Strategic management of healthcare organization Research Paper

Strategic management of healthcare organization - Research Paper Example Health insurance is a hindrance to management of diabetes, normally with dire consequences. Diabetes management costs can be as much as two hundred dollars a month. Adults who are uninsured are less likely to receive care needed for disease management than those with insurance. Meanwhile, those having health insurance have hardships obtaining needed care when there is inadequate coverage. Common place events, most often, lead to adults losing health insurance. These are divorce and change or loss of ones job. Health insurance depends on the applicant’s employment and family status, state of residence, health status, income, and age. Any change in these factors often can and will lead to automatic disruption or change in health coverage. On average, two and a half million Americans lose insurance cover every month (Karen et al 88). It is difficult to regain ones health insurance once revoked (Karen et al 89). Adults suffering from the debilitating disease who apply for health insurance individually are more often than not denied. Many of the victims can not access qualification for Medicare or Medicaid. When there is the availability of new coverage, most of the diabetes patients find the coverage to be inadequate or unaffordable. Adequacy, affordability, and access barriers are redundant and create layers upon layers of hardships which the diabetics cannot overcome. According to studies, when an individual loses health coverage during a period of sickness, it becomes more difficult for them to regain it as compared to healthy people (Karen et al 90). They thus go for long spells of no insurance, which worsens their situation. Policy makers need to act toward making health insurance adequate, affordable, and available. Presence of options regarding health insurance is not a guarantee for health security. More often than not, policy makers attempt to paper over cracks in the health insurance system via the creation of safety net protections, which

Blended Learning Assignment Example | Topics and Well Written Essays - 750 words

Blended Learning - Assignment Example In the review of related literature, you need to offer some definitions for traditional face-to-face learning processes, its advantages and disadvantages, the perceptions of teachers towards using it, the perceptions of students towards being taught through it, and any other related materials. When the above is achieved, you need to conduct a thorough literature review on online assessment and teaching, its origins, its impacts on the learning processes of students, its advantages and limitations, teachers perceptions and attitudes towards its use, as well as students' perceptions and attitudes towards being taught using the system. In all this, you need to actively research on some previous studies that have been undertaken on traditional face-to-face learning processes as well as on the online learning processes and assessment. You need to compare and contrast the two, and your analysis must be based on reliable information. That's why you need to undertake a deep literature review. ... 4. How is it perceived by both the students and the teachers Here, expound more on different perceptions and attitudes held by both the teachers and the students. Be sure to include attitudes and perceptions that are specific to the country where the case study will be carried out. 5. Does it increase the performance and learning outcomes of students After that, be sure to conduct an extensive research for materials on the following 1. What does online assessment and blended learning entails 2. Document the growth of blended learning in institutions of higher learning. Be sure to include some examples of how blended learning is used in various institutions. Examples that are specific to your country will be excellent. 3. What are the advantages and limitations of blended learning in our institutions of higher learning Again, be sure to include some examples. 4. How has blended learning affected the performance and learning outcomes of students Blended learning entails the use of both face-to-face as well as Information Communication Technology (ICT) based form of learning. This is the most crucial part as it directly addresses the research question. Here, you must rely heavily on previous research and scholarly works of various authors to come up with means through which blended learning can be used to improve the performance and learning outcomes of students. The following areas also need to be extensively researched on as they will guide your research question 1. Does the country have a strategy or policy paper on face-to-face learning processes If it is there, document it and be sure to document its effectiveness (or failures). 2. Has education stakeholders designed a strategy for incorporating blended learning in the institutions of

