Management report for sevice improvement Essay Example | Topics and Well Written Essays - 1500 words

Management report for sevice improvement - Essay caseThe project involving breastfeeds at the soil and ward levels willing involve filling of the checklist in advance referrals are make to rule nurses. A pilot study will be done to establish the effectiveness of the proposed criteria before necessary transposes are made to improve the criteria and associated processes. Evaluation of the project will be based on the number and type of referrals to district nurses after the implementation of the criteria in comparison to data obtained before the substructure of the project. Introduction Several changes have been witnessed in nursing utilization at the district level over the last couple of decades. Some of the changes that are evident include the introduction of new technologies to help in nursing, the rise in morbidity rates, and the increase in mortality rates. Yet an other study change in the same respect is the attendance to more complicated cases in the community. With this being the case, it is beyond suspect that the nursing fraternity in the district has become overloaded which has effectively increased the stress levels see by the nurses. In order to solve this problem it is proposed that a District Nurse Checklist be created and instituted for physical exercise in deciding whether or not a patient should be referred to a district nurse for care. The proposal will rely on a SWOT analysis of the proposal considering its effectives in predicting the innate and external forces that may affect the success of the project. During implementation, the PDSA cycle will be applied considering its effectiveness, limited vision requirements and limited risk association. Analysis of Change Needed According to the Royal College of Nursing (2003), a major problem facing district nurses is the huge number of referrals that they have to handle. More specifically, the problem is seen when such referrals are uncalled for. Clover (2010) notes that for every s ingle inappropriate referral to a district nurse, close to five hours of precious period is lost. A study conducted in the past revealed that several patients were discharged from hospital with community nurses taking teeny-weeny or notice of the events (Clover 2010). The study further revealed that several cases of referrals were inappropriate and therefore had to be re-routed or alone declined. It must be taken into account that there are several alternatives that can effectively be applied to ensure halal home are to patients who have been discharged. Some of these alternatives according to Vafeas (2000) include practice nursing, visiting clinics and making outpatient hospital visits. A report by the Audit Commission (1999) reveals that of all referrals to district nurses, 11% are unwarranted. Practical experience during clinical practice as a member of district nursing teams has shown that inappropriate referrals are associated with a lot of time and resource wastages. What this means is that without a proper referral criteria that assists clients and other health practitioners in deciding when and when not to effect a referral, the situation is bound to bring on worse. In effect, when a referral criteria is developed, various parties will better understand their responsibilities and roles, the district nursing service will enjoy greater credibility, and health practitioners will be encourage to work in unity. Health practitioners, patients and clients among other parties should appreciate the reason for the establishment of the

Apple Essay Example | Topics and Well Written Essays - 250 words

Apple - Essay ExampleThis is a unique technique to apple. It contains a wide take off of products that welcomes support from many customers who purchase them. The company is a leading innovator of mobile devices. It enjoys most pay from the sale of mobile technology than other companies. The retail stores ensure a strong customer birth with the company. High pricing of commodities differentiate it with the prices at Hp. While Hp specializes in manufacture of PCs, apple switched and change state on producing mobile devices.Apple enjoys a cost strategy to remain and sustain the market. Their products have a unique technology that enjoys the market share. Despite the high pricing that rocks the market, still the company registers large consequence of sales. The customers believe that the products are of high quality because of the companys reputation. This technique puts the company as the import most valued brand in the whole world. Despite the high competition that is in the te chnology business, apple still uses high pricing as strategy that enables them remain relevant in the

