Saturday, August 10, 2019
Questions answering 2053 Essay Example | Topics and Well Written Essays - 500 words
Questions answering 2053 - Essay Example The firm is incorporated in one country and opens foreign subsidiaries in the countries (Cullen and Parboteeah, 2013). The existing literature identifies that globalization can take two different forms namely forced globalization and participative globalization (McCann and Acs, 2011). MNCs enter the globalization through the avenue of participative globalization. The opening of companies in foreign land has received huge boost during the past three decades and this is entirely because of globalization. It has been estimated that multinational companies comprise two-third of the global trade (McCann and Acs, 2011). Reduced cost of production, expansion of market for products and earning higher profits are driving forces to expand business. The cost of labour is considerably lower in the developing countries compared to the developed countries and this motivates firms to relocate production. When domestic markets become saturated it becomes imperative to capture other consumers and foreign expansion is a lucrative option for companies (Dunning, 2012). Difference in cultures is perhaps the most formidable challenge that has to be faced by companies in their quest for expansion. Management of interpersonal relationships in the MNCs require integrating the national culture of the managers and employees (Sweeney and McFarlin, 2014). Additionally MNCs requires modifying their products and services according to the niche taste of the masses depending on the country. For instance, when New York Fresh Deli opened franchises in Dubai, vinegar had to be removed from the salad dressings as it was considered as spirit in Dubai (Guffey and Loewy, 2010). According to Hofstede (2011) culture can be treated as mental software that affects the way in which a person thinks or behaves. Effective management of human resource is important for the MNCââ¬â¢s as people are often exposed to
Friday, August 9, 2019
Explain how to determine the credibility of sources of information Essay
Explain how to determine the credibility of sources of information including institutions, organizations, agencies, periodicals, and other resources - Essay Example As it has been observed, the real strength of a studentââ¬â¢s writing rests in large part on the quality of research informing his or her argument (Engle, 17). It is thus important to recognize the types of resources used for instance peer and non peer reviewed articles. Peer reviewed articles refer to those articles read by subject experts before being published in a journal (Engle, 22). These articles need to pass through the review process as a way of ensuring that the published articles exhibit the highest quality in their fields. On the other hand, non peer reviewed articles are those articles that have not been revised by an expert or passed through the review process (Engle, 24). There are a few differences that exist between peer reviewed articles and non peer reviewed articles for instance, while peer reviewed articles are closely checked to ensure they are correct unlike non peer reviewed articles. Additionally, peer reviewed articles are given more authority as compared to non peer reviewed articles. Peer reviewed articles hold under scrutiny of oneââ¬â¢s peers, who are considered experts in similar fields. Non peer reviewed articles allows for any type of information to get out into the media, especially onto the internet, without bei ng scrutinized (Engle, 27). Considering the fact that a lot of non peer reviewed information passes through to the media, especially periodicals and magazines, it is important to determine the credibility of sources of information. There are various ways in which one can determine the credibility of sources for instance checking the domain name or the home page. A person can also look for who the author of the particular article is, and ensure whether or not they can find out about that individual or organization (Engle, 29). It is also important to determine the type of site one is considering, for instance; if
Thursday, August 8, 2019
Business Ethics opinion paper Essay Example | Topics and Well Written Essays - 500 words
Business Ethics opinion paper - Essay Example It is against the law for an employer to discriminate against people on other factor other than disqualification especially those with disabilities. I agree that discrimination can both be institutional or at individual level. I believe that people can discriminate by stereotyping or on personal prejudice. I understand that other people can unconsciously or thoughtlessly discriminate at workplace while trying to accept the traditions, norms or stereotypes. For instance, an employer can look at women and assume that they should be at home taking care of their families and become biased in making decisions on hiring women to the workplace. Focusing on this example, I suggest that organizations should provide materials and training to avert such situations by condemning actions of stereotyping in the workplace since both men and women have the same opportunity and knowledge of taking up responsibility in any company (Roth 46). Sometimes institutions can intentionally and explicitly discriminate against certain groups. On institutional-based discrimination, I strong believe stern and severe action should be taken to mitigate discrimination to provide examples and curb against discrimination. I strongly disregard institutions that when hiring disrespect people like older employees, marginalized tribes, other sexes or the young in the society. For instance, where a black man is forced to work in the kitchen where he cannot be seen by customers who are believed to be white, I strongly condemn this action since it is against the human rights of the black man. I am of the view that employers should give an opportunity to the black man to undertake responsibilities in the where the whites are working in the restaurant as long as he has the qualifications for the job (Roth 46). My study on general statistics and evidence on occupational discrimination have proved that women worker were the most discriminated whereby they
Wednesday, August 7, 2019
What You Have Learned About About Organizational Systems Assignment
What You Have Learned About About Organizational Systems - Assignment Example Employees constitute one of the stakeholders in any organization. Employees provide the human capital required for the organization to succeed. Meeting and attaining organizational goals requires a team of employees who are committed to the organizational culture and development. Most managers use employees to solidify their organizational culture. Developing and maintaining a particular Organizational culture is central to the success of the organization because the culture is usually aligned with the goals and missions of the organization. Organizational culture will ensure that all the employees in the organization work towards a given direction. The reporter has learned the important role employees play in organizations, and in establishing an organizational culture. He would use employees to develop an organizational culture at his workplace that would ensure success in the corporate world. Careful selection of staff would ensure he develops the right organizational culture based on the goals of the workplace. Standardized procedures may help focus on the values that are crucial to the culture when getting employees for the organization. He would only choose those candidates who possess the values that fit the type of organizational culture he is developing.
