Essay about Informative Speech Scientists Einstein and...

Informative Speech Scientists Einstein and Heisenberg A. Introduction My Speech is about the scientists who had the main influence on our current time and have shaped our contemporary view of the world (Also called in Theology the Zeitgeist). I have chosen two of them who were in many ways just opposites. One is extremely famous and the other is almost unknown except to specialists. The most famous is of course Albert Einstein. He has significantly altered our view of the world with his Theory of Relativity. The other one is not so well known, his works are commonly are associated with Einstein instead. His name is Heisenberg. He worked mainly in Quantum Physics and was responsible for the development of the Principle of†¦show more content†¦He would just learn what interested him. He spent hours with thought experiments like how would it be to ride on a beam of light? This sounds very foolish and naturally many people at that time thought the same. But it had a concrete background in the scientific circles of the later 19th century. They had begun to measure the speed of light and that is were it all started. But to understand the issue we have to go back a bit to Issac Newtown who was revolutionary scientist and discovered the law of gravity and the basics of the laws of physics. These were not revolutionary, but revolutionary was the ability to get a mathematical grasp on it so they could calculate. Newtown made it possible to calculate the path of a bullet. Very important for the military. He made an interesting observation. When you take a ball in your hand and throw it, the ball will have a certain speed while it is moving away from you. But if you see somebody in a train throwing a ball the speed of the ball adds up to the speed of the train. This does not seem to be the case if you are yourself in the train throwing that ball. The ball moves away with the same speed as it did when you performed the same thing on the earth. The Speed of the ball is dependant on the viewpoint. Depends from where you measure it. This is a kind of Newtownian Relativity. The speed of an observed incident - like a flying ball - depends on your own speed. If you are throwing

A Short Note On Tier E Health Monitoring System - 1070 Words

5. Two-Tier e-Health Monitoring System This paper proposes another structural engineering for e-Health cell phones eliminating so as to observe framework the outsider server in the framework. Distributed computing is proposed to be incorporated with the framework for effective information stockpiling and snappy access in patient records. This structural planning is intended to improve the security level of the e-Health observing framework and to ensure the classification of the patients information. By wiping out the outsider server in the information transmission process, we can keep the e-Health framework from potential vulnerabilities that can happen amid the information transmission from the patients to the specialists. E-Health cell phones observing framework can upgrade the nature of human services by coordinating the utilization of Internet correspondence with patient-specialist treatment. 6. An Approach of a Decision Support and Home Monitoring System for Patients with Neurological Disorders using Internet of Things Concepts The Internet of Things and data and CommunicationTechnologies connected being developed of medicinal services frameworks have achieved a developmental procedure. This paper presentsthe advancement of a coordinated astute framework for Parkinson s illness Screening.The Decision Support and Home Monitoring System aredesigned to help and bolster doctors in finding, home checking, restorative treatment, therapeutic solutions, recovery andShow MoreRelatedPerry Potter Ch 341362 Words   |  6 Pagesinternal mechanical transfers (i.e. flies, mosquitoes, fleas, ticks, parasites) e. portal of entry-organisms enter the body through the same routes used for exiting f. susceptible hosts-a degree of resistance to the pathogen; infection does not develop until individuals immune is weakend and/or dose increases THE INFECTIOUS PROCESS: Nurse is responsible for properly administered antibiotics, monitoring the response to drug therapy, and hygiene in standard precautions. 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Skills and employability requirements of today free essay sample

Today’s workplace demands that entry-level workers be able to operate independently, using problem-solving and decision-making skills. The need for worker collaboration and teamwork requires employees to be creative, flexible, and possess good interpersonal and managerial skills. The reference to interpersonal skills points to yet another reason for the changes in the employability skill needs of todays workplace: the increasingly multicultural nature of the workforce. Corporations have also changed colors. Good interpersonal skills will be more in demand the more multicultural the workforce becomes. A final reason for the increased interest in equipping young people with basic, higher-order, and affective skills is the growing awareness of what happens when great numbers of people lack these qualifications. Employability skills are the attitudes and behaviours of employees (other than technical competence), that employers see as valuable in the actual work place. These employability skills include reading, basic arithmetic and other basic skills like problem solving, decision making, and other higher-order thinking skills as well as dependability, a positive attitude, cooperativeness, and other human skills that make an employer a contributor to the company and not like an rotten egg in a corner when clients come. We will write a custom essay sample on Skills and employability requirements of today or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Employability Skills are not job specific. They are skills which cut horizontally across all employment sectors and vertically across all jobs from entry level to chief executive officer. Although the critical employability skills identified by employers vary considerably in the way they are organized, there is a great deal of agreement among the skills and traits identified. The concept of Employability has recently gained recognition in the corporate world. Employability is the ability of an individual to be employed. It is an individual’s capability to get employment not only because he has a degree also because he possesses skills and competencies and carries an attitude which is required to work with integrity and commitment. Employability skills, as they are known, are the basic skills which are necessary for doing a job well. These skills enable a worker to take initiatives, adopt a problem solving approach, make sound and critical decisions and contribute to the organizational growth. In contrast to technical skills which are job specific, employability skills are generic in nature. Employers value these skills over and above the job specific skills. It is understood that Communication Skills is a problem area. Therefore it did not come as too much of a surprise to find that as far as Communication Skills of the students in most of the colleges are considered, 80% of them do not meet the qualifying criteria. However, it is quite ironical that most of out of the 20% who are fine as far as communication skills are concerned, do not actually end up getting hired because of either lack of problem solving skills or technical skills. Proficiency in communication skills is considered more of a ‘qualifying criteria’ than selection criteria for technical roles in the industry. The study also showed that if communication skills are not considered for qualification / selection, the percentage of employable students will raise from 7 to 13%. Emerging work place described above demands a set of new generic skills for maintaining employability. In addition to job-specific technical competencies, there is a requirement of a set of generic skills, which are generic to a cluster of occupations in order to perform competently as knowledge worker. Generic skills are required by all workers. However, the extent by which these skills need to be possessed varies from one occupational grouping to another. These skills are independent of sector, underpin technical skills, draw on personal attributes and once combined with job-specific skills, can optimize individual’s productivity. Specific occupational skills are augmented to growing cognitive skills. These skills are essential for effective participation in the emerging patterns of work and work organizations. In this paper, various list of skills for emerging knowledge economy and the basic requirement for the today’s organisation. Problem Statements: The research suggests that most employers find it difficult to recruit suitable number of graduates who can communicate while working in a team, analyse problem or manage their individual learning of new skills. One of the most direct causes to this problem is the scarcity of quality graduates in the labour market, the graduates are accused for not being able to suit the graduates’ labour market needs. Employers recognize the number of technical skills possessed by graduates but not that of the non-technical skills (some call it employability skills) as the employers realize that non-technical skills are not strongly embraced by graduates. Ultimately, most of employers are looking for people who are proactive rather than reactive and want graduates who can use higher level skills such as analysis, critique, synthesis and multi layered communication to facilitate innovative teamwork in catalyzing the transformation of their organisation. While 90 per cent of the industries want candidates with some level of skill, nine per cent want some knowledge. Only one per cent wants both skill and knowledge. Rationale of the study In fact, business and industry representatives in both developed and developing countries have expressed considerable dissatisfaction with the general level of preparedness of entry-level employees. Interviews with job applicants support this finding. More than half of the graduates leave school without the knowledge or foundation required to find and hold a good job. This does not refer to technical or specific jobs skills but to employability skills such as attitudes, self discipline and a commitment to learning. Employers complain that new hires usually have: (i) unclear direction and goals with very little understanding of their career path; (ii) low self confidence and poor motivation; (iii) low level of academic accomplishment with very inadequate basic skills; (iv) lack of drive and enthusiasm for the work; (v) undeveloped leadership potential; (vi) inadequate preparation for work; (vii) unrealistic salary and benefits expectations. While most employers expect to train new employees in company-specific procedures and to acquaint them with the behavioural norms, standards, and expectations in their company (the Brand) as well as job-specific technical skills required, they are very clear that the schools and family should take most of the responsibility for equipping young people with general employability skills. Review of literature If things progress as they are, India is certain to face a talent gap- the lack of right skills for the job required of more than 5 million by 2012, as existing educational institutions do not impart employable skills. If training has to deliver job-level skills in an increasingly globalised world, strong industry leadership and engagement with skills training, qualification and assessment framework is essential. India has a huge brand name internationally in supplying skilled manpower. According to one estimate, at any point of time, around five million Indians work abroad. With its demographic advantage and the large pool of English speaking people, India can well provide the solution to the worlds skills shortage problem. But, what is needed is a holistic approach to address the problem of skills shortage within the country. A recent report published by the Confederation of Indian Industry (CII) and the Boston Consulting Group (BCG) has estimated that India would face talent gap- the lack of right skills for the job required of more than 5 million by 2012, as existing educational institutions do not impart employable skills. The report titled, Indias Demographic Dilemma brings out the fact the $1. 1-trillion economy will have a shortfall of 750,000 skilled workers over the next five years. On the other side, there will be a surplus of 1. 3 million unskilled and unqualified school dropouts and illiterates. It is rightly said that unemployment among educated youth may be caused by a variety of factors. It might be that the economic more specifically the job market conditions are such that enough jobs are not created to absorb all the educated manpower. This may happen under recession, slow-down or even under job-less growth. Alternatively, the number of educated unemployed may rise due to a mismatch between knowledge and skills that are imparted by the educational institutions on the one hand and what is required by industry on the other. It is this second situation that puts the blame squarely on the education sector and that is, in fact, the phase through which we are passing in contemporary times. We are loaded with a situation where industry is lamenting skill shortage and at the same time we have educated youth complaining of non-availability of jobs. The National Skill Development Policy, approved by the Cabinet, under the National Skills Development Mission aims at empowering all individuals through improved skills, knowledge and internationally recognised qualifications to enable them access to decent employment and to promote inclusive national growth. Apart from upgrading the existing government ITIs, the government has also launched the Skill Development Initiative Scheme to train one million people in the next five years and then one million every year. Training will be provided in demand-driven, short-term courses, based on modular employable skills and the cost will be borne by the Central Government. Research Objectives 1. To identify the skills that are claimed to be essential for employment by employers. 2. To identify the important employability skills perceived by students. Dealing with the complaints arising from employees highlighting the lack of employability skills among graduates, there is a need to find out what are the skills that are actually required. 3. To identify the employers lagging in basic skills like that of analytical skills and communication skills which is the basic requirement to exist in a workplace. Skills that employers value most in a prospective employee The employability skills include reading and writing skills, knowledge of basic arithmetic, oral as well as written communication skills, logical reasoning, problem solving and decision making. These skills make an employee an asset to the organization. Australian Chamber of Commerce and Industry (ACCI) has developed a framework for employability skills. These key skills are identified in combination with the personal attributes to make up a best prospect. They include: Communication skills that contribute to productive and harmonious relations between employees and customers. Team work skills that contribute to productive working relationships and outcomes. Problem-solving skills that contribute to productive outcomes. Initiative and enterprise skills that contribute to innovative outcomes. Planning and organizing skills that contributes to long-term and short-term strategic planning. Self-management skills that contribute to employee satisfaction and growth. Learning skills that contribute to ongoing improvement and expansion in employee and company operations and outcomes. Technology skills that contribute to effective execution of tasks. These skills are sometimes classified into basic, higher order thinking and affective skill categories. Findings Skills development is major initiative that tries to reach out to those people who need the most. All they need is to get some skills so that they stand on their own feet. They are willing to work and improve their life through their own efforts, but they need that little help of giving them some skills with which they can carve their own destiny. Conclusion If basic skills and employability exist in today’s employees, then: 1. Industry-academic collaboration It could act as industry-academic collaboration platform for employability enhancement of the students and exposing students strength to employers which will help right students get right jobs. It will provide industry-driven employability skills training comprising classroom sessions, e-learning, self-assessment, internship and project opportunities. It will also extend employability skills assessment and certification, placement aggregation services for enterprises and institutions, placement management and campus recruitment management. 2. Lesser time to hire It would take lesser time to hire, reduce cost for learning and development activities, reduce time to bill for the campus hire and identify suitable students for internship positions and project requirements. Versatility For small units, â€Å"versatility is the key aspect† and â€Å"basic knowledge of the particular industry is a must. † The report from CII states that during 2011, the initiative for employability is expected to benefit around 2,000 students from 15 colleges and also 50 companies. While 100 hours of training will be prescribed, 40 hours would be for domain skills and 60 for soft skills training which includes business communication, placement preparation, etc. The current curriculum for domain skills will focus on IT, manufacturing and e-publishing industry. As employability skills have become important in modern workplaces as one of the greatest concerns of an organization is to fill the gaps in skills required on the job and those possessed by applicants. Employers today are looking for more than just technical skills and knowledge of a degree. They particularly value skills such as communication, team working and problem solving. Job applicants who can demonstrate these skills have a real advantage. The Initiatives Taken So Far In the plight of increasing unemployment, both employers and government have come forward to take initiatives for increasing employability among labor force. The very first step towards the same took place when â€Å"The School of Employability† formally run by the Reliance division NIS Sparta, was launched in Chennai in 2006. Such training schools have enhanced the employability of fresh graduates by equipping them with the necessary skills. Apart from this, NASSCOM has launched various Assessment and Certification Programs and Pilot Programs which ensure the transformation of labor force into an employable workforce. Moreover, it had also organized a one day event on â€Å"Employability for the Disabled† early this year. This event focused on assessing the employability needs of disabled and providing new opportunities to them. Companies like Tata Consultancy Services (TCS) are taking pre and post employment initiatives for enhancing employability. The â€Å"On-Campus Initiatives† of TCS focus on curriculum development and faculty development programs, enhancing students’ language skills, providing experience through internships and projects. On the other hand â€Å"Post-employment Initiatives† include providing initial training (technology, process and soft skills) during induction, ongoing training throughout employee’s career and employee’s career development plan. TCS also offers an ‘InsighT programme’ to school students, which focuses on IT and soft skills. The programme is aimed at providing an overview of the skills required in the IT industry. Many such initiatives are being taken by other organizations. Keeping in view the importance of employability of labor force, it’s now time to ensure quality education and focus on honing the employability skills right from the school. There is a huge gap in the availability of employable skill and how to bridge this gap still remains a question.

