Arthur Eisenberg and Cap Pannell

Arthur Eisenberg and Cap Pannell seemed to have the perfect partnership. They achieved huge success due to their individual skills. They created a successful firm called Eisenberg/Pannell/St. George. Sales began to soar; revenues rose 50 % in 2 years, pushing the two million dollars mark; a national magazine praised their work. However beside the scene resentment was building between Arthur & Cap. The two partners had never really discussed what each wanted from their business venture. Arthur was dedicated to his work on the other hand Cap was pretty much family centered. Arthur wanted Cap to work all night long. But Arthur refused as he had a baby. Cap and his wife started coming office with their baby Ben. This incident make Arthur furious but he didn’t discuss it with them instead he complained to other employees. The crisis occurred when cap and his wife return from a vacation. Arthur asked them into his office and told them that he would like to discontinue the relationship. Cap left the office in silence and collected his belonging. Cap still bitter, says , â€Å"The business always did well. I don’t even know the real reason we split up. I really can’t forgive him right now in my heart. † For this part, Arthur insists, â€Å" If Cap & I were at a party, we would shake hands, and talk about old times†¦.. I think Cap was as unhappy I was. He probably out of the situation, too†¦ I wish I knew what he felt. † The communication barriers that Arthur Eisenberg & Cap Pannell faces in this situation are such as difference in perception, differing emotional states, lack of commitment etc. When they were working together the communication barriers that we are talking about wasn’t there but after pending some time they realized that they had different ideas about themselves. They were totally different from each other & that’s where the communication problem occurred. Arthur was a work loving person. He always committed to work for the organization. On the other hand, Cap Pannell was more family-centered person who had to give enough time to his family. He wasn’t ready to sacrifice his time with his family members due to excessive work load. Family comes first to him. The two guys have different perception about their work. So clearly there is a communication gap between Arthur & Cap.  We also have noticed that they both have different emotion towards their family members as well. Cap possess more emotion towards his family than Arthur. He had wife & a baby. So of course he will be more family centered. On the other hand, Arthur was more work oriented person. Difference in this can create communication between the two. Lack of commitment showed by Cap is also responsible for creating communication gap. As Cap refused to work longer hours at night as well as taking frequent business tours, Arthur was very anger towards Cap. He showed his anger not to Cap but other employees of the company. Arthur was so committed to his work while Cap wasn’t. that’s where the communication gap had actually occurred. There were so many differences between the two people that had created a problem resulting communication problem. Even they don’t discuss what they were going to achieve from doing business together, what were they expecting from each other & so on so. Unless they discuss this sort of things they were always in trouble & that has happened. We have some suggestion about overcoming communication between the two. Perception cannot be changed, but they can set aside their individual perception when they come to work. They should understand each other better if they set themselves in each other’s position. Personal life is important but that should not be mixed with professional life. Personal life is different from professional life & we should build ourselves in such a way that has a firm balance between our personal life & professional life. As we see from Cap’s perspectives, we should always be committed to our work which Cap wasn’t. Communication barriers will no longer present if we compromise as much as possible when we are working together, meaning we have to sacrifice something in order to achieve something. Arthur & Cap should communicate with each other in order to achieve certain objectives which they had & try to minimize the difference between them. The best option could be know what they are expecting from each other that will make them understand each other better when they are communicating. They have to avoid those things which create misunderstanding & have a different in point of view.