Hershey Chocolate Essay Example for Free

Hershey Chocolate Essay When many people around the world think about chocolate they think about the most popular producer of sweets, Hershey’s Chocolate. The company began in early 1894 by a persistent man named Milton Hershey (Hinkle). Milton Hershey was born in Derry Church, PA on September 13, 1857. As a child Hershey and his parents, Henry Hershey and Fannie Hershey, relocated many time. Hershey went to seven schools within eight years and by the fourth grade he was taken out to work with a printer as an apprentice. In 1872 Hershey left the printers shop to work in a confectioners shop near Lancaster, PA. Not long after Hershey discovered an interest in candy making and selling. Four years later he opened a candy shop, but unfortunately competition got the better of his shop and closed in 1882. Hershey then moved to Denver, Colorado to work for a manufacturer of caramel. There he learned that good fresh milk can make candy taste better and sell better. Finally in 1894, Milton Hershey started the Hershey’s Chocolate Company (Hinkle). Hershey’s Chocolate first sold â€Å"caramels with chocolate coatings, along with breakfast cocoa, sweet chocolate, baking chocolate, and novelty chocolate candies† (Hinkle). In 1900 Hershey’s start manufacturing the first original Hershey’s Milk Chocolate bars, started construction on a factory in his home town of Derry Church, Pennsylvania, and because of the dairy farms producing milk rapidly, Hershey did the same (Hinkle). Selling his chocolate for 5 cents a bar, Hershey became wealthy very quick (Lancto). Hershey’s also released there Chocolate kisses, Almond chocolate, and Mr. Good bars (Hinkle). Milton Hershey believed that the money he had made with his chocolate should be used to help others instead of keeping it to himself (Lancto). Hershey started making the town of Derry Church, where his factory was located, more exciting and enjoyable (Lancto). He gave low cost housing for his workers, built fire stations, schools, churches, gold courses, and even a zoo (Lancto)! In 1910, Hershey created a school and establishment for less fortunate, orphaned boys. The school was taught the youth important stills for life and for success. Milton’s reason is so children wouldn’t have the life style he had, always moving and not having a proper education. The school property eventually grew big with every student that attended, including girls, from 500 acres to 2,500 acres by 1976 (Lancto). By the year 1937, the U. S. government had an idea of a chocolate bar that could with stand temperatures of 120 degrees and packed with energy for American troop who were out in the field and so Hershey’s decided to make it happen (Lancto). Rations D bars were then mass produced and sent to over 100,000 troops a day (Lancto). â€Å"For four years, Hersheys Ration D bars were produced around the clock, seven days a week, for a total of one billion rations† (Lancto). Milton Hershey died while sleeping on October 13, 1945, shortly after retiring (Adams). Today, Hershey’s Chocolate Company is still manufacturing chocolate sweets making billions of dollars a year, selling Hershey’s milk chocolate bars, MM’s, Reese’s Peanut butter cups, Hershey kisses, and many verities of products created over the years, using different commercials for each product, like the talking MM’s or how Charlie Armstrong dominoed his Reese’s so he would catch and eat one in the end. Hershey’s Chocolate is everyone’s favorite chocolate, so don’t expect it to disappear so quickly. Work Cited Hinkle, Samuel, Hershey, 1964; Shippen, Katherine B. , and Paul A. W. Wallace, Biography of Milton S. Hershey, 1959; Snavely, Joseph, An Intimate Story of Milton S. Hershey,1957. Lancto, Craig. Milton Hershey: Americas chocolatier. World I. 01 May. 2003: 269. eLibrary. Web. 28 Feb. 2012. Adams, Susan. Sugar Daddy. Forbes Magazine. 09 Jan. 2006: 141. eLibrary. Web. 28 Feb. 2012.