THE LUCKY CHANCE Essay Example For Students

THE LUCKY CHANCE Essay A monologue from the play by Aphra Behn NOTE: This monologue is reprinted from The Works of Aphra Behn, Vol. 3. Ed. Montague Summers. London: Heinemann, 1915. BREDWEL: You are my Lady, and the best of MistressesTherefore I would not grieve you, for I know you love this bestbut most unhappy Man. My Master sent me yesterday to Mr. Crap, his Scrivener, to send to one Mr. Wasteall, to tell him his first Mortgage was out, which is two hundred pounds a Yearand who has since engaged five or six hundred more to my Master; but if this first be not redeemd, hell take the Forfeit ont, as he says a wise Man ought. Mr. Crap, being busy with a borrowing Lord, sent me to Mr. Wasteall, whose Lodging is in a nasty Place called Alsatia, at a Black-Smiths. Well, Madam, this Wasteall was Mr. Gayman! Hes driven to the last degree of PovertyHad you but seen his Lodgings, Madam! I went to the Black-Smiths, and at the door, I encountered the beastly thing he calls a Landlady; who looked as if she had been of her own Husbands making, composed of moulded Smiths Dust. I askd for Mr. Wasteall, and she began to openand so did rail at him, that what with her Billinsga te, and her Husbands hammers, I was both deaf and dumbat last the hammers ceasd, and she grew weary, and calld down Mr. Wasteall; but he not answeringI was sent up a Ladder rather than a pair of Stairs; at last I scald the top, and enterd the enchanted Castle; there did I find him, spite of the noise below, drowning his Cares in Sleep. He wakedand seeing me, Heavens, what Confusion seizd him! which nothing but my own Surprise could equal. Ashamdhe woud have turnd away; but when he saw, by my dejected Eyes, I knew him, He sighd, and blushed, and heard me tell my Business: Then begd I woud be secret; for he vowd his whole Repose and Life depended on my silence. Nor had I told it now, But that your Ladyship may find some speedy means to draw him from this desperate Condition. We will write a custom essay on THE LUCKY CHANCE specifically for you for only $16.38 $13.9/page Order now

Pro-Homosexuality essays

Pro-Homosexuality essays There is a continuous debate going on with homosexuals and their rights to adopt a child. The number of gays who want to form a family by adoption is growing over the years. Although opinions can vary on this subject, I feel there is no reason why homosexuals should be denied the right to adopt. Gay adoption laws vary throughout the states. In the book on homosexuality, Focus on the Family, which was published in 1994, there are statistics referring to this very sensitive topic. It was reported that the states of Florida and New Hampshire have laws that forbid gay adoption. Meanwhile California, Minnesota, New York, and New Jersey have laws that permit homosexuals to adopt. Also, the states of Arkansas, Missouri, North Dakota, and Virginia have legal precedences in which the courts ruled that gays and lesbians are automatically unfit as parents. The remaining forty states have no laws, either forbidding or permitting adoption to day individuals or couples. Times are changing however, and over ten years a few states have changed their opinions on homosexual adoption. In May of 2000, Connecticut allowed adoption by homosexuals and unmarried heterosexuals. In 2002, Mississippi banned homosexual couples from adopting. The opposition to gay adoption uses the excuse that a child needs a mother and a father. What about single parents who raise a child? Does being a single parent make someone unfit to raise a child? If the family situation is stable, what is the difference if there is a mother and father, a single parent, or two parents of the same sex? As long as there is loving care and support does it matter what the sexual preference of a parent is? Those who oppose homosexual adoption also tend to feel that homosexual parents raise homosexual children. If that were true then heterosexual parents would raise heterosexual children, resulting in no gay people. Life doesnt work like that. A homosexual child can come fr...

Spiders in Space on Skylab 3

Spiders in Space on Skylab 3 Anita and Arabella, two female cross spiders (Araneus diadematus) went into orbit in 1973 for the Skylab 3 space station. Like the STS-107 experiment, the Skylab experiment was a student project. Judy Miles, from Lexington, Massachusetts, wanted to know if spiders could spin webs in near-weightlessness. The experiment was set up so that a spider, released by an astronaut (Owen Garriot) into a box similar to a window frame, would be able to build a web. A camera was positioned to take photos and videos of the webs and spider activities. Three days before the launch, each spider was fed a house fly. They were provided with a water-soaked sponge in their storage vials. The launch took place on July 28, 1973. Both Arabella and Anita needed some time to adapt to near-weightlessness. Neither spider, kept in holding vials, voluntarily entered the experiment cage. Both Arabella and Anita made what has been described as erratic swimming motions upon ejection into the experiment cage. After a day in the spider box, Arabella produced her first rudimentary web in a corner of the frame. The next day, she produced a complete web. These results prompted the crewmembers to extend the initial protocol. They fed the spiders bits of rare filet mignon and provided additional water (note: A. diadematus can survive up to three weeks without food if an adequate water supply is available.) On August 13th, half of Arabellas web was removed, to prompt her to build another. Although she ingested the remainder of the web, she did not build a new one. The spider was provided with water and proceeded to build a new web. This second complete web was more symmetrical than the first full web. Both spiders died during the mission. They both showed evidence of dehydration. When the returned web samples were examined, it was determined that the thread spun in flight was finer than that spun preflight. Although the web patterns made in orbit were not significantly different from those that were built on Earth (aside from a possible unusual distribution of radial angles), there were differences in the characteristics of the thread. In addition to being thinner overall, the silk spun in orbit exhibited variations in thickness, where it was thin in some places and thick in others (on Earth it has a uniform width). The start and stop nature of the silk appeared to be an adaptation of the spider to control the elasticity of the silk and resulting web. Spiders in Space Since Skylab After the Skylab experiment, Space Technology and Research Students (STARS) conducted a study on spiders planned for STS-93 and STS-107. This was an Australian experiment designed and conducted by students from Glen Waverley Secondary College to test the reaction garden orb weaver spiders to near-weightlessness. Unfortunately, STS-107 was the ill-fated, catastrophic launch of the Space Shuttle Columbia. CSI-01 started on ISS Expedition 14 and was completed on ISS Expedition 15. CSI-02 was performed on ISS Expeditions 15 through 17. The International Space Station (ISS) conducted two well-publicized experiments on spiders . The first investigation was Commercial Bioprocessing Apparatus Science Insert Number 3 or CSI-03. CSI-03 launched to the ISS on the Space Shuttle Endeavour on November 14, 2008. The habitat included two orb weaver spiders (Larinioides patagiatus or genus Metepeira), which students could view from Earth to compare the feeding and web-building of the spiders in space against those housed in classrooms. The orb weaver species were selected based on the symmetrical webs they weave on Earth. The spiders appeared to thrive in near-weightlessness. The second experiment to house spiders on the ISS was CSI-05. The goal of the spider experiment was to examine the changes in web construction over time (45 days). Again, students had the opportunity to compare the activities of spiders in space with those in classrooms. CSI-05 used golden orb weaver spiders (Nephila claviceps), which produce golden yellow silk and different webs from the orb weavers on CSI-03. Again, the spiders constructed webs and also successfully caught fruit flies as prey. Golden orb weaver spiders were selected for CSI-05. Joe Raedle / Getty Images Sources Witt, P. N., M. B. Scarboro, D. B. Peakall, and R. Gause. (1977) Spider web-building in outer space: Evaluation of records from the Skylab spider experiment. Am. J. Arachnol. 4:115.

