Tuesday, April 14, 2020
Visual Arts Extended Essay Sample - Its Best to Buy It Right Away
Visual Arts Extended Essay Sample - Its Best to Buy It Right AwayVisual arts extended essay sample is a wonderful thing to have. It contains instructions on essay writing skills that will get you through college, or beyond, and guide you towards an exciting future. I have seen the written work of many students who looked up to this kind of essay samples, and they were very impressed with what they contained. So why does it have to be so high priced?I was surprised at first, because the prices for these kinds of essay samples are not really exorbitant. I think it's because so many colleges and universities to provide them, and if they were to give the essay writing samples away, they would most likely go out of business. Those that don't have to spend as much money may be willing to charge a little more for their own because they think they are the only ones who will find them useful. But for those who can afford them, they are definitely worth every penny.One of the best things about visual arts extended essay samples is that it is easy to use. The author provides all the steps necessary to create an essay that will impress you. You will be able to build your skills fast enough that you will be ready to go right into a second semester of college.Another thing I like about this essay sample is that it is very simple. Most college students do not understand the writing skills that they need in order to succeed in college. These kinds of essays help them grasp the language, the structure of the essay, and how to use vocabulary properly.This visual arts extended essay sample will also help you develop writing skills that will serve you throughout your entire life. Because of its concise writing style, you will be able to write things like this and share them with others. It also includes a high quality paragraph style so that you will know where to insert certain parts of the essay, making sure that you will always learn how to use it.If you're thinking about buyin g this essay sample, you may want to look around and compare prices before making your decision. There are many people who are selling them, but that doesn't mean they are all worth buying. The price should always reflect the value of the contents.The author has put in so much work into creating this essay sample that he deserves something back for his hard work. If you buy his essay sample, you will definitely receive something in return for your money. He has made it possible for you to be successful in college and to build your career.This visual arts extended essay sample is perfect for all ages, and it will certainly help you succeed in college. There are hundreds of these kind of essay samples that are free, and if you research them, you will find many students who are using them. Don't delay in purchasing this essay sample.
Monday, April 13, 2020
Subcultures and Subcultural Marketing free essay sample
We are brought up to follow the beliefs, values, and customs of our society and to avoid behavior that is judged unacceptable or considered to be taboo. In addition to segmenting in terms of cultural factors, marketers also segment overall societies into smaller subgroups or subcultures that consist of people who are similar in terms of their ethnic origin, their customs, and the ways they behave.These subcultures provide important marketing opportunities for astute marketing strategists. So, now our discussion in this chapter on subcultures will be more focused marred to the other chapters. Instead of examining the dominant beliefs, values, and customs that exist within an entire society, we will explore the marketing opportunities created by the existence of certain beliefs, values, and customs shared by members of specific sub cultural groups within a society.These sub cultural divisions are based on a variety of socio-cultural and demographic variables such as nationality, religi on, geographic locality, race, age, sex, and even working status. We will write a custom essay sample on Subcultures and Subcultural Marketing or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Objectives After studying this chapter we should be able: Dunderheads the concept of subcultures; O Identify the various types of subcultures and measure their impact on consumer behavior. Subcultures Culture can be divided into subcultures: The term subculture refers to a category of people who share a sense of identification that is distinguishable from that of the total culture.A sub-culture is an identifiable distinct, cultural group, which, while following the dominant cultural values of the overall society also has its own belief, values and customs that set them apart from other members of the same 1 OF s Sub-culture categories are: ; Nationality: Bangladesh, Indian, Pakistani; Religion: Hinduism, Islam; ; Race: Asian, black, white; ; Age: Generation X Market, Generation Y Market, Seniors, Baby Boomers Market; ; Sex: Male, Female; ; Occupation: Farmer, teacher, business; ; Social class: upper, middle, lower; ; Geographic regions: South India, North-eastern India.Let us now lo ok at some of these aspects of subculture in greater details. 1 Regional, Ethnic, and Religious Influences on Consumer Behavior o Regional Influences A. Regions within the country, B. Regions across the World. O Ethnic Influences A. Ethnic Groups within the Country, B. Multicultural Marketing, C. Ethnic Groups around the World. O Religious Infill ounces The three major aspects of culture that have important effects on consumer behavior are regional, ethnic, and religious differences.Firstly, consumption patterns may differ in various regions of Bangladesh and the world, and marketing strategy can sometimes be tailored specifically to these regions. Secondly, our country has a number of different ethnic groups, and population trends will dramatically alter the demographic profile of the country in the next 50 years. Ethnicity Ethnic origin refers to the genetic irritate group a person is born in- marketplace behavior and marketer response; ovary mainstream marketing for ethnic markets; o Pay attention to customs; 0 Product adaptation; souse of multicultural models in advertising.This diverse population is described in terms of its