Thursday, December 26, 2019

The Theme of Dehumanization in Breakfast of Champions Essay

The Theme of Dehumanization in Breakfast of Champions Dear Sir, poor sir, brave sir: You are an experiment by the Creator of the Universe. (Vonnegut 259) Imagine if this was addressed to you. What an awful feeling of betrayal and loneliness you would no doubt get. But what if next you heard this? You are the only creature in the entire Universe who has free will. You are the only one who has to figure out what to do next-and why. Everybody else is a robot, a machine. (Vonnegut 259) Surely you would feel like your entire existence was a big joke, one at your expense. You would feel desensitized, remote, and detached from all human feeling. You would be a poor victim, someone taken hold of by the cold grasp of dehumanization. The†¦show more content†¦This is where Kilgore Trout and Dwayne Hoover are destined to meet. The story is set in New York around 1973. It follows Trouts journey from Cohoes to Midland City, and Hoovers dysfunctional daily routine while Trout is doing so. Trout makes his way by getting a ride with a truck dri ver and during the ride, as well as the whole trip, his mind wanders to fanciful stories of science fiction. Destiny, as it were, brings Trout and Hoover together near the end of the book. This is where Trout turns Hoover into a homicidal maniac. There are a few motifs that Vonnegut uses to drive in the theme of dehumanization in his book. Sex is one of the most apparent motifs used. It is also one of the most sacred things we have as humans. We use it for recreation1 and we also use it to recreate. Vonnegut uses our sexual urges to tear us apart and make us seem mechanical and routine. He reduces us to nothing less than a fucking machine. (Vonnegut 280) Kilgore Trouts literature for example, is filler for pornographic books and magazines. His works of art are featured in publications, which advertise Wide Open Beavers Inside. (Vonnegut 22) It fills such a need, this machine, says Trout of a film projector in an adult theater, and its so easy to operate. (Vonnegut 69) Another motif that is usedShow MoreRelatedBreakfast Of Champions Or Goodbye Blue Friday970 Words   |  4 Pages â€Å"Breakfast of Champions† or â€Å"Goodbye Blue Monday† is the seventh novel of Kurt Vonnegut’s that he wrote it in 1972, as he himself said this is for his very own fiftieth birthday. It is Vonnegut s own parody of himself and his works on how his mind views things as well. In this dark comedy the first person report forms and describes the man who   has been in prison three times in and out of the old prison as a inmate and confronted with the great depression and World War II, the Korean War, McCarthyism

Wednesday, December 18, 2019

A P Case Study on Addisons Disease Essay - 977 Words

Unit 1 Case Study Addison’s disease is from a result from damage to the adrenal cortex. These two adrenal glands are located on top of the kidneys, where they are enclosed in a fibrous capsule and a cushion of fat. . The have an outer portion, called the cortex, which is a glandular tissue derived from embryonic mesoderm. The inner portion called the medulla, which is more like a knot of nervous tissue than a gland and it is part of the sympathetic nervous system. The adrenal cortex synthesizes over two dozen steroid hormones called corticosteroids. The Adrenal medulla is part of the autonomic nervous system. They are often referred to as the suprarenal glands. That damage causes the cortex to produce†¦show more content†¦Treatment with replacement corticosteroids will control the symptoms of this disease, and this usually will require the patient to take these drugs for life. It is receive a combination of glucocorticoids and mineralocorticoids. The provider may increase the dose in times of infection, injury and stress. With adrenal crisis patients will need an immediate injection of hydrocortisone, either IM, or IV. If the blood pressure is extreme low IV fluids will be helpful. Complications can occur if you take too much or not enough of the adrenal hormone supplement. This complications can arise due to related illnesses such as diabetes, chronic thyroiditis, hypoparathyroidsim, ovarian hypofunction or testicular failure, thyrotoxicosis and pernicious anemia. Low sodium with Addison’s should be carefully corrected, if done to quickly it can lead to brain damage, this is noted in a 2004 article in â€Å"American family Physician† they require immediate but slow administration of saline, which is basically salt water, composed of sodium chloride in water. They list a second step which then be finding the underlying cause. Primary adrenocortical insufficiency is not a common disorder. It’s incidence in western populations are near 50 cases per 1,000, 000. However with the widespread corticosteroid use secondary adrenocortical insufficiency due to steroid withdrawalShow MoreRelatedCoexistence of Autoimmune Disease with Type I Diabetes Mellitus in Libyan Patients2041 Words   |  8 PagesMATERIAL AND METHODS The prospective clinical study was undertaken on 849 patients admitted in endocrine department of Tripoli Medical Center from December 2007 to July 2008. From the patients files, the concomitant disease presence or absence was also recorded; especially with reference thyroid function. The important investigations as prescribed by the physician were also