Common college essays
Thursday, August 27, 2020
Physical and Online Presence of My Valuer-Free-Samples for Students
Question: Suggest and clarify at any rate two techniques how the organization could coordinate this computerized procedure with their physical world methodology. Legitimize this system as per the ideal development and situating of your association and the objective client. Answer: Answer: My Valuer coordinates its physical nearness technique with its computerized methodologies in the accompanying manners: Creating fitting data: My Valuer builds up a solid site which gives the guests data about the firm, the work force guests can contact to get their properties esteemed and about their corporate social obligation towards the nearby network. These highlights makes positive watcher experience, gives the watchers that they can profit the administrations of My Valuer at spots of their comforts (each spot) and get trade offers like limits or free help, all of which contribute towards drawing in them to lean toward administrations of the firm to esteem their properties (myvaluer.net.nz, 2018). Sort out occasions: My Valuer sorts out occasions to raise store to help the nearby populace of Hawkes Bay which comprise of Europeans, Maoris and individuals of Asia-Pacific starting point. The firm holds occasions like shave for a fix to fund-raise for individuals experiencing ailments like leukemia and other convoluted blood issue. The official site of the properties the corporate social obligations with the advanced characteristic while the occasions give them the physical nearness traits (MacDonald, 2018). Examination of the two techniques: The two techniques of advancement of fitting data and arranging occasions permit My Valuer to situate itself deliberately in the market of New Zealand to pull in suitable client fragments. The occasions and physical outlets give the firm perceivability in the market. Its solid online nearness through its site and person to person communication sites empowers the organization to speak with its objective clients. One can call attention to that the principle business activities of the organization comprise of valuation of advantages like land and offering clients warning administrations. Consequently, it very well may be called attention to that the objective client portion of the organization comprise of privileged and working class area of the general public. Along these lines, it very well may be summed up that suitable physical and computerized nearness of the organization empowers My Valuer to situate itself in the market to pull in upper and working class clients (myvaluer.net.nz, 2018) References: My Community. (2018).Myvaluer.net.nz. Recovered 8 April 2018, from https://www.myvaluer.net.nz/network/ MacDonald, K. I. (2018). Business, biodiversity and new fields of preservation: the world protection congress and the renegotiation of authoritative request. InThe Anthropology of Conservation NGOs(pp. 71-119). Palgrave Macmillan, Cham.
Saturday, August 22, 2020
Pay-For-Performance and Productive Workforces Essay -- business, compe
The organization didn't really have a compensation for-execution process. Truth be told, what it had was a compensation for-productivity process, usually known as a benefit sharing project. There is a generous contrast between pay-for-execution and benefit sharing, both as far as how the procedure is organized and how the payouts are resolved. Benefit sharing is a program put together essentially with respect to how much benefit the organization makes, paying little heed to execution. In specific occasions, an organization may not perform very well yet still make a benefit. For instance, on association may bring about huge costs, have wasteful utilization of assets and fragmented bookkeeping of inward resource portion. Be that as it may, it might likewise have colossal deals volumes, little rivalry and a fortunate and attractive item. It is essentially effective regardless of itself. Will that really happen? Models flourish: Circuit City, AOL, Xerox, etc. All very effective organizat ions, at first, however nearly bound for risky reality because of development that happened too quick too early. They didn't perform well overall, yet had the option to produce impressive benefit. A compensation for-execution program, then again, is intended to remunerate quantifiable execution against specific norms. It is made by setting up quantifiable objectives and destinations, appointing people to the objectives with time bound times of estimation lastly an assessment of that individualsââ¬â¢ execution against those objectives. The organization may make a benefit, yet in the event that the representative doesn't meet or surpass their exhibition objectives, they may not get any prize, or what is normally seen as a raise or reward. Genuine compensation for-execution doesn't simply consider, except if creating benefit was t... ... their office.(Robbins& Judges,2007) The advantages of working from home diminishes non-attendance and lateness. Moreover, it additionally adds to the green activity by chopping down the measure of contaminations from engine vehicle travel. As indicated by late gauges demonstrate that between 9 million and 24 million individuals work from home in the United States (Kurland and Bailey, 1999). Fortune 500 organizations, for example, AT &T, IBM, and Merrill Lynch are only a couple. Taking everything into account, if Sean Neal used the choices recorded, he could make a progressively gainful workforce through impetuses without influencing the companyââ¬â¢s primary concern. Furthermore, Mr. Neal could help resolve which would make a progressively experienced work power through life span of business. By having an encounter workforce Mr. Neal should see a huge increment underway and benefit over a brief timeframe.
