Essay about Research Critical Analysis - 1817 Words

Journal Article Evaluation: Barinaga, E. (2007) ‘Cultural diversity’ at work: ‘National culture’ as a discourse organizing an international project group, Human Relations, 60(2): 315-340. Ester Barinaga’s paper on multinational work teams and how they organize themselves using ‘national culture’ and ‘cultural diversity’ as discursive resources is critically discussed, with special attention paid to the limitations of her research approach. This review proceeds as follows. First, the theoretical framework is briefly outlined in which Barinaga embeds the specific angle of her research project. Then follows a critical description of the international team she followed, her chosen method of observation and the findings she presents.†¦show more content†¦While she clearly positions her research approach within the wider framework of the field, she fails to mention the Global Leadership and Organizational Behaviour Effectiveness Research Project (GLOBE) initiated by R. House (House et al., 2002). Although its large-scale, quantitative research approach differs from her ethnographic study and takes on the positivist stance she is arg uing against, it deserves mentioning as both research projects explore the impact of cultural diversity on organizational processes in multinational work teams. Research Approach Using the term discourse as coined by Foucault (1980), Barinaga explores in-depth how team members make sense of their daily group life by way of their discourse on ‘cultural diversity’. To gain insight into the â€Å"actors’ construction of themselves and others† (Baszanger Dodier, 1997, in Barinaga, 2007), she therefore chose ethnographic research methods to collect a comprehensive body of qualitative data on one work team with members from five different countries. She closely followed every workshop and communication between meetings over a course of 17 month and recorded meetings, interviewed team members individually and collected all documents produced by or passed around in the group. Additionally she asked each team member via e-mailShow MoreRelatedCritical Analysis of Research Articles1808 Words   |  8 PagesThis work will discuss a critical analysis of two articles that will be used within my research proposal. As requested, I will look at two articles that will represent the following: both articles require two distinct research disciplines of qualitative and quantitative methods; also, articles must represent two paradigmatic assumptions; the articles chosen fall into quantitative post-positivistic, and qualitative constructivist methods and paradigms; each article will be analyzed to reviewRead More Critical Analysis of Research Papers1711 Words   |  7 PagesIn this paper I will critically analyse the strength and weakness of using qualitative and quantitative to a specific area of social work practice. The area of choice is childrens services with focus on two research findings in the area of performance measurement within social work, with specia l emphasis on quality services and stability of placements for children looked after away from home. The two documents will be referred as Paper one titled Performance Targets and stability of PlacementRead MoreCritical Analysis of a Quantitative Research Study1080 Words   |  5 Pagesï » ¿Prepare a critical analysis of a quantitative study focusing on protection of human participants, data collection, data management and analysis, problem statement, and interpretation of findings. The quantitative research article can be from your previous literature review or a new peer-reviewed article. Each study analysis will be 1,000-1,250 words and submitted in one document. As with the assignments in Topics 1-3, this should connect to your identified practice problem of interest. Refer toRead MoreA Critical Analysis Of Analyzing Published Research1189 Words   |  5 PagesPublished Research Analysis of data is important because it allows the researchers to derive meaning from the data collected. 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Anne Marie Elbe, an associate professor at the University of Copenhagen, seems to be the more experienced of the researchersRead MoreExample Research: Critical Discourse Analysis9514 Words   |  39 Pages18 Critical Discourse Analysis TEUN A. VAN DIJK 0 Introduction: What Is Critical Discourse Analysis? Critical discourse analysis (CDA) is a type of discourse analytical research that primarily studies the way social power abuse, dominance, and inequality are enacted, reproduced, and resisted by text and talk in the social and political context. With such dissident research, critical discourse analysts take explicit position, and thus want to understand, expose, and ultimately resist social inequalityRead MoreQuantitative Research Critical Appraisal Analysis1800 Words   |  8 Pages Quantitative Research Critical Appraisal Everett Campbell, Kimberly Hill, Tiffany Saunders, and Stephanie Smith Tennessee Wesleyan University Page Break Quantitative Research Critical Appraisal Introduction According to Fain (2017) the title is written to capture the reader and inform them of the purpose of the study. The title of the article clearly represents the research report. The variable of interest is understood from the title. However, the population studiedRead MoreCritical Analysis And Further Research Plan:. Moorhouse1905 Words   |  8 PagesCritical Analysis and Further Research Plan: Moorhouse et al. (2015): â€Å"The Customer Isn’t Always Right – Conservation and Animal Welfare Implications of the Increasing Demand for Wildlife Tourism† 1) Critical Analysis Introduction In the above paper, Moorhouse et al. aim to independently assess different types of non-consumptive Wildlife