recorded. patient’s serum level of T4, T3, FT4, FT3 and TSH were measured for 748 patients. The venous blood samples wereRead MoreThe Health Care Crisis and What to Do About It1342 Words   |  6 PagesThe cost of receiving treatment- cost effectiveness Hard-core diseases have proved to be hell for most people because of the high costs of treatment. In a country like the U.S. that is a world leader in advanced medical care, a significant proportion of its total gross domestic product (GDP) is used to fund health care. A lot of money is used in treating some of these diseases and there is no guarantee that the disease will be totally suppressed. The private sector spends more on health careRead MoreHealth Belief Model1640 Words   |  7 Pageshas continued to be the focus of considerable theoretical and research attention (Janz N,Becker MH,1984 and Harrison JA.el .MullerPD,1992 ) in long and short term behaviour, including risk sexual risk of behaviour and transmission of HIV/AID .This study is include theoretical background and as it examine the attributions and criticisms in Health Belief Model (HBM) . Also it is attempt to a review of the general attitudes people about the own health. Becker (1974) described the model as attemptRead MoreHcs/438 Dqs Essay1329 Words   |  6 Pagesnumbers we first add the numbers up and then divide that number by the amount of numbers you had to add up. For an example: 5+10+5+10+5= 35 then we divide 35/5 because we used 5 numbers to add. We come up with the number 7. 7 would be the mean in this case. â€Å"The median is the middle value of the data set. To find a median we arrange the values in ascending (or descending) order, repeating data values that appear more than once. If the number of values is odd, there is exactly one value in the middleRead MoreDefinition of Nursing1191 Words   |  5 Pagesand conservative, and suffering from lack of cohesiveness and collegiality† (Cohen, 1981; Eisenstein, 1982; Hughs, 1982; Hull, 1982; Kalisch Kalisch, 1977; Kerr, 1982; Lowery-Palmer, 1982; Muff, 1982; Weiss Remen, 1983 as cited in Chandler, 1986, p.1). With this definition of what a nurse has been professed as, there is a fundamental responsibility to redefine and understand the purpose and characterization of today’s nurse. Without a true clarity, respect and cohesiveness of peers and communityRead More20th Nursing1560 Words   |  7 Pagesleaders. Goldmark (1923) in particular emphasized that the training needs of the students and the service needs of hospitals were incongruent. She wrote that when: the needs of the sick must predominate; the needs of education must yield† (Goldmark, p. 195). To balance the academic needs of nursing students with their need for clinical experiences, Dr. Richard Olding Beard advocated for university education for nursing student. He contended that university education would eliminate the incongruenceRead MoreEssay on Autism Spectrum Disorder and its Comorbidities 985 Words   |  4 Pagesexample, the child receives sensory input when a teacher lightly touches his hand to get him back on task, his nervous system processes this input and sends signals to the brain, finally the brain translate it into an appropriate response. In this case, the child quickly gets back on task. However, with sensory processing disorder there is a breakdown somewhere along this cycle. A person who suffers from sensory processing disorder will often find it difficult to process sensory input. There canRead MoreEssay Male Victim Rape1771 Words   |  8 Pages Male Victim Rape Abstract This research paper is based on individual case study related to â€Å"Male Rape Victims.† Male rape is a crime of forcing another person to submit to sex acts, especially sexual intercourse (LongMan Dictionary, p1169). In general, male rape has occurred as often as every year from the age of twelve and above. Frequently, males and females had common experiences in same situations. An attacker could victimize males as well as females, who can be an attacker, only a small numberRead MoreGoing Paperless: Electronic Medical Records Versus Paper Medical Records Is It Time to Make the Switch?2698 Words   |  11 Pagesbring forth health care advances with the systems data quality and availability. This research study uses focus groups and surveys to get the opinions of different health care providers and some patients on what they think EMR will do for the health care industry. Literature related to EMR was reviewed to get a better understanding of the benefits and barriers of e lectronic medical records. The study uses data from two health care facilities for 4 new patients in the traditional paper-based medicalRead MoreApplication Of Higher Order : Features On Mammograms Essay1701 Words   |  7 Pagesintensities of gray scale levels or colours. Similarly texture analysis can also be used to identify masses and microcalcification in mammograms. However Grey Level Co-occurrence Matrices (GLCM) technique introduced by Haralick was initially used in study of remote sensing images. Up till now in breast cancer detection only first and second order GLCM features were mostly used, to the best of our knowledge there is no evidence of use of higher order GLCM features for detection of malignant masses in

Tuesday, December 10, 2019

Leadership Is Significant Part Management †Myassignmenthelp.Com

