Nursing research Essay Example | Topics and Well Written Essays - 1750 words

Nursing research - Essay Example To improve overall service at BTGH, so that every patient who wants to can get the highest quality of care. To improve patient-provider relations at BTGH, by improving the quality of the service which patients receive. In order to accomplish these goals, each objective in the practicum learning agreement was to be designing in a manner that helped me achieve the overall goals of my practicum project. Nonetheless, I achieved the following four objectives as per my practicum learning agreement. I carried out an effective analysis of the need to improve the low HCAHPS scores at BTGH. I learned how to develop an action plan based on the following approaches: Conducting a staff survey that identifies the needs for a healthcare facility. An effective process of conducting the literature review for the need of improving HCAHPS scores I learned the effective approach of implementing an action plan in order to improve HCAHPS scores and the importance of a mentor. Finally, I learnt the process of conducting an effective evaluation of the overall project. Effective Analysis Based on the practicum learning objective, I achieved the objective of carrying out an effective analysis on the need to improve the HCAHPS scores in a facility. ... d a crucial role in ensuring that I gained experience in conducting literature review that supported the goals of a project that I wanted to implement. On the other hand, this learning objective has played a crucial role in ensuring that I gained experience in conducting surveys that identified the needs of a healthcare facility. In this case, not only have I gained experience from the practicum project on how to identify the needs of a facility as an effective way of ensuring that I focused on achieving the overall objective of my project, but I have also gained the experience of structuring the survey questionnaire in order to obtain results that will help me develop an effective project. In addition, this learning objective has helped me gain experience on the approaches to use in order to conduct surveys from my respondents. Overall, in the process of achieving this learning objective from my practicum learning agreement, I have achieved experience that will be crucial in my futu re engagement as a nurse, and especially in the process of engaging in projects that changed practice. Developing an Action Plan The experience learnt during the preparation of the action plan is crucial in enhancing my future nursing career. In achieving this learning objective, I developed the action plan using the findings from the literature review that I conducted from the peer-reviewed journals and the survey I conducted among the nursing staff and patients admitted at Ben Taub General Hospital as represented in Appendix 1. These two activities were essential in developing the objectives of the action plan and identifying the areas that required attention in order to achieve the overall practicum’s goal of raising the HCAHPS scores at BGTH. On the other hand, it is crucial to point

The Essential Tools and Techniques Used By Organizations to Manage the Essay

The Essential Tools and Techniques Used By Organizations to Manage the Human Resources - Essay Example Rights and privileges of workers are put in place taking into account such limitations only. Maintaining good employee relations depends on how the rights and privileges of workers are treated by the organization. Finding good people often proves to be difficult for the organization, it is, therefore, essential to find ways to retain them as well. Good industrial relations or employee relations form part of such efforts. This study is an effort to analyze the essential tools and techniques used by organizations to manage the human resources in an organization and how the HRM has adapted itself to the changing economic scenario. In particular, the objectives of this study are to have an assessment of; To get the optimum from a satisfied and participative individual is considered to be the ultimate objective of HRM policies. The global economy has made it almost mandatory for international corporations that an effective strategy is adopted for managing the human resources and the diversity. It is through their behaviour that employees give expression to their commitment to work, level of motivation and their attitudes. Behaviour includes all actions overt or covert, and verbal or non-verbal. This affects the overall efficiency of the person and the performance of the organization. Some of the organizations encourage Unions and Associations to represent the employees’ issues and such organizations have a mechanism which encourages cordial relations between such unions and management as it helps in smooth functioning of the organization. But there are some other organizations which prefer to engage with individual employees for grievance redressal. Such a mechanism generally f unctions well in smaller organizations having lesser number of employees. The ultimate aim is to have a functioning relationship with employees so that the company’s functioning is not adversely affected. As a student of human resources management, it is very crucial for me that I am fully aware of such a mechanism, the legal positions and how the system has evolved over the years.     