distinct identity and language, strong family and religious orientation, solid work ethic, and youthfulness. The broad characteristics can influence consumption (e. G. , brand loyalty and the desire for prestige products) and have important implications for product development, advertising media targeting, promotions, and distribution. Say for instance, in the United States, the African American population is described as urban, young, social, and religious. Black consumers value prestigious brands and are smart investigative shoppers. These patterns lead to important marketing implications. The very diverse Asian American us Becquerel is described as young and having higher socioeconomic status, placing strong value on the family and the group, and being strongly brand loyal. In spite of its diversity, marketing strategies can be developed for this group. Many marketers are now becoming multicultural in their marketing activities by trying to appeal to a variety of cultures at the same time. Although the diversity of the Indian melting pot may be unique, there are many important ethnic groups in other areas of the world.Finally, religious beliefs and values can influence consumer. 2. Age, Gender, and Household Influences on Consumer Behavior l. How Age Affects Consumer Behavior A. Generation X Market, B. Generation Y Market, C. Seniors, D. Baby Boomers Market. II. How Gender Affects Consumer Behavior A. Sex Roles Have Changed, Differences in Acquisition and Consumption Behaviors. B. How the Household Influences Consumer Behavior Ill. A. Types of Households, Changing Trends in Household Structure. IV. Roles That Household Members Play A. Roles of Spouses, B. The Roles of Children, C. Household Decision Making Versus Household Consumption Behavior. Age has a major influence on customer behavior ; Chronological versus psychological age. *Needs and wants vary with age ; Lifetime revenue: estimated revenue over a customers lifetime. *Population age changes imply major shifts in markets and values/demand -E. G. Ageing baby boomers. Lees look at the four major age groups. Teens, who need to establish an identity, are the consumers of tomorrow and have an increasing influence on family decisions. The somewhat disillusioned Generation X consists of smart and cynical consumers who can easily see through obvious marketing attempts.Baby boomers grew up in a very dynamic and fast changing world and this has affected their values for individualism and freedom. The 50 and older segment can be divided into two groups-the young again and the gray market. Neither group likes to be thought of as old. The affect of gender differences on consumer behavior is examined next. Sex oleos are changing. Women are becoming more professional and independent, and men are becoming more sensitive and caring. Also, men and women can differ in terms of traits, information processing, decision styles, and consumption patterns. Consistent throughout lifetime, influencing customer values and preferences. ; Different consumption patterns and perceptions of consumption situations -E. G. The wedding ceremony. ; Differences for business-to-business products and services career paths, benefits and support services. -Also Let us now focus on how households play a key role in consumer behavior. The proportion of nontraditional households has increased due to factors such as- (1) Later marriages, (2) Cohabitation, (3) Increased divorce, and (4) Fewer children. Households also exert an important influence on acquisition and consumption patterns.First, household members can play different roles in the decision process (gatekeeper, influencer, decider, buyer, and user). Second, husbands and wives vary in their influence in the decision process, depending on the situation-husband-dominant, wife-dominant, autonomic, or syntactic. 3. Chirographys: Values, Personality, and Lifestyles We need to answer these questions regarding the role Of chirographys in affecting consumer behavior. L. Values A. How Can Values Be Described? B. Which Values Characterize Western Culture? C. Why DO values Change? D.What Affects Our Values? E. How Can Values Be Measured? II. Personality A. How Has Personality Been Studied? B. Do Personality Characteristics Affect Consumer Behavior? Ill. Lifestyles IV. Chirographys: Combining Values, Personality, and Lifestyles and Lifestyle Survey, B. Other Applied Cryptographic Research. A Values Values are enduring beliefs about things that are important. They are learned wrought the processes of colonization and acculturation. Our values exist in an organized value system, with some values being viewed as more important than others.Some are regarded as terminal values and reflect desired end states that guide behavior across many different situations. Instrumental values are those needed to achieve these desired end states. Domain-specific values are those that are relevant within a given sphere of activity. Western cultures tend to place a relatively high value on material goods, youth, the home, family and children, work and play, health, hedonism, and technology. Personality consists of the distinctive patterns of behaviors, tendencies, qualities, and personal dispositions that make people different from one another.Approaches to the study of personality include- (1) The psychoanalytic approach, which sees personality arising from unconscious internal struggles within the mind at key stages Of development; (2) Trait theories, which attempt to identify a set of personality characteristics that describe and differentiate individuals, such as introversion, extroversion, and stability; (3) Phenomenological approaches, which propose that personality is shaped by an individuals interpretation of fife events (4) Social-psychological theories, which focus on how individuals act in social situations (e. . , compliant, detached, or aggressive); and (5) Behavioral approaches, which view an individuals personality in terms of past rewards and punishments. Marketers also measure lifestyles, which are patterns of behavior (or activities, interests, and opinions). These lifestyles can provide some additional insight into consumers consumption patterns. Finally, some marketing researchers use Cryptographic techniques that involve all of these factors to predict consumer behavior.
