Friday, November 29, 2019

Knowing and Knowledge free essay sample

Of Mary TMCCA Patterns of Knowing and Knowledge It is suggested that there are five patterns of knowing and knowledge in nursing. A nurse must develop and balance all of these patterns of knowledge in order to be effective. As in all of nursing, nurses refine these patterns with experience and reflection throughout his or her career. This knowledge is interrelated, interdependent and overlapping. Nurse, as any other profession develop their own pattern of knowledge as part of their profession, nursing being a unique profession with a unique pattern of knowledge because it requires intellectual knowledge, technical skill and is considered an art (Rutty, J. E. 1998). The first pattern of knowledge is emancipatory knowledge. This concept challenges the nurse to recognize the sometimes-subtle social and political ramifications influencing his or her practice and patient care. The nurse must first recognize that something is wrong, and then have the courage to meet the challenge to attempt to change the status quo (Chinn amp; Kramer, 2011). We will write a custom essay sample on Knowing and Knowledge or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Hegemony is the ability of a certain group or dominant class to influence or control another population or group and influence them to accept their view. The hospital environment and relationships within them can be considered hegemonic, therefore, nurses learn early in their education that is conflict is common between hierarchies within institutions. Nurses learn early in their careers that hegemony can cause disharmony in their practice (Clare, 1993). In order to utilize this practice or pattern of knowing the nurse must question not only what is wrong with the picture but also who is benefiting from the status quo. It is assumed that the disadvantaged population or individual is not free to choose from the options that more advantage persons would be able to choose. The nurse must ask critical questions such as what is wrong with this picture and who is benefiting by keeping the status quo (Chinn amp; Kramer, 2011). Ethical knowledge in nursing has to do with doing no harm and doing what is right. Ethics asks what is right and who is responsible? Nurses are challenges daily in clarifying their values and exploring their alternatives when ethical dilemma’s occur in practice. Various techniques that can be utilized for this process, however the nurse must be aware that this process is likely to be emotionally charged, as it will challenge his or her deeply held values and belief system. The nurse must also explore other avenues of resolution to the problem from the viewpoint of facts and logic. The use of an ethical decision tree is often useful when making an ethical decision, as it add clarity to the situation. Ethical knowledge in nursing operates within fundamental principal and codes. These include such principles of autonomy and benevolence. These are guides to our practice of what the right thing to do (Chinn amp; Kramer, 2011). Griepp’s model of ethical decision making suggests that the nurse has personal belief systems and values however through education and knowledge development has the ability to change his or her beliefs or values. The nurse has the responsibility to always be aware of outside influences on his or her decision-making and carry out right behavior and knowledge (Griepp, 1992). Ethical and Moral Comportment is a term that refers to how nurses or individual behaves or acts morally relative to what they know ethically. This requires the nurse to integrate all patterns of knowledge into the decision-making process. Ethics being the knowledge of what is right, morality being the behavior or heart of what is right and is based on values. An individual has moral integrity when they behave in a manner that is consistent with their ethics. When nurses are unable or unwilling to maintain moral integrity they get moral distress. There are four types common ethical perspective in nursing. Teleology refers to what is right produces good. This concept often refers to the justification for the greatest good for the greatest number of people. Deontology refers to the principle that what is right may not necessarily produce a good outcome. When this principle is followed, it may be the right thing to do in the circumstance, but may cause harm. These two principles are often in conflict. The principle of relativism suggests that what is right in one culture or society may be different on another. This suggest that depending on time and place in history, what is right may change. Virtue ethics suggests that the person involved is important in the decision- making. The character and values or virtues of the person determines the ethical decisions made. The definition of virtue can be troubling when utilizing this principle, especially when referring to nurses as it is comprised of a high percentage of women, whose virtues tend to be obedience, submissiveness and self-sacrificing (Chinn amp; Kramer, 2011). Personal knowledge is the most difficult knowledge for nurses to describe and develop as it takes much introspection, interaction and experience. It is complex and unique to each person yet fundamentally one of the most important patterns of knowing (Rutty, 1998). Personal knowing is rooted in the central questions of; do I know what I do? And Do I do what I know? This concept is spiritual in nature as ones values, attitude and hopes are linked to what they know about themselves and how they view the world, joy and suffering, realities, and how each person learns to be authentic and genuine. Personal knowledge is guided and learned by self-reflection, personal stories and being ones genuine self. The creative process of opening and centering guides it. This process allows the nurse to be present fully with other individuals, and develop the strength and character to be authentic and genuine with others. This allows the nurse to give meaning to the experiences he or she has lived (Chinn amp; Kramer, 2011). Once knowledge is obtained, it becomes personal knowledge; this is part of our humanness. At times, the nurse must become uncomfortable in order to seek out personal knowledge as he or she explores and reflects (Sweeney, 1994). Personal knowing is how a nurse just knows something is about to happen or about a situation or another person. Personal knowing is the experience of the situation without conscious reason (Chinn amp; Kramer, 2011). Personal knowing is what leads the nurse to intuitive thinking. He or she cannot tell you why she has this feeling that this will happen, he or she just knows (Sweeney, 1994). When the nurse has a strong sense of personal knowing it is empowering and gives the nurse a sense of community. The nurse values human life more fully and is more giving to others as he or she is more authentic and genuine both with him or herself and with others as they must attempt to view the perception of others (Chinn amp; Kramer, 2011). Aesthetic knowledge is the art of nursing and how nurses find meaning and significance in each situation. This pattern of knowledge provides the nurse with insight into the human condition. This insight gives the nurse appreciation and inspiration for the practice of nursing. This pattern of knowing and insight allows the nurse to know the unique meaning to unique situations and transform problematic situations into therapeutic situations instantaneously. As in other patterns of knowing this pattern utilizes creativity by the nurse. The nurse must envision the possibility of the best outcome for a given situation and design through experience of past knowledge and present relationship and state as the situation takes place. This must integrate all patterns of knowing in order to be effective. While this is underemphasized in nursing practice, it is and integral part of nursing history. It is the heart of nursing excellence as it embodies mind, body and spirit to form the art and caring of nursing. This pattern of knowing takes discipline on the part of the nurse, as he or she must rehearse situations in advance (Chinn amp; Kramer, 2011). This pattern of knowing requires the nurse to be fully engaged and he or she must interpret each situation by looking beyond what is happening at the moment and envisioning various possibilities. One cannot fully explain in the form of language the art of nursing, however the nurse shows the art through interactions and skills (Mantzorou amp; Mastrogiannis, 2011). This pattern of knowing requires the nurse to know what it means to experience health as well as illness. Synchronous movements with ones language are important in this knowledge. The art of body language and touch is embodied with language skills. Eye contact, touch, facial expressions, tone and language skills are all important. When the nurse’s body language and tone matches what he or she is saying and he or she engages in therapeutic touch, language skills and body language skills a therapeutic environment is created. This therapeutic environment translates to aesthetic nursing (Chinn amp; Kramer, 2011). Empiric knowledge can be viewed as the science of nursing. This is the knowledge that is based on the senses. What can the nurse see, hear, touch, smell and possibly taste. They are the facts, figures, graphs, descriptions, and predictive relationships. Empirics can be validated and are viewed the same by all individuals, they are concrete (Mantzorou amp; Mastrogiannis, 2011). This being said, there are several dimensions to empiric knowledge as one must define the conceptual meaning of any given word or concept as it may have different meaning dependent on culture, the situation it is used, or past experience of the person imagining that word. Some concepts are based n continuums. The concepts of cardio-vascular health can be defined in many ways along the continuum. It would need to be more specifically defined along the continuum in order to be valid and clarifies an empiric concept. This creates identifies assumptions, clarifies context for theories, and designs relationship statements. Empiric theory can be defined in a number of ways. Chinn and Kramer (2011) describe empiric theory as â€Å"A creative and rigorous structuring of ideas that projects a tentative, purposeful and systematic view of phenomena†. This process requires creativity, rigor, structure, purpose and tentativeness on the part of the nurse (Chinn amp; Kramer, 2011). The fundamental concept of the servant leadership is relationship. One must have relationship with self and with others. This relationship relates to nursing as relationships and personal knowledge and self-reflection is an integral function of all patterns of knowledge. Listening, self- awareness, empathy, foresight and personal and professional growth all contribute to healing of self and others by a servant leader.