TESCO PLC Essay Example | Topics and Well Written Essays - 1000 words

TESCO PLC - Essay ExampleAs the calling grew, the caller-up decided to diversify its products into atomic number 18as like retailing clothing, electronics, furniture, books, software and petrol. It in like manner offers financial services, internet services, telecoms, medication downloads and DVD rentals (Tesco, 2013). The growth that the company has is down to the strategies that the company operates on. Current Strategy Used By the corporation Now A check of the companys procedures and activities, one strategy that is clearly visible is the digitisation of its every operation and department. The company has extensively embraced technology and this has been its chief cause for its continued growth. It employs people who come the ability of utilizing technology to the maximum and come up with products that will foster its sales. One of the most late(a) technological developments that the company has made is the creation of its own-brand hardware. The hardware is installed in t he Hudl tab key, which is sold at the numerous stores. The tablet was created to cater for every need of its customers. The tablet also is installed with all the digital services offered by the company making it an all in one gadget where people tin can find the companies music and Blinkbox movies. It also has Clubcard TV shopping for clothing, groceries, general merchandize and banking. ... g the company as much near as it can to people and this has made it to come up with the scan as you shop and drive-thru click-and-collect services (Tesco, 2013). Approximately 300,000 of its oecumenic customers use the scan as you shop services. The drive-thru collection points have been widely opened within and a person living far from the companys branch can order what he or she wants then goes and collects them at this points. This strategy has seen it open shops of diametric sizes and having different products. The largest stores opened are the Tesco Extras stores, mainly the hypermarket s, which are meant to serve its out of town customers. The Tesco Extras have all the products and services range that the company offers to its customers. The Tesco Superstores are ordinarily the standard supermarkets and store a fewer non-food goods in them. To create harmony of its operations and ensure it is on the table in its operations, the company uses the strategy of having different organizational structures in the different countries it is located in. the structure a certain branch is to adopt, should help in its operations as different regions and environments bring about different needs ( Mcloughlin & Aaker, 2010). These organizations structures determine the people who the branches hire to help reach their goals and contribute to their growth. The company also has a website that is managed around the clock. The website helps in online selling of its product, answering any queries some of its customers have and dealing with any complaints from them. This website greatl y helps in the advertisement of the company and its branches and in the collection of valuable data from its customers that help in its operations (Fernie, 2005). The Positives of the Strategies The used

Effects of Modern-Day Fascination with Celebrities Essay

effect of Modern-Day Fascination with Celebrities - Essay ExampleTo be more precise, celebrities make the society to throw absent the cultural makeup. Hence, the community members put on a fake image that does not depict their take characters. Technology is the primary cause of these entire obsessions with celebrities. Teens glue themselves to the television watching programs that makes them more interested in the lives of celebrities more than their own. Smartphones, on the other hand, provide updates about celebrities gossips every hour. Just to remember, the past week, everyone guggle was totally about the revealed story of Solange, Beyonces sister attacking Jay-Z while in an elevator (Sarah, 2014). Thus, the society enunciate about it in the magazine, searched it on the internet, or heard it from friends. Most people obsession with celebrities can withdraw to cultural paradigm alterations. To some extent, the adjustments are real. A good example is of Michael Sam, the foot baller who came out mental synthesis the confidence of most of the young gay athletes. He advanced the advocacy for gay marriages and promoted free to talk about their sexuality. On its negative side, the culture of celebrities and fascination with status and wealth make the average and distressing people feel unworthy of the world. As a result, the mind of the young people growing up to find a place in the world is corrupted with no option but to run rich even through violence. In fact, some researchers claimed the existence of a growing disorder cognize as Celebrity Worship Syndrome. The disease is however not inclusive of personality disorder (Inglis, 2010).

Behavior Problems research paper Example | Topics and Well Written Essays - 1250 words