Question: Discuss About The Leadership Is Very Significant Part Management? Answer: Introducation Leadership is very significant part of the management of the hospitals and any other organizations. Leadership is a very crucial process as it involves the communication between the leader and the other staff to motivate them to work hard to achieve the organizational goals. According to many scholars, the leadership is defined as the ability to provide the direction to the team towards the future goals and objectives and build some strategies to manage all the activities in the organization. However, it is also explained as the process that involves planning, organizing, controlling and directing. Moreover, the leadership is to perform the actions by the individuals or the group as per the instructions or guidelines of the leader. There are many authors and researchers who gave different meanings of the leadership. The most important thing about the leadership is that it has the power to bring a huge change in the organization. There are two types of the leadership- one is formal an d the second one is informal. A leadership is said to be formal, when the managers of the hospitals, states its powers and in the framework of legal approval by the hospitals. An informal leadership is defined when the staff member itself motivates the other person (Jones and Bartlett, 2011). Leaders Profile Mrs. Tracey burn is the Chief executive director of the Nursing Department of the King edger Hospitals. She is very famous and well know personality that motivational, intelligent and hard working. As an executive director of the nursing, she used to make plans and control the discharge process at the hospital. Despite of this, Burns also conducts meetings and adjust the schedule of the nurses to provide the accurate services to its patients. Some of the leadership responsibilities performed by the Burns are motivation to the staff, direction, controlling and evaluation of the staff as well as to improve the process of admissions and discharge in the case of Accident and emergency (A E) wards. Transformational approach of leadership There are many approaches of the leadership. After analyzing the case study, it is found that transformational leadership is the most appropriate theory applied to the leaders role, achievements and their nature. The main focus of this approach is to motivate, guide and directed its followers towards the goals of the company (Sharma Jain, 2013). Talking about the main goal of the Edger hospital, then it is the improvement of the discharge process at the hospital. The problems faced by the patients are many like placing of the patients in the wrong beds, delays in the discharge, increasing length of stay of the patients, high cost of admission, and increased number of complaints by the patients. As after knowing these problems, Rodger Andrew who is the Chief executive officer of the hospital decided to give the opportunity to the burn to handle all these problems and lead in every department. She makes use of the transformational approach by emphasizing on the employees commitment to wards the main goals. In the literature review, it has been seen that transformational leadership is defined as the empowerment of the others members to make them busy and work together to achieve the goals for the preferred future. In the review of the literature, the researcher Russell and Swansburg revealed the four main aspects of the transformational approach of the leadership. These four elements or components are- Management of attention, trust management, management of the meaning and self. In the trust management, the decisions made by the leaders are based on the equality, honesty and fairness. All these decisions made by the leader will be respected, followed and implemented by the staff nurses as well as the staff of the A E department. Also the judgement given by the burn is consistent and sound. The management of the attention can be achieved by focusing on the vision, goals and outcomes. As a leader, you know the skills of the staff members and utilizing their skills in an effective way demonstrates the meaning of the self. Every health organization or national health system (NHS) will be based on how it serves the community and how it is performed to achieve the vision and mission of the company (Gosling, et al., 2003). Talking more about the leadership approach, the leaders continue to gain the management as well as the leadership skills to face the problems and make a strategic planning to solve and control the problematic situation. The management of meaning refers to the staff encouragement towards the commitment with the help of communication strategies and builds a strong culture by conducting meetings, group discussions where the creativity and the innovation of the other staff members are highly appreciated. Similarly, the Burn used to conduct the meetings and workshops with the staff members to improve the discharge process at the hospital. These meetings and workshops are valuable for the staff to direct them towards their commitments. Moving further, Russell and Roussel focused on the fact that in transformational approach of the leadership, it is very important that organization and the personnel will benefit from the achievement of the goals and all these fulfillment of the goals is achieved by encouraging and empowering the staff nurses as well as the other members