Monday, September 30, 2019
Education and Unemployment Essay
1. In your own opinions, suggest how you can manipulate the supply of educational opportunities as a policy variable. 2. Suggest policy considerations for the government in respect to educational expansions. 3. State the implications for international donor agencies. INTRODUCTION: Edgar Edwards and Michael Todaro argue that an investment in education past the literacy stage is an investment in idle resources. They have some good and bad arguments and below, I am going to critique their arguments critiquing their points with the help of facts, statistics and logical reason. Their main argument is that an investment in education is an investment in idle resources, since the number of unemployed has been rising as the number of people who pursue post-literacy education. ARGUMENT: The two writers have both good and not so good points in their argument against post-literacy education. Firstly, by saying that ââ¬Å"the average level of education among the unemployed and underemployed appears to be rising, suggesting that the growing investment in educational systems is increasing an investment in idle resourcesâ⬠, itââ¬â¢s actually true. The average number of people who have pursued education higher than the primary school level, in this case, the literacy level, has been rising over the past few years. The table below shows the trends, as compiled by Kenya National Bureau of Statistics and UNESCO. | 1999| 2000| 2001| 2002| 2003| 2004| 2005| 2006| 2007| Primary School| 6,078,024| 6,078,024| 5,941,610| 6,062,742| 7,159,523| 7,394,763| 7,591,528| 7,632,113| 8,229,266| Secondary School| 724,758| 762,414| 753,525| 781,601| 882,513| 926,149| 934,149| 1,030,080| 1,180,267| TOTAL| 6,788,858| 6,840,438| 6,695,1335| 6,844,343| 8,042,036| 8,320,912| 8,525,677| 8,662,193| 9,409,533|. | 2003| 2004| 2005| 2006| 2007| 2008| 2009| Enrolment in University| 82,100| 91,500| 92,316| 112,229| 118,239| 122,847| 177,735| From the table, we can see that as from 2002 when the government introduced free primary education, the number of children enrolled in school sky rocketed, and so did the number of people who got the chance to attend secondary school. Edwards and Todaro also argue that ââ¬Å"rapid expansion of formal education beyond literacy levels without constructive efforts to create meaningful employment opportunities is likely to generate political as well as educational unrestâ⬠. This is so because the number of people graduating from our universities is higher than the number of jobs being created in any specific year. Politics plays a big role in the educational sector, since the MPââ¬â¢s are the decision makers and moreso because the corrupt few reduce the funds available for development, or more funds are directed to developed areas rather than to the marginalised so as to help them develop. According to the book ââ¬Å"Education and development in Africaâ⬠, itââ¬â¢s stated that so as to improve African countries, itââ¬â¢s not only the provision of education that matters, but also the quality of it. This is a determinant in the levels of unemployment, since those from well-off schools are regarded in higher esteem, as compared to those from schools that are not known for academic excellence, even though both candidates have the same credentials. This results in the candidate from a renowned school getting a job, while the other candidate misses out, creating unemployment. Unemployment isâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦ while underemployment isâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦..
Sunday, September 29, 2019
Literary Criticism of Uncle Tomââ¬â¢s Cabin Essay
Harriet Beecher Stowe wrote Uncle Tomââ¬â¢s Cabin in order to persuade the readers that slavery was bad. Her Christian views led her to do this and depict her characters as every-day life as she could and not be too over dramatic about everything that happened. Her story could be interpreted as a non-fiction if the reader does not know the history of it all, because she uses a very subtle approach to get to reader through making all events in the book seem very real as if she had really seen them. Stoweââ¬â¢s relationship with the book is that the book are her thoughts through a story. Not just any thoughts, but her abolitionist views and how much she disagreed with slavery. Stowe not only uses the book as a whole to convince of slaveryââ¬â¢s evils. She uses individual characters and their journies (emotional, physical, etc.) to get into the readerââ¬â¢s head and make everything believable to the point where one thinks that the book is non-fiction.. She doesnââ¬â¢t use a very abrupt way of getting her message across. She tells things like they are. Not all southerners are evil, and northerners arenââ¬â¢t angels either. Every scene that Stowe needs to, persuades the reader that slavery is evil and non-Christian. Uncle Tom, the protaganist of this book, is used by Stowe to introduce slaves as not being ignorant, rag-wearing, illiterate people. Tom is a ââ¬Å"pious fellowâ⬠as stated by Arthur Shelby: ââ¬Å"No; I mean, really, Tom is a good, steady, sensible, pious fellow.â⬠(Pg.4). Stowe also shows that Shelby is a good man himself, by showing that he actually cared for his slaves, and didnââ¬â¢t treat them like objects. But, you could get a bit confused by Shelby when he showcases Elizaââ¬â¢s little boy to Mr. Haley as if he were some type of circus act, ââ¬Å"Now, Jim, show this man how you can dance and sing.â⬠(Pg.5). By giving two different views of Shelby at such an arly stage of the book, one canââ¬â¢t really get a grasp on whether or not he really has sentiment, until further on in his and Mr. Haleyââ¬â¢s conversation. Mr. Haley, on the other hand is shown to be a ââ¬Å"wanna-beâ⬠higher class type of man: ââ¬Å"He was a short, thick-set man, with coarse, commonplace features, and that swaggering air of pretension which marks a low man who is trying to elbow his way upward in the world.â⬠(Pg.3). Haley also seems to be a man who is very persuasive to get what he wants, but seems to make hollow promises: ââ¬Å"Howsomever, Iââ¬â¢ll do the very best I can in gettinââ¬â¢ Tom a good berth; as to my treatinââ¬â¢ on him bad. you neednââ¬â¢t be a grain afeard. If thereââ¬â¢s anything that I thank the Lord for, it is that Iââ¬â¢m never noways cruel.â⬠(pg.33). When the reader is first introduced to Haley, he seems to be a kind slave trader who only wants Shelby to give him slaves, because of a debt. But, he decieves the reader, and ends up being a man that mistreats his slaves often through violence. The first a reader gets to see of Haleyââ¬â¢s ill-mannered side is when he has found out that Eliza has escaped with her son Harry (the child that was to be sold to him). Haley is enfuriated and cariies himself in an awful manner: ââ¬Å"ââ¬ËI say now, Shelby, this yerââ¬â¢s a most extroââ¬â¢rnary business!ââ¬â¢ said Haley, as he abruptly entered the parlor. ââ¬ËIt seems that galââ¬â¢s off, with her young un.'â⬠(Pg.44). Even though it might not be much to read of somebody yelling, this incident does open the door for much more disastrous occurances further in the book. Elizaââ¬â¢s escape is not the beginning. Eliza Harris plays an enormous role that makes the reader think and also sympathize. Eliza is a young, beautiful, courageous slave. But nor only is she a slave. She is a mother and wife also. Elizaââ¬â¢s biggest part in the book is when she shows the reader what maternal attachments influence a woman to do when she knows her child will be taken from her. After discovering that her son is going to be sold to a slave trader in order to pay a debt, she decides that the only reasonable thing to do is take him, and escape so she can be by her childââ¬â¢s side and never be separated from him. She consults Tom, and he says that he will not fight the decision made by his master to be sold, but he encourages his friend to, so she will not be away from her son. Eliza leaves and heads towards the Ohio river and Haley is looking for her. But, two slaves that Mr. Shelby sends with him to guide him lead him the wrong way to stall, but somehow ended up crossing paths with her and alert her. Once this happens. one of the biggest scenes in the book is shown: ââ¬Å"The huge green fragment of ice on which she alighted pitched and creaked as her weight came on it, but she staid there not a moment. With wild cries and desperate energy she leaped to another and still another cake; stumbling-leaping-slipping-springing upwards again! Her shoes are gone-her stockings cut from her feet-while blood marked every step; but she saw nothing, felt nothing, till dimly, as in a dream, she saw the Ohio side, and a man helping her up the bank.â⬠(Pg.62). Stowe draws a vivid image through her writing of this scene, of a motherââ¬â¢s struggle to keep sonââ¬â¢s life with her and not in the hands of anybody else. Struggle is also seen, not just for life, but for what was morally right as a Christian. Senator John Bird was one of the people who voted in favor of the Fugitive Slave Act, clearly showing that he was not about to help any type of runaway slaves. But, his wife was a very Christian woman with morality that ran through her veins, and she lived by the Bible. Her struggle was to convince her husband that slavery was wrong and he should not agree with the law passed, because the Bible says that good will to all men was a must. Mrs. Bird informs, ââ¬Å"Now, John, I donââ¬â¢t know anything about politics, but I can read my Bible; and there I see that I must feed the hungry, clothe the naked, and comfort the desolate.â⬠(Pg.82). By this, the reader has already been influenced positively and negatively by so many of the characters that Stowe brings into this well thought out persuasive piece of art. Christianity was what influenced her, and powered her abolitionist views. It led her to take abolitionism into her own hands, and ââ¬Å"educateâ⬠the country (and in hopes, the world) of how negative slavery was. Being raised in a very strict Presbyterian home, she was taught all about the value of life through the gospel. Stoweââ¬â¢s religious views were imprinted into her mind and soul, and they set a path for her. Her path was to enlighten the southerners that agreed with slavery and were cruel to the people they held captive to do their bidding. Uncle Tomââ¬â¢s Cabin was written in response to the acts passed against slavery (e.g. Fugitive Slave Act). Each page of the story contains journey, experience, growth, development, and so much more with each and every character. With her characters, she uses them as her source of persuasion of the views opposite from the southern views. Stowe doesnââ¬â¢t come straight out and say, ââ¬Å"Slavery is evil! Donââ¬â¢t agree with it!â⬠She is very implicit with spreading her outlook on slavery (even though it is known that she is an abolitionist). Characters such as Quakers seem to invoke Harriet Beecher Stowe as a whole, for the simple fact that they are just as she was. Quakers are religious persons that helped slaves, because the Bible said they should help anybody and everybody that needed help. All the characters talked about before, seem to also take Stoweââ¬â¢s viewpoints. Even her ââ¬Å"bad guysâ⬠have her point of views too. If you think about it, all that she is against is embodied in the slave traders and evil southerners of the book. Stowe does a phenomenal job of taking all her abolitionist views and putting it on paper, and conveying her deepest hates for slavery in such a well thought work of art. Her persuasion is easily seen through her characters. They grab you, shake you, and bring tears to your eyes. Stowe seems to know how to get into peopleââ¬â¢s heads. She does it just like when you have a set of headphones on and youââ¬â¢re listening to your favorite song, and it sticks with you forever.