Tuesday, August 6, 2019
Psychological Distress and Coping Strategies Among Transgenders Essay Example for Free
Psychological Distress and Coping Strategies Among Transgenders Essay ââ¬Å"Why compare yourself with others? No one in the entire world can do a better job of being you than youâ⬠.1 Transgender is a general term applied to a variety of individuals, behaviors, and groups involving tendencies to vary from culturally conventional gender roles. Transgender is the state of ones gender identityâ⬠(self-identification as woman, man, neither or both) not matching ones assigned sex (identification by others as male, female or intersex based on physical/genetic sex). A transgender individual may have characteristics that are normally associated with a particular gender, identify elsewhere on the traditional gender continuum, or exist outside of it as other, agender, Genderqueer, or third gender. Transgender people may also identify as bigender, or along several places on either the traditional transgender continuum, or the more encompassing continuums which have been developed in response to the significantly more detailed studies done in recent years. 2 Transgender refers to a person, male or female, who dresses, acts or presents in a manner that differs from his or her gender norm. Transgender includes transvestites (both fetish and dual-role), drag queens, drag kings, androgynes and genderqueers. It does not include transsexual people.3 The transgender community in India, known as hijras, number up to a million people and occupy a unique role in society. On the one hand, they are called upon to offer blessings during auspicious occasions like weddings and at births. The rest of the time, they are not only ignored but often ostracized from society.4 Transgender individuals are commonly viewed as a part of the lesbian, gay, and bisexual (LGB) community, forming the commonly known acronym LGBT. However, inclusion of transgender individuals within the sexual orientation political movement, and at social or cultural gay/lesbian events is highly debated. This is due to the division of sexual orientation and gender identity, which, though correlated, are different constructs. Whereas sexual orientation refers to oneââ¬â¢s emotional, romantic and sexual attraction to others, gender identity refers to the personââ¬â¢s relationship to their gender and is largely independent of orientation. It is important to make the distinction between sex and gender. Sex is biological and physical (e.g., chromosomes, hormones, gonads), while gender is psychologically and socially constructed. For transgender individuals, gender is not congruent with sex. In order to align sex and gender a transgender individual may or may not undergo medical treatment, such as hormones or surgery. 5 Psychological distress is the end result of factorsââ¬âexample, psychogenic pain, internal conflicts, and external stress that prevent a person from self-actualization and connecting with significant others6. Coping is the expending conscious effort to solve personal and interpersonal problems, and seeking to master, minimize or tolerate stress or conflict. Psychological coping mechanisms are commonly termed coping strategies or coping skills. The term coping generally refers to adaptive or constructive coping strategies, i.e., the strategies reduce stress levels. Furthermore, the term coping generally refers to reactive coping, i.e., the coping response follows the stressor. This contrasts with proactive coping, in which a coping response aims to head off a future stressor7. Brief Resume of Intended Work 6.1 NEED FOR STUDY The term transgender (TG) was popularized in the 1970s (but implied in the 1960) describing people who wanted to live cross-gender without sex reassignment surgery. In the 1980s the term was expanded to an umbrella term, and became popular as a means of uniting all those whose gender identity did not mesh with their gender assigned at birth. In the 1990s, the term took on a political dimension as an alliance covering all who have at some point not conformed to gender norms, and the term became used to question the validity of those norms or pursue equal rights and anti-discrimination legislation, leading to its widespread usage in the media, academic world and law. The term continues to evolve.2 The population of hijras in India is estimated to be between 50,000 and 1.2 million. There is a huge disparity in the numbers because population censuses only give space to define either males or females. There are no reliable statistics. Tamil Nadu in a path breaking move has come to recogni ze transgenders ââ¬â (the term itself is no monolith as transgender is more of an umbrella term). 8 Most hijras live at the margins of society with very low status; the very word hijra is sometimes used in a derogatory manner. Few employment opportunities are available to hijras. Many get their income from performing at ceremonies, begging, or sex workââ¬âan occupation of eunuchs also recorded in premodern times. Violence against hijras, especially hijra sex workers, is often brutal, and occurs in public spaces, police stations, prisons, and their homes. As with transgender people in most of the world, they face extreme discrimination in health, housing, education, employment, immigration, law, and any bureaucracy that is unable to place them into male or female gender categories. 