roles played by nurses and other professionals in the team

roles played by nurses and other professionals in the team This essay is meant to throw light on the importance of having an inter professional team that would make the service delivery to patients easier. In this essay I will discuss the roles played by nurses and other professionals in the team. The essay will reflect the efficiency of such a team and their work distribution and involvement. I will highlight the ways in which a team of professionals will work together to take proper decisions during emergency situations and tackle them effectively. The essay will also critically evaluate the various concepts of inter professional team work. An interprofessional team is a group of people who have a certain common goals or objectives which drives them to work together by setting aside individual goals. Inter professional team can be defined as a dynamic process involving two or more health care professionals with complementary backgrounds and skills, sharing common health goals and exercising concerted physical and mental effort in assessing, planning, or evaluating patient care, accomplished through interdependent collaboration, open communication and shared decision-making, and generates value-added patient, organizational and staff outcomes (Xyrichis and Ream 2007). Freeth et al (2005) defined inter professional team work as when two or more professional learn with, from and about each other to improve collaboration and the quality of care. The healthcare sector started showing interest in the interprofessional working during the early 1990. (Institute of Medicine, 1998;ONeil and Pew Health Professions Commission 1998;  Pew Health Professions Commission 1995a,  1995b,  1998). The Association of American Medical Colleges, the Accreditation Council for Graduate Medical Education, the American Association of Colleges of Nursing suggested that the graduates must have enough knowledge in interprofessional collaboration (Varkey, Reller, Smith, Ponet, Osborn  , 2006). Varkey et.al (2006) also pointed out that there should be enough cooperation between the various professionals in healthcare field for the success of this profession. But unfortunately this fact is not included in the curriculum of the different medical schools in USA. Inter professional teams are more effective in rehabilitating the patients than individual health care professionals. The number of patients having positive impact by the inter professional service is larger than those by individual service providers. A very strategic role played by nurses is highlighted now. The nursing tutors face the dual challenge of preparing their students enter into nursing profession as well as equip them to cooperate effectively with other health practitioners (Lattuca, 200l;  Newell, 1998). An interprofessional team is working to provide service in a properly planned and systematic manner. In the health care sector inter professional teams are meant to develop groups that works towards efficiently rendering care to the patients. These teams include nurses, doctors, and other health care professionals. For a team to be efficient role clarity to inevitable and this will help them define their own duties and responsibilities avoiding conflicts (West and Markiowicz, 2004). A team essentially will have a team leader who will lead the team and motivate them to render good service working together (Martin and Rogers 2004). A health care team will work effectively if there is stability in the team, this will make the team member in the group work with shared trust and understanding (West and Slater (1996); Gair and Hartery, (2001)). Interprofessional teams are of various types, they include multidisciplinary, interdisciplinary etc. In case of multidisciplinary teams the members are from various teams. These members set their own discipline specific goals and work towards achieving it. But ultimately the result is calculated as the total of all the disciplines (Dean and Geiringer 1990). The position of team members in the team hierarchy will affect the way in which the team functions and how it will render the service (Cotts, 1998). In case of a multidisciplinary team there exist subgroups of doctors, social workers, therapists and also subgroups which had nurses and other junior staff. Her study also unveiled the idea that the different subgroups had different perceptions about the inter professional teams. Inter professional team work is highly essential in operation theatres and intensive and trauma care units. Since these are the emergency units of a hospital the situation of such units cannot be predicted and thus highly challenging. The interprofessional team may have to work highly efficiently and together. There exists a high rate of tension and stress in the team members in such emergency situations. According to McWilliam et al (2003), interprofessional working is a very difficult task for health care professionals. The patients didnt get the full benefit of interprofessional working due to the misunderstanding between the health care professionals regarding the policies and procedures in it. Mistreatment of elders is a serious issue and its growing day by day. It is the