Sunday, September 15, 2019

Is Democracy a Better form of Government Essay

Democracy is the best form of government simply because no other form of government is known to work well. Democracy may have its flaws but all in all it works very fluidly. Socialism, for example, does not even come close to the best form of government. One can easily see this in Greece’s current state. Democracy has never led to complete government disorder like one can see Socialism does. Democracy allows us the freedom to choose. The majority of our country is allowed to choose what they feel is best for them. It is not just one person deciding what they think is best for everyone else. Democracy will always win out over other forms of government. This process can happen through voting. Right to vote is a human right of every citizen. Political Rights form a distinct category of Human Rights. Right to vote, right to contest at elections and the right to hold public office are considered important political rights. A democracy seems to be the most stable form of government yet. No one person has power. No one ideology is deemed better than another. In a democracy, if something doesn’t work, it can and should be changed by the populace. Theocracies, monarchies and socialism all have their downsides. Democracy isn’t perfect, but that form of government seems to be the most peaceful, especially in America. â€Å"What difference does it make to the dead, the orphans and the homeless, whether the mad destruction is wrought under the name of totalitarianism or in the holy name of liberty or democracy? † ? Mahatma Gandhi People’s democracy is the lifeblood of socialism. †¦ As an important part of the overall reform, political restructuring must be constantly deepened along with economic and social development to adapt to the growing enthusiasm of the people for participation in political affairs.

