university presidents from around the world. The full transcript of her speech follows. Thank you all for being here for this important moment.à These men from all over the world have decided to make gender equality a priority in their lives and inà their universities. Thank you for making this commitment. I graduated from university four years ago. I had always dreamed of going and I know how fortunate I am to have had the opportunity to do so. Brown [University] became my home, my community, and I took the ideas and the experiences I had there into all of my social interactions, into my workplace, into my politics, into all aspects of my life. I know that my university experience shaped who I am, and of course, it does for many people. But what if our experience at university shows us that women dont belong in leadership? What if it shows us that, yes, women can study, but they shouldnt lead a seminar? What if, as still in many places around the world, it tells us that women dont belong there at all? What if, as is the case in far too many universities, we are given the message that sexual violence isnt actually a form of violence? But we know that if you change students experiences so they have different expectations of the world around them, expectations of equality, society will change. As we leave home for the first time to study at the places that we have worked so hard to get, we must not see or experience double standards. We need to see equal respect, leadership, and pay. The university experience must tell women that their brain power is valued, and not just that, but that they belong among the leadership of the university itself. And so importantly, right now, the experience must make it clear that the safety of women, minorities, and anyone who may be vulnerable is a right and not a privilege. A right that will be respected by a community that believes and supports survivors. And that recognizes that when one persons safety is violated, everyone feels that their own safety is violated. A university should be a place of refuge that takes action against all forms of violence. Thats why we believe that students should leave university believing in, striving for, and expecting societies of true equality. Societies of true equality in every sense, and that universities have the power to be a vital catalyst for that change. Our ten impact champions have made this commitment and with their work we know they will inspire students and other universities and schools across the world to do better. Im delighted to introduce this report and our progress, and Im eager to hear whats next. Thank you so much.
Wednesday, November 6, 2019
Capstone Project Essay Example
Capstone Project Essay Example Capstone Project Paper Capstone Project Paper Essay Topic: In the Waiting Room Indirect Clinical Project: Quality Improvement Abstract Healthcare has become a consumer driven industry with patient satisfaction equating to good customer service. Effective communication has been shown to be a key factor in both patient outcomes and satisfaction. Additionally, patient satisfaction has become a tool used by insurers to evaluate medical facilities and may impact reimbursement to hospitals for patient care. In this paper, I will discuss the issue of ineffective communication in the waiting area of the surgical services department at Mount Carmel East Hospital. The impact of ineffective communication effects patients and members of the perioperative team. Results of patient surveys consistently showed a decrease in overall patient satisfaction with areas of communication scoring the lowest across the continuum. Substandard scores necessitated a further look at the process of communication and a root cause analysis was used to evaluate the scope of the issue. The current communication process was then observed and compared to best practice models. A summary of this data, included in this report, was used to develop possible solutions to improve communication as part of a continuing quality improvement process. The impact of quality improvement is instrumental in overall patient satisfaction and customer service. Indirect Clinical Project: Quality Improvement The purpose of the Indirect Clinical Project (ICP) is to provide an opportunity for students working toward a Bachelors of Science in Nursing (BSN) to use critical thinking and problem solving skills to explore an issue related to their professional interest. BSN students were asked to work with Masters of Science in Nursing (MSN) preceptor in a professional role for this project. My ICP is designed to address the issue of ineffective communication in the waiting are of the surgical services department at Mount Carmel East Hospital. I choose this particular problem as it related to my current area of practice in the post anesthesia care unit. The problem of ineffective communication in the surgery waiting roomà has been a longstanding issue. This is evidenced by substandard patient survey scores in areas related to communication and overall satisfaction with the surgical waiting area. In this paper, I will establish the framework for the problem of ineffective communication and how this translates into the quality improvement process. For this project a root cause analysis was done and the results were then used to develop a process improvement plan. A comparison was made between current practice and best practice related to perioperative communication. As the problem was analyzed and areas in need of improvement recognized, the process improvement plan was developed. The benefits and drawbacks of the possible solutions will be present along with rationales. PROBLEM Mount Carmel East (MCE) has had numerous complaints regarding ineffective communication within the surgical services waiting area. Complaints typically are related to patients and families not being informed of delays and/or