Sunday, January 26, 2020

Management of a Care Facility

Management of a Care Facility Introduction Managers are tasked to create their organisation’s vision in such a way that it will aide in assuring future stability. This academic paper will discuss how an organisation’s vision is created, communicated and implemented and how this vision will pave the way for conceptualizing its strategic direction in a chosen residential home. The residential home care that was discussed in this paper is a home care that provides older adult services to about 60-70 residents with various geriatric needs. The residential home care is divided into units depending on the needs assessments made on each resident during their admission. There are about four nearby residential home cares providing the same services. The home care is the newest of the four and is gradually gaining recognition within the serviceable area. In its everyday operations, bulk of the employees consists of nurses and health care aides. Major problems faced by the organisation are the shortage of nursing staff along with the need to expand the business due to increase influx of clients being admitted. The vision and its stakeholders An organisational vision is a statement of what the organisation wants to do and hopes to become in the future (Nagelkerk, 2005). In creating a vision, it must first be congruent with mission and philosophy of the organisation and anchored on shared values and beliefs (Polifko-Harris, 2005). At the same time, the vision must be dynamic and motivational to its stakeholders because the vision is said to be meaningful only to those who are involved in its creation (Roussel, 2011; Thamm, 2011; Allen, 2007) A stakeholder is a person or a group that takes strong interest on organisation (Kelly and Tazbir, 2013). In health care industries such as the residential home care, the stakeholders include the patients or clients, nurses, medical practitioners, insurers, administrators, and accrediting bodies (Kelly and Tazbir, 2013). In vision planning, consideration of the stakeholders and fostering a good relationship with them are very crucial as their involvement and engagement in the organisation can bring the vision into reality (Kelly and Tazbir, 2013; Malloch and Porter-O’Grady, 2010). They must be adequately represented as they are expected to support management initiatives and perform certain roles for fulfilling organisational success (Gantz, 2010; Harris et al, 2010). As Sare and Ogilvie (2010) say, nursing is a people-centered profession and thrives in involvement. The more we get to involve people to share in the organisational vision, there is higher likelihood that the visi on will be put to reality. Oftentimes, it is heard that only those in the middle and upper management make decisions and policies for the organisation. However, it is not only them who must be involved in creating the vision. In the chosen health care setting, the stakeholders include the elderly residents and their families, the nursing personnel and other employees, unit managers and supervisors and the board of directors. Feedbacks and perceptions of service users are crucial in service improvements. Thus, satisfaction of the elderly residents and their families must be solicited from them. Moreover, the people working for the company especially the nursing staff who provide direct nursing care must be considered. Nurse leaders need to make the employees committed to the organisation and gain ownership of its goals and objectives so that the vision can be brought to reality (McIntyre and McDonald, 2013). Nurses who are motivated and satisfied in their work are more likely to perform better that contribute t o better patient outcomes (Potter et al, 2014). As mentioned, the home care is now facing a shortage of nursing staff which can affect their level of dedication and work quality (McGilton et al, 2013; Peng et al, 2013). This should be one of the things that must be considered if the management would want to make the nursing staff form a sense of ownership of the vision. Factors that may impact the organisational vision Aside from the stakeholders, there are influential factors that must be paid attention to if the organisation is to create a feasible vision. Intrinsic and extrinsic factors can be assessed using SWOT analysis (Kelly and Tazbir, 2013). These factors that need consideration include the areas of operation, finances, competition, changing needs of clients, technological advances, changing political climate, market conditions, economy, competition, current trends and issues in healthcare (Nagelkerk, 2005). Organisational vision and strategic decision In consideration of the characteristics of the residential home care, its stakeholders and other environmental factors, the created vision is written below: â€Å"Our vision is to be the foremost residential home care for older adults in the community that promotes independence and higher quality of life through excellent and safe nursing care. The next step would be to create the strategic direction for the organisation. In the strategic management process, the strategic direction is the long term goals and objectives of the organisation that outlines the purposes of the organisation and its operational scope (Enz, 2009). It must be anchored on the organisation’s mission and vision statements (Enz, 2009). In consideration of the strategic direction, the organisational competencies will be assessed together with surrounding environmental factors (Wilson, 2005). In developing the strategic direction, answers to the following questions will be sought with the help of the management and key stakeholders: 1) What are the expertise of the home care?; 2) What kind of home care will it be in three or five years?; 3) What type of population will we be serving?; 4) What additional functions or services are we going to provide given the evolving market?; 5) What are the technology requirements given the evolving market?; and 6 ) What changes are taking place in the internal and external market that will affect the home care? (Paley, 1999). Communicating the vision One of the qualities of a highly effective leader is the ability to make the people involved in the organisation understand and remain committed to the vision (Gill, 2011). Continuous and sustainable communication of the vision enables members to be clearly informed of the current status of the organisation and its future directions (Gill, 2011). When properly communicated, shared vision prospers and stakeholders will most likely understand their roles and responsibilities in realising the vision inspite of uncertainties and problems along the way (Papp, 2001). The created vision