Evidence based practice Essay

INTRODUCTION: Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables health practitioners of all varieties to address healthcare questions with an evaluative and qualitative approach. EBP allows the practitioner to assess current and past research, clinical guidelines, and other information resources in order to identify relevant literature while differentiating between high-quality and low-quality findings. UNIT BACKGROUND: Evidence based practices was founded by Dr.Ardice Cochrane , a British epidemiologist.Cochrane was a strong proponent using evidence from randomized clinical trials because he believed that this was the strongest evidence on which clinical practice division is to be based.Evidence based health care practices are available for a number of conditions such as asthma,smoking cessation,heart failure and others.However these practices are not be implemented in care delivery and variation of practices[CMS,2008;Institute of medicine ,2001].Recent findings in the united states and Netherlands suggest that 30% to 40 % of patients are not receiving evidence based care,and 20% to30% of patients are receiving unneeded or potentially harmful care. DEFINITION: The most common definition of Evidence-Based Practice (EBP) is from Dr. David Sackett. EBP is â€Å"the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.† (Sackett D, 1996) Muir Gray suggests that evidence based health care is: â€Å"an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits the patient best†(Muir Gray, 1997) PURPOSES 1. Evidence based practice is an approach which tries to specify the way in which professionals or other decision mkers should make decisions by identifying such evidence that there may be for a practice and rating it according to how scientifically sound it may be. 2. Its goal is to eliminate unsound or excessively risky practices in favour of those that have better outcomes. 3. Evidence based practices has contributed a lot towards better patient outcomes. 4. The ultimate goal of evidenced based nursing is to provide the highest quality and most cost-efficient nursing care possible. 5. The purpose of evidence based practice in nursing is mainly to improve the quality of nursing care. For example: If you are caring for a child who was in a motor vehicle accident and sustained a severe head injury, would you want to know and use the effective ,empirically supported treatment established from randomized controlled trials to decrease his or her intracranial pressure? If the answer is â€Å"yesâ€Å",the empirical evidences are essentially very important in most of the clinical decision-making situations. The goal of EBP is the integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver values to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve. Conceptually, the trilateral principles forming the bases for EBP can be represented through a simple figure: STEPS OF EVIDENCED BASED PRACTICE : Evidence based practice process involves 5 steps as: 1. Formulating a clear question based on a clinical problem  2. Literture review to search for the best available evidences 3. Evaluating and analyzing the strengths and weaknessof that evidence in terms of validity and genelisability 4. Implementing useful findings in clinical practice based lon valid evidence 5. Evaluating efficacy and performance of evidences through a process of self reflection , audit, or peer aseessment 1.Formulating a clear question based on a clinical problem:[ ASK the question ] The first step is to formulate a clear question based on clinical problems.Ideas come from different sources but are categorized in  two areas: Problem focused triggers and Knowledgee focused triggers. Problem focused triggers are identified by healthcare staff through quality improvement,risk surveillance,benchmarking data,financial data, or recurrent clinical problems.Problem focused triggers could be clinical problems,or risk management issues. Example:Increased incidence of deep vein thrombosis and pulmonary emboli in trauma and neurosurgical patients.Diagnosis and proper treatment of a DVT is a very important task for health care professionals and is meant to prevent pulmonary embolism.This is an example of an important re tht more research can be conducted to add into evidence –based practice. Knowledge focused triggers are created when health care staff read research, listen to scientific papers at research conferences.Knowledge based triggers could be new research findings that further enhance nursing ,or new practice guidelines. Example: Pain management .,prevention of skin breakdown , assessing placement of nasogastric tubes, and use of saline to maintain patency of arterial lines. When selecting a question ,nurses should formulate questions that are likely to gain support from people within the organization.The priority of the question should be considered as well as the sevearity of the problem.Nurses should consider whether the topic would apply to many or few clinical areas.Also,the availability of the solid evidence should be considered.This will increase the staff willingness to implement into nursing practice. When forming a clinical question the following should be considered:the disorder or disease of the patient, the intervention or finding being reviewed, possibly a comparison intervention and the outcome.An acronym used to remember this is called the PICO model.: P-Who is the patient population? I-What is the potential intervention or area of interest? C-Is there a a comparison intervention or control group? O-What is the desired outcome? 2.Literature review to search for the best available evidence :[ ACQUIRE the evidence ] Once the topic is selected ,the research relevant to the topic must be reviewed . It is important that clinical studies , integrative literature reviewes , meta analysis, and well known and reliable existing evidence based practices guidelines are accessed in the literature retrieval process .The article can be loaded with optionated nd or biased statements that would clearly taint the findings, thus lowering the credibility and quality of article.Time management is crucial to information retrieval.To maintain high standards for evidence based practice implementation, education in research review is necessary to distinguish good research from poorly conducted research.it is important to review the current materials.Once the literature is located, it is helpful to classify the articles either conceptual or data-based.Before reading and critiquing the research ,it is useful to read theoretical and clinical articles to have a broad view of the nature of the topic and related concepts , and to then review existing evidence based practice guidelines. 3. Evaluating and analyzing the strengths and weakness of that evidence in terms of validity and generalisability: [APPRAISE the evidence] Use of rating systems to determine the quality of the research is crucial to the development of evidence based practice. Once you have found some potentially useful evidence it must be critically appraised to determine its validity and find out whether it will indeed answer your question. When appraising the evidence the main questions to ask, therefore, are: Can the evidence (e.g. the results of the research study) be trusted? What does the evidence mean? Does this answer my question? Is it relevant to my practice? Different appraisal and interpreting skills must be used depending on the kind of evidence being considered. Additionally, guidance and training on appraising different types of evidence are available from some of the websites listed on the Useful Internet Resources. 4.Implimenting useful findings in clinical practice based on valid evidence :Evidence is used alongside clinical expertise and the patient’s perspectives to plan care:[ APPLY:talk with the patient ] After determining the internal and external validity of the study ,a decisions is arrived at whether the information gathered does apply to your initial question.It is important to address questions related to diagnosis ,therpy ,harm, and prognosis. Once you have concluded that the evidence is of sound quality, you will need to draw on your own expertise, experience and knowledge of your unique patient and clinical setting. This will help you to decide whether the evidence should be incorporated into your clinical practice. You must consider both the benefits and risks of implementing the change, as well as the benefits and risks of excluding any alternatives. This decision should be made in collaboration with your patient, and in consultation with your manager or multidisciplinary team where appropriate.The information gathered should be interpreted according to many criteria and should always be shared with other nurses . 