Rkot1 Oraganizational Systems and Quality Leadership

RKOT 1 Organizational Systems and Quality Leadership Western Governor’s University Leadership Strategies Leadership is, first and foremost, a stance—an attitude. A leader faces the problem and says what we can do to address it. Leaders take responsibility for problems. (L 101: So You Want to Be a Leader in Health Care ) Two strategies a nurse might use as an informal leader on an interdisciplinary team are form a clearer picture of the real situation and start looking for ideas of how to solve the problem. L 101: So You Want to Be a Leader in Health Care ) As a nurse on an interdisciplinary team you could start by gathering information regarding the situation to form a clearer picture. Often time’s members of the team only look at what is affecting their individual work flow. As a leader a nurse should put the patient at the center of the picture and investigate how the roles of the individual team members affect the patient as a whole. People often look only at how a situation will affect them and their workflow and do not look at the situation as a whole.Instead of just complaining about a situation the can take a leadership role by gathering information from all members of the team and piecing this information together as to form a clearer picture of the situation. To become an effective leader the nurse must not only gather the information to form a clearer picture but also work with the team to look for and offer ideas to solve the problem. As a leader, a nurse would not just join in on the complaining.Once the information is gathered and the problem is clearly identified; to be a true leader, the nurse would look for creative solutions possibly initiating changes in workflow to alleviate the problem. A leader goes the extra step to implement change. Active Involvement Two ways a nurse can take an active, contributing role within the interdisciplinary team are identifying quality issues or concerns and ensuring there is open active com munication between members of the team as well as the patient.As a nurse you should be a strong patient advocate. During interdisciplinary rounds you should bring up concerns that may affect patient care. If there is uncertainty regarding the scheduled treatments or procedures and timing of those interventions the nurse should advocate for the patient in order for the patient to receive the best possible care. Nurses must ensure patient safety by asking questions if they are no sure as to whether the right procedure or treatment is being ordered or carried out.It is the nurse’s job, while overseeing the care of the patient, to report any unsafe or potentially unsafe acts in order to advocate for the patient and develop best practices. As an advocate for the patient you should also speak up if the patient has unmet needs such as inadequate pain control or if timing of procedures prevents patients from obtaining uninterrupted sleep. The nurse can also take an active role in the interdisciplinary team by ensuring there is open two way communication between members of the treatment team and also the patient.Patients are generally more compliant with treatment plans when they have active participation in the development of the treatment plan. An example of open communication and team work make be the nurse coordinating with therapy in order to ensure the patient is medicated prior to undergoing therapy in order to increase participation by the patient and therefore allowing the patient to become more engaged in their treatment secession. Teams work more efficiently when they have open communication.The nurse can lead the team by ensuring that all members communicate and are on the same patient in regards to patient’s care plan and goals. By ensuring the lines of communication or kept open and aligning workflow the ultimate winner is the patient due to better coordination of care. Culture of Safety Psychological safety, active leadership, transparency and fairness are four characteristics used to create a culture of safety. (PS106 Introduction to the Culture of Safety) There are many ways that you can promote a culture on safety in your workplace.When someone initially starts a position they are often assigned a buddy or preceptor. In order to create a culture of psychological safety people need to know they can speak up without being judged. One organization has taken steps to stand up to doctor’s if they are being derogatory to nurses or other staff. The nurses can actually call a code in which people stop their work follow and physically stand behind the nurse if she feels she is being spoken to in an inappropriate or unprofessional manner. Spirit on the spot is another example of creating an environment of psychological safety.By enabling anyone to report when someone is caught doing something right such as stopping to give directions to a visitor when someone appears lost it creates a positive environment to work. Act ive Leadership can be observed in organizations that have open forums in which leaders meet with front line staff and encourage questions regarding workflow or any ideas or suggestions for improvement. Monthly leadership rounding is where leaders walk around on units and stop to speak with the staff asking how their day is going and if there is anything that their leader can do to make a difference in their work environment.This is an excellent example of active leadership. These leaders come to the staff one on one and encourage open discussion. Transparency occurs when there is a system in which when errors are reported or near misses are reported action is taken to investigate the error or near miss and change is initiated that will decrease the likelihood of the error reoccurring. An example of transparency occurred within an organization by the change in national patient safety standards requiring two patient identifiers when working with a patient.To create an environment of f airness an organization needs to act when errors are caused by system errors. Nurses often find system errors when procedures are changed or modified. People too often just thing of how the change will affect their own discipline and not how it will affect patient care or the system as a whole. The staff needs to know that if a change is implemented that creates errors instead of decreasing errors they will be able to speak up and a new course of action will be taken.An example of culture of safety occurred when my hospital first implement EMR’s. The order sets were written where inpatient and observation could both be ordered on a patient at the time of admission. The utilization nurse felt comfortable addressing the issue with her leader and was encouraged to speak with not only her leader but also administration regarding the possible conflict in orders. The nurse was rewarded for speaking up and the organization quickly worked to determine the best way to change the order sets in order to avoid the conflicting orders.The organization then took steps to be transparent by admitting there was an error in the original order sets and doing educational seminars for the admit staff, physicians, nurses and coders regarding the conflict in orders. If there had not been a culture of safety and the nurse had not spoken up the error in orders may have continued for months resulting in incorrect or non payment for the facility and errors in co-pays for the patients. REFERENCES L 101: So You Want to Be a Leader in Health Care . (n. d. ). Retrieved March 8, 2013, from Institute for Healthcare Improvement: http://app. hi. org/lms/lessonpageworkflow. aspx? CatalogGuid=6cb1c614-884b-43ef-9abd-d90849f183d4&CourseGuid=c1164ba8-5af1-438b-8a1f-d409911a4948&LessonGuid=b9a441cc-d2af-4211-8ba8-5359c06a8cb6 PS106 Introduction to the Culture of Safety. (n. d. ). Retrieved March 8, 2013, from Institute for Healthcare Improvement: http://app. ihi. org/lms/lessonpageworkflow. as px? CatalogGuid=6cb1c614-884b-43ef-9abd-d90849f183d4&CourseGuid=789d9cbb-7dd3-4fe9-8df2-e0c63725b350&LessonGuid=4b250d37-cf44-4561-b830-53ed5865c6b8