Ethical Decision Making In Nursing Scholarly Nursing Essay

Ethical Decision Making In Nursing Scholarly Nursing Essay Nurses are constantly confronting various ethical issues in their everyday clinical practice. An ethical dilemma is complex situation emerging from the conflict between moral obligations in which complying with one would result in contravening another (College of Nurses of Ontario [CNO], 2009). Nurses using CNOs ethical conducts and decision-making framework will help in directing their ethical course of action. This framework involves the use of moral component such as claim, evidence, warrant, basis, rebuttal and ethical decision to guide in resolving the conflict (Arnold Boggs, 2011). Thus, the aim of this paper is to use ethical decision-making framework step by step in exploring an ethical issue by analyzing a pediatric case study to make significant decisions. Claim is the first moral component of the framework. It emphasizes on various dilemmas arising from the case study such as pediatric advance directive, consent to treatment by being competent minor and decision-making capacity. The ethical dilemma arises from this case study is whether to choose wishes of adolescent patient considering his treatment or should the wishes of his parents outweigh his request. The case study describes Kyle 14 years old male who has stake in outcome of the decision, and suffering from lymphocytic leukemia cancer. The case study involves Kyle as patient with physicians and his parents to determine the care in best interest of patient. The involved Physicians in care stated Kyles health is deteriorating and not responding to the chemotherapy treatment. Hence, the value of Kyles parents is to continue with the chemotherapy treatment in hope to work and prolong his life. However, Kyle having different point of view, refused to take any heroic measure and aske d for DNR order to be placed in his chart. This way, his parents value would be violated if nurse chooses to accept the decision of Kyle. According to article by Tabak and zvi (2008), patient being mature minor competent has right to refuse treatment and is allowed to choose decisions regarding all the aspects of his treatment. Hence, nurse is caught in conflict between parents and Kyle. Thus, Kyle being in client center care, whichever decision nurse chooses from patient and parents will impact the Kyles care. The evidence is next moral component of the framework. According to the scenario, physician sharing information with patient about the health status shows their mutual trust in relationship. This relationship indicates Kyles right to know as being cognitively capable to understand pros and cons of the treatment and participate in the discussion. According to Tabak and zvi (2009), the norm of informed consent is that patient has right to know truthful information about his health status from health care professionals to make informed decisions. From the case study another evidence indicates, Kyle being cognitively mature adolescent with a chronic illness (at the age of 5), knowledge to make informed decisions (DNR) and, experienced with treatments (several dose of chemotherapy). According to the article by Tabak and Zvi (2008), if the adolescent being minor is coping with long term and life threatening situation then patient is cognitively aware of the nature of the illness and has ri ght to give consent. With this fact, his parents are seizing over his autonomy by denying his choices or capacity to make decisions. According to the article by Rogers, Alex, Macdoland, Gallant and Austin (2009), states that allowing children to express and offering choices escalates their quality of life and dignity. In this case, parents emotional grief for child may prevent them understanding childs moral value or quality of life. It seems parents attachment with child making them not to understand childs perception of suffering from medications and wishes to extend his life even if it has to do with holding on to the hope of future medication to work (Macgrawth Phillip, 2008). As a result, parents are going against standards and not performing critical thinking. The evidences found in the case study are true, relevant to make decision, but lacks in sufficiency due to having inadequate in-depth reasoning behind klyes decisions. Warrant is another part of the framework. It requires using professional standard of care, and legal precedents and policies. If I were a nurse confronting ethical dilemma conflict between patient and parents decision over treatment, I would critically examine choices using professional standards. First thing I will take childs age into consideration for informed consent. As stated in pediatric Cancer Society (CPS) (2008), in Ontario there is no age of consent. However, there is mature minor right where patient not being adult in age, but cognitively able are allowed to consider the treatment choices and alternatives based on the evaluation of consequences. This explains Kyle being only 14 years old is able to give consent of refusing treatment, which is on his best interest along with knowing his nature of treatment. As well as, according to CPS (2008), when benefit of the treatment overweighs burden it should be respected. Similarly, Kyles choosing to preserve his quality of life o verweighs the option of treatment associated with pain and suffering which should be respected. Moreover, according to CNA (2008) code of ethics, under promoting and respecting informed decision-making, nurses have right to advocate for the patient if his/her rights are being influences by others decisions. In this case, by abiding this code, I would recognize the kyles right and support his capability to withdraw or withhold the consent for treatment regardless of his parents request. Furthermore, according the CNOs (2009) practice standard ethics clients well-being and client choice are relevant ethical values for nurse when parents and patients view are differentiated in what is beneficial. I as a nurse without judging would evaluate, respect and determine the rationale for the chosen option by parents and patient in terms of benefit vs. risk to assist in making decision. By abiding professional standards and policies will help me as a nurse to have evidence based rationale to de liver ethical clinical care to Kyle. Basis is the next component in the framework involves ethical principles. In this scenario, autonomy, beneficence, and veracity are ethical principles used as guide to analyze ethical issue (Arnold Boggs, 2011). Autonomy refers to patients