updates. Currently a small number of volunteers are functioning as the surgical liaison for patients and families throughout the surgical care process. The liaison is responsible for facilitating communication to patients, families, nursing staff and surgeons. The task of being a liaison for patients in the perioperative setting can be daunting with many demands that present a variety of challenges. While these volunteers do not provide medical information, they are expected to understand the surgical schedule and perioperative process. No formal training for these duties is provided and volunteers are expected to convey appropriate information in a timely manner. Despite the placement of volunteer liaisons, complaints from patients and families not being informe d of delays and updates continue to be received. Inconsistencies in the number and abilities of the volunteers have a direct impact on the communication process. The schedule of the volunteers is the responsibility of the volunteer coordinator and while requests have been made to have the same volunteers this is not always possible. Some days there may be a single volunteer to manage the numerous responsibilities without any assistance and on occasion, particularly in the evening, there is no volunteer and the waiting room is left unattended. The waiting room is the first impression customers, patient and family, see when they arrive for surgery. Leaving the waiting room unattended is a poor reflection on the department and can be perceived as unwelcoming. ââ¬Å"The perioperative environment is often seen as impersonal and unfriendlyâ⬠(Stephens-Woods, 2008, p. 7). Without someone to receive patients and answer the phone, communication becomes fragmented and impersonal. While the contributions from the volunteers are greatly appreciated, abilities and level of commitment vary greatly. As a result, the families experience dissatisfaction when trying to obtain information, the surgeons experience frustration trying to find patients families, and the clinical staff find it difficult to update the volunteers when they need to communicate information. Currently, the volunteers are not held to any performance standards and while they may be in attendance, they may not be fully present. All employees of MCE are expected to work together and adhere to the guiding behaviors set by Mount Carmel which include being fully present and accountable (MCE, 2012). STAKEHOLDERS The issue of ineffective communication affects first the patients, our customers, who are the center of focus. Family members waiting for their loved ones are also affected. Lack of communication to patients waiting for surgery, particularly when there is a delay, can contributed to a heightened level of stress and anxiety. ââ¬Å"Ineffective communication can be linked to higher levels of stress and anxiety which can negatively affect patient outcomesâ⬠(Stephens-Woods, 2008, p. 7). Additionally, health care workers and volunteers are impacted. Other key stakeholders include the perioperative staff, anesthesia team and surgeons. This domino effect extends to administration and ultimately the facility. AVAILABLE DATA Data from outpatient satisfaction surveys was compiled and reviewed for this project. Results were reviewed for each quarter of 2012. Data from questions relating to communication was obtained from questions contained on the survey. The questions and results are as follows: when asked if instructions were received upon arrival to the outpatient area patients responded ââ¬Å"yesâ⬠an average of 84% of the time; being informed of delays averaged 77% of the time; overall waiting area satisfaction averaged 77%; and the likelihood of recommending MCE outpatient surgical services was an average of 83% (Mount Carmel, 2012). The data supported a need for communication that occurred within the waiting area with scores below department goals which have been established to be 90% or better. STRATEGIES/RESOURCES In order for any quality improvement project to be success a variety of resources must be utilized to analyze the problem. For this project, a root cause analysis was done and the results were then used to develop a quality improvement plan. This method of analysis was helpful in determining who was involved; where communication breaks down; what factors contribute to the issue and possible solutions to improve communication. Additional data from the results of the patient satisfaction surveys was also used. With the problem clearly analyzed and areas in need of improvement recognized, the process improvement plan was developed. The plan to incorporate a surgical services patient liaison was formulated as one possible solution. This plan was developed using best practice models in comparison to current practice routines. Strengths include available data and research from best practice models. Another consideration to improving communication is the impact it will have on patient satis faction scores. With improved communication comes improved patient satisfaction (Otani et al., 2012, p. 257). The director of surgical services has worked alongside those involved with the project in order to develop a conceivable plan. Additional input from the clinical staff has been positive and supportive. The biggest obstacle, of course, is budget. The role of the patient liaison, with all of the responsibilities is encompasses, would be a paid position. The addition of an employee is not without financial burden upon the department. However, unsatisfactory results will impact reimbursement. Medicare will examine these scores when reimbursing hospitals and better-performing hospitals will benefit from the incentive (Lang, 2012). Improving patient satisfaction is paramount due to the potential loss of revenue. SOLUTIONS/IMPLEMENTATION The current practice model of volunteers being used as the surgical service patient liaison does not follow