9 Discrimination has prevented most hijras from obtaining decent education, jobs and housing, say transgender and human rights activists. The vast majority live in slums and, with limited job opportunities, resort to sex work or begging. They weave in and out of Mumbaiââ¬â¢s traffic or come onto the womenââ¬â¢s compartments of local trains, clap loudly and take money in exchange for a blessing. While hijras continue to face discrimination, they have also made significant social and legal gains in recent years. Last July, the Delhi High Court decriminalized gay sex, and in November, transgenders won the right to be listed as ââ¬Å"otherâ⬠rather than ââ¬Å"maleâ⬠or ââ¬Å"femaleâ⬠on electoral rolls and voter identity cards.4 Tamil Nadu has an estimated population of 30,000 transgender people. It has made great strides in trying to integrate transgender people into society. This includes welfare schemes initiated by the Government and acceptance of transgender people into the mainstream media and film industry.10 The Hijra of India are probably the most well known and populous third sex type in the modern world ââ¬â Mumbai-based community health organisation The Humsafar Trust estimates there are between 5 and 6 million hijras in India. In different areas they are known as Aravani/Aruvani or Jogappa. Often (somewhat misleadingly) called eunuchs in English, they may be born intersex or apparently male, dress in feminine clothes and generally see themselves as neither men. In June 2009, the Supreme Court of Pakistan ordered a census of hijras, who number between 80,000 and 300,000 in Pakistan. In December 2009, Iftikhar Muhammad Chaudhry, the Chief Justice of Pakistan, ordered that the National Database and Registration Authority issue national identity cards to members of the community showing their distinct gender. 11 In a national school climate survey on the school related experiences of our nationââ¬â¢s lesbian, gay, bisexual and transgender youth, 55 percent of transgender youth report being physically attacked.33.2 percent of transgender youth have attempted suicide. 74 percent of transgender youth reported being sexually harassed at school, and 90 percent of transgender youth reported feeling unsafe at school because of their gender expression In a survey of 403 transgender people, 78 percent reported having been verbally harassed and 48 percent reported having been victims of assault, including assault with a weapon, sexual assault or rape. A study was found that bisexual students in Massachusetts and Vermont were three to six times more likely to use cocaine than their straight classmates.12 A study conducted on fifty-five transgender youth described their gender development and some of the stressful life experiences related to their gender identity and gender expression. More than two-thirds of youth reported past verbal abuse by their parents or peers related to their gender identity and nonconformity, and approximately one-fifth to one-third reported past physical abuse. The more gender non-conforming the youth were, the more abuse they reported. Four aspects of psychological resilience were examined: a sense of personal mastery, self-esteem, perceived social support, and emotion-oriented coping. A regression model of the selected aspects of resilience accounted for 40ââ¬â55 percent of the variance in relation to depression, trauma symptoms, mental health symptoms, and internalizing and externalizing problems. Emotion-oriented coping was a significant predictor of negative mental health as determined by each of the mental health variables 13. A study conducted by GLSEN found that over 85 percent of trans students reported verbal harassment based on their sexual orientation and gender identity. Nearly half (49.5 percent) reported physical harassment based on these characteristics, and a third (34.1 percent) reported being physically assaulted. Transgender students get harassed much more often than their classmates: the study found that transgender students were over four times more likely to be verbally harassed because of their gender expression. The dramatically higher frequency of such victimization among transgender people is alarming, and as one would assume, has significant effects on a studentââ¬â¢s ability to learn. 14 Psychiatric nurses are often in ideal position to assess the health and its problems and to offer education and support. Nurse needs to be knowledgeable about psychological distress and coping mechanism among Transgender people. When the nurse develops an effective plan for nursing management, she should consider family involvement, appropriate referral resources. The above studies highlight the psychological distress faced by the transgenders. As there is a dearth of research studies on transgenders in nursing, the researcher felt the need to contribute, explore and identify the psychological distress and coping strategies among transgenders. 6.2 REVIEW OF LITERATURE A study conducted on the fear of experiencing discrimination often provokes symptoms of psychological distress. One coping resource is positive identification with ones social groupknown as collective self-esteem. This preliminary study investigated whether collective self-esteem was related to fears regarding a transsexual identity and psychological distress among 53 self-identified male-to-female transsexuals (mean age = 50.79 years). Participants were recruited from transgender events held in Arizona and California. The majority (81 percent) reported living full-time as women (mean length of time living as a woman = 6.33 years). Negative feelings about the transsexual community and fears regarding the impact of a transsexual identity were positively related to psychological distress. A regression model revealed that the fear of how a transsexual identity would affect ones life was the best predictor of the severity of psychological distress. These results are consistent with findi ngs from other historically marginalized groups, whereby the stress of being stigmatized by society adversely affects mental health. 