Character of Curley Essay

Candy joined the attack with joy â€Å"Glove fulla vaseline† ; he said disgustedly I didn’t wanta; Lennie cried. I didn’t wanta hurt him. Ques : Explore how the language in this extract influences your view of Curly? The language used in the extract shows Curley to be hateful, violent and angry. The extract describes a scene where by Curley is attacking Lennie, and it begins mid-attack. From the beginning of the extract it is clear that Curley is in an angry mood from the way that he â€Å"glared† at Candy when Candy joins the attack. Steinbeck uses a simile to describe Curley – â€Å"Curley stepped over like a terrier.† This comparison to a terrier works on two levels because a terrier is both small and aggressive, and Curley’s small size and aggressive nature are theme not only in the extract, but also throughout the book. When Curley speaks to Lennie, he uses obscene language and such as â€Å"bastard† and â€Å"son-of-a-bit ch.† This further gives the reader the impression that Curley is rude and aggressive, and also that he dislikes Lennie. Curley attacks Lennie, punching him in the face and stomach, but at first Lennie does not fight back or defend himself. However, Curley continues to attack him. At this point, the reader feels sympathy for Lennie and feels that Curley is the guilty aggressor. This feeling is shared by Slim, who jumps up and calls Curley a â€Å"dirty little rat.† The language used here creates a very negative portrayal of Curley, as rats are very dirty animals But then when Lennie does finally fight back, we see a different and weaker side to Curley. Lennie is much bigger and stronger than Curley. Lennie catches Curley fist with ease and Curley is left â€Å"flopping like a fish on a line.† This use of simile shows Curley to be weak and defenceless and shows that Lennie has caught him out. There is a sudden transition from Curley being violent and aggressive (like a terrier ) to him being beaten up and defeated â€Å"Curley was white and shrunken by now†¦ He stood crying.†

Conflict in The Middle East Assignment Example | Topics and Well Written Essays - 250 words

Conflict in The Middle East - Assignment Example Various western states had varied stands regarding the matter. First, in the need to quench the conflict, the British reduced the migration of the Jews into Palestine. In addition, they rejected the suggestion of an independent state in Palestine. Second, the United States approved for the creation of an independent Jews state. This was despite the fact the Jews were only a third of the whole Palestine population. Nonetheless, the United Nation intervened and partitioned Palestine into a Jewish and an Arab State. Consequently, both sides remained bitter (Spielvogel p896-898). The emergence of Colonel Abdel Nasser as a new leader in Egypt raised the hopes of the possible end of Arab-Israel conflict. Through the help of the United States he was able to reclaim the Suez Canal which of great interest to the British and the French. Thereafter, Egypt led to the formation of the Palestine Liberation Movement to unite the Palestinians (Spielvogel p896-898). Understanding the present day Middle East conflict enables one to have better understanding of the possible causes of the start and failures to ending the

Hospice and Palliative Care Essay Example | Topics and Well Written Essays - 500 words - 6

Hospice and Palliative Care - Essay Example According to the discussion the data was collected, taking into consideration what would be applicable for the client ´s care in a delicate manner. It was collected at the Hospice of Central Ohio and at the Palliative Care of Central Ohio. The information was gathered from the centers. The objectives of these organizations are to work closely with the death processes and all of those involved with it. The target audience is everyone that is involved with the dying processes.From this paper it is clear that the services rendered by these organizations are covered by Medicaid and Medicare benefits and most of them provide insurance. These two organizations are non-profit organizations. These services are related to the course because they provides help and they want to improve the society by informing it of death issues, services and ways in which they are able to assist their dying loved one and ways in which they are able to overcome the death loss. The strengths of these organizat ions are that they provide support to the client and their families, such as, how to cope with illnesses. They also ensure that the clients and their famillies are receiving the best possible care. The possible weaknesses are that they may not be available during their entire grieving process. They may, however, be referred to other specialists that may help them for a longer period of time.  On an overall basis, the assessment of these services are positive. There are 200 trained volunteers.  