responsibility of nurses to identify and prevent such occurrences (Baker Heitkemper, 2005). The nurses have a variety of roles to play in an Inter-professional elder mistreatment team. At present the roles involve screening and assessment, mandatory reporting, direct care, and complaint investigation. Elder mistreatment (EM) is a very complicated issue and can be effectively solved through inter-professional association. Critics like Bion (1961) say that the interprofessional teams fail to focus on the real task they should be doing. The primary tasks for which they have come together is forgotten most of the by the interprofessional teams. Whenever there is an issue the teams to fail to reach at a consensus and they do not take proper decisions on the issue (Strokes 1994). The meetings conducted in order to take decision on the matter are just a waste of time. These assumptions are based on the work group mentality theory. Critics of interprofessional team have questioned the values of the team. It is said that the teams are not well managed and they do not work properly and responsibily. Negotiation theory puts forward the perspective of negotiating the personal and professional goals. (Strauss, 1978) The negotiations by professionals in the health care field have played a critical role in molding the characteristics of an interprofessional team. Loss and change theory reiterates that the health care professionals like doctors and nurses lose their professional identity as they are working in a team, this will lead to developing an improper relationship and improper behavior in the team (Atkins, 1998). Thus it critically points to the inter professional teams in that it wouldnt serve the purpose of forming a team the unhappiness of the team members can lead to inefficient functioning. The increase of cost in hospitals will also result if there is lack of proper communication between the professionals like doctors, nurses and staff and also if they are not coordinated well (Gavett, Drucker, McCrum and Dickinson, 1985). The roles played by nurses in the interprofessional teams are fast evolving. The importance of specialist skills for nurses is now recognized and new role have come up. The Macmillan nurse is an example of such new roles and they possess skills in palliative care and are expected to look after patients with terminal illness. Another group called night practitioners literally run the hospitals at night. They are skilled to assist any department and are sometimes considered better than junior doctors too (Martin Rogers, 2004) While working in an interprofessional team, there is an increased chance of conflict between the team members regarding the superiority in the team. The truth is everyone is equal while working in a team and nobody should themselves subordinate to anyone. But sometimes the nurses and their opinions are ignored in an interprofessional team. Such events makes them reluctant to be a part of such teams (Martin Rogers, 2004). Task shifting is a common practice among the professionals now days (Reeves et.al, 2010). This would help the traditional professionals to relieve of their heavy workload. The nursing practitioners and physician assistants are such roles (Hooker McCaig, 2001). The multiplicative effects model of interprofessional working views it more than the sum of its parts. Here the synergy obtained from such work is described (Leathard, 1994). According to this model, interprofessional working improves the contributions of individual team members and thus will help in the overall development of team. Decision making is an essential in ingradient of all teams; it measures the efficiency of the group. Decision making in case of an interprofessional team also play key role deciding its service delivery process. The usual situation that happens in such teams is the unavailability of proper team leader and also reaching at a common consensus. The decision taken in team has the idea input all the members that needs to driven well in one direction for increasing effectiveness of the work the team does. Most of the important decisions concerning the activities of the team are taken mostly by the Doctors, or the medical staff in an inter professional team in hospitals. Solving important problems and resolving conflicts are the aims of masking decisions (Neil, 1978). There are a few hindrances for nurses to be part of interprofessional teams. The health care sector has shortages or less number of nurses, and those nurses who are available have increased amount of work. As a result of which there is a limitation in case of inter professional support and collaboration (Mckay Crippen, 2008). Another barrier that can be highlighted is the disinterest on the part of other departments to participate and actively involve in the team and work together. The culture and hierarchy of the organization also plays a role in the formation of teams in the organization. According to Henneman.et.al (1995) Collaboration involves a partnership characterized by mutual goals and commitments in which participants willingly become involved in planning and decision making. Henneman.et.al (1995) also proposed that collaboration is a process by which members of various disciplines (or agencies) share their expertise. Accomplishing this requires these individuals understand and appreciate what it is that they contribute to the whole. Many authors have suggested ways to make the intercollaboration more effective. According to Fullan (1993), effective collaborations operate in the world of ideas, examining existing practices critically, seeking better alternatives and working hard together at bringing about improvements and assessing their worth.   