Critical appraisal of a nursing quantitative study Essay

Critical appraisal of a nursing quantitative study - Essay Example is critical exposure of the nurse participants their levels of hygiene compliance despite work load and is important I self evaluation for personal competence improvements. The participants could also develop a better understanding of mediator roles of external factors on the nurses’ motivation and ability to comply with standards. This could then inform the nurses for self initiatives to managing the environmental factors towards higher level competence and compliance to hygiene standards and other standards. The major risk that the authors do not identify is possible psychological effects of the nurses knowledge of their lack of compliance because of the potential consequences of the non compliance to quality of delivered services. The authors are also silent on the process of recruiting research participants. There was however informed consent from research participants and administrator of the hospital facility that was used for data collection. Existence of informed consent further suggest voluntary participation by the involved nurses. It is however difficult to report possible approval by the institutional review board because the researchers do not report on it. Meeting minimum requirements for publication, such as ethical principles, however suggest that the authors ensured institutional review board approval besides informed consent and voluntary participation. The major variables are identified, though not explicitely, but are not defined. External factors, interms of work load, is the independent variable while staff compliance with hand hygiene standards is the dependent variable. personal observations and interviews were used for data collection and even though the researchers do not explain their rationale for choice of data collection methods, advantages such as convenience and unlimited access to information suggest the choice (Kothari, 2004). Data collection occurred over a one year period, beginning in June 2007 and ending in May 2008. It was

Lewin's Model of Change Essay Example | Topics and Well Written Essays - 1000 words

Lewin's Model of Change - Essay Example It is also comprehensive and relevant that it has not required revisions – unlike others – to remain relevant to its subject. The major concepts of this theory are unfreeze, change, and refreeze (freeze) (Gerth, 2013). This stage comprises readying the organization to acknowledge that change is inevitable. Preparation involves dislodging the existing status quo before starting to construct a new strategy of operating (Gerth, 2013). Crucial to this is creating a powerful message demonstrating why the status quo cannot continue. This is the most convenient to develop when the organization can attest to declining revenue, worrying client satisfaction surveys, poor financial results, etc. These indicate that things must change in a way that all stakeholders can understand (Schunk & Meece, 2014). Successful preparation of the organization requires starting at its core – the people in charge of driving the change should confront the notions, values, behaviors and attitudes that presently define it. After the risk created in the unfreeze phase, the change phase is where the organization starts resolving its risk and looking for new approaches to doing things. People start behaving and believing in ways that back the new dimension. The shift from the unfreeze stage to this phase does not occur overnight (Schunk & Meece, 2014). Employees take time to accept the new dimension and proactively participate in the transition. The Change Curve, an affiliate change model, concentrates on the specific concern of personal changes in a dynamic environment and is appropriate for comprehending this particular issue more comprehensively (Schunk & Meece, 2014). As the changes happen and people have accepted the new methods of working, the organization is primed for refreezing (Schunk & Meece, 2014). The superficial signs of this phase are a stable company chart, uniform job descriptions, etc. The refreeze phase should also

Hypothesis Testing Assignment Example | Topics and Well Written Essays - 250 words - 2

Hypothesis Testing - Assignment Example The null hypothesis is simple a statement that indicates that nothing is happening to the population. It shows that there is no relationship or difference in the population and the underlying facts still hold true. The alternative hypothesis on the other hand is a statement that indicates that something is happening to the population. It clearly shows that there is a difference or relationship in the population under study. Parametric tests estimate population parameters such as the mean while the nonparametric tests on the other hand help in the ranking and ordering of observations and data (Christensen and Johnson, 2011). It is very important that a choice be made between the use parametric and nonparametric tests. If there is sufficient evidence to ascertain that there is normal distribution in the population then it is appropriate to us parametric tests. When the population does not have a normal distribution then it will be appropriate to use nonparametric tests. A good example of a parametric test is the ANOVA while that of the nonparametric test is the Kruskal Wallis (Vogt,

Gifts In The Chinese And American Culture Essay Example | Topics and Well Written Essays - 500 words - 1