15 A study used three focus groups to explore factors that affect the experiences of youth (ages 15 to 21) that identify as transgender. The focus groups were designed to probe transgender youths experiences of vulnerability in the areas of health and mental health. This involved their exposure to risks, discrimination, marginalization, and their access to supportive resources. Three themes emerged from an analysis of the groups conversations. The themes centered on gender identity and gender presentation, sexuality and sexual orientation, and vulnerability and health issues. Most youth reported feeling they were transgender at puberty, and they experienced negative reactions to their gender atypical behaviors, as well as confusion between their gender identity and sexual orientation. Youth noted four problems related to their vulnerability in health-related areas: the lack of safe environments, poor access to physical health services, inadequate resources to address their mental health concerns, and a lack of continuity of care giving by their families and communities16. A study conducted on the sexual minority status is a key risk factor for suicide among lesbian, gay, and bisexual youth; however, it has not been studied among transgender youth. Fifty-five transgender youth reported on their life-threatening behaviours. Nearly half of the sample reported having seriously thought about taking their lives and one quarter reported suicide attempts. Factors significantly related to having made a suicide attempt included suicidal ideation related to transgender identity; experiences of past parental verbal and physical abuse; and lower body esteem, especially weight satisfaction and thoughts of how others evaluate the youths bodies. Sexual minority status is a key risk factor for life-threatening behaviours among transgender youth.17 A recent study undertaken to understand the level of General wellbeing of Male-to-female (MTF) Transgender population living in Chennai shed light on the mental health concerns of the transgender population in Chennai. The study consisted of transgender (n=33), and that had been selected for the study by using Purposive sampling technique because it was a challenge to collect data from the population, given their obscurity. A standardized Tamil version of the Wellbeing Questionnaire-12 was used. As for the results of the quantitative data, 75.76 percent of the samples fell under Average Wellbeing Category, 24.24 percent of samples fell under Better Wellbeing Category and 0 percent fell under Poor Wellbeing Category. From the In-Depth Interviews it is inferred that the socio-economic status of Transgender is very poor, they feel inferior to others and are constantly humiliated and il l-treated by the society at large. However, support within the community is strong.18 A research study has documented the link between mental health disorders and discrimination. The coming-out process for an older LGBT person, who has lived most of his or her life in a hostile or intolerant environment, can induce significant stress and contribute to lower life satisfaction and self-esteem. Managing social stressors such as prejudice, stigmatization, violence, and internalized homophobia over long periods of time results in higher risks of depression, suicide, risky behaviour, and substance abuse. LGBT populations, therefore, may be at increased risk for these and other mental disorders. There may be a higher lifetime prevalence of affective disorders in LGBT persons, but no difference in current prevalence of such disorders. However, while little is known about the actual prevalence of mental health disorders in LGBT adults, even less is known about the prevalence of mental health disorders in older LGBT adults. 19 A study examined the relationship between psychological well-being variables (i.e., depression, anxiety, and self-esteem) and level of outness in male-to-female (M t F) transsexuals. Participants were 105 M t F transsexual attendees at an annual transgender conference held in Atlanta, Georgia. Participants completed seven questionnaires, including the Demographics Questionnaire, the Outness Demographics Questionnaire, the Outness Attitude Scale, the Openness Scale, the Beck Depression Inventory-II, the Beck Anxiety Inventory, and the Rosenberg Self-Esteem Scale. A canonical correlation was conducted with psychological well-being variables as the predictor and the outness variables as the criterion. Results indicated that psychological well-being variables are related to outness. Treatment implications, limitations, and suggestions for future research are discussed. 20 STATEMENT OF THE PROBLEM A study to assess the psychological distress and coping strategies among transgenders in a selected area, Bangalore. 6.3 OBJECTIVES OF THE STUDY 1. To assess the psychological distress among transgenders in a selected area, Bangalore. 2. To assess the coping strategies among transgenders in selected area, Bangalore. 3. To find out the relationship between psychological distress and coping strategies among transgenders in selected area, Bangalore. 4. To find out the association between the psychological distress and coping strategies among transgenders with selected demographic variables. 