Friday, August 21, 2020
My Visit to the Art Institute of Chicago Research Paper - 5
My Visit to the Art Institute of Chicago - Research Paper Example The exhibition hall is by a wide margin the most appealing historical center in Chicago, with an astonishing cluster of craftsmanship. The gallery, which is situated on South Michigan Avenue (111) in Illinois, is home to various bits of craftsmanship that I later came to know from the guardian were around 300,000. During my visit, 27th November, 2015, the exhibition hall was opened from around 10 am and shut down at 8 pm. Indeed, even before I start to depict my experience inside the historical center, I need to feature the wonderment I felt when I was at the passage. Exactly at the passageway, guests were welcomed by the figures of lions deliberately put in such a way, that it gave the fantasy of a royal residence been protected by the horrendous animals. I saw this as like a Spanish fly, as in it lured guests to visit the historical center so as to have a brief look at the craftsmanship inside. Regardless of whether an individual, might not have initially been keen on visiting the exhibition hall, seeing the lions is sufficient to draw anybody. Moreover, the structure is a genuine case of the creativity of the design of the numerous structures in Chicago. I had the option to gain proficiency with a great deal about the city by simply being at the passage; it was an awesome introduction. Psyche you, the reason offers an awesome look at the Millennium Park. I need to admit that I didn't hope to be besieged by a large number of craftsmanship in plain view. There were various presentations in plain view, yet as steadfast Van Gogh fan, I was normally pushed to appreciate one of his compositions, The Bedroom (1853-1890). The photos I had recently observed on the web can't start to clarify the power of the hues or the authority of the brush strokes.
Tuesday, May 26, 2020
Strategic/Operational Planning (Nike) Essay - 696 Words
Nike: Strategic Operational Planning Albert Dwayne Johnson Jr. University of Phoenix Nike: Strategic Operational Planning: When people think Nike, the first thing that comes to mind is a swoosh. The iconic symbol of the clothing brand can be seen as a way of life in sports clothing, stylish clothing and pop culture. Nike is a highly successful company, with all competitors, like Addidas or Converse, constantly working toward being on the same plane as Nike. The success of this company is due to itââ¬â¢s focus on communities and their environments. In fact, Nike looks at the community and the environment as the companyââ¬â¢s external stakeholders (Wallace). As a result, Nike catersâ⬠¦show more contentâ⬠¦Listening to its stakeholders can appear to be an indicator to Nike as to how they can approach their work. Nike also wanted to invest in community-based initiatives that use the power of sport to unleash potential and improve the lives of youth (Nike Repository). A strategic plan can be set to achieve this goal. One of the strengths of Nike, as indicate d in the SWOT analysis on Tech Analysis Blogââ¬â¢s website, is their endless appeal to celebrities and athletes. Having super stars like LeBron James or Kanye West have their own shoes under the Nike umbrella can cause huge sells and high interest by multiple demographics. Nike can also use that celebrity appeal toward this goal. One strategic plan for Nike is to have sports related tournaments or contests in multiple communities and have athletes and celebrities take part. This exposes the brand in public, to keep the allure and the appeal relevant. This allows for famous people to be involved in the promotion of the company, thus drawing the ire of fans of said celebrity. This also can allow for interactivity with fans of the Nike brand and getting them involved in sports. This could exhibit itââ¬â¢s effectiveness through younger generations the best, which can lead to Nike reaching itââ¬â¢s goal of changing young peopleââ¬â¢s lives for the betterment of their futures . Thereââ¬â¢s no denying that Nike, Inc. is a powerful brand with worldwide recognizability. Anyone could see the Nike logo and know exactly where itShow MoreRelatedProject Proposal : Nike Inc.1354 Words à |à 6 PagesInception Nike, Inc. is a corporation that specializes in the design, development, manufacturing, marketing, and sales of footwear. Nike, Inc. was founded by Bill Bowerman and Phil Knight. The current Chief Executive Officer (CEO) is