Monday, August 12, 2019

The nerve nurses need to start their own businesses Essay

The nerve nurses need to start their own businesses - Essay Example Let start with the statistics. Today, several million of new businesses are launched in the United States each year, and most of them end up being successful (Megginson and Smart, 2008, p.823). What this means is that, since, it is a relatively common practice, one who intends to put up his or her own, will never find a shortage of support. For example, financing may be available such as the so-called angel investors, who are typically locally wealthy business people who can invest $50,000 to over $200,000 in a new business (Megginson and Smart, p. 823). More importantly, however, is the fact that it is easy to navigate the process since there are existing and established norms because business is essentially an established technology, with established tasks, objectives and milestones (p.823). Some successful practitioners manage to take advantage of this condition and avoid risks by starting small and eventually finishing big. Consider a nurse who is currently working in an institut ion. She decides to start a small business that she could conduct while she is working as a nurse. It is more like part time work but it is a start. She sets up a nursing home business by accepting old people in the community who can no longer take care of themselves. She hires an employee and proceeded on charging $150 per day. Since these are adults and not very mobile wards, she is able to accept 6-7 elderly per day, with her staff and her help during her free time. So that would be about $900-1050 per day. The elderly population in her community is quite large, so the business is poised to be popular and expansion, inevitable. The above example demonstrated several of the opportunities and the abilities involved in starting a business. It also depicts how creativity can be rewarded with success. The approach was able to address the financial problem of securing a steady flow of capital with the plan, since the example cited how the nurse began the business while still working. T his is especially important in instances when financial loans are difficult to come by. This is true in the case women. Sometimes being female can be a disadvantage in securing loans (Fielden and Davidson, 2006, p.114). Private practice can also become rewarding since a nurse is in a more position to make a meaningful difference to his or her clients. This is because, in the course of the practice, there is an opportunity to immediately decide on additional services or modifications in service being provided. The following case study demonstrates this best: Mandy, a community pediatric nurse, thought she was selling home care for children. But when she questioned her patients and their families, she found that for the parents of sick children she provided reassurance, a source of reliable information, a shoulder to cry on and a tension diffuser†¦ The response of the patients varied according to their illness. One said, ‘You can change dressing without hurting me very much , and you always tell me a nice story when you come’, while another commented, ‘You make the morning go much quicker and you make sure I

Sunday, August 11, 2019

Dollar Instability as World Reserve Currency Essay

Dollar Instability as World Reserve Currency - Essay Example This scenario is about to change (Lorimer n.p). Though the mainstream media in the U.S. has been abnormally silent about this, truth is that some of the big economies on the globe are making agreements with each other to shift from using the U.S. dollar in international trade.   Currently, some oil producing countries have begun selling oil in non U.S. dollar currencies. This is a huge threat to the petrodollar system that has been in place for almost four decades.   In addition big international organizations such as the United Nations and IMF have started advocating for the need to move away from the U.S. dollar adopt a new world reserve currency. The operation of the U.S. dollar as a world reserve currency is under threat and the impending shift in international trade will have massive implications on the U.S. economy. There are several reasons as to why countries want to get rid of the U.S dollar as a reserve currency. First and foremost is the instability of the dollar. Big economies such as China already hate having to rely on the U.S dollar. The Federal Reserve’s monetary policy that is notably loose and the rapidly rising public debt of the U.S. are troubling officials concerned with international trade. There is fear that the stimulus measures that were adopted to revive the U.S.’s flagging economy will soon generate a high inflation burst that will further weaken the dollar. Such an occurrence would be detrimental to holders of US government bonds, including China. China has about $2 trillion of its $3.2 trillion currency reserves held are in dollars most of which is in bonds. The U.S. has also lost its triple-A credit due to failure to come up with credible plans to cap its public debt (The Economist). In addition, China as the second largest economy on earth with projections that it will pass the U.S economy by 2016 and be three times larger by 2040, it is difficult for China to continue using the dollar in its economy (Lorimer n.p ). China together with other emerging economic powers such as Russia, over the past several years have been quietly making agreements that will see them shift from the use of the U.S. dollar when conducting international trade. The economy of the U.S. is continuously fading. This is going to make it difficult to argue for the U.S. dollar to continue functioning as the primary reserve currency of the world. An indication of the changing fortunes of the dollar is the recent deal between China and Japan that promotes the use of their currencies when conducting bilateral trade. Currently, they do their trade in U.S. dollars but the instability of the dollar has necessitated such an intervention. In addition to this, another emerging block referred to as BRICS comprising of Brazil, Russia, India, China and South Africa is also planning to move away from U.S. dollar based trade. The block proposes to create a credit facility that will enable these countries to use their local currencies i n trade. For over a year now, China and Russia have used their national currencies when conduction bilateral trade (Lorimer n.p). The growing use of the Chinese Currency in Africa is an indication of a process that is already in motion. In 2009, China overtook the United States of America as Africa’s biggest trading partner. Many African countries therefore prefer to use the Chinese yen in trade With China so as to reduce transaction cost incurred in acquiring U.S dollars. It is approximated that 70,000 Chinese