Tourist Attraction (WTA), excluding zoos, for their implications on species conservation and welfare. They also compare the opinions of visitors to the attractionsRead MoreQuantitative Study of Understanding Nursing Research: A Critical Analysis1002 Words   |  4 PagesHead: CRITICAL ANALYSIS OF A QUANTITATIVE STUDY Critical Analysis of a Quantitative Study Introduction A critical analysis of a research involves a strategy to evaluate the components of a research study and determines the strengths and weakness associated with a research. Objective of this research is to prepare a critical analysis of a quantitative study of the article Understanding Nursing Research (Burns Grove 2011) focusing on the problem statement, data collection, data analysis, protectionRead MoreCritical Discourse Analysis For An International Crisis Happening Thousands Miles Away Essay745 Words   |  3 PagesMethodology Critical discourse analysis For an international crisis happening thousands miles away, it is not sufficient to be understood without acknowledging itself as a mediated complex. From critical linguistics perspective, Fowler (1991/2013) believes â€Å"news is socially constructed. What events are reported is not a reflection of intrinsic importance of those events, but reveals the operation of a complex and artificial set of criteria for selection† (p. 2). â€Å"The news media select events for

Mechanics Of Cricoids Pressure Health And Social Care Essay Free Essays

Cricoids force per unit area is used to temporarily obstruct the upper terminal of the gorge. Cricoids force per unit area was described by Sellick in 1961 as a method to cut down the hazard of aspiration during exigency anesthetic initiation and has become the standard attention during rapid sequence initiation. Before the everyday usage of cricoids force per unit area, maternal decease from inspiration of tummy contents was the taking cause of decease from anesthesia in England and Wales[ 2 ]. We will write a custom essay sample on Mechanics Of Cricoids Pressure Health And Social Care Essay or any similar topic only for you Order Now After Sellick ‘s article, cricoids force per unit area was incorporated into overall attack to minimising the hazard of aspiration. Evidence that cricoids force per unit area is effectual came a decennary subsequently from four corpses ‘ surveies and from instance studies of regurgitation seen on release of cricoids force per unit area after tracheal cannulation. Cricoids force per unit area should be performed during resuscitation when endotracheal cannulation is delayed or non possible, peculiarly when patients are manually ventilated via bag and mask. Cricoids force per unit area should be performed during initiation of anesthesia for both exigency surgery ( full tummy ) and for elected surgery when lower oesophageal sphincter is likely to be unqualified, ( e.g. last half of gestation or gastro oesophageal reflux disease possible ) , and in patients with delayed gastric voidance ( e.g. diabetic autonomic neuropathy ) .[ 3 ] Mechanicss of Cricoids Pressure The cricoids gristle is the lone upper airway cartilaginous construction that is a complete ring. The lower part of the cricoids gristle is where the gorge begins. In executing cricoids force per unit area, one must use backwards force per unit area on gristle that will compact the gorge to its implicit in vertebral organic structure ( normally C5 ) . Theoretically, this will obstruct the oesophageal lms, forestalling the transition of regurgitated stomachic contents into throat and subsequent aspiration into the pneumonic tree[ 4 ]. Based on several surveies, 44 N ( 9.81 N = 1kg = 2.2lbs ) has become accepted as the gilded criterion for the bar of regurgitation in grownups[ 5 ]while the force per unit area suggested to be applied in kids is between 22.4 and 25.1 N[ 6 ]. Application Sellick1 described the patient place for the application of cricoid gristle force per unit area as supine with the caput somewhat down and with the caput and cervix to the full extended as if positioned for tonsillectomy. The anterior convexness of the cervical spinal column in this place may help oesophageal occlusion but can do laryngoscopy hard[ 7 ]. One-hand Method The standard cricoids force per unit area as described by Sellick was carried out as a individual handed technique with anterior force per unit area being applied maintaining the index finger on the gristle with pollex and in-between finger on either side of the gristle at that place by forestalling sidelong motion of the cricoids1. The disadvantage of this technique is that the drawn-out cervix will be given to fall in the arch and leas to flexure of the caput on the cervix. The position of glottis is therefore reduced and lingua blocks the throat[ 8 ]. Another individual handed method has been described by Cowling where the thenar of the manus was placed on the breastbone and cricoids force per unit area was applied by index and in-between finger[ 9 ].These alterations still did non win in forestalling deformation of the laryngoscopy position, hence a two-handed cricoids force per unit area was proposed and was described by different writers. Two-hands / Bimanual Method Baxter suggested that the two handed technique would increase the efficaciousness of esophageal occlusion[ 10 ]. The cricoids force per unit area is performed as with the unassisted technique except the helper ‘s other manus provides antagonistic force per unit area beneath the cervical vertebrae thereby back uping the neck8 in the absence of a pillow. The purpose is to increase the support of the drawn-out arch of vertebral column so as to acquire an optimal laryngoscopic position every bit good as maintain effectual cricoids force per unit area. But