Low Fat Diets, Aerobic Exercise, and Weight Loss: How Does It All Fit? :: Dieting Eating Papers

Low Fat Diets, Aerobic Exercise, and Weight Loss: How Does It All Fit? Introduction: These days it seems that almost everywhere in the media there are claims about the effectiveness of low fat diets and aerobic exercise on weight loss. From billboards, to magazines, to TV, everyone seems to know exactly how to lose weight by eating a low fat diet and /or by exercising on a regular basis. Sample menus and hypothetical exercise routines that are designed to help people lose weight consistently appear in the media, and most come with some type of guarantee that weight loss will follow the "correct and continued use" of the plan. These claims and examples vary from seemingly practical to downright outrageous, with a multitude in between. The problem is that all of these claims and examples are so different from one another the consumer has no way to know which, if any, is the most effective way to lose weight. Is eating less that 15 grams of fat, and exercising 30 minutes each day the most effective way to lose weight? Is eating anything you want, and exercising 90 minut es each day that is the most effective weight loss strategy? Or, is it something completely different? Medical research shows that exercising regularly and eating a well-balance diet that is low in fat can assist in weight loss, as well as provide for better overall health. Finding the best combination of the two is the difficult part. The weight loss business. The weight loss business is booming. The idea of a company developing their own strategy for weight loss, and selling it has been a successful one. Companies such as, Weight Watchers (http://www.weight-watchers.com), and Jenny Craig, have become very well known and very economically successful. Each of these companies has its own theories about losing weight, however, the majority of these companies use a combination of a low fat diet and a regular exercise program to promote weight loss. Many also use a support mechanism such as weekly, or monthly group, or individual meetings to help their clients maintain the program. (http://www.yahoo.com/Business_and_Economy/Companies/Health/Weight_Loss/Diets_and_Programs/) For example, Jenny Craig offers a program that includes daily menus of selected foods, which they package and provide to the client, and weekly counseling sessions with an employee of Jenny Craig. The daily meals are designed to provide a specific number of calories, which is predetermined by the client’s weight and self-assessed activity level.

