Modern Project managing Essay Example | Topics and Well Written Essays - 1250 words

Modern Project managing - Essay Example As such, this student has reviewed an article within the Wall Street Journal which is specifically directed towards project management and the means by which project managers ultimately succeed or fail. The article itself, entitled, â€Å"Dangers of Clinging to Solutions of the Past† approaches the topic of expertise and it applications within project management from a different perspective than almost all other research articles or readings in the press have. Rather than assuming that a great degree of experience is necessarily represents a net asset to the organization, the approach of the author of the article, as well as the information that was reviewed is that the prior knowledge of a manager is not a pre-requisite to success and worse still may represent a very broad range of negative carryovers from incorrect ways that problems had been tackled in the past. As a function of understanding these nuances, the following brief paper will seek to highlight the ways in which traditional understandings of the importance of experience significantly deviate from the perspective that the author of this particular piece of journalism has concluded. Although it is of course incorrect to take a piece of journalism such as the Wall Street Journal and draw a wide range of inference from it with regards to the way in which project management should necessarily proceed, this alongside the other forms of inference that the student can glean from reading management textbooks and a range of peer reviewed articles help to paint the picture of how aspects of so-called â€Å"common sense† deviates significantly from what practicality and actuality demand. Whereas our current model of understanding change and leadership center around finding an individual with the sage knowledge to guide a firm, organization, or group of employees towards the new paradigm, the fact of the matter is, as discussed by the article’s author, that oftentimes the change leader wit h little to no prior experience within such a context can oftentimes evoke a more positive transition than one who has a storied past illustrated during a broad career. As the author notes, this is the result of the fact that few if any change managers that have a broad level of experience have been proven to integrate positive change in an organization. Conversely, those managers that have little if any real world experience have to do what the author refers to as â€Å"learn on their feet†. In this way, rather than forcing an approach that has somewhat worked in the past into a situation, department, or business in which it is more than certain to fail. Conversely, the ability of the young and/or otherwise inexperienced leader to invoke a level of positive change is aided by his lack of baggage from previous employers. Although experience in and of itself is not a detriment to the leader’s progress, the reliance and understanding upon this experience as a means of ef fecting the new change is. As the author of the article states, the fact of the matter is that the inexperienced leader has a definite advantage upon the competition due to the fact that he/she is not polluted by pre-conceived notions of what would ultimately provide a net benefit to the firm or

Strategic Analysis of Sainsbury Essay Example | Topics and Well Written Essays - 1500 words

Strategic Analysis of Sainsbury - Essay Example In spite of the prevailing issues, the UK market has been able to acquire a stable and reasonable growth rate (Li, 2008, p.1). There are about 92,796 grocery stores in UK which is further divided into four sections, Convenience store; super markets, hypermarkets and superstores; Traditional retails and online channels (IGD, 2011). The biggest retail grocery chain in UK comprises of Tesco, Sainsbury, Morrison and ASDA, accounts for 67.9% of the total grocery market of UK (Li, 2008, p.2). Strategic Analysis Strategy is defined as the scope and direction of an organisation for long term, which is set to achieve advantage for the organisation by way of configuring its resources within a changing environment and to fulfil the demands of the stakeholders (Paul, et.al, 2010, p.36). SWOT Analysis Strength: Sainsbury ranks third in the supermarket chain of UK with about 14.30% of market share. This company has a strong market position in UK and was a pioneered in self service relating and in the development of private label goods. Sainsbury initiatives have kept the company at the number 3 position. Sainsbury strength lies on its strap line which states to try something new each day (Li, 2008, p. 4). The Business Model of Sainsbury, which comprises of five headings, great food offered at fair price, accelerating the growth of non food items, reaching customers by way of traditional means of channels, expanding supermarket space and property management is one of the important strengths of Sainsbury. Major strength of Sainsbury, is that the brand believes in providing the customers with sage, healthy, tasty and fresh food. The company emphasise more on fresh food and continues to innovate products according to the requirements of its customers. The company currently transact 21 million customers per week and have captured a market share of 16% which further adds to the strength of the company. The company offers about 30,000 products and also offers a wide range of non fo od products and services. The internet based home delivery service also adds to the advantage of the company (J Sainsbury Plc, 2011, p.3). Weakness: A major weakness of Sainsbury is that the company deals only in two types of store formats, the traditional supermarket and the convenience stores. As compared to other grocery retail outlet, Sainsbury has the least number of types of stores. Tesco has six different store formats which have greatly contributed to the success of Tesco. Another weakness for Sainsbury would be recession. It has been reported that the company has shown signs of poor sales figure with the warnings of recession. Sainsbury has recorded the slowest sales growth ever since 2005 and its share price dip to 327.7p which was analysed that the company was lagging behind its competitors. The company has the weakest operating margin in the food retail sector as compared to its competitors such as Tesco (Finch, 2010).Thus the company must overcome the weakness by using its strength. Opportunities: A huge opportunity lies with Sainsbury to grow as the UK retail market is growing at a steady rate, it provides ample opportunity for the company to utilise its resources and capabilities and grow and achieve a decent market share. With its five main areas of growth, this includes great food at great price, increasing the number of complimentary food, reaching customers by home deliver, and by active property manageme