there were grounds stating that the glottis position may besides be interfered therefore taking to technique alteration. Williamson placed the left manus behind the patient ‘s caput[ 11 ]while Wraight hold the patient ‘s caput in extension[ 12 ].Brimacombe5 et al suggested the usage of a contra-cricoid-cuboid assistance to ease extension of the cervix. The Cricoid Yoke To assist clinicians use the equal sum of force per unit area on the cricoids gristle and to maintain the helper ‘s custodies off from the laryngoscopic field, Lawes et Al[ 13 ]has developed the cricoids yoke. This device was applied to the cricoid gristle via a moulded sponge shock absorber, and gently depressed against the patient without custodies, to increase the incidence of decently applied cricoids force per unit area. The yoke when used by persons with no anaesthetically experience produced consequences that were equal to consequences seen when experient operators applied manual cricoids force per unit area. The use besides will avoid inordinate forces or compaction of the incorrect anatomical site. Lawes13 besides indicated no laryngeal deformation, even in bad patients when the cricoids yoke is in usage. But, the handiness and cost among other factors were the grounds why the cricoid yoke did non derive popularity and manual cricoids force per unit area has become the pillar of pattern[ 14 ]. Contraindications3 There are several contraindications to the usage of cricoids force per unit area including injury to anterior cervix which may interfere with specifying the landmarks. Unstable cervical spinal column hurt could increase hazards of neck motion but can be performed if a bi-manual technique has been practiced. Using cricoids force per unit area might non be suited with patient actively purging as it will increase the hazard of oesophageal rupture. Harmonizing to The International Liaison Committee on Resuscitation ( ILCOR ) guidelines, the cricoid force per unit area is merely to be applied every bit shortly as an excess ( 3rd ) savior arrives where if merely one or two saviors are present, airway and take a breathing are higher precedences. Cricoids force per unit area sometimes could do hard cannulation as it may curtail laryngoscopic position, particularly likely if applied falsely. THE DILEMMA Complications The inauspicious effects range from minor effects like sickness, purging, minimum haemodynamic changes to severe complications like esophageal rupture, complete air passage obstructor and break of the cricoid cartilage14. Based on Risk Benefit Analysis by Ellis et al4, there were grounds saying the complications still could happen despite using the force per unit area, but there are no definite grounds on why this is happening ( either due to improper applications of the techniques, or the techniques itself ) . Failed to forestall Aspiration 11-14 % of anesthesiologist[ 15 ]and 11 % of operating section helpers and anesthetic nurses[ 16 ]had witnessed regurgitation with cricoids force per unit area applied Medico-legal claim in United States reported that aspiration occurred in 67 instances despite the application of cricoids force per unit area in 17 of these[ 17 ] Anatomically Displaced 49 % of the CT scan reappraisal retrospectively indicated sidelong supplanting of the gorge[ 18 ] 53 % of the MRI scans review prospectively showed sidelong supplanting of the gorge[ 19 ] Effectss on Mask Ventilation Based on 10 published articles, cricoids force per unit area did cut down tidal volumes, addition extremum inspiratory force per unit area or prevented airing There are besides 2 instance studies depicting complete air passage obstructor with cricoids force per unit area.[ 20 ]21 Effectss on Insertion and Function of LMA Brimacombe concluded that cricoids force per unit area reduces successful interpolation ( from 94 % to 67 % ) and besides impedes tracheal cannulation through LMA ( from 76 % to 40 % ) 5 In patient with can non cannulate and can non air out state of affairss, release cricoids force per unit area is recommended Ruptured gorges Ralph and Wareham reported a instance of oesophageal rupture in 81 years-old adult female who began purging against the force of cricoids force per unit area applied before the patient lost consciousness[ 22 ]. Vanner and Pryle observed oesophageal rupture in 3 corpses ( 30 % )[ 23 ] Cricoids Cartilage Fracture 3 reported instances with 1 instance led to fatal airway obstructor while the other 2 instances caused supplanting of cricoids gristle with known old hurt[ 24 ],[ 25 ],[ 26 ] Cervical Spine Movement 2 surveies reported a important motion of the spinal column[ 27 ],[ 28 ] Confusions, Knowledge, Attitude of Clinicians In a national postal study on the pattern of RSI, of 220 respondents ( staff anesthesiologists 60 % , occupants 40 % ) , wholly reported to utilize cricoids force per unit area during rapid sequence initiation[ 29 ]. It shows the cosmopolitan credence of the cricoids force per unit area use, but in really variable manner of making it. Confusions The Pressure ( N ) The standard force per unit area to be applied on the cricoids gristle is still a large argument. With the less usage of the cricoids yoke, the manual cricoids force per unit area application brings a broad assortment to clinicians in finding how much force per unit area to set on. The initial force of 44 N was recommended by Wraight et al12. Vanner so came with preciseness of 20 N to be applied before patient loss consciousness and full force ( 40 N ) at the oncoming of anesthesia[ 30 ]. But in 1999, Vanner and Asai recommend 10 N for the awake patient and increasing to 30 N one time the patient is unconscious[ 31 ]. The Technique Cricoids force per unit area should non be confused with