Tuesday, May 19, 2020
Essay on The Need to Explain Leave Impression in an Interview
As humans we feel the need to explain everything to ourselves and to others, we attribute cause to the events around us which gives us a sense of control. This need to explain is helped through attribution theory argued by Robbins, Millet and Boyle which try to explain the ways in which we judge people differently, depending on the meaning we attribute to a given behavior . There are three different type of observations that we make when we attribute behavior to either external or internal sources being consensus, consistency and distinctiveness. Considering a case of job selection process, Sam arrives at an interview and sits down without greeting his employees. Now given due to research that humans pass judgment on to others in aâ⬠¦show more contentâ⬠¦The anchor being that Hagan is a slacker is what Rowan will tend to fixate on to guide his view on not hiring Hagan. In case of Rowan and Merel, Stereotyping bias seems to be playing a major role. According to Robins, Millet and Boyle, Stereotyping is judging someone on the basis of ones perception of the group to which that person belongs(Robbins, S.2011). Stereotyping occurs because we rely on generalizations everyday which help us make decisions quickly in order to simplify this complex world. Rowans quick perception of Merel being hostile and unfriendly just based on the death metal band clothes she was wearing was an example of stereotypical bias which is interfering with his decision to hire her.Sarah assumed his first candidate Vikrim being late was due to external factors therefore this factor is what she will base her following decisions on. This can be explained by availability bias which is mental tendency for people to base judgments on information that is readily available to them, its the idea that we use limited information. When you are trying to make a decision, a number of related situations might immediately come to mind. As a result you might interpret that those situations are mor e frequent and possible than others. Silvia Mamede 2010 argues that the tendecy to weigh likelihood ofShow MoreRelatedMy Strengths And Weaknesses Of An Interview931 Words à |à 4 PagesInterviews are the first impression a potential employer or college department will have of a person. First impressions are lasting impressions. Using that time to highlight your skills and attributes are great tools to increase your chances of being selected to fulfill the position you applied for. Developing a persona that entice the person conducting the interview will create more opportunities to sell yourself. While being interviewed for this assignment, I was able to grasp some great tips thatRead MoreHow to Do a Good Interview1073 Words à |à 5 PagesMany people in our society always think about being success in an interview and getting a good job; especially finding a certain company they want to work for is all base on their knowledge of things. Wrong! It is not all based on how much know ledge you get from a private school, or a famous college. You may be the smartest student in your class, have more Aââ¬â¢s then any of your friends, but if you walk in to an interview unprepared, do not do your research ahead about the company, dress unprofessionalRead MorePublic Services1152 Words à |à 5 PagesM1: Explain the importance of public service skills using examples from at least two contrasting public services. D1: Evaluate the importance of public service skills in a specified service, in the UK. Public Service Skills - Public service skills are a set of core skills that a person will need to have and build up to be effective in public services. They are also skills that any individual would discover useful during their working life. The Ambulance Service ââ¬â it is important in the publicRead MoreKaren Robinsonilm Level 3. Understanding The Induction1412 Words à |à 6 Pagesin the workplace 13 November 2016 1. Understand the induction process 1.1 Explain the importance of effective induction Induction training is an introduction for new starters in order to enable them to do their work in a new job role within an organization. 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As the article progresses the author expands on his position against the idea of affordability vs. healthy food choices by explaining another common argument heRead MoreEssay about Advantages of Online Recruitment1356 Words à |à 6 PagesQuestion one (350 words, 35 marks) One of the recruitment/selection methods currently being used by organizations is online recruitment. Explain what is meant by recruitment, online recruitment and describe the advantages of online recruitment. Support your answer with examples and evidences from the case study . One of the most important things in a company or business is the employment of suitable employees. Any successful organization must pay great attention on the selection of its employeesRead More Music Essay1056 Words à |à 5 Pagesis by placing the spotlight on other influences such as friends and even the family as the source of confusion. The other by promoting rap artists whose lyrics has a positive message. The nations youth are experiencing pain and confusion; and they need someone to look up to. In todays society, this figure is often a rapper, a gangster rapper. Gangster rappers feel they have something to say; and unfortunately some young, impressionable minds are listening. Gangster rappers Snoop Doggy DoggsRead MoreImpression Management2486 Words à |à 10 PagesIMPRESSION MANAGEMENT P.K. MATHAN RAJ* JAISON SAMUEL* Abstract: The desire to make favorable impression on others is a strong one, so most of us do our best to look good to others. These efforts are worth the trouble. Persons who can perform impression management successfully do often gain important advantages in many situations. Impression Management (IM) is the goal-directed activity of controlling or regulating information in order to influence the impressions formed by an audience.à Through impressionRead MoreProfessionalism Of The Business Industry2175 Words à |à 9 Pagesexposure will help the individual develop their own personality in order to mingle or coexist with society. The aura a person reflects when interacting with other people plays an important role when one wants to leave an impression. Karpowicz also mentions in his article that ââ¬Å"First impression goes a long wayâ⬠(para. 2). As a business major, one must remember to always keep things professional. Such as, the attire a person wears, the language that is use d when communicating with clients, approachabilityRead MoreGoing to the Vietnam War Memorial with Mr. Vega Essay1047 Words à |à 5 Pages but when he talks everybody listens. Knowing that he pays attention to detail, his interview would be full of information. Contacting him via Skype I was nervous if he would even agree to talk to me; however I was met with opens arms. Looking at him, I noticed features that I have never seen before. Ocean like eyes showing that they had seen both the horrors and joys life brings; grey hair quivering as if leaves in the Autumn, all of which had gone unnoticed to me before. His surroundings were papers
