...As you are aware, Barbara Norris has recently been promoted as nurse manager in the General Surgery Unit (GSU) here at Eastern Massachusetts University Hospital (EMU). She has inherited a unit with the lowest employee satisfaction scores and highest employee turnover rate among all the departments at the hospital. GSU is known for its culture of confrontation, blaming, and favoritism. Additionally, the staff that has remained is dissatisfied, unmotivated and does not function as a team to deliver care. As a result of the lack of unity, GSU’s patient satisfaction scores, although average, have been declining steadily over the past few years. One of Barbara’s main objectives for accepting the position was the challenge to try to turn the unit around. While Barbara has a tough job ahead of her, she is off to a good start in showing the staff that she is genuinely interested in hearing their problems and concerns. The purpose of this memo is to analyze the main issues in the unit and offer recommendations to solve them. The Off-site In an off-site workshop that Barbara conducted earlier this week, the GSU staff revealed to her several problems in the unit. Megan Mahoney, who had only been on the unit for one year, expressed her disappointment with some of the senior nurses. She said, “You make me feel like I am doing everything wrong but won’t address me directly or in a straightforward manner” and “you said you were tired of me and all of my questions and called me a pest...
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...Term Paper Case Study: Barbara Norris, Leading Change in the General Surgery Unit Term Paper Case Study Hodges University HAS 3129 Professor Mary MacLaughlin 12/10/15 Table of Contents Introduction to the Case Study…………………………………………………………………………………………..1 Statement of the Problems………………………………………………………………………………………………..2 Generating Alternatives and Analyzing the Data……………………………………………………………….2 Selecting Decision Criteria…………………………………………………………………………………………………..3 Analyzing and Evaluating Alternatives and Action………………………………………………………………4 Recommendations and Implementation Plan…………………………………………………………………….6 Conclusion……………………………………………………………………………………………………………………………9 References………………………………………………………………………………………………………………………….10 Term Paper Case Study Barbara Norris: Leading Change in the General Surgery Unit Introduction to the Case Study Healthcare is defined as the maintenance and improvement of physical and mental health, especially through the provision of medical services (healthcare.gov). Most healthcare organizations have a mission statement that reads something like this: Our mission is to provide extraordinary care, where the patient comes first, supported by world class education and research. The job of Nurse Manager within such an organization is to help patients by managing the nurses who care for them. This includes fostering a work place where nurses respect each other and feel valued while providing quality care to patients and their families. “A nurse...
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...Case Barbara Norris: Leading Change in the General Surgery Unit باربارا نوريس التغير القيادي في الجراحه Harvard Business Review Boris Groysberg Nitin Nohria Deborah Bell March-13-2009 Permissions@hbsp.harvard.edu or 617.783.7860 It was 10 PM and Barbara Norris, nurse manager for the large General Surgery Unit (GSU) at Eastern Massachusetts University Hospital (EMU) sat down at her desk to catch her breath. She had been on the unit since 6:30 AM but planned to stay for another two hours to help with the transition from the second to third shift and the orientation of two registered nurses (RN) from the float pool. It had been one month since she had assumed the nurse manager role for the troubled unit. During this time she felt, as she did this evening, tired and overwhelmed. As nurse manager she was responsible for managing the staff, scheduling and budget for the unit. Her 33-person staff included 25 RNs and eight patient care assistants (PCAs). In her first month as nurse manager she had already lost two RNs and in the six months prior to her joining the unit three RNs had left. But because of the recently instituted hiring freeze at EMU, Barbara was not able to replace some of these positions. The unit was short-staffed; stress levels were high and employee morale low. In fact, GSU had the lowest employee satisfaction scores and highest employee turnover rate among all of the departments at EMU. And although its patient satisfaction scores were...
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...Barbara Norris facing many difficulties. The GSU which she lead is currently short-staffed and does not perform as she expected. Her staffs have low morale and low motivation to do their daily job. On top of that, there is a cultural issue where confrontation, blaming, and favoritism are typical in her unit. She also facing a budget problem where overtime has been eliminated due to cost cutting measure implemented on the hospital. The budget cut make it difficult to Barbara to allocate a right personnel in case of some staff take a personal or vacation leave. In many cases, she has to rely on nurses from general float pool to cover the staff on leave, but this often lead to negative effect to her staff dynamics because the substitute nurses is not familiar with the GSU. There are three broad problem Barbara has to solve: lack of collaboration and teamwork, staff conflict either within her unit or within the hospital, and lack of transparent performance appraisal procedures. All of this three issues need to be address simultaneously to ensure that the unit perform as Barbara expected. It is evident that there is conflict between junior nurses, senior nurses, and PCAS’s which lead to ineffective collaboration among them. Junior nurses feels like the don’t belong to the team and they don’t get positive feedback from senior nurses. On the other hand, senior nurses feels that many junior nurses and PCA’s are incompetent and feel overwhelmed to support them. To solve this issues...