optimum external laryngeal use ( OELM ) or rearward upward right force per unit area ( BURP ) on the thyroid gristle which is used to better visual image of the vocal cords when intubating3. Cognition Several survey-based surveies have examined the cognition of clinicians towards the applications of the cricoids force per unit area, theoretically and practically. These surveies has come to conclusion demoing that the bulk doctors, nurses and other forces related to rapid sequence initiation are unable to use cricoids force per unit area right. For illustration, a survey by Koziol et Al showed that merely 5 % of 102 perioperative nurses could indentify the right sum of force to use while the other 78.5 % and 16.5 % were underestimated and overestimated, severally[ 32 ]. Attitude Despite giving preparation to the clinicians, a followed-up survey showed that clinicians are unable to retain the improved accomplishments after 3 months post developing[ 33 ]. Decision The individual publication by Sellick changed anaesthetic direction worldwide. In many parts of the Earth, cricoid force per unit area is considered compulsory portion of a rapid sequence initiation particularly in high hazard of regurgitation patient. But the current evidence-based medical specialties do non supply a convincing support sing the widespread usage of cricoids force per unit area to forestall aspiration. On the other manus, there is besides no strong grounds to propose that cricoids force per unit area causes injury. More randomized controlled tests should be conducted to look at the necessity of cricoids force per unit area contraption. Meanwhile, confusions, cognition and attitudes of clinicians should be address clearly to supply a decently applied cricoids force per unit area to ease cannulation with rapid sequence initiation while waiting the definite reply towards cricoids force per unit area quandary. How to cite Mechanics Of Cricoids Pressure Health And Social Care Essay, Essay examples

Defining character free essay sample

There Is always the burning question of life about who and what makes something real, something true. Having to determine what will make a passion In life Into something more, Into a life long dream come true, or a life long lesson In the way of living. That my friend, Is the burning question In every decision made, every choice forgotten, and so forth. Do sports create and define a persons character, and does that sport, or can that sport make them a good person? The answer lies in the holder f the question. Sports of all kinds can all leave impressions of different values, hence why some athletes are hostile and why some are humble. The way the athlete learns and takes the lessons learned throughout the sport is up to the athlete and the athlete alone. Passion is an obvious contributor, as well as ambition and determination. What Is passion, and who defines how much passion Is needed to be completely Indulged Into something? Passion Is a reason to do everything In ones power to maintain the necessarily needed to keep doing that passion. We will write a custom essay sample on Defining character or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Every athlete has this passion, to some degree. Without it, why would the athlete be in the sport in the first place? Learning to prioritize and organize ones life around a passion is a defining moment of character. It is something that continues with ones self throughout an entire lifetime. Without passion one would simply give up, never try to better oneself, or continue to strive for greatness. That passion for success is a character trait that in some degree can make one a better person, depending on how the person chooses o reach that success.Again, the sport can give one all the lessons in the world to make one a better person, but it is up to that person to utilize and put to good use to make those lessons a defining character structure. Athletes all around the world have their ups and downs. A wrestler could be hating life because they have to make weight, but feel like making the weight will never happen. A baseball player could be so frustrated on his curve ball because its not going how he wants it, so he might give up.Or a golfer might be fed up with avian patience that they want to throw their club in the sand and leave. All theses struggles and more, can go through an athletes mind everyday, but what can make them stop and say, I can do this. I will succeed, I want this enough, so I will make it happen. That, my peers, is what ambition is for. The single driving force to keep you motivated, to keep you In check to success. Ambition will forever play a part in everyones life, without It there would be no new innovators, creators or thinkers.What would the world be Like without someones ambition to make the world a better ND finest place. This trait Is and can carry you In life with work, friends, family, and of course sports. Championship tournament that I trained everyday for five to six hours. I would do strength training, cardiac and endurance training, along with the usual wrestling drilling, and then more strength and endurance training. Everyday, for months, with one thought in mind through the pain and agony. I will be a placer at CSS this year, and I can do it.All of this hard work that I put into my training and lifestyle, giving up nun food for only healthy and bountiful food, for this title. It all was because I had determination, I was driven towards this idea of taking a title. I did end up placing, not first place like I had wanted, but second place. It was a bittersweet moment, but I knew it was not because I had failed in the gym, or in the wrestling room. It had been another part that I let get to me. My emotions, my