Alarm Fatigue in Nursing Essay Sample

Alarm Fatigue in Nursing Essay Sample Alarm Fatigue in Nursing Essay Example Alarm Fatigue in Nursing Essay Example It is becoming increasingly difficult to ignore the fact that a sphere of healthcare and nursing requires a significant attentiveness regarding patients and related operations. Still, human errors cannot be fully avoided. Hence, such phenomenon as alarm fatigue may occur in many fields of human activity, especially in the sphere of healthcare. Needless to say, reaction on various alarming signals is an average activity for healthcare workers, but there is the most threatening implication. In fact, constant and frequent reaction on alarms makes a human-being less sensitive to them. Thus, such problem requires an adequate addressing. Alarm fatigue is caused by a wide range of factors so that there is no distinct methodology concerning the issue. That is why a middle range theory is suggested for methodological basis for dealing with alarm fatigue as long as it integrates theoretical knowledge and empirical evidence. Taking such point into account, the following paper focuses on the dis cussion of middle range theory appliance to a case of alarm fatigue in nursing. The Dangers of Alarm Fatigue To speak about the problem, it should be admitted that it is a so-called phenomenon named alarm fatigue. The phenomenon can be described as a loss of sensitivity to alarms, threats and any other warning signals due to a frequent and regular perception of them. Contextualizing the problem in terms of nursing, it is to be said that the problem is mainly connected to the healthcare personnel. Nurses and other staff become adjusted to their workplace environment to the extent that they start paying less attention to changes in patients’ state, their complaints, data demonstrated by measurements and medical equipment, special requirements to the patients’ condition, etc. It can be explained by the fact that healthcare staff members face such aspects on a day-to-day basis. Psychologically, such irritators become less influential, since the personnel members have acquired them as usual events in their daily routines. As a result, a loss of sensitivity may lead to worsening of the patients’ state. Moreover, it will be difficult to restore the same sensitivity again because it will be a conscious focus on a certain aspect. Consequently, the problem has to be addressed and it is suggested to apply a middle range theory to it. It is necessary to be explicit about what is meant by the term of middle range theory. Current theory is based on the integration of theoretical knowledge and empirical evidence so that a related activity addresses real cause of the problem. It is not tied to any certain framework but creates orienting statements, which are utilized as the basis for the further empirical activity. Applying middle range theory to the case means its implementation in a form of theory of meaning. Such nursing theory suggests that a patient has to understand meaning of his or her treatment in order to feel motivated and positive regarding recovery (Liehr Smith, 2014). The case of alarm fatigue, however, presupposes appliance of the theory directly to a nurse or any other representative of healthcare personnel. Such individual has to be careful about patients’ state, their complaints and all data related to the patients in order to react immediately in case any emergency occurs. The conviction rel ates to the professional duties of the individual. In case he or she fails, a threat to lose the job can emerge. Employment is commonly associated with personal well-being so that the individual will be as careful as possible. One may argue that it is cynical to address alarm fatigue from that point of view, but consideration of personal well-being is one of the primary human instincts, to which the theory of meaning can be applied. The choice of middle range theory can be explained by the fact that it addresses not only a distinct sphere of human activity by considers the related fields and disciplines. The theory has its origin in sociology. Robert K. Merton was attempting to integrate social theories of conflict and functionalism. As a result, middle range theory places a subject at medium range towards every single aspect of human activity and knowledge. In other words, a problem is focused on consideration of the entire variety of perspectives. Therefore, such approach allows healthcare personnel to base any professional theories with consideration of non-healthcare factors. In such way, the theory addresses practice and is applicable to the entire discipline of healthcare and nursing, since every single case can be regarded as unique. What is more, alarm fatigue is a common problem among healthcare staff members so that appliance of middle range theory can contribute much to the nursing practice, especiall y in regard to the fact that nursing and social theories are mutually connected. With regard to the previous evidence of appliance the theory to nursing, it was generally applied in terms of meaning theory. However, it was directed towards patients in cases of loss intention, motivation and carefulness concerning the treatment. As a consequence, absence of communication with nurses and other staff members could be observed in such sort of cases. It led to the complications concerning treatment and worsening of the patients’ state. Thus, middle range theory suggested strategies of conviction a particular patient to cooperate with healthcare staff. The theory considered personalities of the patients as long as the majority of deviations from treatment course are caused by traits of character or psychological condition of a patient. Middle range theory helped create basis for motivation and cooperation of a patient. Further, his or her participation in personal treatment was highly appreciated by healthcare staff. It is a crucial point, since a patient should feel his or her contribution regarding the treatment. As long as middle range theory is applied to the exact representative of healthcare personnel, it should be admitted that such individual motivated himself by the previously outlined sequence of statements regarding professional obligation and consideration of personal well-being via obtaining a job position at a healthcare organization. As a result, the individual paid attention to all evidences, which can be related to his patients. In such way, a possibility of developing alarm fatigue was definitely low. It can be explained by the fact that the individual kept all evidences and data recorded. Moreover, statistical data was compared to previous recordings. In consequence, potential development of tendencies was also forecasted (Liehr Smith, 2014). Conversely, the addressing of alarm fatigue does not mean excessive anxiety concerning missing signals of threat. It is important not to demonstrate any anxiety in presence of a patient in order to avoid psychological traumas. Our SamplesThe best way to know how to write good essays is by getting a sample of an essay from competent experts online. We can give you the essay examples you need for future learning. Free Essay Examples are here. Consequently, current paper has touched upon the discussion of appliance middle range theory to the problem of alarm fatigue. Alarm fatigue is a phenomenon, which is based on the loss of sensitivity to alarms, signals and any other important events due to their frequent and regular perception. Alarm fatigue occurs in healthcare quite often so that it requires an appropriate addressing. In consequence, middle range theory has been suggested in terms of nursing theory of meaning. Such complex has been suggested for motivation of healthcare staff representative in order to be careful regarding the patients’ state, complaints and any other related data. The motivation has been formulated on the basis of professional duty obligations and considerations of personal well-being.