of the hospital to trust their leaders and keep some vision in their minds about the organization. It has been analyzed that the transformational leadership can be experienced better in the health care organizations and in the emergency department as those are some of the situations that are unstable and changing very rapidly. The reason is that leaders like Burn will encourage the employees needs and thoughts and also able to acknowledge the uncertainty and be flexible accordingly. In his approach, the best way of motivating and empowering the employees of the hospitals is to appreciate their views and involve them into the decision making process w hich make them feel important part of the organization and part of the vision of the organization as well (Abri, 2011). Apart from this approach, there many other leadership styles like Transactional, autocratic, participative and Laissez Faire. Transactional approach: - This is the second approach of the leadership that focus more on the exchange of rewards and targets between the employee and the organization. According to this approach, the staff members can be motivated by giving them rewards for their efficient performance. This approach is mainly focused on the completion of the tasks and rewards. This approach is not that much used by the Burn in this case study, but she is thinking to give these type of rewards in the future period of time. Laissez-Faire: - As this approach of leadership puts low emphasis on performance and people. This style is not good for the situations where employees need supervision to work so it reduces the productivity of employees and doesnt provide good results. Assessment of the role of Tracey Burn In this case study the approaches of leadership and the strategies used by the Burn are appropriate. If I had been appointed in the place of the Tracey Burn, then I will also prefer to have the transformational approach to handle the things as this approach is found most suitable and reliable as compared to other approaches of the leadership styles. As with the transformational approach, the inspiration and empowerment of the nurses and medical officers results in the high growth of the hospitals by building a strong relationship between the employee and leader. As a leader, Burn possess all the qualities or the characteristics of the transformational leaders. These qualities are as follows: - The ability of the leader to develop a sense of capability in the employees Offer vision and directed their team towards the commitments to achieve that vision Management of the trust among all the staff members Timely performance of the tasks At the time crisis or in the critical situations, to manage and take the risks effectively to solve the problems. Effective communication between the staff and the leader. Talking about more about the transformational approach, Burn treats all its team members of nursing as well as A E departments in a very friendly way and make them realize that delay in the discharge process creates problems for the patients. Hence, a relationship of trust has been developed between the staff and the leader. The tasks performed by the Burn are appreciable as she is very much concerned about the needs and values of its employees (Association, 2015). Burn conducts workshops as well as individual meetings with every staff member to understand their feelings, needs and problems and reasons of their low performance. In these meetings, Burn used to share the responsibilities and duties of the staff because of which the employees will work harder and perform better to meet the goals of the hospital. Even I will also do the same things to handle the situation and to improve the admission- discharge at the hospital. Furthermore, she also used to hold the general meeting to share the planning strategies for the improvement of the discharge process and also take the ideas from the staff to take the best decisions for the king edger hospital (Abri, 2011). The involvement of the nurses, doctors and many medical officers in the decision making and all these employees feels an integral part of the organization. As the Burn believes in the equality and this is the reason that most of the employees follow her decisions for the accomplishment of the goals. In simple words, the role or activities performed by the Tracey Burn are as follows: - As a leader, she plans, organize, direct and controls and align the schedule systems of the employees Delegation and allocation of the functions Organizing workshops for the employees on the discharge process at the hospital Development of the employee knowledge and skills Ongoing training programs for the employees Moving further, all these tasks leads to positive outcomes and increased the staff commitment, achievement of the goals and high job satisfaction. The skills and the knowledge of the staff members is developed by providing them the online job trainings at the King Edgar hospital. The nurses and medical officers will be able to handle the things more effectively after taking these training programs as these will make the employees more capable and knowledgeable. The Transactional approach of the leadership also used by the Burn as she also offers the monthly reward to the employees who will perform better and effectively in the future (Nanjundeswaraswamy Swamy, 2014). This is the best way to motivate the