5.Evaluating efficacy and performance of evidences through a process of self reflection ,audit , or peer assessment: [self-evaluation ] Finally after implementation of the useful findings for the clinical practices;efficacy and performance is evaluated through process of self reflection ,internal or external audit or peer assessment.Part of the evaluation process involves following upto determine if your actions or decisions achieved the desired outcome. The Steps in the EBP Process: ASSESS the patient 1. Start with the patient — a clinical problem or question arises from the care of the patient ASK the question 2. Construct a well built clinical question derived from the case ACQUIRE the evidence 3. Select the appropriate resource(s) and conduct a search APPRAISE the evidence 4. Appraise that evidence for its validity (closeness to the truth) and applicability (usefulness in clinical practice) APPLY: talk with the patient 5. Return to the patient — integrate that evidence with clinical expertise, patient preferences and apply it to practice Self-evaluation 6. Evaluate your performance with this patient BARRIERS IN EVIDENCE BASED PRACTICE There are many barriers to promoting evidence based practices such as: Lack of professional ability to critically appraise research.this includes having a considerable amount of research evaluation skills ,access to journals ,nd hospital support to spend time are limited to the nurses. Lack of time workload pressure ,and competing priorities of patient care can impede use of evidence based practice. Lack of knowledge of research methods Lack of support from the professional colleges and organizations , and lack of confidence nd authority in the research area Practice environment can be resistant to changing tried and true conventional methods of practice.It is important to show nurses who may be resistant to changes the nursing practice the benefits that nurses, their patients and their institutions can reap from the implementation of evidence base nursing practices which is to provide better nursing care. Values ,resources and evidence are the three factors that influence decision making with regard to health care.In adition the nurses need to be more aware of how to assess the information and determine its applicability to the practice. Lack of continuing educational programs . Practices donot give have the means to provide workshops to teach new skills due to lack of funding, staff and time ;therefore research may be tossed dismissed.if this will occur valuable treatment may never be utilized in the practice. Another barrier is introducing newly learned method for improving the treatments or patients.New nurses might feel it is not their place to suggest oreven tell a superior nurse that newer , more efficient methods and practices are available. The perceived threat to clinical freedom offered by evidence – based practice is neither logical nor surprising.When we make decisions based upon good quality information we are inconsistent and biased. MODELS OF THE EVIDENCE – BASED PRACTICE PROCESS A number of different models and theories of evidence based practice has been developed and are important resources.These models offer frameworks for understanding the evidence based practice process and for implementing an evidence based practice project in a practice setting.Models that offer a framework for guiding an evidence based practice include the following : Advancing research and clinical practice through close collaboration(ARCC) model [Melynk and fineout-overholt ,2005] Diffusion of innovations theory [Rogers , 1995] Framework for adopting an evidence –based innovation [DiCenso et.al.,2005] Iowa model of research in practice [titler et al ,2001] Johns Hopkins nursing evidence based practice models [Newhouse et.al, 2005] Ottawa model of research use [Logan and Graham ,1998] Promoting action on research implementation in health services (PARIHS] model-,[Rycroft – Malone et.al2002 ,2007] Stetler model of research utilization.[Stetler ,2001] Although each model offers different perspectives on how to translate research findings into practice .It provides an overview of key activities and processes in evidence based practice efforts ,based on a a distillation of common elements from the various models.The most prominent models are Stetler model of research utilization and Iowa model of research in practice. Stetler model of research utilization: The Stetler model of evidence-based practice would help individual public health practitioners to use evidence in daily practice to inform program planning and implementation. The Stetler model of research utilization helps practitioners assess how research findings and other relevent evidence can be applied in practice. This model examines how to use evidence to create formal change within organizations, as well how individual practitioners can use research on an informal basis as part of critical thinking and reflective practice. Research use occurs in three forms Instrumental use refers to the concrete, direct application of knowledge. Conceptual use occurs when using research changes the understanding or the  way one thinks about an issue. Symbolic use or political/strategic use happens when information is used to justify or legitimate a policy or decision, or otherwise influence the thinking and behaviour of others. The Stetler model of evidence-based practice based on the following assumptions 1. The formal organization may or may not be involved in an individual’s use of research or other evidence. 2. Use may be instrumental, conceptual and/or symbolic/strategic. 3. Other types of evidence and/or non-research-related information are likely to be combined with research findings to facilitate decision making or problem solving. 4. Internal or external factors can influence an individual’s or group’s review and use of evidence. 5. Research and evaluation provide probabilistic information, not absolutes. 6. Lack of knowledge and skills pertaining to research use and evidence-informed practice can inhibit appropriate and effective use Phase I: Preparation—Purpose, Context and Sources of Research Evidence Identify the purpose of consulting evidence and relevant related sources. Recognize the need to consider important contextual factors that could influence implementation. Note that the reasons for using evidence will also identify measurable outcomes for Phase V (Evaluation). Phase II: Validation—Credibility of Findings and Potential for/Detailed Qualifiers of Application Assess each source of the evidence for its level of overall credibility, applicability and operational details, with the assumption .Determine whether a given source has no credibility or fit and thus whether to accept or reject it for synthesis with other evidence .Summarize relevant details regarding each source in an ‘applicable statement of findings’ to look at the implications for practice in Phase III. A summary of findings should: reflect the meaning of study findings reflect studied variables or relationships in ways that could be practically used Phase III: Comparative Evaluation/Decision Making—Synthesis and Decisions/Recommendations per Criteria of Applicability Logically organize and display the summarized findings from across all  validated sources in terms of their similarities and differences. Determine whether it is desirable or feasible to apply these summarized findings in practice others involved). Based on the comparative evaluation, the user makes one of four choices: Decide to use the research findings by putting knowledge into effect Consider use by gathering additional internal information before acting broadly on the evidence. Delay use since more research is required which you may decide to conduct based on local need Reject or not use . Phase IV: Translation/Application—Operational Definition of Use/Actions for Change Write generalizations that logically take research findings and form action terms Identify type of research use (cognitive, symbolic and instrumental). Identify method of use (informal/formal, direct/indirect). Identify level of use (individual, group, organization). Assess whether translation or use goes beyond actual findings/evidence. Consider the need for appropriate, reasoned variation in certain cases. Plan formal dissemination and change strategies. Phase V: Evaluation Clarify expected outcomes relative to purpose of seeking evidence Differentiate formal and informal evaluation of applying findings in practice. Consider cost-benefit of various evaluation efforts. Use Research Utilization as a process to enhance the credibility of evaluation data. Include two types of evaluation data: formative and outcome CONCLUSION Evidence based practices as using the best evidence available to guide clinical decision making.Evidence based practice in nursing is a pocess of locating ,appraising and applying the best evidence from the nursing and medical literature to improve the quality of clinical nursing practices. Evidence-Based Practice (EBP) is a thoughtful integration of the best  available evidence, coupled with clinical expertise. As such it enables health practitioners of all varieties to address healthcare questions with an evaluative and qualitative approach. EBP allows the practitioner to assess current and past research, clinical guidelines, and other information resources in order to identify relevant literature while differentiating between high-quality and low-quality findings.Evidence based practice involves making clinical division on the basis of the best possible evidence ,usually best evidence come from the rigrous research. REFERENCE 1. Anne M Barker. Advanced Practice Nursing-Essentials of knowledge for the profession. United States of America: Jons and Batlett publishers; 2009. P.337-338 . 2. Suresh k Sharma. Nursing research and statistics. Haryana: Elsevier; 2011. P. 22-27. 3. Dennise F Polit ,Cheryl Tatano Beck. Essentials of nursing research-Appraising evidence for nursing practice. 7th ed. Noida: Lippincot Willaims and Wilkins; 2009. P. 25-47. 4. Potter Perry. Basic Nursing. 7th ed. Haryana: Rajkamal Electric Press; 2009. P. 54-57. 5. Dr.R.Bincy. Nursing Research-Building Evidence for Practice. NewDelhi: Viva Books; 2013. P. 286-297. 6. Judith Habour. Nursing Research. 5th ed. United States of America: Mosby Elsevier; 2010. P. 386-427. 7. Neelam Makhija. A practice based on evidence based practice. Nightingale Nursing Times-A window for health. 2007 September; Vol 3: 18-21. 8. Models of evidence based practice. www.nccmt.ca/registry/view/eng/83-html. Accesed october 15, 2013.