The National Network for Collaboration (NNC) put forward a frame work for effective collaboration and advocated that it should possess a common vision, problem, a desired outcome etc. NNC also pointed out that the members of the collaboration must share this vision and contribute equally. The NNC sees collaboration as an inclusionary process which should be constantly engaged and must strengthen the commitment and must identify that relationship building and maintaining is the key factor for the success of collaborations and they must try to sustain a win-win relationship. According to Garner (1995) and Hoeman (1996), it should be by means of collaborative communicatio n rather than shared communication that the interprofessional team approach evolves. Efforts were made from the part of many authors for increasing the literature on interprofessional education for health professional students. But Cooper, Carlisle, Gibbs, and Watkins (2001) pointed out this literature to be diverse including a relatively small amount of research data and much larger amounts of evaluation literature. There were almost thirty works done on interprofessional education and all of them aimed to increase the level of co-operation and understanding between the members in interprofessional teams as well as to encourage a high quality care for the patients. There are a number of social science theories that explain the concept of interprofessional team work. Merton (1968) put forward theory in three modules. They are the micro, mid range and macro theories. The social sciences approaches that come under these three groups include: Micro: psychodynamic perspective by Bion, Menzies, Marris, social psychological perspective by Tejfel and Turner, Brown Interactionism by Goffman and strauss All the above approaches that come under the micro group are of the rational type that consolidates the team functions, identities and interactions. Midrange : Activity theory by Engestrom Institutional influence by DiMaggio and Powell Professionalization by Freidson These three approaches or theories are processual, organizational and contextual. Their task is to understand team activities, relation and performance, the relations between professions respectively. Macro: Discourse theory and surveillance theory by Foucault They are of the contextual type that deals with the impact of society and social interaction of with respect to the interprofessional team work. There are a set of models supporter by theories that help provide the inter professional education well in the health care sector that enables the health care professionals perform well and deliver quality service. These models are whilst behaviorism, cognitivism and constructivism (Schunk D 2003). I will working for the betterment of the service provided to a patient using the things I learned. Working in an interprofessional team is has made me get involved with the Doctors and other professional in the field and has helped to build a strategy that elevates the level of service rendering process. As a nurse am able to act in the right way a right direction in case of any emergency and otherwise. From now I will be able to put into practise the concept I learned. The model that I would use is the Kolbs model of reflection. It is a process whereby, individuals, teams and organizations attend to and understanding their experiences and consequently modify their behaviour. The model mainly has 4 important aspects: Experiencing means really doing the task and experiencing the whole process. Reflecting- in this step the work is reviewed in terms of experience and the real process. Conceptualisation- here the various important occurrences and tasks are analysed and their connections among the events are noted. Planning- the events that have been understood will be analysed well in order to envisage the occurrences in future. This will help to prevent any improper events happening and build a proper strategy to do the next task. The Kolbs reflection model if one of the best models for teams. In case of a team there are aspects like: Doing- same as experience, where the team does the task or the action. Reflection- after the action, the team members openly discuss the whole process and share their views and experience. Interpretation- the members of the team now work with common identity and culture and as a team by leaning behind individual interests. Planning- in the final step team works according to the joint decisions and plan out ways to committing the action. Finally I would say that in any sector especially the health care there is an elementary requirement of having an inter professional team. The team in all ways will help in providing superior service since the decisions are taken as a team and under common grounds.