Saturday, September 14, 2019

Advance Practice Nurse

Advanced nursing practice is a term that describes an advanced level of nursing practice that maximizes the use of in-depth nursing knowledge and skill in meeting the health needs of clients (individuals, families, groups, populations, or entire communities). In this way, advanced nursing practice extends the boundaries of nursing scope of practice and contributes to nursing knowledge and the development and advancement of the profession.Currently, the most recognized role of advance practice nurse is that of the clinical nurse specialist. Although the term advanced nursing practice is frequently used to describe the practice of nurses in such a role, until recently, there has not been agreement within the profession about the definition and nature.Under the umbrella term of advanced nursing practice, four distinct roles are identified: nurse practitioner, nurse midwife, clinical nurse specialist, and nurse anesthetist.The cornerstone of advanced nursing practice is expertise in a sp ecialized area of nursing. Clinical experience and additional education equip the nurse with the skill to synthesize from a broad range of nursing, experiential and scientific knowledge in addressing the health concerns of clients along a continuum of care.Nurse practitioners believe that they and other colleagues should be able to practice in an employment situation which gives equal right and responsibilities, to everyone operating at the same standard.The advance practice nurses should provide consultation to both colleagues and clients and have a vision for nursing practice within the context of the health care system.The minimal educational preparation for advance nurse practice is a graduate degree in nursing. A formal graduate degree program in nursing is valued, because it covers the growing theoretical base of nursing, promotes nursing research and the incorporation of new knowledge into the nurse’s practice and evaluates and documents the nurse’s achievements .The central focus of nursing practice is clinical practice in which there is a direct relationship between nurse and client. Direct care is supported by nursing education, research and administration.A clinical nurse specialist is a registered nurse who holds a master’s or doctoral degree in nursing with expertise in a clinical nursing specialty. An expert practitioner, the clinical nurse specialist provides direct care, education and consultation to clients, as well as education and consultation to the healthcare.The United States is the country with the most well developed advanced practice roles and the greatest degree of consensus on the nature and scope of advanced practice. In the U.S., there are four established advance nurse practice roles: nurse practitioner, nurse-midwife, nurse anesthetist, and clinical nurse specialist. All but the nurse-midwife role require graduate education, although the majority of nurse-midwives have masters or doctoral degrees.All registere d nurses are personally and professionally accountable for their actions. Legislation and regulation of advanced practice nurses should be set up using a professional practice model in which practitioners have sole authority for their practice, clear standards of practice, accountability for decision-making, and maintaining skills.As well, legislation and regulation should protect the titles nurse practitioner, clinical nurse specialist, and advanced practice nurse.More than 70 percent of the employers surveyed said they already had nurses in advanced practice roles, and 30 percent said they intended to hire more nurses in such roles in the future. Employers reported a need for clinical nurse specialists, particularly in practice areas where gaps in service were reported, such as primary care, geriatrics, and mental health.Lack of funding was reported as the most common barrier to implementation. Nurse practitioners were seen as most needed in primary care and palliative care.A nurs e practitioner is a registered nurse, who has completed advanced education (a minimum of a master's degree) and training in the diagnosis and management of common medical conditions, including chronic illnesses.Nurse practitioners provide a broad range of health care services. They provide some of the same care provided by physicians and maintain close working relationships with physicians. A nurse practitioner can serve as a patient's regular health care provider.In 1965, the profession of nurse practitioner was instituted and required a master's degree. In the late 1960s into the 1970s, predictions of a physician shortage increased funding and attendance in nurse practitioner programs.During the 1970s, the nurse practitioners requirements relaxed to include continuing education programs, which helped accommodate the demand for NPs. Currently, all three educational options to attain nurse practitioners status are valid.Nurse practitioners are expert nurses who work within a specifi c area of practice incorporating advanced knowledge and skills. They practice both independently and in collaboration with other health care professionals to promote health, prevent disease and to diagnose, assess and manage peoples’ health needs.They provide a wide range of assessment and treatment interventions, including differential diagnoses, ordering, conducting and interpreting diagnostic and laboratory tests and administering therapies for the management of potential and actual health needs. They work in partnership with individuals, families and communities across a wide range of settings. Nurse practitioners may choose to prescribe medicines within their scope of practice.Nurse practitioners also demonstrate leadership as consultants, educators, managers and researchers and actively participate in professional activities, and in local and national policy development.Nurse practitioners integrate into their practice elements such as diagnosing and treating health pro blems and prescribing drugs. Nurse practitioners work autonomously, from initiating the care process to monitoring health outcomes, and they work in collaboration with other health care professionals.Nurse practice in a variety of community, acute care and long-term care settings. These include, but are not limited to community health centers, nursing outposts, specialty units and clinics, emergency departments and long-term care facilities.Nurse practitioners can serve as a patient’s regular health care provider and see patients of all ages. The core philosophy of the field is individualized care. Nurse practitioners focus on patients' conditions as well as the effects of illness on the lives of the patients and their families.A clinical nurse specialist is an advanced practice nurse, usually with a Master of Science in Nursing. A clinical nurse specialist is similar to a nurse practitioner; however they may have less autonomy. A clinical nurse specialist is a masters prepar ed, advanced practice nurse whose care focuses on a specific patient population, like medical, surgical, diabetic, cardiovascular, operating room, emergency room, critical care, neonatal, etc.The clinical nurse specialists divide their time into five general areas – clinical practice, teaching, researching, consulting, and management. Their assessment skills tend to be more focused than nurse practitioners, since they focus on a particular area of specialty. But they make up for this by being able to provide more expertise than even an expert level staff nurse.In any medical facility, registered nurses work with doctors to provide the best patient care possible. But clinical nurse specialists are a little different from the usual registered nurse. Clinical nurse specialists are experts in a specialty area of nursing care and are an important resource for hospital staff members.They keep abreast of current developments in their specialty, from new drug therapies to new treatme nts to innovations in patient care and make this knowledge available to other staff members by acting as teachers and advisors.Many clinical nurse specialists actually run clinics. They have full responsibility for coordinating and making decisions about patient care. Some also prescribe and monitor the effects of patients' medication. They manage research protocols, keep an eye on costs to make sure care is being delivered efficiently and cost-effectively, and develop research projects and clinical studies.These nurses have developed extensive specialist knowledge about a specific area of medicine. They generally have an undergraduate degree or a Master of Science and work closely with doctors who specialize in the same area of healthcare.They also help ensure that national healthcare standards are put into practice locally, and may contribute to developing policies that govern how patients should be cared for.The National Association of clinical nurse specialist is the professiona l organization that represents clinical nurse specialists, provides career development and networking opportunities, and provides a forum for discussion of issues and trends that affect and shape the evolution of  clinical nurse specialist practice.A clinical nurse specialist must be able to care for individuals, families, groups and systems with complex health needs within a specific clinical area; use theoretical and clinical expertise to assist health care providers and consumers in promoting or achieving optimal health.Develop and implement standards of nursing practice; serve as consultant or resource person for other health providers; facilitate an interdisciplinary approach to meeting the needs of the patient; use effective utilization of resources in order to provide cost effective care; seek consultations and make referrals as needed; use and promote research to improve clinical nursing practice.The practice of nursing continues to evolve to meet the changing needs of cli ents. Trends in the delivery of health care are providing opportunities for nurses to create new roles and expand current roles. Among these trends are: an increased emphasis on primary health care, new models of collaborative practice, the shift from institutional to community care, new developments in technology, and the supply and demand for various health providers with particular skills.BibliographyDaniel C. (2004). Higher level practice in nursing: the making of a profession. Professional Nurse, 19(7).Hickey J.V., Ouimette R.M., Venegoni, S.L. (2000). Advanced practice nursing: Changing roles and clinical applications. (2nd edition). Philadelphia: Lippincott.Mundinger M. (1994). Advanced-practice nursing: Good medicine for physicians? New England Journal of Medicine.Sutton F., Smith C. (1995). Advanced nursing practice: New ideas and new perspectives. Journal of Advanced Nursing.