Monday, November 25, 2019

Outline and assess the main positions in the secularisation debate The WritePass Journal

Outline and assess the main positions in the secularisation debate Abstract Outline and assess the main positions in the secularisation debate AbstractIntroductionThe bottom up/demand side theory of secularisationThe top up/supply side theory of secularisationConclusionBibliographyRelated Abstract This essay tackles the main positions of the secularisation debate. To begin with, this essay examines the ‘bottom up/demand-side’ theory of secularisation, which postulates that as societies go through the process of industrialisation, the religious values that underpin the societal fabric will inevitably erode as the citizenry become more impervious to spiritual pursuits. This essay also examines the importance of the ‘market’ approach to the theory of secularisation, arguing that the top down/supply side perspective is of fundamental significance in order to understand the persistence of religious practice in modern societies. Introduction The secularisation debate has acquired a growing influence in recent years, due to the onset of the postmodern age. Postmodernism posits that in the age of instantaneous communications and ubiquitous access to technology, rigid and fixed classifications pertaining to religion, class, gender and race have been significantly eroded.   The main positions in the secularisation debate focus on two distinct approaches (Fitzgerald, 2000: 133). The first perspective that is postulated for examination relates to the ‘bottom up/demandside’ idea of secularisation. According to this view, as societies go through the process of industrialisation, the religious values that underpin the societal fabric will inevitably erode as the publics become more impervious to spiritual pursuits (Gauchet, 1999: 40). At the same time’, the ‘top down/supply side’ theory of secularisation, which highlights that the need for spirituality remains constant across national boundaries , places a great deal of emphasis on the role of religions institutions in maintaining adherence to theological principles.   This essay will begin by charting the idea that secularisation responds to the gradual phasing out of religious values in modern societies. The second part of the essay will concentrate in the manner in which these values are permanently re-imposed on societies by religious leaders and organisation. Crucially, the second section of the essay highlights the importance of the ‘market’ approach to the theory of secularisation, arguing that the top down/supply side perspective is of fundamental significance in order to understand the persistence of religious practice in modern societies. The bottom up/demand side theory of secularisation The main view propounded by this theory of secularisation is that the advent of the scientific method and rational observation as a method to create societal improvement has shaken the theological foundations that were influential in shaping the evolution of the Western world (Gauchet, 1999: 45). The erosion of supernatural interpretations of the nature of the world has been a permanent cultural phenomenon in the Western world since the advent of the Enlightenment, with its emphasis on universal categorisation that could be subject to empirical observation and rational testability standards (Martin, 1993: 93). The rational template endorsed by industrialised societies rendered the theological claims imposed by the major religions incompatible with the needs of the existence of human collective that relied in an increasing manner on the benefits brought forward by technological advancement (Martin, 2005: 55). There was a gradual and consistent loss of religious faith in Western societ ies that ultimately resulted in the unravelling of theological practices and Church attendances (Martin, 1993: 97). In addition, this provoked a relative corrosion of the social and cultural meanings attached to religious identity, along with a move away from allegiance to political parties and organisations based on denominational values.   According to this theory of secularisation, religious and scientific values are at loggerheads, with a constant undermining of Bible teachings by making reference to the Darwinian teachings put together in the theory of evolution (Martin, 1969: 25). The knowledge gained by society through scientific advancement and its application to technological improvements, coupled with the expansion of education opportunities, impacted on the cultural changes that were ushered in Western societies. It could be posited that the tenets of the Enlightenment undercut the metaphysical principles that were responsible for maintaining societal cohesion during the Middle Ages (Martin, 2005: 59). Thinkers like Max Weber stated that the onset of industrialisation and mass capitalism produced an environment of opinion conducive to reducing the idea of the supernatural to the domain of human rationality and subjected to the explanations taken from the hard sciences rather than making reference to metaphysical arguments (Gauchet, 1999: 49). The attainments made by Western societies in the sciences and the feats that took place in the realm of engineering and technology has emphasised the importance of subjecting nature to the control of man (Bruce, 2002: 59).   These developments were responsible for a change of perception regarding the advent of personal tragedies and natural disasters on the part of a growing number of individuals, who started to regard those eventsin rational terms, instead of attributing them to mysterious forces outside the control of man. Accordingly, the intellectual authority held by religious ministers became just one of the sources of knowledge to be taken into account (Berger, 1969: 30). Their authority was put in direct competition with the people who displayed their professional expertise across many fields of study and who made use of the rational method. At the same time, the gradual \ separation between state and church that took place in many European nations and the United States, co upled with the emergence of bureaucratic apparati and modern political parties led to the discrediting of traditional religious institutions. The industrialisation of Western societies had attached to it a series of changes that impacted upon the ability of individuals to experience mystical experienced (Harris, 2005: 61). This includes the steep decline in communal life, the fragmentation between nature and man and the increased use of technology.   It is worth mentioning that the interpretation put forward by Max Weber regarding the bottom up/demand side theory of secularisation is based on the effects that the Lutheran Reform and the industrial revolution had on the development of political and religious life in Western Europe and North American (Idinopulos and Wilson, 1998: 101). The idea of disenchantment with the world, as propounded by Weber, compelled individuals to seek salvation in the pursuit of material gain, hence eroding the very foundations of transcendental Christi an thinking (Tremlett, 2009: 22). The growing importance of Rationalism was necessarily conducive to being sceptical about the existence of an omnipotent and omniscient God, ultimately resulting in the debunking of religion as a method of explain natural phenomena (Bruce, 2002: 67). It is also important to stress that a bottom up/demand side theory of secularisation can also be understood according the functionalist perspective underlined by Émile Durkheim (Durkheim, 1912, 1995: 73). The French sociologist identified the loss of functional purpose as one of the main reasons behind the erosion of the centrality of religion in the institutional make-up of modern societies (Norris, 2004: 130). This functionalist perspective highlights the idea that a scheme of theology does not just represent a system of beliefs about the nature of existence (Asad, 2003: 90). Instead, it is also a framework of actions concerning certain and certain rituals and symbolism that are performed to signpost the passage of time across the person’s natural lifespan (Durkheim, 1912, 1995: 30). These symbolisms were responsible for maintaining a high degree of social cohesion and stability, hence producing common goods that could be enjoyed by all members of society (Davie, 1994: 8 8). Conversely, the industrialisation Western European and North American societies generated the fragmentation of the social space by inducing process of technical differentiation that dispersed the sources of knowledge (Wilson, 1966: 76). The specialisation of knowledge production stripped the ecclesiastical authorities of the powers that they had in determining which epistemological approaches should be pursued and how the knowledge created was to be disseminated (McCutcheon, 2003: 119).   In addition, all the charity organisations of Christian extraction that had for centuries been in charge of providing for the disenfranchised members of society were replaced by welfare states subsidised by government institutions (Bruce, 2002: 62).   These events were the immediate result of the reappraisal of the role of religious doctrines and organisation. By the late nineteenth century, the doctrines and practices proposed by the Church were not deemed to be functional to the task of e nsuring the material welfare of the population (Tremlett, 2009: 19). Instead, the state had become a kind of secular god that had encroached into many areas of the lives of individuals (Berger, 1969: 147). This entailed that the role of religious institutions were strictly confined to the personal realm; in the public domain, the faith gradually ceased to become a powerful force in the shaping of the political evolution of the nation. The top up/supply side theory of secularisation The views exposed in the previous section can be juxtaposed to the perspective highlighted by the top up/supply side theory of secularisation. This perspective underlines the conditions brought about by the spread of religious freedom in contemporary societies, which led to a competitive environment in the market for religious adherents amongst theological organisations (Davie, 1994: 93). This view makes an analogy between theological organisations and business firms, all of which struggle in order to capture a growing segment of the market. The top up/supply side theory of secularisation postulates that the competition between different religious denominations has a positive impact on the preservation of religion as a vibrant force in society (Asad, 2003: 33). This approach explains the manner in which, for example, the level of religious adherence is larger in countries like the United States, where the different theological denomination are engaged in permanent competition in orde r to attract new adherents (Idinopulos and Wilson, 1998: 111).   This theory puts forward the notion that an intense competition between the different denominations result in churches striving to keep a dynamic spiritual environment in their congregations, hence helping to retain the relevance of religion in their community (Harris, 2005: 58). In the United States, this has generated a situation in which the older denominations such as Lutherans, Catholics and Presbyterians are losing ground to the evangelical religious organisations.   Whilst the evangelical movements demand a great deal of effort on the part of the would-be adherents, they also offer a more intense religious experience than the older denominations; which seems to be a determinant factor in attracting support for their cause (Asad, 1993: 145). Furthermore, the top up/supply side theory of secularisation posits that in cases where religious life is dominated by theological organisations that are directly subsidised by the state, the clergy seems to be less keen to engage with the community of believers, hence leading to the decay of spiritual life in their communities (Stark and Iannaccone, 1994: 232). This theoretical approach seems to replicate the idea that state-owned organisations, be them of an economic or religious nature, tend to be less innovative than private ones (Davie, 1994: 19). For example, in Northern Europe, the established Protestant churches are able to fend off the threat posed by other Christian denominations (Wilson, 1966: 58). This means that the clergy does not have to overexert itself in order to attract the attention of their would-be religious adherents (Asad, 2003: 14).   Consequently, this led to a situation in which religious attendance declined in a significant manner, since the number of op tions available in the spiritual market tends to be quite reduced (McCutcheon, 2003: 46). However, this does not explain the reasons behind the consistently high levels of religious attendance in Southern European and Latin American countries, in spite of the monopoly enjoyed by the Catholic Church (Martin, 1969: 28). It could be argued that a pluralist religious template as the basis for a high level of religious attendance represents a theoretical blueprint that can only be successfully applied to particular settings (Berger, 1969: 61).   It would appear that many of the tenets espoused by this particular theory of secularisation are not based on a sound methodological framework (Harris, 2005: 55). To be sure, the idea of a competitive religious market as an instrument that allows countries to reverse religious decline can only be applied to the United States, which is a society that has traditionally been based around the development of communal life; strongly informed by relig ious values in order to connect individuals to their particular cultural and geographical setting (Asad, 1993: 66). At the same time, it has been argued that the level of religious attendance have remained quite consistent across the ages, which entails that there have been no substantial secularisation process as a result of the onset of modernity (McCutcheon, 2003: 48). In addition, it has been noted that the ‘market’ theory of religion can provide a sound basis for explaining overall trends in religious adherence (Stark, 1999: 249). In fact, in Western societies, periods of low attendance alternated with periods of higher levels of religious fervour (Idinopulos and Wilson, 1998: 98). It is therefore important to concede the possibility that the top up/supply side theory of secularisation may provide with a sound framework of reference in order to examine the level of religious adherence in across the ages (Stark, 1993: 389). It would appear that the postmodern condit ion does not necessarily mar the possibility of a reconstitution of religious life along more fluid doctrinal lines (Stark, 1999: 260). This goes some way towards rebutting the assumptions put forward by the bottom up/demand side theory of secularisation (Wilson, 1966: 61). The ‘market’ interpretation of religious adherence may provide a better way of understanding the extent to which modern societies have been secularised (Wilson, 1966: 82). The dynamic interactions that take place in the social space give rise to the possibility of more fluid (and therefore more vibrant) religious denominational structures that may rehabilitate the spectrum of religious life in postmodern societies (Stark and Iannaccone, 1994: 231). It could be posited that this trend, directed from the top down and informed by a strong supply side approach borrowed from the field of economics, is ultimately a better way to understand the reasons behind the persistence of religious life in modern soci eties (Asad, 2003: 14). Conclusion By way of conclusion, it may be posited that the bottom up/demand side theory of secularisation provides with some interesting insights regarding the evolution of religious life in societies that have been affected by the process of industrialisation and modernisation, to be sure, the application of scientific methods of interpreting the nature of reality resulted in profound changes in the nature and extent of religious practice in Western European and North American societies (Berger, 1969: 77). The specialisation of technical knowledge production removed power from the religious authorities regarding the way in which knowledge was to be pursued, created and spread (Norris, 2004: 41).   Moreover, the onset of modernisation and industrialisation gave the state a great deal of power in order to provide welfare provisions for its citizens, hence stripping the church institutions of their functional purpose (Fitzgerald, 2000: 122).   Notwithstanding the validity of these arguments, they do not explain the persistence of religious attendance throughout the ages (Stark, 1993: 390). There seems to be an inherent human drive to seek the ultimate explanations of the nature of existence by referring to supernatural forces, which explains the resilience of religious practice across the ages. The postmodern condition has given rise to new forms of religious and spiritual practices that thrive thanks to the way in which they are able to utilise technology in order to fulfil their mission (Asad, 1993: 45). For all the reasons cited above, it could be concluded that the theory of secularisation fails to explain the continued interest shown by people in pursuing spiritual avenues for personal advancement; an interest that seems to be more vibrant than ever in the age of fluid doctrinal requirements for religious practice. Bibliography Asad, T. (1993) Genealogies of Religion, Johns Hopkins University, Baltimore, MD Asad, T. (2003) Formations of the Secular, Stanford University Press, Stanford, CA Berger, P. (1969) The Sacred Canopy, Anchor Books, Garden City, NY Bruce, S. (2002) God is dead-Secularization in the West, Blackwell, Oxford Davie, G. (1994) Religion in Britain since 1945, Blackwell, Oxford Durkheim, E. (1912, 1995) The Elementary Formations of Religious Life, Free Press, New York, NY Fitzgerald, T. (2000) The Ideology of Religious Studies, Oxford University Press, Oxford Gauchet, M., (1999) The Disenchantment with the World, Princeton University Press, Princeton, NJ Harris, S. (2005) The End of Faith, Free Press, New York Idinopulos, T. and Wilson, B. (1998) What is Religion? Origins, Definitions and Explanations, Brill, Boston Martin, D. (1993) A General Theory of Secularization, Gregg Revivals, Aldershot Martin, D., (1969) The Religious and the Secular, Routledge, London Martin, D. (2005) On Secularisation, Aldergate Publishing Company, Aldershot McCutcheon, R. (2003) The Discipline of Religion-Structure, Meaning, Rhetoric, Routledge, London Norris, P. (2004) Sacred and Secular, Cambridge University Press, Cambridge Stark, R. and Iannaccone, L., A Supply Side Reinterpretation of the Secularization of Europe, Journal for the Scientific Study of Religion ,Vol. 33, No. 3 (Sep., 1994), pp. 230-252 Stark, R., Europes Receptivity to New Religious Movements: Round Two, Journal for the Scientific Study of Religion, Vol. 32, No. 4 (Dec., 1993), pp. 389-397 Stark, R., Secularization, R.I.P. Source: Sociology of Religion, Vol. 60, No. 3, Autumn, 1999, pp. 249-273 Tremlett, P. F. (2009) Religion and the Discourse on Modernity, Continuum, New York Wilson, B. (1966) Religion in Secular Society, C. A. Watts, London

