PICO Assignment Example | Topics and Well Written Essays - 1500 words

PICO - Assignment Example To ensure patient satisfaction one of the emerging areas is practice of Evidence Based Nursing. This approach helps in framing of quality decisions and provides nursing care which is determined by personal clinical experience in combination with researched knowledge acquisition on the particular aspect of care giving. The objective of Evidence Based Nursing is to provide improvement in patient health and safety ensuring patient satisfaction. The process involves collection, analysis, and appraisal and action plan as per evidence based guidelines (Melnyk, 2011). Various forms of data collection both qualitative and quantitative are in practice to understand and formulate an action plan for a specific nursing oriented approach that helps to address the clinical problem directly or indirectly. The PICOT format has gained wide recognition in this evaluation process and is routinely implemented in clinical settings. The â€Å"PICOT† abbreviation is based on Patient Population (P), Issue or Intervention associated (I), Comparison group(C), Outcome (O) and the Timeframe associated (T) (Melnyk, 2011). Evaluating questions in this format helps to unfold treatment or care issues much faster to arrive at a particular solution. Further such approach is evidenced based and helps to identify the focused need of the patient, that can be addressed through supportive healthcare. For searching the relevant evidence, the key words of PICOT question are used to find the relevant studies from Journals, web documentations, clinical guidelines and expert experiences including self experiences. The evidence that is valued the most are the case controlled randomized studies and the meta-analysis. An extensive literature search coupled with personal experiences helps to identify the localized issues which help to formulate tailor-made solutions at the local level (Melnyk, 2011). One of the issues that I have identified during my practicum experience is the process of

Aspects of intercultural communication in international business Essay

Aspects of intercultural communication in international business - Essay Example At the same time it is not easy to engage in effective international communication because of the cultural, social, political, environmental, legal and communal differences between the countries. Verbal and nonverbal communication aspects are different between countries and the organization planning for internationalization must give proper training to their employees for effectively communicating with the people of the target country. In order to analyse the importance of intercultural communication in international business this paper evaluates probable intercultural communication strategies an American company needs to adopt in China, with the help of cultural dimensions of international communications formulated by Hall, Hofstede, Trompenaars and David A Victor It is possible to communicate using the mother tongue. But, even using mother tongue, it is difficult to communicate effectively. Communication is a complex process which is associated with so many parameters. Communication occur both in verbal and nonverbal forms. In fact most of the communication occurs in nonverbal format compared to the verbal format. Body language, gestures, facial expressions etc can communicate lot of things. Fox (2004), has pointed out that even the dresses can communicate so many things about a person or culture (Fox, 2004, p.275) Cross cultural communication is an existential necessity (Wierzbicka, 1997, p.21). Especially in the current globalized era intercultural communication is necessary for international business and cultural integration. Intercultural communication is the most difficult one because such communication can lead towards misunderstanding if not controlled properly. Berger (1996) has mentioned that intercultural communication continually involves misunderstanding, misperception and misevaluation (Berger, 1996, p.72). Desire to understand and connect with the host population, self knowledge, self assurance and control,

Article Review Example | Topics and Well Written Essays - 750 words - 11

Review - Article Example riment among a small group of autistic children in different settings to analyze the results of multi-exemplar training to establish a repertoire of sharing behaviour. Evaluating the research design using the Scientific Merit Rating Scale (SMRS) the writer would assign a rating of four to this design. This rating is based on the study using a single-subject design with four subjects in total. The researchers compared control and treatment data by using a concurrent multi-probe design and baseline treatment. The research design helped in maintaining uniformity and accuracy of the response of the subjects. Each baseline and treatment trials consisted of eighteen sessions each out of which 9 sessions were teaching sessions. The verbal offers for sharing were randomly assigned to each of the participants and the offers were rotated in each session. The order of trials was also randomized the only exception being the training trials which was conducted both before as well as after a session. There was no mention of data loss of any kind in the article. Direct observation was adopted in the experiment to measure response which was done by trained observers using pencils and paper data sheets. The scoring of two observers was compared. Interobserver data was collected for all the subjects and the mean percentage was 99% across all the trials and all the subjects. Using the SMRS the researchers would rate the quality of dependent measure a five. Each verbal instruction tasks and observation were specified. The mean percentage accuracy on procedural components was 99%. Subject wise individual integrity scoring was also done. A rating of four would be given according to SMRS since the overall accuracy was above 80 and implementation accuracy as studies in at least 25% of the sessions for each participant. The four children who participated in the study were diagnosed with autism. The diagnosing was done by independent agencies. The 4 participants studied in a school

