Essay --

Literature review 1) Authors: Dietmar , Rabussay & Denise ,M, Korniewicz Title: The Risks and Challenges of Surgical Glove Failure Source: Aoran Journal, 1997, 66(5): 871-876 Research Question or Hypothesis : What is the relationship between using of same gloves for removal of more than one dirty dressing and the subsequent increasing infection rate in Women’s Surgical Ward? Rabussay, D., & Korniewicz, D. M. (1997).Surgical Glove Failure- Part 2, Nurses as Inventers and Professional Collaboration, Aoran Journal , 66(5), 867-880.Print. Gloving is one of the occupational health and safety standards which exhibit a strong relationship between infection control standards and gloving practices. The risk of a particular transmission depends on level of pathogen resistance to environmental influence and its evading abilities, mode of transmission and barrier effectiveness also plays a major role. Gloves are highly effective barriers against pathogens. Infection is sometimes spread from staff to patients, this result in rise of nosocomial infections. Transmission is the only factor that can be controlled by the staff. The use of gloves as a barrier of protection is unclear. Moreover, failure of gloving protocols leads to infection to occur. A use of glove in infection control is to prevent the spread of infections from patient to patient, is only considered effective when the provided gloves are changed and hands often cleaned. Gloving practices is viewed as an important part of infection control measures and can be an au tomatic habit as a result of constant practice. The authors as stated above identified that when a conscious thought is given to standardized gloving practices and choices and improvements available when deciding o... ...e changed when indicated, that is, gloves are removed after caring for a patient an also when moving from a contaminated body site to a clean body site. Gloves need to be removed properly so that the hands are not contaminated in the process. Also WHO guidelines stated that nurses should wear gloves to protect themselves from acquiring infections from patients as well as to protect patients from acquiring microorganisms that may be on the hands of nurses. WHO also states that a health care worker should remove gloves after caring for a patient and not wear the same pair of gloves when caring for more than one patient. However, wearing gloves does not provide complete protection and also stated that wearing gloves does not take the place of hand hygiene. In addition to monitoring of glove usage should be incorporated in the routine hand hygiene skills and competency.

Descriptive Paper – Peanut Butter Sandwich

Juan Restrepo Mr. Miramonti English IV P. 7 November 10, 2010 Peanut Butter and banana Sandwich on Toast I’m standing in front of the refrigerator and I opened the refrigerator, I instantly saw the bread and reached for it with my right hand. I then closed the refrigerator with my left hand. I walk three steps to the right and put the bread down on the counter. I reach up with my right hand and open the cabinet. I see the peanut butter and reach for it with my right hand and I sit it down on the counter. I close the cabinet with my left hand. I turn to the right and take one step forward.I get to the counter and reach for a banana. I turn back around and take one step back. I put the banana on the counter next to the peanut butter and bread. I then tale half a step back and open the drawer that holds knifes. I reach for a butter knife and a sharp knife with my right hand. I shut the drawer with my left hand. I then take a step forward and put two knifes on the counter. I open up the bread with my left hand. I reach in with my right hand and take out two slices. I then take two pieces of bread, one in my right hand and one in my left and put them in the toaster.While I’m waiting I look up and open the cabinet with my right hand. I grab a plate with my left hand and set it down on the counter. I shut the cabinet with my right hand. By now the toast is ready. I grab each piece of bread, one with my left hand and one with my right hand, and put them on the plate. I then pick up the peanut butter with my left hand and open it up with my right hand. I pick up the butter knife with my right hand and dip it in the peanut butter. I pick up a piece of bread with my left hand and I spread the peanut butter on the bread.I put the bread down on the plate. I turn to the right and take two steps forward and put the knife in the sink. I turn back around and take two steps back to the food. I pick up the banana with my right hand and peel it with my left hand. I p ut the banana on my plate. I turn around and take two steps forward I throw the banana peel in the trash with my left hand. I turn back around and take two steps two steps back to my food. I pick the banana up with my left hand and set it on the counter. I grab the sharp knife with my right hand and start to slice the banana.After I’m done with slicing, I put down the sharp knife. I pick up the pieces one by one with my right hand and put them on the slice of bread with the peanut butter. I pick up the piece of bread without anything on it with my right hand. I place it on top of the slice of bread with everything on it. I pick up the plate with my right hand. I turn to the left and walk nine steps to the table. I set the plate down on the table. I pull the chair out with my right hand and sit down. I grab the sandwich with both hands and enjoy me delicious sandwich