right to make informed decision about his/her medical care without having anyones influence on it. In this case, parents desired decision takes over Kyles autonomy by contradicting his decision-making capacity (being minor) regarding his treatment and DNR options. Hence, allowing Kyle to make informed decision by allowing him to express his preference, concerns, and wishes would respect his autonomy and will preserve his dignity (Whitty-Rogers et al., 2009). Another principle, beneficence requires to prevent harm to others. In this scenario, kyles going through chemotherapy treatment shows no improvement (beneficences), yet him going through this process for prolong life will increase his pain and suffering. From parental perception, treatment hel ping to prolong lifetime indicates harm in hope of beneficences. For parents, treatment adding to survival period over side effects would appear as convenient option to accept (Mcgrath Phillip, 2008). Last ethical principle veracity refers to responsibility of telling truth. In this case scenario physician or HCP has provided truthful information to patient and family regarding health status and effectiveness of treatment. Hence, there is no other information hidden from patient to help making informed decision. Hence, it is significance for nurse to continue using this principle to support and oppose argument made by each person to solve the conflict. In addition, rebuttal is another component of framework. It focuses on costs and benefits of each choices. The benefit of the choice made by Kyle will alleviate his suffering by refusing the unresponsive treatment and DNR, which will increase his quality of life. It will strengthen the trust in nurse-patient relationship. On the other hand the risk associated with Kyles choice shortens the quantity of life due to having no treatment and DNR actions to rescue his life. Another harm associated is that it would hinder the relationship between parents-patient and nurse-family due to opposing their request. Furthermore, the benefits associated with parental choices of continuing treatment will prolong their and Kyles time of togetherness. As well as, risk associated with parents choice will escalate the pain and suffering of patient by reducing the quality of life. This violates the ethical principle of choosing non-maleficence for the hope of beneficence and reducing patients autonomy an d dignity. As denying parents preference can hinder trusting nurse-patient relationship. Especially when trust, respect and honesty are essential to meet the health care needs of patient and in facilitating end of life care decision making (RNAO, 2006). Although, alternatives could be arranging meeting with parents and patient will help to understand each others perception, as well as allowing to accommodate/negotiate any choices to reach mutual decision. This way parents might be able to see the suffering and pain that treatment brings for child in order to prolong time. Also, Kyle would be able to understand emotional side of parents where his life is more valuable and beneficial over side effect of the treatment. As a result, palliative care could be an alternative option in progressive illness to ease quality of life with quantity of life. Palliative care can benefit in relieving the suffering in holistic way of patients life. For example, chemotherapy being used can have medica tions to relieve side effects of nausea to minimize the suffering (Mcgrath phillip, 2008). As well as, choosing to continue with the unresponsive chemotherapy treatment (side effects) with palliative care may limit the patients quality of life. At last, a nurse being reasonably prudent and ethical should apply moral principles in decision-making. The primary object of the nurse would be to identify ethical issue. The ethical issue in this case study is adolescents treatment decision conflicts with parents decision in determining authority for decision-making. Then nurse will evaluate the evident data to obtain all the relevant and sufficient information. Moreover, nurse should have understanding of CNA, CNOs code of ethics, and RNAO BPGs to have knowledge regarding law, legal action and to have evidence-based rationale in guiding the decision-making process. Nurse would evaluate the claim by recognizing moral reasoning in each persons perspective. According to CNA (2008) values, under client wellbeing and choices, nurse should respect family and patients opinion. Nurse should make parents acknowledge about the adolescents right in making decision. If patient is mature minor and competent to make informed decision then nurse should advocate for patient even if its opposes parental request. Last but not least, nurse should weigh risk and benefits of each persons choices in terms of possible long terms and short-term consequences. Hence, nurse can offer alternative options by collaborating with other HCP if necessary to balance and develop mutual goal between HCP, patient and parents. In conclusion, to achieve resolution in ethical dilemma involves critical thinking. This paper has analyzed an ethical dilemma in determining whether is it Kyle or parents, who has authority to take decision regarding treatment. It evaluated others factors such as pediatric age consent, and being cognitively competent to understand the consequences that could influence the decision-making. Paper also included three nursing journal to support the evidence, professional standards, and ethical principles to direct decision-making. At last, being ethical nurse, to determine decision in patients best interest, possible consequences from the choices were outweighed in terms of risk and benefits. Thus, the use of decision making framework facilitated in deciding what is morally and ethically acceptable in patients best interest while facing ethical dilemma. Kyle is a 14 year old male diagnosed with acute lymphocytic leukemia at age 5. He has endured multiple relapses requiring several rounds of chemotherapy with short periods of remission. He has been readmitted to the paediatric oncology unit after metastases to his lungs and brain have been found. During a family meeting to discuss treatment options, Kyles attending physician explains that the cancer is rapidly progressing and unresponsive to treatment. Kyle feels that he has endured enough and does not want any further heroic measures and has asked that a DNR (do not resuscitate order) be placed in his chart. Kyles parents do not agree with this course of action and are holding onto to hope that more treatment may prolong his life.