Friday, September 13, 2019

Corporate strategy Essay Example | Topics and Well Written Essays - 1500 words

Corporate strategy - Essay Example The HTC started its operation with the basic goal of developing small, handheld, computer-like devices. In order to achieve this goal, the company management decided to use the Windows CE as a basic platform. However, the HTC initially focused on the development of note books as a result of unavailability of skilled engineers to make handheld devices that time. Although the company succeeded to create the world’s first pocket-size PC with Microsoft a year later; high production costs, lack of brand recognition, and technical glitches put the firm’s main note book business into troubles. The ballooning loss figures persuaded the company to exit note book business and refocus on handheld devices. The HTC’s initial difficulties came to an end in 2000 when it manufactured a PDA, the iPAQ, for Compaq Computer. The Compaq commissioned HTC as an original design manufacturer with the purpose of engineering and designing the products for the company. In addition, the HTC also entered into ranges of other business segments such as mobile phone operator business. So as to accomplish its objective of international expansion, the HTC established a separate research and development team which can effectively design innovative models that would best fit with changing market trends. Recently, the newly appointed CEO, Peter Chou decided to brand and sell the products under company’s own name in order to overcome international growth limitations. Despite harsh comments from shareholders, HTC proceeded with its venture and the company faced stiff competition from the world’s biggest handset manufacturers. The company’s intention was to achieve a powerful global brand position as that of Nokia or Samsung Electronics. Although, the company could effectively confront with market challenges, the HTC brand still has a long way to go in order to accomplish its ultimate objectives. Question 2 From the case analysis, it seems that most of the iss ues that HTC faced emerged as a result of the strategic failure of the company management. Firstly, the company’s decision to brand and sell the products under its own name found to be a worse strategy since the HTC had not well established in the industry so that it struggled to defend the tough competition from global giants like Nokia and Samsung Electronics. The company’s different top executives possessed different views regarding market operations and it led to total disorder. For instance, Cher Wang, one of the founders of the firm gave more emphasis on market competition while the Chief Operating Officer Fred Liu and CMO John Wang focused on brand value building. The lack of conceptual coordination in the operation of the HTC management raised barriers to its rapid international expansion. Although, the company could perform well in Europe and Asia, its operations in US market were not satisfactory. The market surveys showed that the US had offered a potential market for mobile phone manufacturers. Therefore, the HTC could not adequately take advantages of the large and potential US market as a result of its poor brand promotion strategies. Increased cost of production was another potential issue that threatened the existence of HTC. An HTC sponsored survey reflected that 80% of the US consumers did not like to buy a phone that cost more than $200. However, HTC did not have the necessary scale to drive costs down and it gave opportunities to Nokia which had well excelled in the area. Moreover, it is observed that the company

Thursday, September 12, 2019

The Erie Canal and its effects Research Paper Example | Topics and Well Written Essays - 1250 words