E Government Model Of Public Service Social Policy Essay Example

E Government Model Of Public Service Social Policy Essay Example E Government Model Of Public Service Social Policy Essay E Government Model Of Public Service Social Policy Essay E-Government theoretical account through ICT of public service bringing was started in South Africa first clip, for the preferable as channel for citizen-centered service bringing. It means to supply quality services to the citizens of its state. In this paper we will analyze the function of E-government within developing state in the South Africa with the aid of instance survey. First of all we will see what is E-government? E-Government E-Government ( short for electronic authorities, besides known as digital authorities, on-line authorities or transformational authorities ) is a diffused neology used to mention to the usage of information and communicating engineering to supply and better authorities services, minutess and interactions with citizens, concerns, and other weaponries of authorities. Delivery theoretical accounts and activities of e-Government The primary bringing theoretical accounts of e-Government can be divided into: Government-to-Citizen or Government-to-Customer ( G2C ) Government-to-Business ( G2B ) Government-to-Government ( G2G ) Government-to-Employees ( G2E ) Within each of these interaction spheres, four sorts of activities take topographic point: Pushing information over the Internet, e.g. regulative services, general vacations, public hearing agendas, issue Jockey shortss, presentments, etc. Bipartisan communications between the bureau and the citizen, a concern, or another authorities bureau. In this theoretical account, users can prosecute in duologue with bureaus and station jobs, remarks, or petitions to the bureau. Conducting minutess, e.g. lodging revenue enhancement returns, using for services and grants. These types of activities may be performed but non may be that all activities are performed by all the states. Some have greater but some have less Chiefly intent of presenting this theoretical account is to direct entree to the Government. So better the efficiency of public services bringing in South Africa. This theoretical account is based on instance survey research, focused on one of the authoritiess primary service bringing programmes societal grants, as mentioned in instance survey. South African Social Security Agency ( SASSA ) was established as an extension of authorities bringing arm that administers the bringing of societal grants to the poorest of the hapless in South Africa. SASSA s Vision and mission is aligned with several Batho Pele rules. Batho Pele which literally means people foremost . Introduction of this Model Batho Pele A ; Public Service Delivery in South Africa. Batho Pele is South Africa s constitutionally mandated public service bringing doctrine. This theoretical account ensures that all the citizens can keep public retainers accountable for the degrees of service receive from authorities. The expected transmutation in service bringing is better comprehended on the contemplation that South Africa has merely been a Democratic state since 1994. Here we look into background of this theoretical account. The way of service bringing transmutation officially began in 1995 with the release of the White Paper on the Transformation of Public Service. The WPTPS established the institutional model that could steer the debut of new policies and the execution of the new constitutional authorizations. It was shortly followed in 1997 by the White Paper on Transforming Public Service Delivery, labeled as the Batho Pele White Paper. The Batho Pele White Paper specifically aimed at advancing incorporate and seamless public service bringing. This was on the footing of the Batho Pele doctrine. Batho Pele advocates nine rules to steer public Servants ; Consultation with citizens Puting service criterions Increasing entree to information Guaranting courtesy Supplying information openness and Transparency damages and value for money. On the other manus South Africa, through its Center of Public Service Innovation ( CPSI ) , places important Importance to initiatives to transform authorities s manner of working through ICT a impression normally known as E-government / e-governance. E-Government A ; E-Governance The footings e-government and e-governance are frequently used to depict a authorities s usage of Information and Communication Technology ( ICT ) to render services to its citizens. There is a argument in research community about these two footings of E-government and E-governance. E-governance can be defined as the usage of emerging information and communicating engineerings to ease the procedures of authorities and public disposal E-government can be defined as the usage of Information engineering to back up authorities operations, engage citizens, and supply authorities services . In the definition of e-governance, we see that it focuses on the usage of ICT to help the disposal and direction of Government. On other manus in the definition of e-government we see that it focuses on the usage of ICT to supply the services in the support of authorities operations for the public service bringing of people of that state. The dominant theoretical accounts for e-government find their roots in public direction theoretical accounts and e-business theoretical accounts. While research workers of e authorities differ on the rights, privileges and duties of clients, clients and Citizens. They by and large concur that e-government move through phases to make adulthood. Notwithstanding, the successful enterprises are difficult to come by. This realisation led to the really of import and implicit in concern: are authorities ICT technological inventions adhering to the rules of people first , so to state, are the authorities ICT technological inventions enabling the betterment of service bringing in South Africa? This instance survey besides tells us about the apprehension by concentrating on the authorities bureau duties for one of the cardinal service bringing plans