Successful and unsuccessful organizations

The success rate of a business organization is determined by the level of satisfaction it has being able and is still capable of rendering to those who patronize its services or products. It also9 depend on the level of trust the clients or buyers have for the service or product from the organization. This will form the bases whether they will continue to patronize the organization. The quality services and product has always being the reckoning force for successful business organizations.Thus, most successful business organizations have adopted the Total Quality Management (TQM) as a tool for the expansion of their success rate and also curving an edge for themselves over their counterparts in contemporary business world. Total quality is about bringing about a fundamental culture change within an organization. The foundation of the new culture has to be faith- that there is a better way of doing things, and that we are really fully committed to it.According to KPMG (2005), â€Å"T otal quality means adopting a customer- oriented business strategy. † This write- up tends to be base on Hilton International as a case stu7dy. Here, the organization operations in the past, present will be studied to see whether it will be successful or not in the next five years to come. HILTON INTERNATIONAL ORGANISATION Hilton International organization is a name to be reckoned with when it comes to hostel industry world over.It has spread its tentacles to developing programmes such as esprit and Hilton University used in training its manpower. The organization is a Multi- International Corporation. Hilton International (HI) owns the right to the Hilton brand name throughout the world, with the exception of the USA, where the Hilton brand is owned and managed by Hilton Hotels Corporation (HHC). The Hilton International operates 403 hotels, with some 261 branded Hilton and 142 under the mid- market Scandic brand.The Hilton International and the North American Hilton Hotel Co rporation has a global alliance which extends the number of hotels operated by both companies worldwide to over 2,700- over 500 of which are branded Hilton. Also, both organizations share responsibility for the Conrad brand which includes 17 hotels in 12 countries (national business awards, 2005). Hilton International started its operation in hotel business in postwar cities, with its modest services of offering a clean environment, air- conditioned respite and a cheeseburger.The Hilton hotels were designed for political impact during this time. The hotels were seen as â€Å"little America†, where businessmen and tourists in Europe and the Middle East could retreat from the disturbingly alien into the comfortable services provided by the Hilton hotels. These same features lent the Hilton a utopian aura, for the economically exhausted local population where a space of luxury and promise which realized permanently and prominently, the new and powerful presence of the United Sta tes (Wharton, 2001)The Hilton International built 16 luxury hotels abroad between 1953 and 1966. â€Å"All were planned according to the Hilton programme and styled as ‘corporate modern’- the same form that distinguished the American embassies and consulates proliferating in the period† (ibid). The Hilton was the first significant modern structure, introducing a striking visual contrast to the vernacular fabrics of places such as Istanbul, Cairo, Athens and Jerusalem. The new architecture impact was amplified by the hotel’s unprecedented siting and scale.As already stated, the ideological base of the creation of Hilton International was not only for profit maximization, but also for political considerations. According to Conrad Hilton, â€Å"Hilton International Hotels were constructed not only to earn Hilton shareholders a profit, but also to make a political impact on host countries; an integral part of my dream was to show the countries most exposed to communism the other side of the coin†¦. the fruits of the free world† (ibid). Hence, the American government had assisted the corporation in no small measure in expanding its base internationally.The capital for the construction of the earlier Hiltons was commonly provided not by the corporation itself, but by institutions in the host countries, with occasional subsidies from the American Economic Co-operation Administration with the support of the US Department of state. Hilton envisioned a global peace where universal capitalism reign. The consistent modernity of the original Hiltons has made it lost its authority and bears no utopian meaning. This has to do with the remodeling of Hilton International in order to make it remain fashionable.THE ORGANIZATION’S STRATEGY AND PRESENT STANDING. The Hilton international is recognized presently as the world best known hotel. It triumphed at the prestigious UK National Business Awards for a second year by winning the cov eted ‘Broad-system Customer Focus Award 2005’. Previous year the organization won the Best Marketing Strategy Award. (National business awards, 2005). The Hilton International has operated a business strategy that makes its customers to have the best quality of service. The organization embrace a creative marketing agency, campaign