Saturday, September 28, 2019
Budget Planning and Control Assignment Example | Topics and Well Written Essays - 500 words
Budget Planning and Control - Assignment Example Budgets are highly important in obtaining debts from the financial institutions. Banks and trade creditors usually examine the financial stability of the company to ensure that their debts are well secured by the assets of the company. Effective budgets reflect the plans and cash flows of the company that makes it easier for the creditors to decide whether or not to grant debts (Kemp, 2003). Effective budgets assist the management in determining the costs with accuracy. If the company determines the costs and expenses in advance, it will help them in making pricing decisions and in implementing the cost control policy. Thus it is necessary to prepare effective budgets in order to establish strategies that are important in highly competitive markets. 1. Nordstrom should decide on budget committee and the participants that should be involved in the budget setting process. Participation of managers is essential to consider their point of view while establishing budgets. 8. Review the performance on a timely basis and determine any variation in actual results about budget. Investigate the problem and reasons behind the variation to resolve the matter on efficiently (Shapiro, 2008). An important aspect of budget management is employee participation. Managers of individual departments should be informed on regular basis about any updates and alterations made in the budgets. By getting regular updates, it will become easier for the managers to implement the budgets and changes on a timely basis. Another advantage of the employee participation is that it motivates the employees and create the sense of ownership among them (Donovan, 2005). For long-term and effective implementation of budgets, it is necessary to keep track of resources to determine whether or not they are sufficient to fulfill future needs. In case of lack of resources or destruction of resources, budgets should be altered in such a way
Friday, September 27, 2019
Personal Case Study Reflection Assignment Example | Topics and Well Written Essays - 1250 words
Personal Case Study Reflection - Assignment Example The other team members I lead are J.J (John), Su and Wang. Leadership and Communication (interpersonal communication) Proper communication is a very crucial skill in leadership. Communication is the core element of leadership since the leader is set in a position of dealing with human beings who naturally differ in behavior and emotional stability (Goldhaber, 1993). Different people communicate differently and to set a healthy interpersonal communication among them, the leader has to be knowledgeable of their distinct nature and handle them with relevant and appropriate skills to ensure that work continues in an atmosphere conducive for interpersonal relations (Agarwal, 2010). The leader must develop appropriate communication skills when dealing with his or her subjects. This promotes high productivity among the subject and even sets the working environment full of peace and tranquility (Goldhaber, 1993). In my groups first meeting, everyone maintained the state of tranquility since we were ball strangers and everybody was mindful about the exposure of their true personalities; but, in the second meeting, hell broke loose. Lack of communication; especially between Su and J.J, who seemed to be different in everything from the content of their ideas to the nature of their personalities. It appeared that at times they were both right but had different ways of how they presented their ideas and this led to further confusion. Effective communication involves should be maintained both between the management and the subjects and between the subjects themselves for proper interpersonal communication (Harvard business review on effective communication, 1999). As I reflect on what I had to go through to get the group working, I realized that the first and the most important element of leadership that the leader must struggle to have is the right communication skills for his or her subjects: the communication skills that will promote peace among the members. Motivational leadership and Goal setting I had to set the goals and ensure all the team members adhered to the conditions set to meet these goals. However, the team members needed motivation in order to execute the processes set to meet these goals. Wangââ¬â¢s personality and attitude was not good enough to get the team effective and efficient. On the other side, Su was effective and hardworking, but too had her limitations when it came to communication strategies. She was the emotional type who would rather please her emotions at the opportunity cost of her function. J.J or John was the worst in the group. He was non co-operative and controversial. He paralyzed the groupââ¬â¢s progress with this negative attitude. All these had to be solved so fast before the time limitation. Because of the differences between Su and John, Wangââ¬â¢s non-contributory nature was making the groupââ¬â¢s situation worse; and this is why I had to think fast and provide the necessary motivation she requir ed. If only she could emerge effective at the face of Su and Johns differences, they would realize the need for important contribution other than conflict and this really took the group extra miles. She effectively contributed on one occasion and surprised everyone with the great ideas she came out with ââ¬â attributed to the motivation and the boost of self-confidence she attained when we had a private talk. Su and John started to resolve their conflicts and in the last meeting, they were all helpful as the group met for the final revision of the
Thursday, September 26, 2019
Organizational Management Essay Example | Topics and Well Written Essays - 1750 words
Organizational Management - Essay Example Similarly they identify a set of category constructs in the transactional leadership also. For instance concentration on the task at hand, short term goals and tactics, confusion concerning causes and symptoms, too much involvement in power relations, politics and statistics, fulfillment of expectations based on readily available systems, reliance on human interrelations and the persistent support for organizational structures, systems and relations. Warren Bennis (1995) holds the view that less hierarchical more democratic institutions with the ability to adapt to the unfolding environment are the best. A competency-based contingency framework or model like this requires a series of sub-level functions or competencies to be outlined as of consequence though such heterogeneous elements which lie outside the functional domain of the manager's/leader's tasks could be avoided with convenience. For example the manager's/leader's common competencies are always inclusively treated in the theoretical framework for the purpose of reference. This is illustrated by the following diagram. The above diagram (Fig. ... ged framework identifies and addresses the management/leadership competencies and issues that correlate with each other to produce an integral system of reference and analysis (Covey, 2004). For instance the vision & mission of the organization are identified with the long term corporate and business goals, irrespective of the size of the business. Such goals or objectives are essentially strategic in nature because they necessitate a degree of dependence on the organizational culture and leadership to bring about the appropriate environmental characteristics to achieve those long term objectives. Theoretical outline of the competency frameworkDavid Kolb's Experiential Learning teaches the manager to take experience as the source of learning (Kolb, 1983). On the other hand the Myers-Briggs Type Indicator (MBTI) is based on an evaluation of psychometrics that is designed to assess the different psychological behaviors concerning perceptions and decision making preferences of individuals (Myers, McCaulley, Quenk and Hammer, 1998). The manager/leader is a functionary whose primary function/competency to determine the organizational goals is set out in the mission statement and the annual reports to its stakeholders. Thus organizational goals will have to be achieved by utilizing and organizing the available resources and combining them with people or employees in a manner to maximize both output and minimize costs. Towards this end the manager seeks to combine supplies and provisions and then integrate suppliers and creditors into the whole process of management. Next, he needs t o adopt methods in order to build integrated networks or process for easy control and execution of strategy (Williams, 2002). Leadership theories and teamwork models
Wednesday, September 25, 2019
Dewa - Industry Project Research Paper Example | Topics and Well Written Essays - 1000 words
Dewa - Industry Project - Research Paper Example The Institution should be managed under the successful leadership of the managers and executive Directors in DEWA who have made Dubai ecofriendly by their ground-breaking projects. The institution will be uniquely placed in the Middle East and it will be tasked with gathering and consolidating all the efforts towards achieving a cleaner environment. Global warming is currently a worldwide disaster that needs to be combated by all nations so that a balance of nature can be maintained in the environment. DEWA has worked in accordance with development programmes of Dubai to apply the latest technologies for optimal use of energy, water, and environment. The Carbon Center of Excellence will work hand in hand with DEWA but specifically focus on dealing with pollution and carbon emission in the energy sector. Objective The Dubai Carbon Center of excellence will aim at reducing global warming by developing plants that reduce carbon emissions and allow the existence of an eco-friendly enviro nment in Dubai. This will help Dubai meet the world requirements of eliminating pollution of dangerous gases such as carbon. The most important topics that are given priority in the Dubai Electricity and Water Authority are power generation and water desalination, which do not ensure that carbon emission is eliminated. These topics, including control of carbon emissions, are a major part of the Dubai Carbon Centersââ¬â¢ vision that aims at consolidating the production capacity in the energy sector. Background Dubai aims to produce about 12% of its energy needs through clean coal technologies, 12% through the use of nuclear energy, and another 5% through renewable energies but the issue of eliminating pollution has not been fully addressed. DEWA has made significant accomplishments in production of sufficient energy and developing modern infrastructure of power grids and water networks. In addition, it has set effective programmes to meet Dubaiââ¬â¢s future needs with reference to the ever-growing population in Dubai. The relentless pursuit of various countries in the world to save energy in all of its forms clearly demonstrates that it is a vital element and a major requirement for achieving sustainable development and the prosperity of nations. SWOT Analysis Its success is evaluated by considering its strengths, weaknesses, opportunities and threats that are associated with introducing the carbon center in the market and industries. The analysis of the environment and the consumer are included in the SWOT table below. Subject: The creation of a Dubai Carbon Center of Excellence to reduce carbon emission in the energy sector for DEWA Strengths The carbon center would ensure production of clean energy. The project would be a major pillar towards achieving an ecofriendly environment. This proposal addresses Global warming that has been a major disaster world over and is becoming more lethal each day. The stakeholders including world leaders are committed a nd are confident that the proposal can be implemented. Weaknesses Experts will simply use prospects on the expected level of reduced carbon emission because the project has not been tested in Dubai. The proposal will receive rejection from smaller industries that are governed by DEWA but cannot afford the plant. There is a possibility of insufficient
Tuesday, September 24, 2019
Meditations on First Philosophy Article Example | Topics and Well Written Essays - 250 words
Meditations on First Philosophy - Article Example example of this is given in the ââ¬Å"letter to the Sorbonneâ⬠what it says that great people like Archimedes, Apollonius Pappus and the rest and presented facts which have been universally accepted, though very few understand itââ¬â¢s intricacies for the mere fact theyââ¬â¢re quite long and only a reader who exhibits good concentration powers could understand them. Another point of great importance that I picked up was that oneââ¬â¢s mind should not be filled with preconceived notions and opinions when trying to weigh the pros and cons and decipher between the right and the wrong. On the other hand, the mind should be detached from any involvement with the senses, so as to provide the person with a clear perspective of thinking. Most people just accept the facts as they are and never bother to oppose or refute it. They present a wrong picture that they have understood it completely and sometimes they commit the great mistake in rejecting the truth. In a subject like geometry the desired result is obtained by strictly following the rules. This is not so in a subject like philosophy because there are two sides to the coin which is open to argument because no argument is free from mistakes. It is only when any argument is thoroughly debated, supplemented and can decide to the extent that they are considered to be absolutely authentic, only then can a declaration or a public statement of the same should be exercised. People who are as intelligent as you would be easily subscribe to the genuineness of your opinion. In the case of atheist, the are considered to be posers more than people who learned or
Monday, September 23, 2019
Capstone Research Project Essay Example | Topics and Well Written Essays - 2500 words
Capstone Research Project - Essay Example The rise and fall of organizations is dependent on the business practices adopted by them in a particular business environment. It is often assumed that the prime responsibility of any organization is to promote fair and honest business practices along with being transparent and honest to stakeholders in the short as well as in the long run. In terms of effective business practices, it is judicious to follow the prescribed financial standards and parameters of the recognized bodies. The Financial Accounting Standards Board designs Generally Accepted Accounting Principles for public and private companies. GAAP can be considered as a book of law that is not authorized by the government of the US but is followed religiously by the corporate community of the country. The guidelines mentioned in the GAAP are generally accepted by all companies and unwillingness to follow these guidelines has severe consequences that might even hamper the growth and development of the culprit organization. Over the years, wide arrays of organizations have tried to dress their financials in a manner that conceals the validity and financial information that might affect the overall decisions of stakeholders. In order to safeguard the interest of stakeholders, GAAP was introduced and has been great success in terms of acceptance and following across the world. The assignment aims at highlighting the importance of GAAP in context to Capstone Research Project by evaluating organizationââ¬â¢s accounting practices and interpretations. Some of the issues pertaining to unfair business practices totally against the GAAP would be discussed in an analytical manner along with identifying the relevance and importance of GAAP in the financial world. The understanding would be presented through a series of example based on text books and journals understanding. Initial Findings After analyzing the accounting practices and interpretations of the organization, it was found that wide arrays of frauds and malpractices were prevailing in the financial system of the organization. Some of the fraudulent activities include: Leases on Technology Assets seems Inflated It needs to be understood that the organization uses technological assets to strengthen the operational activities. Leasing usually has a lower impact on the cash flow considering lower cash ou tflow at the initial phase. It needs to be mentioned that leases are not treated as assets and thus there is no reason to mention them in the balance sheet. Moreover, even if the leases on technology assets are shown in the balance sheet, it should be shown in a transparent manner without inflating or deflating its value. GAAP Rule- the GAAP rule states that usually operating lease does not affect the balance sheet of the organization as it is not considered as an asset and on the other hand, the expense is not highlighted in the income and expense statement. However, many organizations state leases in the balance sheet and income and expense statement just to dress the statements as per their needs and desires that is totally against the normal business practice (Barry, Jermakowicz, 2007 pp-965). Consequences of the Activity- it may be the case that the independent auditors and financial bodies highlight the fraudulent activity as inflating leasing assets affect the financial ratio s and thus misguide the stakeholders in every possible manner. GAAP do not allow such acts and consider this as a serious offence. Measures to Control the Activity- An independent set of auditors should be appointed by the organization working in tandem with the internal auditors to control and manage the transparency of financial statements in an honest manner. The management should take the initiative of appointing independent auditors auditing financial statements at regular interval along with promoting honest and ethical business practi