the South African Social Security Agency, SASSA. A instance survey of a authorities section, the South African Social Security Agency ( SASSA ) , was adopted investigate the phenomenon of e-government will be studied in the context of Batho Pele. Since the each authorities service is measured against the same rules that are defined in Batho Pele. Applicability of this theoretical account can be drawn to other authorities units. In this instance analyze the information was collected by different ways, through structured face-to-face and telephonic interviews with people involved in presenting an ICT system to the concern units of the South African Social Security Agency ( SASSA ) . Pros/Advantages/Merits of this Model Any thing is non perfect in this universe except God. So every theoretical account is holding both features of virtues and demerits. Similarly here we are utilizing the E-government theoretical account which was used in South Africa for public service bringing. We know that it is really hapless state and non so developed. So many South Africans do non hold direct attack to public services which are supplied by the Government as stated in the instance survey. Following may be the major advantages of this theoretical account. Equally distribution of services Batho Pele aims to administer the services every bit among the populace. Not any distinction on the footing of race, gender, citizen, distance etc. its mean that every one has right every bit of public services . Access to information This theoretical account besides explains that the citizen has easy entree to the information about the Government public presentation and other activities so there may be answerability in such a mode. Quality services Access to information services empowers citizens and creates value for money, quality services. Decrease of Unnecessary outgo. When there will be e-government so easy information available about every thing of authorities and authorities establishment. It reduces unneeded outgo for the citizens. Questions that can by and large be answered during the interview can go around around what ICT enterprises are being used to increase the handiness of the service or merchandise and how accessible these enterprises are to communities who do nt hold the needed ICT substructure. Supplying information Availability of information with respects to merchandises and services should Not merely be at the service point, but should besides endeavor to increase the handiness of merchandises and services to the populace who are far off from those service points The chief country of focal point would be to increase the Availability of information to the populace who are far off From service points. ICT is used as a concern support tool, and since the concern of authorities is to present a public Service, ICT supports public service. The implementers of these ICT services will therefore be measured against the benchmarks of how good the public service was delivered. Therefore we should hold to carefully analyse the support of usage of ICT within the authorities section or bureau. This sensitiveness would greatly act upon the reading of the text collected during the interviews. Cost effectual It is convenient and cost-efficient for concerns, and the public benefits by acquiring easy entree to the most current information available without holding to pass clip, energy and money to acquire it. E-government helps simplify procedures and makes entree to authorities information more easy accessible for public sector bureaus and citizens. The awaited benefits of e-government include efficiency, improved services, better handiness of public services, and Transparency We see that due to utilize of this theoretical account transparence occurred. Due to the whole connected system through cyberspace engineering, every information is available for all. Accountability Study approved that due to E-government, there is greater answerability on each and every thing because all the information is available to every 1. So public knows the activities of authorities. So there is a answerability on authorities by public and other establishments and citizens. Democratization Through e-government the greater citizen can participation upon political issues. They can link themselves to politicians through cyberspace. This theoretical account gives the more crystalline authorities, leting the electors to see the consequence of their representatives. What they are making and what they are non making in right mode. Public can go more cognizant about the authorities activities and they can do best determination about their hereafter. Speed, efficiency, and convenience E-government allows citizens to interact with computing machines to accomplish aims at any clip and any location, and eliminates the necessity for physical travel to authorities agents sitting behind desks and Windowss. Improved accounting and record maintaining can be noted through cybernation, and information and signifiers can be easy accessed, bing quicker processing clip. Persons with disablements or conditions no longer hold to be nomadic to be active in authorities and can be in the comfort of their ain places. This theoretical account was accepted heartily, the immature people who were non take parting in political issues before but now they are excessively take parting is national degree issues due to e-government. Hazards There are many considerations and possible deductions of implementing and planing e-government, including disintermediation of the authorities and its citizens, impacts on economic, societal, and political factors, exposure to cyber onslaughts, and perturbations to the position quo in these countries. Hyper-surveillance Increased contact between authorities and its citizens goes both ways. Once e-government Begins to develop and go more sophisticated, citizens will be forced to interact electronically with the authorities on a larger graduated table. This could potentially take to a deficiency of privateness for civilians as their authorities obtains more and more information on them. In a worse