Health care management Essay Example | Topics and Well Written Essays - 1250 words

Health care management - Essay Example This paper explores how this new role would affect my personal life, and identifies a number of possible ward problems and possible approaches for tacking these problems are suggested. These include expectations from the team that I should do more hands on work, instead of planning; the problem of interpersonal conflicts, e.g. between nursing and administration teams, and complexity compression. One problem case in particular, that of an underperforming nurse colleague, is examined in more detail using the control (ie checking and quality control) management process. The first challenge that will face me upon taking up this responsible position will be the need for me to make personal adjustments to the new role. It is not easy to suddenly become a person who is held responsible for others in a team, and I anticipate both a high workload and an increase in stress caused by the fact that I will encounter new issues that I have not had to deal with before. It will make sense for me to scale down family and free time commitments as far as possible for the first few months so that I can keep focussed on the job. It would be a good idea to plan a specially rewarding holiday for my first leave period a few months down the line. The transition into the nurse manager role is difficult if one attempts it alone, and yet discussing personal worries or problems with members of the ward team would not help them to trust my judgement. It has been suggested (Belcher, 2006) that it is a good idea for new managers to actively seek out a mentor figure who is not in the same immediate area of work, but who knows the organization and the general demands of the role. This author suggests locating someone with good chemistry, clarifying what the mentor is expected to do, and using that mentor to find out all the ins and outs of the larger organization, including shortcuts to the people who hold key information or who have power in particular areas (Belcher, p. 150-151).

Child Gas-lift chair product Operator's Manual and Maintenance Assignment

Child Gas-lift chair product Operator's Manual and Maintenance Instruction - Assignment Example A gas-lift chair is meant for disabled children or those that have been bound to a chair for life. It is simplified in a way that the child is able to understand and remember the function of every feature on the chair comfortably. Implementing gas lift chair safety measures is not only important to the child but also to the manufacture. It is important for a child to know that Child Gas-lift Chair Company is not responsible of any damage or injury to child on the chair if; the damage occurred during transportation, since the chair is not meant for transport, as a result of wear and tear or due to fixation of fake accessories. All this can only be settled and avoided by following all the safety measures provided by the Child Gas-lift Chair Company (User manual, 2008). It may seem unnecessary but the child should ensure safety even on delivery and when unpacking the gas chair. This is because even as new as it may look it might be damage, posing a danger to the child if unnoticed. If the chair is damaged, the child should inform Child Gas-lift Company to either replace it or repair it (Burke, 2012). On the chair there two main features the child should consider the lever and the brake. The lever, which is usually below the seat, will help the child adjust the seats height by pulling it upwards. In case the child wishes to lower the seat, pulling the lever upwards will allow outflow of gas to a separate reservoir above the piston, effectively lowering the gas pressure below the piston and the seat goes down. To raise the seat the child need to get off the chair to allow in flow of air. The child should also understand that gas lift chairs are not meant for transport and should not be used in place of a wheel chair. In fact the child should not be on the chair during transportation. The other most important thing of all is that the child needs to know the maximum weight limit of the chair above