mindset that had cost me the months of hard work for a second place title.Either way, the determination I had has stuck with me, in everything I do. With school I do my absolute best to make sure what I present is at its best, at work I make sure I do my absolute best because I know its an expectation that can be achieved. All through my determination, that is a defining charter trait, that in my opinion makes me a good person Again, sports can make a person a good character, but it all depend on how that person handles the lessons learned through the sport, and how they use it in their everyday life. For some it can cause hostility, anger, frustration, and absolute hate. For others it can make them driven, ambitious, determined passionate people that make a difference in their lives as well as others. It Just depends on how these people take their sports, into their seriousnesss, and realities. One cannot be an athlete without passion, Just as one cannot be a successful person without determination. And, passion and determination o hand in hand in a sunset of success,. You can either take what you learn from any sport you do, and make something great of what youve learned, or not. Life may give you lemons for lemonade, but its up to you to squeeze them.

Organizational Assessment of Vanderbilt University Medical Center

Overview This is a healthcare facility whose main objective is to offer health care services, carry out health related research, as well as promote biomedical education. The facility offers health care in various areas such as heart and heart surgery, endocrinology, respiratory disorders, kidney complications, as well as gynaecology among others.Advertising We will write a custom assessment sample on Organizational Assessment of Vanderbilt University Medical Center specifically for you for only $16.05 $11/page Learn More Vanderbilt University Medical Center is a company that has several branches and a number of campuses that offer biomedical education. The headquarters of Vanderbilt University Medical Center are located in Nashville, Tennessee in the United States of America. Potential strengths and weaknesses Strengths The success of an organization is highly dependent on its strengths and opportunities available to it. Vanderbilt University Medical Cen ter has been one of the most successful companies in the industry. It has a number of strengths that have enabled it to achieve the kind of success it has today. One of the strengths that have been vital to the success of this company is the fact that it has staffs that are highly skilled and committed to the organizational duties (Duncan, Ginter Swayne, 2013). The staffs are always working to give the best services to the patients and their customers to ensure that anyone who gets the services is satisfied and will be willing to come back again. In addition to being committed to their duties, the staffs are also highly skilled. Therefore, the services they offer are top class and of high quality. It is important to note that most of the diseases that are handled in these hospitals need a high level of knowledge and skills, an attribute that the staffs already possess. The staffs are committed to ensuring the wellness of patients. As a result, patients are always willing to visit t he facility since they are assured of top quality services. One of the reasons that may have contributed to the company having highly skilled staffs is the fact that it has its own training facilities where it trains medical personnel. The research facilities available in the organization also help in boosting the knowledge and skills of the staff. It is, therefore, in order to say that the research institutions and the training institutions are also strengths to the company (Berkowitz, 2011).Advertising Looking for assessment on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The other factor contributing to the company’s strength is its locations. As it has been mentioned earlier, Vanderbilt University Medical Center has several branches of hospitals that offer services to patients. The branches are located in strategic points where they can reach a large number of patients. The locations are easily accessible by road. The company is well connected within the country. It is also well equipped with technological facilities that are used in enhancing the level of services offered. Technology is a source of strength for any company that has it and utilizes it accordingly. Weaknesses One of the major weaknesses that affect the business of Vanderbilt University Medical Center is the weak communication system that exists. The organization is very large, thus communication becomes quite complicated. It is not easy to communicate effectively with all the staffs. It is important to note that communication in itself is a competitive advantage for any organization. Therefore, it is likely for the organization to lose its competitive advantage to rivals if it is not able to communicate effectively with its stakeholders. There are cases such as duplication of services that result from weak communication systems at Vanderbilt University Medical Center. Organizational differences One of the factors that c an facilitate the success of any organization is its differences. An organization that offers services that are differentiated is likely to gain a competitive advantage. It is imperative to note that the organizational differences distinguish the organization from its competitors. In addition, it is the differences that describe what the organization is all about, as well as its objectives and mission. According to Duncan, Ginter and Swayne (2013), organizational differences refer to the strategic resources of the organization and the measures that the