Gifts In The Chinese And American Culture - Essay Example There are many things that you should know before giving a gift to a Chinese person.There are many things that you should know before giving a gift to a Chinese person.1. Unacceptable gifts in the Chinese culture. Clocks: Do not give a clock to a Chinese person because it is associated with death. It means that it will soon be time for you to die.b. Book: Do not give a book to a Chinese person because giving a book means that you are delivering a defeat.c. Umbrella: Do not give an umbrella as a gift to a Chinese person because giving it means that the family of the gift receiver is going to break up. Fans: Avoid giving a fan. US-China business solution Website states that a Chinese bride gives fans to her parents, which symbolizes that she is leaving them for her husband. Therefore a fan symbolizes separation.2. Acceptable gifts in the Chinese culture.a. Cognac. Fine whiskeys. Quality wines. Giving banquet is the most respectable gift in the Chinese workplace environment.  Transiti on: Giving gifts in China could be a sensitive issue.1. When to give in China?When you are giving a gift in China it is better to do it privately or to everyone at one time.2. Things you should know before giving a gift.a. ColorsRed and pink mean respectively good luck, wealth, happiness while white and green means death, funerals.b. MannersPresent your gift with two arms and the receiver will do the same.Transition: Now that we have discussed the gift-giving in the Chinese culture, let compare it to the American culture which is less complex.B. Appropriateness and timing are very important while giving a gift in the American workplace environment.1. TimingGifts should never be given in the following situation: a. During the process of bidding. The waiting period for contract renewals. During negotiation.Gifts could be given in the following situation: a. Special occasions (Christmas, the birth of a child, death in a family).b. Recognizing an employee  c. As a token of gratitude.2 . Unacceptable and acceptable gifts in the American workplace environment; a. cash, jewelry, and expensive gifts are unacceptable.b.bottle of wine, the gift card of small value, pen, a basket of fruit or cheese.Transition: The points I mentioned earlier cover the proper and professional ways to give and receive gifts in the Chinese and American workplace culture. Let me review them for you.

Nursing Theory Essay Example | Topics and Well Written Essays - 250 words - 3

Nursing Theory - Essay Example Tautology looks into the useless repetition of a concept in different parts of the theory that can confuse the explanation of the theory vague and can confuse the reader. While, teleology is examined by considering the extent to which consequences and causes are put different in a theory. Teleology happens when a theorist describes ideas by consequences and then initiates new ideas instead of getting the definitions of the original ideas. As this procedure continues, the theory remains vague for there is no lucid definition of the theory’s ideas (Peterson & Bredow, 2009). Moreover, diagrams are important to see the interrelationship of the ideas practically to each other before conducting research. They are essential in reviewing the strength of statistical associations between the theories ideas (p. 55). In conclusion, theory development and critique are important because they result to theories that are adequate, clear, and address the complexity and consistency of theories. Theories that are produced after the process are precise, definitive parameters and have clear boundaries of the subject matter. Theories provide nurses with the required basis to restructure and enlighten healthcare and improve the quality of care at all professional