The Concept Of Global Governance

The Concept Of Global Governance This essay seeks to examine how the concept of global governance as has become a key issue in solving global problems. The essay will start by introducing the concepts of global governance using different readings, lectures, Journals and my personal view regarding the issue. The first section of the essay will illustrate the need of global governance as required for global solution, and the second section will examine some criticism/challenges on implementation of global governance. Finally, the author will draw a conclusion based on review findings. The concept of global governance has become a controversial idea in academic and international world today. For the last two decades the notion was mainly focus on political theory overview, however, the meaning has become broader and it includes further disciplines. Pattberg and Dingwerth (2006:188) accept that, the meaning of global governance stems mainly from the fact that the concept is evoked not only where governance in the sense in which it has been introduced in political theory is at issue, but also in a variety of further contexts. In this regards, it evaluates that the idea of global governance it relevant link with highly political processes, focused on accountability, legitimacy authority, democracy, though which increasing of market liberalisation and poverty reduction programmes can be addressed as global issue. In addition Pattberg and Dingwerth (2006:187) state that, global governance perspective can be defined in two major part namely normative and analytical uses. Normative use, is explained as political programme, global governance is not so much an empirical or analytical term as it is political concept that capture a vision of how societies should address the most pressing global problem. The above definition emphasise that, global governance as political programme does not provide the consideration on the different extending problem it focus on political struggle, social transformation, democracy, power and rule of law. At this point in time global governance is still more vision than description of actual state of the international state (ibid.2006:194). On the other hand, analytical uses (observable phenomenon) level of implementation and pursuit of goals is very crucial for the process of global governance, Global governance is conceived to include system of rule at all levels of human activity from the family to the international organisation. (ibid.2006:189) In generally, this perspective insists that, the level of implementation of global governance is very essential and can be determined from family to international level. Hence, the term global does not directly mean only global in nature, but also the need to emphasize solving problems in state, regional and international levels is very necessary. In generally, Global governance is understood as the way of solving globally problems. Most literatures describe this concept as a process of finding the solution to existing problems globally. Whitman (2009:8) argues that, global governance suffices to outline the scope of global governance as an activity: Efforts to bring more orderly and reliability to social and political issues that are beyond the capacity of states to address individually. The above definition it evaluates that, the notion of global governance is an instrument or tools which is based on facing of emerging global problems, hence individual states may not alone solve the existing or emerging humanitarian and political problems. Different with above scholars, many writes explain that, global governance is a process which is less integrated with global solution. Murphy. (2000: 791) accepts that, global governance widely accepted, instance of the moral insufficiency of contemporary global governance. This situation evaluate that, global governance demonstrating that, the process is insufficient to provide global solution due to exiting international institutional fail to take an immediate responds on humanitarian crisis. Example the 1994 Rwanda genocide, UN had enforced the Tusi military stopped massacre at early stage. Furthermore, global governance has less correlation with globalisation process, hence; it has extended the gap on democratic procedure and economic interactions and balance of power between poor and rich countries. Murphy. (2000:791). global-level governance is less concerned with globalisations undermining of substantive democracy and more concerned with the consequences of an unregulated world. Therefore, it analysis that, the process of globalisation is undermine democratic procedure at national level at same time global governance is not effective in address national level issue. In my view, I agree with Halabis view (2004:23) that global governance is an attempt to manipulate the forces of globalisation, mitigate globalisations negative effects due to globalisation is the is an exogenously given factor that does not automatically lead to global governance in the same way that anarchy in the international system does not necessary lead to cooperation among state.(ibid; 23).Therefore the existing globally problem namely, international crime, and environmental changes, HIV/Aids and adaptive mutation, international migrations, all these problems requires global rules and global actors. Hence the successful of this process needs correlation from different actors. Whitman (2009:12) accepts that, different actors states most prominently; international law and organisation; regional organisations; the scientific and medical communities; and non-governmental and commercial organisation. Conversely, peoples participation from different levels is very is very crucial i n order to solve social, economic and political problem, in pursuing globally development. Why the need for Global Governance: As it mentioned above the meaning of global governance has become broader. Global governance can accelerates the pace of process of globalisation by using international institutions link with social economic and political field. Halabi (2004:24) agreed that, global governance is an attempt to administer globalization and resolve dispute between states so that developing as well as developed countries can purse wealth under constructed structure of their own choice. In this regards, it is argue that, the existing internationally problems needs globally interferences rather than individual state action, in different level Individual states can empower the international actors to address the existing challenges. Indeed, Whitman (2009:1) accepts that HIV/AIDS pandemic; climate change; criminal and terrorist network and nuclear weapons these are regarding as global crises which require global attention rather individual states. Since 1980s the concept of global environmental and