Thursday, November 21, 2019

All's Fair in Love and War referring to Shakespear's Henry V Essay

All's Fair in Love and War referring to Shakespear's Henry V - Essay Example Anything goes. In Shakespeare’s play, Henry V, which followed Henry IV Part 1 and Part 2, we have the young king portrayed as something of a hell-raiser in his youth, before he ascended to the throne. These high jinks in the case of Prince Harry (drawing parallels with today’s prince Harry) were ephemeral. John Falstaff, one of his erstwhile companions, he refuses to recognize once he becomes king. Henry V had turned over a new leaf. He is a responsible and law-abiding king. Henry V, the play, is about the English king leading his army in battle against the French and winning at Agincourt. This is a historical fact which Shakespeare uses to dramatize in blank verse. The English king’s right to the French throne was established as lawful (through the female line) before he decided to go to war. The king consults the Archbishop of Canterbury for this purpose who simplifies for our edification the abstruse legal position. The king first requests politely that the French king surrender to him what is his due. However, the Dauphin, the French king’s son, the heir to the throne, ridicules Henry V, by rejecting the request while making the sardonic present of a few tennis balls. Much of the action in the play is about the preparation and the actual conduct of the war. As regards love, of course Henry V declares his love for Kate, the French king’s daughter, but it is no real love affair. It is a marriage of convenience. It is the union of two powerful kingdoms to the greater glory of both. There is no rival to Henry V for Kate’s affections. He wins the girl merely by the father’s assent. Therefore the proverb could not apply in this case. Returning to the war, is there any indication that Henry V took the law into his own hands and acted unfairly? The evidence is to the contrary. Henry V begins by saying early in the play: ‘We are no tyrant, but a Christian king’. He invokes the almighty and His blessing before any of his major