Financial Analysis for Ford Motor Corporation

Ford Motor Company was registered as a full company in 1919 and it manages operations in the international automobile industry. Ford is responsible for the manufacture and supply of vehicles in six major continents in the world and its automobile products are Ford and Lincoln. The Lincoln brand sells lavish cars while the Ford brand sells commercial vehicles and automobiles.The company also manufactures automobile spare parts, heavy trucks and tractors. Ford holds minor stakes in the U.K’s Aston Martin and Japan’s Mazda brands. Furthermore, the company is listed in the New York Stocks Exchange (NYSE); with the Ford family has minority ownership. In addition, the company’s automobile sector is composed of Ford Asia Pacific Africa Regions, Ford Europe, Ford South and North America. In the financial year 2012, the company recorded more than five million sales in units at whole sale globally. The company’s spare parts, automobiles, and other accessories are su pplies through retail traders in North America and via other global retail stores that are separately owned.Ford Asia Pacific division is focused on selling and distributing in twelve key market regions through wholesales and tracking every market in the region. Some of the regions tracked by the company include South Africa, China, Australia, India and Association of South East Nations (ASEAN). Ford Europe is involved in distribution and tracking of Ford’s wholesale brands in Russia and Turkey and it has affiliates with Ford Sollers and Ford Otosan. The Ford South and North America divisions are involved in the wholesale of both Lincoln and Ford brands.The market region is the U.S, Mexico and Canada. Motor Company competes with other global players, which include Toyota Motor Corporation, Honda Motor Company, Fiat-Chrysler, Suzuki Motor Corporation, PSA Peugeot  Citroen, General Motors Company, Mercedes-Benz, Audi, BMW, Hyundai-KIA Automotive group and Renault Nissan B.V. Horizontal AnalysisThe horizontal analysis for Ford Motor Corporation will enable to exhibit the changes of amounts in the corresponding financial statement items from 2010 to 2012. This is important in depicting and analyzing the trend in these financial years. The earliest period between two financial years is used as the base year, that is, 2010 is the base year for the horizontal analysis between 2010 and 2012, while 2011 is the base year for the horizontal analysis between 2011 and 2012.The horizontal analysis is important for the following reasons; enables to assess the general performance of the Ford Motor Company. In addition, it will help in evaluating the increases and decreases of items in the financial statements. Horizontal analysis assists in examining if the management is realizing the set goals and objectives (Williams, 2008). Finally, the horizontal analysis will disclose the trends of items in the balance sheet and the income statement.Horizontal Analysis of the In come Statement for Ford Motor Corporation (In $ Millions)ItemDec 2012 Dec 2011 Change % Change Revenues 126, 567 128, 168 -1601 -1.25% ExpensesCost of Sales 112,578 113, 345 -767 -0.67% Selling, Administrative and other Expenses 9,006 9060 -54 -0.60% Total Expenses 121, 584 122,405 -821 -0.67%Interest Expense 713 817 -104 -12.73% Interest Income and Other Income 1185 825 360 43.64% Equity in Net Income 555 479 76 15.87% Income before Income Taxes 6010 6250 -240 -3.84%Horizontal Analysis of the Income Statement for Ford Motor Corporation (In $ Millions)Item Dec 2011 Dec 2010 Change % Change Revenues 128, 168 119,280 8,888 7.45% ExpensesCost of Sales 113, 345 104,451 8,894 8.51% Selling, Administrative and other Expenses 9060 9040 20 0.22%Total Expenses 122,405 113, 491 8914 7.85% Interest Expense 817 1807 -990 -54.79%Interest Income and Other Income 825 -362 1187 -327.9% Equity in Net Income 479 526 -47 -8.94% Income before Income Taxes 6250 4146 2104 50.75%Negative and Positive Tren ds in Ford