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...Research/Persuasive Essay Violent Video Games “Children on Murder Simulators:” Violent Video Games as Practice for Real Life A very controversial issue in today’s world is violent video games. Do they have an affect on adolescents? Do they influence their actions and thoughts? Over the past couple of years there have been cases of school shootings. In particular the Columbine High School Shooting and Virginia Tech Massacre were both influenced by violent video games. In the Columbine High School shooting, Eric Harris and Dylan Klebold shot and killed thirteen people and then killed themselves. At Virginia Tech, Seung-Hui Cho shot and killed thirty-three people, including himself, and injured twenty-three others (School 1). Violent video games played a major role in these school shootings because the games were tools used to practice there plan and give them the ideas for the weapons they would use and how they would use them. Harris and Klebold attended Columbine High School in Littleton, Colorado. When the two teens had planned the attack it was intended for propane tanks to detonate that they left in the cafeteria in duffle bags. “According to the report released by the Jefferson County Sheriffs Office, the tanks contained sufficient explosives power to ‘kill the majority of students’ who would be in the cafeteria for lunch” (Columbine 1). The tanks did not discharge as the boys anticipated. When...
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...BUSI 301 COURTROOM OBSERVATION PAPER Indiana Northern District Court Case Number 82a04-8876-cv285 Plaintiff: Deborah White Plaintiff representatives: Walsh Jackson and Amanda Babott Defendant: Patrick Gibbs and O’Malley’s Tavern Defendant Representatives: Benjamin Walton and Jordan Van Meter Defendant Council Overview: Jordan Van Meter and Benjamin Walton are representing the defendant who is Patrick Gibbs and O’Malley’s Tavern. The representing defense suggests that the Court give a summary judgment to John Daniels who was the bartender at O’Malley’s Tavern. The Plaintiff is seeking damages from the defendant, Patrick Gibbs and O’Malley’s tavern stating that Mr. Gibbs had knowledge of Mr. Hard’s intoxication. The Indiana Law. Ind Code Ann 7.1-5-10-15.5 2006 does require that a defendant have actual knowledge in order to recover damages. Constructive knowledge does not satisfy the presumption, only subjective knowledge. Circumstantial evidences cannot support constructive knowledge, but only actual knowledge. According to the 7th circuit court of Indiana, visible acts of intoxication are subjective. The bartender himself only saw Mr. Hard sitting on a stool drinking whiskey which is not an uncommon occurrence in a bar. The case that was cited in the courtroom, the Ash Lock case (Ashlock v. Norris, 475 N.E.2d 1167, 1170 Ind. Ct. App. 1985) was not as severe as this case. This specific bartender at O’Malley’s Tavern did not have actual knowledge of...
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...GERONTOLOGY PROGRAM Annie Murray 2001 SIMON FRASER UNIVERSITY JUNE 2001 All rights reserved. This work may not be Reproduced in whole or in part, by photocopy Or other means, without the permission of the author. ii APPROVAL Name: Degree: Title of Project: Annie Murray Master of Arts Environmental characteristics and staff ratings of newer and older special care units for dementia in British Columbia Examining Committee: Chair: Dr. Barbara Mitchell _______________________________________________ Dr. Gloria Gutman, Senior Supervisor _______________________________________________ Dr. Kate Oakley, Supervisor _______________________________________________ Dr. Robert Horsfall, External Examiner Date Approved: _______________________________________________ iii Abstract Due to the greater availability of community resources as well as changes in admission policies, seniors are entering care facilities at an older average age and with higher levels of health needs than was the case twenty years ago. The number of dementia cases has also increased dramatically as well as Special Care Units (SCUs) to house persons with dementia. The purpose of this study was twofold. First it described the physical and operational characteristics of a sample of SCUs for dementia currently in operation in the Lower Mainland area of British Columbia (n=29) and compared those built prior to and after 1995. Second, this study determined the extent to which Directors of Care and Head Nurses...
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...food, but the source of this food was unknown to me and could of had something wrong with it. Luckily I am fine and I survived that meal, but the process of how that food got to my plate and how that animal was treated before it was slaughtered to become my food was unknown to me. Even though farm animals such as chickens, pigs, and cows are most likely going to be killed for food purposes, they are living things and do deserve to live a decent life before they become our food. The opposition might argue that there are too many people in this world who eat meat, so these means are necessary to feed all the people. But if the meat eating society were to look closely at how these animals were treated before becoming our food in most cases they would not see a very good life and even would be disgusted with the environments as well as the treatment of these animals. Due to this fact the way in which animals are treated before and while being slaughtered needs to be altered to a more humane way. In the past, animals were treated almost as part of the family, since they usually were the family’s only source of food or means of getting money. This is still...