best practice guidelines. My proposal is toà create a surgical services liaison as a navigator in the surgery waiting area. Current best practice models use nurse navigators and nurse liaisons as point persons to improve the communication process and overall patient and family satisfaction (Stephens-Woods, 2008, p. 7). However, there is limited research in relationship to outpatient surgical settings. My proposal would incorporate a liaison; however, this role would be filled in an administrative capacity rather than clinical thus alleviating some of the financial burden to the department. My second solution is to first address staffing levels. Currently there is no guarantee for consistent staffing. Continuity with those volunteers who do function as staff in the waiting room is somewhat limited. Requests have been made for the same volunteers to be used in the waiting room, but this is not always possible. Periods of time volunteers are requested for the waiting room are vacant. This issue was once again presented to the volunteer coordinator. Requests were made to make the surgical services waiting room a priority for volunteer staffing. While these requests have been made, there remains no guarantee that staffing levels will be met. The use of volunteers to fill a staffing need will continue to be problematic and this will continued to be reflected in overall patient satisfaction. The importance of satisfying the needs of families as our customers is just as important as providing care for our patients. This can best be accomplished by having trained staff members to meet these needs which in turn will improve patient and family satisfaction. Patient satisfaction is now considered as a critical part of the quality outcomes of health care (Otani et al., 2012, p. 257). Another component to the solution using the volunteers is based on documentation. Currently, the volunteers do not document when communication occurs and therefore there is no data to support that communication has occurred. My proposal would be the implementation of a spread sheet used to document communication. This spread sheet would be integrated with the daily surgery schedule with columns provided to document times when key communication has been achieved. Key communications include: time of arrival; time taken to pre-operative area; time surgery started and ended; arrival to recovery room; post surgical physician update; hourly update; etc. . The spreadsheet is currently being reviewed by department leaders. Changes will be made as necessary based on feedback provided and it will then be submitted for final approval. Volunteers will be instructed on use of the spread sheet and written instructions provided. Clinical staff will continue to document in the electronic medical record. EVALUATION PLAN The spreadsheet has been presented for approval for interdepartmental use. Pending approval, the spreadsheet will be used for a period of ninety days at which time patient complaints and patient satisfactions scores will be reviewed. Documentation for patient and family notification for clinical staff for the same time period will be reviewed and compared to documentation on the spreadsheet. Results will be evaluated and further recommendations will be based on these findings. ICP EVALUATION Working with a mentor for this ICP has been challenging and informative. My preceptor was the director of surgical services at MCE. Working with a mentor in this role provided a wide variety of opportunities not only those related to the project. While most of my practice has been focused on the clinical aspect of patient care, this project has given new insight into the significance of data as a value measurement for good patient care. The role of managers and their ability to make positive changes based on research has gained greater significance. With the knowledge gained through this process, I will not hesitate in the future to participate in continuous quality improvement projects. The ability to put into practice what has been learned in theory has been an invaluable experience. CONCLUSION Effective communication has been show to be a key factor in both patient outcomes and overall patient satisfaction. The value of patient satisfaction is now considered as a critical part of the quality outcomes of health care (Otani et al., 2012, p. 247). Patient satisfactions surveys from MCE surgical services have consistently show a decrease with overall patient satisfaction with areas of communication scoring the lowest across the continuum. Substandard patient satisfaction scores necessitated a further look at the current communication process. Currently, communication is facilitated by volunteers who staff the surgery waiting room. Availability and commitment of the volunteers have contributed to the issue. The use of volunteers provides no guarantee staffing levels will be fulfilled and on occasion the waiting room is left unattended. In order to address both staffing issues and facilitate timely, effective communication recommendations have been made to hire a regularly scheduled employee in the role of surgical liaison. Limitations to this plan are primarily monetary. Considerations for budget allowances and cost of training are not without financial burden to the department. The overall picture must be evaluated and the cost of an additional employee compared to potential revenue loss considered. Unsatisfactory patient satisfaction can impact reimbursement and lead to potential loss of repeat business. A second possible solution was developed based on monetary considerations. A spreadsheet designed to correlate with the surgery schedule was created. Simplistic in nature, it was designed to provide a place for volunteers to document times when specified communication occurs. The rationale behind the use of the spreadsheet is twofold. First, providing written documentation that