will be communicated by: 1) finding key persons who will motivate others to listen and be engaged in the vision; 2) setting-up a formal communication team who will disseminate the new vision through advertisements and staff education; 3) including the vision in marketing ads of the home care; 4) place posters containing the vision in strategic locations within the organisation; 5) spark conversations among p eople around about the new vision; 6) create activities such as contests that are themed based on the vision; 7) get other’s feedback and perception of the new vision through personal interviews and group discussions; and 8) use social media and other information-dissemination technology that will keep others informed and reminded of the vision (Center for Creative Leadership, Cartwright and Baldwin, 2011). Right leadership for vision sharing For the organisation to see the fulfillment of its vision, everyone with vested interest in it must work collectively through appropriate leadership and management behaviours. Making everybody feel that they own and share a common vision is a major focus of transformational leadership. According to Bass and Riggio (2006), leaders must appeal to the followers’ sense of self-worth to ensure their commitment and involvement in the entire efforts and activities of the organisation. Transformational leaders motivate their followers to always put their best in what they do, empower them by making them involved in crucial organisational activities, and allow them to expand their potentials and abilities (Bass and Riggio, 2006). Followers are able also to develop a strong sense of identification with the organisation that moves them to working and thinking not just to suffice their self-interests (Hutchinson and Jackson, 2012).In nursing, transformational leadership has been seen as a model of leadership that is enabling, empowering and suitable for nurses to remain committed to excellent and safe care practises (Lievens and Vlerick, 2014; Ross et al, 2014; Schwartz et al, 2011). To embed the vision to the followers, the leaders must employ the four components of transformational leadership. These are idealised influence, inspirational motivation, intellectual stimulation and individual consideration (Doody and Doody, 2012; Schwartz et al, 2011). In idealised influence, the leader must be seen by the followers as a role model (Doody and Doody, 2012). The manager of the home care must set an example by ensuring that all personal actions are in accordance with the vision. They must be the frontline communicator of the vision to the staff and be the first person to act when everyone is having difficulty fulfilling the vision (Doody and Doody, 2012). Inspirational motivation must also be applied by encouraging followers to always work to achieve organisational goals and objectives while at the same time achieving their own goals (Bally, 2007). Allowing members to participate in decision and policy-making exemplifies intellectual stimulation (Schwartz et al, 2011) . For example, the nursing staff can be involved in projects and programmes that will be launched to achieve the vision and strategic direction of the home care. Lastly, leaders in the home care must be open to the individual needs of the followers by supporting them in their actions, giving them recognition for their efforts and allowing them to achieve professional growth (Schwartz et al, 2011). Rewards and incentives can be given to those staff who exceptionally performed to achieve the goals set by the home care. They may also be given opportunities for further trainings and in-service education to make them more competent. In turn, these activities can bring about better services and improved patient outcomes. Organisational objectives Organisational objectives are the prescribed actions that will be used to achieve and evaluate organisational goals (Kelly, 2011). Based on the vision, the following are the organisational objectives: Our residential home care aims to: Deliver client-centered and holistic care to our residents Create a therapeutic environment for our clients Provide compassionate, ethical, safe, caring and dependable nursing services Commit ourselves to quality improvement and safety standards Increase the services we provide based on our clients’ changing needs Put the organisation and clients’ needs first before our own interests Respect, value and empower people within the organisation Support individual growth and opportunities Increase stakeholders’ satisfaction Move for organisational stability and viability Strategic planning process Strategic planning is the process of setting the future direction of the organisation through alignment of its mission and vision with its actions to achieve the desired outcomes (Feldman and Alexander, 2012). The strategic planning process that will be done follows Odiorne’s recommendations (as cited in Swansburg, 1996): Gap analysis. This involves identification of the problems of the organisation in order to determine what the organisation wants to do about it in the future. Examining extrinsic factors. Assess outside influences that contribute to the problems identified. Enumerate the critical issues. From a pool of problems identified, select the most pressing issues and those which more likely create a high-impact on the organisation. Ranking the important. Plan according to the most important issues for the organisation. Decide. Decide on the issues by involving all key stakeholders. Time and resource planning. Construct a time frame as to when the objectives should be met. This will also include identifying who will be responsible and the resources that will be needed. Summary and Conclusion Managing an organisation is never an easy task. It gets more difficult as the organisation becomes more complex and the needs of stakeholders continue to rise. Nurse managers and leaders must be able to consider all factors inside and outside of the organisation and every individual who has an interest to it. Leaders and managers must craft a well-defined and shared vision to make everyone involved in the organisation to remain committed and motivated towards fulfilling it. Such work will entail the need to adopt transformational leadership through idealised influence, inspirational motivation, intellectual stimulation and individual consideration. With the new vision, it is likewise necessary to craft the strategic direction and objectives of the organisation. In doing so, leader-managers must be able to align these to the vision, mission, philosophy, and values of the organisation. When all of these are in place, the organisation can now move to making a strategic plan for the entire organisation.