Saturday, August 10, 2019

Research Proposal Example | Topics and Well Written Essays - 2250 words - 1

Research Proposal Example Therefore, even those consumers who wished to purchase electronics faced restrictions in doing so since there was limited credit. This resulted in huge losses for electronics companies, including Blackberry, Motorola Mobility, and Nokia, evidencing the significant effects the recession was having on the electronics industry. The research paper will seek to evaluate the effects of the recession on behaviour of the consumer in the UK electronics industry, particularly with regards to the smartphone industry. Understanding the response of consumers to the economic downturn with regards to their buying behaviour is imperative for companies seeking to ensure future success (Chakrabarti, 2011: p56). While signs show that the UK economy is stabilizing, leading to questions about this research’s relevance, the changes to consumer behaviour by recessions tend to last for a long time. Therefore, even as economists signal the end of the recession and beginning of recovery, this is unlike ly to be reflected immediately by consumers in their buying behaviour. This literature review will seek to provide a strong foundation in order to understand various widely used consumer behaviour models, which is important in investigating current buying behaviour and decision-making process of consumers in the UK. Consumer behaviour accounts for every decision and action taken by individuals during the purchase of services and goods. According to Dees & Soares (2013: p5), studying the behaviour of consumers is important since for firms to be successful, they should understand the forces that drive consumers to make decisions about purchasing a product, while also helping determine why they choose one brand over another, how they come to these decisions, and how this information can be used for value creation. Foxall (2013: p99) defines consumer behaviour as the study of those processes through which groups or

Friday, August 9, 2019

Evaluation of Infection Control in Hospitals Essay

Evaluation of Infection Control in Hospitals - Essay Example The National Audit Office noted in its 2000 report that nine percent of all inpatients or one in every eleven inpatients in England had hospital acquired infection at any one time. This prevalence is higher than hospital acquired infections in Denmark (8%), Spain (8%), Netherlands (7%), Norway (7%) and Australia (6%). Only France (6-10%) and USA (5-10%) had higher incidence ranges (CPSO, 2004; Davis, 2005; POST, 2005). Furthermore, this figure is equivalent to approximately 100,000 hospital acquired infections per year. The effects of hospital acquired infections to patients range from minor discomfort to mortality in around 5,000 cases. These infections are considered as contributory factors to approximately 15,000 deaths a year (College of Nurses of Ontario, 2005; POST, 2005; Davis, 2005). A report by the Nosocomial Infection National Surveillance Service from 1997 to 1999, covering 96 hospitals in England showed 47 percent of microorganisms that cause surgical site infections were staphylococci. Eighty-one percent of these were Staphylococcus aureus and 61 percent were Methicillin Resistant Staphylococcus Aureus (MRSA) (CPSO, 2004; Davis, 2005; POST, 2005). All of these occurrences are attributed to o... In order to know the root of the problem which is the declining level of hygiene in hospitals, the sources and possible routes of infectious materials should be identified. Gaps and loopholes for the proper handling of such infection sources and vectors should be highlighted. Next, appropriate steps should be put in place that will answer these inefficiencies together with the responsible hospital staff for each task. Lastly, monitoring and maintenance systems should be developed to ensure long-term success in these efforts with emphasis on in any areas where improvements are needed (College of Nurses of Ontario, 2005; POST, 2005; Davis, 2005). Studies and information already available for the abovementioned factors will be reiterated here. However, this paper will focus on other areas where data are lacking and further research is warranted. More specifically, the role of social workers in the proliferation and solution of hospital acquired infections will be assessed. Furthermore, research gaps in this area will be identified towards the development of qualitative and quantitative research methodologies. Epidemiology of Hospital Acquired Infections Hospital acquired infections are also referred to as nosocomial infections. These are infections that develop during the patient's stay in the hospital that were not previously present. There are two types of hospital acquired infections: autoinfection wherein the causative agent is inherently present in the patient but started to proliferate during confinement because of lowered resistance level, and cross-contamination wherein the causative agent comes from outside the patient which infects and develop during the patient's stay in the hospital (CPSO, 2004; Davis,