Wednesday, March 11, 2020
American Express Company Analysis
American Express Company Analysis Introduction American Express Company (AmEX) is an American multinational company that offers financial services. The company headquarters are located at the Three World Financial Center in New York. The company was founded in 1850 with the companyââ¬â¢s logo being adopted in 1958 and it has an image of a roman gladiator.Advertising We will write a custom research paper sample on American Express Company Analysis specifically for you for only $16.05 $11/page Learn More The logo is engraved on the companyââ¬â¢s travelerââ¬â¢s cheques and charge cards. AmEx forms part of the Dow Jones industrial average that is made up of 30 components. It is renowned for its credit card, charge card, and travelers cheque businesses (Grossman, 1987). The cards offered by the company make up about 24% of the dollar transactions conducted via credit cards in the United States. The company has a rich history that has made it to be ranked as the 22nd most valuable brand i n the world. The brand has an estimated worth of approximately US $14.97 billion (Grossman, 1987). The company was founded as an express mail firm in Buffalo, New York as it was a merger between Henry Wells and William Fargo. The two owned Wells Company and Livingston, Fargo and Company respectively. Another party was John Warren Butterfield who previously owned Butterfield and Company. According to Grossman (1987), the first headquarter of the company was located in a building at the intersection of Jay Street and Hudson Street. Due to less competition, the company established itself as a monopoly in the market of express shipments. At that time, the company traded in goods, securities and currency in New York only. AmEx moved its headquarters in 1874 to 65 Broadway that was considered as a New Yorkââ¬â¢s financial hub. The move was also facilitated by increase in operations that brought more funds to the company (Grossman, 1987).Advertising Looking for research paper o n business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More According to Grossman (1987), the company experienced tremendous growth in 1890 and 1891, which forced the company to construct a ten-storey building at the side of the previous headquarters near Hudson River. The company continued to grow and in the year 1903, it had managed to consolidate assets of approximately $ 28 million. This was one position behind the National City Bank of New York i.e. in financial services providers (Grossman, 1987). AmEx purchased Broadway buildings to acknowledge the new status. The proposed building of a new headquartersââ¬â¢ building followed this but the plan was shelved for some time. Products and Customers American Express is renowned for its three main cards named; Green, Gold and Platinum charge cards. Other types also exist in other countries. Co-branded cards are also available which serve airlines, hotels and normal retailers. F or the airlines, the cards include; Aerolineas Argentinas, Air Canada, British Airways, Delta Airlines and Virgin Atlantic (Grossman). In the hotel industry, the clients include; Hilton hotels, and Starwood Hotels Resorts. They are also applied to hotels worldwide. The other clients include Costco, Bloomingdales, and Loweââ¬â¢s, among others. The company also has a product for young people referred to as Blue and Bluebird in conjunction with Wal-Mart. Employees American Express has over 2000 as per the year 2010. The turnover rate was approximated at 7%, which is a low average. Approximately 9% of part time employers and 16% of full time employees are said to have been there for over 20 years. This led to the company being ranked as one of the best places to work at by the CNN.Advertising We will write a custom research paper sample on American Express Company Analysis specifically for you for only $16.05 $11/page Learn More Data Management Human Relati ons Any data that is held in the human relations database is private data that should be treated under Data Protection Act (1998) and the Health Insurance Portability and Accountability Act (1996). The two Acts protect the privacy of people from the age of 12 to 18 years. Parents working for the company may give out their childrenââ¬â¢s information to the human relations for purposes of insurance. The information should therefore not be accessed by anyone outside the system except as required by the law (Williams 2007). The data kept in the system may include; the staffs marital status, number of children, health status of the staff and children, previous working records and current working terms. Stakeholders Access Unauthorized access to such data should be prohibited and adequate measures should be taken including use of strong passwords. However, some stakeholders may have unauthorized access to the information such as the company executives, managers and the staff to access their own profiles remotely via log in windows. However, they should not reveal the data to any other party not authorized to access the information. Logistics and Customer Relationship Enterprise System Data contained in the logistics system and customer relationship system is critical. Such data may include; state of running balances in the case of suppliers and debtors, location of the customers or suppliers, services delivered to the customers with the amounts paid, services or cards delivered by suppliers and the amounts paid, and complaints arising from all parties.Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The provisions of the Sarbanes-Oxley Act (2002) should regulate the financial information. That means that financial information contained in the databases of the two departments should be accurate and should be updated regularly to reflect the current financial position (Rezaee, 2012). Stakeholders Access The Act also allows access of the data by external auditors in addition to the legitimate persons with access. The auditor should have access to the data every time he is conducting an audit. The people with access to such data include; the company executives, management, and the suppliers and debtors should also be allowed to access individual information remotely through log in windows. Financial Enterprise System The financial department is the stronghold of any business. For a large company such as American Express, the data contained in the database should be strictly regulated and protected (Giachetti, 2007). The data to be kept include; the current financial status of the c ompany i.e. the position of assets and liabilities, capital balances, daily transactions recorded separately, money held by the companies on behalf of other parties, status of running balances, and other sensitive financial matters. The Sarbanes-Oxley Act (2002) should regulate the data contained in this section. The data should always be accurate and the system should allow real time updating of data i.e. if a debtor pays a debt; this transaction affects the value in the debtors account and the overall assets, therefore every figure in the affected columns should change upon payment. Stakeholders Access The controls in the system should contain controls that allow access by the auditor as required by the law. The other parties with access include; the company executives, the management and data entry officers. The executives and the management access the information for decision-making and financial planning (Giachetti, 2007). Operational, Business analytics and Intelligence At the operational, business analytics and intelligence, the data stored there should also be well guarded due to the sensitivity involved. The controls should comply with provisions of the HIPAA, FERPA and Sarbanes-Oxley. These departments hold wide range of data from financial to details about customers, employees and suppliers. The data held by these departments is vital for daily operations and also for determining how the company will react to changes in the environment. Stakeholders Access The access to the data should be granted to the company executives and the management only. These people will need this information for decision-making. Unauthorized access may expose the companyââ¬â¢s vulnerabilities to competitors. References Carol, H. Hannum, W. (1989). Instructional Systems Development in Large Organizations. New Jersey, NJ: Educational Technology Publications Inc. Giachetti, R. (2007). Design of Enterprise Systems: Theory, Architecture, and Methods. New York, NY: CRC Pres s. Grossman, P. (1987). American Express: The People Who Built the Great Financial Empire. Washington DC: Beard Books. Rezaee, Z. (2012). Corporate Governance Post Sarbanes-Oxley: Regulations, Requirements and Integrated Process. New Jersey, NJ: Wiley Sons. Williams, C. (2007). FERPA, GLBA HIPAA: The Alphabet Soup of Privacy. New York, NY: National Association of College and University Attorneys.
Monday, February 24, 2020
American History Since 1865 Essay Example | Topics and Well Written Essays - 250 words
American History Since 1865 - Essay Example It was partly successful in doing so for some years but the future events showed that the treaty was a complete failure. The harsh terms of the treaty instilled a desire for revenge in the hearts of Germans and promoted the rise of Nazism which ultimately led to the Second World War. 2. The primary issues of the Scope Trial were education and science v. religion. What were the broader social implications? What did this trial reveal about the American public at the time? How are these issues relevant today? The Scopes trial primarily represented a conflict between science and religion, but it had broader social implications. It triggered a debate on social issues like liberalism, freedom of speech and censorship. The fact that Dayton received massive support across the country even after he was convicted guilty was a clear indication that the American public favored freedom. People favored modernism and liberalism and the freedom of choice over conservative ideology. Regarding any con troversial topic, the general public was of the opinion it should only be a matter of personal choice about what is right. The Scopes trial took place years ago but the issue is still fresh in the present era. The public still debates on the issue of freedom over topics like abortion, gay marriages and sex education in schools. Works Cited Bailey, Thomas, Lizabeth Cohen and David M Kennedy. The American Pageant- Vol. II.