Mark Parker. The company headquarters is in Beaverton, Oregon. The company headquarters will be expanding soon and will contain two additional floors. Currently, there are twenty employees and four out of the twenty employees handle the IT part of the corporation. Nike operatesRead MoreNikes New Supply Chain Project1186 Words à |à 5 PagesNikes New Supply Chain Project Introduction: Nikes Value Chain and Competitive Forces In 1984, Nike owned just 16% of the athletic-shoe market, and for much of the 1980s it was running neck-and-neck with Reebok (Wilson 1). Now, with somewhere between 43-47% of that market, Nike is the undisputed leader. However, things are not perfect with the company. In the late 1990s, Nike began to see the results of many unresolved issues concerning competitive forces exterior to the company and a valueRead MoreMarketing And Promotional Initiatives For Outsourcing Of Production2197 Words à |à 9 PagesIntroduction Emerging and established companies such as Nike constantly seek a competitive edge to enhance their productive and profit margins as well as to distinguish their firm from the competition in the marketplace. From enhanced marketing and promotional initiatives to outsourcing of production, firms execute a variety of strategies and tactics to bolster their bottom-line. All of these approaches may well translated into better performance for the business. However, one of the more efficaciousRead MoreMGMT 479 UNDER ARMOUR Powerpoint Group Essay1065 Words à |à 5 PagesTeam Developed Strategic Audit ââ¬â Under Armour (UA) { Group #3, MGMT 479C Team Members: WELCOME TO UNDER ARMOURà ® EVERYTHING HERE IS BUILT TO MAKE YOU BETTER. www.underarmour.com Kokou Klu ïÆ'â Past Corporate Performance Indexes (2009-2010) ïÆ'â ïÆ'â ïÆ'â Strategic Posture ïÆ'â ïÆ'â ïÆ'â Mission ââ¬â ââ¬Å"To make all athletes better through passion, science, and the relentless pursuit of innovationâ⬠Objectives ââ¬â Become ââ¬Å"The athletic brand of this generation. And Next.â⬠Current Strategies ïÆ'â ïÆ'â ïÆ'â ïÆ'â Decline in footwearRead MoreNike Strategic Planning1783 Words à |à 8 PagesStrategic Planning Strategic planning is something the Nike has been something that Nike has put much more emphasis on during the last decade. They realize that by planning well, they can produce higher quality products while improving their bottom line. Nikeââ¬â¢s Strategic Planning team establishes a strategicà business planning process, authors our one and three year strategic and business plans, and leads transformational initiatives in collaboration with cross-functional teams.à Strategic PlanningRead MoreStrategic Plan Overview1037 Words à |à 5 PagesUniversity of Phoenix Material Strategic Human Resource Management (HRM) Plan Overview Strategic Planning Purpose Strategic planning is a necessary process to ensure an organization understands its future, and emerging operational environment and issues. Strategic planning also develops measurable plans, processes, and procedures to prepare for that environment and the future. Context Strategic planning examines all business aspects and is more than envisioning the future, becauseRead MoreSupply Chain For Manufacturing Facilities Essay911 Words à |à 4 Pagesbackers. World renowned Nike company does not own all the products manufactured, but all outsourced to other manufacturers out of manufacturing, Nike has taken in the production of a virtual strategy, they are only responsible for the design and marketing, by means of a good inventory control system and system of overseas sales, Nike worldwide has made remarkable achievements. Enterprise supply chain management and control refers to the entire supply chain system for planning, coordination, operationRead MoreScm and Erp Software Implementation at Nike ââ¬â from Failure to Success2018 Words à |à 9 PagesIntroduction: Nike was founded under the name Blue Ribbon Sports in 1964. In 1972 the first pair of sports shoes was sold and experienced enormous growth and achieved a 50% market share within the sports shoe market in the US only eight years later. After sluggish focus and growth in the 1980ies, Nike experienced strong growth in the 1990ies and cemented the position as global recognizable brand. The increased international focus created strains on the supply chain, which was consider inadequateRead MoreThree pillars for successful IT governance Effective IT governance depends on three critical900 Words à |à 4 Pageslink process to technology within the