Sunday, September 22, 2019
Romeo and Juliet Essay Example for Free
Romeo and Juliet Essay The story of Romeo and Juliet has been well known for many centuries. It has been interpreted and adapted by many people, including Shakespeare himself! Two of the most famous versions are the 1968 film by Franco Zeffirelli and the 1996 film by Baz Luhrmann. Each director has adapted the story for his own purposes. I am going to study how these two films have interpreted Shakespeares play in a modern style for a modern audience. I feel that each version will appeal to a different audience compared to the other. Language for example, should be closely reviewed as it has to be appropriate for the humour of the particular time in each film. This is because puns were very popular in Shakespearean times so throughout the play there is a great deal used. In the first scene Capulets servants, Sampson and Gregory, joke together by using puns. Here are two examples of the way they use them: I strike quickly, being moved But thou art not quickly moved to strike. And I will be civil with the maids; I will cut off their heads. The heads of the maids? Ay, the heads of the maids, or their maidenheads, take it in what sense thou wilt. A modern audience however, would not find this humorous so the directors would have had to accommodate to this and adapt to it. The use of common, everyday language has also changed dramatically since the 16th Century so people today would not necessarily understand the plot if they went to watch Romeo and Juliet in its original theatre form. Zeffirelli and Luhrmann both kept Shakespeares language in their films, which was a great risk to take if they were to be box-office successes. I think Zeffirelli did this because the film was based in medieval times so the language reflected this. Luhrmann however, thought that language was very important to the story and he did not want to lose the Shakespearean idea and effect of the play. In the prologue Shakespeare conveys the outline of the story and makes it clear that fate has doomed the two lovers. Again, each film version has been adapted in very different ways to fit their audience. The first scene establishes the quarrel between the two families and introduces Benvolio and Tybalt who are contrasting characters- Tybalt being very aggressive and violent and Benvolio being a peacemaker. Each filmmaker created their own idea of the two characters with Zeffirellis remaining more in-keeping with the original play and Luhrmann interpreting the two characters as modern-day American gangsters especially Tybalt. The prologue of Zeffirellis version is very calm and peaceful; it begins with an aerial view of the city and pans around it as the voice-over reads the famous passage that begins Two households, both alike in dignity in a dull and unemotional tone. The scenery is very romantic and the camera uses soft lens to show this. The citys architecture is shown to be medieval and visually beautiful. The music too is very renaissance and one of the musical themes is established. The title Romeo and Juliet that appears on the screen is written in old, medieval and rather gothic lettering in keeping with the setting. Overall, the prologue is dull and dreary and I do not feel that it would appeal to a wide audience. However, it is very much the same as Shakespeares as Zeffirelli has not made any extreme changes. Baz Luhrmanns prologue however, is the complete contrast; it begins with a shot of a 1950s T. V broadcast showing that it is a modern adaptation of the play. The news reader then announces the plays prologue like a 60 second segment as part of the local news. It then moves onto a confusion of images one after another as the pace increases dramatically. The music builds to a crescendo, which increases the tension and excitement, in tone the music is slightly religious. The characters are introduced in freeze-frames, which seems like a typical American modern programme. There are many violent images portrayed to establish, like Shakespeare does, a long running feud between the two families, many of which are religious symbols (e.g. Christ, Virgin Mary and the Capulet and Montague buildings with Christ statue in between). Newspaper headlines also reinforce images. Through the blur and rush it shows a lot of destruction and fire and a violent society is shown through images for example, magazine covers. Baz Luhrmanns prologue sets the scene of the play by illustrating the violence occurring between the two wealthy families, the Montagues and the Capulets. Overall, Luhrmanns is fast-paced and very exciting, thus keeping the viewer intrigued and wanting to watch more. Zeffirellis first scene is very different from the prologue; it moves from being calm and sadistic to a loud, lively and bustling market place. It is an authentic mise-en-scene, which seems very medieval. There is a lot of laughter that appears more ironic than genuine. The characters are introduced from their feet upward including Tybalt later on in the scene. The Capulets begin the scene and are wearing bright, light and rather clownish clothes; their main use of colour is orange. The Montagues clothes however, are dark and sombre with colours such as navy/dark blue. The sexual humour in Shakespeare is not present in the Zeffirelli version as a modern audience would not understand and would not find it humourous. As the puns are omitted, humour is introduced through images and action, for example a modern audience may find the costumes funny because they are authentic and medieval (this makes it seem more realistic). The fight scene is made more exciting by involving the audience through the use of a hand-held camera and some shots are out of focus to add to the atmosphere and tension as if the audience is part of the crowd. During the fight it is extremely noisy; there are bells ringing, rallying cries and lots of shouting and ambient sound makes it seem realistic. The Prince then arrives on a horse and the camera shot is looking up to make him seem powerful. Zeffirelli succeeds in accomplishing the interpretation of Shakespeares play as it appears very realistic and he has kept to the storyline. Luhrmanns next scene opens with the Montague Boys behaving loud and aggressive and very much in the mood to enjoy themselves. They arrive at a gas station which is a perfect, modern location to incorporate Shakespeares original text that says Verona: A public place. The camera zooms in on the numberplate of the car which reads MON 105 with Verona Beach underneath. This clearly illustrates what gang they belong to. The Montagues are wearing colourful beachwear and they have pink hair and tattoos, their car is orange/yellow with an open-top. I think that their clothes reflect their personality. As the Montagues gas up their car whilst being loud, vulgar and riotous some Capulets pull in to the gas station. The Capulets are in a blue car with heavily tinted windows to make them appear sinister. The camera shows a close-up of their number plate too which shows that the enemy has arrived. They are mainly wearing black and have metal on their heels along with religious symbols on their T-shirts. One Capulet even has sin written on his teeth. Luhrmann has clearly changed the sequence of characters because in his version the Montague boys begin the first scene, however, in Zeffirellis and Shakespeares it is the Capulets beginning the scene by joking around etc. When the two gangs notice each other it then turns into a Spaghetti Western like film with each side representing their families and are ready to fight. Mexican music then begins to also represent this and highlight the effect. At the beginning there is a great deal of laughter, which is largely similar to Zeffirellis version. When the Capulets arrive they are laughing and joking which is what both families do in Zeffirellis. The characters do not say anything that is humourous, however, the actions and noises that some of them make may be humourous to the audience. This implies for Zeffirellis too. For example, In Luhrmanns the sound effects are exaggerated when a passenger in one of the cars is shown hitting one of the Montagues over the head repeatedly. This adds humour to the atmosphere. Luhrmann also omits the puns for the same reason as Zeffirelli. When the Capulets are chasing the Montagues there is screeching of tyres to add excitement and tension to the atmosphere. As the challenge to fight is being issued the music stops and the only sound the audience can hear is screaming in the background. Tybalt is then introduced in the same way as he is in Zeffirellis- from the feet upwards to make him seem very important. He is portrayed as aggressive and violent which is how Shakespeare shows him in the original play too. The atmosphere becomes increasingly tense as he slowly lights a match and drops it while the background is blurred to highlight the act; this is to increase the drama of the scene. Tybalt then grinds the match with his metal heel and the sound is exaggerated to make it seem more dramatic. The camera goes into a close-up of the two gangs guns and gun emblems bearing words like 9mm Sword. Luhrmann has used Shakespeares use of knives and swords and adapted the significance in the use of the makes of their guns instead. This is a way of explaining why gangsters say things like Put up your swords. I think that this is a very inventive interpretation of the original text to a modern-day story. Benvolio is then introduced using a close-up shot and freeze frame. He is portrayed as a peacemaker even by the first words he says which are Part fools you know not what you do! Again, Luhrmann is adapting from the original text by creating him the way Shakespeare does as non-aggressive. The music then stops and all the audience can hear are the flames of the fire (this is called ambient sound). The camera then focuses on the car notice that says Add more fuel to your fire. This is ironic because the sign is reflecting real life as the fuel in the gas station actually is ablaze. During the gun fire exchange the music and sound effects come together to make the quick changing camera shots seem rapid. There is dramatic Mexican/Spaghetti Western music rising in volume in the background and lots of gunshots and screams are heard. Background noises of horns of cars in traffic jams can also be heard in the din. It then returns to the chanting music of the opening titles, which dramatically increases tension as the gas station explodes in flames. The camera then focuses on the Capulet and Montague buildings and goes into an aerial view as though in the helicopter by looking down at the chaos on the ground. The music reaches its climax as Benvolio and Tybalt drop their guns to the floor. This is done in slow motion to emphasise what is happening. At this point, everything is extremely tense as the audience watch the two guns slowely drop to the ground in unison. Although Luhrmann has adapted this play and changed many things about it he has kept the original idea and characters of the play. In other words, this is no West Side Story, loosely interpreting a Shakespearean play for its own ends. Rather, it IS Shakespeares Romeo and Juliet, uprooted into a new setting for a new generation and I feel that Luhrmann has achieved this very well. This is because Shakespeares plays were designed to adapt to any audience and with this in mind, Baz Luhrmann has created a film that applies to the modern audience through this updating. I also watched a part of West Side Story, however, this takes a very free view of its source material as it uses Shakespeares tragedy for its plot value more than anything else. This is unlike Zeffirellis or Luhrmanns as they have produced an interpretation of the film and included most of Shakespeares text. It is difficult to compare West Side Story to the other two versions as it departs so much from the story Romeo and Juliet that it is hardly recognizable as an adaptation. However, it does keep to the idea of the two rival gangs.
Saturday, September 21, 2019
Global Sex Trade in Thailand and Dominican Republic Essay Example for Free
Global Sex Trade in Thailand and Dominican Republic Essay Prostitution which has been known as the oldest profession around the globe serves to be one of the immoral professions by most countries depending on their religion (Dr1. com, 2008). Mostly seen on developing countries, prostitution provides easy access to money as poor individuals lack enough opportunity to have better and decent jobs. Though developed countries also have prostitution on their dark streets, relative to developing countries, they have less case of prostitution or should we say discrete enough to bury this profession to the underground market. Needless to say, there have been theories explaining why developing countries have more incidence of prostitution as compared to those of the developed ones. Some market analysts say that it was all due to the intense policies that developed countries implement against prostitution while others suggests that it could be due to cultural differences between developed and developing countries. Poverty serves to be the primary reason why most people chose to enter the profession of being a prostitute. The prostitution industry greatly help the economy of most developing countries though it cannot be seen on their economic indicators since government officials do not include the income from prostitution into their GDP and GNP, rather, the benefits from the prostitution industry can be seen on the disposable income of those people that becomes prostitute. This improvement of disposable income of individuals in a given developing country would provide economic progress on its domestic market. Furthermore, prostitution also attract more tourist to visit a country thereby giving way for the rise of the concept of ââ¬Å"Sex Tourismâ⬠which improves the national income of developing countries especially Dominican Republic and Thailand. Among those developing countries, the Dominican Republic and Thailand have rampant prostitution on the streets as compared to other countries. Incidentally, this paper aims to determine the difference between the sex tourism in Dominican Republic and Thailand as well as the respective government policies that both identified countries implements in order to combat prostitution into their country. Sex Tourism in Dominican Republic Among the countries in the Caribbean region, the Dominican Republic serves as the primary destination for female sex tourism and tagged as the ââ¬Å"single manââ¬â¢s destinationâ⬠. Most of the prostitutes in the Dominican Republic are still minors and roughly equal to 25,000 in number. Some of the sex tourist destination in Dominican Republic would be the Rio San Juan, Cabarete, Sosua, Laperon, and their capital city Santo Domingo which accounts to roughly 50,000 prostitute women including underage prostitutes (Paralum. com, 2008). Most of the tourists in the Dominican Republic come from developed countries like United States and United Kingdom to name a few. It is already normal to see a foreigner from a developed country being accompanied by Dominican women. Prostitution seems to be socially acceptable in the society of Dominican Republic. Like for instance, it is normal for most of the bars to have waitresses that also offers sex service to their customers as well as they also tend to dress skimpy dress in order to attract tourist to go to their bar. Local police officers just let this kind of situation in exchange for bribe from the owners of the bars and stores on the ââ¬Å"hot spotsâ⬠of Dominican Republic. Furthermore, it is not only the local police that accept bribes from the owners of bars that also offers sex service, local authorities and some top government officials do accept payments from the bar owners in exchange for the latterââ¬â¢s safety from lawful dilemma (Oââ¬â¢Connell Sanchez-Taylor, 1995). Most of the bars that offers sex service in Dominican Republic can be found on its shorelines and beaches. Last 2004, around 3. 