Friday, February 7, 2020
Costco Wholesale Corporation Case Study Example | Topics and Well Written Essays - 2250 words
Costco Wholesale Corporation - Case Study Example Though less readily measurable, it is apparently accompanied by a shrinking of activities for the few remaining general merchandising wholesalers and a loss of sales for small stores carrying women's and children's apparel, particularly in low and medium-quality lines. Costco is a closed-door store which allows only "members" access to the store through membership eligibility as defined by rather broad classifications of government employees, teachers, union members, or employees of government contractors (see Appendix 4). The chain carries a wide range of soft goods and apparel, but also gives major attention to furniture, appliances, food, and automotive supplies. Several of the closed door operations have recently opened their doors to the general public. "Examples of Costco's incredible annual sales volumes included 96,000 carats of diamonds (2006), 1.5 million televisions, $300 million worth of digital cameras, 28 million rotisserie chickens (over 500,000 weekly), 40 percent of the Tuscan olive oil bought in the United States, $16 million worth of pumpkin pies during the fall holiday season, $3 billion worth of gasoline, 21 million prescriptions, and 52 million $1.50 hot dog/soda pop combinations" (Thompson p. 2008, p. C5). Low operating margins achieved through volume sales and limited service expenditures for clerks, delivery, credit, and so on have allowed prices which average about 15% below those of the department stores and specialty shops with which discount stores compete in the sale of soft goods. Full-size food supermarkets are being established within many of the new large discount stores. Because of consumers' long experience in comparing food values between stores and because of the frequency of food store visits by the average family, these food departments are attractive to the soft-goods stores as traffic builders, and are frequently operated with planned narrow margins (or even planned losses) to maximize their drawing power (Costco Home P age 2008). Chief Elements of the Costco's strategy The uniqueness of Costco strategy is that it proposes advantages and benefits to its members only, except gasoline and beverage products. The closed-door stores depend primarily on word of mouth and on mail promotion to their members to publicize the attractive values offered. Costco does not make extensive use of advertising media to give publicity to the low prices and special values which they offer. Major retail innovations involve an "invention" of new means of performing the retailing function. They are dependent on concomitant developments in products, in physical handling technology, and in organization at the wholesale supply level; but, most important of all, they are dependent on changes in the income, location, and style of life of consumers (Drejer 2002). In contrast to other retailers, Costco proposes wide product rage: "Whereas typical supermarkets stocked about 40,000 items and a Wal-Mart Supercenter or a SuperTarget might have as many as 150,000 items for shoppers to choose from, Costco's merchandising strategy was to
Wednesday, January 29, 2020
Barriers, challenges, and strategies Essay Example for Free
Barriers, challenges, and strategies Essay Most clinical health care workers are aware that achieving the paradigm of evidence-based practice (EBP) is the gold star standard that one strives for in his/her clinical practice. EBP is expected of healthcare clinicians and has become a synonym for quality care both by the institution of healthcare and its consumers (Brim Schoonover, 2009). This essay will define EBP for nurses. The barriers, challenges and strategies to implementing evidence-based nursing practice (EBNP) will be discussed with reference to relevant and authoritative literature. As well, the relevance and the links that EBNP has with the clinical area of Intensive Care will be discussed. EBP is the integration, by clinicians, of clinical expertise which is meticulous, explicit and uses current clinically appraised professional knowledge (Eizenberg, 2011; Kenny, Richard, Ceniceros, Blaize, 2010). EBP accommodates patient preferences, views and values; while also guiding, supporting, validating and answering health care workers clinical judgements, practices, and questions (Eizenberg, 2011; Kenny et al., 2010; Matula, 2005; Wolf, 2005). EBP is a process of asking a clinical question; searching for clinical evidence; critically appraising this evidence and then expertly integrating this evidence with patientââ¬â¢s values, views and preferences; evaluation of how the changes to practice have had on outcomes; and finally disseminating the results that the EBP or change had on patient outcomes (Melnyk, Fineout-Overholt, Stillwell, Williamson, 2010). The definition of EBP and EBNP and the implementation of EBNP appear to be straightforward and easily accomplished; however, EBNP implementation is far removed from being easy (Brim Schoonover, 2009; Cullen, Titler, Rempel, 2011; Eizenberg, 2011; Kenny et al., 2010; Tolson, Booth, Lowndes, 2008). Nursing research has uncovered n umerous challenges and barriers which the implementation