Primitivism and Non-Western Art Assignment Example | Topics and Well Written Essays - 250 words

Primitivism and Non-Western Art - Assignment Example The essay "Primitivism and Non-Western Art" focuses on the Primitivism style and Non-Western Art. Many people see this act as a reaction to Europe’s classicist way of interpreting the nude female body. Gauguin wanted to revise how the female figure was painted and appreciated, thus, painting the naked Tahitian women in a manner that was new to the Europeans that time. Some say it can be a subversive act on Gauguin’s part, as he was rebelling on the common trends of the European painters. He â€Å"revised† the female nude figure. Instead of focusing on the perfection or the anatomy of the model, or the sense of evil in looking at a naked female figure, Gauguin painted Tahitian women with their natural curves in their natural â€Å"habitat†, evoking feelings of eroticism and admiration, but without the association of sin or evil as dictated by the closed European society. This is one of the merits of the style, as it is sensual but not dismissive of human na ture’s preoccupation to sex. Primitivism does not romanticize sex, but rather romanticizes the idyllic lifestyle in the tropical islands. It celebrates the life in remote islands against colonialism at the same time the simplicity of humanity. It shows that non-Western art is as important as the ones in Europe and as significant too. This is quite influential to artists now, especially those who advocate anti-colonialism as it shows that Western Art may not be always superior. Primitivism is an art movement that does not adhere to Western standards.

Student Nonviolent Coordinating Committee Essay Example | Topics and Well Written Essays - 750 words

Student Nonviolent Coordinating Committee - Essay Example The essay "Student Nonviolent Coordinating Committee" talks about the Student Nonviolent Coordinating Committee, one of the major organizations of the American Civil Rights Movement. In April of 1960 Ella Baker, an expert civil rights organizer, invited black college students who had taken part in the 1960 sit-ins to meet at Shaw University.Alongside specific activities targeted at gaining civil rights for Blacks, SNCC also addressed major political issues of the sixties, namely feminism and the Vietnam War. SNCC officially came out against the Vietnam War in the beginning of 1966. SNCC linked the brutal bombing of Vietnamese citizens to the U.S. government's recurrent failure to bring the murderers of black people to justice. The destruction of Vietnamese rural life in the name of "pacification" was held akin to the destruction of African culture during the period of slavery. Hence, SNCC disputed the U.S. government's "benevolent intentions." The group did not believe that the gover nment would build a truly democratic society with free elections in a foreign country when such rights were not provided for a large percentage of the Black people at home. Several people feel that SNCC opened the door for the feminist movement. It united the oppressed and it viewed discrimination, in the form of racism or sexism, as a core social dilemma. In 1964, SNCC published a position paper that described the situation that women faced within the organization itself, indicating an awareness of the problem before it was fashionable.

Self-Employed Womens Association Essay Example for Free

Self-Employed Womens Association Essay Population inflation has become a constant problem and a developing conflict for all the nations in the world especially those with such little total land gross area. Urbanization and Population growth seems to coincide because both of it has become growing concerns of the world today. Though Urbanization has the more positive side of it, there are still some who oppose this ideology. Regarding population growth, it has become one aspect of the global community that indicates such a threatening reality. The people are multiplying by the minute but the resources that keep the people alive has become more scarce through the years. The scarcity of resources to satisfy population has become blatantly damaging. The growth rate around the world is increasing every year and as seen in the worlds most populous countries such as China, India, USA, the population has been inflating due to birth and fertility rate. Answering to the problems caused by overpopulation, urbanization solutions has become one arguably reliable remedy. There are four examples of cases where a positive output was produced and was recognized in the 1996 Dubai Awards. These are the Institutionalizing of Community-Based Development in Abidjan, another was the action by the Self-Employed Womens Association (SEWA) Bank, another was the City Management in Tilburg ranging from the past, present and the future, these are samples of overcoming the challenges of population and urbanization. Urbanization can produce both negative and positive effects on communities, depending on how the leaders of these communities take advantage of it. There are possible environmental problems due to urbanization but there are also environmental benefits due to urbanization. Its like a give and take relationship for population and urbanization, the importance of how the population should be treated must coincide positively with how urbanization should be handled properly to reap benefits for the population. REFERENCES http://www. unesco. org/most/africa17. htm http://www. unesco. org/most/asia1. htm http://www. unesco. org/most/africa3. htm http://www. unesco. org/most/westeu14. htm http://www. unesco. org/most/usa1. htm http://www. unesco. org/most/southam1. htm.

Swallowing Stones :: essays research papers

Throughout the novel Swallowing Stones, Michael is faced with problem after problem. Each problem that occurs, he must make choice after choice. Michael is faced with a position that he must make the choice that will change the course of his indefinitely. Michael soon finds out the mystery death of Charlie Ward. Soon Michael starts asking himself the question â€Å"Could he be Charlie Ward’s Killer?† Michael is sure of it. He is now faced with the ultimate consequences that he must face. He knows that if he turns himself he might be let off easy. But then Joe gets him thinking about how easy it would be to just get away with it. He knows that there is know way that they could ever trace that bullet back to his Grandfathers antique rifle, or could they. Michael soon decides that if he can trust Joe enough to keep in silence, he may be able to out wit the police. When Michael makes his decision, he never considers the ramifications that will come of it. For example, Michael never even considers the long agonizing nights he will stay awake or the ling pain filled days he will go through thinking of Jenna Ward and her mother suffering day after day. On the contrary, Michael thinks he will be able to just move on and forget about it. Michael soon realizes that he wishes he would have simply turned himself in. Afterwards, it seemed like such a logical choice, but he knew that if he did he would be breaking the loyalty to Joe. Michael changed drastically over the course of only a few weeks. He learned more about his friends, family, and himself than he ever wanted to know.

Hand Made Music Boxes Essay

In a market where monopolistic competition exists, businesses operate in a manner wherein producers sell differentiated products from one another, yet similar. This means that the product is not homogenous. Firms can still market their products by the highlighting the slight differences in their output. The various producers in this type of market are selling their products, in this case handmade music boxes, which act as substitutes. Firms are able to control the prices in some degree within a narrow range of prices. They enter the market if the profits are attractive wherein they can maximize their profit and are left with excess production capacity. In a market where there is monopolistic competition, there are many firms, which each firm has a small market share and operates independently from each other. (Salvatore, 2007) Enterprise, natural, labor and capital are considered as the factors of production in the economy. Given a firm that operates a business in hand made music boxes, these factors of production are important as to gain profit and be able to be competitive in the market. In a monopolistic competitive market, it is assumed that all these factors of production are mobile, in which if these are not being used efficiently, they will move instantly to where they can be maximized. (Harvey & Jowsey, 2007) In an enterprise, entrepreneurial skills are needed to manage and direct the other three factors of production to enable a production of goods or services in the market. Operating a hand made music box needs skills from people that have managerial experiences that can lead the firm into a competitive advantage through effective planning and execution in producing the goods needed in the market. This will help in giving the business a competitive advantage wherein the characteristics of the hand made music box of a certain firm is made with quality than that of other firms in the market. (Case & Fair, 2007) No business can operate without natural or land as part of its factors of production. Land is where the business is being done. It can be a factory, building, agricultural land or office, but this should have a location for it to be established. An access to land is needed in setting up firms. (Case & Fair, 2007) Hand made music box business needs a factory for the assembly of parts and for storing. Moreover, this business needs a shop for the goods to be displayed so that the goods can be seen by the consumers that will buy the product. Access to land and property can raise the standard of production as well as be more competent in the market. (American Journal of Economics and Sociology, 2002) Businesses manage to exist because of its labor force. Firms do need people who can do hours of work for them. In making hand made music boxes, there can be a composition of various assembly lines. These assembly lines are made up of people that will do specific parts in making the hand made music boxes of the firm. Skilled workers help the firm in having competitive advantage in the market. In a competitive market, skills of workers are important to produce high quality goods that can be sold to consumers. This will result in a high advantage of a certain firm that employs highly skilled workers over those firms that employ lesser skilled people. (Harvey & Jowsey, 2007) In every business setting, capital should be present. Capital refers to equipments used by firms to produce goods. The workers of a hand made music box business need equipments for the production of the goods. These equipments will help the production be more effective and efficient. In a competitive market where different firms compete for products being sold to consumers, a firm needs capital that will increase the quality of the product. This will make the firm more advantageous in terms of output and quality in the market. (Harvey & Jowsey, 2007) Given that the situated market is in a monopolistic competition scenario, a firm’s demand curve will intersect the industry’s demand curve at the firm’s equilibrium level of output and price. (Weins, 1999) This explains why the demand curve is relatively elastic and downward sloping, which can be associated to a flat, but not horizontal demand curve. Firms in this type of market will have less control over price to charge their output. A firm that makes profit in the short-run will break even eventually because of a decrease in demand in the long-run, which in this case will result in a zero economic profit. (Duffy, 1993) Considering the law of supply, monopolistic competitive markets might not produce large quantities as a response to higher prices. The hindrance to the positive-quantity supply relation is the market control and downward sloping demand curve among monopolistic competitive markets. Monopolistic competitive firms are considered to be price-searchers rather than price-takers because â€Å"prices will change by the comparison of marginal revenue with marginal cost in every possible price along with the market demand curve. † Prices are not placed equal to marginal revenue; furthermore, it is not equal to marginal cost and price. Thus, as a result, firms do not essentially supply more quantities of goods at lower prices. (Harvey & Jowsey, 2007) In the short-run, individual firms behave like a monopoly thus they can raise their prices leaving the consumers options to buy similar goods from other firms. As for the long-run, there is a free entry condition where firms continue to occur in the market leaving the demand curve to continually shift leftward until the time when each of the firm earns a zero economic profit. Firms earn economic profit or loss in the short run, but eventually, new entrants will be attracted to profits thus would result to losses until these firms earn zero economic profit. The hand made music box firms will compete in the market for the available consumers that will purchase the goods.