organization has put in place to develop these strategies in order to differentiate it from competitors. Vanderbilt University Medical Center is different in that it has resources that are not available in many organizations in the same industry. For instance, it has training institutions where it trains its own staffs. This helps it offer quality training to its staff so that they can offer top quality services to patients, thereby m aking the organizational services differentiated. Another factor that makes the organization different is the fact that it has research facilities where its staff can carry out various researches.Advertising We will write a custom assessment sample on Organizational Assessment of Vanderbilt University Medical Center specifically for you for only $16.05 $11/page Learn More Research helps the organization improve on its services since it can make new discoveries and come up with new ways to deal with the various problems. In addition, research facilities and the technological equipment in those facilities are likely to support innovation, an attribute that is likely to give the organization competitive advantage to facilitate its objective of offering differentiated services (Berkowitz, 2011). ASSISTS Analysis This is an analysis that is used to determine the competitive relevance of the resources available in an organization, as well as the capabilities of the organization and its staff (Duncan, Ginter Swayne, 2013). One of the questions that have to be answered is the question of value. Vanderbilt University Medical Center has resources that have a lot of value to its customers. The resources are worth since they help the customers get the best services possible. For instance, the training facilities give the staffs knowledge and skills that help them offer quality services to the patients. The equipment is of high competence and is up to date in terms of technology. The other question relates to rareness. Not many competitor organizations have the resources that are possessed by Vanderbilt University Medical Center. For instance, it is not easy to find hospitals that have research centres and training facilities. Therefore, this is a point of strength to Vanderbilt University Medical Center and it gives it competitive advantage. The question of immitability should also be considered in determining the ASSIST analysis. It is impo rtant to note that most of the resources can be copied by the competitors in this industry. This is a weakness for Vanderbilt University Medical Center since its competitors are likely to copy and have means of duplicating the services and resources as long as they have enough finances. Finally, the question of sustainability should also be addressed. Vanderbilt University Medical Center has the ability to sustain its current competitive advantage for a long period. The value and the rareness can be maintained. However, the organization should take measures to improve on immitability of its resources and capabilities (Duncan, Ginter Swayne, 2013). ASSIST Analysis TableAdvertising Looking for assessment on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Value Vanderbilt has high value resources e.g. training and research facilities. Has highly competent equipment and up to date technology. Rareness Competitors hardly have Vanderbilt’s resources such as training and research centres. Immitability Most of Vanderbilt’s resources can be copied by competitors. With enough finances, competitors can duplicate Vanderbilt’s services. Sustainability Vanderbilt can sustain its current competitive edge for long due to its unmatched, valuable and rare resources. Sources of competitive advantages An organization should be aware of the sources of its competitive advantage to be able to maintain them and find ways to improve on them. Competitive advantage is gained if an organization has the ability to add value to the services it offers to customers and in turn increase the level of customer satisfaction (Duncan, Ginter Swayne, 2013). There various ways through which an organization can add value to its services for customers. Among the ways through which an organization can add value include cost leadership, differentiation, as well as focus strategies. Cost leadership is where the organization has the ability to offer goods and services at a cost that is relatively lower compared to that of competitors. It is important for the organization to maintain the quality of its products, regardless of the costs involved. Therefore, the costs should be sustainable. The next method of gaining competitive advantage is through differentiation. This is the method used by Vanderbilt University Medical Center. The Center offers services that are differentiated from those of its competitors. Differentiation can, therefore, be described as the source of Vanderbilt University Medical Center’s competitive advantage (Schmidt, 2010). The research facilities available in the company help it develop ways of offering services that are of high quality. A research centre is a source of knowledge; therefore, employees of the company have access to knowledge that they apply in offering their services. In addition, the training offered also help in differentiating the company’s services. The health personnel are trained in a customized manner to offer special services to the organization’s patients (Berkowitz, 2011). Porter’s modified value chain for Vanderbilt University Medical Center Source: Schmidt (2010) Evaluating competitive analysis This is a stage that is very critical in determining the competitiveness of the organization since it is the stage that enables the organization in defining strategies that can improve on its current services and gain or sustain its competitiveness. A