of EBNP faces. These challenges and barriers can be classified as a research, a clinician, an organisational, a nursing professional barrier, and not least patient barriers (Fernandez, Davidson, Griffiths, 2008; Gerrish et al., 2011; Hutchinson Johnston, 2006; Ross, 2010). Eizenberg (2011), Gerrish et al. (2011), and Ross (2010) found that nurses face research and clinician barriers that include not having the time, skills and knowledge to critically critique and/or synthesise research literature, unable to effectively use and search databases electronically, hold negative views toward research and feel research is too complex, asà well research at times is not clear on how to implement the findings and findings can be contradictory. Due to these barriers, nurses tend to rely on synthesised evidence such as evidence-based protocols, policies and procedures (Gerrish et al., 2011). Eizenberg (2011) and Gerrish et al. (2011) also found that nurses prefer to acquire information through third parties such as their colleagues, the workplace, through patient care experience, and the knowledge they received from their nursing education. Eizenberg (2011) found that the organisation is the greatest factor in successful EBNP implementation. The organisation controls access and the budget to and for evidence resources such as computers with internet access, a well-equipped library, and access to educational opportunities in EBNP procedures and theory (Eizenberg, 2011). The barrier of not having the authority to change a nursing practice also lies with the organisation ââ¬â a nurse may have the necessary research knowledge and experience to effectively change practice but cannot implement practice change due to the organisation not giving him/her the authority to instill change (Eizenberg, 2011). Few nursing staff members are given the opportunity to participate in the development of evidence-based policies and procedures; therefore, most nurses are not engaged to support EBP. Ross (2010) further found organisational barriers such as the organisation giving priority to other goals (for example excess sick leave) over EBNP, the organisation may perceive that the staff are not ready or willing to implement EBNP, and that the organisation believes EBNP is unachievable. These organisational barriers prevent EBNP being accomplished and to the greater extent of not being implemented. A barrier of nursing profession relates to the medical dominance of healthcare; as such, nurses are not afforded the power, authority, autonomy and respect from colleagues for nursing practice that the status of being a profession decrees (Brim Schoonover, 2009; Eizenberg, 2011; Gerrish et al., 2011). A further nursing profession barrier is it can be difficult to instill enthusiasm or information about an EBNP if turnover is high; there is a shortage of experienced nurses; and support from colleagues is lacking (Gerrish et al., 2011; Mark, Latimer, Hardy, 2010). Due to high turnover and staff shortages, nurses are unable to leave the bedside and have limited time to participate in EBNP projects such as journal clubs, or to attend training in EBP, PICOà (Population/Intervention/Comparison/Outcome), and database searches (Brim Schoonover, 2009; Brown, Johnson, Appling, 2011). Nurses, as Kenny et al. (2010) found were hesitant to change their practice if the change would perceivably increase an already heavy workload. Brim Schoonover (2009) found that some nurses believed EBNP to be an optional course of action as they were never shown a clear direction of what EBNP is essential to nursing and his/her practice. One of the main premises of EBNP is that the evidence and the value s and beliefs of the patient/s are synthesised together to form an EBNP which is foremost favourable for a positive outcome for the patient/s (Fernandez et al., 2008). Such factors as treatment, travel, and prescription costs; denial of diagnosis; inadequate knowledge level of disease and strategies to decrease risk factors; lack of social support; and cultural issues can all potentially become barriers to implementing an EBNP for a patient or patients (Fernandez et al., 2008). The high acuity of an intensive care unit (ICU) patient significantly affects a nurseââ¬â¢s ability to search a database for answers (Brim Schoonover, 2009; Kenny et al., 2010). An answer to a question is usually needed immediately or momentarily; therefore, ICU nurses rely on experience, colleagues, and knowledge of evidence-based policies, procedures and guidelines (Eizenberg, 2011; Gerrish et al., 2011). I know I rely heavily upon in-services, experience, and speaking with the ICU Clinical Nurse Educators and Nurse Educators who will do a literature search to acquire information or answers to a question I have posed ââ¬â but once again this evidence/information ha s been synthesised by others and is third hand and I have not fully practiced EBN (Eizenberg, 2011; Gerrish et al., 2011). To try and challenge this barrier I do try and read the clinical information the educator obtained at a later date ââ¬â usually at home or on a break. Strategies to overcome these challenges and barriers abound from EBP and EBNP journal articles and books. Some of the leading strategies are for the organisation to fully support