climate changes is considered as one among the policy of global governance, due to its effects and challenges resulting from on it. In addition Halabi (2004:24) argue that, environmental changes such as global warming have occurred as a result of excessive utilization of resources and pollution. In this regards, global environmental change has been the result of technological and industrial developments which poses threat to leaves world. In other words, the effects of climate change is increasing the destruction of productive area, and causing and hazards around the world by increasing carbon dioxide, emission of sea production and other natural resources. As a tool and instrument, global governance it enhances representativeness of political processes, regulations and accountability by different actors like UN (United Nations) Human Right Institutions, ICC (international Court of Criminal) Security Council and civil society by monitoring and evaluating international security, and fighting different crimes international crime such as terrorism , and development nuclear weapons and sale of small arms which have led to increased is conflicts, genocide and other effects in different part of the world. As Mehta(2007:01) point out, the world security situation is more dangerous now that during the cold war, there are continuous violence in Iraq, and Afghanistan, tension of looming attack on Iran and terrorist organisation acquiring nuclear weapons. In other word, without security council and UN to impose global rule which will governed and save the people especially vulnerable and innocent and group including women and children. Consequentl y, will be devastating also both developing and developed countries continue to spend more budgets in military rather then in social and development programmes which has negative consequences in society. Global Governance is needed to reverse these trends. Many writers have argued that global trade is one area in which a global solution is needed. At currently, the main regulator of international trade World Trade Organisation (WTO). However, this institution is being criticized for favouring the developed world and rather discriminating against developing countries in terms of its policies and practices such as subsidies and fair trade in the global market. Whitman(2009:2) notes that, global trade is regulated by international and agreements, most notably the WTO, these regulations are problematic in practical ways and are a certainly highly contentious in political terms, but trade is a dynamic features of way of life, not problem that can be solved. As a matter of fact, there is a big gap between developing countries and industrial countries which constrains trade between them. Developing countries are still facing implementation problems of the regulations including high tariffs, productivity, and production function and income dis tribution. Challenges: This essay has assessed the need for global governance to find out why should now we speak of global solution in international political economy field. Global governance as process linking with globalisation, it speed up solving globally problem, international regulation of laws and enhance development around the world, It is still is debatable process, relation of development particular in developing countries However, it is still is a debatable process, particularly in relation to development in developing countries. There are different challenges which are facing the process and practice of global governance. These challenges are: Firstly, the main challenge is domination of actors in implementation of this process. It is still confusing and it is believed that, the concept global means only dominants of powerful actors like G8 and G20. According to Mehta, (2007:4), the G8 (France, United Kingdom, Germany, USA, Japan, Italy, Canada and Russian), initially concentrating on economic matters are now in a sense representative of world community, and yet playing a powerful role in guiding the response to international challenges. This indicates that, in economic point of view, G8 as the powerful act as one institution regulates and guide world economic procedures. Hence the correlation between global governance and the poor and rich countries is to large extent, less comprehensible due to existing hierarchy of dominant and subordinate states. On the hand, the existence of unilateral power is one among the constraints for implementing global governance. The question is global governance, of, by and for whom? Whitman, (2009; 1). The unilateral mode is being led by powerful States only Besides including Security Council solution. Mehta (2007:3) state that, The US, under the guise of finding weapons of mass destruction (WMD) in Iraq, led a unilateral invasion on the country without an explicit security Council authority Conclusion To sum up, this paper has argued that, there is the need for global solution as perspective of international relation discipline, from a certain point of view, the existing situation of the global solving problem it remain is unsatisfactory to provide the clear picture of the meaning of global governance. Hence there is further need for international agencies and individual states to take purposeful actions to generate responsiveness on informing the meaning of global governance and how it can be implemented. Not only that changing of mind of people, states, civil societies and other actors about the fact that existing international problems can only be solved by global institutions it is also important to recognise that no individual or state can solve its problems entirely without interaction between different partners. Also, the essay has established that the practice of the processes of global governance today has biases between the dominant and subordinate states in different areas such as international trade, security, and finance, and democracy; hence the urgent need for all actors to work together in order to reduce challenges which hinder implementation of global governance processes. Furthermore, there is the need to the global community to minimize if not completely subdue unilateral rule in the implementation of global governance, processes since this rather creates physical and structural violence resulting in negative effects on vulnerable groups, including women and children. Finally, there is the urgent tasks of international agencies including ILO, World Bank, IMF, WTO, UN, civil societies, and individual states to work in a coordinated manner to help developing countries meet all the MDGs goals and ensure peace, protection for human rights and reduction of climate change impacts at national, regional and international levels Global governance thus have an important role in ensuring this happen in addition to creating a peaceful nuclear free global community.