Saturday, January 18, 2020

Research And Ethics Essay

Conducting a qualitative research is not an easy task. Aside from considerations regarding gathering data, looking up literature and other sources related to the study, and such, researchers engaged in qualitative studies should also consider ethical issues in order to provide results that are not only reliable and valid but also acceptable in terms of morality and standard principles. For qualitative researches to exhibit the qualities of ethically accepted studies, they should comply with certain principles and guidelines. These principles and guidelines include simple yet socially acceptable rules such as respecting the rights and human dignity of other people, providing research results that are highly beneficial and contributive, adhering to fairness and equality, and presenting the truth and nothing but the truth. (Gonzales-Perez, 2007) One specific ethical issue in qualitative research is exploitation. This is a highly significant matter because it is related to the researcher’s relationship to the participants. Researchers should always respect participants avoiding exploitation, such that researchers do not impose power over them. (Gonzales-Perez, 2007) For instance, a researcher takes advantage of the vulnerability of child or female participants by imposing power and authority and drawing from them personal and sensitive information that violates the privacy of human beings. (Gonzales-Perez, 2007) Exploitation does not meet the responsibility of researchers over the security and welfare of the participants. Personal and sensitive information that will be presented in the research obtained from exploitation will not make the research study ethically or morally acceptable, annulling its reliability and validity as a research case. (Ethical Issues in Qualitative Research, 2008) Another ethical issue is the researcher’s responsibility to inform participants of the true nature of the research. This is based on the founding principles of qualitative research which states that the researcher should always protect participants from harm. Researchers should be able to inform participants of events that will follow the research process, such as the processes, operations, requirements, and such, in order for both the participants and the researcher to become aware of possible risks or threats. Considering the health of a participant is one possible consideration. For instance, the research study focuses on the effect of food to mood or emotions. The participant should be informed of the process, as a standard operating procedure, in order to determine problems, such as food allergies, and such. In addition, researchers should also obtain consent from participants before continuing the operation of the research process. This is one of the major responsibilities of the researcher as an advocate for human rights and dignity in terms of personal safety and wellbeing. In doing so, harm and catastrophes will be avoided. (Gonzales-Perez, 2007) The third ethical issue concerning qualitative research is misrepresentations of information covered by the research study. Opportunities for misrepresentations will not make the research study valid and reliable, simply because its content is open to many interpretations and points of view. The purpose of the research process is to provide information that is clear and direct, stating facts that represent the preciseness of data. Misrepresentation defeats this purpose. This violates ethical standards and guidelines because misrepresentations hold risks and threats, especially if data or information is interpreted in the wrong way. (Gonzales-Perez, 2007) Imagine a research study focusing on health practices that will protect the safety and wellbeing of the patients. Suppose the research study concludes with suggestions that will assist health care professionals in caring for their patients. If the information is interpreted wrongly, health care professionals might commit mistakes that will endanger the lives of their patients. Abiding by ethical issues and considerations, when conducting qualitative research, is highly important. Following ethics in qualitative research determines the nature and quality of the results and the research itself – whether it is acceptable, conducted in good faith, and is beneficial to the public. Researcher should always keep in mind that they are highly responsible for the results, whether desirable or undesirable, that might arise from the research study. Therefore, following ethical standards and guidelines is a must in order to go about the research process in a correct, accurate, and appropriate way. Resources Ethical Issues in Qualitative Research. (2008). Retrieved October 18, 2008, from SA Health Info. Website: http://www. sahealthinfo. org/ethics/ethicsqualitative. htm Gonzales-Perez, M. A. (2007). Ethical Issues in Qualitative Research. Retrieved October 18, 2008, from The Community Knowledge Initiative. Website: http://www. nuigalwaycki. ie/admin/documents/Ethical_Issues. pdf