Wednesday, November 20, 2019

Support or refute ONE of the major arguments in Affluenza Essay

Support or refute ONE of the major arguments in Affluenza - Essay Example ybe an above ground pool has been co-opted by the advertising industry to become the dream of living at a level of status beyond the means of Americans. The basic ideal of living within your means has become a dirty word in America; today’s Americans are incessantly instructed to live the life they see advertised around them. Unfortunately, advertising the reality of paying for things with the money you have is not conducive to corporate profits. Advertising is geared toward sending people into debt in order to attain a lifestyle they have been coerced into confusing with normality when in fact that advertising is selling a dream that more of than not turns into a nightmare from the escape is increasingly bankruptcy or losing everything one owns. It is impossible to escape the power of advertisements in America today because it literally exists everywhere. In addition to the bombardment of commercials on TV, the billboards that litter the path toward anywhere a person drives, the five minutes of commercials between songs on the radio and the inserts dropping into one’s lap from magazines, it has also become fashionable to attached ads over even the urinals inside public restrooms. Go to a sporting event and the stadium is not only decorated with advertisements all around, but the giant screen that shows the action will be trying to get attendees to buy things. Even the last bastion of commercial-free entertainment has been ruined by the introduction of large-scale commercials; going to see a movie inside a theater used to be a respite from commercials, but today a move that is advertised as starting as noon won’t actually begin playing until 12:20 after the commercials that precede the movie trailers are added. Advertising is insidious in America; it is something that is quite literally inescapable (Hood 121). The American economy used to be constructed around production, but today is reliant upon consumption. Retailing has replaced manufacturing

Monday, November 18, 2019

Payless Shoe Source Paying Less for Fashion Case Study - 1

Payless Shoe Source Paying Less for Fashion - Case Study Example Payless is not the first to chart this territory as retailers such Target and Zellers have tried to peddle high fashion products at everyday prices. This new strategy has allowed Payless to claim to democratize fashion and has given new life to an outdated brand. The method for setting an items value changes when the item is the piece of an item blend. Mostly, firms search at a set of costs that amplifies the benefits on the aggregate item blend where evaluating is troublesome on the grounds that the different items have related request and expenses and face distinctive degrees of rivalry. There is five distinctive item blend evaluating systems that can be utilized for a firm. These are, for example, the product offering valuing, discretionary item pricing, captive-item evaluating, by-item estimating and in conclusion, item package estimating. A pricing approach that considers the brain science of costs and not just the money making concerns; the cost is utilized to say something in regards to the item. For instance, $19.99 or $9.99 kind of "odd costs" that can round of by one final digit number. With the new line and new system, Payless expand the cost of their items. Be that as it may, if the abruptly change their cost by expanding a great deal, clients would not feel good and they wouldn't prefer it whatsoever. Along these lines, they can utilize this sort of technique of Psychological evaluating so as of now expanding of costs, however, make their clients agreeable.