Behavior Problems - Research Paper ExampleOn the other hand, creativity is non directly related to the academic achievements of learners. However, birth order is directly linked to higher levels of creativity. Introduction behavioral problem, as a noun phrase is employ to refer to any suggestive expression of interpersonal or emotional maladjustment, especially in children. These problems are externally depicted through actions like enuresis, nail-biting, negativism, or the pomposity of overt antisocial acts or hostile behavioral patterns. On the other hand, Creativity is the predisposition to pull in or generate ideas, possibilities, and alternatives to an issue especially during the course of solving problems, while conversing, and when communicating with others. Creativity is overly displayed, from the ability of an individual to entertain themselves and others. There are three courses, as to why individuals are provoked into developing creativity. These include the necess ity to express values or ideas the desire to solve the problems that will herald in the way of an individual and the need to express original, varied and multifaceted stimulation. However, in order to be creative, there is an intricate need to be able to view things in varied ways, or from contrasting perspectives. The ability to display creativity does not occur by change, but is linked to highly rudimentary qualities of thinking, these including tolerance of unpredictability, the ability to enjoy unknown things, and flexibility in thinking processes. Academic achievement outhouse be defined as the display of superiority in varied academic fields some(prenominal) in class as well as in extracurricular activities. It is a phrase used to mean a combination of superiorities in the following areas behavior, confidence, sporting, communication, skillfulness, arts, punctuality, culture and assertiveness among others. Discussion From a previous(prenominal) study carried out by (You sefi et al. 2010), the statistics shows that boys suffering from behavioral and emotional difficulties scored lower in academic achievement, when compared to those who did not have these problems. However, in the case of girls showing the symptoms of internalizing problems, it was different, as they attained higher grades in academic achie

Fantastic Voyage Term Paper Example | Topics and Well Written Essays - 1000 words

Fantastic Voyage - Term Paper ExampleFinally we will expose the exchange of oxygen with the delicate alveolar and the pathway used in inspiration and expiration. Body The femoral vein travels from the inside of the right leg, parallel to the femoral artery, upwards towards the center of the body. The femoral vein is a larger vein which receives subscriber line from the popliteal, the great saphenous vein and the femoris (Femoral). The femoral vein first comes into the impertinent iliac vein and from in that respect flows into the common iliac vein and into the inferior mineral vein cava. The iliac veins gain the common iliac at the small of the back around the fifth lumbar vertebra. It is the government agency of the mineral vein cava to carry blood from the displace portion of the body directly to the heart (Inferior). The vein cava empties into the right atrium, the lower right back side of the heart. The blood arrives into the right atrium un-oxygenated and is a darker c olor due to the lack of oxygen. The vena cava atomic number 18 the two largest veins in the body and the inferior runs alongside and behind the abdominal cavity and where the vena cava meets the right atrium is a valve known as the Eustachian valve. Though the Eustachian valve remains its primary functions argon in the development fetus, where it helps to direct blood flow through the foramen ovale into the left atrium. Once breathing begins this is no long-acting necessary and the foramen ovale closes and the amount of blood flow between the left and right atrium is limited. The vena cava are responsible for collecting blood from lumbar veins, hepatic veins, gonadal veins, renal veins and the phrenic veins (Cardiovascular). All of this blood is un-oxygenated. Blood then flows through the tricuspid valve and is pumped into the right ventricle. Cardiac muscle provides rhythmic uninterrupted contractions to keep the blood flowing smoothly. After passing through the pulmonary valv e the blood enters the pulmonary proboscis (Right). The contraction of the myocardium causes pressure which forces the blood into the pulmonary truck where there is a left and right division. The physical structure has a pulmonary semilunar valve that opens during contraction and closes when the muscle relaxes, thus preventing the blood from flowing back into the ventricular chamber. The right pulmonary artery carries the blood to the lower right lung. Within the right lower lung there are three lobes whereas the left lung has two lobes. Structures in spite of appearance the right lung include lateral, anterior, posterior, dorsal and medial bronchus (Chest). A bronchial tree contains these bronchus and alveoli on these branches resemble grapes. Alveoli are thin membrane pipeline sacs within the lung and the bronchial tree is the passage way through which air is passed in inspiration and expiration. Surfactants within the alveoli keep them from collapsing during exhalation and th ey remain slightly open. Without this surfactant the thin sacs would close in and stick to for each one other as air passes in and out of them and they inflate and deflate. The passageways into the lungs are lined with epithelia and cilia whose primary function is to move debris and foreign particles from out of the lungs. These provide the first line of defense within the lungs. dendritic cells are scattered throughout the lungs and increase when there is an inflammatory response. These cells are antigen presenting cells that contain lysosomes and endosomes with three recognise functions antigen presentation and activation of T cells, inducing and maintaining immune tolerance, and maintaining immune memory with B cells (Wieder). These dendritic cells are the only cell that is able to activate naive T cells and lay dormant until there are pathogens or