business. He should also provide tools for enablement and innovation. Flexible and scalable processes ââ¬â Heavy emphasis on process transformation and improvement for effective IT governance. This would include planning, project management, portfolio investment management, risk management, service management and performance management, vendor management, control and audits etc. â⬠¢ Process should be well defined, documented and measured â⬠¢ Should clearly define interfacesRead MoreWalmart : A Worldwide Cosmetic Phenomenon2896 Words à |à 12 Pagespaper will critically analyse and evaluate the operational strategies which allow Sephora to attain its success. PERILS IN WANTING TO ACHIEVE QUICKLY In any business, attempting to achieve too much in the establishment phase, when setting up your business will lead to unnecessary and unwanted disaster. Mondonnaud is a great example of this as through his hasty motives to expand rapidly throughout France which eventually lead to problems in his operational Definition: A business strategy in which growth
Friday, May 15, 2020
Wars of the French Revolution Battle of the Nile
In early 1798, French General Napoleon Bonaparte began planning an invasion of Egypt with the goal of threatening British possessions in India and assessing the feasibility of building a canal from the Mediterranean to the Red Sea. Alerted to this fact, the Royal Navy gave Rear-Admiral Horatio Nelson fifteen ships of the line with orders to locate and destroy the French fleet supporting Napoleons forces. On August 1, 1798, following weeks futile searching, Nelson finally located the French transports at Alexandria.à Though disappointed that the French fleet was not present, Nelson soon found it anchored just to the east in Aboukir Bay. Conflict The Battle of the Nile occurred during theà Wars of the French Revolution. Date Nelson attacked the French on the evening of August 1/2, 1798. Fleets Commanders British Rear Admiral Horatio Nelson13 ships of the line French Vice Admiral Franà §ois-Paul Brueys DAigalliers13 ships of the line Background The French commander, Vice Admiral Franà §ois-Paul Brueys Dââ¬â¢Aigalliers, anticipating a British attack, had anchored his thirteen ships of the line in line of battle with shallow, shoal water to port and the open sea to starboard.à This deployment was intended to force the British to attack the strong French center and rear while permitting Brueys van to utilize the prevailing northeasterly winds to mount a counterattack once the action commenced. With sunset fast approaching, Brueys did not believe the British would risk a night battle in unknown, shallow waters. As a further precaution, he ordered that the ships of the fleet be chained together to prevent the British from breaking the line. Nelson Attacks During the search for Brueys fleet, Nelson had taken the time to meet frequently with his captains and thoroughly schooled them in his approach to naval warfare, stressing individual initiative and aggressive tactics. These lessons would be put to use as Nelsonââ¬â¢s fleet bore down on the French position. As they approached, Captain Thomas Foley of HMS Goliath (74 guns) noticed that the chain between the first French ship and the shore was submerged deep enough for a ship to pass over it. Without hesitation, Hardy led five British ships over the chain and into the narrow space between the French and the shoals. His maneuver allowed Nelson, aboard HMS Vanguard (74 guns) and the remainder of the fleet to proceed down the other side of the French lineââ¬âsandwiching the enemy fleet and inflicting devastating damage upon each ship in turn. Surprised by the audacity of the British tactics, Brueys watched in horror as his fleet was systematically destroyed.à As the fighting escalated, Bruyes fell wounded when in an exchange with HMS Bellerophon (74 gun). The climax of the battle occurred when the French flagship, Lââ¬â¢Orient (110 guns) caught fire and exploded around 10 p.m., killing Brueys and all but 100 of the shipââ¬â¢s crew. The French flagships destruction led to a ten-minute lull in the fighting as both sides recovered from the blast. As the battle drew to a close, it became clear that Nelson had all but annihilated the French fleet. Aftermath When the fighting ceased, nine French ships had fallen into British hands, while two had burnt, and two escaped. In addition, Napoleonââ¬â¢s army was stranded in Egypt, cut off from all supplies. The battle cost Nelson 218 killed and 