Corporation From the Income Statement horizontal analysis between 2012 and 2011, the company exhibits negative trends in the total expenses, revenues, cost of sales, selling administrative and other expenses, interest expense and income before taxes. The positive trends in 2012/2011 include equity in net income and in interest income and other income. From the income statement horizontal analysis between 2011and 2010, the company exhibits positive trends in the total expenses, cost of sales, selling and administrative expenses and income before income taxes. The negative trends in the 2011/2010 include; interest expenses, interest income and other income and equity in net income.2012/2011 Horizontal Analysis of the Consolidated Balance Sheet for Ford Motor Company (In $ Millions) Item Dec2012 Dec2011 Change % Change ASSETSCash and Cash Equivalents 15,659 17,148 -1,489 -8.68% Marketable Securities 20,284 18,618 1,666 8.95% Finance Receivables 71,510 69,976 1534 2.19% Other Receivables 10,828 8,565 2263 26.42% Net Investments in Operating Leases 16,451 12,838 3613 28.14% Inventories 7,362 5,901 1,461 24.76% Equity in Net Assets 3,246 2,936 310 10.56%Deferred income taxes 15,185 15,125 60 0.4% Other Assets 5,000 4,770 230 4.82% Total Current Assets 165,525 155,877 9,648 6.18% Net intangible Assets 87 100 -13 -13%Net Property 24,942 22,371 2,571 11.49% Total Assets 190,554 178,348 12,206 6.84%LIABILITIESPayables 19,308 17,724 1,584 8.94% Accrued Liabilities 49,407 45,369 1,038 2.29% Short Term Debt 1386 1033 353 34.17%Deferred Income taxes 470 696 -226 -32.47 Total Current Liabilities 70,571 64,822 5,749 8.87% Long Term Debt 103,672 98,455 5,217 5.3% Total Liabilities 174,243 163,277 11,966 7.33%Redeemable noncontrolling Interest 322 _ _ _EQUITYCapital StockCommon Stock, par value $0.01 per share 39 37 2 5.41% Class B Stock, par value $0.01 per share 1 1 _ _ Capital in Excess of par value of stock 20,976 20,905 71 0.34% Retained Earnings 18,077 12,985 5 ,092 39.21 Accumulated other comprehensive inc. (22,854) (18,734) -4,120 22% Treasury Stock (292) (166) -126 75.9% Total equity to Ford Motor Company 15,947 15,028 919 6.12%Equitable to noncontrolling interests 42 43 -1 2.32% Total Equity 15,989 15,071 918 6.09% Total Liabilities and Equity 190,554 178,348 12,206 6.85%2011/2010 Horizontal Analysis of the Consolidated Balance Sheet for Ford Motor Company (In $ Millions) ItemDec2011 Dec 2010 Change % Change ASSETSCash and Cash Equivalents 17,148 14,805 2,343 15.83% Marketable Securities 18,618 20,765 -2,147 -10.34%Finance Receivables 69,976 70,070 -94 -0.13% Other Receivables 8,565 7,388 1,177 15.93%Net Investments in Operating Leases 12,838 11,675 1,163 9.96% Inventories 5,901 5,917 -16 -0.27% Equity in Net Assets 2,936 2,569 367 14.29Deferred income taxes 15,125 2,003 13,122 655% Other Assets 4,770 6,214 -1,444 -23.24Total Current Assets 155,877 141,406 14,471 10.23% Net intangible Assets 100 102 -2 -1.96% Net Property 22,371 23,179 -808 -3.49% Total Assets 178,348 164,687 13,661 8.29%LIABILITIESPayables 17,724 16,362 1,362 8.34% Accrued Liabilities 45,369 43,844 1,525 3.48% Short Term Debt 1033 2049 -1,016 -49.59% Deferred Income taxes 696 1,135 -439 -38.68% Total Current Liabilities 64,822 63,390 1,432 2.24% Long Term Debt 98,455 101,939 -3,484 -3.42% Total Liabilities 163,277 165,329 -2,052 -1.24%Redeemable noncontrolling Interest _ _ _ _EQUITYCapital StockCommon Stock, par value $0.01 per share 37 37 _ _ Class B Stock, par value $0.01 per share 1 1 _ _ Capital in Excess of par value of stock 20,905 20,803 102 0.05% Retained Earnings 12,985 (7,038) 20,023 -284.5%Accumulated other comprehensive inc. (18,734) (14,313) -4,421 30.89% Treasury Stock (166) (163) -3 1.84% Total equity to Ford Motor Company 15,028 (673) 15,701 -2332.99%Equitable to noncontrolling interests 43 31 18 38.71% Total Equity 15,071 (642) 15,713 -2,447.5% Total Liabilities and Equity 178,348 164,687 13,661 8.29%Negative and Positive Trends in Ford Corporation From the