Tomorrowland Brazil Essay Example | Topics and Well Written Essays - 250 words

Tomorrowland Brazil - Essay Example That’s why we care for people & our planet†. The event is to take place in the City of Sao Paulo on 1st, 2nd and 3rd of May 2015. Pre-event party: A party is usually held on the night before day of the festival so as to give those to attend the event a clue of what to expect from the festival. It is known as The Gathering. The event attracts huge number of people who may not be taking part in the tomorrowland event itself. Tomorrowland Brazil offers rentable mansions: The mansions can be rented for a period of five days and is valid for a maximum of twelve people. The rentable mansions available in tomorrowland Brazil are made up of spacious living room, a kitchen with filled fridge, a bedroom, a terrace and a private bathroom, is supported by its own garden, private parking and a 24/7 service staff. It has an exclusive Jacuzzi which can accommodate many people. Mobile Apps: Those who will be attending the event will be provided with Mobile Apps that is available in both Android and Apple phones. The Apps have a number of features such as news feeds, updates on the various artists and appmiral connect. The minimum age requirement for the event is 18 years and this forms a very strictly policy of the event. This policy is ensured through the presentation of an official government-issued photo identification cards which includes original driving license, passport and ID. The tickets are grouped into four packages namely full madness regular pass, full madness comfort pass, day regular pass, day comfort pass. The rates for the packages are as follows for all the three

Evaluating a company's external environment Essay

Evaluating a company's external environment - Essay Example 3D has been embraced as lifestyle and something that is more practical. It is more practical since hobbyist have the advantage of printing out anything they wish at any time with the modest technology. While reviewing the external environment it is important that we address the following points. One of them is the cost of production. It is evident that the use of 3D printers is more affordable compared to other manufacturing processes. Plastic filaments are costing as cheap as $ 30 to $50 per spool. It will be necessary that if a company is to maximize profits in this business then the company must be able to customize cheaply so as to reduce the cost of production. For a company to compete effectively there is need to ensure that you invest properly in high quality plastics. It is evident that most of the companies investing in production of 3D printing are using a poor quality of plastics. As a manager you don’t want your customers to throw away the entire product just because of a broken plastic part. Thingiverse is a design library that provides a good solution to such cases as it offers diverse and modest designers for plastic parts. Apart from motivating your customers this will also help them save on costs of repairs and maintenance. Ryan McMaster is an example of those who have benefited from 3D designers. Her mother’s 1996 Mustang Coupe was restored by simply using a 3D designer. One of the most important concepts to remain competitively advantageous in the market is to be unique. Investing in techniques and ideas which are not easily imitated is one of the ways of remaining competitive in the 3D printing market. With almost 400 3D printers design available online, this business is likely to be flooded in the near future. For this reason, there is need to invest in designs that are copy right protected as well as ones which are not easily imitated. Due to the rapid development in technology it will be important that an organization willing to beat

Foreign Policy Decision-making Process Essay Example | Topics and Well Written Essays - 750 words