6.4 OPERATIONAL DEFINITIONS * ASSESS: In this study, assess refers to an organized and systematic way of finding out the psychological distress and coping strategies among transgender. * PSYCHOLOGICAL DISTRESS: In this study, psychological distress refers to the failure of the people to respond adequately to mental, emotional, or physical demands which will be assessed by using Kessler Psychological Distress Scale. * COPING STRATEGIES: In this study coping strategies refers to the mechanism that adapted by the transgenders to overcome the distress which will be assessed by using Coping Strategies Survey. * TRANSGENDER: In this study, transgender refers to people those are born with a particular gender but have the behaviour and characteristics of opposite gender. HYPOSTHESIS H1- There is a significant relationship between psychological distress and coping strategies. H2- There is significant association between psychological distresses with selected demographic variables. H3 There is significant association between coping strategies with selected demographic variables. 6.5 ASSUMPTIONS * Transgenders adopt different coping strategies to overcome psychological distress. VARIABLES UNDER THE STUDY * Research variable: * Psychological distress * Coping strategies. * Demographic variable: Age, education, religion, marital status, cultural background, socio economic status, area of residence, past experiences. DELIMITATIONS: * The study is delimited to selected areas of Bangalore. * The study is limited to 100 samples. 7. MATERIAL AND METHODS: 7.1 SOURCE OF DATA The data will be collected from the transgender in selected areas in Bangalore. RESEARCH APPROACH: The investigator will use descriptive exploratory approach to conduct the study. RESEARCH DESIGN: The research design for the study will be descriptive survey design. RESEARCH SETTINGS: Study will be done in the selected NGOââ¬â¢s for transgenders in Bangalore. POPULATION: The target population for study is transgenders in selected area. SAMPLING TECHNIQUE: Investigator is using purposive sampling technique to draw the samples. SAMPLE SIZE: The sample size will be 100 transgenders. SAMPLING CRITERIA: INCLUSION CRITERIA: * People who are willing to participate in this study. * People who know English and Kannada. * People present at the time of data collection. EXCLUSION CRITERIA: * People who are terminally ill or have critical illness. METHODS OF COLLECTING DATA Structured self reporting technique will be used to collect the data. Permission will be taken from samples and an informed consent will be obtained from the samples. 7.2 DATA COLLECTION TOOL * Part I ââ¬â it consists of demographic variables like age, gender, education, socio-economic status, area of residence, past experiences. * Part II ââ¬â the investigator will use Kessler Psychological Distress Scale for psychological distress and Coping Strategies Survey for assessing coping strategies. DATA ANALYSIS METHOD: * The data will be analyzed using descriptive and inferential statistics. * Descriptive statistics like mean, frequency, percentages and standard deviation will be used. * Inferential statistics like ââ¬Å"correlation co-efficientâ⬠and ââ¬Å"chi- squareâ⬠methods will be used. 7.3 DOES THE STUDY REQUIRE ANY INVESTIGATION OR INTERVENTION TO BE CONDUCTED ON PATIENTS OR OTHER HUMAN OR ANIMAL? IF SO PLEASE DESCRIBE BRIEFLY. * No, this is a descriptive study, it does not require any investigation to be conducted on patients or human or animals. 7.4 HAS ETHICAL CLEARENCE BEEN OBTAINED FROM YOUR INSTITUTION? * Yes, the ethical clearance certificate has been enclosed. 8. REFERENCES: 1. Available from: URL: http://thinkexist.com/search/searchquotation.asp?search=self+esteem 2. Gay and Lesbian Alliance against Defamation (online). 2010 May ( cited 2011 Feb 24); Available from: URL: http://en.wikipedia.org/wiki/Transgender 3. Available from: URL: http://uk.answers.yahoo.com/question/index?qid=20070926024655AAZAbtB 4. Hanna Ingber Win. Global post. Transgender India: Banned in Bombay? (Online) 2010 April 10; 1(8). Available from: URL: http://www.globalpost.com/dispatch/india/100409/india-transgender-scandal-banned-bombay 5. Kayden Z Healy. Internalized Transphobia, Minority Stress, and Collective Self-Esteem. June 2011 6. Available from: URL: http://medicaldictionary.thefreedictionary.com/psychological+distress 7. Carver, Connor-Smith J. Personality and coping, Annual Review of Psychology. (2010). P. 61, 679 ââ¬â 704. Available from: URL: http://en.wikipedia.org/wiki/Coping_(psychology) 8. Indian and Hijra (online). 2008 Nov 30 Available from: URL: http://shantanudutta.sulekha.com/blog/post/2008/11/indian-and-hijra.htm 9. Ravaging the Vulnerable: Abuses against Persons at High Risk of HIV Infection in Bangladesh (online). 2003 Aug: Available from: URL: http://en.wikipedia.org/wiki/Hijra_(South_Asia) 10. Chennai: Move on toilets for transgenders sparks off debate (online). 2009 Jun 23: Available from: URL: http://en.wikipedia.org/wiki/Transgender_rights_in_Tamil_Nadu 11. Ahmed M. Scalo Publishers (online). 2001 Sep 15: Available from: URL: http://en.wikipedia.org/wiki/Third_gender 12. Available from: URL: http://www.youthprideri.org/Resources/Statistics/tabid/227/Default.aspx 13. Arnold H G, Anthony R D, John A F. Aspe cts of Psychological Resilience among Transgender Youth. Journal of LGBT Youth (serial online) 2011 (cited 2011 Apr 08); 8(2): (2y screens). Available from: URL: http://www.tandfonline.com/doi/abs/10.1080/19361653.2011.541347 14. Tonei Glavinic. Student plus online academic student journal. Research Shows Lack of Support for Transgender and Gender-Nonconforming Youth in U.S. School Systems 2009 January 24; 1. 