The Portrayal of Women in Art: 1962-2002

We have, more or less, as an audience become used to the idealized depiction of women. Often, particularly in classical styles, they were portrayed as reclining nudes who were there for the viewer’s pleasure. With averted eyes, they touched themselves sensually, typically innocent and oblivious that there is someone painting her for all to see. When they weren’t sexual-fantasy fodder, they were servile and obedient–particularly in the 1940?s and 1950?s after the end of the strong women era of World War II. They wore their hair in perfect curls, with their perfect dresses and worked merrily away in their perfect kitchens. In Jack Levine’s Girl with Red Hair there is a shift away from the perfect, care-free woman that came before. Rather, nudity is embraced as an aspect of the woman’s power rather than the viewer’s object. The subject confronts the viewer with her gaze. This portrait is not a portrait of a naked girl, but rather, a girl who happens to be naked. There is no trace of sexiness or sensuality–we are drawn to her face so that we may attempt to discern what this girl is thinking. Though her breasts are there, they are poorly rendered compared to the depth of her face and do not trap the eye like the neatly depicted flesh of the reclining nudes. Hotline for Troubled Teens, 1970. Joe DeMers (1910-1984). Acrylic on board, 22 ? x 18 ? in. New Britain Museum of American Art, Gift of Walt Reed, 2000. 45. Through both this artistic empowerment of women and the then energized Feminist Movement, women became less objects for a viewer’s pleasure and instead independent characters. In Joe DeMers’ Hotline for Troubled Teens, the gender is nearly removed from the girl. She is seen wearing an over-shirt that hides her breasts and her other feminine features are minimized. The girl is entered into a narrative–no longer is there a displaced nude body just lying around. Instead, we are shown a girl in her not-so-ideal life. Her face is concerned and the telephone cord is wrapped about her shoulders and wrist. She appears to be entirely dismissive of her viewers–be they out on the street around her, or elsewhere. She is self-serving and concerned with only her present situation. The title even suggests that this girl is reaching out (at the time, even that would have been taboo) in order to help herself–a principle that began to empower women during the Feminist Movement. Laneisha II, 1996. Dawoud Bey (b. 1953). Polacolor ER prints, 90 x 45 3/4 in. New Britain Museum of American Art, Members Purchase Fund, 2000. 34. This is one of my favorite pieces of the collection for many reasons. Predominantly, the depiction of women has centered around the â€Å"ideal woman†Ã¢â‚¬â€œwhich, if you haven’t picked up a magazine lately, is typically white, attractive, young, thin and perky. The woman here, however, is the antithesis. Though she is attractive, she does not have the â€Å"elegant† features that a painter might have looked for in the first half of the century. She is fragmented into six pieces and while they mostly match up–in that there are no huge gaps of information–there is a significant deformation of her figure. Her face is extra wide and left arm seems oddly long. A clear difference between the perfectly kept and rendered women of the past, this modern woman allows her flaws and her discord to be reflected in between each frame. She is a woman, not an object to behold. Untitled, 2000. Cindy Sherman (b. 1954). Color photograph, edition 1/6, 32 1/2 x 22 in. Members Purchase Fund, 2000. 88. I particularly enjoy this piece for several reasons: like the piece above, she is not typically â€Å"beautiful†Ã¢â‚¬â€œparticularly for the era in which it was taken. Rather, her appearance is outdated–thick, dark eyebrows, slicked back hair and that awful blue blouse she is wearing. Instead of dismissing the woman as ugly, we are able to see past her physicality. She bears a face that almost says â€Å"Yeah, so what? ’ to her audience. She isn’t hip, nor is she young and beautiful (as dictated by the standards of society) any more. There is a bluntness to this photograph that disempowers the sitter; it almost seems as if she’s the one judging and not vice-versa. Beauty I, 2002. Mark Catalina (b. 1965). Acrylic on canvas, 72 x 72 in. New Britain Museum of American Art, Gift of the Artist, 2003. 01 Lastly, this piece seems to me to be the most poignant out of the bunch. We are not privy to the â€Å"real† image, but only its negative. In form, we might recognize the person as a female. They have breasts, long flowing hair, jewelry†¦ some of the key indicators of what we may associate with being a woman. However, with the inverted colors, we are shown someone with manly features and thus, the lines of gender are blurred. Clearly, the makeup the subject is wearing is exaggerated–dark lips and cat-like eyeshadow–and further masks the individual’s gender. This piece is so inexorably tied to the way in which sex and gender are separated and defined. In this, the artist is redefining the appearance of women, in that women may not even be â€Å"feminine† at all. This piece broaches the subject of femininity and womanhood in an entirely new way, and is entirely appropriate in the evolving context of women in art. What do you think about the portrayal of women in art? How has it changed in the last 500 years? 50 years? 5 years? How can women gain power through representation in art? How does this compare to men in art?

Lighter-Than-Air Craft History

Lighter-Than-Air Craft History The history of lighter-than-air flight began with the first hot-air balloon built in 1783 by Joseph and Etienne Montgolfier in France. Immediately after the first flight - well, float might be more accurate - engineers and inventors worked toward perfecting a lighter-than-air craft. Although inventors were able to make many advancements, the biggest challenge was to find a way to successfully steer the craft. Inventors conceived numerous ideas - some seemingly reasonable, like adding oars or sails, others a little far-fetched, like harnessing teams of vultures. The problem wasnt solved until 1886 when Gottlieb Daimler created a light-weight gasoline engine. Thus, by the time of the American Civil War (1861-1865), the lighter-than-air crafts were still unsteerable. However, they quickly proved to be an invaluable military asset. In a tethered balloon several hundred feet in the air, a military scout could survey the battlefield or reconnoiter an enemys position. Contributions of Count Zeppelin In 1863, 25-year-old Count Ferdinand von Zeppelin was on a years leave from the Wurttemberg (Germany) army to observe the American Civil War. On August 19, 1863, Count Zeppelin had his first lighter-than-air experience. Yet it wasnt until his forced retirement from the military in 1890 at age 52 that Count Zeppelin began to design and build his own lighter-than-air crafts. While Daimlers 1886 lightweight gasoline engine had inspired many new inventors to attempt a sturdy lighter-than-air craft, Count Zeppelins crafts were different because of their rigid structure. Count Zeppelin, partly using notes he had recorded in 1874 and partly implementing new design elements, created his first lighter-than-air craft, the Luftschiff Zeppelin One (LZ 1). The LZ 1 was 416-feet-long, made of a frame of aluminum (a lightweight metal not commercially produced until 1886), and powered by two 16-horsepower Daimler engines. In July 1900, the LZ 1 flew for 18 minutes but was forced to land because of some technical problems. Watching the second attempt of the LZ 1 in October 1900 was an unimpressed Dr. Hugo Eckener who was covering the event for the newspaper, the Frankfurter Zeitung. Eckener soon met Count Zeppelin and over several years cultivated a lasting friendship. Little did Eckener know at this time that he would soon command the first lighter-than-air ship to fly around the world as well as become famous for popularizing airship travel. Count Zeppelin made some technical changes to the design of LZ 1, implementing them in the construction of LZ 2 (first flown in 1905), which was soon followed by LZ 3 (1906), and then followed by LZ 4 (1908). The continued success of his lighter-than-air craft changed Count Zeppelins image from the foolish count his contemporaries had called him in the 1890s to a man whose name became synonymous with lighter-than-air crafts. Though Count Zeppelin had been inspired to create lighter-than-air crafts for military purposes, he was forced to concede the advantage of paying civilian passengers (World War I again changed the zeppelins into military machines). As early as 1909, Count Zeppelin founded the German Airship Transport Company (Deutsche Luftschiffahrts-Aktien-Gesellschaft DELAG). Between 1911 and 1914, DELAG carried 34,028 passengers. Considering that Count Zeppelins first lighter-than-air craft had flown in 1900, air travel had quickly become popular.

Getting an Italian Tattoo

Getting an Italian Tattoo Youve finally decided to get a tattoo. A tattoo in Italian, no less. Why not? Foreign language tattoos have a certain cachet- many people dont know what they say, lending the tattoo a certain sophistication or flair. But thats the point. Many people, including the tattoo artist, dont understand what the tattoo says, and a simple slip of the needle can turn love (amare) bitter (amaro). Italian Tattoos Are Forever Beware: an Italian tattoo is forever. On an episode of Miami Ink on TLC, a customer went to a tattoo parlor and, being Italian American, wanted per sempre tattooed vertically down his forearm from elbow to wrist. He told the tattoo artist it meant forever and gave him the drawing he made himself. The tattoo artist, who did not know Italian, proceeded to finish the tattoo as drawn. When finished, the customer looked at it in horror! Written on his arm was pre sempre- which has no meaning in Italian. The customer had spent much effort in making the lettering artistic that he spelled it wrong. The tattoo artist was able to fix the error, but it was a costly mistake. Context Is King If youre thinking about getting an Italian tattoo (in Italian: farsi fare un tatuaggio- to have oneself tattooed, to be tattooed) one thing to consider is context. A trendy phrase in English might not mean anything in Italian or, worse, require a bit of linguistic gymnastics to render the term comprehensible in Italian. In addition, there may be no cultural reference. For instance, keep it real is a popular American pop culture term- but its a phrase that has no resonance in Italian everyday life. In fact, if Italians were to use the term, theyd say it in English to indicate their knowledge of American pop culture. Character Counts Another consideration when getting a tattoo, obviously, is whether it fit on your ankle, bicep, back, or wherever else youve decided you want the image. If there is text involved, be aware that Italian translations of English phrases and terms are typically longer- both the words themselves and the total number of words. Either the font size of the letters will have to be smaller to fit the same area, or you will have to bulk up that bicep so thats theres more skin to ink! If An Italian Tattoo Is A Must If youre absolutely, positively convinced that you want an Italian tattoo, consult a native Italian speaker. Better yet, ask a few Italian speakers and get a range of opinions about both the grammatically correct translation of the term or phrase youre considering, and also whether it has any significance in Italian. This way you wont have an Italian tattoo permanently etched into your skin that, although it makes sense literally, isnt part of everyday speech. Whatever you do, avoid online automatic translators- they are notorious for rendering incomprehensible statements. And make sure the tattoo artist understands exactly how the word or phrase should read before beginning his work. A Picture Paints A Thousand Words Walk into the Sistine Chapel and one of the lasting images is the brilliance of the colors on the walls and ceilings. Now imagine what an Italian Renaissance artist could accomplish with a broad expanse of back, a forearm, or thigh. Thats an Italian tattoo that wouldnt require translation- the vivid colors and dramatic personae would tell a story better than any phrase rendered into Italian, and would be unique as well. That might be the best Italian tattoo anyone could design and execute.

Standardized Coding Systems Assignment Example | Topics and Well Written Essays - 250 words

Standardized Coding Systems - Assignment Example A standard language improves patient care and also the adherence to the standards of nursing care. Assessment of nursing competency is also made possible. Communication among Nurses as well as other Health care practitioners is made better thus; documents by a particular nurse can be used by any other nurse thus flexible service providence (Nursing World Organisation, 2014). As the technology changes, the mode of recording and keeping health related data and documents has also changed. Most of the records are Electronic documents(ED). The use of ED can only be effective with a standardise vocabularies to descried key components of the health care process (Thompson, 2013). The Committee for Nursing Practice Information Infrastructure (CNPII) of the America Nurses Association (ANA) recognize thirteen standardized languages one of which has been discarded. Two of then languages are interdisciplinary while two are minimum data set. The rest seven languages are nursing specific. Any individual m ay develop a language and then submit it to the CNPII for approval voluntary. The developer should only make sure that, the nomenclature, classification, data set and terminologies of the language supports the nursing practices and that there is no ambiguity (Philadelphia: NANDA (2012). Standardisation is necessary as data collection and analysis to evaluate nursing care outcomes are enhanced (Nursing World Organisation, 2014). Standardized Nursing Language: What Does It Mean for Nursing Practice? (n.d.). Retrieved December 16, 2014, from

Consumer experience and Luxury Branding Essay Example | Topics and Well Written Essays - 1750 words

Consumer experience and Luxury Branding - Essay Example   There are various ways in which the consumers experience fashion retail on a global scale. These experiences can either be seen or felt. The first experience is psychological or emotional. Saprikis, Chouliara, and Broekhuizen (2010, p.2) observed that an individual’s purchasing choices are influenced by four major psychological factors, including perception, motivation, learning, beliefs, and attitude. Liu and Forsythe (2010, p.83) illustrate that the intention of the customer to shop is positively linked with the attitude towards purchasing, and affects their decision-making and purchasing behavior. Khitoliya (2014, p.18) argue that perceived usefulness, convenience, and perceived enjoyment are the dominant factors that affect consumer perceptions about a brand. Cao, Xu, and Douma add that enjoyment in intrinsic motivation. When a customer enjoys a product, it impacts positively on the sales of that particular brand. It is equally important to note that when the employees are motivated and satisfied with their job, it translates into a good feeling to the customer since they are able to interact well with the staff and get quality products that make them be satisfied. Schmitt claims that products and services that emerge from the brand’s real soul connect psychologically to the consumers. As a result, it generates emotionally positive experience from the customers. Zara uses emotional client experience of increased self-confidence, self-esteem, and happiness to meet the customer preferences.