instance scenario, with so much information being passed electronically between authorities and civilians, a totalitarian-like system could develop. When the authorities has easy entree to countless information on its citizens, personal privateness is lost. Cost Although a colossal sum of money has been spent on the development and execution of e-government, some say it has yielded merely a second-rate merchandise. The results and effects of test Internet-based authoritiess are frequently hard to estimate or unsatisfactory. Lack of secretiveness Although internet-based governmental plans have been criticized for deficiency of dependable privateness policies, surveies have shown that people value prosecution of wrongdoers over personal confidentiality. Ninety per centum of United States grownups O.K. of Internet tracking systems of felons, and 57 per centum are willing to waive some of their personal cyberspace privateness if it leads to the prosecution of felons or terrorists. Inaccessibility An e-government site that provides web entree and support frequently does non offer the possible to make many users including those who live in distant countries, are homebound, have low literacy degrees, exist on poorness line incomes, suffer from chronic unwellness, and are individual parents or older grownups. False sense of transparence and answerability Oppositions of e-government argue that on-line governmental transparence is doubtful because it is maintained by the authoritiess themselves. Information can be added or removed from the public oculus ( i.e. the Internet ) with or without public notice. For illustration, after the World Trade Center in New York City was attacked on September 11, 2001, United States federal functionaries removed a big sum of authorities information from its web sites in the name of national security. This act went comparatively unnoticed by United States citizens. To this twenty-four hours, really few Decision In decision we see that this E-Government theoretical account of public service bringing is really of import, adopted by authorities of South Africa. This theoretical account has advantages every bit good as disadvantages. This theoretical account has advantages of every bit information proviso, quality services, efficiency in public services bringing etc. but it has besides some drawbacks such deficiency of secretiveness, and so many other factors which may harmful for authorities through this system. The usage of e-government as a service bringing enabler will decidedly back up authorities s service betterment doctrine of Batho Pele, therefore seting people foremost. Now a twenty-four hours s engineering has become the every thing really easier, more enlightening, efficiency and cost effectual. Through this theoretical account of ICT can set people foremost, but merely if the usage of ICT is supported by the underlying concern procedures. For e authorities to be effectual, all e-government enterprises in South Africa should be integrated. E-government will merely genuinely be effectual if it is managed from a individual portfolio in authorities, and non from silos within each authorities section. Many other states have adopted this theoretical account such as United States. But degree of using this theoretical account may change. It means some are using higher degree and some states are using less degree of E-Government. In United States E-government theoretical account was used The United States Government under the Bush Administration has created a separate portfolio that manages the execution of e-government. The Office of Management and Budget ( OMB ) is developing what it calls the Federal Enterprise Architecture that will pull off the manner in which the United States Government does concern and peculiarly through the usage of e-government ( US Office of Management and Budget, 2007 ) decelerate advancement in implementing a individual portal for Government services. It is clear from the instance survey that South Africa needs a portfolio within its authorities that drives the execution of e-government. This will include policy, statute law and execution criterions. This is where the Office of the Government Chief Information Officer ( OGCIO ) besides plays a function to smooth the advancement of the usage of ICT in Government. Components It consists of three constituents, viz. : ICT Programme Management Government Chief Operations Officer and E-Government Architecture and Integration. The instance survey was focused on merely one country of e-government within the public service of South Africa, viz. the Department of Social Development and its service bringing constituent, the South African Social Security Agency. Similarly there is demand to done this in the other sections of Government of public service bringing. Which are inefficient as compared to others? And guarantee that the usage of ICT is effectual at all authorities sections. It is proposed that there is demand to be studied at sections that come under the deficiency of service bringing similar surveies should be done with Other sections to guarantee that the usage of ICT is effectual at all authorities sections, such as the Department of Home Affairs ( ID book and passport applications ) Department of Transport ( license applications and vehicle enrollments ) South African Revenue services ( revenue enhancement returns ) Mentions: E-Government A ; Public Service Delivery: Enabling ICT to set Peoples First A Case Study from South Africa. By Wikus VISSER and Hossana TWINOMURINZI

ROBOTICS Essay Example | Topics and Well Written Essays - 1250 words