Foreign Policy Decision-making Process - Essay Example Mr. Lerman deputy of the National Security Council made the announcements. The decision was on political agenda for improving ties between Israel and Turkey and among all members of NATO at large. The person involved, are officials from NATO, Turkey and Israel and Turkey, Israel countries (Newsom 15). On the other hand, OPEC news recognizes the survival of Israel which celebrates its birthday annually on 25-26 of April despite facing a lot of criticism from members of the United Nations and in particular from Iran. This announcement was by a person who recognized the rejection the nation had been through though the Arabs considered this as irony. Making the decision to recognize Israel had been its ability to prove survival in tough times which leads to its recognition as a perfect destination for people due to its friendly environment even on pressure. The decision was on national agenda which aims to promote the positive aspect to enhance Israel recognition by UN members. The nations involved are USA, Palestine with Arabian people. Part two The first opium war took place from 1839 to 1842 and it was between the Great Britain and China. Treaty making before the governments of China and GB began in 1842 after the British defeated the Chinese at the first opium war that led to the signing of the treaty of Nanking. Chinese negotiated treaties using the thirteen hongs before 1839. Country merchants were the middlemen used by the Chinese government to communicate with the British officials in any issue between the two governments. BEIC exploitation angered in George 11 who decided to go against the will of his father. The Chinese meaning of "Yi" was mainly expressed as family name coming first and personal name coming second and this was a believe that origin owes the greatest respect compared to personal status though in British interpretation of the word "Yi" was different. It meant that; personal name is more significant than family name (Newsom 22) The diplomatic place of Lord Napier has been significant to the Chinese an d mostly, lord Napier William who his renowned for initiating a war in China after failing in his mission that involved making settlement with China which for expanding the British deals to interior China. Lord Napier William is a person who fought for his country interest involving expansion of British east India company in China till his death thus he is a nationalist. Most of the countries that would have faced with a situation like of china would have reacted no differently as from the Chinese due to nationalism to protect their resources under all costs. These people were known as nationalists for the role they played during the opium war; Lin Zexu, Charles Elliot, William Ewart. The word â€Å"Yimu" means a barbarian eye while in Chinese the same word meant foreign principal. Lord Napier reacted to the Chinese repository by circulating leaflets in Chinese language to all Chinese in canton announcing about the British superiority that later led to a fight between British and C hinese officials though the British lost in 1834. This use of words like great is powerful and showed the power of British monarch and strength to conquer all nations. It sounded like a threat to Chinese after it denied the British settlements (Newsom 32). Bocca Tigris; was a tactical situation as a nautical gateway to Guangzhou were several important first

FINAL PAPER Essay Example | Topics and Well Written Essays - 2500 words

FINAL PAPER - Essay Example ating phenomenon to mankind, the very essence of our existence and the ability for an individual to ponder reflectively on his/her life has been a puzzle to all generations, the problems of identity exist because we exist, on the same concept, the problems emanate from our natural awareness and inquisitiveness, firstly, our identity is directly attached to our personhood, but the question arises, what is a person? The answer most probably must mention some several key activities like locomotion and reproduction, Locke argued that a person is an organism that possess mental capability, Descartes, in his famous quote, I think, therefore I am also directly mentions the faculty of thought, but the challenge arises when we cannot prove whether other ‘things’ have similar capabilities as we do, for example cattle that possess locomotive and reproduction abilities, another question ensues with this issue in that we must wonder- do these other ‘things’ think as we do? And if they do, do they possess an identity as we do. Computers are capable of doing analytical tasks at a speed faster than an individual-so, does it think? So with such matters, it is not a simple task to draw a line between a person and a non person. Besides, it is a reasonable question to ask oneself, when does one become a person, and what would cause him to cease to be? If a person is an organism that possesses mental capability, where do we classify the lunatic or a fetus? No wonder there have been very controversial debates on abortion as some perceive a fetus as a non person while others perceive a fetus as a living organism. The debate further boils to when does life (person) begin, at birth or during conception? Personhood therefore can be clearly defined especially after considering other intelligent animals and automated robots and that are capable of imitating almost everything that we can do, unless we accept the common definition that a person is a human being. This definition

Just World Theory Essay Example | Topics and Well Written Essays - 2000 words

Just World Theory - Essay Example One of the outcomes of this tendency has been a propensity to hold responsible for the blameless fatalities. An immense pact of study recommends that human being are perceptions of rape, aggression and other outlines of assault are tinted by a person's own ways. Though, various issues such as individuality of the sufferer and sexual category participates an essential part in who gets detained for the responsibility in the center of the unlucky situation. The researchers forecasted those members who think in a just world would allocate fatalities more responsible than members who do not think that the world is just. All members were specified for a worldwide conviction in a just world scale and a situation to interpret about a sufferer who was detained whilst running away from a clash at a neighborhood bar. The sufferer, portrayed as either having been detained formerly or having not at all been detained was positioned in prison. One more prisoner afterward raped the sufferer. The mem bers were then given the chance to rate how guilty the sufferer was for the happening. The consequences demonstrated that members whose scores pointed out a superior conviction in a just world dispense more responsibility to the sufferer in spite of of the sufferer's previous arrest documentation. The researchers fulfilled that conviction in a just world is analytic of superior sufferer guilt. However, based on the just world theory entails that one get what they ought to have in life; the researchers conjectured that members considering in a just world would grasp the sufferer guiltier than members who did not. Members were also given a conviction in a just world balance plus a balance of their evaluation of their approach toward the victims of AIDS. The consequences showed that member's scores on the just world extent were absolutely connected with unenthusiastic approaches toward AIDS victims. Therefore, members who sensed that the world was just and reasonable were more probable to charge the individuals for constricting AIDS despite of how they constricted the syndrome. Many researches do in reality sustain the verdict that males are more probable to charge the sufferer of unlucky conditions. Such as the investigation was made in the high school and college students thoughts toward rape. Members were given a rape allegory receipt scale and eleven short rape situations. The researchers found that males held responsible the sufferers more than females did in spite of the situation. In an additional study, members were told two descriptions of a tale about a communication among a woman and a man. Variations were precisely the similar apart from the incredibly end the man raped the woman in one and in the other he anticipated marriage. Together, in both of the circumstances, members analyzed the woman's indistinguishable proceedings as unavoidably leading to the very dissimilar consequences. Studies have revealed that those who judge in a just world might be more probable to think that rape sufferers must have acted seductively that tattered wives must have justified their thrashings, that ill inhabitants must have caused their possessed sickness or that the unfortunate ought to have their assortment. However, the just world th

Poverty and Suggested Solutions Essay Example | Topics and Well Written Essays - 1000 words