Wednesday, May 6, 2020
Obesity Causes, Symptoms, Prevention And Treatment
hildhood obesity is an enormous issue that affects the childrenââ¬â¢s current state of health, and it is predominant in the United States. Shumei Xu and Ying Xue, authors of the article ââ¬Å"Pediatric Obesity: Causes, Symptoms, Prevention and Treatmentâ⬠, states a startling fact that: ââ¬Å"Obesity affects 34% of children in the USA, and is considered a top public health concern due to the high level of morbidity and mortality.â⬠This is a grave issue since being morbidly obese is the cause of many negative effects, and it can inflict severe damage to a personââ¬â¢s internal system and occasionally be the cause of death. However, the rate of obesity can be decreased by promoting exercise and nutrition starting at a young age. Promoting these two important factors at such an early age will be effective because this will give the child a chance to combat obesity before it has even been introduced. Therefore, childhood obesity can be lowered in the United States if th e school began employing nutritionists, implementing mandatory nutritional classes, and providing healthy food options starting as early as elementary school. The American education system is very flawed, leaving no room for nutrition. The school hardly focuses on the youthââ¬â¢s state of health because the government demands for the institute to focus strictly on a tough curriculum, designed for standardized testing. Despite being responsible for a child for at least eight hours of the daytime, the school only serves unhealthyShow MoreRelatedWeight Gain And Obesity1647 Words à |à 7 Pagespolycystic ovarian syndrome also contribute to weight gain and obesity, and as well as medications. Obesity affects every body system, especially cardiac disease is increased, as well as HTN, hypertriglyceridemia, and decreased HDL cholesterol. Remarkable weight gain increases the risk of developing type 2 diabetes, obstructive sleep apnea, gastric reflux, urinary incontinence, and gallbladder disease (Grossman Porth, 2014). Room 587 also struggles with HTN, sleep apnea, and gastric reflux. HerRead MoreThe Pathophysiology Of Diabetes Mellitus Type 1 And 21496 Words à |à 6 PagesThe Pathophysiology of Diabetes Mellitus Type 1 and 2 According to the National Diabetes Statistics Report from The Centers for Disease Control and Prevention in 2012, it revealed that 29.1 million of the American population has diabetes with 1.7 million new diagnoses each year. Diabetes is the seventh leading cause of death in the United States and costs over 176 billion dollars per year. Diabetes mellitus is a metabolic disorder characterized by hyperglycemia due to the dysfunction of the pancreasRead MoreSymptoms And Symptoms Of Diabetes Essay1457 Words à |à 6 PagesDiabetes 1. Illness or Symptoms: The most common symptoms are fatigue, having to urinate more than feeling thirsty, distorted vision, and dry mouth. Type 1 diabetes symptoms are rapidly noticed with more severe symptoms verses type 2 diabetes, which have symptoms that usually are not as noticeable and develop at a slower rate. 2. Patients: Patients who are over 45 are more likely to get diabetes; the older you get the more of a risk you have. If the patient has a family background of type 2 diabetesRead MoreBody Mass Index1378 Words à |à 6 PagesObesity is a known disease that is found around us. Everywhere we go we see obese people. But what is obesity? Obesity is defined as having an excessive amount of body fat which applies to people who are overweight. There are many health risks that coincide with obesity, which makes it a dangerous disease. Furthermore, obesity is becoming an enormous problem since it is increasing drastically. About 38% of the world population is obese and that percentage is steadily rising. So what causes theseRead MoreType Ii Diabetes Mellitus. ââ¬Å"In 2010, An Estimated 25.81470 Words à |à 6 Pageshyperglycemia (Porter, Kaplan, 2011). Type II diabetes has become more prevalent in the United States due to the decrease in physical activity, the increase in obesity rates, and also the p redisposition of genetic factors. In this paper I am going to cover description of history and the disease, etiology, signs and symptoms, diagnosis, treatment, prognosis, and recent research. Background Information The term impaired glucose tolerance came from the World Health Organization and the National DiabetesRead MoreTypes And Risk Factors Of Stroke1347 Words à |à 6 Pagesââ¬Å"One in six people worldwide will have a stroke in his or her life timeâ⬠(Harvard Heart). Everyone can have a stroke, and it doesnââ¬â¢t matter what age you are. 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As a result, many health issues, such as diabetes, are now more common to see in adolescents. Due to the increasing numbers who suffer from obesity, it is important to treat and advise adolescents about healthy living and encourage them to be more active to decrease the risks of severe health issues they may face whenRead MoreA Short Note On Diabetes Mellitus Type II1041 Words à |à 5 Pagesfirst controllable risk factor which can modified is the weight which in consideration includes being overweight or o bese. The Canadian Diabetes Association researched on obesity in 2008 said that approximately 80-90% people with type II diabetes are overweight or obese (Obesity Research,2016). In addition, obesity is a leading cause of other major diseases such as heart problems, CVD. There are number of ways that can help to prevent form having diabetes. Secondly, the modifiable risk factor is being
Human Resource Management an Experiential Approach