Will Jamaica Self-Destruct? Essay -- essays papers

Will Jamaica Self-Destruct? Jamaica is an island paradise, located in the northern Caribbean, approximately 145 km south of Cuba and 160 km west of Haiti, with a population of about 2,553,600 million people in 1997 and a land area of 11,000 km/sq. The country has had a low and steady population growth rate of 1.0 percent in 1997. Tourism is Jamaica’s most important industry besides the mining of bauxite (accounts for more than half of exports). It is the country’s largest foreign exchange earner, (generating approximately US$965 million annually) and is still one of its fastest growing industries. These profitable service industries depend on the island and its natural beauty–pure air, abundant sunshine, and clean sandy beaches. This industry is evidence to the close relationship between economic well being and the quality of the natural environment. "You ain’t gonna miss your water, until your well runs dry. No matter how you treat him, The man will never be satisfied." (Bob Marley, 1980) Tourism is both Jamaica’s largest foreign exchange earner and one of its fastest growing industries. A recent environmental study commissioned by the Organization of American States (OAS) surveyed the natural resource base (which supports tourism) and concluded that this base is "heavily stressed" in and around the three main tourist centers (Negril, Montego Bay, and Ocho Rios). The problem is that these areas now support large populations of tourists with high-income lifestyles and these impacts harm both the environment and the people of Jamaica. It could also spoil Jamaica and lead to its own destruction of the land and its deeply engrained culture and roots. Jamaica’s natural resources–tropical temperatures, unspoiled beaches, clear C... ...conomy, R 062059Z, July 1994. Government of Jamaica, Organization of American States, Economic Analysis of Tourism in Jamaica, September 1994. Also, visit the web sight http://www.oas.org Health Analysis, Country Health Data of Jamaica, last revised10/19/99, http://www.paho.org/english/sha/prifljam.html. Myers, Fletcher & Morgan, A lawyers Guide to Jamaica, no date, http://hg.org/guide-jamaica.html , 4/2/00. Seagrasses Policy and Regulation natural Resources Conservation Authority Coastal Zone Management Division, April, 1996, http://www.nrca.org, 4/6/00. Water Resources Authority, March 10, 2000, http://www.wra-ja.org/index.htm , 4/2/00. U.S. Department of State, Background Notes: Jamaica, March 1998. Released by the Bureau of Inter-American Affairs. No author, U.S. Department of State, March 1998, http://www.state.gov/www/background_notes/jamaica_0398_bgn.html

Parle G: Marketing

Parole G Is the world's largest manufacturer of biscuits by volume or tonnage and has been in the numerous nun spot since a very long time. It has done so primarily by positioning its product, Parole G Biscuit, at optimally affordable rates which caters to customers from all walks of life especially the low income groups In the Bottom of the Pyramid. Of late, due to Inflation and evolution of economic factors, the Input of two major raw materials, sugar and weight which constitutes 55% of the manufacturing cost have risen provoking the management to rethink on the pricing strategy.The outcome of this inflation has resulted in the decrease In the margin It used to command. The dip has been from 15% to 10% of margins of Its total revenues. Management is now mulling over to raise the price to reinstate the margins at 15% as previously mandated. Proving Giuliani, the GM of Parole Products has to take two major decisions regarding the above scenario and they are as follows:- These questio ns needs to be addressed as soon as possible because of the presence of competitive products and companies in the same domain.The other very visible trend that management bore witness to, was the gradual migration of consumer pending to high-end biscuit segment belonging to the sweet, cream and milk categories. This trend was seen to be taking place within the portfolio of Parole G products and in the industry it was operating in.The Pricing Strategy Decision One of the methods to zero in on a pricing strategy Is a careful analysis of the existing product biz a biz the price and the quality. Parole G biscuit, as can be Inferred from the case, is a high quality biscuit with a low price.High Quality here does not mean premium biscuits as the like of Bourbon or Ore; It means that the utility generated Day ten product Is very null. 0 Turner Loretta, take ten example AT Monika Phones that are available in the market. The range varies from INNER 1200 (approve) to figures substantial than that. The lower segment phone still generates world class service that comes within such price. Hence, the quality being high and the price being low, the company has followed Penetration Strategy. This allows for the marketing objective of proportioning increasing sales volumes or market share rather make profits.This method of Pricing has the following advantages:- ; It can create goodwill among the early adopters segment. This can create more trade wrought word of mouth. ; It creates cost control and cost reduction pressures from the start, leading to greater efficiency. ; It discourages the entry of competitors. Low prices act as a barrier to entry (Porter 5 forces analysis). ; It can create high stock turnover throughout the distribution channel. This can create critically important enthusiasm and support in the channel.The major disadvantage of Price Penetration is that it establishes long term price expectations on the part of the consumers and hence companies find it difficu lt to raise prices later in the years to come. Studies have shown that switchers (bargain hunters) are attracted by such pricing strategies and that is the reason why Parole G witnessed