Media Review Essay Example | Topics and Well Written Essays - 500 words - 1

Media Review - Essay Example ocial policy begun in 2011 through the aid of the digital internet transition who’s aim was to come up with new opportunities that have continually led the innovative forms of investigative journalism. As a result, Ai Media for the past two years have continuously embarked on diligently using the social media (Face Book, Twitter and YouTube) to reach out and share information with regard to the deaf and hearing impaired in the US community. In essence, the company focus more on the disabled persons, and how they should also be given a chance in participating in this company and the products that the company provides. In response, the company continually welcomes feedbacks and suggestions regarding such reactions and comments that are given out by all participants (Flynn 4). Of importance to note is that, Ai-Media has certain principles and guidelines that the company uses in ensuring their media policy remain an efficient tool of communication. To begin with, this social policy ensures that the concept of the community is well understood in terms of giving support to either side (clientele and the company). Secondly, contents found on the social media are friendly to the clientele and further embrace the presence of opinion diversity. This must go in line with the materials that are posted on the social media, the audience involved and the judgement that the company gives. In addition, Ai-Media is conscious and transparent of their intention. Basically, the company is sensitive on placing posts on individual clientele or organisation regarding their nationality, gender, sexual preference, disability and any other related issues. According to Flynn (4), it is worth mentioning that, the social policy must be in a position to assist the concerned persons. In this case, the Ai-Media is mainly concerned with a particular group of people –the disabled (hearing impaired and deaf) thus bringing value as would be expected. In the

Customer Relationship Management (CRM) at Doctors Surgery

Customer Relationship Management (CRM) at Doctors Surgery Proposed Working Title Does Customer Relationship Management (CRM) build stronger bonds with the customers and help provide quality services in a doctors surgery at Camden? - A case study of NHS Research Background and Context I have chosen this topic in order to find out what are the key issues that are important for successfully running a doctors surgery. We have been seeing that there are always patient dissatisfaction and complain about the services, both clinical and non-clinical. Hypothesis The hypotheses that will be tested in this research are as follows: To analyze what aspects of CRM strategies are missing in running this doctors surgery. To identify what benefits can be attained by completely implementing CRM at PPCC To what extent the employees are playing their role according to CRM strategies. To look in various models, strategies, theories and methods that can be used to make the services effective at doctors surgery. Organisation Background – Partnership Primary Care Centre (PPCC) The Surgery has been established in 1973 for the people who are living in the housing. It was named Fairweather House Surgery. Initially it had 250 patients from the housing. Dr. Morris Davies was founder General Practitioner (GP). In 1976, Dr. Diane Rosenthal, Dr. Jonathan Rosenthal, Dr. Enid Greenbury and Dr. Wil Cupola took over from Dr. Morris Davies and this Surgery was under Camden and Islington Primary Care Trust (PCT). In 1976 Camden and Islington PCT allocated more patients and gave a practice boundary that is a catchment area. In 1976, GPs appointed a practice nurse who used to do child immunisation, dressing, and cervical smear. In 1988 Dr. Wil Cupola left the surgery and Dr. Ian Hopkinson joined the surgery as a partner and there were 8 sessions of doctors and 5 sessions of nurses. GPs decided to register more patients and in 2003 total registered patients were 1900. It was difficult to offer more services from the small premise, so GPs had several meeting with the PCT to move to a bigger building. During this time, Camden and Islington PCT divided into two and this surgery came under Islington PCT who decided to move the Surgery in a bigger premises. Meanwhile, one of the local GP died and another GP went for retirement. In 1st October of 2003, Fairweather House Surgery shifted to newly built premises and named the surgery as Partnership Primary Care Centre (PPCC). After moving to this new premise, there are now 16 consulting session of doctors, 10 nurses session and 5 health care assistant sessions. Now the total registered patient is 3300 and growing everyday. (Source: Mr. Rashidul Hasan: Practice Manager and Mrs. Heather Johnson: Ex-Practice Manager at PPCC) Services Offered at PPCC Services that are offered by PPCC are personal doctoring, urgent medical problems, out of hours emergencies, home visits, talking to a doctor or nurse on the telephone, family planning services , antenatal care , child health surveillance, screening and health promotion, travel immunisations advice, sexual health for teenagers adults, quit smoking advice, alcohol advice , advice on drug problems, test results, repeat prescription service, interpreting services, careers needs and special nurse-led clinics available that include asthma/COPD clinics, diabetic clinic, cervical smears, childhood immunisation, family planning, heart disease/stroke prevention, well person checks. (Source: PPCC leaflet) Customer Relationship Management System at PPCC The surgery uses patient data storage system called VISION that is the most popular GP data storage system in the country. It has been maintained by the company called INPS. It holds all the information about the patients who are registered with PPCC. It holds the name, date of birth, address, telephone numbers and obviously the medical information. This system is also linked with the Whittington Hospital in order to receive test results including X-rays that are transferred electronically to the surgery. Rationale for the chosen topic I have selected Customer Relationship Management (CRM) because it is one of the best and most popular methods of developing stronger bonds with customers (in this research my customers are the patients who come to the doctors surgery). It can be said that if there is no patients then there is no need of doctors surgery, that is – no patient, no business. By the implementation of CRM strategies, PPCC can become one of the role model for other doctors practices. Customer satisfaction is the core of any business and when it comes to patients, it is a must. Research Questions- Formulation of researchable questions Like all research, my research also has an objective and to achieve that objective I have prepared a researchable question. The most important question to me is: ‘How effective will be customer relationship management strategies in providing quality services in doctors surgery? I will be focussing on this question through out my analysis of this research. Some of the important concerns that will arise while answering this question are as follows: †¢ What is CRM? †¢ Usage of CRM? †¢ What are the organisational benefits of CRM? †¢ How successful CRM can be in providing quality services? †¢ To what level can customer satisfaction can be achieved? †¢ How the organisation can achieve competitive advantage by CRM? Research Aim The aim of this research is to determine the relationship between the CRM and the quality of services and does it build a stronger bond with customers. Research Objectives The main objective behind this research is to understand and identify the root cause of customer dissatisfaction with the services provided at the doctors surgery. This research will focus on the real life example of a London based doctors surgery called Partnership Primary Care Centre (PPCC). I will discuss about the implementation and benefits of CRM to PPCC. In order to achieve the above aim, the following research objectives have been set: †¢ To understand and identify the root cause of customer dissatisfaction with the services provided by the doctors surgery, †¢ To determine the variable factors that could influence customer satisfaction level, †¢ To determine how CRM can bring a positive change in the quality of service, †¢ To identify how implementation of CRM can benefits PPCC. Literature Review A literature review discusses published information in a particular subject area, and sometimes information in a particular subject area within a certain time period. For the purpose of this research, the literature review is on Customer Relationship Management (CRM). Customer Relationship Management (CRM) The better a business can manage the relationships it has with its customers the more successful it will become. In order to have a better understanding and knowledge about the customers needs and demands, customer relationship management strategies can be used. Customer relationship management (CRM) is not just the application of technology, but is a strategy to learn more about customers needs and behaviours in order to build up stronger relationships with them. As such it is more of a business philosophy than a technical solution to assist in dealing with customers effectively and efficiently. (www.xicom.biz , Accessed: 21/08/09) According to Armstrong and Kotler (2005) customer relationship management (CRM) is managing detailed information about individual customers and carefully managing customer â€Å"touch points† in order to maximize customer loyalty. CRM involves all of the corporate functions (marketing, manufacturing, customer services, field sales, and field service) required to contact customers directly or indirectly. The term â€Å"touch points† is used in CRM to refer to the many ways in which customers and firms interact. (Gray and Byun, 2001) The foundation of customer relationship management CRM is based upon identifying; understanding and being able to provide a better service to customers. CRM allows build a better relationship with customers, improving customer satisfaction and maximising profitability. It is about understanding, anticipating and responding to the exact needs of customers with a constant eye for making the services to them the best it can possibly be. The main target of CRM is to improve long-term growth and profitability through a better understanding of customer behaviour. (Source: www.customerrelationshipmanagementcrmuk.co.uk, Accessed: 21/08/09) CRM consists of three basic components: customer, relationship and management. (Roberts-Witt, 2000) Customer If there is no customer then there will be no profit now or in the future. But a good customer, who provides more profit with less resource, is always scarce because customers are knowledgeable and the competition is fierce. Sometimes it is difficult to distinguish who is the real customer because the buying decision is frequently a collaborative activity among participants of the decision-making process (Wyner, 1999). Information technologies can offer the skills to distinguish and manage customers. CRM can be thought of as a marketing approach that is based on customer information (Wyner, 1999). Relationship The relationship between a company and its customers involves continuous bi-directional communication and interaction. The relationship can be short-term or long-term, continuous or discrete, and repeating or one-time. Relationship can be attitudinal or behavioural. Even though customers have a positive attitude towards the company and its products or services, their buying behaviour is highly situational (Wyner, 1999). Management CRM is not an activity only within a marketing department. Rather it involves continuous corporate change in culture and processes. The customer information collected is transformed into corporate knowledge that leads to activities that take advantage of the information and of market opportunities. CRM required a comprehensive change in the organization and its people (Wyner, 1999). Specific software to support the management process involves: Field Service, E-Commerce Ordering, Self Service Applications, Catalogue Management, Bill Presentation, Marketing Programs, and Analysis Applications. They can be used to take the advantage of CRM, but keeping in mind that CRM is not about just technology but more about quality service. (Source: http://www.tupublicas.com/docs/12-44-15-02-2004-leyva.pdf, Accessed: 17/08/09) The core components of customer relationship management The content of a CRM strategy consists of six mutually dependent criteria (Donaldson and OToole, 2002) Emphasis on quality: if we provide poor service we will lose our customers and ultimately business. The core product alone is no longer sufficient, and service quality is considered as the key to successful business. Measure customer satisfaction but manage customer service: This implies understanding and defining the various benefits that a prospect expects prior to purchase and the management of the gap between expectations and performance after the purchase process. Invest in people: Both internal and external relationships are important. Implementation of a relationship orientation can only come from the people in the organisation understanding the objectives set and meeting the required standards. Maintaining dialogue with customers: Building long-term relationships is the key issue in CRM. Companies that listen and adapt to preferences of individual customers have a higher chance to retain them and make them loyal. Setting realistic targets and assessing performance: Organisations must have an understanding of customer views of the various elements in the offering and the elements important to each individual customer. Relationship-based interfaces: This means being in touch with both internal and external customers in a responsive and flexible manner. In practice, there is a gap between what firms do, what they should do, and what is most desirable to do. The means of communication should be adapted to the needs of the individual customer. (Donaldson and OToole, 2002) Types of Customer Relationship Management There are different variations in CRM approaches and they are all in different software packages focusing on different aspects. Some of the main types of CRM are as follows: Operational CRM Operational CRM is for â€Å"front office business processes. It interactions with customers to gather and stored customer information, so that later staff can retrieve customer information as necessary. The reasons for storing this information are as follows: Managing campaigns Enterprise Marketing Automation Sales Force Automation Sales Management System Analytical CRM Analytical CRM makes strong use of data mining and other techniques to create useful results for decision-making Analytical CRM analyzes customer data for a many reasons and they are: Designing and executing targeted marketing campaigns Designing and executing campaigns, Analyzing customer behavior in order to make decisions relating to products and services Management information system In this stage the importance of fully integrated CRM software becomes most apparent because the more information the analytical software has available for analysis, the better is the predictions and recommendations are. Sales Intelligence CRM Sales Intelligence CRM is more or less like Analytical CRM, but is intended as a more direct sales tool. Features include alerts sent to sales staff regarding: Cross-selling/Up-selling/Switch-selling opportunities Customer drift Sales performance Customer trends Customer margins Customer alignment Campaign Management Campaign management includes elements of Operational and Analytical CRM. The functions include: Target groups formed from the client base according to selected criteria Sending campaign-related material to selected recipients using various channels. Tracking, storing, and analyzing campaign statistics, including tracking responses and analyzing trends Collaborative CRM Collaborative CRM consists of a companys dealings with customers that are handled by various departments within a company, such as sales, technical support and marketing. Staff members from different departments can share information collected when interacting with customers. Collaborative CRMs main focus is to use information collected by all departments to improve the quality of services provided by the company. (Edwards, 2007) Consumer Relationship CRM Consumer Relationship System is mainly for a companys dealing with customers handled by the Consumer Affairs and Customer Relations contact centers within a company. (Source: http://en.wikipedia.org/wiki/Customer_relationship_management, Accessed: 24/08/09) Benefits of Customer Relationship Management Exceptional customer service is about being aware of customer needs and reacting to them effectively. CRM facilitates to understand, anticipate and respond to customers needs in a consistent way, through out the organization. Practicing CRM requires an efficient and integrated internal business system. Many businesses benefit from the organizational discipline CRM imposes, as well as from the technology itself. CRM will help business if we view it as a set of tools that let us do more for, and get more from, our customer. CRM can: Develop better communication channels Collect vital data, like customer details and order histories Create detailed profiles such as customer preferences Deliver instant, company-wide access to customer histories Identify new selling opportunities To better serve customers, organizations must ensure that information can be accessed through one single source throughout the enterprise. (Source: http://www.is4profit.com/business-advice/it-telecoms/crm-customer-relationship-management_2.html, Accessed: 16/08/09) Business benefits of CRM Setting customer relationship management (CRM) solution in practice requires substantial time and expense. However, there are many potential benefits. A major benefit can be the development of better relations with the existing customers that leads to: Increased sales through better timing due to anticipating needs based on historic trends, Identifying needs more effectively by understanding specific customer requirements, Cross-selling of other products by highlighting and suggesting alternatives or enhancements, Identifying which of the customers are profitable and which are not. This can lead to better marketing of the products or services by focusing on: Effective targeted marketing communications aimed specifically at customer needs, A more personal approach and the development of new or improved products and services in order to win more business in the future. Finally this leads to: Enhanced customer satisfaction and retention, ensuring that the good reputation in the marketplace continues to grow, Increased value from existing customers and reduced cost associated with supporting and servicing them, increasing overall efficiency and reducing total cost of sales, Improved profitability by focusing on the most profitable customers and dealing with the unprofitable in more cost effective ways. Once the business starts to look after its existing customers effectively, focus can be shifted on finding new customers and expanding the market. The more we know about our customers, the easier it is to identify new prospects and increase our customer base. (Source: http://www.businesslink.gov.uk/, Accessed: 16/08/09) Customer privacy is an important issue in CRM. CRM deals with large amounts of customer data throughout various touch points and communication means. The personalization process in CRM requires identification of each individual customer and collections of demographic and behavioural data, this is the very information that most customers consider personal and private. The individual organisation gets into an ethical dilemma as it wants to collect as much information as possible about each customer to further its sales. It is a must to have the customer consent to avoid any future problems. Authorized personnel should only have the access to the stored information and data. Drawbacks of CRM As of any other topic there are some negative sides about CRM. According to a research study released in March, 2001 by the Meta Group (cited in Connor 2001), between 55% to 75% of CRM projects fail to meet management objectives. However, research undertaken by CRM Guru (The Blueprint for CRM Success 2002) indicates that the failure rate of CRM projects is 35 %. About 50 % of projects get a payback within 18 months. Research Methodology The two most common methods of data collection for any research are qualitative and quantitative. It is important to define qualitative and quantitative methods. Quantitative data is the term given to data that can be quantified where as qualitative data is the term given to data based on meanings which are expressed through words and language (Anderson, 2004). Both these methods will be used to gather data and information for this research. Interviews will be conducted with the staff members to learn about their ideas and opinions on what they can add to the existing services that they provide. If possible and permitted, then a group of patients will be selected and will be interviewed about what their expectations from the doctors surgery. A questionnaire will be prepared for conducting this research which will be given to the patients who come to take service to the surgery. All these descriptive, exploratory, ethnographic, qualitative and quantitative methods will be used to fulfill the requirements of this research. Data Collection Methods This study draws on both primary and secondary data, such as past customer satisfaction levels, as well as both qualitative and quantitative data. The main focus will be on the qualitative approach as well as observation. This is because my data analysis will be based on words rather than figures. In addition to this, an interview will be conducted on a focused group of patients as primary data source. Primary Data Collection Methods Primary sources are original works of research or raw data without interpretation or pronouncements that represent an official opinion or position. Included among the primary sources are memos, letters, complete interviews or speeches (in audio, video, or written transcript formats), laws, regulations, court decisions or standards, and most government data, including census, economic, and labour data, (Cooper and Schindler, 2003). For the purpose of my research, qualitative method of data collection is more appropriate. Qualitative research is centrally concerned with the understanding rather than the measurement things (Hague Jackson, 1996). Moreover it is believe that qualitative research provides data that is open to interpretation and argue. (Brassington Pettitt, 1996). The search will use a combination of structured and unstructured questionnaires during face-to-face in-depth interview that provide a mixture of closed and open-ended questions for ease and for the acquiring opt imum data. The interviews will be with the parties, the service providers and the service receivers that is the patients. Questionnaire and Interview Questionnaire will be one of the most important approaches that would be used in this research as it provides the simplest and fastest way of primary data collection. A questionnaire will be design to handout to all interviewees and this will give me the data I need to base my theories on. Interviews will be taken to collect data in which selected participants are asked questions in order to find out about their activities, thoughts or feeling about relative issues. The sample size will be 50 plus and of both sexes and of different age groups. Secondary Data Collection Methods Studies made by others for their own purposes represent secondary data, (Cooper and Schindler, 2003). This will include both qualitative and quantitative data as well as descriptive and exploratory research. Books, magazines, articles, journals and other kinds of publications will be used to gather the data. The libraries that will be used for resources are London School of Commerce Library, the British Library, City Business Library and Online Library of University of Phoenix. As this report is a case on NHS (National Health Service), the web sites of the NHS and PPCC will be used to get information about the doctors surgery. The information gathered on the secondary research will be presented in the literature review part of this research. Data Analysis The primary data that will be gathered through questionnaire as a form of quantitative analysis will be analysed by using the Microsoft Excel spread sheet. To have a better understanding of the data, they will be presented in Pie chart and Bar charts. The findings will be also put as percentage of the total sample size. The interview will be analysed as qualitative data as there will be opinions, suggestions and views of the participants. Resource Requirements Some of the expenses that would incur during the primary data collection would be for light refreshments for the interviewees and the expenses for secondary data would be for buying the referral books, magazines, printing and binding of the research. There will be also some additional transportation cost for travelling to the libraries. Time Scale Time is a crucial element for any kind of work and I believe that the dissertation can be completed according to the following time scale. Time Scale Week Activity 1 2 3 4 5 6 7 8 9 10 11 12 Submission of the Proposal Literature Review Interviews Updating Literature Review Data Collections and Questionnaire Data Analysis First draft of dissertation Revising draft Second draft of dissertation Final editing and preparing Final report ready