Saturday, November 16, 2019

Issues in Social Work and Mental Health Quality Issues

Issues in Social Work and Mental Health Quality Issues An Analysis of a Range of Issues in Quality Frameworks, Processes and Methods of Measurement in Mental Health Work and Social Work Practice Introduction In equating the various range of issues with respect to quality frameworks, processes as well as methods of measurement in mental health work and social work practice it is important to understand the meaning of these terms as well as their respective applications in the United Kingdom, which represents the subject focus for the aforementioned. Mental health is defined as (Houghton Mifflin, 2006): â€Å" A state of emotional and psychological well-being †¦Ã¢â‚¬  whereby individuals are able to utilize their respective â€Å"†¦ cognitive and emotional capabilities †¦Ã¢â‚¬  to function as members of society as well as to â€Å"†¦ meet the ordinary demands †¦Ã¢â‚¬  which are a process of daily living† In the context of mental health services it relates to â€Å"A branch of medicine that deals with †¦ achievement and maintenance †¦Ã¢â‚¬  (Houghton Mifflin, 2006) of the psychological well-being of individuals. The International Federation of Social Workers (Bouldertherapist.com, 2006) defines social work as a profession that â€Å"†¦ promotes social change, problem solving in human relationships †¦Ã¢â‚¬  as well as giving individuals the empowerment and liberation â€Å"†¦ to enhance their well-being†. The profession, as maintained by the International Federation of Social Workers utilizes â€Å"†¦ theories of human behavior and social systems †¦Ã¢â‚¬  in a context whereby the profession intervenes and interacts with individuals at the areas where they â€Å"†¦ interact with their environments† and whereby the principles of both human rights as well as social justice are underpinnings in the field of social work (Boulderthe rapist.com, 2006). These two fields have a denominator in common, which is that they exist to serve people and help them to improve, as well as cope with their aliments and to ultimately return to a healthful state. The process of serving individuals in this capacity represents some of the most challenging professions in that the analysis of effectiveness, quality, processes and the methodologies utilized in measuring the aforementioned with respect to the varied issues arising from the active practice can be subjective in most instances. This examination shall look at the mental health and social work professions from the context of a range of issues representing quality frameworks, processes and methods of measurement to determine the progress made in providing better service and quality to patients and carers. Total Quality Management Deming (Aquayo, 1991, pp. 138, 248), Crosby (1980, pp. 212-223) and Juran (1992, pp. 171) are all proponents of ‘Total Quality Management’ which is a strategy dedicated to building into an organization the awareness of thinking in terms of embedding quality in all phases of an organization’s processes. The International Organization for Standardization (2006) defines ‘Total Quality Management’ as being â€Å"†¦ a management approach †¦ centered on quality †¦ which is †¦ based upon the participation of all its members †¦ that aims at long-term success †¦Ã¢â‚¬  (Wikipedia, 2006) achieving the foregoing through customer and or client satisfaction that generates â€Å"†¦ benefits to all members †¦Ã¢â‚¬  (Wikipedia, 2006). The preceding includes the organization itself as well as society. In equating quality, the usual context in which one thinks of this word is in products, rather than services such a those prod ucts which are made with a minimum of problems, of good materials and which work properly and achieve this through consistent operation. However, quality as an end result is an organizational mind set, and as referred to in the International Organization for Standardization (2006) definition as a process â€Å"†¦ that aims at long-term success †¦Ã¢â‚¬  achieving the foregoing through customer and or client satisfaction that generates â€Å"†¦ benefits to all members †¦Ã¢â‚¬  (Wikipedia, 2006). Deming (Aquayo, 1991, pp. 6-10) is an American consultant who exposes the importance of implementing a quality oriented organization that permeates every facet of an organization’s structure and culture, regardless of department or function. Deming (Aquayo, 1991, pp. 8) states that organizations must produce â€Å"†¦ products and services that help people to live better† and that the preceding â€Å"†¦ is the raison d’etre †¦Ã¢â‚¬  (Aquayo, 1991, pp. 8) of the organization. His philosophy is that through the adoption of quality products and services, which is a function of management inculcating its staff in quality and innovation measures, the end product and or service improves as does its relationship with its customers and or clients. Crosby (1980, p. 1-5) indicates that mistakes or poor organizational habits and or policies are costly in terms of corrections and the damage to reputation and morale and that all members of an organization have the responsibility to perform their jobs which enhances the performance of other functions thus becoming a synergistic effect. Crosby (1980, p. 4-8), as does Deming (Aquayo, 1991, pp. 6-10) and Juran (1992, pp. 171) all emphasize the importance of quality in increasing an organization’s ability to provide services that meet and exceed client expectations through the effect that quality orientation has on internal interpersonal relationships and openness to ideas. The heart of the work level philosophies held by Deming (Aquayo, 1991, pp. 138, 248), Crosby (1980, pp. 212-223) and Juran (1992, pp. 171) is the contribution of ‘quality’ to the equation of improved services and innovation in heightening organizational standards. The term ‘quality’ can thus mean in this context (Wikipedia, 2006): the excellence and or achievement of an object or service, meaning that it is not inferior or sub-standard, a meaning of excellence in its own right ‘Quality’ is a term in this context that is synonymous with good, which represents the criteria utilized as the standard being applied. Deming (Aquayo, 1991, pp. 138, 248), Crosby (1980, pp. 212-223) and Juran (1992, pp. 171) equate this word in the following manner: Deming (Deming, 1988) states that improved quality helps to reduce operating costs through less error and correction measures. He indicates that to attain the preceding a consistency of purpose needs to be inculcated throughout the organization with an overall plan that is maintained. Deming (Deming, 1988) stresses the need for improved consistency on an ongoing basis and to remove the barriers between various departments to increase and improve communication, feedback and intra-company working processes. Deming’s (Deming, 1988) thirteen point program stresses that it is management that leads and sets the example as well as supports ongoing quality through active participation that involves everyone within the organization as well as suggestions and contributions from working partners and clients. Juran (1992, pp. 154-198) states that quality application in organizations is defined by crafting them to be utilized in context with the organizations purpose to improve performance. Crosby (1980, pp. 189-216) also trumpets the application of quality throughout the organization as a management down function that must be maintained, taught as well as communicated to bring the staff not only on board, but committed to the adoption of quality and improvements as an organizational way of thinking. Moullin (2002, pp. 2-7) advises us that quality in health and social care fits within these fields as it is important to: patients as well as service users, staff, and the application of quality can aid in the reduction of costs as well as provide better service in the context of budgetary and cost constraints. It is interesting to note that Moullin’s (2002, pp. 2-7) points are the same as those emphasized by Deming (Aquayo, 1991, pp. 138, 248), Crosby (1980, pp. 212-223) and Juran (1992, pp. 171) in the general context of total quality management, and that the application in the health and social care fields is the same as for manufacturing, banking, or any other industrial sector. Moullin (2002, pp. 2-7) points out that quality in the health and social care fields is important in that not only do patients as well as service users benefit in that their differing requirements are met in a better, more comprehensive and complete fashion, the benefit of quality also affects both these groups each time they come into contact with the organization(s) and thus their individual confidence levels rise with the expectation that they will receive good service and be well treated. Moullin (2002, pp. 5) advises that patients in need of health and social services are usually stressed, worried, v ulnerable as well as frightened with respect to the outcome of their need(s) and that long waits on the telephone, in lines, for responses, little or insufficient information, poor facilities and insensitivity exacerbate the preceding. He (Moullin, 2002, pp. 6-8) indicates that quality in these fields, health and social care, is important in that: The staff benefits as the vast majority elected for a career in these fields out of a desire to help others, rather than for monetary gains and that poorly organized staffing functions contribute to frustrations for employees reducing their morale as well as effectiveness. Moullin (2002, p. 6) adds that quality is important in the reduction of costs as he advises that the correlation between resources and quality represents a strong relationship. And while the amount and number of staffing is important, quality can be improved irrespective through the application of new innovative techniques, technology, work flow planning, scheduling and other means. Moullin (2002, p 6) indicates that reduction in costs sometimes means increasing services and or staffing in one area whereby the work load flow will thus lessen the impacts on another thus either balancing out or reducing costs through flow adjustment. While it is difficult to place an exact date or year on when quality became an active force in the health and social care sectors, the concern over spiraling health care costs, inefficiencies and deteriorating services began to surface in the late 1970’s and early 1980’s in the United States, as well as a result of the increasing costs burdening the governments in Europe’s socialized medicine schemes (Bennett et al, 1999). The era of unlimited access and treatment as the foundation of quality oriented services in the health and social care fields began to give way to the spiraling costs of advancements in diagnostic techniques and therapeutic modalities, with the rising costs of health and social care exceeding the rise in the costs of living in the United States as well as Europe and the expenditures for socialized medicine threatened the economies of many nations in Europe (Lighter, 1999, p. 265). In addition to the foregoing, the aging of the world’s po pulation as better medical care has increased life spans, and this combined with the fertility transition has increased the proportion of older adults and has contributed to the concern for quality in health and social care (Demeny et al, 2003). Health care spending in most OECD (Organisation for Economic Co-operation and Development) countries, such as (OECD, 2006): Australia Austria Belgium Canada Czech republic Denmark Finland France Germany Greece Hungary Iceland Ireland Italy Japan Korea Luxembourg Mexico Netherlands New Zealand Norway Poland Portugal Slovak Republic Spain Sweden Switzerland Turkey United Kingdom United States, amounts to in excess of eight percent (8%) of their Gross Domestic Product (GDP), with health related spending in the United States projected at fourteen percent (14%) (World Trade Organization, 1998). The public’s concerns over increased costs for health and social care services prompted the privatization wave on the mid 1980’s in the expectation that the measure would increase efficiency as well as reduce costs, but those expectations from this initiative have been elusive (Bach, 1989). The preceding created a climate whereby governments in Europe under socialized medicine, as well as the private health care structure and governmental social care system in the United States began to look for measures to control and reduce costs while increasing quality. In 1998 the Department of Health in the United Kingdom issued a ‘White Paper’ titled â€Å"Modernising Social Services† (Department of Health, 1998) which represented the United Kingdom governmental response to public opinion as well as mounting social care costs to introduce quality frameworks into the system. The White Paper set forth a framework at the national level that called for (Department of Health, 1998): the establishment of â€Å"†¦ clear objectives for social services†¦Ã¢â‚¬ that created a â€Å"†¦ clear expectation of outcomes †¦Ã¢â‚¬  which social services would be â€Å"†¦ required to deliver.† (Department of Health, 1998), the publication of a â€Å"†¦ National Priorities Guidance†¦Ã¢â‚¬  (Department of Health, 1998) that set up key targets that social services would achieve in the intermediate term, and putting into place â€Å"†¦ effective systems †¦Ã¢â‚¬  (Department of Health, 1998) via which to monitor as well as to manage performance. The Department of Health’s White Paper in 1998 clearly set forth that the government of the United Kingdom was putting into place â€Å"†¦ new resources to support †¦Ã¢â‚¬  (Department of Health, 1998) the programme, and in return for these added resources, pegged at  £1.3 billion over 1999/2000 – 2001/2002, and the United Kingdom government made it clear that it expected â€Å"†¦ to see improvements in quality and efficiency †¦Ã¢â‚¬  (Department of Health, 1998). The Best Value framework represented another name for Total Quality Management in the context of health and social services care in the United Kingdom. Under the â€Å"Best Value† framework indicated under this White Paper, the government set forth that (Department of Health, 1998): Local authorities were mandated to establish â€Å"†¦ authority wide objectives for performance measures† (Department of Health, 1998) in consort with the national objectives as well as government set standards and or targets. Local authorities were also provided with the responsibility to conduct and â€Å"†¦ carry out fundamental performance reviews †¦Ã¢â‚¬  (Department of Health, 1998) concerning all their services in a five year framework utilizing these reviews for assessment and the establishment of â€Å"†¦ local performance plans†¦Ã¢â‚¬  (Department of Health, 1998). That the local planning process will be underpinned and supported via data obtained â€Å"†¦ from a new statistical performance assessment framework† (Department of Health, 1998). â€Å"†¦ Local Performance Plans †¦Ã¢â‚¬  will be utilized to identify the targets for improvement compared against performance indicators on a local level and â€Å"†¦. The National Best Value Performance Indicators †¦Ã¢â‚¬  (Department of Health, 1998). Annual reviews of the aforementioned local performance plans will be conducted by the Department of Health utilizing Social care Regional Offices to assess progress and identify problem areas (Department of Health, 1998). The White Paper put into place an independent inspection system utilizing data from the performance