4 million vacationers went to Dominican Republic which most of them only go after the prostitution industry on the said country (Gvnet. com, 2008b). This large number of tourist that visits Dominican Republic just for some flesh are too alarming since there is a high chance for various sexual diseases to spread across the said country. It was identified that Dominican prostitutes prefer not to use condom and will have sex on their clients on two hours for just 300 Pesos (Cohen, 2006). The main reason of most Dominican prostitutes why they entered such profession would be primarily because of poverty and lack of better job opportunity in the Dominican Republic. With the increasing need for sustain their basic necessities; Dominican women have no choice but to embrace prostitution as the main source of their income. Foreigners pay higher as compared to local customers of Dominican women and girls thereby giving way for the latter to attract more foreigners as their client which at the end of the day would increase the number of foreign visitors to Dominican Republic for its sex tourism. Just like most of developing countries that suffers to rampant prostitution, the main factor that triggers Dominican women and girls to enter such profession would be poverty and lack of better job opportunities. Furthermore, aside from poverty and lack of better job opportunities, another reason why Dominican women and girls enters prostitution would be due to lax policies and regulations on the part of the Dominican government officials. Known as one of the top corrupt countries around the globe, Dominican Republic government officials tends to let the booming of sex tourism on their country in exchange for some bribe from the owners of bars, and traffickers of prostitutes in Dominican Republic. Actually, there are two types pf prostitution in Dominican Republic. The first type would be the prostitution within the Dominican Republic while the second type would be the prostitution of Dominican Women and girls to other countries like United States, United Kingdom and Netherlands to name a few. Like for instance, around 10 percent of the total visas issued to Dominicans each year are for prostitution. Furthermore, there are around 50,000 Dominican women around the globe that serves to sex industry and this is the fourth highest number in the world after Thailand, Brazil, and Philippines. The extensive corruption on the borders of Dominican Republic contributes for the easy migration of Dominican women and girls to other countries for prostitution. Despite of the fact that most government officials of Dominican Republic that are corrupt and just ignore the sex tourism in their country, there are still significant number of responsible government officials in the said country, together with concerned citizens and Non-Government Organizations that works hand in hand in combating the worsening of prostitution industry in Dominican Republic. Various policies were passed in order to minimize the incidence of prostitution in Dominican Republic like the Code of the Minors which protects the rights, welfare, and interests of children and adolescents which the government will primarily provide (Ecpat. net, 2005). This Code of the Minor should minimize the number of minor that enters the profession of prostitution Furthermore, with the increasing concern from the global community some of the Dominican Republic officials are being forced to arrest and raid areas where prostitutions houses like in motels, bars, and other ââ¬Å"hot spotsâ⬠of sex tourism from the said country. With the efforts of the United States on providing aids to Dominican Republic in combating its rampant prostitution, still, the problem remains intact on the culture and norms of every Dominican women, girls, bar owners and foreigners as there will still be government officials of the Dominican Republic that continues to accept their bribes in order to let the operation of sex industry in Dominican Republic to continue. At the end of the day, it is clear that the efforts of various organizations and foreign government are useless unless the Dominican Republic government and citizenââ¬â¢s itself works hand in hand for the eradication of prostitution on their country. With poverty, corruption continues to exist on the systems of Dominican Republic it would be very hard to combat prostitution on the said country as prostitution already become part of its culture and norm. Sex Tourism in Thailand One of the impressive countries in terms of economic performance in the South East Asian Region, Thailand serves as the role model of its neighboring countries when it comes to attaining high economic growth and stable foreign currency in the international market. But despite of this economic success of Thailand rests a dim profession that most foreigners go after in search of short time pleasure. Sex tourism in Thailand, just like in Dominican Republic is also rampant on its streets as teenager prostitutes, most of them are college students, walks around tourist destination searching for prospect foreigner client. Actually, it is not only sex trading that is rampant in Thailand, exploitation, sex slavery and even organ harvesting are widespread on the streets of major cities of Thailand (LoBaido, 2002). Police officers tend to accept bribes from the prostitutes and traffickers in exchange for protection. Furthermore, policemen oftentimes are the one to perform exploitation to most Thai women; rape and other inhumane acts are being are just some of the dark experiences that Thai women and girls get from the streets (Sexwork. com, 1999). During the height of 1997 Asian Financial Crisis, a lot of households suffer financially which forces teenagers from college and high school to go for prostitution in order to sustain their education and their families (Gvnet. com, 2008a). As years past, after the said Asian Financial Depression, Thailand became known for its prostitution industry internationally. Large number of foreigners is visiting Thailand just for this human-flesh trading. Most of the Thai prostitutes hang up to malls, bars, streets, and even to motels and hotels wherein most foreigners can be found (Chirgwin, 2006). On the other hand, even after the recovery of Thailand from the 1997 Asian Financial Depression, prostitution remains intact on the streets and malls of major cities of Thailand. Not because these Thai women do not have enough money for their education and for their families but rather in order for them to sustain their luxury. With the rise of Thailandââ¬â¢s economy, various international malls wherein branded products dominate their market starts to made Thai college students addictive to shopping. In order to maintain this addiction of Thai women, they tend to go for prostitution. Furthermore, credit card industry in Thailand in the late 1990s starts to boom which forces every citizens of Thailand to avail credit card services. With this rise of credit card services plus the addiction of most Thai women to shopping, most them already have enough reason to embrace the profession of sex trading. Cyber sex and pornographies are starting to emerge in the Thailand underground market as credit card users can easily collect their payments online. Prostitution starts to become a part of Thailandââ¬â¢s culture since 1990s and it is already normal for a Thai college student to become a prostitute not because she is poor but rather in order to have enough money to sustain their luxurious cost of living. Bangkok, Pattaya, Phuket and Koh Samui are just some of the sex tourist destination in Thailand. In Koh Samui alone, there were around 10,000 prostitutes living in that area. If in Dominican Republic, motel, bars and beach resorts are the ââ¬Å"hot spotsâ⬠for human-flesh trading, in Thailand it would be the malls, saunas, and massage parlors. Furthermore, as compared to Dominican Republic, there are less minor prostitutes in the Thailand underground market for most of them are college students whose age ranges from 18-22 years old enough for them not to be considered as minors. In this regard, it is therefore clear that the present reason for most Thai prostitutes nowadays is not only mainly due to poverty but also due to the commercialization that is presently happening in the domestic market of Thailand. Most of the Thai prostitutes are college students that only want to have extra money to sustain their addiction to shopping and other expensive materials, while there are still significant number of Thai prostitutes that are not students and just go for human-flesh trading due to poverty and lack of better job opportunity. Furthermore, there are some Thai prostitutes expects for financial support from the men that they sleep with instead of the traditional concept of prostitutes like in Dominican Republic wherein paying the prostitute for her service would be enough and not financially supporting her. Despite of the rampant and negative connotation of prostitution to most countries, the Thai government is presently considering the legalization of prostitution to their country in order to combat corruption on its police force and government officials. Furthermore, the said plan for the legalization of prostitution in Thailand aims for increasing governmentââ¬â¢s income as government officials plans to impose tax collection to prostitutes on their country. Last 2003, the Ministry of Justice already posed its initial step for the legalization of prostitution in Thailand. Relative to other countries, the policies regarding the eradication of prostitution in Thailand is very lax just like in Dominican Republic since, as what has been identified a while ago, the Thai government plans to legalize prostitution into their country which would further boost the sex tourism industry in Thailand. Conclusion Despite of some similarities of sex tourism in Dominican Republic and Thailand, still, there are a great number of differences between these two countries that has been able to identify during the entire discussion of this paper. The effort of the Thai government to legalize prostitution makes the gap on the difference between the sex tourism industries on both countries to increase. Dominican Republic government officials do not have any intention to legalize prostitution into their country rather intensifying their policies in order to minimize the incidence of prostitution into their country. This really suggests that the Dominican Republic do not want to combat prostitution because if they do they will surely lose significant amount of bribes from the prostitute traffickers and bar owners. The increasing influence of commercialization to the domestic market of Thailand would just fuel up the rise of prostitution on the said country. At the end of the day, poverty remains the main factor for the existence of prostitution to most developing countries around the globe. References Chirgwin, V. (2008). Fact Book on Global Sexual Exploitation: Thailand. Retrieved April 21, 2008, from http://www. uri. edu/artsci/wms/hughes/thailand. htm Cohen, J. (2006). The Sun The Sand The Sex. Retrieved April 21, 2008, from http://www. sciencemag. org/cgi/content/full/313/5786/474 Dr1. com (2008). Dominican Republic Prostitution. Retrieved April 21, 2008, from http://www. dr1. com/articles/prostitution. shtml Ecpat. net (2005). Child Sex Tourism in Dominican Republic. Retrieved April 21, 2008, from www. ecpat. org. uk/downloads/Dom_Rep05. pdf Gvnet. com (2008a). Kingdom of Thailand: Child Prostitution- The Commercial Sexual Exploitation of Children. Retrieved April 21, 2008, from http://gvnet. com/childprostitution/Thailand. htm
Friday, September 20, 2019
Nursing Essays Weaning Patient Ventilation
Nursing Essays Weaning Patient Ventilation Weaning Patient Ventilation Introduction The indications of mechanical ventilation are many. The main idea is patients are put to artificial ventilation to satisfy their bodies demand for oxygen and removal of carbon dioxide, since they cannot do this by themselves. Mechanical ventilation may be noninvasive through nasal or face masks or invasive through a tracheotomy tube. The time spent on mechanical ventilation varies. It may be few hours as in cases of heart failure or obstructive airway disease. It may be for longer time as in cases of head injury or premature babies. Other patients may stay on artificial ventilation for unknown time as those in comas or with neurological condition where there is paralysis of the respiratory muscles. Being an aided respiration, so weaning and returning to the normal way of respiration has to be tried. However, the question remains when to wean and how to wean (Pruitt, 2006). When to wean a patient from a ventilator Frutos-Vivar and Esteban (2003) suggested an evidence-based weaning protocol on three steps. In step 1, on treatment follow up and daily assessment, when the patientââ¬â¢s condition improves, there are certain criteria to look for to start the process of weaning. These criteria are A) PO2/FIO2 (fraction of inspired oxygen) is 150-300. B) When positive end expiratory pressure is equal to or less than 5 cm/H2O and C) patient is awake with stable cardiovascular condition. D) Body temperature is less than 38 degrees C and hemoglobin is at 10 g/dl or more. You can get expert help with your essays right now. Find out more The second step is to give the patient a trial of short period for 30 minutes of spontaneous respiration using either a T-tube or a pressure support ventilation of 7cm/H2O. The criteria for trial success are both objective and subjective. Objective criteria are A) gas exchange criteria of SaO2 greater than 90 percent or PaO2 greater than 60 percent with Fio2 less than 0.4-0.5 and increase in PCO2 less than 10 mm Hg or decrease in pH less than 0.1. B) Heart rate should be less than 140 a minute or increased by less than 20 percent from baseline with systolic blood pressure higher than 80-160 mm Hg or change less than 20 percent from baseline. Subjective signs include no extra work of respiratory or accessory respiratory muscles and absent signs of distress as agitation and increased sweating. If the trial succeeds, in other words the patient shows good tolerance to spontaneous respiration, the attending staff can wean the patient. If, on the other hand, the patient shows poor tolerance, the trial is to be repeated every 24 hours until good tolerance occurs, this is known as gradual weaning (Frutos-Vivar and Esteban, 2003). How to wean a patient from mechanical ventilation Weaning can be either gradual as discussed earlier or rapid. Rapid weaning is indicated in cases with no pulmonary or neurological disorders that mandate mechanical weaning. This is best illustrated in cases of postoperative indication as advised by the anesthetic consultant (Pruitt, 2006). Pruitt, 2006 suggested a 12-point protocol for rapid weaning. First, the ventilator settings are those ordered by the anesthetic consultant, 2) get arterial blood gases every 20 minutes, and always compare the results with readings of pulse oximetry and end tidal CO2 values. 3) The patient observation sheet should include A- level of consciousness, B- temperature, and hemoglobin level. C- Gas exchange criteria and respiratory rate. All values discussed before apply for the timing of rapid weaning with slight variations among medical centers. 4) Decrease intermittent mandatory ventilation (IMV) rate by two breaths/minute when the patient is awake and alert, responding appropriately, and assisting the ventilator. The patient SpO2 is greater than 92%, ETCO2 (end tidal CO2) is less than 40 mm Hg, and hemodynamic values are acceptable. Acceptable hemodynamic values are heart rate less than 120 a minute with no serious arrhythmias. 5) Blood pressure is greater than 100 mm Hg systolic. In open-heart surgery, cardiac index, greater than two liters/minute/m2 without intraaortic balloon pump therapy, and chest tube drainage less than 100 ml/hour. If the patient is stable 15 to 30 minutes after the IMV rate is changed, continue decreasing the IMV rate by two breaths a minute every 15 to 30 minutes. Continue as long as the patientââ¬â¢s SpO2 stays above 92%, his ETCO2 is less than 40 mm Hg, and hemodynamic values are acceptable. Stop when the IMV rate equals two breaths a minute. 6) adjust the FIO2 to 0.4 in increments of 0.05 to 0.1 as long as the patientââ¬â¢s SpO2 is above 92%. 7) If the patient is receiving positive end-expiratory pressure (PEEP) of more than five cm H2O, decrease PEEP by five cm H2O every 30 minutes until PEEP is equal to five cm H2O, as long as the patient SpO2 is above 92%. Get help with your essay from our expert essay writers 8) Get an arterial blood gas analysis as needed and report the anesthesia consultant if the patient SpO2 falls below 92% or ETCO2 rises above 40 mm Hg or if he shows any signs of agitation or distress. 9) Discontinue weaning if the patient cannot maintain acceptable hemodynamic, neurological, or respiratory parameters. Return to previous ventilator settings and notify the anesthetist. 10) When the IMV rate equals two breaths a minute, get an arterial blood gas analysis, and correlate the results with the patientââ¬â¢s SpO2 and ETCO2 values. Get pulmonary function tests; the patientââ¬â¢s tidal volume should be greater than 5 cc/kg, spontaneous respiratory rate between 8 and 30 breaths/minute, vital capacity greater than 15 cc/kg, minute ventilation less than 10 liters/minute, and maximal inspiratory pressure less than -20 cm H2O. If readiness to wean criteria, haemodynamic, and lung mechanics criteria are met, place the patient on a T-tube at the current FIO2 and perform a spontaneous breathing trial. 11) Get an arterial blood gas (ABG) analysis if the patient tolerates the spontaneous breathing trial for 30 minutes (as evidenced by the patient ability to stay on the T-piece with acceptable neurological, hemodynamic, and respiratory parameters). 12) If the ABG results are in the acceptable criteria range, the patient will be extubated. Place the patient on supplemental oxygen at 5 to 6 liters/minute via nasal cannula (passive ventilation) to keep his Spo2 over 92%. References Pruitt, B. (2006). Weaning patients from mechanical ventilation. Nursing, 36 (9), 36-41. Frutos-Vivar, F. and Esteban, A (2003). When to wean from a ventilator: An evidence-based strategy. Cleveland Clinic Journal of Medicine, 70 (5), 389-400.