Calorimeters :: Papers

Calorimeters This is a investigation into how heat transfer is effected when different variables are changed, when boiling water is in a colorimeter. Variables These are the variables which are available for me to change: 1. Different insulators e.g. Foam or Cotton Wool, Polystyrene. 2. The temperature of the water at the start of the experiment. 3. Whether or not the calorimeter has a lid on or not. 4. Different conductors e.g. Copper, Wood, other metals. 5. The amount/Volume of water. Prediction These are my predictions for each variable: 1. Different insulators work better than others. Different insulators will have different effects, because of what they are made of, if the material is a metal, it will conduct the heat, a non-metal will insulate the heat, some better then others. 2. If the starting temperature is higher, then I predict it will be higher at the end too, because the energy lasts longer in the hotter water. 3. If the lid isn't on more heat will be lost, because the heat will rise. 4. Different conductors have different effects too. Some conductors conduct the heat quicker than others. e.g. Copper will transfer the heat quicker than wood. 5. If there is less water there would be a smaller surface area to volume ratio so less water will transfer less heat, and more will enhance the transfer Planning I will investigate different amounts of water and different insulators. I will use these different quantity's of water: à ¢Ã¢â€š ¬Ã‚ ¢ 20cm cubed à ¢Ã¢â€š ¬Ã‚ ¢ 40cm cubed à ¢Ã¢â€š ¬Ã‚ ¢ 60cm cubed à ¢Ã¢â€š ¬Ã‚ ¢ 80cm cubed à ¢Ã¢â€š ¬Ã‚ ¢ 100cm cubed ( I will also change the insulator on this one) Equipment Used I will use the following equipment: à ¢Ã¢â€š ¬Ã‚ ¢ Calorimeter. à ¢Ã¢â€š ¬Ã‚ ¢ Kettle. à ¢Ã¢â€š ¬Ã‚ ¢ Thermometer. à ¢Ã¢â€š ¬Ã‚ ¢ Measuring Cylinder à ¢Ã¢â€š ¬Ã‚ ¢ Insulators (Available insulators e.g. Foam). à ¢Ã¢â€š ¬Ã‚ ¢ Stopwatch. Method I will measure the five different amounts of water and poor them into