employees. This leadership style of the Burn creates a situation of the give and take like give higher performance and take attractive incentives in return. This is an exchange of the rewards and performance. Also, this will also create a feeling of competition among the employees to perform better. The movement of the senior physicians into the emergency wards is also a very effective initiative taken by the Edward in the year of 2003. After all, the problem of the discharge process at the King Edgar will be resolved and productivity will also increase. Therefore, it is concluded that the role of leader played by the Tracey Burn at the King Edgar Hospital is playing a very significant role to improve the discharge process as well as to resolve the other problems facing by the patients. The patient satisfaction is also important to build a good image of the hospital and the entire national health system of the country. If the company appointed me as a leader, then I also followed the similar approaches to motivate the employees as well as to solve the problems. The transformational leadership approach is the most effective leadership styles used by the most of the hospitals. Leadership and the management are the two separate concepts, but they are interconnected with each other as the leadership is used as the best strategy in the management. Leadership is the part of the strategic management. Therefore, all these tasks of the leadership lead to positive outcomes and increased the staff commitment, achievement of the goals and high j ob satisfaction (Hintea, et al., 2009). Concept of Strategic planning There are many definitions given by the different scholars to explain the meaning of the strategic planning. Strategic planning is defined as a plan of action by focusing more on the available resources, to set the priorities and motivating the employees to perform well to achieve the goals of the organization. However, Strategic planning is the disciplined efforts made by the organizations to take the best decisions and to give the directions to the company with regard to its main focus on the future, how to achieve the goals, why it wants to achieve these objectives, what will company do to achieve these goals in the future. Moreover, strategic planning is not only about the directions and actions to get the success, but also focus on how to determine the results. There are many frameworks or the methods are used to develop a strategic plan. AS in the case study, it is found that the King Edgar is the famous hospital and facing many problems with regard to the admission and discharge process. As the problem was increasing day by day so Andrew took a decision to handover the responsibilities to Burn and lead the organization. The Burn used many strategies to solve the various problems (Gordon, 1998). The different attributes of the strategic framework are divided into different categories and these are shown below: - Strategic Analysis Strategy formulation Strategy evaluation Execution of the Strategy/ Implementation of the Strategy Strategic Analysis Before formulating any strategy, it is very important to analyze the working environment of the hospital. There are many factors that need to be considered while making the strategic planning in the internal and external environment. Factors affecting the Strategic Planning There are two types of the factors affecting the strategic management one is internal and second is the external environment. The Internal environmental factors are the communication, leadership, decision making, job design and external environment factors are political and the technological factors (Perera Peiro, 2012). Internal environment Communication: -In the King Edgar hospital, the most important factor that affects the planning is the poor communication. As we know, communication is the process of sharing their own ideas and thoughts with the leaders to take the best decisions. A Decision and the communication are the closely related aspects as the staff nurses and other medical officers will feel an important part of the organization and perform better, if the importance is given to their ideas. The bad communication or zero communication may lead to the failing of strategic planning and negative results for the organizational performance. Leadership: - In the case study, the leadership is playing a very important as the Tracey Burns was appointed as a leader to build strategies to handle the delays of the discharge. Therefore, the strategic planning is successful only if the health organizations have that leader who can use its skills and capabilities and has the ability to motivate the employees to perform well towards the goal of the organization. A good leader is always important for the successful implementation of the strategies. The supervision is very important while the strategies put into actions. The actions performed by all the employees should be thoroughly analyzed and assessed by the leaders or the managers in the organizations. Decision Making: - Decision making is an internal factor which is significant in the strategic management. The decisions can either be good or bad. In the strategic planning, there are various alternatives available and it is very important to choose one best alternative among all other alternatives. The bad decisions always have a negative impact on the growth