Thursday, September 19, 2019
Shipboard Message Relay System :: essays research papers
Shipboard Message Relay System I.à à à à à Problem Statement à à à à à Design a system that automates the manual message relay system utilized onboard U.S. Navy ships during the 1991 Gulf War. Each ship that was part of the Arabian Gulf task force had a Unix-based system that stored and processed naval messages. Computer operators of different departments onboard the ships prepared the messages manually utilizing an MS DOS based system. The messages were then printed and delivered to the ships telecommunications room. Once received by the ships telecommunications room personnel, messages were manually logged into a book for tracking. The messages were then retyped on a teletype and proofread to ensure their accuracy. Each teletype was equipped with a paper tape puncher. After verification that the message had been retyped correctly, the message was punched to tape for loading into the Unix-based system via a tape reader. Then messages were transmitted via one of the various available circuits; high frequency (HF), ultra high frequenc y (UHF), or satellite. This manual process made message processing slow and laborious by shipboard personnel. à à à à à A new system was required that would reduce the duplication of certain processes, for example, having to type the message twice, and to improve the speed of the process from start to end. In the case of the system onboard the aircraft carrier USS Midway, it required the ability of automating the transmission of messages from terminals located throughout the 35 departments onboard the ship into the Unix-based system located in the telecommunications room without any manual intervention. Additionally, telecommunications personnel needed the ability of accessing the messages for editing, if needed, and relaying them through the appropriate circuits without the need of retyping or printing any documents. à à à à à After documenting the problem and high-level requirements the team commenced gathering information to identify what was already in place to support the new system. The team gathered information by reading the tech manuals of the Unix-based system, interviewing departmental personnel, walk-through of spaces where the terminals were located, and interviewing personnel from the Naval organization responsible for the development and installation of the system. The team prepared different interview forms targeted to the duties of the personnel being interviewed. For example, one was developed for the departmental personnel throughout the ship. They were our main customers. Another form was developed for telecommunications personnel. Also, a different form was used from the development and installation team. à à à à à During the information gathering process it was discovered that in order to connect the departmental terminals with the main system in the telecommunications room a software upgrade and new wiring would be required.
Wednesday, September 18, 2019
Public versus Personal Reference in Notes of a Native Son :: James Baldwin
Stand Back Up (unsteadily: Tumbling revision) Throwing scalding hot water in someoneââ¬â¢s face on a day to day basis will eventually cause a reaction. James Baldwin decided to throw back physically in his life, and with the manner in which he writes. As I'm sure you do not know, James Baldwin was an African-American writer. He is widely thought of as one of the greatest American writers of the twentieth century. He has composed a fascinating account of living as a black man in America, ââ¬Å"Notes of a Native Son,â⬠which was first published in 1955. This is not nearly as long ago as you may think and the issues he addresses are still prevalent today. Put yourself in a semi-uncomfortable position, uncover the past and realize this country isn't as full of equality as it likes to seem. As a nation far too many of us don't actively think about or bother to remember the social inequalities that this country had and certainly still has. To create a truly captivating experience Baldwin utilizes a sor t of public versus personal reference. James Baldwin is possibly one of the most inspiring and charismatic writers in our history. I absolutely can't understand how so many of you haven't even heard his name. Don't you think you should know something about someone who is widely renowned as being the greatest?! James Baldwin is a man who has lived with racial prejudice all his life. In this essay Baldwin focuses on his father and their relationship as well as personal and historic accounts. Early on his father was a keynote in helping him to notice the ways white people treat blacks. Of course he was eager to prove his father wrong, as youth are apt to do. Baldwin did resist these allegations for a while. It is hard to resist passioned hatred when it is surging all around you. Baldwin notices that his father's death has been marked by a terrible riot where the mob ââ¬Å"began to swell and to spread in every direction, and Harlem exploded.
Tuesday, September 17, 2019
Assess the main achievements of Détente Essay
Dà ©tente can be defined as a period of lessening or relaxation of tension between the two superpowers. It came about in 1963, with the signing of the Nuclear Test Ban Treaty, and its main achievements had a noteworthy impact on international relations during this period. One achievement of dà ©tente, SALT (or the Strategic Arms Limitation Treaty), signed in 1972, had the purpose of reducing the number of nuclear weapons of both sides. Its significance lies mainly with the Basic Principles Agreement, were both superpowers vowed to ââ¬Å"do their utmost to avoid military confrontationsâ⬠. This brought about improvements economically since trade was encouraged ââ¬â and indeed, international trade increased significantly. However, this trade was in practice limited to grain supplies from the US. In addition, Nixonââ¬â¢s visitation to China in 1972 put the USSR on guard, as it was witnessing possible cooperation between its two adversaries ââ¬â tension between the USSR and China was at a high. However, despite SALTââ¬â¢s limitations and an actual increase in tension between the USSR and China, it was a significant achievement for dà ©tente as the two superpowers were willing to cooperate regarding the arms race matter. Another major achievement was the Helsinki Agreement of 1975, a turnabout from the tense situation that existed between East and West when Stalin was in power. With this agreement, the US recognized the USSRââ¬â¢s territorial control of Eastern Europe, and the USSR agreed to respect human rights, such as the freedoms democracy advocated. It was a huge improvement considering the circumstances of the 1940-50s, where both sides attacked and retaliated through speeches, the formation of organizations (such as NATO and Cominform), and economic measures such as the Marshall Plan and Comecon. Thus the Helsinki Agreement was a high point in international relations. Mutual cooperation in many areas also resulted in easing of tensions. The two countries worked together with the research of heart disease and cancer, and the Soyuz and Apollo ships docked together in space missions. Again, it was a major improvement from the hostile situation of earlier years ââ¬â both sides were willing to work together for a common cause, and was a significant achievement of dà ©tente. Although dà ©tente was a period of relaxing in tensions and increase stability between the two superpowers, many of the agreements established were very limited and not strictly adhered to. In addition, tension was high between the USSR and China. Further events would lead to the breakdown of dà ©tente, but its accomplishments were significant improvements from previous years and thus decidedly noteworthy.
Monday, September 16, 2019
The Silver Linings Playbook Chapter 14
I Can Share Raisin Bran On the drive home from Cliff's office I ask my mom if she thinks asking Tiffany on a date is the best way to get rid of her once and for all, and Mom says, ââ¬Å"You shouldn't be trying to get rid of anyone. You need friends, Pat. Everyone does.â⬠I don't say anything in response. I'm afraid Mom is rooting for me to fall in love with Tiffany, because whenever she calls Tiffany my ââ¬Å"friend,â⬠she says the word with a smile on her face and a hopeful look in her eye, which bothers me tremendously because Mom is the only person in my family who does not hate Nikki. Also, I know Mom looks out the window when I go on my runs, because she will tease me, saying ââ¬Å"I see your friend showed up againâ⬠when I return from a jog. Mom pulls into the driveway, shuts off the car engine, and says, ââ¬Å"I can loan you money should you ever want to take your friend to dinner,â⬠and again, the way she says ââ¬Å"friendâ⬠makes me feel tingly in a bad way. I say nothing in response, and my mother does the strangest thing ââ¬â she giggles. I finish my weight training for the day and put on a trash bag, and as I begin stretching on the front lawn, I see that Tiffany is jogging up and down the length of my parents' block, waiting for me to begin running. I tell myself to ask her out to dinner so I can end this madness and get back to being alone on my runs, but instead I simply start running, and Tiffany follows. I go past the high school, down Collings Avenue to the Black Horse Pike, make a left and then another left into Oaklyn, run down Kendall Boulevard to the Oaklyn Public School, up past the Manor Bar to the White Horse Pike, make a right and then a left onto Cuthbert, and I run into Westmont. When I get to the Crystal Lake Diner, I turn and jog in place. Tiffany jogs in place and stares at her feet. ââ¬Å"Hey,â⬠I say to her. ââ¬Å"You want to have dinner with me at this diner?â⬠ââ¬Å"Tonight?â⬠she says without looking up at me. ââ¬Å"Yeah.â⬠ââ¬Å"What time?â⬠ââ¬Å"We have to walk here because I'm not allowed to drive.â⬠ââ¬Å"What time?â⬠ââ¬Å"I'll be in front of your house at seven-thirty.â⬠Next, the most amazing thing happens: Tiffany simply jogs away from me, and I cannot believe I finally got her to leave me alone. I am so happy I alter my route and run at least fifteen miles instead of ten, and when the sun sets, the clouds in the west are all lined with electricity, which I know is a good omen. At home, I tell my mother I need some money so I can take Tiffany out to dinner. My mother tries to hide her smile as she retrieves her purse from the kitchen table. ââ¬Å"Where are you taking her?â⬠ââ¬Å"The Crystal Lake Diner.â⬠ââ¬Å"You shouldn't need more than forty dollars then, right?â⬠ââ¬Å"I guess.â⬠ââ¬Å"It'll be on the counter when you come down.â⬠I shower, apply underarm deodorant, use my father's cologne, and put on my khakis and the dark green button-down shirt Mom bought me at the Gap just yesterday. For some reason, my mother is systematically buying an entire wardrobe for me ââ¬â and every piece is from the Gap. When I go downstairs, my mom tells me I need to tuck in my shirt and wear a belt. ââ¬Å"Why?â⬠I ask, because I do not really care if I look respectable or not. I only want to get rid of Tiffany once and for all. But when Mom says, ââ¬Å"Please,â⬠I remember that I am trying to be kind instead of right ââ¬â and I also owe Mom because she rescued me from the bad place ââ¬â so I go upstairs and put on the brown leather belt she purchased for me earlier in the week. Mom comes into my room with a shoe box and says, ââ¬Å"Put on some dress socks and try these on.â⬠I open the box, and these swanky-looking brown leather loafers are inside. ââ¬Å"Jake said these are what men your age wear casually,â⬠Mom says. When I slip the loafers on and look in the mirror, I see how thin my waistline appears, and I think I look almost as swanky as my little brother. With forty bucks in my pocket, I walk across Knight's Park to Tiffany's parents' house. She is outside, waiting for me on the sidewalk, but I see her mother peeking out the window. Mrs. Webster ducks behind the blinds when we make eye contact. Tiffany does not say hello, but begins walking before I can stop. She is wearing a pink knee-length skirt and a black summer sweater. Her platform sandals make her look taller, and her hair is sort of puffed out around the ears, hanging down to her shoulders. Her eyeliner is a little heavy, and her lips are so pink, but I have to admit she looks great, which I tell her, saying, ââ¬Å"Wow, you look really nice tonight.â⬠ââ¬Å"I like your shoes,â⬠she says in response, and then we walk for thirty minutes without saying another word. We get a booth at the diner, and the server gives us glasses of water. Tiffany orders tea, and I say that water is fine for me. As I read the menu, I worry that I won't have enough money, which is silly, I know, because I have two twenties on me and most of the entrees are under ten bucks, but I do not know what Tiffany will order, and maybe she will want dessert, and then there's the tip. Nikki taught me to overtip; she says waitresses work too hard for such a little bit of money. Nikki knows this because she was a waitress all through college ââ¬â when we were at La Salle ââ¬â so I always overtip when I go out to eat now, just to make up for the times in the past when I fought with Nikki over a few dollars, saying fifteen percent was more than enough, because no one tipped me regardless of whether I did my job well or not. Now I am a believer in overtipping, because I am practicing being kind rather than right ââ¬â and as I am reading the diner menu, I think, What if I do not have enough money left over for a generous tip? I am worrying about all of this so much that I must have missed Tiffany's order, because suddenly the waitress is saying, ââ¬Å"Sir?â⬠When I put my menu down, both Tiffany and the waitress are staring at me, as if they are concerned. So I say, ââ¬Å"Raisin bran,â⬠because I remember reading that cereal is only $2.25. ââ¬Å"Milk?â⬠ââ¬Å"How much is milk?â⬠ââ¬Å"Seventy-five cents.â⬠I figure I can afford it, so I say, ââ¬Å"Please,â⬠and then hand my menu back to the waitress. ââ¬Å"That's it?â⬠I nod, and the waitress sighs audibly before leaving us alone. ââ¬Å"What did you order? I didn't catch it,â⬠I say to Tiffany, trying to sound polite but secretly worrying that I will not have enough money left over for a good tip. ââ¬Å"Just tea,â⬠she says, and then we both look out the window at the cars in the parking lot. When the raisin bran comes, I open the little single-serving box and pour the cereal into the bowl the diner provides free of charge. The milk comes in a miniature pitcher; I pour it over the brown flakes and sugared raisins. I push the bowl to the middle of the table and ask Tiffany if she would like to help me eat the cereal. ââ¬Å"Are you sure?â⬠she says, and when I nod, she picks up her spoon and we eat. When we get the bill, it is for $4.59. I hand our waitress the two twenties, and the woman laughs, shakes her head, and says, ââ¬Å"Change?â⬠When I say, ââ¬Å"No, thank youâ⬠ââ¬â thinking Nikki would want me to overtip ââ¬â the waitress says to Tiffany, ââ¬Å"Honey, I had him all wrong. You two come back real soon. Okay?â⬠And I can tell the woman is satisfied with her tip because she sort of skips her way to the register. Tiffany doesn't say anything on the walk home, so I don't either. When we get to her house, I tell her I had a great time. ââ¬Å"Thanks,â⬠I say, and then offer a handshake, just so Tiffany will not get the wrong idea. She looks at my hand and then up at me, but she doesn't shake. For a second I think she is going to start crying again, but instead she says, ââ¬Å"Remember when I said you could fuck me?â⬠I nod slowly because I wish I did not remember it so vividly. ââ¬Å"I don't want you to fuck me, Pat. Okay?â⬠ââ¬Å"Okay,â⬠I say. She walks around her parents' house, and then I am alone again. When I arrive home, my mom excitedly asks me what we had for dinner, and when I tell her raisin bran, she laughs and says, ââ¬Å"Really, what did you have?â⬠I ignore her, go to my room, and lock the door. Lying down on my bed, I pick up the picture of Nikki and tell her all about my date and how I gave the waitress a nice tip and how sad Tiffany seems and how much I can't wait for apart time to end so Nikki and I can share raisin bran at some diner and walk through the cool early September air ââ¬â and then I am crying again. I bury my face and sob into my pillow so my parents will not hear.