ROBOTICS - Essay Example The robot has imitated the human arm in most cases because this is where it receives application in industries. Regardless of the robot developed and application specification for it, robots have some basic characteristics that define them. Sensing is a key feature in robot development. They should be able to sense the environment around them. To be able to articulate this principle sensors like light sensors, sonar sensors, touch sensors and chemical sensors can be adopted to implement the robot (Anderson). A motionless robot is not a robot. The robot should have the ability to move in its environment. Using wheels, rollers, legs, and or thrusters can make the robot move to perform its tasks. Care is taken during application of the robot to ensure the environment does not harm the robot or vice versa. Owing to the use of electronic components and codes to give it logical sequence guide in its operation, means they utilize energy (Cordeschi). Because of its movement capabilities, its design should put consideration into powering itself. A degree of intelligence needs injecting into the robot design. This is the ability of a robot to be smart. Programming is the playground to implement the smartness of the robot as it works in the environment. The programs guide the robot on what to and not do. In general, a robot is a combination of sensors, power supplies, manipulators, control systems and software all gear to one task. Robots for industrial use rotate through three different axes. They achieve applications in the field of assembly, welding, pick, and placing objects, packaging, and inspection of products, testing, and painting. In fact, the said field of application requires endurance, fastness, and utmost precision (Igor Aleksander). This entirely are features that a robot can be designed to achieve. Robots in every manner attempt to imitate the human being. About this, analyzing a human body goes along way into

Music Therapy Description Term Paper Example | Topics and Well Written Essays - 1500 words

Music Therapy Description - Term Paper Example Music therapy is defined as "a systematic process of intervention wherein the therapist helps the client to promote health, using music experiences and the relationships that develop through them..." (Bruscia KE, 1998) In these Modern times of great advancement in science and technology, music to therapy shows great promise in the expanding field of health care. Music therapy helps greatly in the field of medical sciences especially for cancer patients, in management, for children suffering from ADD to help soothe and calm the bodies and minds of such patients. Research has shown that music with a strong with them and beat stimulates the brain waves bringing about deeper concentration alertness. On the other hand, music with softer notes and slower tempos tend to calm and soothe the body bringing about a Meditative state of mind. Depression seems to be one of the major causes of certain types of illnesses. Though depression mostly occurs among older adults, there is no getting away from the fact that even the youth could experience some type of depression at any time in their lives. It is here that music therapy serves as one of the most cost-effective, but very much accessible interventions which could be applied in times of anxiety, distress and for other such symptoms of depression. Researchers Hanser SB; Thompson LW., (1994) after their research concluded that music therapy had great potential as a very beneficial intervention especially for the elderly who had limited access to professionals in health care. Home-based program – during the home-based program, the individuals learned the techniques of stress reduction by listening to music. This technique is carried out by a music therapist on a weekly basis when he visits the patient at home.  

Effect of Government Policies on Pricing Strategies

Effect of Government Policies on Pricing Strategies Long-Term Investment Decisions April Barnes Dr. Bernadette West Abstract In this paper I will outline a plan that managers in the low-calorie microwaveable food company could follow when selecting pricing strategies for making their products as inelastic as possible. I will then examine the major effects that government policies have on production and employment. I will predict the potential effects that government policies could have on the company. Afterwards, I will determine whether or not government regulation to ensure fairness in the low-calorie microwavable food industry is needed and cite the major reasons for government involvement in a market economy. After I will examine the major complexities that would arise under expansion via capital projects and propose key actions that the company could take in order to prevent or address these complexities. Lastly, I will suggest the substantive manner in which the company could create a convergence between the interests of stockholders and managers and indicate the most likely impact to profitability o f such a convergence. Outline a plan that managers in the low-calorie microwaveable food company could follow when selecting pricing strategies for making their products as inelastic as possible. Provide a rationale for your response. The price elasticity of demand affects a company’s pricing strategies by determining the optimal profit margin. Price elasticity of demand defines the degree of change of demand in relation to the change in price of a product. The higher the elasticity, the higher the demand fluctuates in response to price. In general, most companies would like for their products to be inelastic. When a product is inelastic, the price of the good may increase, while the supply and demand of the product are unaffected. In other words, if the price of a product were to go up, consumers would still buy the product, as well as if the product price were to go down, consumers would still buy the product (Investopedia Inelastic, 2014). When considering the inelasticity of a product it is important to select the proper pricing strategy. When it comes to selecting the best pricing strategy, it is best to first understand what consumers are willing to spend on a product. This can be done by conducting m arket research and surveys. Managers can also select the pricing strategy by making reasonable assumptions based on historic purchases and patterns. Then managers should consider the competition and the quality of their products. If the competitor sells a product with high quality at a certain price, it is not feasible to sell a similar product with lower quality at