The Erie Canal and its effects - Research Paper Example The purpose of the canal was to access the West to settlers. It also offered a safe and cheap passage for goods and human traffic. Initially the proposal to build the canal was founded in 1768 and it was to join Hudson River with Lake Ontario. In 1808, a survey was carried out and it was decided that the canal would connect to Lake Erie. Governor Dewitt Clinton led the ground breaking to the construction of the canal in 4 July 1817 (Sadowski). At the time, the canal was known as the â€Å"Clinton big ditch†. Upon completion, the name was changed from Clinton’s big ditch, to the Erie Canal. Its length was 363 miles long. It had a depth of 1.2 meters and a width of 12 meters. There were 85 locks constructed to manage a 150-meter rise in height from the Hudson River to Buffalo. Overhead channels were used in order for streams to pass the canal. The cost of building the canal was high. However, this cannot be compared with the reduction in shipping cost. The ease of conduct ing business along the canal, led to sprouting of farms, development and migration to the Midwest. The link between the east and the west was eased and trade increased in these areas. Due to increased activities on the canal, it was widened in 1862. It was widened to 70 feet and the depth increased to 7 feet. This was to allow more and bigger ships use the canal. In 1882 the tolls for using the canal was scrapped. This was because the money used to construct the canal had been recovered. When the canal was opened, other canals were constructed to link the channel to other lakes. Some of the lakes connected to the canal were Lake Champlain, Finger Lakes and Lake Ontario. Later the Erie Canal and other canals in its vicinity were collectively known as the New York state canal system. These days the canals are used for leisure and as tourist attractions (Rosenberg). How the Erie Canal led to an economic revolution By opening up the west, the Erie Canal is said to be the mother of econo mic revolution. The canal gave people residing in the west (mainly farmers) access to markets in the west. In addition, the transportation was cheaper. Before commissioning of the canal, the cost of transporting grains to the east was 10 times higher than the original cost. When traders started using the canal the price fell by 90%. Total tolls collected in the first full year in operations of the canal almost got to the half million mark. Business continued with this tread making it easy to pay the construction fee in a few years. This allowed anyone to use the canal free. The Erie Canal evoked lots of development along the Hudson canal. New cities sprung out amid Buffalo and Syracuse. All these cities were given names ending with the word port. This indicated new docks and packing facilities along the canal. New factories were set up in these towns. Mainly the factories processed iron, hats and clothes. Especially in Albany and Rochester, these factories succeeded. In Oneida Count y, there were over 16 factories, employing over 700 employees. In the same county there were over 20 cotton mills, employing over 2000 employees. New York City became a strategic port for many foreign countries because of the Erie Canal. New York had an edge over other ports along the Atlantic shoreline. This is because the Erie Canal connected rich lands inside the United States and the shores of the Atlantic Ocean. The link between these two places was not interrupted thus making transportation cost lower. The success attributed to the canal contributed to additional canals being built across the continent. By 1840, the joint lengths of all canals constructed surpassed the length around the continent. The canals were used to unite the east and the west, the north and

Wednesday, September 11, 2019

Detail explanation on the F grade on the math 1A and the D grade on Essay

Detail explanation on the F grade on the math 1A and the D grade on HUMA 10 - Essay Example fever, I was unable to take the final exam in Math 1A and this caused my overall grade to suffer an F-mark for the course when I failed to notify my instructor properly of the unfortunate health situation. The same fate went with Human Development 10 on which I obtained a D, having had unlikely chances of catching up and improving performance made by my sickness and frequent absenteeism thereof. My family preferred to look after me at the time so I mostly underwent medications at home rather than in the hospital. In that span, I managed to reflect deeply on my physical well-being and the measures I ought to account for seriously to guard my health and thereby prevent any sort of illness to interfere in my future studies. Now, I am once again ready to confront the challenges of education and I believe that my admission to UC is something that would further enrich my personal growth in several aspects other than scholastic endeavour through the school’s up-to-date curricular design and fully equipped facilities of

Tuesday, September 10, 2019

Described in the Seneca Falls Essay Example | Topics and Well Written Essays - 500 words