Sunday, September 15, 2019
Library of Congress
Years ago, Martin Luther King had a dream that all men and women would be equal, all students would be equal. Our laws and progression of civil rights and immigration has changed the United States Public Education System. Racial inequality and color prejudice has damaged the United States; affecting the American education system through legislation meant to help students. The differences in culture background and heritage are being traversed. Borders are supposedly being crossed. Educational theories and classroom practices are taking up new forms in order to conform and meet the educational needs of the global societies.Educators and teachers are being expected to share views and recognize values from different cultures, races, societies and ethnic groups. They are expected to move outside the system and custom of the dominant society and incorporate beliefs other than those they are accustomed with. Our laws and progression of Civil Rights and immigration has changed the United Sta tes public education system. The challenges that face our nationââ¬â¢s children relates to the civil right movements and immigration laws that have guided us to a direction of multicultural education.During the civil rights movement, there were two Americaââ¬â¢s, a black America and a white America. The school, bathrooms, water fountains, restaurants, bus seats, libraries, movie theaters, hospital floors, and even the line to see Santa Clause were all segregated based on the color of skin. African Americans went to school four months out of the year because they needed to help earn incomes the rest of the months. Their schools had no cafeteria, most with outside bathrooms; and their books were passed down from the white schools so they were all out of date (AARP, LCCR, & Library of Congress, 2004).The school building that contained African American students were falling apart. The classes were overcrowded with too many students, and not enough room for all the needed classes a nd materials. For the most part, these students had teachers that were substitutes who didnââ¬â¢t know what they were doing. The teachers that were in these schools had fixed values for these students and did not provide curriculum that was interesting or pertained to the students who were learning.The assumption of teachers was that these African American students did not deserve ââ¬Å"a great deal in life and that a little, even a very little, (a very little) for a Negro child is a great deal more than he or she has earnedâ⬠(Kozol, 1990). Complaints were being vocalized with the school districts letting white students ride the bus to attend white schools, and black students had to walk to their school when they lived right next to an ââ¬Å"all whiteâ⬠school (Rafferty, 1965).In 1951, the Supreme Court finally had to face and rule on the subject of Civil Rights. A group called the National Association for the Advancement of Colored People (NAACP), created in 1909 to work towards eliminating segregation and discrimination, came together in a court case Brown versus Board of Education. African Americans had started filing suits against the educational systems as early as 1845, but the Supreme Court combined five cases to hear in 1951.The issues brought before the court was because of school conditions, segregation, deficient curriculum, pupil to teacher ratio, teacher training, extracurricular activity programs offered, transportation deficiencies, and of course teacher salaries (Brown Foundation, 1996). The discriminatory environment derived from civil rights and immigration issues unlocked, and then caused the world to see that human tendencies are to prejudge, discriminate against, and stereotype people based on their ethnic, religious, physical, or cultural characteristics.In 1954, Brown v. Board of Education of Topeka (347 U. S. 483), also called Brown I ruled by Chief Justice Warren, acknowledged learning to be the most significant task of state and local government and ââ¬Å"repudiated the separate but equal doctrineâ⬠, deciding that ââ¬Å"racially segregated schools were inherently unequalâ⬠(Cambron-McCabe et al. , 2004). The decision had great impact and important to the civil rights movement. The Supreme Court ruled that school had no place for ââ¬Å"separate but equalâ⬠status (AARP, LCCR, & Library of Congress, 2004).A year later the Supreme Court decision in Brown II defined how and when school desegregation would be achieved because there was no standard or deadline set in Brown I (Orfield & Eaton, 1996). The legal precedence of this time caused far reaching social and ideological implications that brought about changes in the 1960ââ¬â¢s and beyond. On the other hand, the legal wrangling did not make immigration and civil right issues disappear because of the ambiguity of the legal decisions. The 1960ââ¬â¢s brought about race riots all over the U.S. , deaths because of race, and more laws that declared discrimination illegal (http://www. cnn. com/EVENTS/1997/mlk/links. html%20). On January 20, 1964, Vice President Lyndon B. Johnson was sworn into the Presidency, after the sudden death of President John F. Kennedy. As America mourned the death of JFK, President Lyndon B. Johnson placed his hand on the Holy Bible that was being held by his wife and took the oath of office. On that particular day, Lyndon B. Johnson launched his new program called ââ¬Å"the Great Society.â⬠The agenda was intended to produce a better quality of life for all Americans (Campbell, 1965). Reporters knew the Presidency of Lyndon B. Johnson as a ââ¬Å"legislative miracle. â⬠In fact, Dick West of the Dallas Morning News wrote, ââ¬Å"Mr. Truman couldnââ¬â¢t get started on a civil rights bill, because a rebellious congress passed an immigration law over a veto. Jack Kennedy took one whirl at federal aid to education, and then backed off. Then he tried to get Congress to set up a Department of Housing and Urban Development with Cabinet Status and was turned down in the House 264 to 150.â⬠On the other hand, West writes that President Johnson was able to get these laws passed exactly the way he wanted them, thus being named ââ¬Å"The Congressional Magicianâ⬠(West, 1965 p. 2). President Johnson signed the Civil Rights Act of 1964 on July 2, 1964, during a luncheon honoring late President Abraham Lincoln in the East room of the White House. The bill was about discrimination based on race, color, religion, sex or national origin (http://en. wikipedia. org/wiki/Civil_Rights_Act_of_1964).ââ¬Å"The President sat at a small table in the center with racks holding 72 pens, which was an insufficient amount. â⬠He actually used over 100 pens to sign this triumphant bill into law (ââ¬Å"Big Audienceâ⬠, 1964). Robert F. Kennedy sat in the front row, Martin Luther King sat in the second row, and other senators and cabinet members attended (â⠬Å"Big Audienceâ⬠, 1964). President Johnsonââ¬â¢s speech was ââ¬Å"swift but had great emphasis as he called on all Americans to close the springs of racial poison and eliminate the last vestiges of injustice in our beloved Americaâ⬠(ââ¬Å"Big Audienceâ⬠, 1964).The President spoke of the challenge that Lincoln bestowed upon America asking for ââ¬Å"preservation of the union, enlargement of liberties for America and for being true to the Declaration of Independence which gives liberty to all. â⬠The speech was a direct challenge for all Americans to ensure that all people including Black Americanââ¬â¢s will be a part of a ââ¬Å"complete and equalâ⬠society (Negro Due, 1965). In 1968, the Supreme Court decision on Green v. County School Board of New Kent County gave the students the option to transfer from a black to a white school.The ruling states, ââ¬Å"That schools must dismantle segregated dual systems root and branch and that desegregation mu st be achieved with respect to facilities, staff, faculty, extra-curricular activities, and transportation. â⬠Because the Southern United States were fighting against the rulings of the Supreme Court because of their dissatisfaction of desegregation the case Alexander v. Holmes County Board of Education in Mississippi ruled that desegregation must be achieved in every district at once (Orfield & Eaton, 1996).Multi-cultural education is a program seeking to revise and reform both schooling and the political and cultural context of formal schooling and studying. It was designed to have a better impact to society by reducing racial tolerance brought about because of immigration and civil right problems that has plagued our nation. Several categories of programs that are designed encompass not only to restructure and reform subjects and curriculums at school but also to generate and increase contact among races.They are designed primarily to bridge the gap among races. However, in stead of harmonious co-existence and peace being attained, the proposed inclusion of cultures to curriculum, poses lots of intriguing questions. The public is uncertain with their thoughts regarding the changing of curriculum. Often times, multi-cultural education has become the topic of numerous debates and disputes, resulting to a further division of the nation. Multicultural education is intended to decrease if not totally abolish race, ethnic and gender divisions.By helping students achieve the necessary skills and by guiding them they are being prepared in facing the challenges they would soon be encountering. Students are trained to equip themselves with the attitudes needed in order to survive in the real world. However, before such programs can be implemented, a thorough understanding of the real issue at hand must first be achieved. Factors such as demography, social class, funding, quality of educators, studentââ¬â¢s cultural backgrounds and public interest should be ca refully considered and taken in to account. ReferencesAARP, LCCR, & Library of Congress (2004). Save Our History: Voices of Civil Rights. The History Channel: The Hearst Corporation. Big Audience: Over 200 Guests See Bill Signed (1964, July 3). Dallas Morning News. Section 1 Page 8. Brown Foundation (1996). Brown VS Board of Education: About the Case. Retrieved October 1, 2007 from http://brownvboard. org/summary/. Cambron-McCabe, N. H. , McCarthy, M. M. , & Thomas, S. (2004). Public School Law 5th Edition. Pearson Education Inc: Boston. p. 149 Campbell, M. (1965). President Johnson Chosen 1965 Newsmaker of the Year.Dallas Morning News, December 24: page A12. Kozol, Jonathan (1990). Death at an Early Age. New York: Penguin Group. Negroââ¬â¢s Due Full Rights, Johnson Says. (1965, February 13). Dallas Morning News, Section A Page 1 Orfield, G & Eaton, S. (1996). Dismantling Desegregation: The Quiet Reversal of Brown vs. Board of Education. New York, NY. The New Press. Rafferty, Max (1965). Children Should Be Taught Sweep, Drama of U. S. Past. Dallas Morning News, December 16: Page A29 West, D. (1965). Johnsonââ¬â¢s Legislative Miracle. Dallas Morning News, September 26: Section C page 2.