Question: Discuss about the Human Resource Management an Experiential Approach. Answer: Introduction: The title of my proposed project is Stress and Its Impacts on Employees Productivity at A. A. Turki Group. Stress is a universal element which is the major hindrances to productivity among employees. In the contemporary competitive business environment, worker productivity has emerged a vital element of an organization's success. High echelons of stress can substantially hinder the productivity of an employee he or she undergoes while in the work environment. Various parties such as employers are critically evaluating the issue of stress management deemed to be impacting on the performance of their workforces. I will, therefore, focus on conducting a study at A. A. Turki Group to investigate how this aspect has influenced individuals performance as well as the measures taken to alleviate it in this firm. The primary purpose of this study will be to evaluate stress and the impact it has on the productivity of employees at A. A. Turki Group. The study will be descriptive research tailored to evaluate stress levels and their influence on people's productivity at A. A. Turki Group. I will employ various processes and procedures to gather and analyze data. At first, both probability and non-probability sampling techniques will be used to select a portion of the employees at the Company to represent the entire population. Besides, data will be collected from both primary and secondary sources using various instruments. Primary data will be obtained mainly through questionnaires and face-to-face interviews. Several interrogation tactics will be utilized to acquire primary information from interviewees. Questions for this study will include both open and closed-ended questions. Secondary data sources will include materials such as business periodicals and productivity records. Moreover, to comprehend the situation as it naturally occurs at A. A. Turki Group, I will observe events on top of getting clarifications from responden ts. Surveys and observations will provide firsthand information devoid of issues such as biases and deceptions. Opinions from different theoretical thinkers will be incorporated to offer an enhanced comprehension of nature of stress, primary grounds, as well as the influence it has on employees' productivity. Examples of authors am looking forward to utilizing their theoretical works include Robbins (2004), Bowing and Harvey (2001), Blumenthal (2003), among others. Robbins, for instance, provides the readers of his material with a well-thought out explanation of what stress is and how it is manifested in people's performance. He refers to stress as a dynamic situation in which a person encounters an opportunity, obstacle, or demand concomitant to what he or she yearns and the consequences is perceived to both critical and uncertain. On the other hand, Bowing and Harvey (2001), describe stress as a condition which takes place after an interaction between a persons mental and physical conditions. Stress, according to them is caused by stressors or occurrences which generate a condition of imbala nce inside a person. Blumenthal (2003) looks at this element as everything which affronts the ability of individuals to sustain crucial variables which can be biological, societal, or psychic in nature. These and other resourceful materials will be used to reinforce the conclusions derived from the study. References Blumenthal, I. (2003). Services SETA. Employee Assistance Conference Programme. 2 (2). p5-21. Bowin, R.B. Harvey D. (2001). Human Resource Management an Experiential Approach. 2nd Ed. New Jersey: Prentice Hall. Robbins, S.P. (2004). Organization Behaviour. 11th Ed. New Jersey: Pearson Prentice Hall.
Wednesday, April 22, 2020
The Intentional Death Of Francis Macomber Essays (1781 words)
The Intentional Death of Francis Macomber The Intentional Death of Francis Macomber Ernest Hemingway has created a masterpiece of mystery in his story "The Short Happy Life of Francis Macomber". The mystery does not reveal itself to the reader until the end of the story, yet it leaves a lot to the imagination. At the end of the story Margaret Macomber kills her husband by accident, in order to save him from being mauled by a large Buffalo while on a safari in Africa. The mystery is whether or not this killing was truly accidental, or intentional. If it was to be considered intentional, there would certainly have to be evidence in the story suggesting such, with a clear motive as well. What makes this mystery unique is that Hemingway gives the reader numerous instances that would lead the reader to devise an acceptable motive, yet human nature tells the reader that this killing could not have been intentional. From a purely objective analysis of the story, the reader would see far more evidence supporting the theory of an intentional killing rather than an accidental one. The clues supporting the idea that Margaret killed Francis intentionally can best be seen when observing and studying the background information on both Francis Macomber, and Margaret herself. (Hemingway 1402). What is also important is that Margot and Francis have very different personalities. This is clearly seen when the narrator states, (Hemingway 1402). With this small amount of background information, the true motive for an intentional killing can be found. This can clearly be seen in the conversation of Francis Macomber after killing the buffalo when he states, (Hemingway 1408. "(Hemingway 1409). Robert Wilson, the guide on the hunt, gives the reader an outside perspective into this complex and troubled relationship. In response to the quote above Hemingway 1409). Robert Wilson seems to be right in his descriptions of the couple, and their relationship throughout the story. If this is true, and none of his presumptions about the couple are false, then he gains more credibility towards the end of the story. It is at this point that he becomes the advocate of Margot actions, despite the fact that they were intentional. It is Wilson that gives the reader the best description of the relationship between Francis and his wife. It is his insight into Margot, however, that is the most detailed, and which seems to suggest that she might be capable of such an act. From this astute analysis of the two, Wilson shows the reader several very important things. One is the fact, although somewhat machiavellian, that over her husband. Another observation that I somewhat important is the This is the cruelty that Wilson observes in the passage above.This, as she would soon see, was not the case. One of the most important passages in the story occurs in the moments just before Francis and Robert Wilson go into the bush after the buffalo. After Margot fires the fatal shot, further evidence is given by Robert Wilson that supports the assertion that the killing was intentional Hemingway 1411). Wilson, who seems to be accurate in his assessment of the relationship, seems a credible witness to the killing and due to these facts, his opinion as to the motive of the killing is credible to the reader as well.. story. From all of the evidence