EBNP through infrastructure, strong leadership from nurse managers and/or advanced practice nurses, and by ensuring a context in which EBNP can flourish (Gerrish et al., 2011; Tolson et al., 2008). The infrastructure needs to provide access to a computer which can access online databases. Infrastructure needed to be in place includes a staffed evidence based nursing library with a librarian able to educate nurses on the process ofà EBNP (Pochciol Warren, 2009). The added challenge is to have EBNP info accessible to the nurse at the patientââ¬â¢s bedside (Pochciol Warren, 2009). Nursing leaders need a Masterââ¬â¢s degree or above, as studies show that leaders with these credentials read and implement more research literature; are more confident; and they consider themselves more competent in supporting others through the EBNP process (Eizenberg, 2011; Gerrish et al., 2011). Leaders, as suggested by Cullen et al. (2011), hold the responsibility to provide support; to build, to create, and maintain an organisational culture that has the capacity to support EBP at both a clinical and administration level. Leaders must be given the power, authority, and support to introduce change ââ¬â without this authority change cannot occur (Eizenberg, 2011). Scholars agree that if EBNP is to succeed and be sustainable nurses need to be educated and mentored on the implementation process of EBNP (Brim Schoonover, 2009; Brown et al., 2011; Eizenberg, 2011; Gerrish et al., 2011; Pochciol Warren, 2009; Ross, 2010; Tolson et al., 2008). EBNP education of nurses needs to begin at orientation to the hospital and is essential that this education is continually built upon and supported with extra education given to nurse managers, educators and advanced practice nurses (Pochciol Warren, 2009 Tolson et al, 2008). Ross (2010) suggests nurses information literacy be improved to ensure nurses are able to practice EBN. Information literacy is the ability to competently recognise, locate, and evaluate the fundamental information required at a given point (Ross, 2010). The ICU, where I am employed, has undergone significant changes to the staff and managerial side of the unit. At one point the Clinical Nurse Specialists ratio decreased to less than 5% of nursing staff and there was not a permanent full time Clinical Nurse Consultant. Without the necessary support acquired from these roles the education of ICU nurses and the implementation of new practices, policies and procedures decreased significantly. These barriers significantly halted EBNP from occurring in the ICU as there were very few highly educated leaders available to support EBNP. As suggested by Eizenberg, (2011), Gerrish et al. (2011), and Cullen et al. (2011), educated leaders and managers are needed to keep and instill EBNP to an institution. To obtain Magnet Status hospitals must ensure that EBNP is in place, is supported, and is sustained by the organisation (Brown et al., 2011). To procure nurseà interest in EBNP, and maintain Magnet Status, some hospitals have linked participation in EBNP to clinical ladder advancement and a monetary reward in the form of a wage increase with advancement up the ladder (Whitmer, Aver, Beerman, Weishaupt, 2011). To hold their position on the clinical advancement ladder the nurse must show, yearly, that he/she is supporting, or implementing, or participating in EBNP within the setting they are employed (Whitmer et al, 2011). The benefits of practicing EBN includes: patients ability to access effective evidence based treatment information; facilitates consistent improvement, through decision making, to healthcare systems; facilitates decisions based on up-to-date evidence and technologies; and reduces variances in nursing care from one nurse to another ââ¬â standard and competencies are evidence based and consistent; through evidence based competencies the professional status of nursing is elevated to higher heights (Gerrish et al., 2011; Eizenberg, 2011). In conclusion, the challenges/barriers, barrier strategies, and benefits of EBNP has been discussed. Little discussion on EBNP within an ICU was attempted as the ICU nurses face the same situations, challenges/barriers, strategies and benefits as nurses in other areas of healthcare (Sciarra, 2011). Nurses must be given organisational support, education and knowledge needed to participate proficiently in EBNP. References Brim, C. B., Schoonover, H. D. (2009). Lessons learned while conducting a clinical trial to facilitate evidence-based practice: the neophyte researcher experience. The Journal of Continuing Education in Nursing, 40(8), 380-384. DOI: 10.3928/00220124-20090723-06 Brown, C. R., Johnson, A. S., Appling, S. E. (2011). A taste of nursing research: an interactive program, introducing evidence-based practice and research to clinical nurses. Journal for Nurses in Staff development, 27(6), E1-E5. DOI: 10.1097/NND.0b013e3182371190 Cullen, L., Titler, M. G., Rempel, G. (2011). An advanced educational program promoting evidence-based practice. Western Journal of Nursing Research, 33(3), 345-364. DOI: 10.1177/0193945910379218 Eizenberg, M. M. (2011). Implementation of evidence-based nursing practice: nursesââ¬â¢ personal and professional factors? Journal of Advanced Nursing, 67(1), 33-42. DOI: 