Sustainable Tourism Strategy for Romania National Park Essay

Sustainable Tourism Strategy for Romania National Park - Essay Example The strategies included dividing the park into four different zones in order to develop each and every section with greater effectiveness focusing on its unique natural feature. Furthermore, the strategy proposed by the authority to improve the Retezat National Park focused on the concept of promoting the availability of medical services, hotels and emergency rescue services among within the park in order to augment the interest of tourists to visit the tourism location. The developmental strategies proposed by the authority also included the intention to increase the scope of employment for the local people who live in the surrounding of the park. The strategies also proposed the inclusion of certain ethical and practical rules that were expected to limit the activities of the tourists up to an extent which will reduce the negative impacts on the natural assets of the Park. Thus, from an overall perspective, the strategies proposed by the authority of Romania Tourism can be observed to represent a multidimensional approach in benefitting the overall performance of the Retezat National Park. Part B Introduction The concept of sustainable tourism is apparently becoming widely accepted all over the globe. It is regarded as an attempt to minimize the impact of the environment as well as the local culture on the tourism industry of any country. Contextually, it has been observed that the main aim of sustainable tourism is to make sure that along with environment preservation, a considerable development in the tourism sector of any country can be provided which can yield maximum positive experiences for the people who decide to visit a particular country such as Romania possessing a Unique Selling Proposition (USP) of natural heritage. The concept of sustainable tourism is often argued as an important aspect that largely influenced the modern day strategies concerning the tourism industry operations. It is in this context that sustainable tourism can be effectively achieved with the development of certain strategies with the purpose of designing a positive structure of the tourism industry (Ali & Frew, 2013; Tribe, 2010; Swarbrooke, 1999). Based on the theoretical underpinning, this paper intends to discuss about the appropriateness of the strategy for one of the national park of Romania, i.e. the Retezat National Park. The paper further aims to recommend certain inputs that might be helpful in developing and executing strategies with greater accuracy yielding maximum positive results. Overview of the Romania’s National Parks and the Tourism Industry of the Country Romania is a country located in the South Eastern region of Europe. In terms of its geographic location, the country is listed as the eighth largest in the European continent. It has been observed that the country is quite well known all over the world because of its natural beauty

Delivering change (changemanagement) Essay Example | Topics and Well Written Essays - 1250 words

Delivering change (changemanagement) - Essay Example Robert (80-120) states that change management is rather delicate and has to be handled with extra care by the management if the relationships within the organisation are to remain unscathed and for the activities within the organisation to run as smoothly as they previously were. 2. Change within the organisational structure may lead to employees being laid off, others are demoted and others promoted. This leads to strained relationships within the organisation and this may eventually affect the quality of work (Dean 100-20). For successful change management to take place, effective communication strategy within the organisation has to be put in place. Communication bridges any gap among employees or even between the management and the employees (Rob and McCalman 30-45). Employees may understand change, benefits of that particular change as well as its implementation differently and without proper communication, a consensus may never be reached. Instead of the management of Stepney Health centre communicating matters concerning this change through circulation of memos and using middle managers, they should hold a meeting with all the staff members. Face to face communication is encouraged during organisational change management to handle sensitive aspects of the same in order to ensure that the correct message is communicated and understood as it should. Face to face communication is encouraged when laying off employees, demoting them or even promoting them. The Human resource department of Stepney health centre held workshops and board meetings to communicate to the staff as a group on the organisational change. The problem with most managers is that they impose change on their employees instead of fully engaging the employees during the implementation of the change. New structures within the organisation as well as

The Gospel Unhindered Research Paper Example | Topics and Well Written Essays - 1500 words