Poverty and Suggested Solutions - Essay Example In fact, â€Å"of the world’s 6 billion people, 2.8 billion—almost half—live on less than $2 a day, and 1.2 billion—a fifth—live on less than $1 a day, with 44 percent living in South Asia† (World Bank). Countries that are economically well-off are not absolutely without cases of poverty too. When the global financial crisis hit these, their poverty levels also grew substantially. However, when compared to the developing and underdeveloped countries, these are still far better. Poverty becomes more glaring and reprehensible if it exists while there are a few that enjoys immense wealth. It is the economic inequalities that actually make people conscious of their impoverished situations. According to the World Bank report â€Å"the average income in the richest 20 countries is 37 times the average in the poorest 20 – a gap that has double in the past 40 years† (2001). The global financial crisis that gravely affected the economies of the developed countries did not level the economic conditions or reduced the gap. While the developed countries did suffer from the crisis, those that are poorer were also badly affected. What happens is that when an economic recession of a global scale occurs, the most developed countries get badly hurt but it is the underdeveloped majority in Africa, Latin America, and most of Asia that get the worst beating. It is necessary to define poverty accurately so that determining its existence and severity in every society is made possible. If it is not defined in the most objective and precise manner, there is the tendency to exaggerate it or to ignore its seriousness. In many underdeveloped countries with less democratic governments, the tendency is to deny its severity in attempts to make themselves unaccountable for the impoverishment of their respective citizens. Timo Airaksinen â€Å"distinguishes relative and absolute poverty, explaining relative poverty as the inability to r each an ‘acceptable’ and ‘average’ standard of living, whereas for absolute poverty, the words used are ‘minimal’ and ‘bare survival’† (Axinn, 1985, p.59). The World Bank, on the other hand, that poverty generally means being in the state of hunger, lacking in shelter and clothing, not having access to healthcare and education. Airaksinen may be right when he stressed that poverty can be relative, considering that this becomes more pronounced when there are a few that are enjoying extreme affluence. While it may be appropriate to describe poverty as it is, analyzing it further for the purpose of achieving an accurate definition may lead to consider relativity. The fact is that people tend to feel the pain of poverty more if they had experienced living a relatively more affluent lifestyle before or if they see that there are others who are. The World Bank report pointed out the three dimensions that are prominent among the imp overished (2001). First is the lack of economic capabilities in the form of income from productive activities and assets or properties. It is because of this poor people do not have the purchasing power needed to acquire the basic necessities such as food, shelter, and clothing, as well as the fundamental health services and education. The second is their apparent powerlessness in the political sphere. Even in countries that claim having a political system modeled after the key democracies in the West,

Nursing Conflict Management Essay Example | Topics and Well Written Essays - 500 words

Nursing Conflict Management - Essay Example The article entitled â€Å"A literature review of conflict communication causes, costs,The article entitled â€Å"A literature review of conflict communication causes, costs,benefits and interventions in nursing† written by Brinkert (2010) which was published in the Journal of Nursing Management proffered pertinent   issues relative to presenting a review of related literature on the subject of conflict communication. The article was replete with presenting relevant issues about conflict in the nursing profession. Since the author presented a literature review, he used authoritative secondary sources of previous studies and researches that discussed the causes, costs of unmanaged conflict, the benefits of normal conflict communication, as well as the identified strategies which were deemed most effective in addressing conflicts encountered by nurses. One of the most relevant findings was stated as â€Å"while conflict cannot be entirely eliminated from nursing, particular sources of destructive conflict may be decreased or eliminated† (Brinkert, 2010, p. 151). Likewise, the author revealed that conflict communication is a facet in the nursing profession that remains underdeveloped. The content is highly beneficial to nurse managers in terms of its extensive and comprehensive content that included determining the origin, nature, causes, costs and other interventions and strategies that would be helpful in resolving conflict within the nursing profession.