WalMart :: essays research papers

Wal-Mart’s philosophy has always been to provide everyday low prices and superior customer service. But this philosophy might have stared potential customers away from Wal-Mart. Many people, including myself, have the misconception that Wal-Mart only sells necessities that the average working class family can afford. An extreme eye opener for me was a recent television commercial by Wal-Mart. I saw that they also sold flat panel televisions, which is considered a luxury item for any social class. After going to their website to see what other luxury items Wal-Mart sold I was amazed at the number of items I found that were not the necessities which I stereotyped them selling. Wal-Mart has to change the public’s opinion of the items that they sell and the types of people that it has in mind of serving. Sam Walton was the shrewd businessman behind the world's largest retailer. After working his way through the University of Missouri as a newspaper delivery boy, he got a job in Des Moines, Iowa as a management trainee for J.C. Penny at a salary of $75 a month. Walton borrowed some money from his father-in-law and opened a variety store after serving as an Army captain in World War II. A chain of drugstores followed. He went into business with his brother Bud, and by 1960, the Waltons' 15 stores were taking in $1.4 million a year. But Walton soon saw a challenging new competitor arise in the discount store. The Walton brothers opened their first Wal-Mart in 1962 in Rogers, Arkansas. Specializing in name brands at low prices, the chain of Wal-Mart stores sprang up across rural America. Wal-Mart’s sales grew to $26 billion by 1989, compared to $1 billion in 1980. By 1990, Wal-Mart was the largest U.S.

Airport Security Essay -- Safety Airlines Terrorism Papers

Airport Security On September 11, 2001, twenty Arab men boarded four different airplanes with the intent of attacking our country. They boarded the planes with the intent of causing tremendous damage to New York City and Washington, D.C. Two planes crashed into each tower of the World Trade Center, one plane crashed into the Pentagon, and the last plane crashed into a Pennsylvanian field. These twenty men cut short over 3000 lives. The innocent people that died had no need to have their lives taken in the way that they were. However, they lost their lives because they were American, and to the terrorists, they stood for certain principles. How were these terrorists allowed to board these planes with the weapons that they used for the take over? There is an easy answer to that question: airport security was virtually nonexistent. Anyone could be in the terminal. Friends and family could be with the passenger up to the time that the passenger went through the gate. However, since that fateful day, security has been tighter at the airports. Now, before passengers board a plane, they have to go through an x-ray machine and a metal detector before entering the terminal. Sometimes they have to go through random searches at the plane's gate. One question raised from the tighter security measures is whether these security measures invade people's personal rights. Airport security has changed since September 11, but this change is not always a good thing. One of the major changes that has taken place in airport security is more searches are being done. As a result of increasing the number of searches taken place, more people have their privacy rights violated. Another result of the increase of airport security is that less peopl... ...y.html Simon, Harvey. "Homeland Security and Defense." Aviation Week. n.d. 5 June 2002 Swenson, Dan. Personal interview. 23 October 2002 Sperry, Paul. "Know Your Rights at Airport Checkpoints." Worldnetdaily. 9 January 2002, 15 Oct. 2002 http://www.worldnetdaily.com/news/printer-friendly.asp?ARTICLE_ID=25974 "Suggestions for Reducing Security Related Threats." Airsafe. 22 October 2001, 16 September 2002 http://www.airsafe.com/events/war/moresafe.htm The Thompson Chain-Reference Bible: The NIV Version. Indianapolis, Indiana: B.B. Kirkbridge Bible CO., INC., 1990 "Travelers' Blues." Free-Market Net. n.d.15 October 2002 http://www.free-market.net/spotlight/airtravel/organizations/ "Women Travelers Complain of 'Busy Hands' Among Airport Guards." Startribune. 25 November 2002, 15 Oct. 2002 http://www.startribune.com/stories/1631/850064.html

Iconographic Representation Of Jesus Christ Essay

Jesus Christ, by Christian tradition is known as the lamb of God or the sacrificial lamb, so he is symbolized by a very young lamb seated on a nest of thorns. Other than this Christ is also known as ‘the fisher of men’ which relates to the biblical story of how He was able to gather people into His flock so that they would submit to His teachings; so the ancient symbol for Christ is a simple illustration of the fish as shown in the collage. Other than this, this representation also has something to do with Christ’s words to Peter, when He said, â€Å"Come with me and I will make you fishers of men. This is also the reason why the Pope wears a ring known as ‘the fisherman’s ring† so symbolize his being the Vicar of Christ on earth. Another symbol which represent’s Christ is bread, because he also said during his lifetime, â€Å"I am the Bread of Life, whosoever partakes in my banquet shall have eternal life. †; Christ is also represented by fire, light or a flame because of his pronouncement that He â€Å"is the Way, the Truth, and the Light. †   Another symbol used in the collage is the chi-rho symbol which was an ancient way of writing the name Jesus Christ.