works.This has supported Hilton’s new brand strategy. The strategy first embraced industry and customer research. Innovation Hubs were set up to turn lifestyle analysis and research into a contemporary hotel experience and conventional thinking was challenged which contributed to the creation of the new customer brand promise. The next phase saw the development of innovative internal and external marketi9ng tools that communicated and delivered the brand strategy throughout the organization and to the customer.The embraced strategy of Hilton International has led to its outstanding success with significant commercial returns. Hilton is now the number one hotel brand in every global market with higher guest satisfaction, improved team member satisfaction and increased financial perfo4rmance (ibid). The Hilton International is expanding its manpower knowledge through its Hilton University. Currently, there are 8000 team members, team leaders, departmental managers and general managers in 70 countries in the Hilton University.The university is recognized as a world standard for management development in the hospitality industry. It has a primary focus of a web- based delivery of core management and skill development with the goal of maintaining world-class customer service throughout the Hilton International organization. The Hilton International sees it as a challenge to increase and broaden the reach of the university to serve even more emp0loyees worldwide, to increase the sophistication of learning activities it offers and to more directly link learning and skills development with the company’s business r esults.The Sum Total learner management system is aimed at developing more in-depth, blended learning programs, incorporating employee competencies by job role and function, and aligning them with specific content and business goals. (elearnity. com, 2004) According to John Guthrie, head of International management development at Hilton International, ‘what sets Hilton apart is the immense pride we take in the standards of service we deliver to all our guests. Sum-Total will help us measure the effectiveness of certain training programs- for example in e-commerce and reservations – in increasing customer satisfaction†(ibid)In year 2000, Hilton International unveiled a plan to double the speed at which it opens hotels around the world. The shares of the organization enjoyed a massive 40 per cent rise since Hilton announced plans to expand Ladbrokes, into internet betting. The online betting becomes interesting to investors, even though its hotel business accounts f or more than two thirds of the group’s profits. (Lindsay City, 2000) The present crave for internet betting has made the organization take its turn in partaking in the business.Turnover of the Hilton in 2000 slipped to 4. 23 billion pounds from 4. 68 billion pounds, mostly as a result of selling off the Corals betting shop chain. The hotel division, bolstered by Stakis, saw profits rise from 181 million pounds to 264 million pounds. In year 2003, the Hilton International sees the increase in its revenue. Hilton reported a pretax profit before exceptional and goodwill for the first half, of 110. 5 million pounds, down from 130 million pounds the previous year.Hilton plans to open 17 new hotels in 2003, with most of them incorporating either management contracts or franchises, and will continue to open around 20 each year going forward. HILTON INTERNATIONAL POTENTIELS FOR SUCCESS OVER THE NEXT FIVE YEARS. The historical and present operations of the Hilton International have sh own that the organization strategy is a strong base for its success in years to come. Total Quality Management as a management tool is used by the organization to continue to win its customers’ patronage.The strategy sees that customers are given the best standard quality of services. This business strategy has made the Hilton International to win the UK National Business awards for 2004 and 2005. The Hilton Business strategy, as discussed earlier on, has a creative marketing agency, campaign works which help in supporting industry and customer research, innovative internal and external marketing tools that communicate and delivers brand strategy throughout the organization and to the customer. This is in practice in the organization.Also, the divers and expanding business operations of the Hilton International would make the organization to continue to succeed. Even, if one or more business unit of the Multi Corporation experiences a d own ebbs in its operational level, othe r chains and units that is successful would keep the organization going. As already discussed the Hilton International operates a university where its manpower are trained and equipped with the professional skill in delivering standard services to its customers.In this instance, the practice of Strategic Human Resource Management is put in place, where the workforce of the organization are integrated into the strategic operation of the corporation, in order to attain the organization’s objectives and long term goals. This practice tends to bring the achievement of best results, and thereby making the Hilton International organization to succeed over the next five years to come and more.