Electronic Health Record Essay Example for Free

Electronic Health Record Essay In the proposed scenario, a Clinical Nurse Specialist (CNS) with a Post-Masters Nursing Informatics Certificate has decided that the 100 bed hospital that she works in would benefit from transitioning from paper charting to using an electronic health record (EHR) system. She has done initial clinical research and has a solid foundation of best-patient-practice reasons that support this change. She has also researched and studied the information on the government’s websites HealthIT.gov, and CMS.gov pertaining to the American Recovery and Reinvestment Act and the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. HITECH is a stimulus package approved by the US government allowing $19 billion dollars to be divided between hospitals and doctors â€Å" who demonstrate â€Å"meaningful use† of electronic medical records†(ARRA HITECH Solutions, 2015). She knows that the best way to select and institute an EHR is to assemble a team of members with various specialties pertaining to the goals outlined in the stages of HITECH. Stage 1- Data capture and sharing, Stage 2- Advance clinical processes and Stage 3- Improved outcomes. Each of these stages has it’s own meaningful use criteria. As seen in the diagram to the  left. The CNS begins by choosing the members of her team from various disciplines in the hospital. Because this will mean corporate wide changes and adoption. Her list includes the following, from the IT department, a Clinical Nursing Informatacist- chosen for a specialty in how nurses interact with software and what is required for nurses to effectively care for patients, and the Director of Clinical Informatics- chosen for an overall knowledge base of the hospitals informatics resources and requirements including what software and hardware is currently available, what has worked or failed in the past and what changes will need to happen to keep the hospital compliant with patient privacy and safety regulations. She will also need a Corporate Project Manager to organize and disseminate information to the various off-site entities related to the facilities that will need to be on board with this change across the corporation. A Chief Medical Information Officer will be key in providing the perspective of the physicians and their particular needs and goals, and to be a liaison for the staff physicians when the EHR rollout occurs. A Chief Information Officer will bring knowledge about the hospital’s day to day functions that will need to integrate into the new EHR along with how those systems currently function. A Chief Nursing Information Officer will have their finger on the pulse of each nursing unit and be aware of the different user interface requirements that will be needed by different departments for the the specific type of flow and care given. Lastly, a Chief Financial Officer will be able to guide the team on topics concerning governmental funding and current assets along with helping to create and maintain a budget as required with the acquisition of new software and hardware, he will also be able to work with each department’s budget makers when the time comes for allocating training hours and equipment purchases. Along the way the team will need to bring in sub-specialists to give information and feedback as they hone the new system, but for now the assembled team will be responsible for researching, choosing and implementing the best EHR for their hospital. A.2 a-e) Choose 2 real-life computerized management systems and analyze them by comparing their advantages and disadvantages, recommend the best choice to meet the ‘MU’ requirements, describe how the features of the recommended system meet the guidelines outlined in the three stages of meaningful use, describe the impact on quality of patient care, documentation and outcomes. The team is aware that currently they have a computerized system that they use for reporting and tracking labs, radiology and scheduling, but all documentation is paper based. They consider the price point involved with adding modules to the existing McKesson software vs purchasing and implementing an entirely new EHR called EPIC. EPIC appears to be user friendly and able to seamlessly connect all of the facilities under the umbrella of their corporation. They make a list of some of the pros and cons associated with each system. McKesson has the upside of being a system they have already worked with and it has different programs that can be pieced together to meet some of the meaningful use (MU) criteria for compliance. They already have a working relationship with this vendor and some experience with the product. Once the discussion gets going, the team realizes that there are many more bad points than good with McKesson. In their experience, the software modules are connected in a piecemeal fashion that makes it difficult for programs to interface. Quite frequently data is just lost and not retrievable. There are different data entry systems for the different types of departments i.e. OR, ER, labor   delivery, Med/Surge, radiology, and pharmacy. The different systems do not allow for across the board data harvesting and that makes it difficult and time consuming to track reportable nursing and CMS indicators. The aesthetics of McKesson are something that is frequently complained about by the staff, due t o lack of distinctive color transition and eye fatigue. Lastly, the group is very reluctant to continue on building their EHR base with McKesson because the PCPs in the area will not be able to access hospital records, and office visit information will not be available to the hospital based staff. Due to the need for increased man hours in servicing McKesson, lack of discrete data sampling, and the poor continuity of care related to PCPs not having access to hospital data and vice versa, the team decides to choose Epic instead. Epic has the down side of being a system that will require a large initial outlay of funds. The hospital will have to purchase software, and related hardware. They will have to expand the IT and biomedical engineering departments to support and maintain the new system and equipment (something that would have been necessary to a smaller degree with McKesson). They will have to address some retrofitting needs related to wiring and computer instillation and lastly training will be a very big issue. Despite the potential down sides, the team comes up with a long list of reasons that EPIC is the right system to choose. To begin with EPIC is all one system. It allows for seamless interdepartmental interfacing. The PCPs in the area already use a version of EPIC and this will allow for easy data exchange and a patient’s information will follow them easily. The EPIC system has a medication reconciliation form that is easily viewable to all care givers and pharmacies in the area, keeping track of each patients reported medication dose and frequency. EPIC has a ‘my chart’ feature that allows patients see labs, after visit summaries , and to interact with physicians about scheduling, medications and lab results. EPIC has  many built in safe guards, including password protection, continuous backup and recovery programs so no dat a is lost, and the vendor provides continuing support as needed. EPIC comes in 3 pre-bundled, customizable templates, each already set up to meet the Meaningful Use (MU) criteria without having to alter the program. The team can look at the three available options and determine if one fits them perfectly, or find the closest one and alter it to fit their specific needs. Some examples of how EPIC will meet the Stage 1 MU criteria are computerized physician order entry, checking for drug interactions and allergies automatically, tracking demographics, keeping current diagnosis, medication and allergy lists, allowing patients to have electronic access to discharge summaries, and it gives patients electronic access to physicians. Once the hospital has used EPIC for at least two years, some examples of how EPIC will help meet the Stage 2 MU criteria are ongoing patient data entry and discreet sampling for report generation. The team will continue to develop the software that demonstrates interoperability in sharing of lab results with other providers and systems. Security risk assessment will be ongoing and built into the system. Smoking status will be tracked on all patients 13 and older and the EPIC software is designed to guide the facility from meeting the Stage 1 criteria to meeting the Stage 2 criteria. Stage 3 MU objectives are projected to improve outcomes. The team is waiting on the final ruling for what the Stage 3 guidelines will be and in the mean time they have a projected goal of focusing on primary prevention measures and improving overall population health. This will include recommended vaccination reminders, smoking cessation assistance, healthy lifestyle and meal planning recommendations, and yearly checkup reminders generated by primary physicians that will crossover to hospital patient charts. Some of the better benefits of EPIC include point and click tabs in the assessment fields, this allows for discrete sampling of information. EPIC utilizes a reporting workbench that will harvest requested, reportable data  and assemble it into a user friendly template. This will benefit the hospita l by reducing former man-hours required to find and collect data for clinical quality measures, public health reporting, and CMS indicators. Discrete data sampling from EPIC will make the hospital a benefit to the community as well by allowing it to track trends and provide information to community health nurses. EPIC comes with the ability to establish hard stops and reminders that allow real-time users to be aware of needs for care coordination and patient specific follow-ups or recommended testing related to treating chronic conditions. It will also allow for symptom driven order entry fields to be immediately available in emergent situations where time taken to look for those things could mean a worse outcome. This is especially important when people present with symptoms of stroke or heart attack. Another EPIC benefit is the different levels of bedside specific PHI protection related to sensitive care. EPIC has a ‘break the glass’ functionality pertaining to all sexual assault and psychiatric admits. This function only allows relevant staff to open and view these patients charts, any others are shown a pop-up warning and a notice is sent to start an investigation of any other person who logs in to theses charts. The team is impressed with the information provided by EPIC concerning scanning patients and medications at the bedside and the reduction in medication errors this causes. The scanners will integrate with the medication dispensing machines already in use at the hospital. One of the major benefits of EPIC is the order entry build. Each physician, with a minimal amount of training, can customize the order entry process to reflect their needs. Medication orders are instantly linked to a pharmacist to double check for allergies, and correct dosing information, and then the medication becomes available, via PYXIS machines on the unit for the RN to administer at the bedside. The bedside dosing requires the patient and medication to be scanned, further eliminating potential erro rs, and provides a pop-up warning if an emergency override is required during any of these steps. While the team acknowledges that training and time to become familiar with the new charting and bedside routine changes will initially impact patient care in a negative way, they have a plan in mind to keep the patients educated on the new system changes and the anticipated better care available to the patients across the board from instituting an EHR system. Having the patients ask questions and give real time feedback will help the team tweek their training and bedside routines to give better, more organized care that results in trackable outcomes. This is just an overview of some of the many functions EPIC has that persuaded the team to choose it as the new EHR system for the hospital. (EPIC and McKesson related information was culled from the authors own experience with the systems and personal interviews with multiple members of the informatics department at St Francis Hospital, Indianapolis campus). A.3 a) Use of Quality Improvement Data EPIC has point and click assessment tabs and a standardized documentation format that links related data. This allows for discrete data sampling related to things like CMS indicators. The hospital will be able to track compliance with things like ‘door to EKG’ times in the emergency department, Foley catheter use and resultant CAUTIs, and the time from when a patient presents with stroke symptoms until a cat scan is done and/or whether the patient receives antithrombolytics as a result. The hospital will also be able to generate reports on errors that occur the via the Risk Monitor Pro incident tracking software. This will allow them to continue researching and improving processes. A. 3 b) Security Standards and Methods EPIC has 24 hour monitoring of staff use while logged in, and the records they access. This is important because hundreds of staff members will be using the system and there has to be accountability if employees were to look up their own records, or the records of friends or family. This  information can be tracked and the employee interviewed and disciplined if needed. EPIC also comes equipped with incident reporting software called Risk Monitor Pro. All staff members are encouraged to use this format to report any incident that might warrant further investigation. It covers every location, type of employee, type of equipment, patient, visitor or vendor. Risk Monitor Pro forms are used to report potential or perceived injuries, faulty equipment, sentinel events and things that have the potential to cause harm or damage. This information can be followed up on by the risk management team, so that process improvement is an ongoing process. The team works with members from the IT department and plans for primary data storage with a redundant back up storage unit that simultaneously updates so if the primary server fails there is no loss of information. They have also planned for a second, off site data storage center that can be used in case of emergency to ensure continuity of services, and keep things up and running while the primary system is off line for upgrades. Lastly back up tapes will be kept at a third site in case both of these areas are compromised, and the system can be rebooted and running again within 72 hours. A. 3 c) Explain how the system will protect patient privacy and meet HIPAA requirements EPIC will protect patient privacy in a number of ways. End User access is limited to only being able to access the information needed to do their jobs. Making the accessible information different for nurses, physicians, registration clerks, radiology technicians, committee members etc. Personnel will only be granted access once they have completed security training and have signed documentation stating that they understand the legal risks and responsibilities when accessing protected health information (PHI). Individuals outside the hospital will have access to EPIC as well, for example nursing home physicians. They will have a read only access granted, but will require multiple patient identifiers to access the information. Also, as mentioned earlier, EPIC will employ security related  chart hard stops like ‘Break the Glass’. A. 3 d) Explain how the recommended system meets HIPAA requirements EPIC helps to meet HIPAA requirements with automated enforcing of access policies, and pro-active alerting that links directly to the risk management department, requiring strong password policies, and automatic logout at end user work stations. EPIC allows providers to protect the integrity of data and recover original data in the case of it being altered or damaged. EPIC users are required to have appropriate training to be able to access the system, and can be locked out in the case of termination. Portable devices carry encryption software that does not allow for third party data extraction or access. EPIC can also quickly generate reports with discrete sampling related to various forms of access. The majority of compliance will be the responsibility of the staff with written policies, documented sanction programs and investigation that is on-going, consistent and documented. A. 3 e) Describe how adopting the system will reduce costs to the organization Instituting this new system will initially generate more costs, but in the long run will save the hospital money in many ways. Meeting the ARRA/HITECH Act requirements will help to offset those cost with financial incentives and avoiding fines and penalties. Having readily available test results will decrease the costs and labor associated with repeating lost or illegible results. With superior organization and data summary tools, the cost for labor associated with studying charts individually and generating reports will be exponentially lower. The need for transcriptionists will be greatly reduced by utilizing dictation software. Facilities for storage of paper charting cost money for upkeep and staffing. An electronic database should make billing and insurance claims easier to process and thereby generate revenue faster. The time it takes for physicians to spend going over complicated medical histories with patients is greatly reduced by  having that information readily available in a database. â€Å"According to a recent study, when hospitals rely on advanced electronic health records they can save up to 10 percent per patient admission† (Advanced EHR Cuts Hospital Costs By 10% Per Admission, 2014). 4. A) Explain why active nursing involvement in the planning, selection, and implementation of the systems is important to the success of the implementation process and meeting meaningful use requirements Active nursing involvement is important to the success of implementing any process that affects care given at the bedside. For the system to be optimized for use, nursing suggestions and feedback are critical. EPIC knows this and has a team of nurses on staff to work with the facility  in developing end-user interface. ‘Nurses’ from the hospital include the advocates, CNS’s, NP’s, LPN’s, managers, and bedside care givers, each with a specific focus and experiences that are valuable when helping to decide how charting should work. Any thing that pulls a nurses attention away from the patient, or is distracting or difficult to work with decreases the perceived level of care and increases the potential for errors. The health care goals of meaningful use include improving efficiency, safety and quality while decreasing discrepancies, involving patients and their families in their care, improving public health outcomes, improving care coordination, and advancing security and privacy of PHI (Gregory Klepfer, 2010). All of these things are the foundation of every interaction a nurse has with a patient. This is why nursing is one of the most trusted professions, according to the Gallup pole website, nurses come out on top at 80% when people were asked to rate â€Å"the honesty and ethical standards of people† in different given fields (Honesty/Ethics in Professions | Gallup Historical Trends, n.d.). Because standard nursing care already meets the goals outlined for meaningful use, the most important thing the average  nurse can do is to work hard to be competent utilizing the selected EHR software. Advanced users and nurse leaders are important to help guide the EHR selection process in the direction that will improve the bedside interactions and user interface. Clinical nurse specialists have advanced educations and bring the nursing philosophy to the selection and implementation process. All of these roles are vital to the success of any EHR implementation.