Friday, January 10, 2020

The Do This, Get That Guide On Ways to Conclude an Essay Samples

The Do This, Get That Guide On Ways to Conclude an Essay Samples If you would like to prevent difficult argumentative essay topics, you can locate some amazing ideas on this blog. Some essays may just speak about similarities, though others might only speak about differences. These seven sample essays respond to a range of thought-provoking questions. A self-introduction essay is, in most situations, written employing the first-person standpoint. You will need to supply your reader the last comment about the whole topic you've been discussing. There are various ways to grab a reader. Just continue your introduction short and easy. You might also use a quotation from a renowned writer to be able to amplify your ideas and earn a reader contemplate on how to handle the issue from his standpoint. Getting the Best Ways to Conclude an Essay Samples Writing conclusions is reasonably simple, what you are just doing is reiterating the principal ideas. The major idea should stay precisely the same during the full paper. Banning smoking isn't a good idea. Use statistics and intriguing facts to start your paper. You will likely not have a lot of time remaining whenever you are writing your conclusion so it's essential that you practice them and learn to write them quickly. You can produce your essay beautiful by giving thought to some things. As soon as an essay doesn't have a reason to it, odds are that nobody will focus on your work. Leave all of your essay writing hassles to us and relish your time. You should begin telling personal things. Whether there are lots of mistakes in your essay, it can't be pretty. For writing any form of assignment, the first most difficult issue is searching an excellent topic. Starting off big can also provide your readers a great deal of big expectations from your composition. The essay will initially discuss how everyday competencies benefit people later in life and speak about the hazards of not being taught how to control money for a young age. You should have a mindset that you don't have any other means of winning your reader's interest but through your introduction. From 1 side, it may seem that there's nothing simpler than writing about yourself. Apart from the simple fact that writing personal experiences are rather simple to write, it's also a method of building connections and relations with your readers. A complete scholarship paper should end precisely the same way it starts. Ending an essay with similar scenario might help to demonstrate your point and make a better understanding. The approach you take to compose the essay conclusion, and that of the entire paper largely is dependent upon the sort of essay. Understanding how to compose the ideal scholarship essay conclusion is a substantial portion of your upcoming success. Have a look at our article on the most frequently made mistakes in college essays for more tips to make sure your essay reads well. You'll observe a similar structure in a number of the essays. For instance, a why us essay might chat about how very interesting XYZ interdisciplinary project is and the way it fits nicely with your senior project. Because the college essay isn't the very same type of essay that you write for your high school English teacher, it doesn't need to have the standard essay introduction, which delivers a thesis statement. There are different kinds of essay, and the type of the necessary conclusion differs as well. You may want to amplify the major point of an essay or place it in a different perspective for setting a bigger context. You also ought to restate the thesis and bring your principal concept to the stage. While writing down your essay conclusion, there are particular things that one has to consider.

Wednesday, January 1, 2020

Drinking and Driving Essay - 1487 Words

â€Å"Every single injury and death caused by drunk driving is totally preventable† says David J. Hanson, a drunken driving activist. Drinking and driving is a serious crime in all fifty states. The rules and laws may vary among the states. In Illinois, it is illegal to operate a motor vehicle with a blood-alcohol concentration (BAC) or .08 percent or more. A driver also can be convicted of DUI with a BAC of more than .05 if additional evidence is present (DUI Laws par. 1). According to the Nation Highway Traffic Safety Administration (NHTSA) alcohol-impaired motor vehicle crashes cost more than thirty-seven billion dollars annually and in 2010, more than ten thousand people died in alcohol-impaired driving crashes - one every fifty-one†¦show more content†¦This test is also an indirect measurement of BAC through an estimate of the amount of alcohol is the urine that is used to determine the overall BAC. A blood analysis is a sample of blood, drawn from the subject t o directly determine the blood alcohol concentration in the body. Although the amount of alcohol is at its highest level about an hour after drinking, alcohol is quickly absorbed into the blood and can easily be measured through a blood sample (DUI Refusal par. 2). In Illinois, before a driver can receive their license, they have to sign to implied consent. The implied consent law says that if a driver is lawfully arrested by an officer who has a probable cause to believe that he or she has been driving under the influence, that he or she consents to taking a chemical test of your blood, breath, or urine for the purposes of determining your blood alcohol content. A driver does not have the right to speak to an attorney before he or she is tested, and the test much be given as soon as possible from the time when he or she was last driving. 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