Annual Report Review Essay Example | Topics and Well Written Essays - 4000 words

Annual Report Review - Essay Example The above ratios depict the profitability position of Northern Foods plc for the last two years (2007-2006). K.S.Rao has pointed that â€Å"The profitability ratios measure the overall record of management in producing profits for long term survival or its survival will be threatened † (223). These ratios reveal the comparison of two years 2007 and 2006 and shows corresponding change over the years. Northern Foods Plc gross profit ratio had a decline by about 13% in the year 2007 as compared to that in 2006. The company’s operating profit ratio for the year 2007 i.e., 5.92% is much lower than that in the previous year, which shows a 1% decline in the company’s operating profit. It has slumped by about 1% in 2007 as compared to the year 2006. Though the Company’s sales have increased but the cost of sales comparatively to the year 2006 has increased resulting lower gross profit for the year 2007 as compare to 2006, meanwhile the operating expenses shows a d eclining trend. Northern Foods plc Net profit ratio for the year 2007 displays substantial increase in profitability as compared to 2007 which is 40.7% higher than to year 2006. The difference in operating and net profit margin is due to the lower finance expenses and higher finance income for the year 2007 as compare to previous year 2006. Northern Foods plc ROCE ratio in 2007 exhibits a drastic increase in the company’s profitability by about 47% as when compared to 2006 which was 0.08 %. The ROCE calculation takes into account PBIT and Total assets less current liabilities. In Northern Plc case, the PBIT shows slight increase but due to substantial decrease in current liabilities that resulted better ROCE as compare to previous year 2006. The return on equity shows the extent to which a company generates profit on the funds invested by its shareholders. The company’s ROE ratio suggests a slight

How television advertisements affect children's purchase Essay

How television advertisements affect children's purchase psychologically - Essay Example This "How television advertisements affect children's purchase psychologically" essay outlines the impact of the advertisement on the consumers' behavior as children of today are tomorrow’s adult consumers. 1998; How Markets Target Kids, n.d). The autonomy of children in making decisions regarding family purchases has greatly increased compared to previous generations (How Markets Target Kids, n.d). The casual and friendly approach of parents towards their children has immensely contributed to such behavior. Children are not hesitant to openly voice out their needs in today’s households and parents yield to their requests either due to constant pestering from the child or to overcome their guilt about not having enough time to spend with their kids (How Markets Target Kids, n.d). In addition the changing family systems such as dual income, nuclear families and having children later in life have also influenced the buying capacity of the parents (How Markets Target Kids, n.d; Bhattacharyya & Kohli, 2007). However, in families where there are financial constraints such pestering can lead to child-parent conflicts which could have an impact on their relationship (Hoek, & Laurence, 1991). Constant pestering and crying f or long periods could have an irritating effect on parents especially after a hard days work. The pester power of children is increasingly seen in consumption of food products especially junk foods such as burgers, pizzas and fries. Other products include clothes or choosing holiday destinations of their interest.

Innovation (iPhone 3G S) Essay Example | Topics and Well Written Essays - 4000 words

Innovation (iPhone 3G S) - Essay Example about change in our society and without change the society would cease to exist because there has to be continuous improvement and people should have the urge to become better day by day. There are different levels of innovation or different degrees of innovation; the most basic kind is Incremental Innovation which is innovation by adding minor features to products that already exist, the second level of innovation is. (Bessant, 2007) Radical Innovation which is basically where development of new services takes place or a different way of delivering a service is sought out, the last but the most extreme level of innovation is Discontinuous Innovation where the product or services that are developed have a completely new technology that drives them. Just like there are different degrees of innovation there are different forms of innovation as well, Product innovation relates to the improvement of existing products and services, process innovation relates to the new processes that have been developed for use within organizations, position innovation is when an existing product is introduced to a new group of customers and last but not the least there is paradigm innovation which has to do with development of new services for new groups of users ( Bessant 2007). There are different sources of innovation as well, one major source that is now being recognized is the End User Innovation where companies or individual develop new products or modify existing ones because the ones that are available in the markets are not able to fulfill their needs and hence the fill in the required gap by themselves. The second source of innovation is the Manufacturer Innovation which is where an innovative product or service is developed in order to sell and earn a profit on the sales of the product or the service. (Bijker, 1992) Innovation management is a tool that has to be used in each and every company because ideas seem to stem from everywhere customers, employees and even