15. Sanchez, Francisco J, Vilain, Eric. Journal of Counseling Psychology. Collective self-esteem as a coping resource for male-to-female transsexuals 2009 Jan; 56(1): 202-9. 16. Arnold H. G, Anthony R. D. Transgender Youth. Journal of Homosexuality (serial online) 2006 (cited 2008 oct 17); 51(1): (2y screens). Available from: URL: http://www.tandfonline.com/doi/abs/10.1300/J082v51n01_06 17. Arnold H. G, Anthony R. D. Transgender Youth. Life-Threatening Behaviors. 2010 Dec 18. Thilakaravi. Mental Health Concerns of Transgender Population Living in Chennai, South India ââ¬â A Study. MeD INDIA Networking for health January 2011. 19. Mark J Simone, Jonathan. Appelbaum. Clinical gediatrics. Addressing the Needs of Older Lesbian, Gay, Bisexual, and Transgender Adults: 2011; 19(2) p.38-45. 20. Jeffrey D Strain, I Michael Shuff. Psychological Well-Being and Level of Outness in a Population of Male-to-Female Transsexual Women Attending a National Transgender Conference. International Journal of Transgenderis: 2010 oct-dec p. 230-240.
Monday, August 5, 2019
Reflective Essay on Empowering Healthcare Professionals
Reflective Essay on Empowering Healthcare Professionals This reflective account is going to explore a lecture that has changed my perception since the start of the nursing programme. I have chosen Gibbs (1998) reflective model to explore what I have learned, what my thoughts were before the lecture and changes. Therefore, to demonstrate an awareness of my learning outcome. I would also be covering how this has helped me to develop an understanding on what to do during my practical placement. The NMC code 2015 outlined standards and core values nurses must follow, therefore, our lectures focused around these to empower healthcare professionals to adapt to and deliver a quality service. The lecture I would be exploring emphasised on dignity, importance of dignity and how to encourage it. On a personal account, I thought I had a broad understanding of how to promote patients dignity. Nevertheless, after three hours of lesson on the subject, I have realized that there is a lot more to it. Dignity is a broad topic when properly studied. Dignity is a powerful tool that can determine a persons life and relationship with others suggested by Hinks, D. 2013. The poem what do you see? RCN, 2017, demonstrates the power of dignity. The poem represents a woman who is beseeching to be seen for who she is, not an old woman but someone who had lived a full life with feelings and emotions reinforcing the value of providing person centred care (RCN,2017). My feelings throughout the lesson changed considerably, leaving me to desire more of the lesson. Matti and Baillie (2011) proposed dignity as our innate value, merit and worth as human beings. To this end, the lecturer emphasized on respect making it clear that respecting people and making them feel worth is not just about caring for them, rather, it takes into consideration the whole process of how we approach and visually demonstrating dignity to the patients. I found that the NMC code (2015), stressed that as nurses, we have a duty of care to reach out for the physical, emotional, psychological, social and spiritual needs of our patients. So, give a holistic care by taking into consideration the individual as a whole. Hence, we need to prioritize patients care and dedicate time to them by preserving and promoting dignity through effective communication and supportive relationships. Emphasizing on these, it incorporated within me a sense of awkwardness and to realise how significan t it is for me as a person to be valued. Following the Poem What do you see? (RCN, 2017) I understood how patients are treated inhumanely. I felt like it is more dangerous to ignore patients emotion as this may have a huge impact on their personality It made me apprehended that, as a student nurse my responsibility is to work as part of a safeguarding team to raise concerns when I come across things that endanger patients worth and value according to the Local Government Association (2012). I found social care Act 2012 and CQC (2016) reinforcing on the link between dignity, quality and safeguarding indicating that the nurses, however, were not promoting dignity and therefore do not portray a good quality service so safeguarding is likely to decrease. The lecturer, also, underpinned the importance of personal appearance which connects to the concept of dignity because of the way uniform makes nurses feel and behave and how their appearance has an impact on patients supported by Chochinovs (2007) ABCD Framework (attitude, behaviour, compassion and dialogue) which reinforces essential things nurses need to be aware of when delivering care. Subsequently, this lesson appeared to pose more challenges. I felt highly challenged to question and evaluate on the type of staff I might be. I was challenged to think differently following Chochinovs (2007) self-awareness tool which got me thinking about if I would be able to provide a quality service to my patients while trying to promote dignity and what challenges I might face when dealing with safeguarding issues. However, after reflecting on myself and considering my attitude, behaviour, how I show empathy and compassion through communication, I felt confident to go out there and to demonstrate what I have learned with patients. I now feel like I am competent enough to fully and independently care for a person thus building a supportive relationship with them (Chochinovs 2007). Furthermore, this lecture helped me to comprehend the impact we as nurses can have on a patient as a person. In conclusion, dignity is how people feel, think and behave in relation to their worth or value. To treat someone with dignity is to show them as being worth and valued in a way that is exalt their diversity. Dignity may be endorsed or reduced by the physical setting, structural principles, approaches and conduct of others. When dignity is present, people feel in control, relaxed and able to make decisions for themselves, whereas when it is absent people feel devalued and lack control. Therefore, in my placement, I would do all the necessary things to ensure the value and worth of my patients, thus considering an approachable method of communication and rapport by making them feel at ease. Also, using person-centred care and empathy (RCN 2016). References: CARE QUALITY COMMISSION (CQC). 