of the organizations (Harrison, 2010). Job Design: - The leaders in the organization have the responsibility to delegate the jobs or tasks according to their skills. As burn decided to align the schedule of the receptionist as well as the nurses in other activities as per their skills and abilities. The delegation of the work is the important part to solve the problem of the delay of the discharge activities. As a leader, it is the duty of burn to decide which task is performed by which individual. External Environment Political Factors: -It refers to the factors related to the interference of the government as the King Edgar hospital trust is the merger of 3 hospitals- clover, Frior and Bronte. These hospitals are merged as the government wants to reduce the duplication and improve the services of the national health system. The political factors need to be analyzed in the case of those organizations which operate in the political and legal environment. The changes in the policies of the organizations are also the most important thing to be analyzed by the organization. Technological Factors: - Changes in technology have posed a great challenge to the companies which need to be considered significant by the organization. Since the competition in the market is so high. The advancement in the technologies has a great impact on the working practices in the organization (World Health Organization, 2011). Strategy formulation The discharge planning of the hospital involves many activities and the strategies formulate by the Edward Helen. The initiative taken by the hospital is to change the culture of the hospital and improve the performance of discharge. The second initiative taken was the creation of the cartoon posters for the patients and caregivers to tell them how the discharge planning fit is on the top priority of the trust. At the same time, Edward and the Burn together organized a workshop for the promotion of the ownership and the planning of the discharge. The relationship with the employees of the hospitals needs to be strong between the physician and the management leaders. All these initiatives were taken to deal with the problem of the discharge delays (Almalki, et al., 2017). Evaluation of the Strategies The available options and the resources available to achieve the long term goals is need to be evaluated. As the Edward and the Burn was able to secure the funding and thinking to utilize the available resources like reinvestment plans and then put all the senior employees at the A and E department as this department need more care and attention. Implementation of the Strategy Strategy implementation is the last stage of the planning process and it is found very complex to implement these initiatives. Initially, Burn put all the initiative on hold and decided to wait for the right time and establishment of the ongoing changes. Suddenly, in 2003, the community care act came into existence and then Burn implement their initiative to get the best results of these discharge planning. In the year of 2003, at the time of the second workshop, several positive outcomes of the initiatives have been seen (Knowles, 2013). Relevant strategic plan for the organizational change- UW health organization The relevant strategic plan of UW health organization is useful to review and refocus on the strategies to bring a change in the organization and this plan is also divided into many phases and these are discussed as below: Defining Mission, vision and values Mission: our reason for being This is the written statement of the final aim of the organization. As the mission of the UW health organization is to focus on the 4S- services, Scholarship, Science and the social responsibility in order to improve the health organization without any compromises. Therefore, the mission of the company indicates the overall aim of the organization and that mission should be short, clear and concise. Vision: Our place in the World The vision statement is also in the written form and it indicates the future goal of the organization. As the UW health company also has the vision to work together in order to improve the services of the health care system and reduce the duplication and also take care of the well-being of the people of the Wisconsin. Values: - These are the set rules and principles need to be followed at the time of the strategic planning. These values include the ethical code of the conduct of the organization. Some of the values that UW health organization considered are as follows- Integrity Innovation Compassion Accountability Respect Excellence Strategy formulation- Refocus and Review The strategic plan of the UW Health for the year of 2010 to 2014 represents the true steps in the development of the single plan with a common mission, vision and strategic goals. As it has been seen that the UW health is also a merger of the 3 partners-UW Hospital and Clinics, UW Medical Foundation and UW School of Medicine and Public Health. This phase of the strategic plan includes the many stages like analysis of the internal and external environment. These stages are as follows: Analysis of the internal environment Analysis of the external environment SWOT Matrix Strategic Alternatives Strategic objectives Operational planning The operational planning to bring the change in the hospital is to achieve the strategic goals by appointing active, experienced