given in the story, and from an objective analysis of the conversation and narration, it is safe to makethe assumption that the killings were indeed intentional. There is simply not enough tangible evidence given in the conversation or narration that would suggest otherwise assertion. A Character Analysis of Francis Macomber From Hemingway's "The Short Happy Life of Francis Macomber" In Hemingway's The Short Happy Life of Francis Macomber, the author demonstrates his undeniable ability to bring characters to life by introducing the reader in great detail to the main character, Francis Macomber, through varying literary mechanisms. The reader learns immense detail about Francis, as well as the other two primary characters, Margaret and Mr.Wilson, through creative description that includes each character's thoughts, their actions, and their reactions towards the events of the story. Francis Macomber's interior characteristics and impressions are revealed through such omniscient statements as: In addition, more details are revealed about the character of Francis through the other principal characters and even through the characters who play a very small role in the story (e.g., the gun-bearers). For example, (p 250). By means of a combination of this type of information, Francis Macomber's character is changed due to constant abuse from other characters, an inner struggle with fear and embarrassment, and, eventually,
Monday, March 16, 2020
An investigation of the role of SIS in The (Especially, In A Rural Part Of Our Planet)expand Health Servicing The WritePass Journal
An investigation of the role of SIS in The (Especially, In A Rural Part Of Our Planet)expand Health Servicing Introduction An investigation of the role of SIS in The (Especially, In A Rural Part Of Our Planet)expand Health Servicing ). The overarching argument for this is that firms perform well when IT resources including knowledge assets, managerial and technical IT skills and physical IT infrastructure elements are aligned with the business strategy, and when suitable structures are employed in effectively managing the IT resources and supervising their deployment (Coltman et al., 2015). This alignment is ever important in the current environment where new information technologies continue to fundamentally alter conventional business strategies by allowing firms to function across the boundaries of function, time, and distance by leveraging these technologies (Bharadwaj et al., 2013). This report discusses the role of strategic information systems in expanding the health service in rural areas. Specifically, it focuses on the implementation of a telemedicine program for managing diabetes for patients in rural areas by a hospital in an urban centre. The investigation focuses on the planning and the implementation of this technological solution by considering the perspectives of different stakeholders. The report starts by discussing literature on telemedicine in diabetes management. Telemedicine and Diabetes Management The management of diabetes and its associated complications is quite costly. Targeted glycaemic control is necessary for minimising the complications of this chronic condition. Conversely, less than 70% of individuals with diabetes are attaining targeted glycaemic control, showing that effective management of the disease continues to be a challenge (Fatehi et al., 2014a). Patients in rural areas are unable to attain targeted glycaemic control partly because of poor access to specialised healthcare providers. Because of the increasing need for quality healthcare and the declining availability of clinicians, information and communications technologies have demonstrated the potential for improving access to healthcare services and reducing the costs of delivering healthcare (Fatehi et al., 2014a). Telemedicine involves providing health and medical services remotely using ICT. Telemedicine facilitates the expansion of healthcare by bridging the physical gap between consumers and healthcare providers thus reducing costs. Synchronous telemedicine entails consumers and healthcare providers interacting in real time by relying on communication technologies. For instance, video conferencing, where there is exchange of image and voice in real time, is increasingly becoming popular in telemedicine in the delivery of various healthcare and clinical services at a distance (Fatehi et al., 2014b). Verhoeven et al. (2010) systematically reviewed asynchronous and synchronous teleconsultations in diabetes and reported that these offer a reliable, cost-effective, and feasible solution for the delivery of diabetes care. Video conferencing is used in collaborative goal setting, nutrition counselling, self-management training, and diabetes education for patients (Siriwardena et al., 2012). According to Faruque et al. (2016), telemedicine is helpful in the provision of care t o individuals with diabetes especially those in rural areas who are unable to travel to healthcare facilities due to large distances.à Therefore, telemedicine, especially teleconference, is a technological solution for managing diabetes for individuals in rural areas who are underserved by specialists. The next section explains the methodology used to obtain stakeholders views on the adoption and use of teleconferencing for diabetes management. Methodology This report collected data using interviews to understand the implementation of telemedicine for expanding access to healthcare services for people with diabetes in rural areas. The report included the views of various perspectives including patients, healthcare providers at the hospital, and in the rural areas to understand the adoption and implementation of this information system.