10.1111/j.1365-2648.2010.05488.x Fernandez, R. S., Davidson, P., Griffiths, R. (2008). Cardiac rehabilitation coordinatorsââ¬â¢ perceptions of patient-related barriers to implementing cardiac evidence-based guidelines. Journal of Cardiovascular Nursing, 23(5), 449-457. Gerrish, K., Guillaume, L., Kirshbaum, M., McDonnell, A., Tod, A., Nolan, M. (2011). Factors influencing the contribution of advanced practice nurses to promoting evidence- based practice among front-line nurses: findings from a cross-sectional survey. Journal of Advanced Nursing, 67(5), 1079-1090. DOI: 10.1111/j.1365-2648.2010.05560.x Hutchinson, A. M., Johnston, L. (2006). Beyond the BARRIES Scale: commonly reported barriers to research use. Journal of Nursing Administration, 36(4), 189-199. Kenny, D. J., Richard, M. L., Ceniceros, X., Blaize, K. (2010). Collaborating across services to advance evidence-based nursing practice. Nursing Research, 59(1S), S11-S21. Mark, D. D., Latimer, R. W., Hardy, M. D. (2010). ââ¬Å"Starsâ⬠aligned for evidence-based practice. A TriService initiative in the Pacific. Nursing Research, 59(S1), S48-S57. Matula, P. (2005). Evidence-based practice at the bedside: Igniting the spirit of inquiry. The Pennsylvania Nurse, Dec, 22. Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., Williamson, K. M. (2010). The seven steps of evidence-based practice. Following this progressive, sequential approach will lead to improved health care and patient outcome. The American Journal of Nursing, 110(1), 51-53. Pochciol, J. M., Warren, J. I. (2009). An information technology infrastructure to enable evidence-based nursing practice. Nursing Administration Quarterly, 33(4), 317-324. Ross, J. (2010). Information literacy for evidence-based practice in perianesthesia nurses: readiness for evidence-based practice. Journal of PeriAnesthesia Nursing, 25(2), 64-70. DOI: 10.1016/j.jopan.2010.01.007 Sciarra, E. (2011). Impacting practice through evidence-based education. Dimensions of Critical Care Nursing, 30(5), 269-275. DOI: 10.1097/DCC.0b.013e318227738c Tolson, D., Booth, J., Lowndes, A. (2008). Achieving evidence-based nursing practice: impact of the Caledonian development model. Journal of Nursing Management, 16, 682-691. DOI: 10.1111/j.1365-2834.2008.00889.x Whitmer, K., Aver, C., Beerman, L., Weishaupt, L. (2011). Launching evidence-based nursing practice. Journal for Nurses in Staff Development, 27(2), E5-E7. DOI: 10.1097/NND.0b013e31820eefd2 Wolf, Z. R. (2005). Clinical challenges and evidence based nursing practice. The Pennsylvania Nurse, Dec, 20.
Tuesday, January 21, 2020
Managers and the Process of Change Essay -- Business Management
Managers and the Process of Change The desperate call-to-arms, "Change or Die"ââ¬â which can be heard echoing down the corridors of businesses everywhere ââ¬â is evidence that leaders have recognised the need to change. Managers know that companies must be fast, flexible, responsive, resilient, and creative to survive. Most also know that current mind-sets, techniques, and tools are ineffective for creating such an organisation. These people are displaying the talents required to successfully negotiate change. They are aware of the limitations around or within themselves and are willing to learn the necessary skills required to succeed as change managers. Change is the process of moving from one state to another. Just as moving house requires the massive packing of furniture and other items, change requires just as much preparations to be successful. Most people do not like change, they like things to remain the same. Changes require more effort to adapt. It threatens stability and security and people fear that they will not be able to cope. Resistance is the natural defence to such perceived threats. A good manager has to be able to work with and overcome resistance he/she must be able to control the whole process of change. With this in mind, I have considered the role of the manager, what his/her function is and what skills are required to enable him/her to be a successful change manager. Function of Managers Fayol (1908) identified the functions of the manager as: 1. Setting objectives 2. Organisation 3. Motivation 4. Control or measurement 5. Co-ordination These functions are as true today as they were then, but I consider communication as the key to them. It is the essential function in successful change management. Drucke... ... Herts. Prentice Hall. Clegg et al. Palmer, G. ed. 1996. The Politics of Management Knoelwdge London. Sage Publications. Dawson, P. (1994). Organisational Change ââ¬â A Processual Approach Newcastle upon Tyne. Athenaeum Press Ltd. Dove, R. Essay #051.3/99 in Automotive Manufacturing & Production, Gardner Publications, Revised 5/99. Dove, R. Essay #058. Paradigm Shift International - Originally Published 10/99 @ www.parshift.com Fayol, H. (1949). General and Industrial Management, London. Pitman. Hitler and His Henchmen 1999, The History Channel. Kotter, J.P. & Heskett, J.L. 1992. Corporate Culture and Performance. London. Pitman. Schneider, B. Leadership at the Edge of Chaos. Strategy & Leadership Magazine, Sept. 1997. Stewart, R. 1986. The Reality of Management. London. Pan Books. Vaill, P. The Quantum Organisation. Business Week online. Accessed 03/04/2000
Subscribe to:
Posts (Atom)