2010. Essential standards of quality and safety. London: HMSO. Chochinov (2007). Preserving patients dignity lends value to end of life: AHC Media: https://www.ahcmedia.com/articles/106003-preserving-patients-dignity-lends-value-to-end-of-life (accessed 24/02/17) Gibbs (1988) Reflective cycle. Available at: https://hhs.hud.ac.uk/lqsu/Sessionsforall/supp/Gibbs%201988%20reflective%20cycle.pdf (Accessed 24/02/17) Hick, D. (2013) What Is the Real Meaning of Dignity? Psychology today. Available at https://www.psychologytoday.com/blog/dignity/201304/what-is-the-real-meaning-dignity-0 (Accessed 27/02/17) LGA (2012) Dignity, quality and safeguarding adult: Establishing Local Health Watch Health. Available at http://www.local.gov.uk/c/document_library/get_file?uuid=d0235875-2da8-4a5c-a655-2f3600663f5dgroupId=10180 (Accessed 24/02/17) MATITI, M.R. and BAILLIE, L., eds., 2011. Dignity in Healthcare: a practical approach for nurses and midwives. London: Radcliffe. NURSING MIDWIFERY COUNCIL (NMC). 2015. The code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC RCN (2017) Dignity and me: Available at: https://www2.rcn.org.uk/development/practice/cpd_online_learning/dignity_in_health_care/dignity_and_me (Accessed 24/04/15)
Management Decision Making Process Commerce Essay
Management Decision Making Process Commerce Essay Decision making process is an important part of new era management. This is the main function of management where the manager responsibility to make a best decision. As define by Baker et al., (2002) in their study, efficient decision-making involve a series of steps that require the input of information at different stages of the process, as well as a process feedback. Managers also should have to involve and reponsibles in ensure the decision making in short-term and immediate goals are aligned to the oraganizations long term objectives. It is also supported by Schwarber (2005) study stated that, it would be a superoir managers responsible to develop decision making in management strategic and decide whom should be involved in the manaement decision making process. Daft (2010) claimed that the model of strategic management in decision making process were developed by Kepner and Tregoe in 1979. This model was also supported by other study Harrison (1996), and Lunenburg (2010) in ap plying Kepner and Tregoes decision making process model, (Harrison,1996; Lunenburg, 2010; Mcshane Glinow, 2010). The function of decision making is to setting managerial objective, searching for alternative, compare and evaluate alternative (Harrison, 1996). According to the rational model, the decision making process can be illustrate into six steps (Lunenburg, 2010). See Figure 1: The first component of decision making process is recognizing the requirement of decision. The requirement can be as a problem or opportunity. A problem can be occurs when the company or organization performance are below their target and unsatisfied. An opportunity will occur when the manager see the good potential to make their achievement exceed their target. Effective leaders would recognize problem situation and play a vital role in coming up with the best possible solution in the decision making process, (Schwarber, 2005). The process of identifying problems requires to be alerted and pay attention towards the internal and external environment, that would be affect the organization directly or indirectly. The external environment would be provided the information towards organizations in assessing their strengths and weaknesses of the organization along with the opportunities and threats in the external environment (Harisson, 1996). Problem situation plays a major role in subse quent steps, thus managers must determine and define the problems situation specifically in achieving the desired outcomes (Lunenburg, 2010). Besides, managers need to recognize the conflicts happened in the organization promptly to makes the effectiveness of management decision making by take in account the element of the internal and external environment (Elbanna, Ali, Dayan, 2011). Problem situation plays a major role in subsequent steps, thus managers must determine and define the problems situation specifically in achieving the desired outcomes (Lunenburg, 2010). For example, the manager of Sugar Bun and other top management are analyse the causes of their business are running with less customer compared to KFC. They also have to recognize the main factors of what and why the problems had happened. After recognized the problems in organization, the second step is generate the alternatives of the recognized problems. In generating the alternatives they should involve numbers of person to help the manager in obtain the needed information, come up with the creative alternative