Monday, September 30, 2019

Health Care Delivery Systems Essay

Bursting the Health Care Bubble A source states that, the 30 million uninsured Americans have forced the United States to put part of the responsibility of health care into the government’s hands (Terry 116). By 2014, the changes in the health care system will be life changing for some, while others will have little to no effect by the reform. A surgery specialist from New York states that, â€Å"†¦46 million people in America lack access to health care and†¦ has been based on a person’s ability to pay† (Goldberg 6). Since 2010, the Health Care Reform Act already started making changes in our economy and will continue to do so until for many years, or the election of a new President. These changes will allow each person to have little to no excuse on why they are not taking responsibility of their health. As I sat patiently in the waiting room for my doctor who was twenty minutes late, I sat and watched the clock every few minutes until a nurse came to greet me. I couldn’t help but look around at the other patients next to me thinking†¦Ã¢â‚¬Å"right, privilege, or responsibility?† Was it my right to be here, my privilege, or my responsibility? Going through the scenarios in my head, I could think of examples that could fall under each. A small child ran about the waiting room while her mom sat in her chair reading â€Å"Country Living†, an elderly couple sat holding hands to my left, also waiting patiently for someone to greet them. I could hear the medical assistants at the front desk gossiping and discussing insurance matters. I couldn’t help but feel sorry for them after learning what pain insurance companies could be. Originally, while sitting there unwearyingly for the doctor and watching the people around me, I thought it was a privilege to get to be one of the lucky ones that had insurance, which better allowed me to take care and responsibility of my own health. This then lead me to my next thought, the reason that I am here right now is because I am the one taking responsibility for my own health (†¦and maybe the help of my parents until I am 26†¦ hopefully). As the nurse called me back, I had finally come to a  conclusion. Health care in the United States is a responsibility, not a right and no longer a privilege. The responsibility of healthcare if shifting everywhere, whether it be changing into the hands of patients, medical personnel, or the government. According to www.dictionary.com, being responsible is being accountable. I feel that many American’s in the United States have trouble being accountable for their own actions, and like to put the blame on someone or something other than themselves. â€Å"Americans do not blame themselves for their health care problems†¦instead attributing the rising health care costs to the profits made by drug and insurance companies† (Blendon 636). Even from the standpoint of our country as a whole, many would like to believe that we don’t make mistakes and that we are better than the rest. Even on Google, there are many websites containing all the reasons that American’s think they are superior to other countries†¦ and sadly, there is a long list. Reality has to hit at some point, and someday I hope many of us can recognize that we aren’t perfect, and that in fact we do make mistakes, mistakes that can hold even the lives and the decisions of others. Thinking I am being proactive and taking responsibility for my own health, I finally get to see the doctor after not only a thirty minute wait in the lobby, but a two to three week wait just to see my family physician. Marshall Kapp, the director of Florida State University’s Center for Innovative Collaboration in Medicine & Law, states that â€Å"†¦practicing physicians in the United States are already extremely busy† he goes on to say that adding new patients to practices will only result in either more hours to the day or a longer wait to get into your doctor, depending on the physician because of the reform (418). Marshall Kapp fears that â€Å"†¦affordable health insurance†¦ may still fail at actually providing medical care† (416). Because each physician will have more patients, will each patient be receiving the right quality of care? Or even the right medical care at all because of the long wait? In the same article he goes on saying,  "According to an official of the American College of Physicians, ‘newly insured patients can anticipate difficulties gaining access to primary care, particularly in undeserved communities’† (416). More patients will then  cause a shortage of physicians in the United States. Another source goes on to say that â€Å"Americans’ are far less satisfied with the availability†¦of health care in their country than Canada and the British are with theirs†¦ Nearly three-fourths of Americans in 2003 expressed dissatisfaction with the availability of health care in their country† (Blendon 629). Although Americans no longer have an excuse on why they aren’t taking responsibility, will the number of patients decrease the quality of care or the access to a physician? The Health Care Reform Act is predicted to reduce health care costs, which will then lead people to receive preventative care and will also allow Medicare patients to receive a physical with â€Å"no direct costs or low costs to patients† (Terry 116). Terry begins to then say that â€Å"preventative medicine and chronic illnesses-for instance, diabetic patients- are going to have incentives and better coverage (116). Edward J. Dougherty, Senior Vice President of B&D C onsulting in Washington D.C.