a higher price point. The managers should first plan to sell each unit or product at the lowest price possible while still being able to break even and pay for all of the company’s expenses. When it comes to price strategizing, there is no potential for price discrimination. Price discrimination occurs when a seller sells a product for the highest price the consumer is willing to pay for (Investopedia Price Discrimination, 2014). When it comes to a microwaveable food company, there is no reason to sell products at different prices for each customer as it is also illegal. Examine the major effects that government policies have on production and employment. Predict the potential effects that government policies could have on your company. Government regulations and policies can have a positive as well as a negative impact on production and employment. when imposed on businesses substantially increase production and operating costs of the business which could result in reduced operating and economic profit, earning per share, earning stream, dividend and eventually market equity value for shareholders. The United States regulatory stringency has contributed to loss of U.S. manufacturing firms’ competitiveness in the international markets. This loss of competitiveness is believed to be reflected in declining exports, increasing imports and a long-term movement of manufacturing capacity from United States to other countries. As mentioned, government policies can have a positive impact as well, for example; the food safety regulations. The food safety regulations are standards and procedures that companies must follow to maintain a safe and sanitary environment for employees as well as for the consumers who purchas e the products (Food Safety Program, 2014). Food safety consists of regulating prepping, handling, and storage of food in ways that prevent foodborne illness and other sicknesses. If these rules were not in place, companies would manage food in any way they please and could potentially get consumers sick and face numerous lawsuits. Determine whether or not government regulation to ensure fairness in the low-calorie microwavable food industry is needed. Cite the major reasons for government involvement in a market economy. Provide two (2) examples of government involvement in a similar market economy to support your response. Government regulation is needed to ensure fairness in the low-calorie microwavable food industry. Government involvement is needed in a market economy to maintain social efficiency and equity. Social efficiency is attained at the mark where the marginal benefits to consumers for either production or consumption are equivalent to the marginal costs of either consumption or production. Matters of equity are challenging to evaluate due to the subjective assessment of what is and isn’t a fair sharing of resources (Pearson Education, 2010). As similar to the automotive industry, the government regulates many aspects. The government regulates auto manufacturing, repair, maintenance, recycling, sales and dealerships. The government also has policies regarding environmental, safety, and import regulations and standards (SBA, 2014). Examine the major complexities that would arise under expansion via capital projects. Propose key actions that the company could take in order to prevent or address these complexities. Capital expansion is generally an investment in a major company that wishes to expand or restructure operations without losing control of the business. Some disadvantages that may be faced when undergoing capital expansion would be business owners potentially losing a percentage of the company, investors wanting to be a part of day to day discussions and decisions as well as company secrets revealed (G. Segal, 2013). In order to address these complexities, the company can set up regulations or contracts with the investors or equity partners stating the conditions and ownership of the company. Suggest the substantive manner in which the company could create a convergence between the interests of stockholders and managers. Indicate the most likely impact to profitability of such a convergence. Provide two (2) examples of instances that support your response. One recommendation would be that the stockholders become very careful and adamant about the company’s expenses and cash flow. By creating share owners out of management, executive management will take action in its greatest interest as a shareowner, in which will be of an advantage to all equity investors (M. Anson, 2004). Creating share owners out of management would likely survive a merger or capital expansion because this gives the opportunity for the owners and investors to work together and make decisions that are best for the company. References DOH (2014) â€Å"Food Safety Rules and Regulations† retrieved on March 8, 2014 from: http://www.doh.wa.gov/CommunityandEnvironment/Food/FoodWorkerandIndustry/FoodSafetyRules.aspx G. Segal (2013) â€Å"WHAT ARE THE PROS AND CONS OF USING EQUITY CAPITAL?† retrieved on March 8, 2014 from: http://chironthebusinessdoctor.com/the-pros-and-cons-of-using-equity-capital/ Investopedia (2014) â€Å"Inelastic† retrieved on March 8, 2014 from: http://www.investopedia.com/terms/e/inelastic.asp Investopedia (2014) â€Å"Price Discrimination† retrieved on March 8, 2014 from: http://www.investopedia.com/terms/p/price_discrimination.asp M. Anson (2004) â€Å"ALIGNING THE INTERESTS OF AGENTS AND OWNERS: AN EMPIRICAL EXAMINATION OF EXECUTIVE COMPENSATION† retrieved on March 8, 2014 from: http://iveybusinessjournal.com/topics/governance/aligning-the-interests-of-agents-and-owners-an-empirical-examination-of-executive-compensation#.Uxuyo_ldUuc Pearson Education (2010) â€Å"Reasons for Government Intervention in the Market† retrieved on March 8, 2014 from: http://wps.pearsoned.co.uk/ema_uk_he_sloman_econbus_3/18/4748/1215583.cw/ SBA (2014) â€Å"Automotive† retrieved on March 8, 2014 from: http://www.sba.gov/content/automotive 1

Health Care System in Turmoil Essay