Reflective Account Essay

Introduction This assignment will show a detailed account based on an experience in my second year community placement. The framework I shall be using to reflect is Gibbs’ (1988) model of reflection. Within this model are six phases incorporated into a cycle. Each phase will allow me to think systematically about the experience and identify areas where improvement is needed. This reflective account will incorporate the Scottish Patient Safety Programme (SPSP) aim to ‘Prevent Pressure Ulcers’ (SPSP, n.d.a). Pressure ulcers are defined as â€Å"an area of damage to the skin and underlying tissue that is caused by unrelieved pressure, friction and/or sheer forces† (Posnett and Franks, 2008). The SPSP is co-ordinated by Healthcare Improvement Scotland (HIS) and aims to improve patient safety and reduce adverse events. (SPSP. n.d.b). This aim is relevant to the patient involved in this experience as they are a high risk of developing a pressure ulcer therefore preventative measures need to be addressed. To ensure privacy and confidentiality in accordance with the Nursing and Midwifery Council (NMC, 2012a), I have renamed this patient Mathew for the purpose of this assignment. Description Mathew is an 82 year old man who recently suffered a fall within his home and was admitted to hospital with a fractured hip and subsequently had to have a total hip replacement. Mathew was discharged from hospital back to his home with the care of District Nurses visiting him on a daily basis to administer his Clexane injection. Due to Mathew’s injury his mobility has been compromised and has subsequently become incontinent. During our first visit with Mathew my mentor asked me to carry out a ‘Waterlow’ assessment with him. This tool is a scoring system which identifies if a patient is at risk of developing a pressure ulcer (HIS, 2009). As the score was above 10 Mathew was deemed ‘at risk’. Both my Mentor and I discussed with Mathew regarding his risk level, we suggested a pressure†¦ In this assignment, I need to reflect on the situation that taken place during my clinical placement to develop and utilize my interpersonal skills in order to maint ain the therapeutic relationships with my patient. In this reflection,  I am going to use Gibbs (1988) Reflective Cycle. This model is a recognized framework for my reflection. Gibbs (1988) consists of six stages to complete one cycle which is able to improve my nursing practice continuously and learning from the experience for better practice in the future. The cycle starts with a description of the situation, next is to analysis of the feelings, third is an evaluation of the experience, fourth stage is an analysis to make sense of the experience, fifth stage is a conclusion of what else could I have done and final stage is an action plan to prepare if the situation arose again (NHS, 2006). Bairdand Winter (2005, p.156) give some reasons why reflection is require in the reflective practice. They state that a reflect is to generate the practice knowledge, assist an ability to adapt new situations, develop self-esteem and satisfaction as well as to value, develop and professionalizing practice. However, Siviter (2004,p.165) explain that reflection is about gaining self-confidence, identify when to improve, learning from own mistakes and behavior, looking at other people perspectives, being self-aware and improving the future by learning the past. In my context with the patient, it is important for me to improve the therapeutic relationship which is the nurse-patient relationship. In the therapeutic relationship, there is the therapeutic rapport establish from a sense of trust and a mutual understanding exists between a nurse and a patient that build in a special link of the relationship (Harkreader and Hogan, 2004, p.243). (Peplau 1952, citedin Harkreader and Hogan 2004, p.245) note that a good contact in a therapeutic relationship builds trust as well as would raise the patient’s self-esteem which could lead to new personal growth for the patient. Besides, (Ruesch 1961, cited in Arnold and Boggs 2007, p.200) mention the purpose of the therapeutic communication is to improve the patient’s ability to function. So in order to establish a therapeutic nurse-patient interaction, a nurse must show up caring, sincerity, empathy and trustworthiness (Kathol, 2003, p.33). Those attitudes could be expressed by promoting the effective communication and relationships by the implementation of interpersonal skills. Johnson (2008) define the interpersonal skills is the total ability to communicate effectively with other people. Chitty and Black (2007, p.218) mention that communication is the exchange of information, thought and ideas via verbal and non-verbal which both present simultaneously. They explain  that verbal communication is consists of all speech whereas non-verbal communication consists of gestures, postures, facial expressions, tone and level of volume. Thus, in my reflection in this assignment would be discussed on my development of therapeutic relationship in the circumstance of the nurse-patient relationship using the interpersonal skills. My reflection is about one patient whom I code her as Mrs. A, not a real name(Appendix I) to protect the confidentiality of patient’s information (NMC, 2004).In this paragraph I would describe on the event takes place and describe that event during my clinical placement. I was on the female psychiatric ward having a 2 weeks clinical placement for mental health care in semester 3.Generally, there were two separated psychiatric wards which were male psychiatric ward and female psychiatric ward but both wards were sharing the small cafeteria in the area of psychiatric ward. The psychiatric wards were locked up from one main entrance. In the ward, the female psychiatric patients were encouraged to walk out from the female ward and combine with the male psychiatric patients at the small cafet eria during their meal time. During lunch, I noticed one lady was still sitting on her bed. She was Mrs. A, 76 years old been diagnosed a schizophrenia. She was unable to control the muscle also called tremor due to lack of the chemical as she was having a side effect of antipsychotic medication which was a Parkinsonism (Sahelian, 2005). She could not walk herself and need to be assisted if she wanted to stand or walk. So I took the Mrs. A’s lunch meal and fed on the bed. This old lady was unable to feed on her own. So I checked her diet and served her meal. I fed her meal until finished. In this paragraph, I would discuss on my feelings or thinking that took place in the event happened. Before I started to feed her, I introduced myself and approached Mrs. A. So I tried to build a good rapport with her as I do not want her to feel strange as I was not her family members or her relatives. My first approached was to her was to ask whether she wanted or refused to take her lunch. She was on soft diet as she was having a difficulty in swallowing or dysphasia. Then I asked her permission to feed her. She looked at me and looked like blur. In this situation, I showed up my emphatic listening as I put myself in her shoes and assuming I was having a hearing problem. According to Wold (2004, p73) the emphatic listening is about the willingness to understand the other person not just judging the person’s  fact. Then, I touched her shoulder, kept saying, and raise my tone a bit because I was afraid if she had a hearing trouble. At the same time, I did somebody gesturers which could be interpreted an action of eating. I paused, repeated my actions but this time I was using some simple words in the patient dialect. Then she looked at me again and nodded her head. Fortunately the body gesturers also helped me in the conversation with her. In the meantime, I was thinking whether the first language was not her mother tongue but I kept myself communicate verbally with her including using my body gesturers and facial expression. Body gesturers and facial expressions are referred as a non-verbal communication (Funnellet al , 2005, p.443). In my thinking, I needed to speak louder and know more words in her language so that she could understand and interpret of my actions towards her. I thought of the language barrier that breaks our verbal communication. Castledine (2002, p.923) mention that the language barrier arises when there are individuals comes from a different social background use their own slang or phrases in the conversations. Luckily, those particular body gesturers could make her understand that I was going to feed her lunch. During the feeding I maintained the eye contact as I do not want her to feel shy. This is because; my eye contact could show up my interest to help her in feeding. This is supported by Caris-Verhallenet al (1999) which mentioned that the direct of eye contact could express a sense of interesting the person to the other person involves in that communication. In the meantime I communicated with my best with her do that she felt comfortable. As a result, she gave a good cooperation and e njoyed the meal until finished. In my evaluating, I feel I make the right decision to accompany and assist Mrs. A in feeding. Furthermore, I could develop my nurse-patient relationship. Although McCabe (2004, p.44) would describe it as a task-centered communication as one of the element caused the lack communication among nurses, but I think my nurse-patient relationship communication both involved a good patient-centered communication and task-centered communication. In my personal opinion, I attended to Mrs. A as a patient to show my empathy because she was unable to feed herself. It was also as my duty to feed her so that I could make sure the patient get the best care in the ward. So my involvement in this nurse-patient relationship does not only restrict to the task-centered communication because (Burnard 1990, and Stein-Parbury 1993,  cited in McCabe 2002, p.44) define attending as a patient-centered process as wells as to fulfill the basic conditions as a nurse to provide the genuineness, warmth and empath y towards the patient. I was able to improve my non-verbal communication skills in my conversation with her during the feeding. As she was having a hearing problem and could not communicate in the first language properly, so the non-verbal communication plays a role. Caris-Verhallen et al (1999, p.809) state that the non-verbal communication becomes important when communicating with the elderly people who develop a hearing problem. Hollman et al (2005, p31) suggests some effective ways to maximize the communication with hearing impairment people such as always gains the person’s attention before speaking, visible yourself to prevent them feel frighten and try to use some sensitive touch. I feel this is a good experience to me because I learn to develop my non-verbal communication. I used most of the body gesturers because of the language barrier was being a gap in my conversation with Mrs. A. She could speak very limited in the first language so I tried to speak in her dialect. Furthermore, Wold (20 04, p.76) mention that gesturers are one specific type of non-verbal communication intended to express ideas and are useful for people who cannot use much words. However I also used my facial expressions to advise her to finish the meal. It might be not so delicious because she withdraws the meal after few scopes but I smiled and assured Mrs. A that it was good for her health to finish her meal. In addition, the facial expressions are most expressive which are not limited to certain cultural and age barriers (Wold, 2004,p.76). Therefore my facial expression worked out to encourage her to finish the meal. Although I could not explain detail to her about the important nutrition diet that she should take, but I could advocate her to finish the meal served because the meal was prepared according to her condition. In order to analysis of the event, I could evaluate that, my communication skills are very important to provide the best nursing care to Mrs. A. My communication with Mrs. A was the interpersonal communication. This is because the interpersonal communication is a communication which involved of two persons (Funnell et al 2005, p.438). I realized that my nonverbal communication did help me a lot in my duty to provide the nursing care to Mrs. A. Even though she could understand few simple words when I was asking her but I noticed that one of the  problems occurs within the communication was the language barrier. As the patient was not using the official language and the second language, I tried to speak in her language. I still could manage the communication in our conversation. However, it was quite difficult to promote the effective verbal communication with the patient. Besides, White (2005, p.112) recommend that a nurse should learn a few words or phrases in the predominant second language to put a patient at ease for better understanding. Although it was quite difficult but using the nonverbal simultaneously with the verbal communication did encou rage her to speak on her best to make me understand her words. In the event showed that, there was a response from Mrs. A. when I was asking her questions. Funnel et al (2005, p.438) point out that a communication would occur when a person responds to a message received and assigns meaning to it. She nodded her head to assign that she agreed with me. Delaune and Ladner (2002, p.191) explain that the channel is one of the component of the communication process which act as a medium during the message is sent out. In addition, Mrs. A also gave me a feedback that she understood my message by transmitting the message via her body gesturers and eye behavior. Thus I could consider that the communication channels used in my conversation were visual and auditory. Delaune and Ladner (2002, p.191) state a feedback is that the sender receives the information after the receiver react to the message. However, Chitty and Black (2007, p.218) define feedback is a response to a message. In my situation, I was a sender who conveyed the message receiving the information from Mrs. A, the receiver who agreed to take lunch and allow me to feed. Consequently, I could analyze that my communication with Mrs. A involved of five component of communication process which are sender, message, channel, receiver and feedback (Delaune and Ladner, 2002, p.191).In a nutshell, for my reflection of this event explores about on how the communication skills play a role on the nurse-patient relationship in order to deliver the nursing care towards the patient especially the adult. She needed quite some time to adapt the ability changes in her daily activities living where I was trying to help her in feeding. I was concerning my feeling and thoughts during the feeding so that I could improve more skills in my communication. I successfully communicated with her effectively as she enjoyed finishing the meal. So it  is vital to build rapport with her to encourage her ability to speak up ver bally and non-verbal. Moreover, this ability could help her to communicate effectively with other staff nurses. Later, she would not be neglected because of her age or her disability to understand the information given about her treatment.