†¦ says, ‘There is a greater focus on preventative care, on wellness, on patient education, and intervention before an acute event or episode occurs. That provides opportunities for anyone†¦Ã¢â‚¬  (Terry 116). The wise words of Dr. Baker that will haunt my brain forever went a little something like this, â€Å"As I was shaving this morning, I looked in the mirror and saw the person who was responsible for high health care costs.† Every time I look in the mirror, I am now disturbed by these same words, as I’m sure many of my other class mates are as well. Dr. Davis Goldberg goes on to tell a story of Joe Skin, â€Å"Joe Skin died of metastatic malignant melanoma because he could not afford the $100 it would have to cost him to see a local dermatologist two years earlier, when he only had melanoma in situ. Unable to afford the original fee, he left his pigmented lesion untreated, until a seizure from metastatic disease ended with him having multiple surgeries at a cost of $350,000 to tax payers† (Goldberg 6). I wonder if Mr. Skin looked in the mirror while he was shaving that morning to realize that he would be one of the reasons for high health care costs in America. Unfortunately, because Joe Skin didn’t have health insurance he decided to not take responsibility for his health, which then resulted in more problems than before and even resulted in death. This seems to be a  popular trend in the uninsured Goldberg states, â€Å"The uninsured also tend to wait longer and get sicker before seeing a doctor† (6), he then states that a popular trend among the uninsured is that they are â€Å"†¦less likely to receive recommended preventative and primary care services, face significant barriers to care and ultimately face worse health outcomes† (6). The overall attitude toward health care changes dramatically when you bring those who are uninsured into the health care industry. â€Å"Americans’ attitudes toward the health care system are related to difference between those with secure and comprehensive coverage, and those without it† (Blendon 628). A source states that, one of the purposes of the Healthcare Reform act is to better allow each person to take responsibility into their own hands, as well as â€Å"†¦lower health costs† (Terry 116). The responsibility and the cost of health care have been taken out of the physicians and the medical staff’s hands, and into those of the governments. Nathan Kaufman, Managing Director of Kaufman Strategic Advisors states, â€Å"It is a brutal fact that hospitals can no longer afford to delegate the responsibility and accountability of cost and quality of care to an independent medical staff of physicians practicing†¦Ã¢â‚¬  (167). Like we have discussed earlier, the reform is supposed to help lower the costs, but Kaufman believes that â€Å"health care costs will contribute to the destabilization of the economy† (164). He then proceeds with Richard Foster, the chief actuary for Centers of Medicare & Medicaid Services, who also states that â€Å"†¦the new law will increase the nation’s overall spending on healthcare by $289 billion through 2019† (Kaufman 164). This budget will then cut the spending in other important areas, which will then raise our taxes once again to pay back the borrowed money (Kaufman 164). Dr. Baicker also states that â€Å"†¦ there is much less to fund public schools, roads, and other necessary public services† (Goldberg 6). Although the Healthcare Reform or PPACA seems to be a good idea in many ways, this is where it all seems to be a little bit fishy, and when life seems to be all great and dandy with the reform, we will eventually be hit with the reality of the damage that our government and what our decisions have caused us. Dr. Katherine Baiker also questions the concept of the PPACA stating, â€Å"Yet the question remains: What will work? What is the most effective way to ration  health care?’ (Godberg 6). There are consequences to most every situation, and I do not know if physicians or patients are prepared for the consequences that the PPACA will bring us. The question is not if there are consequences, but when will we be affected by them? According to â€Å"Americans’ Health Care Views of Care, Access, and Quality† states that American’s have little to no faith in their government and were ready for some sort of reform (624). With the Healthcare Reform Act already facing high disputes and the non-support from many health care providers and some politicians, and because we spend so much time building the reform up, our nation is not aware of what is about to hit. At some point, Americans are going to be forced with higher taxes, and I fear health care providers who are also not prepared for the consequences will be faced with, and will not get the benefits of the reform to its fullest. Dr. Blendon says that, â€Å"†¦ when issues like health care rationing, increased taxes, and longer waiting times are raised, public alternatives fall sharply† (641). Later in the article, he also begins to say that †Å"less than half† of the people agreed to pay higher taxes to achieve the goal of a â€Å"universal health plan† (Blendon 642). Kaufman states, â€Å"Those who recognize the existence of a bubble and prepare for its brutal realities can benefit when the bubble bursts† (167). He also begins to say that, health care providers who do plan for the bubble bursting, â€Å"†¦will be able to treat higher volumes of patients at lower predictable costs per episode, demonstrating measurable high quality and providing an exceptional patient experience† (167-168). For those who do not prepare themselves for the â€Å"bubble burst† who will be responsible? Everyone involved in the health care system will be responsible for some of the â€Å"lack of thought† that has gone into this health care reform. One of the man purposes of the reform is to also help the quality of care, which is one of the many responsibilities that physicians face in the health care industry. Although doctors have many patients, if a patient is taking the responsibility of taking care of their own health, then it is th e responsibility of the physician to provide the best quality of care. A source states, â€Å"Health reform policies currently envisioned to improve care and lower costs may have small effects on high-cost patients who consume most resources. Instead, developing interventions tailored to improve care and lowering costs for specified types of complex and costly patients may hold greater potential for â€Å"bending the cost curve† (Kaufman 166). Changing the quality of care isn’t done at no cost, but a source states that â€Å"†¦health care organizations must contribute on some level to promoting the highest quality of care, the greatest safety of the patient, and the best patient experience† (Liang 1426). Coming from personal experience, if a patient is satisfied with their visit(s) and receives the best quality of care and experience possible, the likelihood of them returning is much greater. In the article â€Å"Quality and Safety in Medical Care: What Does the Future Hold?†, brought up some interesting points about physician to patient relationships during their medical stay or the decisions made about their health. Doing so will make the patient more understanding and responsible for their own health. It is important for the physician and the patient to make decisions together and understand the benefits, consequences, and the outcome of each procedure. A source states that â€Å"†¦less t han one-half of hospitalized patients stated they were always involved in the decisions about their treatment, and almost one-third of the patients indicated they did not know who handled their care in the hospital† (Liang 1426). Allowing a patient to take more responsibility for their health is a lot harder when they have no idea what is going on. The quality of patient care affects the quality of a patient’s life. Dr. Blendon says, â€Å"†¦most Americans are satisfied with the quality of medical care they and their families receive, and they do not see the issue as a top problem† (648). A source states that â€Å"†¦ the Institute of Medicine has defined quality as ‘the degree to which health services for individuals and population increase the likelihood of desired health outcomes and are consistent with current professional knowledge† (Schuster 3). When dealing with health care I believe that it is always the patients responsibility, but if the physician giving incentive to the patient stay proactive and understand what is going on, than how can the patient be responsible? The thoughts on health care are constantly changing, whether its people’s right to be provided with health care, whether it’s a privilege to be able to receive health care, or whether it’s the respo nsibility of those apart of the health industry and the patients to receive the right kind of health care. A source states that, â€Å"Finding ways of doing more with less will continue to be hospitals’ biggest challenge†Ã‚  (Hospitals are expected to do more with less 4). The health care reform will be in full force before we all know it. As a citizen and patient, I know that it is my personal responsibility to keep proactive on my health, help make decisions for my fellow American’s to make the best health system possible. So every morning, when I stare into the mirror, I know that the reason the health care industry is the way it is, was because I made it that way. Health care is a responsibility, not a right and no longer a privilege.