a dip in sales after it went ahead with a price increase. We can further say that the huge customer base that Parole G has garnered are extremely price sensitive individuals and will switch once prices rise.All said and done, if we again carefully examine the situation of Parole G before the mentioned inflationary setbacks hit them, we see the following points that do merit mentioning:- ; Product demand is highly price elastic. Substantial economies of scale are available. The product is suitable for a mass market as a result of high demand ;The product has a chance to face stiff competition in the future For Parole G to win in the market place it has to devise strategies centered on Price Penetration since following any of the other strategies will have immediate ramifications or would not fit into the scheme of things.In short, Price increase is not the best feasible options Parole G has. Product Life Cycle On the Product Life Cycle front, it's absolutely important to trace where Parole G lies. As on the date of the case, it's very visible that the product had attained maturity and NY change in market environment or internal strategy could either destabilize leading the product to dip or sustain the current traction of maturity. Parole G, being excessively price sensitive should ensure to stabilize the product and that would mean adopting practices and strategies which would ensure penetration without changing the price.The other option we can thus look into is reducing grammar. This was done before with success and it can be replicated again however this has to be done without compromising on quality Ana calorie. I en toner long term Implication AT tens P owe the other products of Parole G are faring. Hide & Seek and Milan are both on a growth stage while at the same time th e growth potential of the premium market is pegged at 20% annually, more than 15% in the glucose category. Parole G can hence focus on this segment proactively as well.This is not proposed to offset the decline in the glucose segment but to De-risk the company and take advantage of the booming middle class of India that grows significantly every year. From Exhibit 2, the population of seekers and aspires are growing significantly. The Representation of the data is as follows:- Recommendations and future plan of action:- 1. Proposed reduction in grammar of INNER 4 from 82. G to egg Rationale: The INNER 4. 00 SKU contributes 1 1. 9 billion (2008-09) which is 34% of Parse's total Revenue and 50% of Parole G revenue.This SKU caters to the largest segment of consumers. As mentioned before, the price of the product cannot be changed due to high price elasticity of demand, therefore to mitigate the fall in margin, we propose a decrease in the grammar of this SKU from 82. G to egg. This red uction of 2. 5 g would lead to a reduction in the costs of 3. 03% per unit of INNER 4 SKI-J. Since the margins are a direct function of the cost and this particular SKU comprises of a large percentage of the business, this reduction in grams would increase the margins considerably. 2.Target the socioeconomic classes of RI, RE, RE and RE Rationale: This segment consists of the rural population of 145. 7 million households out of which 68. 3 million households are current consumers of the brand. Thus 53. 1% of this segment is still untapped which we believe is a tremendous potential for the company. This segment, also referred to as the BOP, is primarily attracted by the low prices and therefore the smaller SKU s. If we can increase our customer base in this segment, the decrease in cost in the SKU by reduction in grammar would be able to overcome the fall in margins.

Capital Panishment - 1230 Words

Capital punishment became a controversial issue lately, and it is a big debate in the world. The debate of capital punishment has two sides: the people who argue in favour of capital punishment and the people who argue against capital punishment. The most compelling arguments against capital punishment can be made on the basis of it doesn’t reduce crime, risks executions of innocent people, inflicted disproportionately on the poor and targeting people of colour (racist), persons who commit vicious crimes have often suffered from neglect, violence, cruelty, lack of love, and a host of destructive social conditions. Proponents of the death penalty say it is an important tool for preserving law and order, make our society a safe place,†¦show more content†¦People against death penalty argue that Every human being is entitled to receive a second chance in life. Putting a convict behind bars is always a logical option than killing him, as there is a chance that he may improve. People who have served life sentences are reported to have bettered their earlier ways of living and have made worthwhile contribution to the society. People in favour of capital punishment argue that capital punishment is equated as revenge for pain and suffering that the criminal inflicted on the victim. (Dixon, C. 2007 P. 35) Sentencing such a criminal can give relief to the family members of the victim that their loved one has obtained justice. Opponents of the death penalty believe that it’s hard to forgive someone that has killed your loved one but it’s even harder to try to forget about it. We have to remember that we are just human and we do make big mistakes. I just think it’s easier to live your life looking forward then looking back at the bad things in your life. (Dixon, C. 2007 P. 39) Those in favour of capital punishment agree with the fact that people killing blacks are less likely to receive the death penalty compared to those killing white victims. (Dyhrberg, M. 2001 P.126) Alternatively they argue the death penalty is biased withdrawn and therefore the solution is not abolishing the death penalty but much more to increase the number of death