(Hyland and Donaldson 1989, cited in Harrison and Hart 2006 p.22) mention that communication express what the patients think and feel. In order to communicate with adult, it is important to assess her common communication language and her ability to interact in the other languages. As I used some words in her dialect, I essentially encouraged the patient to speak out verbally and communicate non-verbal so that the message could be understood and do not break the nurse-patient communication. In my opinion, I evaluated that it does not a matter whether it was a patient-centered communication or task-centered communication because both communication mentioned by McCabe (2004) actually does involves communication to the patients. So it was not a problem to argue which type of communication involves in my conversation with my patient. After I analyzed the situation, I could conclude that I was be able to know the skills for effective communication with the patient such as approach the patient, asking questions, be an active listening, show my empathy and support the patient emotions (Walsh, 2005, p.34). Actually helping the adult was a good practice in delivering the nursing care among adults. My action plan for the clinical practice in the future, if there were patients that I need to help in feeding or other nursing procedure, I would prepare myself better to handle with the patients who would have some difficulty in communication. This is because, as one of the health care worker, I want the best care for my patients. So in related to deliver the best care to my patients, I need to understand them very well. I have to communicate effectively as this is important to know what they need most during warded under my supervision as a nurse. According to my experience, I knew that communication was the fundamental part to develop a good relationship. Wood (2006, p.13) express that a communication is the key foundation of relationship. Therefore a good communication is essential to get know the patient’s individual health status (Walsh, 2005, p.30). Active listening could distinguish the existence of barrier communication when interactions with the patients. This is because, active listening means listening without  making judgment to listen the patients ’opinions or complaints which give me chances to be in the patients’ perspective(Arnold, 2007, p.201). On the other hand, it also crucial to avoid the barriers occurs in the communication with the patients. I could detect the language barriers by interviewing the patients about their health or asking them if they needed a ny help in their daily activities living. However, I would remind myself for not interfere my communication with barriers such as using the open-ended questions, not attending to non-verbal cues, being criticizing and judging, and interrupting (Funnell et al, 2005, p.453). Walsh (2005, p.31) too summary that making stereotyping and making assumptions about patients, perceptions and first impression of patients, lack awareness of communication skills are the main barriers to communications. I must not judge the patients by making my first impression and assumption about the patients but I have to make patients fee devalued as an individual. I should be capable to respect their fundamental values, beliefs, culture, and individual means of communication (Heath, 2000,p.27). I would be able to know on how to build rapport with the patients. There are eleven ways suggest by Crellin (1998, p.49) which are becomes visible, anticipate needs, be reliable, listening, stay in control, self-disclosure, care for each patient as an individual, use humour when appropriate, educate the patient, give the patient some control, and use gestures to show some supports. This ways could help and give me some guidelines to improve my communication skills with the patients. Another important thing to add on my action plan list is to know which the disabilities of the patients have such as hearing disability, visual impairment and mental disability. Once I could know the disability that a patient has, I could well-prepared my method of communication effectively as Heath(2000, p28) mention that communicating with people who was having some hearing impairment, sight impairment and mental health needs required the particular skills and considerations. Nazarko (2004, p.9) suggest that do not repeat if the person could not understand but try to rephrase and speak a little more slowly when communicating with the hearing difficulties people. Hearing problem commonly occurs among adults because of ageing process (Schofield,2002, p.21). To summarize for my action plan, I would start a communication with a good rapport to know what affects the patients’ ability to communicate well and  to avoid barriers in effective communication in future. In conclusion of my reflective assignment, I mention the model that I chose, Gibbs (1988) Reflective Cycle as my framework of my reflective. I state the reasons why I am choosing the model as well as some discussion on the important of doing reflection in nursing practice. I am able to discuss every stage in the Gibbs (1988) Reflective Cycle about my ability to develop my therapeutic relationship by using my interpersonal skills with one patient for this reflection. Reflection on a Clinical Skill The purpose of this assignment is to reflect upon a clinical skill that I undertook whilst on my second year community placement. I have chosen to use Gibbs (1988) model of reflection. In accordance with the Nursing and Midwifery Council (NMC), The Code of Professional Conduct (2008), confidentiality shall be maintained and all names changed to protect identity. The clinical skill I have chosen to reflect upon during this assignment is the monitoring of capillary blood glucose (CBG). I have chosen this skill as during my previous acute placements as a student I was not permitted to undertake them, and whilst in the community the Primary Care Trust (PCT) allows it. Having yet to develop this skill I thought that by reflecting on carrying it out would help me to gain the knowledge and confidence needed to perform it in the future. According to Siviter (2004) reflection is about gaining confidence, identifying when you could have improved, learning from your mistakes and about your beha viour, viewing yourself as others do, self awareness and changing the future by learning from the past. Description During a routine daily visit with my mentor Jane, a District Nurse, to Nisha, an elderly Asian lady who was Diabetic, Jane asked me whether I would like to take Nishas CBG. As I had only started doing CBGs during this placement I thought it would be a good learning opportunity so I agreed to do it. Jane asked Nisha whether she minded me doing her CBG and although she did not speak very much English she understood and consented for me to do it. I went into the kitchen and washed my hands. I returned to the living room where  Nisha was and asked her whether her hands were clean, to which she answered yes. I then assessed that Nisha was sat down on a low sofa, and thought it best to kneel down and lay my equipment out on the coffee table so that they were all to hand. Once checking that the blood glucose monitor had been calibrated and that the test strips were in date I opened a test strip and placed it into the monitor. I then put on gloves and asked Nisha whether she was comfortable and ready and which finger she wanted me to use, she said yes and held up her right third finger so I got the single use lancet and pricked the side of Nishas finger, disposing of the lancet into the sharps box. The blood came immediately and I applied it to the test strip and waited for the result, in the meantime I held a clean cotton wool ball to Nishas finger to stop the bleeding. I discarded the test strip and my gloves and recorded the CBG.I then washed my hands again. Once we had left Nishas property my mentor commented that I had done very well, but should have asked Nisha to wash her hands before commencing the CBG test. Feelings When Jane, my mentor, first asked me if I wanted to do Nishas CBG I felt slightly nervous as I had only done a few previously and was aware that she would be observing me through the procedure which also gave me reassurance that if I were to do anything wrong she would be there to highlight it. Once Nisha had consented to me doing the CBG I felt pleased that she trusted me to carry out the process, which allayed my nerves. During the procedure I was aware that my mentor was watching me, which once again made me anxious, but she was encouraging me the whole time and totally supportive. When I instantly got blood once pricking Nishas finger I felt a sense of relief that I had done it correctly. Once the whole process was over Nisha held my hand and smiled and in broken English said â€Å"thank you, thank you†, I was humbled by her response as I felt I was just doing my job. Overall I was satisfied with my performance and felt positive that I wouldn’t be so nervous next ti me round. Evaluation On the whole performing this clinical skill went really well, and having not had much practice at doing this particular skill I was glad to have had the  opportunity to do it whilst under direct supervision from my mentor. I think that my communication with Nisha, even though she spoke little English was very good and that I had formed a strong therapeutic relationship with her. I feel that on reflection I should of asked Nisha to wash her hands before the procedure, and that my mentor should have ensured this, to guarantee that the reading was not contaminated. Analysis I will start by looking at the skill and the evidence supporting it. CBG monitoring is part of many diabetics daily routine. If a patient’s CBG goes up (hyperglycaemia) or down (hypoglycaemia) it can cause the patient to become unwell (Baillie, 2009). Dougherty & Lister (2008) state that in the short term CBG monitoring can prevent hypoglycaemia and ketoacidosis and in the long term can considerably lower complications arising that could affect the patient both vascularly and neurally. Patients can control their condition through diet, oral hypoglycaemic agents, insulin therapy or a combination of the above, (Higgins, 2008). By asking Nisha whether she minded me performing the CBG my mentor had gained informed consent in accordance with the NMC (2008), who say that consent must be gained before any treatment is commenced. I washed my hands following the Ayliffe (1978) technique in order to prevent the spread of infection, Pratt et al (2007) state that hands must be decontamina ted between each and every episode of patient care. I asked Nisha whether her hands were clean, as one of the main causes of inaccuracy of CBG readings are fingers that are contaminated with foodstuffs (Alexander et al, 2000). I assessed that Nisha was sat comfortably on a low sofa, Jamieson et al (2007) says to ensure patient comfort and prevent any injury occurring should the patient feel faint during the procedure . I then knelt down and laid my equipment out on the table, as Baillie (2009) suggests that all equipment needed for a procedure should be within easy reach, and avoid any twisting or stooping which could cause me injury, in line with the PCT Moving and Handling Policy and Procedure (2006). I then checked the CBG monitor had been calibrated and that the test strips were in date, to prevent false positive/ negative readings (Hastings, 2009). I then put on my gloves and asked Nisha whether she was ready and which finger she wanted me to use, Jamieson (2007) says  that gloves should be used to prevent the patient and nurse from any potential blood borne infection. The NMC (2008) state that you must allow patients to make decisions about their care, and also that patients should be treated indiv idually and with dignity. Suhonen et al (2007) conclude that individualised patient care leads to positive patient outcomes, such as patient satisfaction, patient autonomy and patients perceptions on health related quality of life. I used both verbal and non-verbal communication, which involved speaking slowly and clearly so that Nisha could understand what I was saying. I also used non-verbal communication through touch, eye contact, facial expressions and body language, (Funnell et al, 2009). I then using a single use lancet, in accordance with PCT (2005) policy on blood glucose monitoring, pricked the side of Nishas right third finger and disposed of the lancet into the sharps box. Baillie (2009) suggests that the third, fourth or fifth finger should be used as the thumb and index finger are important for touch, and to use the side as it is less painful. To prevent injury sharps and unused drugs must be placed in disposal boxes at the point of use, (Dougherty and Lister, 2008). I applied cotton wool to stop any bleeding and then disposed of the test strip and my gloves, washed my hands again using the Ayliffe (1978) technique and recorded my findings. Hastings (2009) recommends applying pressure briefly to the puncture site to prevent painful extravasation of blood into the subcutaneous tissues. The Department of Health (2007) state that to reduce the risk of cross infection any waste must be disposed of appropriately. Flores (2006) maintains that it is important to wash your hands after removing gloves as bacteria can contaminate them through small defects in the gloves or during removal. Records should be completed as soon as possible following an event (NMC, 2008), and as a student all documentation needs to be countersigned (Siviter, 2004). My mentor said that I should have asked Nisha to wash her hands, not if they were clean the rationale being the same as previously stated, (Alexander et al, 2000), and also Cowan (1997) also agreed that patients hands should be washed to ensure a non-contaminated result. Conclusion In conclusion I now appreciate how in depth a â€Å"simple† CBG procedure actually is, when done correctly. I have looked further for evidence stating that patients hands should be washed before the CBG test is performed and realise that I should have asked Nisha to do so as the result could potentially have been wrong. On reflecting on undertaking this skill I have developed my learning of the need to carry out this procedure and the importance of it to a Diabetic. I have also found that following guidelines is vital to accurate results. Action Plan In future when I carry out this procedure I will continue to practice as I have done as long as this is in line with local trust policy and supporting evidence. I will always ensure that the patient washes their hands before commencing the process, as this is what evidence suggests is good practice and also important for an accurate result.