Sunday, September 29, 2019

Job Analysis and Job Design Essay

Job analysis—The procedure for determining the tasks and responsibilities of each a job, and the human attributes (in terms of knowledge, skills, and abilities) required to perform the job. The outcomes of job analysis will be: Job description (what the job entails), Job specifications (what the human requirements are needed for the job). Job analysis is something called the cornerstone of HRM, because the outcomes of job analysis (job descriptions and job specifications) are the basis for most of the interrelated HRM activities, including recruitment and selection, HR planning, training, performance appraisal, pay and benefits, health and safety, labour relation, and so on (you can think about more areas). The Phases and Steps in Job Analysis Phase One: Preparation for job analysis 1. Step 1: Familiarize with the organization and its jobs 2. Step 2: Determine uses of job analysis information 3. Step 3: Select representative jobs to be analysis. Phase 2: Collection of job analysis information 4. Step 4: Determine sources of job data (Human and nonhuman sources) 5. Step 5: Data collection instrument design (Job analysis schedules) 6. Step 6: Choice of method for data collection (interview, observation, questionnaire, etc.) 7. Step 7: Develop a job descriptions and job specifications. Phases 3: Use of Job analysis Information (for other HR management areas) Methods of Collecting Job Analysis Information Collecting job analysis data usually involves a joint effort by an HR specialist, the incumbent, and the jobholder’s supervisor. Job analysis techniques can be categorized into 2 groups: Qualitative methods and quantitative methods. Qualitative methods mainly include 1) Interview, including individual interview, group interview, and supervisory interview 2) Questionnaires—having employees fill out questionnaires to describe the job related information (See Figure 2-4, P. 62-63 of the text) 3) Observation it is useful when jobs consist mainly of observable physical activities. 4) Participant diary/log – Asking employees to keep a diary/log or a list of what they do during the day. Quantitative methods mainly include 1) Position Analysis Questionnaire (PAQ) Very structured job analysis questionnaire Contains 194 items, each of which represents a basic element Provides quantitative job score on five dimensions of job requirements: having decision-making, communication, or social responsibilities performing skilled activities being physical active operating vehicles/equipment processing information Results from PAQ can be used to compare jobs and help determine appropriate pay level. 2) Functional Job Analysis (FJA), a quantitative job analysis method for classifying jobs based on : types and amounts of responsibilities for three functions: data, people, and things the extent to which instructions, reasoning judgment verbal/language facilities required It also identifies performance standards and training requirements. 3) The National Occupational Classification (NOC) –See P. 67-68 of the text Complied by the Human Resources Development Canada An excellent source of standardized job analysis information, containing comprehensive description of approximately 20,000 occupations. A reference tool for writing job descriptions and job specification It’s counseling component: Career Handbook. Classifying system of NOC (See the website: http://www.hrsdc.gc.ca/eng/jobs/lmi/noc/index.shtml) Major group –identified by two digital numbers. Minor group –identified by one digital number Unit group –identified by one digital number Writing Job Descriptions A job description needs to tell: What the jobholder actually does, How he or she does it, and Under what conditions the job is performed The 6 Basic Element of Job Description (See example in Figure2-6, P. 66 of the text): 1) Job identification Job title Department Report to Job status 2) Job summary—describing the nature of the job, listing only its major functions or activities. 3) Duties and responsibilities 4) Authority 5) Performance standards 6) Working conditions Writing Job Specification The 6 basic element of job specification: 1) Job identification * 2) Job summary * Skill factors: Experience 3) Specific skills Education level 4) Effort factors Physical demands Mental demands 5) Working conditions * Notes: items with a â€Å"*† can be the same and combined with those in job descriptions. Job Design Job Design—the process of systematically organizing work into tasks required to perform a job Job Design Considerations (also refer to PowerPoint slides) Organizational considerations Ergonomic considerations Employee considerations (considering human behavioual aspects) Environmental considerations In the history of job design, people usually follow two schools of thinking: 1) To simply the jobs. This practice emphasizes the efficiency of production but pays concern in workers’ well-being 2) To enrich the jobs. This practice emphasizes both efficiency and workers’ needs and well-being The Job Characteristics Model (JCM) To understand this model, we need to understand the basic dimensions and  their relationship to psychological states and work outcomes –See Page 77-78 of the text. The 3 critical psychological states The basic theory underlying the model is that desirable outcomes both for the person, in terms of internal satisfaction and motivation, and for the organization, in terms of high quality performance and low absenteeism and turnover, will result only if the worker can achieve three critical psychological status: 1. The work must be experienced as meaningful, worthwhile, or important. 2. The worker must experience that he or she is personally responsible for the work outcome, that is, accountable for the product of his or her efforts. 3. The worker must be able to determine in some regular and reliable way how his or her efforts are coming out, what results are achieved, and whether or not they are satisfactory. The core job characteristics are then derived by observing what kinds of job characteristics are more or less likely to lead to the desired psychological states. The 5 Core Job Characteristics 1) Skill variety – using different skill and talents to complete a variety of work activities. 2) Task identity – the degree to which a job requires completion of a whole or identifiable piece of work. 3) Task significance – the degree to which the job has a substantial impact on the organization and /or larger society. 4) Autonomy – the degree to which a job gives employees the freedom, independence, and discretion to schedule their work and determine the procedures to be used to complete the work. 5) Job feedback – the degree to which employees can tell how well they are doing based on direct sensory information from the job itself. The Relationship between the above Theories and Management Strategies can be reflexed by various job design strategies as listed below: Strategies for enriching jobs: Based on the Job Characteristics Model, we can employ the job design strategies of: Job rotation –arrange employees to rotate to different job  during a certain period of time. Job enlargement- put more related tasks into a job to make it larger. Job enrichment- let employees have more autonomy and involve in thinking aspects of the jobs. Employee involvement and work teams Use of job families in HR Decisions Increasing job flexibility –cognitively complex, more team-based, more dependent on social skills and technological competence, time pressured, mobile, and less dependent on geography Self-study requirements: Read Chapters 2 and 3 of text Visit the website of National Occupational Classification