KTG leader ship Essay Example for Free

KTG leader ship Essay Introduction An environmental analysis in strategic management plays a very important  role in businesses by pinpointing current and potential opportunities or threats outside the company in its external environment. The external environment includes political, environmental, technological and sociological events or trends that can affect the business directly or indirectly. The main objective in this report is an environmental analysis using all the factors and analyzing tools , generally conducted as part of an analysis of strengths, weaknesses, opportunities, and threats (SWOT) when a strategic plan is being developed. Managers practicing strategic management must conduct an environmental analysis quarterly, semi-annually, or annually, depending on the nature of the businesss industry focusing on the followings: Analyzing factors effectiveness on our organization as one of the biggest group in the healthcare services in the region. Organization sources and competitors. Organization values chain construction. SWOT analysis evaluation. Ref: http://www.wisegeek.com/what-is-the-role-of-environmental-analysis-in-strategic-management.htm , 2014 3.ANALYSING FACTOR EFFECTIVENESS: 3.1 Macro Environment Analysis: One of the best tools for considering trends in the Macro environment is the PESTEL analysis. (Figure 1) Figure 1 3.1.1Political factors: Since we are located here in the UAE, we have no taxation and this is one of the strength point we are depend on. but at the same time our administration team not recognizing that the minimum wages should be increased comparing with the other facilities and hospitals in our region as a big competitors. 3.1.2Economic: Economic factors include economic growth, interest rates, exchange rates and the inflation rate. These factors have major impacts on how businesses operate and make decisions. For example, interest rates affect a firms cost of capital and therefore to what extent a business grows and expands. Exchange rates affect the costs of exporting goods and the supply and price of imported goods in an economy. And since our organization as privet health care facility, based on the profit rate it takes in the consideration all these factors especially after it involved in the stock market last year. Beside that the new plan is to minimize the expenses that related to the interest exchange rate by following the centralization policy. ex. making one laboratory for all branches with a very controlled transportation system for sending the patients samples to the centralized laboratory instead of having a separate laboratory in each branch 3.1.3Social: Our organization as one of the privet hospitals in the region , is giving all the healthy activities, health care providing, never giving any changing as a demographic trends. We are doing outside activities supporting some certain people those who have a chronic disease like the diabetic patients to have more and more knowledge about themselves and how to take care about it. Ref(CBS course , topic 2 , page # 5) 3.1.4Technology: We are depending on the development of new technology to maintain competitiveness. Ex(opening new department of the Nuclear medicine for early Cancers diagnostics ) 3.1.5 Environment: factors include ecological and environmental aspects such as weather, climate, and climate change, which may especially affect industries such as tourism, farming, and insurance. Furthermore, growing awareness of the potential impacts of climate change is affecting how companies operate and the products they offer, both creating new markets and diminishing or destroying existing ones. Ref http://en.wikipedia.org/wiki/PEST_analysis According to our national regulations and environmental roles ,we are following the EHSMS(Emirates Health Safety Management System). 3.1.6 Legal  include discrimination law, consumer law, antitrust law, employment law, and health and safety law. These factors can affect how a company operates, its costs, and the demand for its products. The services in the hospital is the same for all patients and the priority is only for the urgent and emergency cases only not according to the nationality, color or any other discrimination issues. And on the other side there is a special track for the VIP patients ,giving the best quality to be the first choice in the region as a privet hospital. 3.2 Micro Environment Analysis: One of the best tools for considering trends in the Micro environment is the porter analysis. (Figure 2) Figure 2 Porter five forces analysis is a framework for industry analysis and business strategy development. It draws upon industrial organization (IO) economics  to derive five forces that determine the competitive intensity and therefore attractiveness of a market. Attractiveness in this context refers to the overall industry profitability. An unattractive industry is one in which the combination of these five forces acts to drive down overall profitability. A very unattractive industry would be one approaching pure competition, in which available profits for all firms are driven to normal profit. This analysis is associated with its principal innovator Michael E. Three of Porters five forces refer to competition from external sources. The remainder are internal threats. 3.2.1 Threat of Substitute Products or Services: A substitute is a product that performs the same or similar function as another product. Microeconomics teaches that the more substitutes a product has, the demand for the product becomes more elastic. Elastic demand means increased consumer price sensitivity which equates to less certainty of profits. For example, public-transportation is a substitute for driving a car, and e-mail is a substitute for writing letters. Conditions that increase the threat of substitutes are: 1.2.1.1 An attractive price of substitutes: Our organization as a privet health care facilty depends on the insurance companies in how much they are fixing the prices of the services and products, but they are trying to do some marketing using special prices for the labors in some company by doing full checkup examination for those people who don’t covered by insurance. 1.2.1.2 Increased quality of substitutes: Our facility is trying to give the best quality to be the first choice in the region in the privet health care sector. Focusing more and more to follow the highest international standards like the JCIA (Joint Commission of international accreditation) ,CAP(Collage of American Pathologist) and the ISO ..Etc 1.2.1.3 Low switching costs to consumers: our Administration is not switching the cost to the consumers since they are covered by health insurance. But sometimes they are switching the costs to the staff by minimizing the staff without enough study to the work load or stopping the annual increments. 