balance sheet horizontal analysis between 2012 and 2011, the company exhibits positive trends in the total current assets, total assets, total current liabilities, total liabilities, total equity and total liabilities and equity. From the balance sheet horizontal analysis between 2011and 2010, the company exhibits positive trends in the total current assets, total assets, total current liabilities, and total liabilities and equity. The company however depicts negative trends in the total liabilities and total equity.Ratio Analysis Current Ratio: This financial ratio is derived from the balance sheet financial and is used to measures of a company’s liquidity performance .This ratio assists in determining whether the current assets are readily available in order to pay off the current liabilities (Bodie, 2004). The current liabilities are cash and cash equivalents, accounts receivables, inventory and marketable securities. The current liabilities i nclude accrued expenses, accounts payables, short term debt, taxes and notes payables (Groppelli, 2000). The 2:1 ratio is the typically suitable current ratio. It is evaluated by dividing the current assets by the current liabilities: Current Ratio = Current Assets/Current Liabilities Current Ratio 2012 =(15,659+20,284+71,150+10,828+16,451+7362+3,246+15,185+5,000) / (19,308+ 49,407+1,386+470) = (162,525)/ (70,571) = 2.3 The 2012 current ratio for Ford Motor Corporation is commendable since it is slightly more than the conventional 2:1 ratio. Current Ratio 2011 = (17,148+18,618+69,976+8565+12,838+5901+2936+15125+4770) / (17,724+45,369+1,033+696) = (155,877)/ (64,822) = 2.4The 2011 current ratio for Ford Motor Corporation is recommendable since it is slightly more than the conventional 2:1 ratio. This means that Ford’s current assets are readily available in paying off current liabilities. Quick Ratio: This is a rather enhanced method to evaluate for liquidity since it does not include inventories from current assets. This is due to the reason inventories may be obsolete, harmed and at times stolen. This ratio reveals the ability of a firm is able to meet its short-term goals from its liquid assets (Groppelli, 2000). The suggested target for the quick-ratio is 1:1 and it is evaluated as: Quick Ratio = (Current Assets – Inventories or Stocks)/ Current Liabilities QuickRatio2012 = (15,659+20,284+71,150+10,828+16,451+3,246+15,185+5,000) / (19,308+ 49,407+1,386+470) = (165,525 – 7,362)/ 70,571= 2.24Quick R atio2011 = (17,148+18,618+69,976+8565+12,838+2936+15125+4770) / (17,724+45,369+1,033+696) = (155,877 – 5,901)/ 64,822= 2.31The 2011and 2012 Quick ratios for Ford Motor Corporation are commendable since they exceed the conventional 1:1 ratio. This therefore means that Ford Motor Corporation is able to meet its short-term objectives. Cash Ratio: This ratio assists in determining the company's liquidity by further refining the current ratio and the quick ratio (Bodie,2004). This ratio is evaluated by calculating the quantity of cash and cash equivalents or invested funds that are in the current assets to cover current liabilities (Groppelli, 2000). It is calculated using the following formula; Cash Ratio= (Cash+ Cash Equivalents+ Invested Funds)/ Current Liabilities CashRatio2012= (15,659+20,284+71,150+10,828+16,451) / (19,308+ 49,407+1,386+470) = (134,372)/ 70,571= 1.9Cash Ratio2011 = (17,148+18,618+69,976+8565+12,838) / (17,724+45,369+1,033+696) = (127,415)/ (64,822)=1.96The a bove Cash Ratio results for 2012 and 2011 reveal that Ford Corporation is able to settle its current liabilities by use of its Cash and Cash equivalents only.Recommendation Any investor willing to invest in Ford Motor Corporation should move ahead and invest in the company. The company’s financial strength as depicted by the financial ratios reveals that the company is able to meet its shot term obligations. This is because the liquidity ratios reveal that the company’s current assets are able to pay off the current liabilities.