Saturday, September 14, 2019
Organizational Transformation Issues In A Health Care Clinic
CONTENTS:Pages ASSIGNMENT BRIEF 2 EXECUTIVE SUMMARY 3 GLOSSARY OF TERMS 4-5 1. 0. INTRODUCTION 6 1. 1. OBJECTIVES 7 1. 2. METHODOLOGY 8 2. 0. LITERATURE REVIEW 9-25 3. 0. ANALYSIS 26-30 4. 0 REFLECTION 31 REFERENCES BIBLIOGRAPHY ASSIGNMENT BRIEF:ORGANIZATIONAL TRANSFORMATION ISSUES IN A HEALTH CARE CLINIC (CASE STUDY). EXECUTIVE SUMMARY This paper is based on the case study Organizational Transformation in a Health Care Clinic where focus, is the many organizational transformational issues that take place during an organisational development and transformational change of the Health Care Clinic. According to Anderson and Ackerman (2001:39-40 & 50), transformational change is defined as a ââ¬Å"completely new way the organization and its people see the world, their customers, their work and themselves. For organizational change to be successful the procedure would require changes that would affect employeesââ¬â¢ behaviour, how they think and the organizationââ¬â¢s culture thus raising many transformational issues such as leadership issues, communication issues, training and development issues, and cultural issues. GLOSSARY BehavioursThe way in which people in the organization act in terms of what they do and say that brings the strategy and desired culture to life ControlsWhat gets measured and rewardedChange To alter, modify or transform CultureThe totality of socially transmitted behavior patterns, arts, beliefs of an institutions FacilitateTo make something easier to do GoalsThe objectives or targets that the organization is trying to achieve LeadershipThe ability to guide, direct and influence persons ManagementPersons in charge of organizing and controlling the affairs of a business or a sector of a business MissionThe purpose of the organizationOrganizationA body of persons organized for some specific purpose Organization Development (OD)A primarily behavioural science approach to planned organizational change that is composed of traditional OD and mainline OD ( Krell 1981) Organizational Transformation (OT)Change that involves transformative changes in the fundamental nature of the organization and requires completely new ways of thinking, behaving and perceiving by members of the organization Realignment To readjust or change something to fit different circumstances StrategyThe approach that the organization is adopting to achieve the goals that support the strategy ValuesThe underlying principles and ethics that drive the organization Vision A picture of a desired future state that is sufficiently appealing and compelling to drive change forward 1. 0. INTRODUCTION:ORGANISATIONAL TRANSFORMATION can be defined as ââ¬Å"a fundamental shift in the way business delivers value to its customers and stakeholders resulting in dramatic change strategy, processes, technology and utilisation and management of human resources to meet the needs of the global economyâ⬠. ORGANISATIONAL DEVELOPMENT is a system wide application and tra nsfer of behavioural science knowledge to the planned development, improvement and reinforcement of the strategies, structures and processes that lead to organisational effectiveness. Many organizations of today go through changes because of circumstances, wanting to become more developed and/or advanced or simply because of wanting to move with the time.Management of the health care clinic initiated an organizational development programme because of problems originating from the application of modern technology to the jobs of medical technologists. It was discovered that employees of the biochemistry department were greatly dissatisfied because of their feeling of having their skills underutilized, having cultural differences with other staff members, having communication barriers and not having job challenges present. The organizational development staff and the manager agreed that job redesign should take place to bring more autonomy, control, feedback and meaningfulness to the w ork for the employees of the clinic.Over a period of two years evaluation of the results by the organizational development staff found that job characteristics and satisfaction declined for both groups that were involved in the transformational change process. Changing environments of an organization has effect on the organization and the organizationââ¬â¢s environment thus creating many transformational issues. Transformational issues include leadership issues, cultural issues, communication issues, cultural issues and training and development issues. 1. 1. OBJECTIVES: 1-To identify the organizational transformational issues that are involved in the change in the health care clinic 2-To evaluate change implementation and intervention strategies at a health care clinic. 1. 2. METHODOLOGY:The researcher in the context of this case study has opted to use the phenomenological approach as opposed to a positivistic approach (Collis and Hussy 2003). Triangulation-ââ¬Å"the use of more than one method or source of data in the study of a phenomenon so that findings can be cross checkedâ⬠Bryman (2008 pg. 700) Triangulation method of data collection will be used collecting qualitative and quantitative data from both primary and secondary sources for example using unstructured questions and interviews. A variety or literature, theoretical and analytical tools and techniques will be used. The research conducted being a case study the data collection will be consequence on the evidence as suggested in the case study. Random sampling s suggested by Saunders et al cannot be validated, in that for quantitative research the sample size must be of at least 95% in order to obtain realistic or quantifiable data and it may be dangerous and less accurate to do otherwise. 2. 0. LITERATURE REVIEW The core issues which will guide the facilitation of policy development, plans and programs for the organisational will include the under mentioned factors: Lewinââ¬â¢s(1951) fo rce field analysis demonstrates the two key external forces that push organisations into change situations but counteracting, resisting forces are often arisen from inside organisations when the changes are attempted and that change occurs when the driving forces out number resisting forces.This force field is propagated on the idea that social situations can be seen as equilibria that are periodically disturbed when changes to the situation are attempted. The concept of change as modification of these forces keeping a systemââ¬â¢s behaviour stable. The two groups of forces are those striving to maintain the status quo and those pushing for change. A state of ââ¬Ëquasi-stationary equilibriumââ¬â¢ as coined by Lewin(1951) is achieved when both sets of forces are almost equal and current behaviours and attitudes are maintained. FIG. 1 BELOW REFERS. Kurt Lewin (1951) identified three stages of behaviour modification in a simplistic change management model is seen in the table 1 below. LEWIN(1951)THREE STAGE MANAGEMENT TABLE. (TAB. ) UnfreezingIs concerned mainly with selling the change and provides a motive for groups and individuals to change their attitudes, systems, behaviours values and structures. The unfreezing stage will be greatly accelerated if it is recognised that the need for change is immediate, clear and the survival of the organisation depends upon it. MovingIs concerned with recognising what the new attitudes and desirable practise, norms and behaviours should be and communicating it and encouraging others in the organisation to embrace and own it as new job requisites. This aspect can occur through assimilation and exposure to new concepts or from individuals with different perspectives. RefreezingThis stage is the final and stabilising stage of the change implying reinforcement of the new behaviours.Evoking positive reinforcements such as rewards and praise. For negative reinforcement such as sanctions for indiscipline or deviant attitu des. Source:Mullins,Laurie J. (1997) Management and Organisational Behaviour 9th. Edition. FT/Prentice Hall . Again, Lewin(1951) suggested that for change to be successful there must be group activity. Unless group norms are transformed there will be no sustenance to individual actions and without reinforcements change can be short-lived. Employees are beginning to accept that the time has come for change and the changes must be made so that the organisation can remain viable. Schein (1988) model of change outlined the pivotal role of the change agent.Schein (1988) delineated each stage of Lewinââ¬â¢s (1951) model by expressing the dynamics of individual change and how imperative it is for change agent to manage these changes (see table 2 below) the change agent can be seen as the coach, facilitator and motivator assisting individuals through the change can be seen as the coach, facilitator and motivator assisting individuals through the change. According to Scheinââ¬â¢s(1988) model the first stage the change agent assists with motivating the individual by disconfirming their behaviours, attitudes and performance. Stage two emphasises the need to get employees to perform tasks differently and actually engaging belief that changing norms and working habits can effectively improve their performance.At Stage three the change agent helps the employee to change his thought patterns by integrating new and well defined behaviours. Self conceptualisation and reinforced performance standards are confirmed. Schein (1988) believes that none of these stages are susceptible to self management but need the intervention of change agents. In furtherance, Cummings and Worley (2005) planned change concept outlined how change can be implemented in organisations. This action research model places heavy emphasis on gathering and diagnosing data prior to action planning and implementation and on assessment of results after action is taken. The action research model describes change as a cyclical process involving joint activities between employees and organisational ractitioners. Figure 2 below compares Lewin (1951) change model to other models of planned change such as the positive model and the action research model all of which describes the phases by which planned change occurs in organisations. Initiation of successful organisational change modified restructuring strategies and organisational efficiencies can be envisaged through these theories. In this model many steps overlap and interact in practise. This simple model has been used to analyse and manage change and can be useful at times. However, it tends to treat people as the objects of manipulation and does not involve them in the change process at all.All three approaches emphasises the application of behavioural science knowledge, involve organisation members in the change process to varying degrees and recognise that the interaction between an organisation and a consultant constitutes an i ntervention that affects the organisation. Lewinââ¬â¢s(1951) change model approach differs from the other two models in that it deals with the general process of planned change whereas the others target specific organisational development(OD) activities. To manage strategic change effectively, it is important to understand its causes. Two main classifications of the causes of change are outlined by the following theorists: 1) Tichyââ¬â¢s(1983) four main causes of strategic change 2) Kanter, Stein and Jickââ¬â¢s(1992) three dynamics for strategic change. According to Tichy (1983) four main triggers for change:TICHY(1983) TRIGGERS FOR CHANGE â⬠¢Environment- shift in the economy, competitive pressures and legislative changes can lead to demands for strategic change. â⬠¢Business relationships-alliances, acquisitions, value chain linkages or core competencies. â⬠¢Technology â⬠¢People-new entrants may have different educational or cultural backgrounds or expectati ons that require change. Source:Mullins, Laurie,J. (1997) Management and Organisational Behaviour 9th. Edition FT/Prentice Hall. (TABLE 3) Tichy(1983) suggests that change is not only inevitable in such circumstances but can be managed to produce effective results. Kanter, Stein and Jick(1992)identified three causes of strategic change: Environment-changes here compared with the situation in the organisation can lead to demands for strategic change.Life cycle differences-changes in one division or part of the organisation as it moves into a phase of its life cycle that is different from another division may necessitate change. Typically, change issues related to the size, shape and influence of such parts and involve coordination and resource allocation issues between them. Political power changes inside the organisation-individuals, groups and other stakeholders may struggle for power to make decisions or enjoy the benefits associated with the organisation. For example, shifts in s trategy from production oriented to customer oriented would be accompanied by a shift in the power balance between those two functions.The researcher suggested that the causes were constantly shifting, sometimes slowly and at other times faster. Kanter, Stein and Jickââ¬â¢s(1992) theory can be directly related to the Health care clinic as the organisation go through the process of change as it relates to the external environment changes so too must the organisation, as one part of the organisation change so too must other parts of the organisation change to ââ¬Ëcatch upââ¬â¢. Internal and external factors influence changes. Kanter, Stein and Jick (1992) identified three major forms taken by the change process. They linked these three categories of people involved in the change process, to produce a three stage process for managing change.These three forms were: 1)The changing identity of the organisation. 2)Coordination and transition issues as an organisation moves through its life cycle. 3)Controlling the political aspects of the organisation. The three major categories of people involved in the change process: I. Change strategists-those responsible for leading strategic change in the organisation. They may not only be responsible for implementation. II. Change implementers ââ¬âthose who have direct responsibility for change management. III. Change recipients- those who receive the change programme with varying degrees of anxiety depending on the nature of the change and how it is presented.Kanter, Stein and Jick(1992) offer one way of structuring and managing aspects of the change process. However, these categories of people only give limited indicators of how to manage the process. Kanter, Stein and Jickââ¬â¢s(1992) model may be suited to major changes than the more common ongoing process. According to Cummings and Worley (2005) there are five major activities involved in order to lead and manage change and they are done in the order in wh ich they are performed. These in order of priority are: ? Motivating change. ?Creating a vision. ?Developing political support. ?Managing the transition. ?Sustaining momentum. A major point to note is that in this model, overcoming resistance to change is required early in the change.The change process in the organisation can be severely affected by resistance to change. People tend to very reluctant to move from their perceived ââ¬Ëcomfort zoneââ¬â¢ to some unforeseen place as it relates to change thereby begging the questions of whether their contributions will mean anything for them in the future. Albrecht (1983) provided an interesting model of change in which organisations undergo the change cycle. Individuals also experience symptoms of change response cycle. This cycle is prevalent when change is dictated or imposed by management and internal and external forces. ( Table 4 below refers. ) (TABLE4) Source:Cummings, Thomas G. nd Christohper G. Worley,(2005) Organisation D evelopment and Change 8th. Edition-,Thomson Southwestern. The six box model of change was introduced by Weisbord (1978) as a diagnostics tool to measure organisational effectiveness and looks at the inter-related elements within the organisation. Purpose. Is the representation of the organisation and an understanding of the employeeââ¬â¢s agreement and commitment to it. Leadership.. ââ¬â Includes the style and integrity of the employee and their ability to be goal oriented. Structure . -Displays the organisational chart, reporting styles and systems, job responsibility and delegation of authority Relationship. Are those of the employees in the organisation together with their norms, behavioural patterns, conflict management and their degrees of inter dependence Rewards. -Represent what the organisation needs to rewards both in real and psychological terms and include incentives for ââ¬Ëdoing the right