thorough analysis of the competitive advantage will help the organization improve on its marketing strategies, operations, infrastructure within the organization, as well as the technological development of the organization (Duncan, Ginter Swayne, 2013). Vanderbilt University Medic al Center is an organization that is highly competitive. It has resources that have helped it become one of the best in the USA, if not the best in the industry. Its capabilities are outstanding, thereby giving it an upper hand compared to its rivals. However, the company has some weaknesses that it should improve on in order avoid being overtaken by its rivals in terms of competition. For instance, communication is an issue that is likely to affect its operations. Despite the fact that the size of the company is an advantage, it makes it difficult for effective communication systems to be established. It is important to note that communication has the ability to improve the services offered. At the same time, communication can lead to poor services if it is not well established. Generally, Vanderbilt University Medical Center is competitive in the industry, but it should improve in communication to avoid losing its competitiveness. References Berkowitz, E. N. (2011). Essentials of health care marketing. Sudbury, MA: Jones Bartlett Learning. Ginter, P. M., Duncan, W. J., Swayne, L. E. (2013). Strategic management of healthcare organizations (7th ed). San Francisco, CA: Jossey-Bass. Schmidt, B. B. (2010). The dynamics of MA strategy: Mastering the outbound MA wave of Chinese banks. Frankfurt am Main: Lang. This assessment on Organizational Assessment of Vanderbilt University Medical Center was written and submitted by user Casey Carter to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Free Essays on Drug Punishment

For years the U.S. drug policy has taken the approach of imprisoning anyone connected with illegal drugs. During these years the drug use has increased, and the majority of drug offenders released from jail return. Also because of mandatory jail time for drug offenders the nation’s jails are extremely overcrowded. The U.S. is now the operator of the worlds largest prison system, and spends nearly $9 billion dollars a year to keep drug offenders in jail (55% of which are classified as low level offenders, or not dangerous.) It is time to re-evaluate our nations drug policy, and try a new drug prevention program. The 8th amendment states that punishment should be fair according to the crime committed. In Washington, a 68 year old man was imprisoned and lost his 3 bedroom house and the land it was on after he was found growing a couple marijuana plants to help ease his cluster headaches. In Utah, a 80 year old man lost his 160 acre ranch after someone found a handful of marijuana plants growing on a remote corner of his land, which he did not even know about. Billy Munnerlyn lost his privately owned air charter business, after he transported a man carrying illegal drugs. Munnerlyn had no connection or knowledge of the drugs. Now ask yourself, Does this seem fair? What I’m proposing is a program that focuses on rehabilitation rather than punishment. We need to get rid of mandated prison sentences for minor drug offenders. The best alternative to this solution is an intensive , supervised, rehabilitation system. This program should include community service, job training, and mandatory participation in proven drug treatment programs. As stated in the preamble of the constitution, our government strives towards the general welfare of our society. This program will give drug offenders a chance to turn their lives around and become productive, tax paying, law abiding citizens. Studies have shown that forcing drug users in... Free Essays on Drug Punishment Free Essays on Drug Punishment For years the U.S. drug policy has taken the approach of imprisoning anyone connected with illegal drugs. During these years the drug use has increased, and the majority of drug offenders released from jail return. Also because of mandatory jail time for drug offenders the nation’s jails are extremely overcrowded. The U.S. is now the operator of the worlds largest prison system, and spends nearly $9 billion dollars a year to keep drug offenders in jail (55% of which are classified as low level offenders, or not dangerous.) It is time to re-evaluate our nations drug policy, and try a new drug prevention program. The 8th amendment states that punishment should be fair according to the crime committed. In Washington, a 68 year old man was imprisoned and lost his 3 bedroom house and the land it was on after he was found growing a couple marijuana plants to help ease his cluster headaches. In Utah, a 80 year old man lost his 160 acre ranch after someone found a handful of marijuana plants growing on a remote corner of his land, which he did not even know about. Billy Munnerlyn lost his privately owned air charter business, after he transported a man carrying illegal drugs. Munnerlyn had no connection or knowledge of the drugs. Now ask yourself, Does this seem fair? What I’m proposing is a program that focuses on rehabilitation rather than punishment. We need to get rid of mandated prison sentences for minor drug offenders. The best alternative to this solution is an intensive , supervised, rehabilitation system. This program should include community service, job training, and mandatory participation in proven drug treatment programs. As stated in the preamble of the constitution, our government strives towards the general welfare of our society. This program will give drug offenders a chance to turn their lives around and become productive, tax paying, law abiding citizens. Studies have shown that forcing drug users in...