Growth Dynamics Of E. Coli In Varying Concentrations Of Nutrient Broth :: essays research papers

Growth Dynamics of E. coli in Varying Concentrations of Nutrient Broths, pH, and in the Presence of an Antibiotic Abstract The purpose in this experiment of growth dynamics of E. coli in varying media was to determine which media produces the maximum number of cells per unit time. First a control was established for E. coli in a 1.0x nutrient broth. This was used to compare the growth in the experimental media of 0.5x and 2.0x, nutrient broths; nutrient broths with an additional 5.0mM of glucose and another with 5.0mM lactose; nutrient broths of varying pH levels: 6.0, 7.0, and 8.0; and finally a nutrient broth in the presence of the drug/antibiotic chloramphenicol. A variety of OD readings were taken and calculations made to determine the number of cells present after a given time. Then two graphs were plotted, Number of cells per unit volume versus Time in minutes and Log of the number of cells per unit volume versus Time growth curve. The final cell concentration for the control was 619,500 cells/mL. Four media, after calculations, produced fewer cells than that of the control, these were: Chloramphenicol producing 89,3 01 cells/ml; glucose producing 411,951 cells/mL; lactose producing 477,441 cells/mL and finally pH 6.0 producing 579,557cells/mL. The remaining four media, after calculations, produced cell counts greater than the control: 2X with 1,087,009 cells/mL; 0.5X with 2,205,026 cells/mL; pH 8 with 3,583,750 cells/mL and finally pH 7.0 with 8,090,325 cells/mL. From these results the conclusion can be made that the environment is a controlling factor in the growth dynamics of E. coli. This was found through the regulation of pH and nutrient concentrations. In the presence of the drug/antibiotic, chloramphenicol, cell growth was minimal. Introduction E. coli grows and divides through asexual reproduction. Growth will continue until all nutrients are depleted and the wastes rise to a toxic level. This is demonstrated by the Log of the number of cells per unit volume versus Time growth curve. This growth curve consists of four phases: Lag, Exponential, Stationary, and finally Death. During the Lag phase there is little increase in the number of cells. Rather, during this phase cells increase in size by transporting nutrients inside the cell from the medium preparing for reproduction and synthesizing DNA and various enzymes needed for cell division. In the Exponential phase, also called the log growth phase, bacterial cell division begins. The number of cells increases as an exponential function of time. The third phase, Stationary, is where the culture has reached a phase during which there is no net increase in the number of cells. During the