assessment framework (Department of Health, 1998). And lastly, the ‘Modernisation’ programme set forth a system of Joint Reviews reducing the time table to five years from seven (Department of Health, 1998). The new programme set forth a performance assessment framework that specified performance areas defined by (Department of Health, 1998): cost and efficiency, effectiveness of service delivery and outcomes, quality of services for users and carers, and fair access. Analytical Methods of Quality Measurement and Standards Balanced scorecards represent a top-down hierarchical set of management tools that link long-term financial goals with performance targets (Kaplan et al, 1996, pp. 75-84). The United Kingdom’s National Health Service utilizes what is termed a ‘Star Rating’ system which is an example of the balanced scorecard (British Library, 2002). Kaplan et al (2001) advise that this methodology, specifically designed for the public as well as voluntary sectors has a link between performance measures and strategy, and thus the method should represent one of benefit in these regards. The caveat is that there are varied difficulties arising from its use by organizations as the financial perspective measurement is not the defining factors of organizational purpose in the public sector (Dickson et al, 2001, pp. 1057-1066). Kaplan et al (2001, pp. 135) agree with the foregoing and add that in utilizing the balanced scorecard governmental agencies should consider the utilization of an overarching objective at the head of their respective scorecards which is reflective of the long-term objectives (Kaplan et al, 2001, pp. 135). The difference in the utilization of the balanced scorecard in a not for profit and governmental agency mode as opposed to business is the way stakeholders are considered. In a business atmosphere stakeholders are involved as it represents the best means to conduct business, however in a not for profit and governmental agency sense, these organizations usually exist for the benefit of the users of the service as well as other stakeholders thus changing the emphasis whereby stakeholder contribution is more fundamental (Moullin, 2002, p. 167). Moullin (2002) adds that user involvement takes place at two levels, one represents helping to develop the service to meet their needs and the second entails the involvement of users and carers in the decisions concerning their health as well as the care given and received. Benchmarking, as a term, has numerous definitions, however at its core it represents a process of â€Å"†¦sharing information, learning and adopting best practices †¦Ã¢â‚¬  (PSBS, 2006). The European Benchmarking Code of Conduct states that it is a process of making comparisons against other organizations and thus learning from the lessons these comparisons reveal (The European Benchmarking Code of Conduct, 1998). In the context of social care, benchmarking entails the understanding or and utilization of knowledge gained across a range of services and compilations to utilize in formulating standards of measurement as a guide to rating and understanding the performance of services in individual local authorities. The weakness of benchmarking is that it can not stand as a total measurement without revision and modification as newer and more effective techniques and methods prove themselves. Thus as a standard in a state of flux, benchmarking represents a system that is base d upon existing methodologies, that are changing, being modified and or amended. Thus benchmarking represents a useful, yet temporary methodology whereby the practitioners must be mindful that existing standards are subject to change, which in conjunction with other measurement methodologies has contributed to improving quality and performance in the health and social care sectors. Quality Approach The utilization of balanced scorecards, and benchmarking fall under the concept of Total Quality Management which is termed Best Value under the Department of Health’s Modernization Programme and is illustrated by an example provided by Gillian Crosby (2004, pp. 7-8), the Director of the Centre for Policy on Ageing. She indicates that the problem in the social services arena, is wrongly based in concentrating on the solving of their problems as well as users of services rather than as their being active contributors to society. Crosby (2004, pp. 7-8) indicates that the NHS views social care as well as society’s older individuals as a â€Å"problem† which in what Crosby (2004, pp. 7-8) terms a â€Å"†¦ very narrow approach †¦Ã¢â‚¬  thus creating a focus on delivering intensive services which thus â€Å"†¦ excludes †¦ older people and their careers†. She further states that in the aspect of quality as it relates to social services the s ystems of initiatives, pilots, and projects that have been created and put into place to audit, evaluate, monitor and investigate service development and provisions have been in place for years. Crosby (2004, pp. 7-8) maintains that the problem is the â€Å"†¦ sustaining and maintaining †¦Ã¢â‚¬  these areas and â€Å"†¦ building them into effective †¦Ã¢â‚¬  provisions through utilizing these collective findings and synthesizing that information. Crosby (2004, pp. 7-8) indicates that this void causes good ideas to stagnate rather than permitting them to be explored and utilized where warranted and she cites that quality thus suffers as a result of duplication and what she terms as â€Å"†¦ pilot fatigue †¦Ã¢â‚¬ , indicating that the system needs to implement as well as create and find more innovative ways in which to service elder citizens in a manner whereby these initiatives are â€Å"†¦ developed and maintained.† Crosby (2004, pp. 7- 8) that there are numerous examples of individual cases whereby instances of good practice have been demonstrated through partnerships that have improved service provisions for elder citizens, citing the â€Å"London Older People’s Service Development Programme† as an example. The preceding utilized a collaborative model that promoted optimized care and independence and grew into a tool implemented by the National Service Framework for Older People in London with the hallmark being its â€Å"†¦ single assessment process† (Crosby, 2004, p. 8). The foregoing example is an instance whereby the practice of Best Value and allied tools need improvement to respond to the specialized needs of a segment of social care services, but this example does not indicate that system wide the measurement has not produced results. The system has shown â€Å"mixed progress† as reported by the BBC (2005) as the quality of care has improved since the adoption of the Modernization Programme, but as the BBC (2005) reports, â€Å"†¦ there are still worrying gaps †¦Ã¢â‚¬  with regard to service as reported by inspectors. The BBC (2005) report indicated that three quarters of the council departments received ratings â€Å"†¦ in the top two categories †¦Ã¢â‚¬  as opposed to slightly â€Å"†¦ over two thirds in 2004†. Thus progress has been made as a result, yet there is still sufficient room for further improvement. The NHS Mental Health sectors foundation for improvement in its quality of services was set forth under the National Service Framework in 1999 which established a blueprint for care throughout the United Kingdom †¦Ã¢â‚¬  (Department of Health, 1998). The initiatives established for a modern NHS resound with the word ‘quality’ as its foundation (Appleby, 2000, pp. 177-291). The process filters down into every job description utilizing the word â€Å"quality agenda† (Appleby, 2000, pp. 177-291) which is composed of six elements: treating patients as well as service users with the dignity they deserve, the creation of the proper environments via which patients can recover and utilizing their views to accomplish how services should be developed, recognition of the skills of families in the roles of carers, linking service activities to needs so acutely ill individuals receive urgent care access through a comprehensive range of services, making the best as well as most effective treatments available, and emphasize patient safety The success of the system is contained in the regional rating system which measures the number of ‘Local Implementation Plans’ in red, amber and green (Appleby, 2000, pp. 177-291). The National Service Frameworks set measurable goals as follows (Department of Health, 2006): the setting of national standards and the identification of key interventions with respect to defined service and or care groups, placement of strategies that support implementation, establishment of means via which to ensure progress in defined time frames, introduction of the new NHS and A First Class service that re-emphasized the position of NSF’s as the key drivers in the deliverance of the modernized agenda. The success of the NSF is assessed by what are termed interface indicators which are a part of the performance assessment frameworks which has seen demonstrated improvement throughout the system as a result of the Department of Health Modernization Programme and as contained in the Mental health NSF Performance Report of July 2005 rated all ongoing programs as meeting the prescribed targets of achievement (Mental health NSF, 2005). In 2005 26 councils received the three star top rating, which represented an increase of six councils over the prior year (BBC, 2005). The total results indicated (BBC, 2005): 83 councils received two starts as opposed to 78 in the year 2004, 31 received one star, which represented a decrease from 36 the year before, 3 received zero stars, which decreased from eight in 2004. The foregoing indicates that the Modernization Programme has demonstrated progress and as a result of the varied programmes and measurement systems there is in place a means to equate progress. Clinical Governance is a term and process which grew from the commercial arena under standards for financial management for companies in the private sector (Palmer, 2002, pp. 470-476). In the framework of the NHS it represents a methodology and framework whereby organizations are accountable for the continuous improvement in the quality of their services as well as high standards of care through the creation of a climate and environment whereby excellence with regard to clinical care grows (Department of Health, 1998, p. 33). Since the implementation of the Department of Health’s modernization programme NHS community and acute trusts have been charged with the creation of established structures as well as processes for clinical governance which is monitored by the CHI. It represents a comprehensive approach comprised of four areas (Palmer, 2002, pp. 470-476): definitive and clear lines of responsibility for overall clinical care quality, programme of quality improvement regarding activities that includes a clinical audit, development and utilization of clear policies that manage risks, procedural methodologies for all groups to identify as well as correct poor performance areas The heart of the system is the clinical audit which places accountability on the managers and utilizes performance management as the process of delivering the objectives throughout organizations to filter down to each individual and job description thus providing management with clear roles and set priorities. The programme has been rated as successful in terms of it providing a clear set of measurement data to gauge and compare progress through point in time comparisons under its clinical audit segment which represents a new system that did not exist (Palmer, 2002, pp. 470-476). As such it has aided in the achievement of measurable improvements in the field of patient care, making such an established routine. The Commission for Social Care Inspection utilizes a framework of fifty performance indicators that when assessed as a whole provide an overview of the manner in which local councils are serving the needs of their residents concerning social care service delivery (East Sussex County Council, 2006). Inspections are carried out a minimum of once in a three year period and can be conducted at any time and is comprised of three types of inspections (Commission for Social Care Inspection, 2006): Key Inspections: These are comprehensive and through inspections that are unannounced and are conducted at least once for all adult social care services during a year period. It represents on sire as well as documentation reviews and inspections of all areas of service categories without any prior notice. Random Inspections This type represents targeted specific issue inspections conducted in addition to key inspections in the follow up of complaints and or progress from an earlier inspection calling for specific areas of concern. Thematic Inspections These inspections represent follow up to regional and or national issues concerning medication, nutrition or similar areas and are also in addition to key and random inspections which can be conducted at any time. The preceding inspections provide the formulation for ratings and represent a gauge on progress, standards and adherence to established policies. The performance indicators represent fifty differ areas ranging from (National Statistics, 2005): Children’s Pls placement stability employment, education and care leavers education unit cost of residential care unit cost of foster care children reviews core assessments long term stability children in need Adult Pls emergency admissions drug treatment program participation unit costs of residential and nursing care adults at home services for carers client reviews carer assessments waiting times The methodology has been successful in terms of providing a measuring device via which the CSCI can assess progress and improvements as well as backward movements in services. The audit commission’s role promotes the utilization of performance data to fuel improvements in services provided to the public (Audit Commission, 2006). The Audit Commission works with varied governmental departments, agencies and local authorities to define a broad array of performance indicators applicable to their circumstances. As a department the Audit Commission’s success is represented by the performance indicators it assists in the development of for the aforementioned and is a success as these varied programs have improved the ability of these agencies, departments and local councils in assessment of the services under their charge. Conclusion The NHS Modernization framework has been devised to oversee and create improvement in the world’s largest government public sector health and social care programme which stands in excess of  £9 billion and is responsible for delivering a huge variety of services to every corner of the United Kingdom (Department of Health, 2006). Serving individuals in these sectors represents a demanding subjective function whereby the standards of quality and service delivery are defined by consistently improving services and new methodologies which change the standards as innovation introduces newer and improved techniques. Total Quality Management represents a technique that under the NHS Best value programme and Modernization plan of 1999 offers a means via which the system can monitor itself as well as agencies and local authorities with the foregoing fluctuating basis and improve its quality of service delivery in keeping with changes and improvements in care. The preceding is important as a result of the lessons learned in spiraling health and social care costs that surfaced in the late 19