Black Working Poor vs. Black Middle Class

(Shawn A. Ginwright 2002) The black middle class experienced dramatic growth in the post civil-rights era. This growth raised questions about how social and cultural capital among the black middle class has helped the conditions of the black working poor. The author demonstrates through materialist and culturalist frames of the community how black middle class members of a small organization frame community failed to address the needs of the working poor. Materialist frames are rooted in day-to-day material conditions. They are informed by the lived reality of low wages, high rents, and or poor quality schools and focus on immediate change of concrete conditions. (Shawn A. Ginwright 2002) Culturalist frames challenge ideas and values, rather than power and people. Through a shared set of ideas and values, culturalist frames focus on symbolic meaning and abstract theories of the social world and attempt to change social meaning and personal identity. They promote specialized ideas about community and social issues and encourage expert-based social change through highly skilled, educated professionals. (Shawn A. Ginwright 2002) His argument is that the middle class use their skills, and other forms of human capitol to define community issues, while overlooking the interests of the working poor. Then Ginwright used a case study to affirm his theory. The case study was of a middle class community’s use Afrocentric ideology to ameliorate a working class neighborhood high school; the middle class misdiagnosed an obvious problem through culturalist framing resulting in no significant improvement in the high school. Afrocentric ideology is a modern concept in response to racist and attitudes about black people. It is a black inspired ideology that affirms blacks in a white dominated society. In the efforts to improve McClymonds High School in Oakland California a group of community advocates, The Black Front For Educational Reform (BUFFER), started coalition with working class parents and concerned citizens to transform the high school. Then BUFFER grew in size from roughly 30 local community individuals to 125 individuals from professors to attorneys. With the original BUFFERS the plan was simple, improve specific issues related to the day-to-day experiences of students, what the school lacked, but also what students at the school needed to survive. First, although many of its members shared the same ideology about the need to improve the conditions for black students at McClymonds High School, there was conflict about which strategy would best serve the needs of the students. (Shawn A. Ginwright 2002) The original working class members of BUFFER wanted to address the material issues such as textbook, facility structure, college prep courses, etc†¦ The new BUFFERS convinced that the problem was from lack of positive ethnic identity and racial pride. They wanted to address educational inequality by implementing an Afrocentric curriculum. This gave the idea of self-esteem issues. The Afrocentric curriculum did get approved and was implemented in the curriculum. For many students the new subject was not understood and Afrocentrism did not have any relevance to their day to day life experiences. The emphasis they placed on Afrocentric education diverted valuable resources to what could have been an effort to redress the pervasive inequality at the High. (Shawn A. Ginwright 2002) In reading the article it disclosed a serious gap in understanding of society needs between the middle class and the working poor class. Since the article was based on one case study, the results were skewed in favor of the author’s theory. The reading does not provide the benefits obtained by the high school from incorporating an Afrocentric curriculum or another case study that shows similar results. The author made an argument and used only one case study to verify his theory. The reading did provide some insight into the relationship between the two but it only provides inferred reasoning as to why there is a difference between the two. With two different social classes within the same organization, communication was really the necessity that was lacking to have a better outcome in the transformation of the high school. I would definitely recommend this read to a classmate

LAW OF BUSINESS LEASES Term Paper Example | Topics and Well Written Essays - 2250 words

LAW OF BUSINESS LEASES - Term Paper Example The landlords often have to deal with the tenants who default on the lease or sub lease agreements. It is important that Mr. Ash takes early actions to collect the rent it always follows a very predictable pattern that starts with a series of late payments, that proceeds to paying only part of the rent and finally leading to complete default of the payment of the rent. When the tenants delay in making rent payment just like in the case of XYZ Ltd, Miss Beech and Mr. Cherry, the first option is the person that guaranteed Mr. Cherry payment to be approached Law of (Property Act 1925). This is the best strategy to be used if Mr. Ash needs to preserve the lease and the tenant has sufficient goods in premises that can cover the cost of the rent arrears. The right to rent distress is only available to the owner of the immediate reversion of the lease agreement that will end immediately he or she assign sells or transfer the reversionary interest to another party. The rest distraint involves the landlord seizing the goods that was pledge against the unpaid rent. This is basically a self help remedy that enables the landlord to take the goods of the tenants that are found on the leased premises as some form of security so that the rent arrears can be paid in full. Distress is a right of the landlord that was created under the common law defining the relationship of the tenant and the landlord (commercial credit Corp Ltd v. Harry D. Shields Ltd. (1980), 122 D.L.R. (3rd). It is important to note that the right to distress is the only right under which a landlord is allow ed to hold the goods of his tenants and can be applied upon nonpayment of any amount. The landlord has a right to use the rent distress instruments in case of nonpayment of any amount. According to Wallace v. Fraser (1878), 2 S.C.R. 522, the right of distress can be taken way or limited by the courts in lease if the landlord has forfeited the lease. This is because