American Dream Essay Example for Free

American Dream Essay Another prop used to represent the truth is the flowers. This makes the ending of Death of a Salesman effective because when Happy and Biff come home after leaving their dad alone in the restaurant they were meant to eat in but instead left with some girls, Happy comes home with some flowers for his mother, Linda. Linda knocks the flowers out of Happys hands out of anger. Linda starts to clean up the mess she has made then realises she has cleaned up enough of her sons messes Pick up this stuff, Im not you maid Linda says. Then the stage direction says Happy turns his back to her in refusal. Biff slowly moves over and gets down on his knees, picking up the flowers which explains another failure of the American Dream. I think this proves the difference between the two brothers and how Biff kneels indicating that he can accept the truth and knows that he cant achieve the American Dream whereas Happy is more stubborn like Willy into believing the dream so Miller intends he is destined to go in the same direction as Willy, which is another failure of the American Dream. Another failure of the American Dream is that Happy follows in his fathers footsteps after he knows what happened to him which led to his suicide which makes the ending of the play effective because this play about Willy could repeat it self but would be about Happy. Happy in a way is brainwashed into thinking that he can reach the American Dream easily because Willy said you just need to be well-liked and masculine when he was younger. Happy is trapped in his own world creating the same tragedy which has already been lived by his father Willy Loman. It also makes the ending of the play effective because Happy still believes in this dream when it might not even be real as he doesnt know anyone who has achieved it. On a materialistic basis, Willy has worked all his life to realize the American Dream but still fails to do that which makes the ending effective. Willy purchases some seeds for his garden and begins to plant them late at night which is another prop which represents the truth. I think Millers intention here was to show the audience that he is close to his suicide but realises that he needs to leave something real and living behind for his family to remember him by. We also know that Willy is close to his suicide because he is planting the seeds at the wrong time of the day, which again I think Millers target here was to give more clues to the audience that Willy was very serious about committing suicide soon. I also think that the seeds that Willy plants are symbolic in a way to another failure of the American Dream because this was Willys desire to grow big and tall ironically just like the plant eventually would. At the end of the play Willy is talking to Ben while he is planting the seeds. He talks about how big his funeral will be before he is even dead making the end of the play effective because hes dreaming about depressing things that will happen after his death for example what his funeral would be like. To be more specific how many people there would be from all over America. This is another failure of the American Dream because Willy shows that he has definitely given up on this dream that he had talked about all his life implying that he is going to kill himself. He is selling himself off and valuing himself and he acts as if he is making a business deal with himself. He also talks about how much money Biff will get and that he will be in front of Bernard again in terms of money. Bernard was their neighbour who was a clever boy and went to the same school as Biff and Happy. But back then, in the past Willy influenced his sons to just concentrate on being popular so they could accomplish the American Dream as soon as possible which is a failure of the American Dream because there is a lack of personality from both Biff and Happy. The stage directions are another significance in the play to represent the failures of the American Dream. At the very end of the play it mentions that the hard towers of the apartment buildings rise into sharp focus. I think Miller illustrates that even though Willy has now gone forever and is dead, the things that Willy hated the most will still be there and the society will move on which is a failure to achieving the American Dream because he has given up on himself and letting society win over him. In the video each time Willy went back into the past it was always set in the garden where it was bright. The contrast of colours between the clothes that were worn were the colours of the American flag. But in the past the colours were bright colours of red blue and white whereas in the present the clothes worn were more faded and dull colours. I think the costumes designers purpose here was to show the difference between the present and the past. I also think that the costume designer used bright colours in the past to illustrate that there was more hope for Biff and Happy to achieve the American Dream back then. I believe that the audience might respond to the faded colours of clothes worn in the present meaning that the clothes were old, demonstrating that the family could not afford to buy new clothes and other luxuries and this reflects a failure of the American Dream in the film. The ending of the play is effective because its a tragedy how Willy still believes in the American Dream after all he has been through and all the lies he has made up to accomplish this dream. There are many failures of the American Dream which makes the ending of Death of a Salesman effective because all these failures are revealed at the end of the play. Overall I think that Arthur Miller makes Death of a Salesman an effective ending in terms of presenting the failures of the American Dream by revealing the truth at the end of the play. The ending of the play is appropriate because it unravels all the unknowns throughout the play explaining why things happened and reasons why Willy, Biff and Happy had failed the American Dream .