677 wounded, while the French suffered around 1,700 killed, 600 wounded, and 3,000 captured. During the battle, Nelson was wounded in the forehead, exposing his skull. Despite bleeding profusely, he refused preferential treatment and insisted on waiting his turn while other wounded sailors were treated before him. For his triumph, Nelson was raised to the peerage as Baron Nelson of the Nileââ¬âa move that irritated him as Admiral Sir John Jervis, Earl St. Vincent had been given the more prestigious title of earl following the Battle of Cape St. Vincent (1797). This perceived slight kindled a life-long belief that his accomplishments were not fully recognized and rewarded by the government. Sources British Battles: Battle of the NileNapoleonic Guide: Battle of the Nile
Wednesday, May 6, 2020
Case of Aline Deneuve Essay - 1581 Words
Case of Aline DeNeuve This case Aline DeNeuve is written by Alvin Turner, from St. Catharineââ¬â¢s, Ontario, Canada. There are a lot of issues in this case. Aline talked with five random employees to secure their views on having another retreat and to take their opinion how effective was the previous retreat. The first employee she talked with was Heather. The main issue over here is mostly stereotypical and racial discrimination. Heather told she doesnââ¬â¢t like retreats. She also said that she was ignored to give a promotion six months ago by her supervisor Jack as she was Chinese, and that her supervisor doesnââ¬â¢t like foreigners. She also stated that the three day retreat held once a year wonââ¬â¢t solve the anti-social atmosphere betweenâ⬠¦show more contentâ⬠¦The only positive statement that I thought Jack made was having a better designed job orientation and socializing program for the new employees. This step would really help the new comers to get involved in various activities in an organization. In this part of the case I found two problems that took place with Jack. The first one was Jack thinking stereotypically about himself. His thinking was more of stereotypical because he thought he was racially discriminated in the organization and so was not given a p romotion to the director position. The solution to this problem can be diversity awareness training. This training will help Jack to minimize discriminating thoughts in his mind. He also needs to improve his self-awareness in himself which will let him know what he thinks about himself. The second problem associated with Jack was accusing other employees of the organization, for taking office supplies to their home. This is a very serious offensive issue. To me Jack thinks like this because he is having some internal issues with his fellow employees. This can be fixed from the Johari Window model. It helps to get to a mutual understanding which eventually encourages disclosure of argument. Jack can also have a formal conversation with the organizationââ¬â¢s promotion giving team to get to know why he wasnââ¬â¢t selected for the director position; this might really help him to get to know the real facts. The third employee AlineShow MoreRelatedAline Deneuve Case Analysis1074 Words à |à 5 PagesCase Analysis: Aline DeNeuve The case upholds Aline DeNeuveââ¬â¢s conversations with some of the employees of her workplace regarding the relevancy of taking a business retreat, and what expectations and outcomes can come out of it. After going through the talks with her employees, it can be clearly stated that the management system of the firm is broken down as the low morale and attitudes of the staff are deeply shocking. This mainly caused due to perception error among the employees and their higherRead MoreEssay on Aline Deneuve Case Analysis1045 Words à |à 5 PagesCase Analysis: Aline DeNeuve The case upholds Aline DeNeuveââ¬â¢s conversations with some of the employees of her workplace regarding the relevancy of taking a business retreat, and what expectations and outcomes can come out of it. After going through the talks with her employees, it can be clearly stated that the management system of the firm is broken down as the low morale and attitudes of the staff are deeply shocking. This mainly caused due to perception error among the employees and their higherRead MoreGucci Case Study12528 Words à |à 51 Pagesmaterials, such as canvas, and by producing small leather goods, including wallets and belts. Research Associate Mary Kwak prepared this case under the supervision of Professor David B. Yoffie as the basis for class discussion rather than to illustrate either effective or ineffective handling of an administrative situation. This is a rewrite of HBS case 700-068. Copyright à © 2000 by the President and Fellows of Harvard College. To order copies or request permission to reproduce materials