The Gospel Unhindered - Research Paper Example However, despite rebellion from the Jews, the gospel continues to be propagated throughout the world. This brings forth the very last word of Luke’s account of Acts, akolutos, which when translated means unhindered (Frank 460). Definition and Translation of Unhindered. The last word of the extant text of Luke’s Acts is akolutos which when translated means unhindered (Frank 460). This underlines the essence of Luke’s writing as evidenced in the word hinder as used on a various occasions. Philip found nothing to hinder the Ethiopian eunuch from being baptized (Acts 8:36). Moreover, in his defense for mingling with uncircumcised men, Peter stated that he would not hinder God (Acts 11:17). Therefore, the usage of the word hinder by Luke outlined the unhindered nature of the gospel. Timeless Application. Luke wrote the book of Acts at a time when the gospel was predominately acceptable among the gentiles. However, the Jews remained adamant to the gospel. It is necessa ry to note their adamancy did not hinder the gospel from being propagated to other communities. Consequently, even acts of violence from the Jewish community such as the stoning of Stephen and the expulsion of Paul from synagogues did not prevent the gospel from being propagated. As a result, the power of the gospel remains unhindered today, just as it was during the early church period. Breaking through Barriers PERSECUTION Early Church. The early church underwent immense persecution. In the inception of the propagation of the gospel, Peter and John were arrested and threatened (Bock 436). Moreover, the apostles were also imprisoned by the Sadducees (Acts 5:18). This was as a result of the Sadducees’ jealousy towards their flourishing ministry. Later on, Stephen became the first martyr of the early church as he was murdered for defending the gospel. Stephen’s death resulted in the scattering of the early church as the disciples fled from Saul to the Diaspora. However, Saul was eventually converted into a preacher of the gospel. Nevertheless, just like the other Christians, he also underwent numerous persecutions in the ministry (Paul 323). Present Day. The church still undergoes persecution even in the modern day as evidenced in the prohibition of Christianity in various countries (Soci?as 133). For instance, in North Korea, practicing and propagation of Christianity could be tantamount to gross persecution from the authorities. Persecution occurs in the form of violence, imprisonment and in extreme cases, death. Therefore, persecution of the church still occurs even in the modern day. However, it is highly prevalent among the Muslim, Asian, Chinese, Korean and Indian communities. As a result, Christians from these countries have been forced to flee to other Christian-friendly countries. Therefore, despite being in a modern world of civilization and freedom of religion, the church still receives immense persecution from the anti-Christian commun ities. ETHNIC AND CULTURAL PREJUDICE Philip and the Ethiopian Eunuch. The Spirit of the Lord leads Philip to an esteemed person in the Ethiopian government. The eunuch was in charge of treasury in the land of Egypt (Acts 8:26). Nevertheless, he was not an Israelite. Thus, according to the Jewish culture, he did not qualify to be part of the Jewish family. This is because he was unclean and uncircumcised. However, despite his inadequacies, Philip reaches out to the eunuch and preaches to him. This is further evidenced when they come across a river and

I declare that I have wholly undertaken the study reported herein under supervision Essay Example for Free

I declare that I have wholly undertaken the study reported herein under supervision Essay The Lord has been faithful in granting me the strength, wisdom, knowledge and the courage needed throughout the period of study. My sincerest appreciation goes to my supervisor, MR. MICHAEL NKONYAA for his guidance and constructive criticism through the preparation of the work. He is largely responsible for the success of this work and I am very much grateful. To my husband Solomon Kweku, to my colleagues in MBA Finance 2012/2013 in whose company I stayed and formed my thoughts I say God richly bless you for the fellowship and love we shared. To the Staff and Management of Growth Capital Microfinance, wish to express my sincere gratitude to you for your support and co-operation. Finally, I wish to thank all authors of various research works and articles I made use of in writing of this work, indeed, your research works and articles have served as major sources of literature and knowledge. ABSTRACT This study examined effects of microfinance on small and medium enterprises in the Accra Metropolis, in the Greater Accra Region. .The population of the study comprised clients and staff of Micro finance Institutions (MIF). A sample of 60 clients and eight staff was used for data collection. Two interview guides were used separately to collect data from staff and clients. The return rate of data collection was 8(100%) for staff and 55(91.7%) for clients. Data collected was analysed manually and electronically. The statistical product and service solution (SPSS) was used for the electronic analysis in which descriptive statistical tools were used for data presentation and discussion. Results of the study indicated that microfinance s impacted positively on the social and economic lives of SMEs operators. The research also indicates that MFIs have had a positive effect on the growth of SMEs. Some of the critical contributions of MFIs include; greater access to credit, savings enhancement and provision of business, financial and managerial training. Irrespective of the contributions of MFIs to SMEs, there are challenges that affect their operations of both SMEs and MFIs. The major challenge faced by SMEs is the cumbersome process associated with accessing credit of which collateral security and high interest rate are major setback. The MFIs on the other hand, face some challenges relating to credit misappropriation and non-disclosure of the relevant facts of their businesses. In the final analysis, the research clearly reveals that MFIs have a positive effect on the growth SMEs. In other to enhance a sustained and accelerated growth in the operations of SMEs credits should be client-oriented and not product- oriented. Recommendations were made to MFIs, Specifically, MFI was asked to put in measures that could help reduce interest rates, train operators of SMEs on proper business practices Proper, extensive monitoring activities should be provided for clients who are granted loans and SMEs were asked to adopt effective bookkeeping modalities.