Saturday, September 28, 2019

Why may the Romans be considered great city builders Essay

Why may the Romans be considered great city builders - Essay Example The capital city of Rome was especially famous for its detailed planning and organization. It is difficult to perceive how city planners of Rome could have pulled off such a grand and sweeping project without the aid of modern architectural aids. Yet, it is a fact that the monuments, government buildings, public recreation houses and other structures and provisions within the city were quite advanced for the time. And some of the technology used by Romans continues to find application in modern cities today. With no greater aid than stones, bricks, wood and mortar, the Romans constructed great works of architectural value. The Bridges over Danube and Rhine are prime examples of Roman architecture. These two rivers, which set the northern limits of the empire, proved to be a hurdle for the northward expansion of the empire. To overcome this problem Julius Caesar brought together the best architectural minds at his disposal to build these politically and militarily important bridges. T he Colosseum is another landmark in the historic city of Rome. Even after several centuries of its construction, the structure has largely remained intact, offering visitors a theatrical experience. Built by Emperor Titus, the Colosseum was meant to host gladiator fights and animal fights. So during its functioning days, it was witness to some of the most gory battles for life.

Friday, September 27, 2019

Ethical Problems in Subprime Mortgage Crisis Essay

Ethical Problems in Subprime Mortgage Crisis - Essay Example The lack of transparency and accountability had distorted the decision-making process for granting the loans, weakened the banking and finance system and allied industries and eroded public confidernce in the subprime lending sector. First, the international credit rating agencies gave investment-grade ratings to the securitization transactions holding the subprime mortgages. This consistent high ratings misled the corporate and individual investors and large banks to invest heavily in subprime stocks since the ratings did not reflect the high default rates and foreclosures which were beginning to show in this sector. This is highly unethical since many international banks were duped into investing in housing stocks which did not reflect real market values or in some cases were actually worthless. Second, the mortgage brokers failed to be transparent enough to determine if the prospective borrowers really had the capacity to pay the debt. They were more concerned about earning their financial commissions from the sales of homes. This is unethical since they were giving a resource (asset) to persons who cannot afford it. There is a need to link their compensation to the financial performance of their respective loan accounts. Third, the mortgage lenders

Thursday, September 26, 2019

Evidence Based Practice Essay Example | Topics and Well Written Essays - 500 words