Augusta and Ncwo Essay Example for Free

Augusta and Ncwo Essay This report analyses the case study about â€Å"Augusta National Golf Club and NCWO battle for admitting female membership†. Mainly, this report will examine and identify the communication traits and flaws that can be found in this case study and will provide solutions and what should be done rather than taking a stand on who is right and wrong. Therefore, all the communications between Augusta’s Chairman, Mr. Johnson, NCWO’s Chairwoman, Ms. Burk, the CEOs of Sponsor companies, the Augusta members and the media were researched and studied. Furthermore, this report mainly uses secondary data such as newspaper articles and journals to support the arguments and ideas. Moreover, the core purposes of this report is to evaluate the interactions and point out some communication management factors and flaws from this dispute, set it as an example and provide solutions to be improved in the future business communication. Main body Augusta, the private golf club Augusta is the private golf club which its culture and membership are mainly reflected on its prestige and exclusiveness. Moreover, members of Augusta join the club to satisfy mutual interests and to fulfil the social needs and the need for self-esteem such as being a part of the highly regarded golf club in the country. Because it is a private club, it holds its legal rights to choose its own members. (Peraino, 2002). Furthermore, the club clearly specified the club (team) norms (obligation, preference and prohibition) such as â€Å"members are required to sign an agreement not to speak about the club† and have to withhold the membership information to the outsiders. Saporito). Therefore, Augusta organizational control can be identified as a bureaucratic control system where the Chairman, Mr. Johnson has the ultimate power to dominate the club’s affairs. NCWO On the other hand, the NCWO’s sole purpose is to promote women rights and members join the committee to achieve security and satisfy their mutual interests. As you can see from the case, Ms. Burk, the chair of NCWO usually do the decision making for the committee. Although the decision making criteria are not formally discussed in the case or in the media (newspaper articles), we can assume that NCWO lacks the rational decision making process in groups such as orientation, discussion, decision making and implementation. Also, in his article Munching (2002) states that â€Å"she (Burk) forgot to ask herself one question: What women want to do? † which clarify the lack of communication between members of the group and its chair. The dispute The offensive approach and the vulgar feedback It can be seen in the case that without deeply analysing the situation, Ms. Burk took an offensive approach demanding and insisting on female membership, base mainly on the speech about â€Å"inclusion of women in Augusta† by Mr. Lloyd Ward. Moreover, Augusta’s Chair, Mr. Johnson also gave a vulgar feedback to this demand which sparks into a dispute of gender issue. Moreover, negative impressions between them were formed on limited information and stereotyping where Burk is seems as the trouble maker and Johnson as the rigid discriminator. Therefore, this miscommunication and poor transaction of messages led to unnecessary conflicts and egotism of the two corresponding Chairs. The Sponsors, members and Burk When the direct demand fails, Burk took the indirect persuasion and argumentation approach through the Augusta’s sponsors for its prime event, the Masters. She appealed to CEOs of sponsor companies like Citigroup, IBM, Coca-cola, Cadillac and CBS using generalisation and cause-effect relationship methods of arguments to boycott the Masters. For example, she praised their stance in gender discrimination within their firm and point out the possible public opinion in the involvement with the Masters. However, only Citigroup and Coca-cola agreed to help her and these decisions can be seen as corporate social responsibility to raise their public images. On the other hand, others remain neutral to avoid uncertainties involving in the dispute. Moreover, she turns to persuade the members of Augusta, who are highly regarded CEOs of the corporate world. However, with them she used the illegitimate methods of arguments such as appeal to the masses and â€Å"ad hominem† whereby she threatens them and their organization by claiming to reveal the membership list and the â€Å"daily anecdotes of gender discriminations in their (members’) companies†. (2005). For instance, it is noted in Peraino’s (2002) article that â€Å"she told Newsweek that â€Å"Weve already done quite a bit on the public-embarrassment front†Ã¢â‚¬ . In addition, she even tried to convince Tiger Wood not to participate in the Masters but he too was â€Å"criticized for suggesting that Augusta has a right to its exclusionary policies† (Gutner, 2002). Therefore, one can clearly see from the case study that Burk used many deductive logics and generalisations in influencing and communicating with the sponsors, the members and the players. Burk and Johnson From the start, Mr. Johnson strongly showed his assertiveness as well as his aggressiveness for his club and its membership rules. However, one can recognize the cognitive dissonances from Mr. Johnson’s feedbacks and replies where he imposed denials and unwillingness to change the traditional rules and culture. Moreover, this effect can also be found in Saporito’s article, as â€Å"he booted the Masters sponsorsCitigroup, Coca-Cola and IBMso the companies wouldnt face criticism by association† and adopted the commercial free move. In addition, Johnson and Burk took hold of some perceptual biases against each other and some of these are selective perception where both of them ignored each other’s rational reasons. Furthermore, stereotyping can clearly be seen between them where they posed each other as threats and arch enemies. Conclusion and results In conclusion, one can identify more communication flaws than the benefits in his case. This is mainly because the poor usage of appropriate communication features and the channels used to communicate, for example, Burk main communication channel with her advocates and opponents is through letters. Moreover, narcissism and egotism also got involved later in the dispute where both of the Chairs started to address and confront each other comments and feedback harshly rather than solving the dispute. (Munching, 2002). As a result, Johnson acquired victory by reasoning through generalization and analogy among private clubs and sororities claiming its legal rights to choose its own members. The dispute between Mr. Johnson (Augusta Golf Club) and Ms. Burk (NCWO) is very phenomenal in indicating miscommunications between two unfriendly organizations. As for the recommendations for this case, since the start, both parties should use more subtle and civil approaches to address the problem to each other and discuss in person how to compromise the situation. For example, Shiflett (2003) implies in his article that Augusta never meant to discriminate and it is only following its highly constructed social role as an all male-club. Moreover, they should utilize more â€Å"lateral thinking†, avoid what is right and wrong and conclude to the best possible solution. In addition, Burk should change her persuasion techniques towards more â€Å"features-benefits mix† and should drop her deductive logic on women rights and organizations. Furthermore, both of them should leave out their egotisms and stereotypical perceptions when dealing with the gender issue. On the other hand, while confronting with the members she should shows cause-effect relationships of their inaction and argues upon their specific reasoning. Munching, 2002). As for Mr. Johnson reactions, he should be more aware on the public images of the club and its members. Moreover, Augusta’s individual orientation of culture should swap with a more collective one where all stakeholders can give out their opinions. Last but not least, the channels used for communication in this case should be changed into more personal and face to face l ike personal meetings or through telephone. This was even suggested by Tiger Wood that â€Å"they’d sit down together and all would be resolved†. (Munching, 2002).