3.2.2 . Threat of Entry: Profitable markets that yield high returns will attract new firms. This results in many new entrants, which eventually will decrease profitability for all firms in the industry. Unless the entry of new firms can be blocked by incumbents (which in business refers to the largest company in a certain industry, for instance, in telecommunications, the traditional phone company, typically called the incumbent operator), the abnormal profit rate will trend towards zero (perfect competition). The following factors can have an effect on how much of a threat new entrants may pose: The existence of barriers to entry (patents, rights, etc.). The most attractive segment is one in which entry barriers are high and exit barriers are low. Few new firms can enter and non-performing firms can exit easily. Government policy Capital requirements Absolute cost Cost disadvantages independent of size Economies of scale Economies of product differences Product differentiation Brand equity Switching costs or sunk costs Expected retaliation Access to distribution Customer loyalty to established brands Industry profitability (the more profitable the industry the more attractive it will be to new competitors) Rivalry Between Established competitors: Rivalry refers to the degree to which firms respond to competitive moves of the other firms in the industry. Rivalry among existing firms may manifest  itself in a number of ways- price competition, new products, increased levels of customer service, warranties and guarantees, advertising, better networks of wholesale distributors, and so on. The degree of rivalry in and industry is a function of a number of interacting structural features: Rivalry tends to intensify as the number of competitors increases and as they firms become more equal in size and capability. Market rivalry is usually stronger when demand for the product is growing slowly. Competition is more intense when rival firms are tempted to use price cuts or other marketing tactics to boost unit volume. Rivalry is stronger when the costs incurred by customers to switch their purchases from one brand to another are low. Market rivalry increases in proportion to the size of the payoff from a successful strategic move. Market rivalry tends to be more vigorous when it costs more to get out of a business than to stay in and compete. Rivalry becomes more volatile and unpredictable the more diverse competitors are in terms of their strategies, their personalities, their corporate priorities, their resources, and their countries of origin. Rivalry increases when strong companies outside the industry acquire weak firms in the industry and lunch aggressive, well-funded moves to transform their newly-acquired firms into major market contenders. Two principles of competitive rivalry are particularly important: (1) a powerful competitive strategy used by one company intensifies competitive pressures on the other companies, and (2) the manner in which rivals employ various competitive weapons to try to outmaneuver one another shapes the rules of competition in the industry and determines the requirements for competitive success. Since our hospital is the biggest hospital in the area, it depends in the competition on increasing the branches in all areas inside and outside the city for more than 8 branches directed by the corporate office in the Capital. 3.2.4 Bargaining Power of Customers: 3.2.4.1 Markets for Outputs: Selling goods or services to customers (distributors, customers or other manufacturers) Customers’ influence dependent upon importance of products to them their bargaining power We have a marketing team of 4 members working under the supervision of the corporate office , handling all the outputs issues like : the chronic patients disease health care activates offering free of charge checkup (ex. diabetic patients..) 3.2.4.2 Markets for Inputs: Purchasing raw materials, components and financial labor services. The same team also cooperating with the purchasing department together working to get the best quality materials for the lowest prices in order to minimize the costs. And that will allow the hospital to give more best services more than the other competitors. 3.2.5 Bargaining Power of Suppliers: The power balance between organization and supplier is similar to the relationship between organization and customer The organization becomes the customer and the producer of the inputs it requires are the suppliers Some small groups of suppliers may form cartels or cooperatives to increase their bargaining strength Suppliers use leverage such as threats to raise prices or reduce quantity or quality of goods they supply We are depending on the process comparison in the market and to services the suppliers will provide to us. In the opposite side, we are a customer for the suppliers and since we are the biggest customer in the privet sector we can manage the deal according to our needs. 3.3 Formulating: Formulating is phase one in the strategic planning process and according to  the diagram below We can see that it plays a very important in taking the best decisions and actions to achieve the objective of the organization. In our hospital there are many plans in how to make all these decisions become a real. At the beginning of each new year , we are making our plan projects for the next 12 months And everyone have to achieve his planed objectives as individual under the umbrella of the administration and corporate office objectives. And at the end of the year will have an assessment to check how many objectives he reached , according to his work assessment will get his increment , so that will let him work harder during the year to achieve the organization objectives. Figure 3 Ref(CBS course , topic 1 , page #12). 3.3.1 Organization sources and competitors : Our hospital sources is strong enough to be a strong competitor in the market depending on: Best medical companies as materials providers.  Best marketing plans based on the corporate marketing plans. Patients (as a customers ): Accepting all the insurance cards at the time that some other hospitals don’t accepting all patients. 