Thursday, August 8, 2019

Central Bank of Japan Essay Example | Topics and Well Written Essays - 1500 words

Central Bank of Japan - Essay Example On the contrary, deflation is marked by an aggregation of supplies, but demand does not. Barring this blemish, the explanations on deflation, its character, causes and effect are worthy of praise, considering its simplicity and subtle reasoning. Considering the background situation, the papers' comparison of the Japanese deflation and the Great Depression of US and the identification of the similarities is commendable. Backing it up with comparative data would have given more credibility to the argument. The sections in the paper present a logical organization of the content to be described. Naturally, the introduction is followed by the description of the intended area of study, the primary tools of correction, their effect in countering deflation, and finally, the conclusion transgress in a clear and coherent way. The construction of the sentences and presentation of facts affects the clarity of thought, spoiling the understanding of the intended message. To cite an example, page three, second paragraph, first sentence states, "The money supply and money velocity did not decrease, however it did not immediately increase to make up for the shocks in the good and services market". Of course, the statement is true, but it could have been presented better. Say, the sentence could have been in this way, "Though the monetary supply and velocity was adequately maintained, it did not react immediately and increase to make up for the shocks in the goods and services market". It would have also made the next sentence more meaningful and continuous. This accentuates the easy understanding of the complex nature of the subject. 4. Do the paragraphs present Ideas clearly with one topic sentence per paragraph and all sentences supporting that topics sentence The paper is presented into paragraphs with clear and concrete ideas and the topical statement clearly complimented by the other sentences in the paragraph. There are quite a few repetitions amongst paragraphs due to ambiguous construction of sentences. 5. Evaluate the stapling, the typing and other physical attributes relative to a serious, professional effort by a bright graduate of a prestigious university. The physical attributes of the paper with respect to shaping and typing are good. However, the formatting could have been better like, say in the third page, the title of the third part along hangs at the bottom and so does the fourth in the fifth page. It could have been moved to the next page. The headings too are missing. Similarly, acronyms without abbreviation could have been avoided (e.g., WWI could have been written as World War II). More importantly, use of a professional way of expression could well do more good. Use of phrases like "the central bank was gambling" and redundant use of "they" might be avoided to prevent the tag of a casual and

Wednesday, August 7, 2019

Henry Clay Essay Example | Topics and Well Written Essays - 1250 words

Henry Clay - Essay Example as Senator from Kentucky (1806-1807); came back to the State House of Representatives (1807-1809) and in 1810 he came back to the Senate and served until 1811 (Clay 1852, 87). He was the pioneer of a group of Congressmen known as the War Hawks when he was a U.S. Agent and Speaker of the House from 1811 to 1814. According to Kelly (2002), Henry went ahead to serve as a U.S. Delegate, and again as the Speaker of the House. Henry distinction as a compromiser originated from his contribution with the Missouri Compromise, the Comprise Tariff of 1833, and the Compromise of 1850 (Clay 1852, 87). Henrys father passed on in 1781; the year British and supporter warriors attacked the region and plundered the Clay home (Clay and Ellis 1910, 15). After ten years, his mother remarried and his stepfather moved the family to Richmond, where he filled in as an agent in the store. Afterward, from 1793 to 1797, he served as a secretary to George Wythe, chancellor of the High Court of Chancery. Henry had minimal general knowledge, though he read in Wythes library and figured out how to capitalize on inadequate data. He moved to Lexington, Ky., in November 1797 and made the notoriety for being a legal counselor. Henry and Lucretia Hart tied a knot in 1799 and were lucky to have 11 kids. Henry Clays life and political vocation assumed a vital part in the progressions made in the state of Kentucky, and in addition the country. His handle, "The Great Compromiser," was given to him based on his arrangement and trading off aptitudes. Henry led a careless life as he was a drunkard and a gambler during the time for his high stakes; this did not ruin an open profession in this youthful American, and he had properties that served him well on legislative issues (Clay 1852, 57). Adams, who had watched him closely, said Clay was "half-taught" yet included that the world had been his school and that he had "the entire ideas imperative to a famous man." Clay was chosen to Kentucky state assembly