à Semi-structured interviews were conducted with these stakeholders in locations and time that were convenient for the stakeholders. The interview was based on the interview schedule found in Appendix 1. These interviews were digitally recorded followed by verbatim transcription. After transcription, the interviews were analysed using coding (Vaismoradi et al., 2016). The coding led to the identification of various thematic categories including the strategic intent of adoption of telemedicine, benefits of telemedicine, and challenges during implementation as explained in the section below. Findings and discussion Strategic intent of implementation of telemedicine The telemedicine intervention was adopted by the hospital after it was discovered that some of the patients from the rural areas were not coming for the follow- up appointments to get information on ongoing management of their diabetes. An endocrinologist at the hospital stated that: I noticed that some of my patients were not coming for their appointmentsâ⬠¦ I looked at their records and realised that they were unable to do so because they came from rural areas. Therefore, we had to find a way of ensuring they got the much-needed information and support to manage diabetes at home The hospital identified the need for providing cost-effective care for their diabetes patients in rural areas who were unable to access specialised care in their communities. The hospital considered the adoption of telemedicine as a way of providing quality care while minimising unnecessary patient admissions due to diabetes complications. Thus, this was a critical component of the hospitalââ¬â¢s strategic intent. According to Coltman et al. (2015), having a strategic intent involves the allocation of resources and engaging in activities to assist in achieving their objectives. In line with this, the stakeholders at the hospital had to consider how the telemedicine program will improve access to healthcare for patients with diabetes in a cost-effective manner. The CEO of the hospital said that: We recognised that the telemedicine would provide us with an opportunity for providing the required care to our patientsâ⬠¦ However, we had to consider the overhead costs to set-up the telemedicine infrastructure both on our side and the rural side. Additional funding was required for this initiative. The implication of this is that the hospital had to set aside funds for the telemedicine infrastructure and this entailed working with managers from the finance and IT departments. The manager from the IT department determined the costs of using telemedicine intervention in terms of initial costs and ongoing upgrades to achieve a sustainable system.à The IT manager identified a cost-effective technological solution provider for the information systems that was required for the provision of diabetes care and support to patients from rural areas. The manager from the finance department and the CEO worked together in determining how to get the funding for this initiative. The initiative was funded using funds from the hospitalââ¬â¢s contingency budget. Furthermore, the CEO of the hospital had to talk with administrators and nurses, and pharmacists in the rural areas to participate in the project as they critical to its success. This is captured in this statement ââ¬Å"we realised that we needed professionals on the ground to provide some aspects of the care. We approached healthcare providers to get their buy-in into this initiativeââ¬â¢Ã¢â¬â¢ (hospitalââ¬â¢s CEO). Therefore, the strategic intent of the hospital in the implementation and use of video-conferencing in reaching individuals with diabetes in rural areas and providing them with the necessary care reflects a strategic alignment between IT and business, particularly, strategy execution. Specifically, the hospital adopted a strategy execution alignment where the business strategy influenced the IT infrastructure, but this was constrained by the business infrastructure (Gerow et al., 2014). In other words, the hospitalââ¬â¢s business strategy was to provide quality care in a cost-effective way to individuals with diabetes in rural areas. In turn, this strategy influenced the IT infrastructure in terms of the kind of technological solution required to meet the business strategy. Therefore, the hospital ended up selecting videoconferencing as the appropriate IT infrastructure.à However, this was constrained by the hospitalââ¬â¢s business infrastructure in terms of skills and proce sses in the provision of diabetes care and support to individuals in rural areas. The telemedicine initiative involved using interactive video-conferencing between a multidisciplinary diabetes care team from the hospital and the patients in the rural homes. The multidisciplinary team consisted of diabetes specialists including diabetes education experts, nurses, endocrinologist, and ophthalmologist who provided personalised care to diabetes patients based on their clinical status. The patients were provided with tablets that allowed them to engage in video conferences with the multidisciplinary team on a daily basis. The patients shared with the specialists about their psychological, emotional, and physical health during the interactive video conferences. Furthermore, the patientsââ¬â¢ health data including glucose levels, blood pressure, and weight were automatically captured by the tablets and transmitted on a daily basis to the clinicians. The outcomes of the consultation between the specialists and the patient were then communicated to the physician in the rural area to facilitate care coordination. According to a local physician, the implementation of this initiative required a change in how care was delivered to individuals with diabetesâ⬠¦the hospitals care team got in touch with me and communicated their daily consultations with patients to ensure that I was prepared to provide the necessary care at the local level.à This approach to the implementation of video-conferencing reflects strategic information systems planning to achieve alignment between the business and IT. In particular, this planning was characterised by the identification of the required IT applications together with the necessary change management, resources, and infrastructure for implementing the technological solution (Maharaj Brown, 2015). Benefits of telemedicine The diabetes specialists were positive on the potentiality of video-conferencing in enhancing and expanding access to diabetes services to individuals in rural areas to promote self-management of the disease. A diabetes education expert said that: This technology increased my ability to provide education on exercise and diet modifications to my patients by talking to them via the video-conference, and this has empowered our patients to manage their diabetes in their homes. Patients were enthusiastic that the telemedicine would support the clinical needs even though they had no or limited experiencing in using video-conferencing. Some of the patients stated that: I didnââ¬â¢t have experience when it comes to telemedicine. But, I knew that it would be benefit me by providingà à with ongoing support and information for diabetes management at home (patient 1) I had never used video conference before, but it provided me a way to talk with the physician and get timely advice and guidance on managing my diabetes (patient 2) In recognition of the limited experience that patients had in video-conferencing, the hospitalââ¬â¢s IT department together with the external technological solution provider offered the required training. According to the IT manager at the