Humans Are Extremely Greedy And Selfish Creatures

Humans are extremely greedy and selfish creatures. Whether or not someone is single, there will always be people who try to get what, and who they want, even at the expense of others. We as humans are naturally attracted to each other, and have many different techniques for showing romantic or sexual interest. In the movie, Fatal Attraction, featuring Glenn Close as Alex, a woman who suffers from borderline personality disorder, shows a possible example of what can happen when one person pursues someone who is in a relationship, and how an affair can lead to disaster. The act of intruding on a couple’s relationship by wooing one of the individuals is called â€Å"Mate Poaching.† Although it hasn’t always been called â€Å"mate poaching†, the act has†¦show more content†¦Attraction and interest is obvious between the two, but doesn’t prosper until a later date. One weekend, Dan’s wife leaves town to go check out their future house, an d while she is away, Dan and Alex have dinner together, and then end up having an ongoing affair over the course of the weekend. Although neither of them are innocent in the situation, I do not believe that Alex is, by any means, trying to further her bloodline when she pursues Dan. She acknowledges during their dinner date that he is taken and says â€Å"Why are all of the good guys married?† She knows that he is taken, and continues to flirt and talk to him, even initiating the idea of an affair. Although men try more often to have short term, sexual relationships with women, women are more often successful when they try to do this. In her case, it works. They have lots of sex, talk about pressing issues, and even bond in the park with Dan’s dog. Things quickly turn south nearing the end of the weekend. Dan says that their affair has come to an end, and that he must go home to his family. Up until this point, everything Alex has done has seemingly been evolutionary a nd normal. Things soon change though, when in an unsuspecting mood swing, brought on by her borderline personality disorder, she attempts to take her life by slitting her wrists with a kitchen knife. What Dan thought was justShow MoreRelatedThe World As We Know It Is Ending Essay1378 Words   |  6 Pagestechnology and ethical progress. However, the imagined intent in the creation of technology does not always represent the intent of its individual users. As the Washington Post puts its, â€Å"Each one of us knows the constant impulse in human beings to be exploitive, vile, greedy, lustful, distracted, and pursuing base vices? It abounds.† Is our only ethical obligation to adapt to the consequences of our technology or to prevent the consequences before they happen? 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Sears Auto Center Scandal - 1475 Words

LGST001 Ââ€" Ethics and Social Responsibility Sears Auto Center Scandal Managing Business Ethics Text (pp.207 - 210) Ethical Decision-making Issue: Should Sears remove its commission-based compensation scheme? Group Stand: The majority of the group believes that Ellen should be removed from the team. Support for Motion: Rawls theory/Egalitarianism The underlying inequality is that car owners are paying for repair services they do not require while Sears benefits by earning higher profits. This is a result of information asymmetry given that the repair advisors are in a more knowledgeable position regarding the available and required services, and clients act upon their advice. Thus, there is an opportunity for advisors†¦show more content†¦Objection against inequality There is no inequality in the case because customers have the rights to refuse any recommended services by the Sears mechanics. Being the paying parties, they are in the position to demand for specific services and not accept any other types of repairs and checks. Even if inequality exists, the inequality is fair since there is no information asymmetry which can render it otherwise. Consumers can always increase their understanding of their cars by researching, seeking advice from other auto repair companies, or learning from peers. Furthermore, the inequality is just if it increases utility in society. Using Utilitarianism theory for Distributive Justice, the compensation plan maximizes profits which in turn affects the economy positively. With the additional profits, Sears is hence able to expand and hire more employees, and this will benefit shareholders in terms of dividend growth and increase share prices. More workers will be employed. This benefits economy and society altogeth er, thus the inequality is just. 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Affordable Care Act Improving Quality Of Care - 1481 Words

affordable care act was developed to improve quality of care by reducing cost and the way care was being delivered to its consumers. The strictly mandated that each stated would provide and establish health homes for individuals especially those who are suffering from chronic diseases and illness’s. â€Å"I the law require the development of a core set of health quality and performance measures for adults to determine the quality of care provided to enrollees. It also provides Federal funding to increase primary care payment rates and for States that provide recommended adult preventive services and vaccinations† (Medicaid .gov, 2014). These mandates also require that some establishments provide customers with a good outcome and experience while at their facilities. There are also incentives provided to doctors who correctly diagnose their patients for the very first time reducing the rates of readmission this also applied to those that provided outstanding follow up ca re for patients â€Å"The new law provides incentives for physicians to join together to form â€Å"Accountable Care Organizations.† These groups allow doctors to better coordinate patient care and improve the quality, help prevent disease and illness and reduce unnecessary hospital admissions. If Accountable Care Organizations provide high quality care and reduce costs to the health care system, they can keep some of the money that they have helped save. Effective January 1, 2012† ( HHSGOV). With all these incentive beingShow MoreRelatedHealth Care Of The United States1594 Words   |  7 Pagesfew decades, health care industry in the United States is facing three major problems related to quality, costs, and access. 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