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...Growing in Motion: The Circulation of Used Things on Second‐hand Markets1 By Staffan Appelgren & Anna Bohlin Abstract From having been associated with poverty and low status, the commerce with second-hand goods in retro shops, flea markets, vintage boutiques and trade via Internet is expanding in Sweden as in many countries in the Global North. This article argues that a significant aspect of the recent interest in second-hand and reuse concerns the meaningfulness of circulation in social life. Using classic anthropological theory on how the circulation of material culture generates sociality, it focuses on how second-hand things are transformed by their circulation. Rather than merely having cultural biographies, second-hand things are reconfigured through their shifts between different social contexts in a process that here is understood as a form of growing. Similar to that of an organism, this growth is continuous, irreversible and dependent on forces both internal and external to it. What emerges is a category of things that combine elements of both commodities and gifts, as these have been theorized within anthropology. While first cycle commodities are purified of their sociality, the hybrid second-hand thing derives its ontological status as well as social and commercial value precisely from retaining ‘gift qualities’, produced by its circulation. Keywords: Second-hand, circulation, material culture, retro, vintage, growing, gifts, commodities Appelgren...
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...Chapter 6 The media, government accountability, and citizen engagement Katrin Voltmer The past two decades or so have seen an unprecedented spread of democracy around the globe. With the fall of the Berlin wall in 1989 and the end of the Cold War, the ‘third wave’ of democratization, which started in the early seventies, now encompasses countries in Asia and Africa.1 And even in states whose governments continue to resist a more open and participatory form of governance, such as North Korea, Burma or Zimbabwe, the idea of democracy is a powerful force that inspires people to take on a more active role in public life. However, many of the newly emerging democracies seem to fall short of some, often many, of the basic standards that define democratic rule, with irregular voting procedures, corruption, inefficiency and autocratic styles of government being but a few of the maladies. In addition, as many of the newly emerging democracies belong to the developing world, inequality and poverty remain severe obstacles to full self‐determination of the people. The experiences of the past decades have shown that democracy is not a one‐way road and that a viable democracy requires more than the implementation of the key institutions of government. Rather, an accountable and efficient government is embedded in a complex web of interdependent conditions that ...
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...Введение в Политологию Программа учебного курса Российская экономическая школа, совместный бакалавриат РЭШ-ВШЭ, весенний семестр 2014 года (64 часа в аудитории) Преподаватель – Балалаева Дина Яновна, Ph.D. Занятия: лекция - среда, 15:10-16:30, семинар- 13:40-15:00 Консультации – TBA Компетенции, формируемые в результате освоения дисциплины: В результате освоения дисциплины студент должен обладать следующими общекультурными (ОК) и профессиональными компетенциями (ПК): ОК-4, ПК-8, ПК-9 Общий объем аудиторных часов – 64 в том числе: лекции – 32 часа. практические занятия - 32 часа. Промежуточный контроль – статья. Краткая аннотация Данный курс по «Сравнительной политологии» охватывает наиболее важные темы дисциплины и прослеживает развитие методологии от сравнительных кейс-стади до крупномасштабных межвременных исследований и экспериментов на местах. Почему, в среднем, самые богатые страны – демократии? Или, заимствуя вопрос Л. Даймонда (2010), почему мир не знает ни одной арабской демократии? Почему авторитаризм не помешал (помог?) «азиатским тиграм»? Насколько устойчивы гибриды? В чем «секрет эффективности» парламентской формы правления? Почему страны с пропорциональной системой выборов больше тратят на социальные расходы, чем страны с мажоритарной формулой? Производят ли федерации больше технологических инноваций, чем унитарные государства? Каково оптимальное...