technological solution provider: We collaborated with the hospitalââ¬â¢s IT department in sending out individuals to provide training to the patients. The patients were taught on how to use the video conference system and provided with the necessary equipment. The stakeholders highlighted the benefits of video-conferencing for diabetes management for the patients in the rural areas. The statements below capture some of the stakeholdersââ¬â¢ perspectives. During the video-conferences, we used the daily clinical status reports of the patient, and we were able to discuss appropriate interventions to implement with the patient. This benefitted the patients because they got personalised interventions, information, and support (Hospital endocrinologist). I got e-prescriptions from the healthcare team, and when the patients picked their medications, I talked to them about complying with their medications. By collaboratively working with the healthcare team, the quality of care of patients improved in terms of medication compliance (Rural Pharmacist) The use of video conference has contributed to preventing unavoidable admissions for diabetes for these patients. The daily support and education they got from us has improved care coordination and connections between the patients and us to minimise the use of emergency departments (Hospital ophthalmologist) A few months after the implementation of this project, we had seen a reduction in the admission of patients with diabetes in our area (Rural physician) I had problems before in controlling my diabetes because I did not have access to the kind of doctors who provide the necessary careâ⬠¦ but this changed with the daily video conferences (Patient 3) I am satisfied with information and guidance I get from the consultations with the doctors each day in managing my diabetes. I no longer need to travel to the hospital to get the care I need (Patient 4) The stakeholders perspectives highlight the impact of teleconferencing on the delivery of healthcare services to diabetes patients in rural areas.à These perspectives have received support in literature. For instance, patient satisfaction is highlighted in the study by Fatehi et al. (2015) in an assessment of patient satisfaction levels with remote consultations for diabetes via video conference in a virtual outreach clinic using a cross-sectional survey. The results revealed that the patients were generally satisfied with remote consultation as they had no problem with building rapport with the clinical specialists over video conferences (Fatehi et al., 2015).à Furthermore, the positive impact of telemedicine on the management of diabetes has been shown in the literature. Specifically, Huang and colleagues (2015) carried out a systematic review and meta-analysis of randomised controlled trials on the impacts of telecare intervention on glycaemic control in type 2 diabetes. It was demonstrated that patient monitoring by telecare demonstrated significant improvement in glycaemic control in comparison with patients monitored by routine follow-up (Huang et al., 2015). Weinstock et al. (2011) also found that improvement in glycaemic control related to telemedicine was sustained over a period of five years among medically underserved patients with diabetes. In their randomized controlled trial, Steventon et al. (2014) discovered that telemedicine led to modest improvements in glycemic control among patients with type 2 diabetes over 12 months. Self-management as a critical aspect of diabetes management in telemedicine has been investigated by Young et al.(2014) who focused on the effect of person-centred health behaviour coaching model delivered through telehealth with patients with diabetes living in underserved, rural communities was assessed. The results showed that the interventions led to significantly higher scores in self-efficacy, which supported self-management of the disease (Young et al., 2014). According to Steventon et al. (2014), the greater self-care and oversight related to telemedicine might lead to fewer unplanned hospital admissions. Challenges during implementation Implementation of the technological solution was accompanied by some challenges. One of the major challenge identified by the stakeholders was unanticipated technical issues.à This is explained by the IT manager at the hospital: Sometimes the video conferences failed because of a drop in the internet connection. This meant that the encounter could not take place. When this occurred, communication occurred via cell phones to address important issues. The technical issues had a negative impact on the interactions between the patients and diabetes care team. According to the endocrinologist, Sometimes in the middle of the video-conference, the connection dropped. I could wait till past the time I had allocated for that specific consultation. Mostly, by the time the connection was up again, I would be consulting with a different patient at the hospital, and I missed my encounter with the patient in the rural area. In those cases, I worked with the rural nurses via a cell phone to communicate important information about the patient. Technical difficulties in teleconference are due to problems with accessing broadband in rural areas, which is still lagging behind urban areas. Patients homes might lack high-speed cable internet that has more bandwidth capabilities and a highly reliable signal, and this causes connection problems during video conferencing (Batsis, Pletcher Stahl, 2017). Schulz et al. (2014) reported in their study that 25% of all video conferences consultations experienced a drop in internet connection. Consequently, it is suggested that unanticipated technical issues with implementing teleconferencing should be anticipated and this highlights the importance of providing strong IT support with ongoing updates in protocols for patients in rural areas (Slusser et al., 2016). Another challenge reported was issues with reimbursements. This was identified by the finance manager at the urban hospital.à She said that: I had problems with suitable billing of encounters between the patients and the doctors and capturing this. Sometimes, I billed an encounter, but the insurer failed to pay or took longer to do so. I had to go through convincing them [insurers] that the consultation actually occurred by talking with the patient and pharmacists or nurses in the rural areas for confirmation. One of the patients also talked about this issue by stating that, ââ¬Å"after talking with the doctors on the video conference they tell you to pick up the drugs at your pharmacy and when you get there, you are told there are problems with your insurer in terms of payment. I had to call my insurer to follow up and address this issueââ¬â¢Ã¢â¬â¢ (patient 5). According to Batsis et al. (2017), low reimbursement is a problem for the lasting sustainability of telemedicine systems in a fee-for-service model. This problem is due to limitations that are placed on the type of telemedicine covered by health insurers. Conclusion In conclusion, this report has focused on the strategic information systems in expanding the health service in rural areas.