Ratio Analysis of Next Plc

Business Accounts – Assignment I Introduction Next plc is a retailer founded 1864 in the United Kingdom, that not only sells men’s, women’s and children’s wear but also has a home ware department. Their clothes wear are stylish but affordable. Throughout the United Kingdom and Ireland there are over 550 Next stores plus 50 franchises operating in Asia, Europe and The Middle East. This report will analyse and outline the company’s profitability, liquidity, solvency and investment potentials based on 15 ratios.All information is taken from the Next plc 2011 statement. Profitability and Performance The gross profit ratio indicates that Next plc was able to maintain their gross profit. It has decreased insignificantly by 0. 05%. In 2011 the revenue has increased by roughly 47 Million, hence the sales of costs increased proportionally to this. The reason for the increase could be either an introduction of a higher priced product line or merely a purchase of more goods. One reason could be that due to higher demands they had to stock up their inventories.This ratio indicates that the company was able to sustain the same level of costs in year 2011, but also that the trading department successfully negotiated better prices with suppliers. The operating margin has experienced an increase in numbers from 15. 55% to 16. 64%. It seems that Next plc found a way to control their costs more efficiently. On the income statement one can see that the administration costs and distribution costs have reduced. This could be due to cuts in wages or rent. In general, however, it can be said that Next plc improved their cost accounting.This could be an explanation for the increase in the operating margin ratio. The asset turnover ratio has fallen slightly by 0. 05. A reason for this could be slightly higher investments in fixed assets like plant or equipment. All in all though, they have managed to maintain leveraging their assets, but in future the y should try to use their existing assets more effectively. One can see that the return on capital employed ratio has experienced a growth of 3. 28%. Just as for the operating margin, a possible reason for this could be major cuts in administration expenses and distribution costs.This ratio indicates that the company has increased its efficiency at creating profits out of the money they have invested in and basically proves that Next plc knows how to use their funds successfully and control their costs effectively. In general, these ratios indicate that the profitability and performance of Next plc is very positive. Liquidity and Efficiency Liquidity ratios indicate how efficiently a company can pay off its short-term and long-term obligations. The inventory days have increased by 8 days. This shows that they keep hold of their stock for a longer period of time.It seems that the demand for their products has decreased. Trade receivables have increased by 2 days, which means that Nex t plc receives money from their customers slightly later than in year 2010. A possible reason for this is a general rise in unemployment and hence â€Å"limited growths of consumer credit† (Next Plc, 2011). However, receiving money from their customers later than before, the company has managed to pay back their creditors faster in 2011 than in 2010 (trade payable days have decreased by 2 days). This is likely to prove a higher efficiency of balancing costs and revenues on the company’s part.In a wider context approximately 80 days are a relatively long time to repay credits. This could on the one hand demonstrate the creditors’ trust in Next plc and their ability to pay back, but it is also possible that the company simply struggles to pay back credits any earlier. In this case though the trade payable days are probably high due to good negotiations of the purchase department with their suppliers. This assumption is based on the fact that Next Plc has a high am ount of cash. The current and quick ratios have slightly fallen.The current ratio is still above 1, meaning the company does not have any problems meeting their short-term obligations. A reason for this slight decline could be that there has been an increase in their short-term debt. In this case their current liabilities did actually increase. As long as the current ratio, which takes inventories into account, is higher than 1, they do not experience any problems repaying their short-term liabilities. However, the quick ratio is smaller than 1 and has marginally decreased in 2011. Due to this Next Plc might have problems paying off their short-term liabilities if sales decreases in the next years.In general though, they seem to have a rather good ability to generate cash and pay off their obligations. Solvency The gearing ratio seems to be immensely high. This could be due their major savings. It seems that they are buying their own shares back perhaps in order to save up for proje cts like reorganisations or investments. It has decreased by half from 2010 to 2011 probably because they reduced their non-current liabilities. High gearing is supposed to be risky and also results in paying higher interests. Their interest cover has risen by 2, possibly due to the fact that the interest figure has fallen by 1.This means they can pay off their interest roughly three times more than in the previous year. A possible reason for this could be a decline in interest. In general, Next’s interest payments seem to be very safe. They are generating enough revenues to meet interest expenses. Investors Ratios Investor ratios are usually used by investors in order to examine if it is worth investing their money in a company. They monitor these figures over years in order to make a â€Å"right† decision. The earnings per share ratio has increased from 188. 