and gain comment (Schwarber, 2005). This is because in this step manager should have generated as many alternative of action as possible to solve the problem. This actually can be done by brainstorming. One of these techniques in brainstorming process is brain writing (Brown Paulus, 2002). A study by Wang (2000) found that in brain writing, group members wrote their ideas on a piece of paper and passed them on to the next group member, who read the ideas, added his or her on idea and passed the paper on. However, there are a few other techniques that can be used in order to accomplish brainstorming process such as mind mapping, restating purposes and weaving points across topic The more important the decisi on toward the organizations, thus it would be lead the more in developing alternatives in achieving the solution of the recognized problems (Lunenburg, 2010). In the situation of company Sugar Bun, after they recognized the poor services as the main problems, the top managements will delegates the task to employees to do brainstorming in creates as many as possible of the alternatives to solve these problems. The potential for generating a lot of ideas is one of the reasons for group brainstorming become the most favourable option for Sugar Bun to choose the best alternative for their recognized problems. Third step in decision making process is evaluates the alternatives in achieving the organization desired outcomes. This step is important to choose the best alternative. In this step, management can rate their alternative and analyse the alternative of causes and effects of choosing among these alternatives (Harrison, 1996). The alternative that is chosen must be acceptable to those who must live with the consequences of the decision. In the Sugar Buns business situation, after they describes all the alternatives in solving the recognized problems, they will evaluate each of the alternatives and select the most promising of several alternative course of action. Sugar Bun rates the alternatives based on what is most important and that would be attract customers to come to their restaurant. The fourth step is choosing an alternative. Managers would evaluate the requirements and generate alternatives in achieve the desired organizations goal, (Baker et al., 2002). The basic judgment should be close to the outcomes or the consequences of the alternative come to achieve the desired goals of company, (Lunenburg, 2010). Among of these alternatives, they found that they should either give more training to their staff or improve the facilities in Sugar Bun Restaurant. This is the alternatives they should be considered in solving the service problems in Sugar Bun. Normally, manager was choosing the decision with the least amount of risk and uncertainty. For example, Sugar Bun are choosing the first alternative to solve the problem which is they have to improve the training to their staff. This alternative can make the customer satisfied with the service and will come to their restaurant again. The fifth step in decision making process is implementing the alternative. Implementing the decision making process is to transform an abstraction into a reality operation in achieving the outcome (Harrison, 1996). A sound decision can fail if implemented poorly, (Lunenburg, 2010). This is the process where the management apply the alternative to their staff or subordinates. All staff who was involved with this decision must know their role to make the best outcomes. To make the employees understand their roles, managers must explain the procedures, rules and the detail about their objective to help them to participate in the problem solving decision. For the example of Sugar Bun, the upper echelons will implement the chosen alternative toward the employees in giving training to enhance their job performance, thus indirectly it will favourably affect the customers satisfaction in receiving good service quality. The evaluating decision effectiveness in decision making process is the final step. The implementing of alternative had to be monitored. An outcome is a consequence of decision making in choosing the given alternatives, (Harrison, Pelletier, Harrison, Pelletier, 2005). It is normally involve significant change in organization and may be also affects it stakeholders. An evaluation step should provide feedback on how well the outcome of the decision is being implemented, and the necessary adjustments are required to align with the organization desired goals (Lunenburg, 2010). Manager should gather the information to determine the successful or effectiveness of the decision. Lunenburg (2010) also stated that the evaluation is important because decision making is a continuous, never-ending process. For example, in Sugar Bun case, the manager has to observe the positive change in their daily operation in dealing with customers after the implementation of the decision done. The manager wo uld retrieve feedbacks from customers as monitor the new alternative of problem solving in order to achieve the desired outcomes. As the conclusion, decision making is a process involving choices. The process generally consists of several steps: identifying problems, generating alternatives, evaluating alternatives, choosing an alternative, implementing the decision, and evaluating decision effectiveness (Lunenburg, 2010). Every step in decision making process is important and managers have to consider it. This is because management goals or targets cannot be achieved without proper decision making process.
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