The Value Wastelands

Critique â€Å"The†Values† Wasteland† Charles Skyes’ work has been in seen in many prosperous newspapers throughout time, to name a few New York Times and the Wall Street Journal. Most of what Skyes writes is educational issues. Skyes has also written a number of books, ProfScam: Professors and the Demise of Higher Education (1988), The Hollow Man: Politics and Corruption in Higher Education (1990) and 50 Rules Kids Won’t Learn In School (2007).Skyes is involved in many other things for example he is a senior fellow at the Wisconsin Policy Research Institute and he hosts a radio show in Milwaukee that is popular. Skyes addresses mostly topics that he sees as breakdown in the American culture. The following critique is from an excerpt from Skyes book Dumbing Down Our Kids: Why America’s Children Feel Good About Themselves But Can’t Read, Write or Add. Skyes addresses numerous controversial moral issues within American children today, giv ing statistics from many different surveys claiming that American children are not so intune as they once were.Skyes also quotes a few different people that have done various studies and or surveys along with his own opinions on these same issues. Skyes conclusion is that we have given our children array of irrational morals and that we need to look at the ones who provide them to these children. Skyes includes all that is negative and has no mind for any of the positive with our children today. A weakness of this article, Skyes has put down children and their morals and then takes his readers with points that it is the parents, communities, the media and even the churches that society need to take a look at and settle the blame there.Charles Skyes excerpt â€Å"The†Values† Wasteland† gives an example of a teenager who was accused of rape and the repercussions afterwards. Skyes introduces his readers with statistics and research on issues such as â€Å"it was acc eptable for a man to force sex on a woman† (199). Skyes’ statistics have his readers believing that this is all teens. Skyes credibility is for his self-gain, only showing his view point. He does not tell his readers where in Rhode Island the statistics were gathered from. Were the statistics taken from only urban areas, or rural areas?Skyes inferences are based solely on one group of students giving a sense of incomplete comparison. The article explicitly and deliberately distracts the readers to other issues that Skyes thinks will hit more at home about morals. â€Å"A write in survey of 126,000 teenagers found that 25 to 40 percent of teens see nothing wrong with cheating on exams, stealing from employers, or keeping money that wasn’t theirs†(199). Grabbing the attention of the readers with a â€Å"red herring† knowing that this issue would cause the reader to identify.Skyes only includes from the survey that one point. Skyes hasty generalization gives his readers insufficient statistics and what the survey was based on while playing on his readers emotions. Skyes purpose for this book clearly shows how he perceives American children. He gives factual statistics on the negative influences on American children to sway his readers into believing that today’s they are need of a huge change and reform. Skyes has written continuously about the educational issues in America.Taking a look back at his other work and what he is involved in now, TV, Radio, books, it is all about the same things: educational issues with children and how we need to act on changing it or forever be doomed. Skyes effectively gave all negative statistics, doing his research thoroughly although it was quite biased, skipping over anything that had anything to do with the positive. â€Å"More than 60 percent of high school students said they had cheated at least once on an exam†(199).Showing the large amount of students that admitted to cheatin g yet there is nothing to support this statistic as the actual question and how it was worded and how Skyes actually came to have that 60 percent of students. Did it come from one school or many schools? Skyes needed to give more information about the statistics he acquired and focus less on the negative. Skyes uses the phrase â€Å"IDI’s† (I-Deserve-Its) saying that today’s kids are all about entitlement and are completely surrounded by â€Å"personal needs wants and don’t wants and rights. (199) Again where is Skyes getting all his information? In the poverty stricken areas or middle class? It really does make a difference where Skyes got his information. Then he could have added in the different neighborhoods that people need to really take a look at and change. As the reader, I don’t know. Perhaps it is an all-around assement maybe not but, Skyes is not very clear on the where’s, or how’s. His argument is valid to a point but doe s not give any information for the readers to make a decision.Skyes leaves this wide open for the reader to think that it is all American kids that are IDI’s. Skyes compares American children to Asian children who are not given a choice in what they are allowed to read. â€Å"Asian children continue to read about stories of perseverance, hard work, loyalty, duty, prudence, heroism, and honesty†(200). The examples that Skyes gives that American students used to study are all white and dead; Benjamin Franklin, Florence Nightingale and Thomas Edison.Skyes boosts that they taught lessons of â€Å"inventiveness, character, compassion, curiosity, and truthfulness†(200). I agree that all of those mentioned are very noble historical people but we do have in today’s living that carry the same lessons that children can relate with more than a bunch of dead white people. This was a very racist comment made by Skyes and his credibility went right out the window. Skye s has given a lot of statistics of negative morals with our American children of today.He does not allow the reader to make his or her own educated decision without giving anything to go on except the negative statistics that Skyes has provided. Skyes tries to convince the readers that it is not just the schools but parents, media, and church that are to blame for the way American kids are. In addition he has proven his racism with comments he has slipped in trying to sway the reader to think that other children are better than the American child. This excerpt makes me exceptionally angry with Skyes who makes me think that he is all holier than thou.Skyes knocks down the very country he lives in. He makes some very interesting points about the way children â€Å"may† think, but I do not agree with him. I feel that the American children are right where they are supposed to be. These issues have always been. If he really wants a change, Skyes needs to include all the good that could be going on and not leaving teachers, parent, and clergy members feeling helpless. This excerpt was poorly thought out and Skyes really needs to reevaluate his own morals and social issues.