Social Dimensions of Child Abuse in KSA Essay Example for Free

Social Dimensions of Child Abuse in KSA Essay First of all, I wish to laud you for having tackled these important aspects of the problem you wish to do research on: You have an excellent grasp of long-term outcomes, policy changes (p. 7) Acknowledging that some baseline research has already been done (p. 5) Difficulties (p. 6), really Limitations which you must address by recommending suitable methodology Research objectives (p. 6) May I suggest you restructure in this fashion? INTRODUCTION/BACKGROUND One paragraph on â€Å"why should we be concerned about child abuse?† One long paragraph on historical prevalence (cite authoritative sources, including those that have parallels to the domestic/family/society practices in KSA). One (long) paragraph on the moral and policy framework espoused by international organizations (e.g. UNICEF?) The child abuse prevalence, social philosophy and policy framework in selected countries (It is good to cite the U.S. but are there others? Notably Muslim ones?) Please consider moving the sentence at the bottom of page 3 here. It’s an effective recap. REVIEW OF LITERATURE You have ten references lined up in the bibliography.   Why not do justice to your research by summarizing what you’ve found in them?   Perhaps in this sequence? Prevalence of child abuse in KSA and other Muslim societies Types of child abuse committed in KSA Why it may be under-reported. (This is where the current content of â€Å"Difficulties of the study† really belongs. Cite sources.) The social factors behind child abuse Social, religious and policy support for combating child abuse in KSA. What legal support is there for intervening in domestic cases of child abuse, for treating both abuser and victim?   In any society, physicians would be hamstrung if laws did not exist to mandate reporting of abuse and penalties for offenders.   Everybody would just sweep things under the rug. How victims are aided/helped and offenders treated What information gaps still exist? IMPORTANCE OF THE STUDY Then you’d bring in the pioneering role of KFSHRC here to affirm that some organization is doing something about child abuse but (point G. above) there remain information gaps that must be addressed if effective remedial measures are to be proposed. RESEARCH PROPOSAL PROPER Research Objectives Revise, expand or tone down according to what you have already found in Review of Literature above. 4th bullet point: replace â€Å"volume† with â€Å"incidence† or â€Å"prevalence† 5th and 6th bullet points: move to â€Å"OUTCOMES† below Consider taking out the 7th point, this involves you in doing longitudinal studies. Last bullet point: please consider re-writing to make it more specific or measurable, e.g., â€Å"Formulating – via professional consensus – a structured process for resolution, therapy and general management of abuse patients and offenders†¦.† Type of Study Considering the ticklish social situation you speak about, please think about augmenting your methodology with qualitative methods, e.g., focus groups, depth interviews and projective techniques. Target Respondents The seven points you made at the top of page 6 work better here to help shape your considerations (or rationale) for tackling different types of respondents and the data-gathering approach suitable for each one. Consider adding educators to your sample.   Not all child abuse cases result in physical trauma and not all traumas are reported to pediatricians either.   Do you have something like social welfare workers in KSA?   They might be a good source, too. Study Instruments Under Questionnaire, â€Å"This questionnaire consists of several parts† I think what you really mean is that you plan to create different versions depending on whether you’re interviewing physicians, parents, abused children or adults who can tell you about having been maltreated as children.   I believe you want to tread carefully about promising to interview abused children, this is one of the most challenging â€Å"discovery/disclosure† type of sessions counselors have to undertake. OUTCOMES This is where your statements on pages 6 and 7 belong. Your situation strikes me as one of advocacy, i.e., you want to provide a firmer basis for recognizing the problem, for professionals to take action and for government to provide legislative support.   You might also co-opt Sharia, if Koranic law has anything to say about child abuse. A FINAL NOTE: I’m not sure what â€Å"missing paragraphs† you allude to, that’s why I sent the earlier message.   The way we work, in any case, supplemental writing would be covered by filing a second order of the â€Å"Edit† type.   This is a â€Å"Review† order.   Good luck.   Hope all the above have helped.