Described in the Seneca Falls - Essay Example †Now, in view of this entire disfranchisement of one-half the people of this country, their social and religious degradation,—in view of the unjust laws above mentioned, and because women do feel themselves aggrieved, oppressed, and fraudulently deprived of their most sacred rights, we insist that they have immediate admission to all the rights and privileges which belong to them as citizens of these United States.† Above is the main objective of the feminist groups at the convention. Under it states the details of such rights to be received by women; the right to suffrage, equal opportunities, social status, etc., giving emphasis to â€Å"All men are created equal†¦Ã¢â‚¬  in the Declaration of Independence, which they explained the term ‘men’ is being pertained to people and not gender specific. The convention succeeded in their objective to open the eyes of society to the injustices received by women that time. Uniting powerful elements at the convention such as gathering groups of antislavery, reformists and radical Quakers acted as one of the most important things that highlight the event that was one of the factors the convention became a success. This provoked one of the greatest rebellions in history of the modern times. The convention at the Seneca Falls only sparked the beginning of the struggle of women towards their thirst for equality and gave birth to more feminist groups to take part in their journey. Led by a number of famous and reputable women like Elizabeth Cady Stanton, a woman rights pioneer, the Declaration of Sentiments became a success. â€Å"That all laws which prevent woman from occupying such a position in society as her conscience shall allow, or which place her in a position inferior to that of man, are contrary to the great law of nature, and therefore of no force or authority.† Above is one of the most appealing resolutions presented at the convention. Although this may not hold true to all women since the â€Å"coloured† still

Monday, September 9, 2019

Contemporary Issue In Marketing Essay Example | Topics and Well Written Essays - 1500 words

Contemporary Issue In Marketing - Essay Example This report mainly focuses on relationship marketing, its importance in the modern business scenario and connection of relationship with technological innovation and discussion regarding the Integrated Marketing Communication (IMC). Lastly, a conclusion and recommendation is made regarding the close connectivity between these three aspects. Relational marketing In the last few decades, the marketing theories have experienced a colossal shift in both theories and practices of marketing. Relationship marketing is a developing network paradigm that recognises that global competition occurs between networks of organizations. In the context of relationship marketing, Morgan and Hunt (1994) have suggested the Commitment and Trust Theory that involves all types of relational exchanges. The researchers have argued that the central concept of relationship marketing rotates around those that distinguish an effective and productive relational exchange from those that are ineffective and unprodu ctive. There are several factors that contribute towards the success or failure of relationship marketing effort. These scholars have stressed on trust and commitment that makes significant contribution. They theorised that relationship trust and commitment is the key to successful relationship marketing. These two aspects help the marketer in preserving relationship by cooperating with the partners, resisting their attraction towards short-term benefits in the hope to reap long-term ones by staying with the existing partners and looking at high-risk actions as prudent. Figure 1 (Source: Morgan and Hunt, 1994) Another research scholar, Reichheld and Sasser (1990), have stressed on the fact that there are very few companies who have succeeded in providing the service commitment made by them to the customers. For service companies, scrap heap signifies customers who are not going to come back. If the companies start measuring this scrap heap, they will realise that this scarp cost the m heavily and ardent steps are needed to be taken in order to reduce the same. This will make them strive for â€Å"zero defects† in their quality movement and guiding light for making the organization gain profitability and achieve it soon. They have suggested that customer defection leads to a powerful impact on the bottom line. The company’s market share, profit, unit cost and many other factors related to competitive advantage are expected to be impacted positively. This strengthening and lengthening of relationship is expected to increase profit by 100 percent, by 5 percent retention of the existing customers. Technology development Computing technology is an omnipresent aspect that encompasses both personal lives of an individual and organizational framework. In order to understand the outcomes, resulting from technology acceptance, several theoretical models has been proposed such as, technology acceptance model (TAM) and innovation diffusion theory. The TAM is hugely recognised as robust but with parsimonious conceptualization. Based on the theory of reasoned action, it has been argued by TAM that the behaviour of IT acceptance can be explained, based on the belief of the individual, regarding the ease of use and usefulness of IT. On the other hand, the innovation diffus