à This has been achieved by examining the implementation of video-conferencing between individuals with diabetes and diabetes specialists in the provision of diabetes care to patients in rural areas. This report has highlighted how the hospital ensured alignment between its business strategy of providing cost-effective diabetes care to individuals with diabetes in rural areas and the use of the video-conferencing as its IT infrastructure.à The hospital had to plan for its strategic information systems by identifying the appropriate IT infrastructure, processes, and changes to how care was delivered to the targeted population in rural areas. The analysis revealed how the implementation of video-conferencing addressed the interests of the different stakeholders including the hospital, diabetes specialist care team from the hospital, the patients, and healthca re providers at the local level.à Thus, the implementation of this technological solution was beneficial to all the stakeholders. Overall, this report highlights how strategic information systems are vital in the expansion of health service in rural areas. References Arvidsson, V., Holmstrà ¶m, J., Lyytinen, K. (2014). Information systems use as strategy practice: a multidimensional view of strategic information system implementation and use. Journal of Strategic Information Systems, 23, 45-61. Batsis, J., Pletcher, S., Stahl, J. (2017). Telemedicine and primary care obesity management in rural areas-innovative approach for older adults? BMC Geriatrics, 1-9. Bharadwaj, A., El Sawy, O., Pavlou, P., Venkatraman, N. (2013). Digital business strategy: toward a next generation of insights. MIS Quarterly, 37(2), 471-82. Coltman, T., Talon, P., Sharma, R., Queiroz, M. (2015) Strategic IT alignment: twenty-five years on, Journal of Information Technology, 1-10. Faruque, L., Wiebe, N., Ehteshami-Afshar, A., Liu, Y., Dianati-Maleki, N., Hemmelgarn, B., Manns, B., Tonelli, M. (2016). Effect of telemedicine on gylcated haemoglobin in diabetes: a systematic review and meta-analysis of randomized trials. CMAJ, 1-25. Fatehi, F., Armfield, N., Dimitrijevic, M., Gray, L. (2014b). Clinical applications of videoconferencing: a scoping review of the literature for the period 2002-2012. Journal of Telemedicine and Telecare, 20(7), 377-83. Fatehi, F., Martin-Khan, M., Gray, L., Russell, A. (2014a). Design of a randomized, non-inferiority trial to evaluate the reliability of videoconferencing for remote consultations of diabetes. BMC Medical Informatics and Decision Making, 1-7. Fatehi, F., Martin-Khan, M., Smith, A., Russell, A., Gray, L. (2015). Patient satisfaction with video teleconsultation in a virtual diabetes outreach clinic. Diabetes Technology Therapeutics, 17(1), 1-6. Gerow, J., Thatcher, J., Grower, V (2014). Six types of IT-business strategic alignment: an investigation of the constructs and their measurement. European Journal of Information Systems, 1-27. Huang, Z., Tao, H., Meng, Q., Jing, L. (2015). Effects of telecare intervention on glycaemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. European Journal of Endocrinology, 172, R93-R101. Maharaj, S., Brown, I. (2015). The impact of shared domain knowledge on strategic information systems planning and alignment. South African Journal of Information Management, 17(1), 1-12. Schulz, T., Richards, M., Gasko, H., Lohrey, J., Hibbert, M., Biggs, B. (2014). Telehealth: experience of the first 120 consultations delivered from a new refugee telehealth clinic. Internal Medicine Journal, 44(10), 981-5. Siriwardena, L., Wickramasinghe, W., Perera, K., Marasinghe, R., Katulanda, P., Hewpathirana, R. (2012). A review of telemedicine interventions in diabetes care. Journal of Telemedicine and Telecare, 18(3), 164-68. Slusser, W., Whitley, M., Izadpanah, N., Kim, S., Ponturo, D. (2016). Multidisciplinary paediatric obesity clinic via telemedicine with thin the Los Angeles metropolitan area: lessons learned. Clinical Paediatrics, 55(3), 251-9. Steventon, A., Barsley, M., Doll, H., Tuckey, E., Newman, P. (2014). Effect of telehealth on glycaemic control: analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomized trial. BMC Health Services Research, 1-12. Vaismoradi, M., Jones, J., Turunen, H., Snelgrove, S. (2016). Theme development in qualitative content analysis and thematic analysis. Journal of Nursing Education and Practice, 6(5), 100-110. Verhoeven, F., Tanja-Dijkstra, K., Nijland, N., Eysenbach, G., Van Gemert-Pijnen, L. (2010). Asynchronous and synchronous teleconsultation for diabetes care: a systematic review. Journal of Diabetes and Science Technology, 4(3), pp.66-84. Weinstock, R., Teresi, J., Goland, R., Izquierdo, R., Palmas, W., Eimicke, J., Ebner, S., Shea, S. (2011). Glycaemic control and health disparities in older ethnically diverse underserved adults with diabetes: five year results from the Informatics for Diabetes Education and Telemedicine (IDETel) study. Diabetes Care, 34, 274-9. Yayla, A., Hu, Q. (2012). The impact of IT-business strategic alignment on firm performance in a developing country setting: exploring moderating roles of environmental uncertainty and strategic orientation. European Journal of Information Systems, 21(4), 373-87. Young, H., Miyamoto, S., Ward, D., Dharmar, M., Tang-Feldman, Y., Berglund, L. (2014). Sustained effects of a nurse coaching intervention via telehealth to improve health behaviour change in diabetes. Telemedicine and E-Health, 828-34. Appendix 1: Interview Schedule Please explain why the hospital decided to implement videoconferencing in providing diabetes care to individuals in rural areas? What was involved in the planning for the implementation of the technological solution? Did the hospital work with external stakeholders in the implementation process? How did the implementation of the technological solution affect the aims of the hospital and its specialist clinicians? How has the use of videoconference affected your (patient) access to diabetes care? Were there any challenges that were experienced during this process? If so, which ones? To obtain answers to these questions and/or get a Custom Essay for you research, feel free to reach out to us and place an order today.