Evidence Based Practice - Essay Example The society expects the public to provide the highest quality of health care for individuals with smallest costs. Nurses need to have clinical information and use their expertise in analyzing it. Analysis of the information is crucial because of its application to the clinical practice. Evidence-based Method involves the practice where nurses use their knowledge to make the decision based on research facts (Jeffs et al., 2013). The nurses use clinical experience to manage and take care of patients. Evidence-based Method works best because there is sufficient evidence of the publication on nursing topics. Nurses should have the ability to access and scrutinize the research of a particular topic (Jeffs et al., 2013). There is anticipation from the society for hospitals to have access to printed health journals. Evidence-based Method is crucial in the modern health care because it creates the atmosphere for nurses to provide care for patients. It is important for the incorporation of the best research with clinical knowledge. The approach also provides the nurses with quality health outcomes. The evidence-based approach gives nurses confidence to use their knowledge of basic principles for the provision of appropriate health care to patients. The nurses should offer suitable health care and manage their patients. All the nurses should have full-time access to up to date evidence to sustain the best practices. Nurses have to stick to their morals and ethics when applying evidence-based Method in their day-to-day activities. Nurses have a strong culture of providing excellent health care to the patients, and they should maintain the culture. Incorporation of evidence-based practices into the education system is important to the nursing sector. It leads to the development of a system that will help nurses manage their patients. The

Primary Influences on Individual Behavior and How Motivation can be Essay

Primary Influences on Individual Behavior and How Motivation can be used to Influence Others - Essay Example This research will begin with the statement that influences on human behavior are caused by several factors. Social, cultural, religious and environmental factors are some of the factors that influence individual behavior. Social factors may be influential on human behavior where such aspects like peer groups, family, and other social groups may shape the behavior of an individual. An individual can also be influenced by environmental factors such as trends in one’s life such as demographic factors, abilities, and skills, perception and attitudes. Cultural factors like values, customs, and beliefs can influence the behavior of a person in a society. Religious factors are some of the most effective influential ways to human behaviors. Further, behavior can also be influenced by motivation where it can be used to drive human actions. This paper aims at outlining the primary influences on individual behavior while analyzing how these influences affect the behavior of an individua l. It will also focus on discussing how an individual’s behavior can be influenced by motivation. Behavior refers to how a human conducts himself or how he acts especially to others or to the environment. Behavior is largely influenced by a response to internal or external stimuli thus causing a reaction on someone. An individual can react to various responses to stimuli depending on various influential factors. Social factors are well known to influence the behavior of an individual. Social factors involve actions that are adopted by a person in relation to influencing he gets from other people. An individual can develop a behavior in relation to influences from others that affect his emotions, character or opinions. The aspect of social influence comes from people that surround the life of an individual. Family, workmates, peer groups or the community living within the neighborhood can influence the behavior of an individual in many ways. The influence that comes through so cial factors may be based on forms like, leadership, peer pressure, persuasion, conformity, obedience, socialization or sales activities. An individual is likely to adopt a certain behavior following factors such as peer influence where one may develop a positive or negative attitude towards his parents. Further, conformity or obedience is the form of social influence brought about by socialization with such people like parents, relatives or seniors in the society such as teachers.

Wednesday, September 25, 2019

Visa International Case Study Example | Topics and Well Written Essays - 750 words

Visa International - Case Study Example The Visa International is characterized by both coordination and competition; employee empowerment and decision making is fanned down to the lower level. The factors that lead to the selection of such a design was the competition that the industry was facing and thus there was a quick need to respond to the changes that were taking place. There was a need to be open and responsive to the changes occurring in the environment and let employees to be more enabling rather than being controlled. No, Chuck is not a leader since, leader is the person who influences his group and takes them along and in Chuck's situation he seems to be more of an independent player rather than working with the group collectively. Mallory is no wonder competitive and aggressive and target oriented but his attitude is harsh and bitter, and temperament is required to keep the person in his wits; so I don't think I will work for Mallory. Mallory was an achievement oriented person with less concern for relationships; his success lied in making quick and spontaneous decisions; the on spot decisions were the result of his independent thinking and least involvement of others, who would other wise have resulted in longer times in reaching a consensus which would then be too late. It is difficult to change a person's attitude and easy to teach his or her the skills; according to skills approach skills can be learned, but, the personality approach suggests that personality characteristics are innate; therefore, I will not hire Mallory instead will go for some one who is more adaptable to work and change according to the environment of the