3.3.2 Organization value chain construction Value chain is a template that identifies the activities of a company from raw materials to customer, the value added by each activity and the cost of each activity, and that facilitates implementation of business-level strategy . Ref ( CBS Strategic Management Topic 3 Page#6) The axiom is true that you never get a second chance to make a good first impression, and hospitals have many opportunities to do so. Or not. At several junctures along the trek of accessing services, the patient confronts a series of opportunities to continue in the system or not, based on the success of the interaction. These touchpoints are not created equal, and it is important to know which has the greatest impact. Here, we can focus the Service Line Growth strategy. As a tool to understand the impact  of each touchpoint, value-chain service analysis maps the process to help us decide where to focus strategic intent. Hospital business planning adapts a model developed by Michael Porter, who defines the value chain as a means to analyze an organization’s strategically relevant activities to understand how to influence performance and cost. He breaks the activities of the firm into primary and support activities. Primary activities—which, for most firms involves inbound and outbound logistics, operations, sales and marketing—are supported by an infrastructure of underlying support activities, including HR, IT, and purchasing. How the product or service is ultimately developed and delivered to the customer depends on the effective interaction of these variable activities. The hospital value chain is diverse and complex. Our service offerings are far from clear cut, varying sharply between service lines. Each specialty and disease category has a distinct value chain to be flowcharted and analyzed prior to understanding where we can impact choice by creating value. In most cases this is at the physician referral point where patients make initial decisions. This may be a primary care physician or a specialty care physician who is directly involved in managing the hospital encounter. In most cases, it is the loyalty of the physicians and their attitude towards the hospital that determines the direction of the process. This analysis is a good tool for getting stakeholders on the same page. It helps focus planning efforts and gets to the key issue of where to go and what to do. This leads us to the question—what business are we in, and where do we strategically want to focus our efforts, which is the essence of strategy. Figure 4 4.1 Strengths (Internal Factors) The hospital key strengths are the following: Long Standing Reputation – was the previous monopoly Company in the industry Government Affiliated – trusted in the Market Most skilled employees in the industry – generated good client relations 4.2 Weaknesses (Internal Factors) The main functional areas of weakness are the following: Production Costs in comparison to competitors Profit Margins – in comparison to competitors Service Delivery – poor operational functions Loss of Contracts – lack of continual Contract retention Company Culture – disconnected, divided, tall organisation structure HR Policies Procedures – poor employee retention, lack of career development, low morale Lack of MIS – no common management information systems in place across functions. Brand Identity/Image – lack of Marketing department Conclusion: The main objective is the consideration of the external and internal analyzing factors, using all the analyzing tools and studies like: PORTER, SWOT and all other analyzing international methods. This report explained clearly the essential required methods for analyzing using the practical example of my organization (Privet Hospital), how to make the competitive advantages and how to use all the efforts to get the best analyzing results. After the analyzing how can we use our strength points to be the first choice in the market and how to correct the weakness points to avoid any problem in the future. In the light of the above there are essential factors which might be affecting in any organization , so we have to cover all the points that I mentioned about it before like : Analyzing factors effectiveness on our organization as one of the biggest group in the healthcare services in the region. Organization sources and competitors. Organization values chain construction. SWOT analysis evaluation. 6. References http://www.wisegeek.com/what-is-the-role-of-environmental-analysis-in-strategic-management.htm , 2014 (http://en.wikipedia.org/wiki/PEST_analysis) , 2014 CBS course , topic 2 , page # 5 , 2014 http://en.wikipedia.org/wiki/PEST_analysis , 2014 http://www.oshad.ae/en/sectors/healthsector/Pages/ehsmsrequirements.aspx, 2014 http://www.dineshbakshi.com/igcse-business-studies/external-environment/revision-notes/63-external-environment-factors, 2014 http://en.wikipedia.org/wiki/Porter_five_forces_analysis ,7 March 2014) http://en.wikipedia.org/wiki/Porter_five_forces_analysis#Threat_of_new_entrants, 2014 http://www.strategy-formulation.24xls.com/en114 CBS course , topic 2 , page #17 , 2014 CBS course , topic 2 , page #20 , 2014 CBS course , topic 1 , page #12 , 2014 CBS Strategic Management Topic 3 Page#6 , 2014 http://healthcarestrategicadvantage.blogspot.ae/2007/11/value-chain-analysis.html , 2014 Strategic Management Unit 306 (CBS) , 2014

Needle Stick Injuries Among The Nursing Student Population Nursing Essay

Needle Stick Injuries Among The Nursing Student Population Nursing Essay The purpose of this literature review research proposal is to estimate the efficacy of AOP, and close supervision which is provided by nursing schools and hospitals on the Needle Sticks Injuries [NSIs] prevention among the nursing student population. Research has shown that the educational programme for prevention of NSIs is crucial for the healthcare workers but it is rarely conducted and evaluated among vocational school nursing students. Bearing in mind the previous points, the review will be complemented by using methodology of a wide-ranging review of the related literature. That is to say, the effective appliance of the educational programme and close supervision might lead to prevent the NSIs among the nursing student population. Objectives: To review critically and analyse literature on the effect of close supervision and academic orientation programme that are provided by schools and hospitals on the needle stick injuries among the nursing student population. To evaluate the needlestick injuries among nursing students. Factors related to exposure, departments in which they work and high risk procedures causing most of these injuries. To develop recommendations for practice based on the findings of this proposal review. Framework for Proposal: Punchs (2006) framework for developing research proposal was used as a structure for this proposal. Besides, punch stated that the proposal is a central and essential component to performing any research. Introduction: In recent years, there has been an increasing interest in strategies which might reduce the risk of exposure to blood-borne pathogens, including hepatitis B vaccination, clinical training, educational programmes, universal precautions and, most recently, needle-protective devices as stated by the Centers for Disease Control and Prevention [CDC] (2011). According to World Health Organisation [WHO] (2006), needle sticks injuries play a crucial role of blood born serious pathogens transmission among Healthcare Workers (HCWs). One single accident could is sufficient to produce a serious infection as stated by the CDC (2003). Furthermore, the main hazards of sharp injuries are viruses such as Hepatitis B virus (HBV), Hepatitis C virus (HCV), and Human immunodeficiency virus (HIV) (Yao et al., 2012). Remembered that, the first case of HIV transmission from patient to an HCW was reported in 1986 (Stricof Morse, 1986, cited in Petrucci et al., 2009). According to RCN (2012) sharps injuries are preventable and learning following incidents should be put in place to avoid repeating accidents. Further analysis showed that, the majority of these, such as exposures sustained whilst handling needles or clearing clinical waste are preventable with adherence to procedures for the safe handling of sharps and the disposal of clinical waste (HPA, 2008). Yao et al (2010) reported that there are insufficient clinical experience and occupational safety training provided by nursing schools and hospitals, hence nursing students are at high-risk of needle stick injuries. However there are other studies shows that a combination of education, introducing a universal precautions to different hospital departments, especially emphasizing on the importance of needle recapping prohibition, and the use of sharp containers disposal containers have reduced NSIs by 80 % (Wilburn et al., 2004). Another important finding report that the common clinical areas in which NSIs and sharps injuries occur include surgical departments and medical settings (Yao et al., 2010). Research has shown that, the majority of NSIs (40%) occurs in the medical wards, intensive care units and operating rooms (Petrucci et al., 2009). In addition, the needlestick injuries were most commonly reported as occurring on wards and in patients rooms (Talas et al., 2009). It is clear from the above that, when injuries stratified by departments, the highest rate of needle stick injuries was seen in the surgery department. It might be said that the occurrence of needle stick injuries is significantly related to clinical practice behaviours. Limited work experience with handling NSIs and insufficient awareness of occupational safety measures are reported in Chinese nursing students (Yao et al., 2010). That is to say, the probability of accidental exposure is reduced significantly with the increase of clinical skills during the clinical training period and the effective presence of tutors in clinical training education as stated by Petrucci (2009). Aslam et al (2010) stated that recapping the needle after use has been considered as the most frequent factors responsible for NSIs among health care workers. It must also be noted that, 42.5% of NSIs occurred when nursing students was working alone (Petrucci et al., 2009). A possible explanation for this is suggested by Talas et al (2009), that inadequate supervision in clinical practice areas causing NSIs. It has been found that the NSIs as high as 100,000 per year between 1997 and 2007 (Godfrey, 2001 cited in RCN, 2012). However, there were just fewer than 4,000 significant occupational exposure incidents reported to the Health Protection Agency (HPA, 2008). Nurses account for the highest percentage of percutaneous injuries (CDC, 2004, cited in Petrucci et al., 2009). According to NHS (2011) at least four UK healthcare workers are known to have died following occupationally-acquired HIV infection. This project will investigate the available literature with the aim of summarising, and evaluating current knowledge according to Machi and Mcevoy (2012). Incidentally, to explore the question with reference to different sample groups who are geographically spread. In general what this means, the study will have an international focus to help meet the diversity consideration. Current/Preliminary literature review: To recognise how this study fits with the existing body of knowledge on the subject, a literature search was carried out using a number of databases including PubMed were searched. In addition, CDC website was hand searched as it is a key website related to the evaluation topic. Although most of NSIs research focused on HCWs students, nursing students in hospital clinical practice are also at high risk of exposure. Also, most of investigation that examined NSIs in students populations generally studied medical and dental students rather that nursing students (Aslam et al., 2010; Zafar et al., 2009; Valls et al., 2007 and Sharma et al., 2010). As a result, the information related to nursing students NSIs is relatively lacking worldwide. However, plentiful studies have been carried out in recent years all aimed at understanding the factors which are related the needlestick injuries among nursing students in order to produce an effective preventable measure which should be implemented early in nursing students education (Talas et al., 2009; Yang et al., 2007; Yao et al., 2010; Hambridge et al., 2011; Yao et al., 2012 and Petrucci et al., 2009). Consequently, the most crucial point made so far is how are the Academic Orientation Programme (AOP), and close supervision of needle stick injury prevention among the nursing student population? Methodology: According to Aveyard (2010) a literature review is a comprehensive study and interpretation of current literature in relation to an exact topic. It involves the identification of a research question and aims to answer said question via searching and analysing relevant literature in a systematic approach. Aveyard (2010) also argues that a literature has even more validity if reviewed in relation to other literature available on the same topic. The researcher deems the use of a literature review for the purpose of this study appropriately as the study aims to examine various current literatures, interpret and summarize them, infer new ideas and present gotten ideas in a methodical and well-established manner. In order to address the research question how effective are the Academic Orientation Programme (AOP), and close supervision of needle stick injuries prevention among the nursing student population?. This study review will be from both qualitative and quantitative traditions. The reason for selecting a qualitative approach was that it was felt that more detailed explanation by nursing students would provide more depth to the investigation. This investigation was based on secondary research due to the fact that a rich body of data already existed and further analysis could offer insight. On the other hand, using of quantitative tradition could highlight some statistical analysis. A number of research studies have been undertaken to discuss the needlestick injuries