Leadership at Nestle

Leadership at Nestle Leadership: â€Å"Leadership is the art of getting someone else to do something you want done because he wants to do it.† (Dwight D. Eisenhower).One more definition of leadership is getting things done by others. Leadership is an important phenomenon in the dimension of managing people because leadership is directly concerned with the styles, tools and techniques for getting things done through the other people. (Bass, 1991) Leadership can be meant different for different people in different environments and perspectives. Leadership may be political, religious, community or organizational, (DePree, 1990) the common thing among all of them is that leaders are responsible to provide guideline to whom they are charged with the responsibility to lead. The concept of leadership is emerged from the organized efforts and mostly related to the presence of organized and disciplined action (Kellerman, 2004). So the leadership is all about the presence of some organization. Without an organization t here is no concept of leadership. One thing Organization is basically collection of individuals who are working together to achieve some common purpose or purposes. Interaction and socially construction is the base of today’s leadership. Leadership in organizations and appropriate leadership style for different types of organizations is a hot topic of discussion among researchers for a long time. As leader is responsible to use his management skills in a way that his followers achieve their destinations in an easy and smooth manner so the way a leader adopt for leading has really a great importance. (Bolden, 2005) Today almost everyone knows about nestle and uses the products made by nestle in daily life. Nestle is a Swiss based company, having the edge of being a multinational it’s the world’s largest and ranked as no. 1 food company of world with more than 447 factories located in 194 countries of world and having more than 333,000 employees around the globe (nestleusa, 2015). Having such a huge work force demands from the company that it should have some appropriate leadership values and structures to guide its managers in decision making and to deal with the problems related to diverse culture and increased diversity within organization. Rather than maintaining the formal authorities given by organization, it’s the responsibility of managers at Nestle to inspire the people and add value for company and add value for society at large. Such a motivation and commitment results in increasing the value for organization. Due to rapid change in external environment and severe competition which was unpredictable in past and requires the managers to develop some enhanced capabilities which can be described in following principles formulated by Nestle. Principles of Leadership at Nestle: Lead for winning: Credibility development through proper leadership style, achievement and coherent action. Based on the nature of situation and culture of a particular environment proper leadership styles are applied by managers in their different work units. Managers at Nestle think about a phenomena from different perspectives in a way which leads toward innovation. Employees are provided with the opportunity of taking risk and openness to new experiences which many times leads to the mistakes but they are tolerate able if the mistakes are becoming the source of learning and employees are commited to learn from them. Innovation needs experiments and not every experiment brings favourable results, but some can entirely change the way the work was done and managed. So all these experiments are possible when the management is ready to tolerate the results of failures, which is the case of Nestle (Nestle-family, 2015). Management of expectations and alignment of every action with the overall or corporate strategy of company is the key factor of success for company and the importance of both of them is recognized on every level by Nestle. Balanced lifestyle, good level of general and professional education, responsible behaviour are the key characteristics of managers at Nestle which when they lead by example shifts toward the employees on every level. All of such actions and demonstrations make it possible to lead for winning. Management for results: Maintaining exposure in the situations of intense pressure while in the same time maintaining the temperament and capacity of taking initiatives and risks is most of the times very difficult for managers. Effectively and efficiently managing between these both extremes is the difference between being just a manager and being a leader. Managers at Nestle are trained for managing them. Business units at local level, regional level, corporate and global level requires synergy. Which is the result of deep level of proactive cooperation among all of them. Leaders at Nestle are trained for creating synergy on all levels. Change is inevitable and but managing the consequences of change is the responsibility of a leader and the effective management results in managing the change in a way that produces favourable results for organization like Nestle. All the above leadership practices results in achieving business objectives in a way that the compliance is maintained with sustainable practices. Grow teams and Talent: Nestle ensures personal commitment of its employees toward their work and achieving their individual goals so that the overall goals of organization become able to meet which results in promoting the organizational success. Company develop the leaders of tomorrow by addressing them and allowing them to progress in the area which provides them the opportunity to expand their capabilities on individual and group levels. For developing the leaders of tomorrow company understands the extent to which the continuous learning and sharing of ideas in a free manner is important. Employees can never know about their exact performance and until they are provided with the honest and fair feedback from their managers which includes performance appraisal in a way that respect of employee will never be shaken on any step. Doing all these leadership practices, management at Nestle is always conscious abut maintain the exact balance of diversity and gender prevails in the organization. Competing and connecting externally: Continuously looking toward the ways to satisfy the consumers in most innovative way and attracting the new customers in a compelling way is also the part of leadership practices at Nestle. Nestle believes in an outside in perspective for customers and inside in for the employees of organization and seeks good business relations with all the stakeholders. Diversity: Diversity is an important debate in organizational circles for a long period of time. Some organizations try their best to increase diversity in their work settings while others pose their every action against it. So think that the diversity can enhance the productivity because of many different ideas from different thinking while other claim that due to diversity there are conflicts among employees which results in low productivity and wastage of time. Through empirical analysis Researchers declared that the diversity is beneficial for an organization if the differences among the employee are managed properly (Williams, 1998). Approaches for managing differences: There are two common approaches for managing differences in the work place. 1. Avoidance 2. Repression. Avoidance is the strategy mostly used by risk adverse management and Repression approach is used when management wants to discourage the disagreement. The factors which must be uppermost in selecting most appropriate approach for managing differences are avoidance or avoiding the difference, conflict, tolerance and appreciation. (Carole G. Parker, 2009) Conflict is the top level of the differences, it is sometimes also names as war. On the initial level the individuals become aware of the differences among them, such differences afterwards results in discomfort which afterwards results in annoyance, then irritation, then tension, then frustration, disagreement, anger, hostility step by step and finally results in conflict or war (Guillaume, 2014). Through the use of emotional intelligence one can select the most appropriate way or action to manage conflict. In case of avoidance there is an opportunity to learn more about the difference before taking an action. In tolerance the participants actively engaged in the situation of difference rather than remaining silent and just observing the phenomenon. In conflict there is direct judgement of others action and declaring them good or bad. Appreciation of differences results in a good level of personal development of individual and growth. (Triana, 2014) The individuals tend to speak with freedom and without any kind of fear. In selecting the most appropriate approach for managing differences the manager should consider the appropriate action or combination of factors among avoidance, conflict, appreciation and tolerance according to the nature of situation. Why is it necessary to maintain a well-balanced work environment? It is necessary to maintain a well-balanced work environment in the term of diversity because diversity offers the organizations to face its difficulties through new and innovative ways. There are lot of opportunities for organizations to avail from the differences among the employees. When two or more varied thinkers think on a phenomenon, they can consider it in a more creative way than they can think individually. So a well-balanced work environment results in creativity. (Choi, 2014) Innovation is a result of thinking in new ways. When many of the diverse employees work together to achieve some common objective. For everyone the phenomenon appears in a different angle and different perspectives and at last everyone proposes his own solution to the problem which results in innovation. When different employees work in a different style in the work environment their diverse experience results in learning for the other employees which are working in traditional manners. Beside the advantages of diversity many disadvantages are also associated with diversity such as communication barriers, thinking style differences, which many times results in non-productive conflict in organization (Australian Govt, 2014). It is necessary therefore that the work environment should be well balanced in term of diversity to get the advantages of it and for avoiding its disadvantages. Diversity at Nestle: Nestle is always an equal opportunity employer and always appreciates diversity in organization. The management is of the opinion that diverse employees are the reason behind such a tremendous success of organization. Nestle has the slogan that â€Å"Our differences make us stronger†. Company is of the opinion that the unique people with unique backgrounds bring their unique perspectives and experiences with them. In Nestle the voice of every individual from every background is not only heard but also appreciated. The goal of company is to attract the best workforce from diverse backgrounds and retain them. The company believes that these employees can create such products which are liked by the customers all over the world. Having the diverse workforce like Nestle has not only benefits the company but also the employees and the societies from which they belong to. Nestle has its own recruiting system which is called as â€Å"Symposium for Diverse Leaders of Tomorrow† through which the recruitment and selection of employees from different background is done. Furthermore Nestle also actively participates in different MBA recruiting programs including Consortium for Graduate Study in Management Orientation Program (CGSM OP). Through these selection programs the fresh graduates of universities are selected on merit basis without considering the backgrounds, races from whom they belong to. For encouraging the diversity in organization and let the employees share their knowledge experiences and best practices Nestle has promoted many ethnic groups such as â€Å"Nestlà © Black Employees Association (NBEA)†, Nestlà © Women’s Network (NWN) for promoting the exact gender balance in the organization. Further Nestlà © Hispanic Employees Association (NHEA) is also working for the promotion of interests of Hispanic employees in organization. The purpose of making all these associations and organizations is to gather the employees from diverse backgrounds on a platform where they can share their experiences about how to make the company a better place to work (NestleUSA, 2015). The company is of the opinion that the employees from diverse backgrounds are asset for the organization and these employees are in fact the source of competitive advantage for the company. References: Australian Govt. (2014). The benefits of workforce diversity. Retrieved 4 26, 2015, from http://www.apsc.gov.au/apsinduction/module-6/benefits Bass, B. M. (1991). From transactional to transformational leadership: Learning to share the vision. Organizational dynamics,, 18(3), 19-31. Bolden, R. (2005). What is leadership development: purpose and practice?. . University of Exeter, Centre for Leadership Studies. Carole G. Parker. (2009). THE EMOTIONAL CONNECTION OF DISTINGUISHING DIFFERENCES AND CONFLICT. In Understanding and Managing Diversity (5th ed., pp. 41-45). Pearson. Choi, S. . (2014). Organizational Fairness and Diversity Management in Public Organizations Does Fairness Matter in Managing Diversity?. . Review of Public Personnel Administration,, 307-331. DePree, M. (1990). What is leadership? Planning Review,, 18(4), 14-41. Guillaume, Y. R. (2014). Managing diversity in organizations: An integrative model and agenda for future research. European journal of work and organizational psychology,, 23(5), 783-802. Kellerman, B. (2004). Thinking about leadership. Warts and all. Harvard Business Review,, 82(1), 40-45. Nestle-family. (2015, 6 22). Nestle-family. Retrieved from Nestle family.com: http://www.nestle-family.com/assets/downloads/The-Nestle-Management-and-Leadership-Principles.pdf nestleusa. (2015, 6 20). Retrieved from nestleusa.com: http://www.nestleusa.com/about-us NestleUSA. (2015, 4 20). Diversity. Retrieved from .nestleusa.com: http://careers.nestleusa.com/diversity Triana, M. C. (2014, January 5). Organizational Diversity Efforts and Employee Discrimination Claims: Organizational Motives Matter. Academy of Management Proceedings, p. 10784. Williams, K. Y. (1998). Demography and diversity in organizations: A review of 40 years of research. Research in organizational behavior, , 77-140.