Monday, September 23, 2019

Capacity & Forecasting of Green Valley Bakers Research Paper

Capacity & Forecasting of Green Valley Bakers - Research Paper Example It takes a lot of time, effort and skills to plan out the start of operations, from where the inventory will come, how and when sales will be made and at what margins, so that some profit is left over to compensate the businessman and other stakeholders of the business, if there are any, after the costs and expenses of the bakery have been paid out. Forecasting must also take into account the current and future environment as regards legal, technological, social and other phenomena such as changes in Government policy regarding taxation on bakeries, prices of inventory items, changing tastes of consumers and improvements in baking technology. We will consider all these as we evolve a strategy for capacity utilization and demand and sales forecasting at Green Valley Bakers. Discussion Capacity utilization has been one of the main concerns of entrepreneurs and industrialists right from the very beginning of organized business enterprise. In fact the start of the Industrial Revolution s aw much of the population of villages move to the cities, lured by the prospects of gainful employment and higher and more consistent wages, thereby leading to a better lifestyle and social progress. Imagine their predicament when they were forced to move into often cramped and squalid living quarters, eating meager rations and toiling long hours in factories and mills that sought only to gain the most advantage from this situation. It was only after the refusal of workers in Chicago to continue to work under these appalling conditions that the world has moved towards respecting the rights of the workers. Even the economists of old regarded Labor as but a factor of production. As regards capacity, J.B Say remarked that Supply would create its own demand. And the production concept in marketing so popular in the 1950s enunciated that if one built a better mousetrap (meaning product), people would flock to your door to buy it. Even today there is a debate among economists as to whethe r Full Employment or Partial Unemployment is better for the economy. The Marxists would say that nothing has really changed, in this class-ridden society; it is just the capitalist or rich class or bourgeoisie taking advantage of the proletariat or worker class, as it always has. Capacity utilization and forecasting trends are as important for a bakery as an airline or engine manufacturer (Croft, 2010). In the world of accounting, costing techniques have been applied to industrial production to determine the cost per unit of production. Indeed, there have been instituted wage rates per unit of output produced by the worker. In other words, the total cost of a product has been broken up into components of direct materials, direct labor and factory overheads (meaning other costs that cannot be directly apportioned to a product). Thus an amalgam of these costs divided by the number of units products over a specific period of time give a standard cost per unit for a particular batch of bread. This is much like the batch manufacturing processes at pharmaceutical industries and Green Valley Bakers could also adopt this method of identifying production of different batches of bread. It would be invaluable in also judging whether the best-if-used-by-date for a particular unit had passed or not. As explained in earlier assignments, the maximum shelf life of breads at normal room temperature tended to

Sunday, September 22, 2019

Performance management in the U.A.E (advantages and disadvantages) Assignment

Performance management in the U.A.E (advantages and disadvantages) - Assignment Example (web US Office of personal management) Following are the details of each step in the cycle followed in USA (web - US Office of personal management):- Planning. In an effective organization, work is planned out in advance. Planning means setting performance expectations and goals for groups and individuals to channel their efforts toward achieving organizational objectives. Getting employees involved in the planning process will help them understand the goals of the organization, what needs to be done, why it needs to be done, and how well it should be done. The regulatory requirements for planning employees' performance include establishing the elements and standards of their performance appraisal plans. Performance elements and standards should be measurable, understandable, verifiable, equitable, and achievable. Through critical elements, employees are held accountable as individuals for work assignments or responsibilities. Employee performance plans should be flexible so that the y can be adjusted for changing program objectives and work requirements. When used effectively, these plans can be beneficial working documents that are discussed often, and not merely paperwork that is filed in a drawer and seen only when ratings of record are required. Monitoring In an effective organization, assignments and projects are monitored continually. Monitoring well means consistently measuring performance and providing ongoing feedback to employees and work groups on their progress toward reaching their goals.Regulatory requirements for monitoring performance include conducting progress reviews with employees where their performance is compared against their elements and standards. Ongoing monitoring provides the opportunity to check how well employees are meeting predetermined standards and to make changes to unrealistic or problematic standards. And by monitoring continually, unacceptable performance can be identified at any time during the appraisal period and assist ance provided to address such performance rather than wait until the end of the period when summary rating levels are assigned. Developing In an effective organization, employee developmental needs are evaluated and addressed. Developing in this instance means increasing the capacity to perform through training, giving assignments that introduce new skills or higher levels of responsibility, improving work processes, or other methods. Providing employees with training and developmental opportunities encourages good performance, strengthens job-related skills and competencies, and helps employees keep up with changes in the workplace, such as the introduction of new technology. Carrying out the processes of performance management provides an excellent opportunity to identify developmental needs. During planning and monitoring of work, deficiencies in performance become evident and can be addressed. Areas for improving good performance also stand out, and action can be taken to help s uccessful employees improve even further. Rating From time to time, organizations find it useful to summarize employee performance. This can be helpful for looking at and comparing performance over time or among various employees. Organizations need to know who their best performers are within the context of formal performance appraisal requirements, rating means evaluating employee or group performance against the elements and stan