among the nursing student population. Yao et al., (2012) reported that the appliance of safety training and educational programmes consider a need for nursing students before they start clinical practice. Research has shown that, the adequate presence of tutors in the clinical training education and simulation laboratories for nursing practice that could enable nursing students to gain a remarkable experience by doing procedures and then observing their impact without compromising the health and safety of human patients (Petrucci et al., 2009). However, few studies have included nursing students; some studies survey the attitude of nursing students towards needle sticks and sharp injuries in different workplace. Data into the reasons why nursing students are vulnerable to needle stick injuries was collected from three main sources. Sources were found via an electronic database and were articles whic h focused on different primary studies undertaken in 2010, 2009 and 2008. The first stage of the investigation involved analysing the three sources and comparing them to see if there were clear themes common to all three. Methods: According to Punch (2006) the method section is the specific data collection and analysis procedure that defines how the data will be collected and processed to answer the research question. This refers to that the proposal should demonstrate an internal validity. Here, this means that the chosen methods should match the written question (Punch, 2006). Furthermore, a review must be carried out, systematically, thoroughly and comprehensively to enable the production of valid results which in turn relates to conclusions (Aveyard, 2010). Method section is significant to evade collection of data unrelated to the study as stated by Hart (1998). To ensure this, a systemic search strategy would be developed involving the use of electronic searches, hand searches and reference list searches as suggested by Aveyard (2010). Sample and data collection method: According to Aveyard (2010) using of inclusion and exclusion criteria will frame and narrowing of literature and certain significance of data to the study. In addition the using of inclusion and exclusion criteria enable the researcher to demonstrate the scope of detail of the review that would not demonstrated in the review question itself (Aveyard, 2010). Unpublished Example of inclusion criteria: Primary research relating to needlestick injuries among the nursing student population. Literature focused on the needlestick injuries among nursing students during their clinical practice in hospitals. English language literature only. Published literature only. 2007 onwards. Example of exclusion criteria: Literature discussed the needlestick injuries among health care workers or medical, dentist students only rather than nursing students. None ethically approved and conducted studies, to ensure validity of the study. The PICO framework, as set out below, was used to define the search strategy: Population Nursing students from different area of practice. Intervention Academic Orientation Programmes and close supervision which provided by nursing schools and hospitals. Comparison Nursing students have been received or have not been received effective academic orientation programme and close supervision, and their perception toward needle sticks injuries preventive methods. Outcome Prevention or avoiding the NSIs by insuring that nursing students have received the necessary preventive measures without fail. For effective data collection method, the identification of key terms and using a Boolean logical operators such as (OR, NOT and AND), Wildcards (?) And Truncations (*) are essential for obtaining the maximum number of relevant data on the research topic (MACHI and McEVOY 2012). The restriction was put on the year of publication, studies have been done after 2007 and only English language articles were included. Appendix 1 and 2 in the appendices gives an illustration of search terms using BOOLEEN operators, wildcards and truncations to connect the keywords. Access to data/sample: According to Aveyard (2010) the using of academic search engines could be more specific than a general search engine electronic searching, they allow the researcher to do advance searching using different combination of words and have direct access to academic journals and e-books. In addition, To effectively carry out this study, data collection will be from different sources. Data will be accessed mainly via the Oxford Brookes University available databases. These databases are; PUBMED: An extensive medical, biomedical and nursing database. CINAHL (Cumulative Index to Nursing and Allied Health literature) MEDLINE (Connecting through Ebsco, Web of knowledge or PubMed) In addition, academic literature references throughout Google Scholar, E-journals and books from the university library as well as the John Radcliffe hospital library would be searched for the purpose of this study. This is to ensure a level of credibility in the data being used for the study. Data analysis method: This stage involves the critical appraisal and analysis of the data has been collected. One set of tools has been produced by the Critical Appraisal Skills Programme (CASP, 2011). Also, CASP has published critical appraisal tools for review articles, quantitative studies, RCTs, cohort and case control studies (Aveyard, 2010). The benefit of using a critical appraisal tool rather than using an unstructured approach in relation to the research question deems the use of a CASP tool appropriate. This is due to the fact that all of the appraisal tools listed, the CASP tool is the most diverse. According to the University of South Australia division of Health Sciences (2011) it could be used in critically analysing different kinds of studies (RCT, Case Control Study, Systemic Review, and Qualitative Study). Furthermore, it provides a checklist for the researcher in relation to the type of study being conducted which enables checking for biases and confounding variables so that it has no ef fect on the analysed result (,). The CASP tool for systematic reviews would thus be utilised in the critical analysis of data for the study. According to Aveyard (2010) to determine the relevance of each selected paper, researcher could use 3 fundamental questions: Is this literature relevant to my review? Have I identified literature at the top of my hierarchy of evidence? Is this literature of high enough quality to include in my review? Whilst this helps the novice researcher the data will require testing with a validated critical appraisal tool. This will be the Critical Appraisal Skill Programme tools (CASP) a recognised framework for critical assessment, developed by the Public Health Research Unit at Oxford University. This department is now