Is the health care system today really in Turmoil? What are some of the major problems that healthcare is experiencing? What is the impact of each of the chosen problems on not just consumers but also the community? What are some of the benefits and risks of national health insurance? The health care system has been in a bad position for a while now. Not only is the healthcare system in a bad position, but after the Affordable Care Act has taken affect there still several million citizens without health care coverage. This paper will be addressing these important questions about our Health care system. The current health care system as we know it is in trouble. Health care is still an issue and millions of Americans are still not insured and cannot afford to be. It is understandable that the United States has a lot more technology and cures that other countries do not, but the fact that our health care is double the price of other countries is mind boggling. The health care reform was supposed to be the answer to all the problems with our health care system and though it was extremely helpful, the system still doesn’t provide universal care for all of its citizens which is a huge problem. â€Å"For decades, health care policy leaders have focused on two huge problems in American health care finance. The first was the coverage problem—that the fraction of Americans with inadequate or no health insurance was substantial and growing. The second was the cost problem—that total health spending was high and rising, although quality was uneven† (Rivlin, A., 201 3). These two problems remain an issue for our health care system. Myers (2013) states that coverage alone is not enough. Instead focusing on things like having providers that are acceptable, also the care received should be effective. There can be plenty of providers that are available, but how beneficial are they if they are not providing quality care to patients. Quality and Value need to be a goal for the Health care system. Some necessary changes were made because of Affordable Care Act. This was just the beginning and more steps need to be taken in order to rectify our health care system. Renovation of the delivery of health care is necessary to make better connections in the chain. Coverage will be a great first step, following access to high- quality health care, and improving patient outcomes and population help. Coverage has a positive impact when it comes to the community but as far as the consumer it has a negative impact. Cost of Care is the second problem that is causing our Health care system to go in Turmoil. Affording Health care has always been one of the main issues with Health Care in the United States. The Affordable Care Act was signed by President Obama in 2010 and was taken into effect in 2014. It has provided millions of people with insurance who didn’t have it before but still leaves millions of citizens without. Having insurance is a tax, if it is not purchased a fine will be added to the 2014 tax return. So somehow everybody will be paying out of pocket cost for health care. The cost have reduced in some areas and have increased in others. The cost has a positive impact on millions of citizens â€Å"the community† who now have health insurance. Like mentioned previously there are still millions of citizens that can’t afford to have insurance so it has a negative impact on a portion of consumers. National Health insurance pose several risks. â€Å"At least three broad problems characterize U.S. health care and insurance: (1) high and rapidly growing costs, (2) large numbers of nonelderly people without insurance, and (3) enormous projected Medicare deficits and continued Medicaid cost growth. The health care reform debate and reform proposals have focused largely on expanding the number of people with health insurance† (Harrington, S., 2010). Instead of focusing on how many people we can get sign up for health care, we need to be looking into these important factors, because they are just as significant. Cost being one of the biggest issues, but also the  alarming number of non-elderly people without health insurance. Sometimes diseases could be caught early on if middle aged and younger adults had affordable health care to get checked out. Additionally Medicare deficits and continued Medicaid rising costs. There needs to be more focus on these issues in order to beg in to get the health care system where it needs to be. On the other hand, National Health insurance has several benefits, some of which have already began to take place. Mandating companies to provide insurance for their employees is a great example. According to Panning (2014) some of the benefits include financing, cost reduction, payment reform, quality and process improvement, and prevention and wellness. Financing referring to healthier and younger will subsidize part of the care of the less health and elderly patients. Cost reduction is pretty self-explanatory, decreasing the cost and evening out the rate of growth. Payment reform in the new Affordable Care Act will pay for outcomes and value achieved opposed to being rewarded for doing more. Quality and process improvement will include a quality indicator quantity and reporting as well as comparative efficiency research. Lastly Prevention and Wellness, investing and providing incentives for preventive medicine and wellness. Our health care system is unstable for several reasons. The Affordable Care Act was designed to provide not just insurance to everyone but affordable insurance. It has made a significant impact, but still has things that need to be worked out. National Health Insurance has risk and benefits, benefits outweighing the risks. One of the great benefits discussed previously was the mandating of employers having to offer their full-time employees health care coverage. Within the next ten years the Affordable Care Act is supposed to make a huge impact and save trillions of dollars. Hopefully this reform is the solution to our health care system’s problems and that one day everyone will have health insurance and doesn’t get in financial debt paying trying to pay for it. References: Harrington, S. E. (2010). The Health Insurance Reform Debate. Journal Of Risk And Insurance, 77(1), 5-38. Myers, C. R. (2013). Coverage is Not Enough: We Need a Transformation of the Delivery of Health Care!. Tennessee Nurse, 76(1), 1-14. Panning, R. (2014). Healthcare Reform 101. Clinical Laboratory Science, 27(2), 107-111. Rivlin, A. M. (2013). Health Reform: What Next?. Public Administration Review, 73S15-S20. doi:10.1111/puar.12091