Wednesday, November 13, 2019

Ice Cube :: essays research papers fc

O’Shea Jackson, also know as Ice Cube was born in 1969. He was growing up in South Central Los Angeles. Ice Cube’s interest for Rap started showing in high school. Ice Cube went away to Phoenix Arizona to study architecture. When He returned he began his raping career. In return to Los Angeles in 1987 He released a few 12 inches with â€Å"My Posse†. He worked with his crew C.I.A , World Class Wrecking Crew and then the contentious N.W.A. This crew know as N.W.A was The first group to bring gangster rap to mainstream. This crew was very triumphant. This crew generated a lot of controversy by the media and their trademark aggressive, chauvinist, homophobic words. They sold millions of albums ,although it was the only album they released together. Ice cube was not happy with the group’s management. As a result he quit the N.W.A. In 1989 he moved to New York, there he joined Da Lench Mob. After that recorded his solo album 1990’s â€Å"Americas Most Wanted†. Ice Cube Produced an album for rapper Yo-Yo, â€Å"Bonnie to his Clyde†. He has produced and remixed albums for other artists including K- Dee as well as Anotha Level. In addition Ice Cube appeared in the popular movie Boyz N The Hood. There are as well other not so popular movies he has appeared in such as the Glass Shield, Trespass, Higher Learning and also the unwatchable Anaconda. Ice Cube In also co-wrote and appeared in Friday. He wrote and produced The Players Club. Finally his number one Pop and R&B charts was â€Å"Today Was A Good Day†. In 1991 his number two Death certificate went platinum even though it contained an anti-Semitic rant. In 1993’s â€Å"Lethal Injection†. Then he formed a group Westside Connection. He appeared on the Lollapalooza tour.

Monday, November 11, 2019

Aq for Conformity

Young people of my country conform and deviate, but in varying degrees. This is expressed by Suematsu in paragraph 3 of passage B where he states â€Å"Conform too much, and you are toast, deviate too much, and you are toast too. † in context to the school life. It is the same with Singapore. Young people of my country must find the perfect balance of conforming and deviating in order to be â€Å"popular†. And that answers the question as to why they conform and deviate. Even within Singapore, different young people may conform and deviate in different ways and in variable degrees.For example, students in a secondary school may find that breaking the rules, â€Å"deviating† in other words, is considered cool but students from a junior college may find conforming more to their style. This is probably due to the mental maturity of the different age groups. In secondary school, students are still young and may not fully comprehend the consequences of their actions o r maybe even be given rose coloured glasses by their peer (peer pressure), whereas in JC, the students have matured greatly from their secondary school days and understand the consequences they have to face in breaking a rule.However, we also have to consider what kind of circles the young people come from. Some young people may come from more shady backgrounds, and they may break more rules (of both society and school) than normal, but to them, or perhaps, to their social circle, it may be a form of conforming. It isn’t their fault as they have been brought up or have been exposed to such an environment at a early age. To them, it is the norm. they do not know how else to act except to deviate.Even within that circle, there may be some limits to the kind of rules or how many you can break. This is also illustrated by Suematsu who states â€Å"We all conform to some standard one way or another†¦ this collective standard can vary even within a society. † It is also seen in the undercurrents of Heath and Potter’s work where they state â€Å"they do place limits.. † which states that even with deviation, there is a limit to what you can do.As Heath and Potter argue, the conformity will not destroy individuality. Which is probably why most young people in my country tend to deviate less (in terms of society and rules). Even with our uniform, most of the young people do not bother to accessorize or alter our uniform (except maybe the length) too much. It is, in our perspective, a uniform, and therefore, is not an accurate representation of our true selves.We tend not to bother too much about showing off our individuality, saving that for when the weekend comes or when we go out. As Suematsu states â€Å"the conclusion that limited means of expression equals limited expressions of individuality which may be wrong. † Besides, â€Å"students have a thousand and one ways to modify a school uniform†, which is also another r eason why students conform to wearing the uniform, though they deviate a little by maybe, shortening the skirt a little too short, or wearing pretty hair accessories.It is probably also true that many young people of my country may fuss a little too much over details such as hair, makeup or attire (more often lately). When we go out, it is important to look our best in order to portray our individuality (this is the same for many other countries). Even so, be it our moral compass, or our parents or even the society, young people still conform to a certain type of limit set by above mentioned factors, though deviating. This is the so-called golden balance that Suematsu mentions.

Saturday, November 9, 2019

magna carta essays

magna carta essays In this edition of politics we will take a look at one of the most influential documents in history, this document is known as the Magna Carta. We shall look at its importance and what exactly it means. changes some good, some bad our nation has been desecrated by the black death, crusades have struck our country, and our king has unlawfully ruling our country for some time The magna Carta was written to limit the of the king and to obtain our natural rights. The Magna Carta became known as one of the first documents to ever reduce the power of a king. Without boundaries, a ruler will abuse his power over the people. So in order for a ruler to govern a nation correctly he must have laws and boundaries to follow. The Magna Carta was the first document to start a lawful monarchy in England. The need for this document was because King John had taxed, mis-governed and neglected the peoples rights until the barons, particularly Stephan hangton, forced him to sign the Magna Carta on June 15,1215. The Magna Carta contained sixty-three articles covering many topics such as the rights and liberties of the church, financial concerns, royal courts and the treasury, the sharing of power between the king and barons, and the kings relationship with his subjects. The Magna Carta stated We have also granted to all free men of our realm, on the part of ourselves and our heirs forever; all the subjoined liberties, to have and to hold, to them and to the heirs, from us and from our heirs. This article said that people have the right to liberty at all times and the king nor any other person could take that right away. The Magna Carta also handled with the court and justice system. It declared To none will we sell, to none deny or delay, right or justice. This article says that every man wil ...