under the direction of Solutions for Public Health (SPH, 2011). To advance credibility to my research I will explore the concept of triangulation (Holtzhausen, 2001) in my analysis. Furthermore, by following triangulation as a multi-method research approach, the literature review sits well with the triangulation concept of using more than one method or source of data to study social phenomena. This idea supports the process of cross checking findings that is derived from both qualitative and quantitative research and exploring any comparisons that appear adding rigour to the findings. According to Aveyard (2010) looking for similarities and disparity is important in the synthesis of the research. Also, comparing and contrasting outcomes that encompass negative and positive results will be discussed to illustrate the depth and variety of data reviewed. Ethical issues: Given that the proposed methodology for this research is a literature review, ethical approval is not a prerequisite as stated by Aveyard (2010). According to Houghton et al (2010) the ethical issues are present in any kind of research; have to be considered when undertaking qualitative research. This is due to the fact that literature reviews are grounded solely on critically analysing and estimating primary research carried out by other researchers, hence there is no direct contact between the researcher and participants. In addition there are no primary data to be collected. Though, it is significant to recognise the mechanisms for granting such approvals as the outcome may lead to further research. As a reviewer of research and a qualified nurse I am accountable to ensure that any research reviewed had been handled ethically. Guiding ethical principles to consider in health care are; Non-malfeasance, Beneficence, respect for autonomy, informed consent, honesty and integrity, and the need to maintain confidentiality and anonymity. Awareness of all others research I am responsible for portraying other work fairly and objectively whilst acknowledgment by referencing, all materials discussed. Rigour: According to Vickers (1995) literature reviews should be subject to the same standards of scientific rigour as primary research. In other words, the process of extracting information from the published scientific data should it be scientific. In addition, Vikers (1995) further explains that two major characteristics of a well conducted study are transparency; meaning that the reasons for any conclusions written by the researcher are made explicit, and replicability; which implies that the research if carried out by the reader produces the same results. Therefore, in carrying out this study the researcher will ensure transparency and replicability by ensuring the collection, appraisal and analysis of data as well as representation of findings are comprehensive, thorough and systematic. Limitations: Resources will be limited with no financial support. Additional finance might have enabled you to employ the assistance of other researchers who would have aided you in the search, critique and bringing together of the literature (Aveyard, 2010). Seeking out grey literature will be time consuming. In contrast, Aveyard (2010) stated that the using of only published data could bias the result of the review. However, the amount of data available could be overwhelming for the novice and must be planned with care to avoid this happening. Punch (2006) stated that the delimitation means defining the limits of our drawing the boundaries around a study, and showing clearly what is and is not included. This is sometimes useful in avoiding misunderstanding by the reader. As a novice researcher the approach to the identification, critique and bringing together of the literature may not have been as thorough as that of a more experienced researcher (Aveyard, 2010). In any research, limitations should be expected. Thus, it is essential for a researcher to acknowledge anticipated limitations of a study (Punch, 2006). Some of the potential limitations of this study include; Inability to access data: As some databases are only accessible by members of a particular group or association. This may result in finding a limited amount of data that suit the purpose of the study which could in turn lead to bias. The researcher will endeavour to avoid this by going an extra length to access such databases including signing up to such groups or associations where possible. The inexperience of the researcher: This may result in discrepancies in the collection and critical analysis of data. The project time scale: This study is set to take place within a 12 month period and this may serve as a constraint. Project Timescale: This table outlines the project management plan (Time frame). Its anticipated that the study will take over 12 months, table below show how I will carry out the project over the coming months. Months Activity 1 2 3 4 5 6 7 8 9 10 11 Literature search Writing Proposal Data Analysis Result Summary Writing Dissertation Submitting Dissertation Recommendations for practice: As a result of the present study, the following are recommended: Design more intensive education program directed at all nursing student populations to increase their awareness of and compliance with universal precautions and in instituting polices. Ensure that all nursing students are fully immunised against hepatitis B before they begin clinical practice. Eliminate unnecessary needles from the hospital environment wherever possible and replace with safer products through implementation of industrial research for the development of new technologies that could improve working conditions and reduce the risk of occupational diseases in health care settings. Activate the tutors role in providing a high quality of monitoring and presence during clinical training education. Dissemination: The purpose of this study is to identify the effectiveness of the Academic Orientation Programme (AOP), and close supervision on needle stick injuries prevention among the nursing student population. Dissemination of the results is what makes the project valuable, dependent on the findings it is anticipated that the outcomes will support improvements in practice. As the outcome is intended as a resource for my department it is anticipated that the dissertation be communicated as a presentation. Therefore, for the findings of this study to have an effective impact, widespread distribution is important. The researcher proposes dissemination would be done via peer reviewed journals, seminar presentation to colleagues and members of staff of the Oxford Brookes University and via the internet for further education of the general public. Also, copies would be made available in the Oxford Brookes University library for students and other prospective researchers.