Tuesday, May 5, 2020
Fall Precaution on the Elderly in Medical-Free-Samples for Student
Question: Discuss about the Evidence based Practice on fall precaution on the Elderly in Medical. Answer: Introduction: The current study focuses on the aspect of evidence based practice for prevention of fall of the elderly patients in the hospital ward. There is a need to adopt measures for lowering of accidents, which occurs due to the falling of elderly patients aged 65 and above. Thus, reports and data have shown that almost 30% of the accidents could be accounted to such falling of the aged in the medical ward. The assignment provides a detailed idea entailing the problem, the strategies undertaken for the implementation of the objectives. The assignment focuses upon the benefits provided by the Evidence Based Model (EBP) in a medical ward. It aims at improving as well as standardizing the methods practiced in the medical wards. The implementation of the EBP model can help in reducing the time spent in the treatment of the elderly in the medical ward. Moreover, the same could potentially reduce injury from fall risk manifold times. Background and objectives One of the major causes of injury in the current decade within the older population has been from falling. In this context, the figures and statistical data received have pointed out at fall to be the most common cause of injuries within the age group. Reports have shown that in the year 2001, almost 2.7 million adults in the United States have been admitted to hospitals for treatment of non-fatal injuries (Boltz et al. 2016). The occurrence of such falls has often been seen to result in injuries to vulnerable parts of the body including the head (Hshieh et al. 2015). The study aims at designing suitable Evidence based practice model (EBP) aiming towards the incorporation of physical exercises in the daily care routine of patients. It also aims at providing care treatments at low cost, which may prevent the hospital bills from rising. Thus, inculcation of light exercises such as stretching and balancing may allow more flexibility to the patients. For this purpose, 35 odd numbers of p atients had been selected by the nurse belonging to lower risk fall group. Rationale and strategies Statistical reports have suggested that 85.3 % of the injuries in Singapore have been due to falling down accidentally. As suggested by Clegg et al. (2013), the population of the senior citizen in Singapore is gradually increasing. For the implementation of the EBP plan, there is a need to design a model based on which the change can be implemented, such as the IOWA model. As per the model, implementing physical exercises can be a convenient alternative to medicines. The analysis done based on the IOWA model, suggested that introduction of physical exercises along with anti-slip footwear, supply of sticks for support during walking could reduce the risk of fall. As suggested by Clegg et al. (2013), exercise such as balance training and stretching can improve the resistance in individuals by making muscles stronger. Some of the stretching exercises, which could be implemented by the nurse for the fall risk patients, are reclining pigeon, standing triceps stretch, butterfly stretch. However, for that purpose, the nursing staff would need to select a specific patient group. The nurse here can choose from the ones who are at lower risk of fall or in mentally sound conditions. Thus, a target group of 35 participants had been selected by the nurse with better physical and mental control for participating in the care regimen. Thus, once the goal is agreed upon the by the hospital staffs, permission needs to be taken from the stakeholders as well. Moreover, campaigns could be organized for educating the masses on the benefits of physical exercises. Figure 1: IOWA model (Source: Buckwalter et al. 2017 ) Potential impacts and evaluation The successful implementation of the proposed plan helps in reducing the number of falls. It also helps in controlling the severity of the injury inflicted because of such fall among the elderly. The impacts or the desired changes can be evaluated with the help of a number of methods such as conducting a risk assessment by