thingââ¬â¢ Helpful Mechanisms. -Are the different and varied formal p rocedures and management systems that monitor and coordinate the organisationââ¬â¢s work. . According to Kotter(1995) there are eight steps to transforming an organisation. Source:Cummings, Thomas G. and Christohper G. Worley,(2005) Organisation Development and Change 8th. Edition-,Thomson Southwestern.Kotter(1995) suggests â⬠that for change to be successful 75% of the companyââ¬â¢s management needs to buy into the change and really work hard at step and spend significant time and energy building urgency before moving into the other steps. Donââ¬â¢t panic and jump in too fast because you donââ¬â¢t want to risk further short term losses, if you act without being properly prepared, you could be in for a bumpy rideââ¬â¢Ã¢â¬â¢ As a result of change many times there is the issue of conflict arising. Conflict is inevitable just as change and assuming that organisational goals are broadly dersiable , there are two aspects of conflict that are relevant and leaders mus t take cogniscance of. According to Hunt (1986) conflict can be highly desirable, it can energise relationships and clarify issues. Conflict can be constructive as well as destructive. the constructive effects of conflict are hat it can introduce different solutions to problems, power relationships can be defined more clearly,it can encouragecreativity and testing of ideas,it focuses attention on individual contributions, it brings emotions out in the open and it provides opportunities for the release of hostile feelings that may have been, or may be, repressed otherwise. Conflict can have negative effects as it may distract attention from the task, it can polorise views and dislocate the group, odjectives may be subverted in favour of secondary goals,it encourages defensive or spoiling behaviour,it may result in the disintegration of the group and it can foster emotional, win-lose within the group. Job design involves the planning of the job. This includes its contents, the methods of performing the job and how it relates to other jobs in the organization (Rahim 2001).Job design and redesign main focus is to put together the needs of the employees that are involved in the different jobs with the production necessitate of the organization in mind. One of the main aims of job redesign is to supply the organizations workers with significant work that fit effectively into the flow of the organization. Enriching, enlarging or simplifying are also goals of job redesign. For the improvement of performance job redesign theory focuses on, job rotation and job enlargement. As in the case it was shown that the general feeling of the employees of the clinic was that there was an absence of job challenge and that technology had simplified the work to be done.According to Herzbergââ¬â¢s theory of motivation, workers motivation to work depends on the nature of the work and how challenging it is. Lack of this challenge will allow employees to become disenchanted with thei r job thus having a negative impact on organizational transformation. Having job challenges will help in motivating the employee to work. Adair (2004) believes that motivation comes from within a person but is fuelled by external factors eg. having work challenges to be able to align themselves to achieve a specific goal, (the goal being a challenge but yet it is attainable by the employee). Job rotation where the employees will be allowed to work on different tasks or in different departments.This will increase job satisfaction and would have helped the employees as they would have had the opportunity to perform different tasks, thus inhibiting boredom on the job. Learning will also take place as employees also learn new tasks and have different responsibilities with job rotation. Job enlargement whether horizontal or vertical would also lead to a more successful organizational transformation as it would also help in giving the employees a challenge as they will have more to do. Ti me is also extended so that the challenge of doing more is realistic. Self esteem will be contributed to as the employee would be entrusted with exercising judgement thus having added responsibility for tasks.Job design and redesign is mainly done by the management of the organization who are responsible for making decisions about how to design those jobs ( Mintzberg 1973) as they see fit. Although managers would have more influence and control over job design than they do over structure, technology, culture, relationships and people ( Hackman & Oldham 1980), the time and attention of managers would still be greatly needed (Dutton &: Ashford, 1993). Pfeffer(1994) believed that the depending on how managers make decisions about job design, it can be a liability or a potential source of competitive advantage for organizations however, many managers often use simplified work as the default approach to designing jobs (Campion &: Stevens, 1991). 3. 0. ANALYSIS/FINDINGS:The researcher in her analysis of the case study of the particular health care clinic sought to ascertain where the problems were and attempts to ascribe the requisite solutions. There were certain strengths as well as considerable weaknesses associated with the case study. It was found that Lewinââ¬â¢s(1951) models were followed to the letter in the structure of this health care clinic and that factors outside these frameworks were not used thereby creating obvious gaps. TECHNOLOGY: Tichyââ¬â¢s(1983) four main triggers of successful strategic change identifies technology as an important driver in the change. As is the situation in the case study it was found that with the advent of new modern technology strengths as well as weaknesses are abound.The medical technologists in the bio chemistry department were either inept with the new technology or were not prepared for the imposition of the new technology thereby dissatisfaction was wide spread, which can be seen as another weakness. Technologi cal shifts can substantially impact on the quality or content of the work and may ultimately influence the factors that affect survivability of the organisation. SOURCES OF DISSATISFACTION Paragraph 2 of the case study identifies several sources of dissatisfaction among the technologists that were of concern. The under mention identifies the concerns together with the possible cause and effect and likely solutions. Under utilisation in their workâ⬠-this can be seen as a weakness in the organisation and could have been possible as the OD staff failed and or neglected to take into consideration issues such as job design and redesign RAHIM (2001), job rotation, job enrichment, job enlargement and job evaluation on employees at the health care clinic. ââ¬Å"Communication within the laboratories was insufficientâ⬠-it is apparent that the communication channels between laboratories were severed or perhaps were insufficient. As such the OD experts should have embarked on team bu ilding workshops and organisational development seminars and sufficient enough training and development exercises. Work wasnââ¬â¢t evenly distributedâ⬠- this would suggest that there was a certain lack of supervision in the laboratories and there was a failure to have equity distribution in assignment and management of tasks. The issues of capacity management and production planning are areas that OD experts should have looked at. ââ¬Å"Medical staff didnââ¬â¢t treat them with the respect that they deserveâ⬠-this clearly suggests that the medical staff felt that the technologists were their subordinates and felt that way because the technologists may be less remunerated as compared to the medical staff. As such OD staff should take into consideration issues such as reward management systems, merit recognition eg. Employee of the month, performance pays system, team based pay and a comprehensive performance related merit system of remuneration. The advent of technolo gy had had simplified the work to the point that it no longer seemed to require the level of training common among medical technologistsâ⬠-this would suggest that technologists should have had enhanced training in other skill sets or multi skill training which would give them the extended capacity to build manpower capacity. ââ¬Å"Studies in personnel management literatureâ⬠-there is no such evidence in the case study to suggest that there were any studies in the personnel management literature carried out. ââ¬Å"Job challenge was a primary cause of job turnoverâ⬠-this is an issue really of job retention as opposed to job attrition. By looking at performance appraisal strengths and weakness can be determined.In looking at job turnover OD require job retention, job security and career and talent management. LEADERSHIP: The art of leadership is saying no, not yes. It is very easy to say yes. (TONY BLAIR, 1994) Are leaders born or made? Trait (1950) theory seems to sug gest that leaders are born and not made, yet Stodgill(1949) and Mann (1959) suggests that there are few relationship between the traits possessed by leaders and their performance. The Trait (1950) theory that leaders are born failed under scrutiny (Zaccaro, 2007). Kirkpatrick and Locke (1991) having examined existing literature on leadership suggests that there are six leadership traits.They are: 1-Drive 2-Leadership motivation 3-Honesty and integrity 4-Self confidence 5-Cognitive ability 6-Knowledge of the business As in the case study there is no clear indication as to the leader (Weisbord 1978) of the change process as it is reputed that the OD staff had discussions with the managers. Clearly no one took charge of the change process from the onset of the planned change. There is no evidence to suggest whether the OD staffs were adequately qualified to conduct such a change process or whether the interviews were conducted professionally. COMMUNICATION Communication is a key compon ent in the facilitation of any change process.For this reason communication is heightened importance when change is needed. Bordia et al (2004) suggests that communication during change is vital to manage employee uncertainty and feelings of loss of control. As was the case in this case study there is hardly any evidence to suggest that there was a proper reporting structure so that information on the change initiatives were being communicated to the technologists by the OD experts. To this end came the issue of the readiness for change as this is an important indicator to coping with resistance to change so suggests Armenakis, Harris and Mossholde(1993). Communication strategies need to emphasize two messages.They are: 1- The need for the change, that is, indicating what the organisation is doing as opposed to what it should be doing and 2- The ability to change successfully, that is, it is important that the employees believe that the change could be done thereby encouraging them to make the extra effort. TIMEFRAME: Apart from using volunteers to assist in the analysing of the data which is in itself questionable as there is evidence that they are overworked and not properly remunerated. The OD staff administered questionnaires which asked for confidential opinion as opposed to change or job analysis questions and there is no indication of its contents. These questionnaires sought only quantitative data.Whether the truth will be written on those questionnaires is anybodyââ¬â¢s guess as there is no validation of the data. There is no clear definition as to the timeline for the project and no implementation plan. The random sampling data collecting took two months seems to be incredibly long for such an exercise. To suggest that two years later the OD staff evaluated the results of the change program was incredulous to say the least as this was certainly not an effort in organisational transformation but rather an incremental change plan. This was an exerci se that was limited in scope, time and cost thereby failing to meet its objectives. RESISTENCE TO CHANGEResistance to change is a widely used term that generally gives a bad or a negative connotation. It us usually asked of employees to change something in the organisation that they may have been comfortable with for their entire life. That change will not come easy at all, there will be some anguish and fight and may even be the source of collective group action like strikes and industrial action by employees. This is not necessarily a bad thing. Ford and Ford(2009) suggests that resistors to change should not be overlooked but that resistance should be taken in a positive light and accepted as a form of feedback that can actually build and encourage the change process.Pockets of resistance can also be found with the Lewin (1951) model of unfreezing, moving and refreezing. As the activity of unfreezing comes to an end resistance is usually found as employees attempt to move. This i s quite natural as without proper communicating many are unsure of their future especially the employees who have fallen into their comfort zone. As with the case study there was a definite feature of resistance to change. 4. 0. REFLECTION: This change process was a failure from its inception because the very basic of protocols were not adopted. The OD staff sought to enlist volunteers who do not have the requisite educational capacity to carry out that vital function of collecting and analysing data.The human resources department should have been the ones directly involved in the change process. The change agent should have been engaged who is a highly trained professional in organisational development to lead the drive towards organisational transformation. In this case study the data collected would at best be unscientific and unrealistic to say the least. Change, whether planned or emergent can take a number of forms, each of which requires a different type of action. Utilising collective methods of action research together with capacity building and the will to include people in the change process will go a long way in achieving successful change.In conclusion it must be said that there are unprecedented opportunities and challenges in the health care industry for which organisational development (OD) practitioners must be aware of and as such there can be significant positive growth and development by linking strategic activities of the organisation towards the direction of organisational transformation. Organisational transformation can also be achieved by being able to facilitate integration of people and processes across traditional department and organisational boundaries and by acknowledging competencies and integrity. REFERENCES: ATKINSON, P. E. (1990) ââ¬ËCREATING CULTURAL CHANGEââ¬â¢ MANAGEMENT SERVICES VOL. 34 NO. 7, PP. 6-10.BPP PROFESSIONAL EDUCATION- ORGANISATIONS AND BEHAVIOUR SUPPORTIND FOUNDATION DEGREES, MANDATORY UNIT 3 P. 185.. CU MMINGS,T. G. AND WORLEY,C. G. (2005)ââ¬â¢ ORGANISATION DEVELOPMENT AND CHANGEââ¬â¢, 8TH. EDITION,THOMPSON SOUTHWESTERN. P. 509. HANDY, C. B. (1993)ââ¬â¢ UNDERSTANDING ORGANISATIONSââ¬â¢, 4TH. EDITION KOTTER, J. P. AND COHEN, D. S. (2002)ââ¬â¢ THE HEART OF CHANGEââ¬â¢, HARVARD BUSINESS SCHOOL PRESS MAYLOR, J. (2004) ââ¬ËMANAGEMENT 2ND. EDITIONââ¬â¢, F T/ PRENTICE HALL ,PP. 69-74. Mc LEAN, A. AND MARSHALL, J. (1998) ââ¬ËCULTURES AT WORK, LOCAL GOVERNMENT TRAINING BOARDââ¬â¢. MULLINS,LAIRIE, J. (1997)ââ¬â¢MANAGEMENT AND ORGANISATIONAL BEHAVIOUR 9TH. EDITION FT/PRENTICE HALL SENIOR, B.AND FLEMING, J. (1993). ââ¬ËORGANISATIONAL CHANGEââ¬â¢, 3RD. EDITION, FT/ PRENTICE HALL. BIBLIOGRAPHY Bradford & Burke. 2005. Re-Inventing Organisation Development, Wiley Publication. Cummings & Worley. 2004. Organisation Development & Change, Thomson Publishing French & Bell. 1999. Organisational Development: Behavioural Science Interventions for Organisation Improve ment, Prentice Hall Publication. French, Wendell,Bell, Cecil& Zawacki, Robert. 2004. Organization Development & Transformation: Managing Effective Change, McGraw-Hill Publication Stacy, Ralph. 2000. Strategic Management & Organisational Dynamics: The Challenge Of Complexity, FT/Prentice Hall.Morgan, Gareth. 2006. Images of Organisation, Sage Publication. Handy, Charles. 2002. Age of Un-reason, Pitman Handy, Charles. 1993. Understanding Organisations, Penguin Schein, Edgar. 1998. Process Consultation Revisited, Prentice Hall Schien & Gallos. 2006. Organisational Development, Jossey Bass Publication Burnes, Bernard. 2004. Managing Change: A Strategic Approach to Organisational Dynamics, Prentice Hall. Oppenheim, A. N. 1992. Questionnaire Design, Interviewing and Attitude Measurement Vansina, Leoplod & Vasina-Cobbaert, M. J. 2008. Psychodynamics for Consultants & Managers: from Understanding to Leading Meaningful Change, Wiley Publication.
Subscribe to:
Posts (Atom)