Outline Howard Spodek

The creation of writing in Egypt was very close to the creation of writing in Mesopotamia – may have learned it from Egypt Developed their own script – Hieroglyphs (Sacred carvings) Wrote of stone tablets, limestone flakes, pottery, and papyrus Used of business and administration Unification and the Rule of Kings The king lists, records the noses of Upper Egypt Didn't care about race or ethnicity Color of their skin reflected gender Females – workers at home were painted a lighter color Males -? workers outside were painted a darker color Menses or Manners were known as the same person Menses† symbolized unification Kings became very powerful (Gods) With more kings this created more tombs and uneven distribution of wealth Early civilization included national religious ideology The Gods, the Unification of Egypt, and the Afterlife Souris represented order and virtue, but his brother Seth represented disorder and evil Seth put Souris in a box and sent him dow n the Nile Isis got the box and saved him Seth got Souris again and cut him into 14 pieces and sent them don't the river Isis got them all and put them back together and saved himSouris conceived a son, Hours Hours defeated Seth in a battle Hours was often depicted as a falcon on top of the kings Afterlife inspired mummification Afterlife was seen as a place for important people Cities of the Dead Things such as shrines, burial sites were most prominent in Egyptian culture Tombs in Abodes were called â€Å"Maestros† Kings Were buried with furniture, food, weapons, anything they needed for the afterlife Tombs near Square had copper objects and stone vessels Women of Elite families were buried in pyramids, such as Misshapenness 2 The Growth of Cities No existing city-states, had small self generated communities Economies are based off of cereal crops Selected cities were spaced strategically and eventually grew in to full-fledged cities Administration head quarters had given a big boost to the communities they were in 2 cemeteries served 1 city; 1 for common people and 1 for more wealth people Irrigation saved agriculture and helped in severe drought Shaded Irrigation is when buckets bring water from a river to man made irrigation chance Nell Fewer water problems then Mesopotamia Cities supposedly flourished from its temple communityIrrigation + Administration + Worship-? City The Nile Valley provided an adequate natural shield Thebes is the most monumental site The Nile Delta connected Egypt to the outside world Ports were drop off points for trade being sent on donkey of on a small little boat Monumental Architecture of the Old Kingdom: Pyramids and Fortresses Increasing power created more monumental architecture The administrative organization and economic productivity contain due to increase until the end of the Dynasty. Egypt artistic genius continued to develop the sculpture of its tombs. Architects realized the beauty of filling in the Steps Of the pyramids to create a triangular form. Tombs of the queens are situated within proximity of the kings.Tomb robbing were quite frequent. Architectural, spiritual, political and military accomplishments date to the millennium we now call Early Dynastic. The Disintegration of the Old Kingdom Monarchs collected and kept taxes for themselves. The Nile did not reach optimal flood heights and affected agriculture. The Rise and the Fall of the Middle Kingdom King Menthol of Thebes defeated his rivals in the north and reunited the mining. Trade was revived. Fine arts and literature flourished Started to have invasions of the Hooks Kathleen, Capital City of King Kathleen Modern excavations at Marin unearthed the ruins of an ancient Egyptian capital.King Annotate challenged the order of Egypt by adopting a new monotheistic religion. Senate made a city where he, his wife and their six daughters practiced the new religion. The eccentricity of the ruler was reflected in the cities sculptures, arc hitecture, and painting. His isolated position threatened the stability of Egypt empire. The Roots of the Indus Valley Civilization In 1 856 British rulers were supervising construction of a railway and as they were working on it they found thousands of old bricks. They also found stones with artistic designs on them. Many scholars assumed that the Indus valley people learned the art of City buildings from the Sumerians and other people in Mesopotamia.We can make educated guesses about the function and meaning Of remaining artifacts and physical structures. Arts and Crafts Included pottery, dying, metalworking, and beading. Small sculptures are in stone, or terra cotta. Cotton is the first known use for a fiber in weaving textiles. Carefully Planned Cities The two largest settlements are Harp and Enjoy-dark were very similar. Each city held about 40,000 people. The town plan was orderly and regular (even baskets were all uniform in size and shape. ) The regularity Of plans suggests a very organized government and bureaucratic capacity. Excavations at Dollars revealed immense gates at the principal entrances of the city.Legacies of the Harpoon Civilization Most records involve literary and artistic forms. New ecology is based on rice cultivation and the use of iron. The Aryan groups grew skilled and powerful as they move East. The Cities of the Nile and the Indus, What difference do they make? Along the Nile, they are part of a single state that is unified about 3,000 B. C. E. They formed the core of an Imperial state. We learn the significance of archeological and textual study is unearthing. Records can show alliances between rulers and priests. Without text we have no record of religious, philosophical, legal, or administrative systems in the Indus valley.