Need a marketing plan outline- daycare owner and operating business Essay

Need a marketing plan outline- daycare owner and operating business - Essay Example o one of their major undoing is the fact that it targets even the low earning or poor consumers by producing as low as one hundred and fifty liters which cost very little. The products have been moving at a faster rate and consumers really like it. The Softer Company has a very wide target market as it satisfies the needs for various consumers that range from those that are healthy diet conscious or concerned through Died Softer to the average individual via its best selling drink called Peck. Most products of the Softer Company satisfy all the age groups since it is proven that several individuals of different age groups actually consume the Softer product. Softer has a long standing commitment to the protection of the consumers whose confidence and trust in its products is the basis and backbone of its success. For the purposes of ensuring that consumers are updated on the global quality of all the products of Softer that are sold, the products have a seal of quality assurance. Softer consumers are purchasing a wide range or variety of soft drinks. They buy one product line or another due to the high quality and standards of products produced by the company. The company also provides complaint phone service and help line for clients who are not contended with the product or even would like to give feedback or comment on the products. This is the process of the creation of the image that is held by the product in the customers’ mind, relative to the competing products. Both Softer and Afia make soft drinks; however, even though Afia might attempt to compete, we find that they will still be considered as lower market from Softer. Positioning assists clients in understanding what is unique or exceptional about the products in comparison with the competition (Kerin & Peterson, 2007). The company uses the Individual brand strategy in marketing since its major products have their own brand names. The products operate under the same brand name of Softer, although