the nursing management (Karlsson et al. 2013). Additionally, implementation of light exercises by the nursing professional, such as balance training for 2 hours daily can prevent accidental fall in the elderly. Moreover, providing physiotherapy to the patients by the daily care nurses can help in relieving the painful conditions. For the mitigation of the training requirements, a group of 10-12 nurses could be employed for designing specific exercises. Thus, following the IOWA model for designing the treatment plan can be useful in this regard. Barriers to the implementation of the plan The presence of co-morbid conditions would mean that the nurse has to take into consideration additional concerns while designing the training exercises. Thus, unavailability of sufficient information regarding patient health can act as a huge deterrence for the nursing professionals (McClure et al. 2009). However, as asserted by Canning et al. (2015), lack of awareness regarding care plans such as EBP can prevent the nurses from implementing the exercises, which may reduce the risk of fall among elderly patients. Moreover, the barriers can be further grouped into a number of categories such as individual, environmental and organizational categories. Thus, lack of sufficient support from the management and staff can hinder the attainment of the objectives. Moreover, at the individual and the organizational level lack of teamwork can act as a demotivation (Gillespie et al. 2009). It has been seen particularly seen that during the shuffling of staffs the midwives are often not willing to share adequate information with the enrolled nurses. This can also serve as a barrier to the achievement of the objective along with time liabilities also serve as another constraint. Moreover, lack of sufficient support from the patient and their respective families often results in ethical dilemmas. Conclusion Community-based programs were found to be useful in reducing the risk of such accidents. Additionally, a risk assessment conducted from time to time in order to figure out ones mostly at the risk of injury from falling. The intervention and strategies for management of such accidents have been emphasized over here in order to arrive at a suitable alternative. Moreover, one needs to maintain a strong and transparent communication regarding the care strategies with the patients. This helps in the provision of informed care along with entailing sufficient autonomy to the support users. Reflection For the present assignment evidence based practice for prevention of fall in the elderly in the medical ward have been highlighted. My lecturer introduced me to the topic, as part of my nursing study and research. I was skeptical and apprehensive about the outcome of the measures undertaken. However, I always had keen interest in the area of preventing support care to the elderly. Initially, I had difficulty in narrowing down to the right articles and keywords for the completion of the essay. However, with the help of my guide and peers I later picked on the momentum. The topic helped me in evaluating the different parameters related to prevention of fall the medical ward. The study helped me understand the importance of the EBP model in catering to the needs of the care service users. The inculcation of the model could provide more autonomy to the support user. This could help in removing biases in the care system along with enabling the users to make informed choices. I felt that there are a number of downsides to the implementation of the model. The success of the model is based upon gathering and processing of the data through research and analysis. However, as a trainee nurse, I have felt that limitation in understanding and comprehending the databases could act as a potential deterrence. I think the use of Evidence Based Practice model (EBP) used by the nurse can bring about positive changes in the support set. The model is based upon a number of parameters such as evidence from research, clinical expertise and the values and the beliefs of the patients. The model allows the nurse to provide sufficient autonomy to the patients in deciding their care plan. A report from random and control trial has suggested that a well-structured assessment of repetitive falling can help in reducing the incidence of such accidents. As supported by Miake-Lye et al. (2013), the model challenges the paternalism view of the medical practitioners in having the final say. Studies