Saturday, February 29, 2020
An Analysis of the Characters of Liliana Heckers Short Story The Stolen Party
An Analysis of the Characters of Liliana Hecker's Short Story The Stolen Party The characters in the short story, The Stolen Party demonstrate striking differences in their values and beliefs. Each character displays unique traits. It is these unique traits, which illustrate different aspects of society. Each character then, represents a portion of the values and beliefs of todays society. Rosaura is the main character of this writing. The story revolves around her from start to finish. Rosaura is an inexperienced young girl. This story opens with an argument between Rosaura and her mother. Rosaura wants to go to Lucianas birthday party. Luciana is in a wealthy family so Rosauras mother disapproves of her daughters attending the party. In the first few sentences the author makes it evident that Rosaura is financially challenged. Rosauras mother says, I dont like you going because it is a rich peoples party. This one sentence already tells me that they are probably not very wealthy. In addition Rosaura is an inexperienced young girl. She is not tarnished by the belief that everyone should be judged according to his or her financial worth. She, unlike her mother, judges people by who they are and not by how much money they have. When Rosauras mother states, you should not fart higher than your own ass she shows that she feels below those who are wealthy. Rosauras argum ent shows that she does not feel bound by her financial status. Her financial state isnt even an issue to her. She says that she wants to go because she is a friend of Luciana and because she was invited. The author also demonstrates Rosauras openness in the first few paragraphs of the story. Since Rosaura is only nine years old she has no prior experience of prejudice. She does not realize that her mother might be right about her assumption that not everyone will accept her at the party and treat her with the same respect. The author begins the story by demonstrating how much Rosauras mother loathes the rich. Her disapproval of her daughters attending the birthday party, expresses some hidden anger and maybe even jealousy towards those who are wealthy. Rosauras mother feels lower than Luceanas family. She feels that a persons financial status determines whom a person can associate with. The author eventually reveals that Rosauras mother is a maid. Because her job does not pay very high wages she feels inferior to Lucianas family. Her feelings of hostility toward the wealthy might come from years of prejudice. Rosauras mother constantly feels bound by her financial situation. Rosauras mother does not want her daughter going to the party because she is the daughter of humble maid. She feels that her daughter will not be looked upon as an equal, no matter what. Rosauras mother states, That ones not your friend. You know what you are to them? The maids daughter, thats what. But no matter how strongly Ros auras mother feels about this, she is willing to let her daughter go to the party. This demonstrates the unconditional love she has for her daughter. There are some characters in this story that are not developed as well as Rosaura and her mother. One of these characters is Luciana. Luciana is very similar to Rosaura in that she sees everyone as an equal. She does not consider Rosaura to be different from any of her other friends. She never considers Rosauras financial situation to be important. She treats Rosaura like all of her other friends. Another character, which is not covered in depth, is Lucianas cousin. She is brought into this story through an argument with Rosaura. Lucianas cousin doesnt know Rosaura but she feels inclined to start an argument with her anyway. Lucianas cousin begins to question Rosaura. She questions the fact that Rosaura is a friend of Luciana. Lucianas cousin seems to think that she is better than Rosaura. This shows the reader the first clues that Rosauras mother could have been right about wealthy people not accepting Rosaura. Another character that is only introduced briefly is the magician. The author does not get into his personality or values but it is made clear that he sees all of the children as equal. The last character that is introduced is Senora Ines. Once again the author does not develop her in depth. The author places her in the story in order to demonstrate the prejudice, which Rosauras mother had described. Senora Ines offers Rosaura money at the end of the party rather than a small gift. This demonstrates to Rosaura that she is, in fact, looked upon as being different from the other children. Each character in this story demonstrates an aspect of society today. Rosaura signifies the unsuspecting poor child. She represents the fact that a person usually does not develop stereotypes until they have experienced many of the aspects of life. Rosauras mother is placed in the story to illustrate another fact about todays society. Rosauras mother demonstrates that society influences the way a person thinks. She shows that from years of experience she has developed a pattern of stereotyping wealthy people. Luciana represents the wealthy part of society that does not see less fortunate people as being different. She, like Rosaura, does not stereotype people because of their financial worth. Lucianas cousin, on the other hand, demonstrates that part of the wealthy population that feels superior to the financially challenged. The magician in this story represents someone like a priest or a charity worker. He sees all of the kids at the party as equals. He is willing to let any of t hem participate in his magic. Senora Ines plays the part of society that feels obligated to offer charity to those who are less fortunate. The author not only writes a very interesting story but also provides an important message regarding society. People are too concerned with money in todays society. If we could all remain innocent (such as Rosaura and Luciana) and never become prejudice towards others the world would be a better place. Everyone would be judged according to who they are and not by what they posses.
Thursday, February 13, 2020
The advantages and disadvantages of coursework as a means of Essay
The advantages and disadvantages of coursework as a means of assessment - Essay Example Assigning coursework helps teacher in analyzing each studentââ¬â¢s strengths and weaknesses. Some students are good at speaking while others are good at writing. Course works also save time of both student and teachers. Teachers cannot be with students all day long, but assigning course works helps teachers in assessing each individual studentââ¬â¢s capabilities. As I see, invention of internet is the main problem of coursework. No longer children portray their own viewpoint in regards to their assigned tasks and cut and paste the ideas, facts and figures of others. Before the advent of internet, assigning coursework to students used to be very successful as it helped them in illustrating their own creativity in their coursework, but nowadays, course works are more inclined towards plagiarizing. At times, even the student doesnââ¬â¢t know what he has written in assignments. As a matter of determining how much information a student has attained from a coursework, in my opinion, is a useless tool. The focus is more on presenting the assignment instead of learning something out of it. In actual, thereââ¬â¢s little learning taking place in coursework scenarios and the tendency of peers to copy each otherââ¬â¢s assignment is higher. Due to the reason of copy paste phenomena, universities, schools and colleges are now more concerned in investing in plagiarism detecting software so that anything which is lifted from the internet can be detected. Coursework has always been the most beneficial and effective tool to enhance the capabilities of students, but the advent of internet is making it ineffective. It is necessary for teachers to design and allot the coursework in a way that there are lesser chances of plagiarizing and higher chances boosting studentââ¬â¢s skills. Perhaps, by the little modifications it will be feasible to restore the effectiveness in
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