5p to 221. 9p.The reason for this is that the profit after tax has increased in 2011 and the number of ordinar y shares declined by 33. 4. This obliviously results in the earning per share being higher. A reason for the decline in numbers of ordinary shares could be that Next Plc bought back shares. The dividend yield has experienced a growth by 0. 46. This means that investors receive more money than in year 2010. A reason for this is that the current market has not changed over two years, the price remained stable. In 2011 the dividend cover has fallen slightly by 0. 26.A possible reason could be that they have decided to increase the dividends per share in relation to profit after tax. The price/earning ratio has experienced a decline by 0. 021. This shows that in 2011 investors receive their money back slightly quicker compared to 2010. This could be due the decline in numbers of shares; meaning Next Plc could afford to give out dividends faster. Economical position Debenhams plc is one of Next’s main competitors. It can be insightful to examine the economical state of relevant co mpetitors in order to judge a company’s success. Debenhams’ ROCE-ratio shows extremely lower figures than Next Plc. 010 the ROCE was 13. 94% and 2011 12. 34%. First of all, one can see that it has decreased in 2011 and compared to Next plc it is roughly 45% lower in both years. It is crucial to note here that Next plc increased their ROCE whereas Debenhams Plc’s decreased. This shows that Next plc is extremely more efficient in creating profits out of the money they have invested in. Based on the current ratio one can say that Debenhams plc would be struggling to pay off their short-term obligations since it is less than 1 whereas Next Plc would have no problems since theirs is above 1.The interest cover is also much lower compared to Next plc. However, Debenhams plc’s interest cover has increased by circa 3% it is still 17% lower than Next Plc’s. This indicates that Next plc either has greater profits or Debenhams plc has higher interests. All in all, it seems that Next plc was not badly affected by the recession compared to Debenhams plc. Conclusion In conclusion, it can be said that Next plc successfully managed to maintain and even reduce their costs and maximise their profit especially thanks to Next Directory, which has increased by 7. 1%.Although the economical environment is rather weak they could yet overcome these obstacles and make a profitable year in 2010 and even increase their profit in 2011. The general economic situation is likely to suffer from the worldwide consequences of the financial crisis as well as the European Euro crisis in particular. This means that Next plc has to find a way to become more competitive so as to maintain their high profits. For instance, they could invest in marketing to attract more customers and hence increase and sustain sales. The only ratio that they might have to worry slightly about is the quick ratio.But as long as they keep their sales up the current ratio does not seem to be any problem at all. All in all, most of the ratios indicate that Next plc is overall a successful growth company. They proved its competitiveness despite the economical decline in retail and in the consumer price index, which has decreased to 4. 2% from 5. 2%. Especially, when comparing Next plc to its main competitor one can see that they successfully kept their sales up. Generally, the ratios indicate that Next plc has a relatively strong and stable economic success, while controlling their costs effectively.All ratios, especially the dividend yield, prove that the company is a highly profitable company to invest in. Reference List http://www. bbc. co. uk/news/business-15344297 https://fame2. bvdep. com/version-2012113/Report. serv? _CID=63&context=2A6M7EI864H8BPQ&SeqNr=0 http://www. nextplc. co. uk/~/media/Files/N/Next-PLC/pdfs/reports-and-results/2010/2011-03-24a. pdf http://www. nextplc. co. uk/about-next/our-history. aspx http://www. nextplc. co. uk/about-next/business-ove rview. aspx http://www. retaileconomics. co. uk/outlook-for-the-uk-retail-sector-q3-2011/

Differences and Similarities between Respiration and Photosynthesis Essay

Cellular RespirationPhotosynthesis OrganellesMitochondriaChloroplast Organelle StructuresThe double-membraned mitochondrion can be loosely described as a large wrinkled bag packed inside of a smaller, unwrinkled bag. The two membranes create distinct compartments within the organelle, and are themselves very different in structure and in function.Two membranes contain and protect the inner parts of the chloroplast. The stroma is an area inside of the chloroplast where reactions occur and starches (sugars) are created. One thylakoid stack is called a granum. The thylakoids have chlorophyll molecules on their surface. That chlorophyll uses sunlight to create sugars. The stacks of sacs are connected by stromal lamellae. The lamellae act like the skeleton of the chloroplast, keeping all of the sacs a safe distance from each other and maximizing the efficiency of the organelle. Stages InvolvedGlycolysis, the Krebs Cycle, Electron Transport ChainPhotoexcitation, photolysis, photophosphorylation ReactantsOxygen and GlucoseCarbon Dioxide and Water