Assessment Assignment Example | Topics and Well Written Essays - 2000 words

Assessment - Assignment Example From my review, it is evident that Mr. G’s condition with arthritis is advancing to a more chronic stage as he reports most of his activities around the joints having rapidly reduced. The subjective data is important in revealing the experiences of the patient from a firsthand account. On the other hand, objective data is important in determining the clinical status of the patient through examination and tests. During the collection of information, confidentiality and information safety is upheld. Upon assuring the patient that their information may be kept private, they can disclose some of the private information related to their condition. In addition, I do not engage in any further research concerning the patient without their consent in order to limit any chances of intrusion into their private information. Some of the patient assessment tools that bare within nurses, which are applied in assessing morbidity of the patients. These tools include the decision-making tools, which provide guidelines on the main approach to determining the morbidity of the patients including ruling out of some of the cases in relation to both the subjective and objective data of the patient. Nurses also carry within them education tools that allow them to consider the best technology for assessing patients at each level. Communication tools are also important in creating a rapport with the patient and thus establishing a proper assessment of the morbidity levels. Inspection involves application of vision, hearing, and smell to assess abnormal deviations and conditions within the body of a patient. An example of inspection is the observation for yellow eyes in an individual with jaundice. Palpation involves touching of the patient’s area of body under examination with varying parts of one’s hands, while employing different degrees of pressure. This can be employed when checking for cancerous lumps in the breast. In addition, Percussion requires one to tap their

The Harlem Renaissance Essay Example | Topics and Well Written Essays - 1500 words

The Harlem Renaissance - Essay Example The Renaissance is considered to have started in 1919 and existed until the mid or early 1930s.The influence of the Renaissance was felt on a scale larger than the United States as it is credited with having impacted on black writers from colonies in the Caribbean and Africa, that were French-speaking and living in Paris. The ideas and beliefs of the movement lived on for a long time after the movement ceased to exist. Majorities of African-Americans who were enslaved and lived in the agrarian south of the United States up to the end of the Civil War. After the civil war, the slaves were free to move and do as they pleased. The African-Americans started striving for political equality, participation in civic positions and self-determination in cultural and economic fields. Black congressional representatives made speeches that addressed the Ku Klux Klan Act of 1871 and reprimanded the bill. This necessitated the Civil Rights Act of 1875. However, Democrat whites had regained power in the south leaving the African-Americans without representation in the congress. This allowed them to draft and pass bills that disenfranchised many poor whites and most Negros establishing white supremacist regimes (Ushistory.org, 2013). There was denial of the African-American political and civil rights through terrorizing attacks from lynch mobs and vigilante groups. A convict labor system also forced thousands of African-Americans into unpaid labor on plantations and in mines was reminiscent of slavery. Only a small number purchased land after the civil war. The African-Americans started migrating to the industrially emerging north from the agrarian south that had become increasingly difficult. However, the reception in the north was not a walk in paradise. Northerners were prejudiced against the African-Americans though the legal systems in the states were not as imposing on their rights as the south. White laborers complained of the flooding of the employment market by the Afr ican-Americans and lowering of wages. The â€Å"Negroes† segregated in urban slums by practice (Rau 7). Among these slums was Harlem. The neighborhood was a design for white workers who needed to commute to the city. Nevertheless, the project was overambitious, as the transportation could not cater for the populace. The district abandoned by whites, was sold, and rented to black real estate agents and tenants. The push of blacks from the city’s metropolitan area saw them move to the neighborhood en masse. The brightest black intellectuals, entrepreneurs, and advocates positioned themselves in Harlem bringing institutions, businesses, and a wide range of talents and ambitions with them. The neighborhood became â€Å"the Black Mecca† (Herringshaw 26). A large number of African-Americans joined the neighborhood during the First World War. The activities of the war created a deficit and demand for industrial labor while ceasing the migration of laborers from Europea n countries. This caused the Great Migration of thousands of African –Americans in the city and into the neighborhood of Harlem. After the war, African-American soldiers from units like the Harlem Hellfighters returned to a nation with citizens who had no respect for their accomplishments due to the virulent White Racism (Ushistory.org, 2013). The Renaissance started developing in the late 1910s. The â€Å"Three Plays for a Negro Theatre†