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...HISTORY 1500 WINTER 2014 RESEARCH ESSAY TOPICS 1. Select a crusade and discuss the extent to which it accomplished its objectives. Why did it succeed or fail? Jonathan Riley-Smith, The Crusades: A Short History; Carole Hillenbrand, The Crusades: Islamic Perspectives; Christopher Tyerman, God’s War: A New History of the Crusades 2. How did anti-Semitism manifest itself in medieval Europe? Kenneth R. Stow, Alienated Minority: The Jews of Medieval Latin Europe; Mark R. Cohen, Under Crescent and Cross: The Jews in the Middle Ages; Solomon Grayzel, The Church and the Jews in the Thirteenth Century 3. What was the position of prostitutes in medieval society? Ruth Mazo Karras, Common Women; Leah Otis, Prostitution in Medieval Society; Margaret Wade Labarge, A Small Sound of the Trumpet: Women in Medieval Life 4. Why did the French choose to follow Joan of Arc during the the Hundred Years War? Kelly DeVries, Joan of Arc: A Military Leader; Bonnie Wheeler, ed., Fresh Verdicts on Joan of Arc; Margaret Wade Labarge, A Small Sound of the Trumpet: Women in Medieval Life 5. Discuss the significance of siege warfare during the crusades. You may narrow this question down to a single crusade if you wish. Jim Bradbury, The Medieval Siege; Randall Rogers, Latin Siege Warfare in the Twelfth Century; John France, Victory in the East: A Military History of the First Crusade 6. Why did the persecution...
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...Gender Disparity In Relation to Managerial Positions in the Organizations in Mombasa County: Case of County Government of Mombasa. Introduction This chapter introduces the study by looking at its background and stating the problem. It further gives the objectives of the study, research questions, and significance of the study, its scope, the assumptions and the conceptual framework. This research seeks to unravel the factors for gender disparity in managerial positions within Mombasa County. To increase understanding of factors affecting women this study focuses on diverse factors that affect the development of women in Mombasa County. Background of the Study Gender disparities in employment opportunities and economic investment patterns in Kenya have continued to widen across all sectors of the economy and at various levels of development intervention. This trend has led to increased unemployment, under-employment, poverty and powerlessness among many Kenyan women. Part of the reason for the persistent inequality is the slow process of mainstreaming gender into employment creation and poverty eradication policies, programmes and strategies in a coordinated, multi-sectorial and crosscutting way. The other reason relates to the existence of social, cultural and structural barriers to effective female participation in the labour force. These and other factors have jointly contributed to the low pay and productivity of women’s labour and to their continued under-representation...
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...aboutbekimons, defined as people who are "hard-core users" of gay language -- whether they are homosexuals or not. Most of the terms that bekimons commonly use are alterations of basic Filipino and English words such as workibells (work), kalurkey (kaloka or crazy), teh (ate or sister), anekwaboom (ano or what) and heller (hello). Others are totally unique -- from the popular jowa (spouse or boyfriend/girlfriend) to names of showbiz figures such as Carmi Martin (a term used to refer to karma). The term bekimon (beki is a colloquial word for "gay") took off from the growing popularity of the jejemon subculture, which refers to those who deliberately exaggerate ordinary words by adding or subtracting letters, or by using a mixture of upper-case and lower-case letters, in written communication. On Monday, jejemon was chosen as Salita ng Taon (Word of the Year) in the Sawikaan 2010, an academic conference organized by the Filipinas Institute of Translation Inc. (Read story here.) Pink republic Just like President Benigno "Noynoy" Aquino III, Persia delivered a so-called State of the Nation Address (SONA) as the chief executive of theBekimon Republic in one of his videos. Here, he detailed his "plans" for his gay-speaking constituents -- from placing flowers along the streets to turning every establishment into a pink parlor. "Lahat ay dapat mabango at ang basura, dapat bonggang-bongga(Everything should smell good and even the garbage should be nicely presented),"...
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...An Argument for Regulation of the Reciprocal Trade (Barter) Exchange Industry Daniel Evans, Ormita Commerce Network It is well known that trust is the corner-stone of the financial services industry. Keynote speech by Dr Prasarn Trairatvorakul, Governor of the Bank of Thailand, The Asian Banker Summit 2012 “Trust as a Pillar of the Industry”, Bangkok, 26 April 2012. Introduction Trust is a critically important ingredient in the recipe for well-functioning markets and a successful and vibrant economy. Unfortunately, due to market scandals, incompetence and fraud, trust in our neighbours is something that is in shorter supply today than any other time in history. As Alan Greenspan once remarked: "[O]ur market system depends critically on trust—trust in the word of our colleagues and trust in the word of those with whom we do business."1 Despite outward appearances, public confidence in the integrity of the reciprocal trade exchange industry is alarmingly low. While numerous factors have contributed to this problem, one of the most potent is the widespread failure of reciprocal exchange networks of all sizes over the past 30 years. These failures include the spectacular collapses of large commercial exchange networks such as Bartercard (in USA, Canada, India, China, Hong Kong, Singapore, Turkey, South Africa, Jordan 2 3 ), BarterTrust/Tradaq (USA, UK, Canada) 4 , BarterNet/Intagio (Canada, Mexico, USA & Europe) and Bigvine (Australia, Canada, USA)5; through to the dramatic...
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