Camera Cell Phone Technology Save Lives :: Exploratory Essays Research Papers

Camera Cell Phones Save Lives My first year of college was approaching rapidly, and I was still trying to get my supplies gathered together. Most of my items I had already stockpiled, such as bedding, a computer and a fridge. One item missing on my list was a cell phone. My parents had insisted that I purchased one when I got my driver's license, but I never seemed to find the time to get one. Being a teenage girl in this day of age, my parents thought I should always have a way to get help in emergency situations. I did not disagree with them or the majority of parents who had the same idea, but I had my own opinions about owning a cell phone. I was never the type of person to be responsible for my belongings, but I figured that since I was heading to college, a cell phone would be a good start towards my path to becoming a responsible adult. Owning a cell phone would force me to pay my own phone bill, which I dreaded, and keep track of my call minutes and phone. I figured it could not be too hard due to the fact that all my friends purchased their cell phones when they entered freshmen year of high school. I never imagined buying a cell phone would be such a hard task. When I entered the brightly colored PHONZ PLUS store, my eyes filled with the sight of an enormous variety of cell phones. I wanted to walk out of the store right then, but the stern look on my mother's face directed me toward the sales representatives. After going through all the cell phones and the call plans, I finally decided on the verizon camera phone. At first, I was a little unsure about buying such a high-tech phone, but it ended up being the cheapest option with the most benefits. I could take pictures, send pictures via email, have access to the internet, text message, and speed dial. This particular phone was recommended for a kid of my age because there was a special button that could automatically connect me to the police in case of an emergency. Whether it be text messaging, sending a picture, or calling the police; they were always at reach at the touch of a button. This made my mom be hooked right away. I was amazed that a two-inch by two-inch phone could complete so many tasks.

Comparing the Message of The Rhodera, Each and All, and Hamatreya :: comparison compare contrast essays

The Message of The Rhodera, Each and All, and Hamatreya We hear every day that we don’t appreciate nature and that we try and conquer it but I don’t think anyone actually thinks about what that means. These three combine to tell of nature and what Emerson appreciates about it. They also let nature have a "say" about what she thinks of humans. In "The Rhodora" a simple flower makes the speaker of the poem consider his own creation. He talks of the beauty of this flower and how it rivals the rose. As Sidney stated, "Emerson was really in touch with the beauty of nature." In other words, many people in their discussion focused on the fact that these poems brought to our attention the incredible beauty of nature that we often overlook. To me, it goes much farther. Finally he states, "in my simple ignorance, suppose The self-same Power that brought me there brought you." You can almost feel the light bulb go off over the speaker’s head when he realizes that he is a part of a larger creation. He isn’t separate from this flower; the same force brought both of them to this world. He states that he was ignorant. Most of us are ignorant of the fact that we are a part of a world that is made up of interlocking parts. We consider ourselves "the top of the food chain." (In reality if a lion got hungry enough he’d eat us too.) Plants thrive off of the carbon dioxide that we produce and we thrive off of the oxygen that they produce. Nature depends upon itself. We are part of that creation, not rulers over it. The speaker here finally realizes that both man and flower were put on this earth by the same force and we depend upon each other. Nature makes him reflect upon his own creation.(This is similar to the idea brought up in the web hypertext on Nature—"most people define nature as Not-human but we are natural beings." This poem is the realization of this statement.) In "Each and All" this idea is taken one step further. The speaker states, "Thy life to thy neighbor’s creed has lent. All are needed by each one." In other words, all parts of life depend upon other components of life. He also talks of how he removed things from nature and got them home and all of a sudden they don’t seem the way they were.

Books and e-books Essay

Some people believe that printed books are no longer necessary in this digital era, as all writings can be stored electronically. Others think print books till play important role. Discuss both views and give your opinion.  In the past few years, e-books have been sold or downloaded for free in large numbers on the internet. These books and e-readers are challenging convention reading habits making the sales of traditional books decreased. But it still needs much consideration before eliminating altogether the need for printed books. There is no doubt that e-books are able to offer huge amount of information with feather like weight. Readers do not have to face the difficult choice of which book should be taken with on vacation, as one single e-reader like kindle or Nook would hold all the books you might want to read on the trip with no extra space in suitcase being wasted. E-books are also strong contenders when it comes to pricing. Because they are delivered in digital format, a part of the overhead including printing, storing and distribution can be avoided. And many classic books are free online, which is a boon to readers who only need a partly review or reference from those books. However, we cannot ignore a fact that the popularity of digital books can be a bit daunting for many readers who are used to going to the local book store, browsing the aisles and perhaps reading any chapter before purchasing. Or, there still are some senior readers who are reluctant to buy and learn to use an e-reader instead of holding a real book and making note wherever they want. Then when we talk about personal book collections, electronic ones can hardly be involved. Privately owned printed books can typically be displayed neatly as part of the household collection. These books may build up a reader’s spirit world and be good company as having friends being around. The bottom line is that both printed books and e-books have something to offer. We cannot simply eliminate the use of any single format because they are needed in different situation by various kinds of readers. They are all  making life better.