and senior physicians at the emergency department. There are many action steps that can be taken to achieve these strategic goals (Douglas, et al., 2015). The Strategic plan 2010 -2014 of the UW Health is presented as below- Strategic Goals of the UW Health Action Plan Best working Environment Provide job trainings for the employees to educate them about the current health care working environment (UWHealth, 2013). Workforce planning to increase the quality of work Establishment of the shared criteria for the selection of the employees Quality Distinction Transfer of the experienced and senior physicians in the emergency ward. Implement the training management systems for the leaders to deliver the training further to improve the quality of services. Alignment of the needs of the employees of the UW Health A Clinical model of care Introduction of the interdisciplinary model of care for the family centered patients. Implement leadership model for all the nurses and the physicians (UW Health Team, 2017). Primary care Implementation of the redesigned model of the face to face workflow Market Focus Create external or geographic strategy and plan for the future. SWOT analysis for the growth and to grab the opportunities Patient and Family experiences Reduce the delays and waiting periods of admission and discharge for the satisfaction of the Patients. Improving the communication standards Providing Consultancy services (UWHC, 2012). Assessing the results The outcome of any initiative has been always an uncertain. It can be positive or negative. The assessment of the results is significant as to find out the errors and mistakes in the previous strategic planning and also identify, which factor is less evaluated among all the factors that affecting the organizational change in this hospital trust. In the case of the UW health, the successful results have been analyzed over 5 years and there is a long list of the accomplishments to celebrate (Leahy, 2015). Conclusion In this report, there are two parts in which one part is about the leadership and its approaches and the second part is related to the strategic planning. The conclusion of this report is that leadership and the management is the important parts to bring the organizational change for the growth of the organization. On the basis of the Case study, the Edwards and the Tracey Burn take lot of initiatives to achieve the vision and mission of the King Edgar hospital. The King Edgar hospital is also the merger of three hospitals and the initiatives taken by the burn and Edward are towards the achievement of the long term objectives and to reduce the delay of the discharge of the patients. It has been analyzed that the burn has decided to align the duties of the receptionist as well as the nurses in other activities, as per their skills and abilities. The delegation of the work is the important part to solve the problem of the delay of the discharge activities. However, Edward wants to shif t senior physicians in the accident and emergency department. In the case study, the approach of leadership used by the leader is the transformational approach which focuses on transforming the behaviors and attitudes of the staff nurses, ward sisters, medical officers, physicians by motivating them. The rewards for the better performance are considered as the best method to motivate and encourage the members of the staff. The leadership activities are the part of the strategic planning and all these activities will have the positive outcome, if these strategies will implement properly. Therefore, the report outlines the role of the leadership and the strategic planning in the organizational change. References Abri, K., 2011. Leadership and Management, Available at: https://www.eliteediting.com.au/uploads/nursing-final.pdf Almalki, M., Zafar, A. Al-fleit, S., 2017. Challenges in Implementation of Information System Strategies in Saudi Business Environment: A Case Study of a Bank. International Journal of Computer Trends and Technology (IJCTT), January, 43(1), pp. 56-65. Association, A. H., 2015. Integrated Leadership for Hospitals and Health Systems: Principles for Success: AMA, Available at: https://www.aha.org/content/15/ahaamaintegrleadership.pdf Douglas, J., Dahlberg, K. Carlson, C., 2015. Strategic Facility Plan: the mercy Foundation, Available at: https://mercymooselake.org/docs/Strategic-Plan.pdf Gordon, D., 1998. A Strategic Information System for Hospital Management, Available at: https://tspace.library.utoronto.ca/bitstream/1807/12048/1/nq36197.pdf Gosling, J., Marturano, A., Dennison, P. Bolden, R., 2003. A review of the leadership theory and competency frameworks, Available at: https://www2.fcsh.unl.pt/docentes/luisrodrigues/textos/Lideran%C3%A7a.pdf Harrison, J., 2010. Strategic Planning And Swot Analysis: Health Administration Press, Available at: https://www.ache.org/pdf/secure/gifts/Harrison_Chapter5.pdf Hintea, C., Mora, C. Ticlau, T., 2009. Leadership And Management In The Health Care System: Leadership Perception In Cluj County ChildrenS Hospital, Available at: https://www.apubb.ro/wp-content/uploads/2011/02/LEADERSHIP-AND-MANAGEMENT-IN-THE-HEALTH.pdf Jones and Bartlett, 2011. Theories and styles of leadership, Available at: https://www.jblearning.com/samples/0763749761/49761_PT01_Clark.pdf Knowles, H., 2013. Strategic plan: The Royal chidren's hospital, Available at: https://www.rch.org.au/uploadedFiles/Main/Content/strategic_plan/Strategic_Plan_A4.pdf Leahy, B., 2015. Strategic plan 2015-2018: St. John's hospital, Available at: https://www.stjohnshospital.ie/documents/Strategic%20Plan.pdf Nanjundeswaraswamy, T. Swamy, D., 2014. Leadership styles. Advances In Management, February, 7(2), pp. 1-7. Perera, F. Peiro, M., 2012. Strategic Planning in Healthcare Organizations. 