have suggested that changes in the environment of the support service user can further bring about positive results from the model. Figure 2: Evidence based program model (EBP) (Source: Fixsen et al. 2013) As a nursing trainee catering to the needs of patients suffering from fall based injury, I could focus more on the incorporation of exercises. Thus, implementing exercises such as balance training and weight training could help in providing more flexibility to the patients. Additionally, incorporation of health supplements such as vitamin D can also improve the resistance power in such individuals. Thus, I need to educate myself as well as my patients more on the importance of exercises. Further, I can organize educational seminars for the patients with the help of PowerPoint presentations and DVDs in order to enlighten the support users regarding the precautionary measures they can take on a personal level. Thus, implementation of the EBP helps in providing more autonomy to the service users. This also helps in mitigating the wide spread costs involved in the maintenance of the infrastructural support. References Boltz, M., Capezuti, E., Fulmer, T. T., Zwicker, D. (Eds.). (2016).Evidence-based geriatric nursing protocols for best practice. Berlin: Springer Publishing Company. Brownson, R. C., Baker, E. A., Deshpande, A. D., Gillespie, K. N. (2017).Evidence-based public health. London: Oxford University Press. Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., ... Tucker, S. (2017). Iowa Model of Evidence?Based Practice: Revisions and Validation.Worldviews on Evidence?Based Nursing,14(3), 175-182. Canning, C. G., Sherrington, C., Lord, S. R., Close, J. C., Heritier, S., Heller, G. Z., ... O'Rourke, S. D. (2015). Exercise for falls prevention in Parkinson disease A randomized controlled trial.Neurology,84(3), 304-312. Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., Rockwood, K. (2013). Frailty in elderly people.The Lancet,381(9868), 752-762. Dias, S., Welton, N. J., Sutton, A. J., Caldwell, D. M., Lu, G., Ades, A. E. (2013). Evidence synthesis for decision making 4: inconsistency in networks of evidence based on randomized controlled trials.Medical Decision Making,33(5), 641-656. Fixsen, D., Blase, K., Metz, A., Van Dyke, M. (2013). Statewide implementation of evidence-based programs.Exceptional Children,79(2), 213-230. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH (2009). Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 3. [update 2012] (Level 1) Harris, C., Garrubba, M., Allen, K., King, R., Kelly, C., Thiagarajan, M., ... Farjou, D. (2015). Development, implementation and evaluation of an evidence-based program for introduction of new health technologies and clinical practices in a local healthcare setting.BMC health services research,15(1), 575. Hshieh, T. T., Yue, J., Oh, E., Puelle, M., Dowal, S., Travison, T., Inouye, S. K. (2015). The effectiveness of multi-component nonpharmacological delirium interventions: a meta-analysis. JAMA internal medicine,175(4), 512-520. Karlsson, M. K., Magnusson, H., von Schewelov, T., Rosengren, B. E. (2013). Prevention of falls in the elderlya review.Osteoporosis International,24(3), 747-762. McClure RJ, Turner C, Peel N, Spinks A, Eakin E, Hughes K. Population-based interventions for the prevention of fall related injuries in older people. Cochrane Database Syst Rev. 2005:1. (Level 3) Miake-Lye, I. M., Hempel, S., Ganz, D. A., Shekelle, P. G. (2013). Inpatient Fall Prevention Programs as a Patient Safety StrategyA Systematic Review.Annals of internal medicine,158(5_Part_2), 390-396. Potter, C. (2015). Leadership development: an applied comparison of Gibbs Reflective Cycle and Scharmers Theory U.Industrial and Commercial Training,47(6), 336-342. Royse, D., Thyer, B. A., Padgett, D. K. (2015).Program evaluation: An introduction to an evidence-based approach. London: Cengage Learning. Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. N S W Public Health Bull. 2011; 22(3-4):78-83. (Level 1) Spice CL, Morotti W, George S, Dent THS, Rose J, Harris S, et al. The Winchester falls project: a randomized controlled trial of secondary prevention of falls in older people. Age Ageing. 2009:38(1): 3340. (Level 1) 3. Uusi-Rasi, K., Patil, R., Karinkanta, S., Kannus, P., Tokola, K., Lamberg-Allardt, C., Sievnen, H. (2015). Exercise and vitamin D in fall prevention among older women: a randomized clinical trial.JAMA internal medicine,175(5), 703-711.
Subscribe to:
Posts (Atom)