Wednesday, November 6, 2019

Welcome the Criticism

Welcome the Criticism Welcome the criticism not just as critique group type rejection, but after the book, when people dont like it. Or before the book, when friends scoff about you ever getting onto a shelf in Barnes Noble. These issues should set you on firein a good way. We have a natural tendency to listen to naysayers. Standing fast against the current does not come easy. So when someone, especially someone with a sense of authority or expertise, tells you that youre on the wrong path, you assume they are right . . . you are wrong. In our profession, we are told that we need to write both to what the public wants (i.e., know your reader) as well as be original. Every agent and publisher alive wants something the market has proven while craving that never-seen-before talent.   They want it both ways. Heck, dont we all? Theres comfort in writing with the flow, following success. Theres risk and fear of failure when we dare to be like nothingor no one else. But with higher risk comes greater success. When you are handed criticism, accept it. Study it, then glean what to keep and what to ignore. Itll help you shape and mold what youre trying to accomplish. The hard part is that there isnt a right or wrong answer in how you proceed or whose advice you accept. Thats why so many writers remain average. They keep looking for a right answer that doesnt exist. But if you are stubborn, or contain some semblance of resolve, you start understanding what you want to produce. As rejection carves you, as criticism tests that resolve, you define yourself. When you feel the right path under your feet, writing stories ina voice thats purely yours, you weather the criticism. As stated in the opening paragraph, you become alive, set afire with purpose. Ive been told not to put children in my mysteries. Ive been told not to put so many personal anecdotes in my nonfiction. Agents told me not to use agriculture in Lowcountry Bribe, because it would bore people. Some accused me of too many newsletters, too much information too often delivered. I was told to blog only once a week Study your craft. Study all sides. Stand up and take the criticism or words of friendly advice. Then do what drives you, what enthuses you, what triggers you. Whether you publish or not is solely up to you. If you are fired up enough to make your work spit-polished and pertinent, you will publish. If you wont rest until the public holds your work in its hands, you will publish. The diligent eat up criticism, learning from it, but most of all, learning how to interpret it. When you mature enough in your judgment to pick and choose the advice you take, and recognize what feeds you as an artist and professional, you can wind up doing great things with your words.

Monday, November 4, 2019

Accountant's case Study Example | Topics and Well Written Essays - 1250 words

Accountant's - Case Study Example He was advised that it would be possible to have his existing machines upgraded so that they could perform more complicated programmes and decided to go ahead with this. In March Blake received a circular from Watt A. Racket plc, a company specialising in computer maintenance and upgrading of a variety of different computers including his Apropex X18s. This circular contained details of the cost of upgrading and at the bottom of the first page there was a picture of a small red hand together with the words "see last page" in feint black print. On the final page of this six page circular, in a central position, there was a box containing the following words:"The Company undertakes no responsibility of any kind for any loss damage, injury or depreciation in value arising (regardless of cause) during maintenance or upgrading operations. Customers are advised to take out independent insurance". Blake was impressed at the reasonable charges quoted and failed to notice this clause. He imme diately telephoned Racket plc and engaged their services to upgrade three computers. He was told that a confirmation of his order would be sent immediately. The confirmation, which Blake read, arrived the following day and stated that "All work is subject to conditions set out in the company's circular". When Racket plc came to collect the computers, one of them was dropped onto Blake's foot by a Racket employee. The second computer was destroyed by a fire at the warehouse, which was started inadvertently by another Racket employee, and the third computer was returned with an irreparable defect and cannot be used by Blake. According to general rules of contract law pertaining to offer, acceptance and consideration it can be said that if A makes a proposal to B it will be considered as an offer extended from A to B and if B says yes to the offer made by A then the offer will be considered as accepted. The offer will now be called as a Promise in contractual terms and 'A' will be called the 'promisor and 'B' who has accepted the offer/proposal will be called the 'promisee'. According to Atiyah,Essays on contract(1986) 'Consideration is the doctrine to establish which promises should be legally enforceable'. Also in 'Currie v. Misa(1875)L.R.10Ex.153,at p.162' Lush J. stated: A valuable consideration, in the sense of the law, may consist in some right, interest, profit, or benefit accruing to the one party, or some forbearance, detriment, loss, or responsibility given, suffered, or undertaken by the other. Every promise and every set of promises, forming the consideration for each other, is an agreement; and afterwards it culminates in to contract. Consent given should always be free consent in terms of that it should not have been obtained through any fraud, by employing coercion, exerting undue influence or through misrepresentation of facts. These basic rules of offer, acceptance and invitation to treat etc are amply illustrated in the cases 'Pharmaceutical Society of Great Britain v. Boots Cash Chemicals Ltd.(1952)2 Q.B.795' and 'Felthouse v. Bindley(1862)6L.T.157' and also in 'Fisher v. Bell (1961) 1Q.B. 394' The acceptance must assent unequivocally and without qualification to the terms of the offer. The acceptance may also be qualified by reference to the preparation of a more formal contract or by reference to terms, which have still to be negotiated. In this case as it appears on the face of it that Blake on the sending of circular by Watt A that can be taken as invitation to treat offered them to buy computers from them, that the company accepted subject to some terms and conditions. So broadly construing the terms of the contract it seems that they bind Blake. Especially in view of Thompson v. London, Midland and Scottish Ry. Co. [1930] 1

Saturday, November 2, 2019

Fragmentation from Christendom to the Protestant Reformation Was Not Research Paper

Fragmentation from Christendom to the Protestant Reformation Was Not Beneficial to the Evolution of European Culture - Research Paper Example Radically, the world shape had been altered; creating a fresh identity of European communities of what was once Catholic Christendom. Knowledge about their culture had been growing rapidly from thirteenth century (Hillerbrand 89). Across the Atlantic, a new world had been discovered and accurate knowledge of the oceans and the lands beyond Islam became widespread. This coincided with the fragmentation of the old idea of Christendom, replaced by a new geographical idea, Europe that included all people from different European cultures and who shared a common history. This included the protestant sects, Roman Catholicism, and those in the Orthodox. Whether or not protestant reformation comprised improvements in the lives of European communities is debatable, since there were negative and positive impacts in personal, cultural, social, theological, and political pragmatisms. The impacts of Fragmentation from Christendom to the protestant reformation on Culture and political thought Cultu rally, arts with an exception of architecture and music realized a loss of ecclesiastical support from protestant reforms, and more so, Luther reforms. The movement of reformers used vernacular as opposed to Latin and thus popular music was not as weakened as the Liturgical language used by the church. Consequently, this helped raise the music status since composers were free to develop pieces which were more appealing to people of a specific culture and language, thus encouraging diversity (MacCulloch, 75). Architecture remained exuberant and grand as the numerous denominations competed to put up worship houses. However, other arts lost denominational recognition by protestant restructurings. The patronage of visual arts and religious images were not supported by the protestant churches. At the beginning, struggles among reformers about iconoclasm resulted in conflicts over the images place in the sanctuary. For instance, the differences between Luther and Calvin’s hostility to visual images hampered the support given by churches for art. Culture was affected in such a way that, financing art needed a huge amount of resources, both in creation of the art and in supporting the artists. The Catholic Church drew funds and other resources from many churches diffused over continental Europe, while the Protestants had limited resource base. The situation was made more severe since the princes and the break-away churches were struggling to prevent their recap back to Christendom and the struggle for survival prioritized. This cultural insolvency led to a loss of visual arts for Protestants who would have otherwise gained a deep sense of pleasure and satisfaction from viewing art to reinforce their religious convictions. However, the vernacular Bible version such as the King James Version and Luther’s played a significant role in the development of modern English and German literature (Mitchell & Buss 67). Protestant revolution was not beneficial to the lives of European communities politically since autonomist groups gathered support via identifying with certain denominations. This led to breakup of Western Christianity despite the fact that, for a Christian to put more loyalty towards a political group or nation instead of their faith contradicts with the idea of brotherhood and Christian unity found in the Bible. The fragmentation of Christianity basing on nationalistic lines changed the