65(8), pp. 749-54, Available at: https://www.revespcardiol.org/en/strategic-planning-in-healthcare-organizations/articulo/90147901/ Sharma, M. Jain, S., 2013. Leadership Management: Principles, Models and Theories. Global Journal of Management and Business Studies, 3(3), pp. 309-318. UW Health Team, 2017. UW Health Orientation Manual, Available at: https://www.uwhealth.org/files/uwhealth/docs/pdf/UHC_Orientation_Manual.pdf UWHC, 2012. Strategic Implementation Plan, Available at: https://www.uwhealth.org/files/uwhealth/docs/pdf4/board/nov2012/community_health_needs_strategic_implementation_110712.pdf UWHealth, 2013. UW Health strategic plan Refocus and Renew 2013-2015, Available at: https://www.uwhealth.org/files/uwhealth/docs/pdf2/UW_Health_Strategic_Plan.pdf World Health Organization, 2011. Step-by-step approach for development and implementation of hospital antibiotic policy and standard treatment guidelines, Available at: https://apps.who.int/medicinedocs/documents/s19184en/s19184en.pdf

Tuesday, December 3, 2019

Populism Essay Example

Populism Essay Populism DBQ During the period of 1880-1900, farmers were facing many hardships. Financial issues were one of the main difficulties as well as long hours, droughts, insect plagues, and ranchers and cowboys. The farmers refused to back down without a fight. Farmers made valid complaints and expected something to be done about it. Their complaints weren’t being listened to and they took matter into their own hands. The Farmers Alliance was formed in the 1890’s to serve for needs of education, farming methods, and to organize economic and political action. A great hardship farmers faced was overproduction of crops. Because of the over production, crop prices were lowered and farmers weren’t able to make much money. In Document E, J. Laurence Laughlin, â€Å"Causes of Agriculture Unrest†, it explains the enlargement of supply without the corresponding increase of demand. This being something that caused some farmers to even go into a depression. Farmers needed more land to compensate for the price. Also happening during this time was the drastic change between gold and silver currency. The change was creating chaos. When gold became scarce, government took it upon themselves to make silver the new form of currency. We will write a custom essay sample on Populism specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Populism specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Populism specifically for you FOR ONLY $16.38 $13.9/page Hire Writer In Document A, The Platform of the People’s (populist) party, it states that silver being the new currency as opposed to gold made the value of property and labor go down. Thus only adding to the difficulties farmers had to paying. The rising costs greatly affected farmers in the 1800-1900’s. Big companies kept their prices high making it almost impossible for small farmers to keep up. They also had to keep up with the middle man and warehouses and retailers stores that shared the profit. In Document F, James B. Weaver â€Å"A Call to Action: An Interpretation of Great Uprising†, it says monopolies are key to destroy competition. That’s exactly what they were doing to small farms so they’d no longer have competition. They would decrease the prices of raw materials then they’d increase the price to the consumer. This guaranteed farmers to be in debt for years to come. Document D, The Farmer’s Voice: a Chicago Newspaper, the cartoon shows a lineup of farmer’s mortgages going into foreclosure because they just cannot afford their farms anymore. Railroads during this time had to raise their prices as well. They charged more for short haults so they’d be able to stay in business. In Document G, Testimony of George W. Parker, Railroads were feeling the effects of the rising costs too. To survive, the only thing they could do was to raise their prices aswell. Value of money caused great tensions for farmers. As gold became less available to get and silver became predominant, it was changed into the new currency. The silver to gold ratio was 16 ounces of silver to 1 ounce of gold. In Document B, Acceptance Speech of William McKinley, he states debasement of currency means destruction of value. Free silver didn’t change anything for farmers, they were still in debt working long hours with horrible pay. As if the money wasn’t scarce enough, immigrats coming to the land and increasing population made circulation of the money even worse. In Document C, United States government data, you see the number in thousands of increasing population while the money in circulation takes a large dip before slowly regaining standard. Farmers faced many problems during the period of 1880-1900. The change in currency and rise of prices were main difficulties. The farmer’s complaints were justified. The hardships they went through were extremely tough and many made it through. The reason for some success was because they refused to back down without a fight.