communication has occurred; second, prompt those using the spreadsheet to provide communication in a timely manner. Pending final approval, the volunteers would be shown how to use the spread sheet and written instructions will be provided as a reference. Plausible solutions have been presented in an effort to improve communication with an overall goal of improving patient satisfaction. Effective communication between patients and members of the interdisciplinary health care team is essential (Belizario, 2011, p. 19). Using data as a tool to value patient centered care is an essential component to the quality improvement process; however, implementation, evaluation and continued quality improvement are a continual process. References Belizario, S. (2011, August). Inspiring change. Boosting patient satisfaction scores-and nursesââ¬â¢ morale. Nursing 2011, 41(8), 18-21. Retrieved from: http://dx.doi.org/doi:http://dx.doi.org.proxy.library.ohiou.edu/10.1097/01.NURSE.0000399591.81228.3e. Hollan, J. (2010). Communication key to patient satisfaction scores. Hospital Case Management, 18(11), 164-166. Retrieved from library.ohiou.edu.proxy.library.ohiou.edu/cgi-bin/redir_allcampuse
Sunday, November 3, 2019
Strategic Management in IKEA Case Study Example | Topics and Well Written Essays - 2750 words
Strategic Management in IKEA - Case Study Example Businesses usually define their goals and objectives through mission statement and vision that are imprinted on the organizations product. According to Knapp (1999, p.75)3, mission and vision statements generally represent the purpose of the organization which is evident in the present case study of IKEA where IKEA's mission is to Whereas the vision is to provide better everyday life to all and IKEA formulates its strategies based on the mission and vision which aims to provide better life by offering its products at lower cost than in the market. Austin and Pinkleton (2006, p.19)4 mentions that mission statement sets out strategic focus for accomplishing long term outcome and vision conveys the long term ideal which is evident in IKEA's scenario. Further vision shares the organizations values that are intended to support their mission. The seriousness of offering products at low cost is also seen its corporate values where the organization recruits employees who share the values developed by IKEA of togetherness, cost consciousness, respect and simplicity. The mission, vision and values are interrelated to each other as each one is developed by other and helps the organization the long term goal as in case of IKEA to provide better life to all by providing low cost products in the industry duly integrating w ith the values that promotes the involvement of customers in product designing. IKEA has been able to achieve considerable success strongly because of its values and it is essential that the values imbibed in the market for IKEA should be pampered and the organization should continue to operate in the same way as it has done until now generating good revenue and garnering customer appreciation from all over the world. 1 (b) Difference between company's resources and capabilities According to Grant (2005, p.145) the strategy of any business is concerned with utilizing the firm's resources to improve and increase the capabilities to grab the opportunities arising in the external environment. However both, resources and capabilities play vital role in the development of the organization and to identify their importance, they are distinguished hereunder with special reference to IKEA. Resources Capabilities It is the productive asset owned by the firm like tangible and intangible like financial, infrastructural, knowledge and human resource, etc.
Friday, November 1, 2019
The Apprentice TV Program Assignment Example | Topics and Well Written Essays - 1500 words
The Apprentice TV Program - Assignment Example The shortlisted contestants live communally in a suite at Trump Tower in New York City. The successful applicants become divided into two groups. The groups indulge in tasks set to stretch their creativity and business skills. Each group selects a project manager to lead them in the mission. The failing team leaves the competition. The remaining group then splits into two other groups. These undertake another task in the subsequent week. Elimination follows until three contestants remain. The competition ends with the selection of one participant who secures a one year contract in one of the business interests belonging to Donald Trump. The elimination is competitive with profitability heavily emphasized. Teams that make losses during their task face elimination. Elimination takes place in two phases. After failure, the project manager in charge of the team selects two to three people most likely to be the cause of poor performance. The other members get dismissed while the project m anager and the selected members face Trump in the boardroom where their fate awaits. Executives from selected companies interview the finalist duo from which Trump hires the apprentice. The apprentice TV program places its basis on apprenticeship. It is one of the oldest forms of work-based learning. The traditional system, however, lacked sufficiency causing variance in quality. A time-based apprenticeship presents the most benefits to both an organization and a prospective worker. It forms a strategic approach to learning in a field of work as opposed to possession of certain skills. Apprenticeship allows workers to absorb values and ideas of a field of trade. Placement into apprenticeship varies with company's policy. Some firms prefer young people straight out of school while others prefer new learners in the team (Cunningham et al, 2004, pp.62). Apprenticeship programs began way back in time. They incorporate what is learned in class with hand on experience.
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