Saturday, September 21, 2019

Jasper Jones Essay Example for Free

Jasper Jones Essay Bullying is a huge problem in schools, communities, and homes. Bullying doesnt just happen at a certain age, but it happens at any age. Bullying happens all over the world and is a huge problem thats happening around the world. After The Vietnam War the Australians hated the Vietnamese. It took 521 Australian lives and left many soldiers with permanent disabilities (the Vietnam war). The Australians lost the most people ever in this war. After that war any Vietnamese person would have gotten bullied. bullying causes suicide. Because it makes you feel bad about yourself.It makes you feel like you are incapable and/or undeserving of being loved and standing up for yourself.When a bully does something to embarrass you everyone sees it and that makes you feel like a failure.It makes you feel inadequate.It doesnt cause just depression.It makes you hate yourself and others and maybe even the world for tolerating such behavior. If you thought that the effects of bullying disappear as soon as your child gets out of school, you are horribly mistaken. Social bullying like circulation of rumors and gossiping could prove to be more harmful than bruises or black eyes suffered in a school fight. The psychological effects of this social type of bullying extend long beyond the school days and linger into early adulthood. This leads to depression and anxiety even when the victim has attained adulthood. Recent studies reveal that there is a connection between â€Å"relational victimization in adolescence and depression and anxiety in early adulthood. Instead of going physical, like threatening a child with physical violence, social bullying tries to undermine a childs social standing and relationships by making them pariahs, keeping them out of social activities or spreading rumors that can hurt.

Friday, September 20, 2019

Eli Lillys Perspectives Of Utilitarianism

Eli Lillys Perspectives Of Utilitarianism Ever since the mid-1970s, the Federal Drug Administration (FDA) issued stricter rules on informed consent, high compensation has been necessary to attract research subjects for pharmaceutical tests. This generally means that the lowest income people in the U.S. are the ones who participate, since few people with comfortable financial circumstances volunteer to be guinea pigs for the drug companies. Before approving the sale of newly discovered drug, the U.S. Food and Drug Administration requires that the drug is put through 3 phrases of tests after being tested on animals. In phase 1, the drug is taken by healthy human individuals to determine whether it has any side effects. In phase 2, the drug is given to small group of sick patients to determine the dosage levels. In phase 3, the drug is given to large number of sick patients by doctors and hospitals to determine its efficacy. Seriously, participation in drug and medical studies is a dangerous mission. No one knows the long term side effects of the drugs that volunteers take. Although the drug is tested by the animals, it still has a certain percentage of risk to the test subject. The Wall Street journal published an article that reported Eli Lilly, maker of Prozac, uses homeless people to test drugs for FDA approval. The Eli Lilly program, which pays $85 per day, is reportedly to recruit the people through soup kitchens, prisons, and shelters. This journal has aroused a thrill of discussion and comments from the society. Some critics comment on the Eli Lilly Companys decision is unethical by recruiting those homeless alcoholics which may harm their life. However, there are some people who support the decision made by Eli Lilly Company. In fact, the decision is hardly to be described either ethical or unethical. Thus, we must analyze the outcome whether it is positive or negative. In the theory of utilitar ianism, torturing a person who knows the position of a bomb which will kill a number of people is a good act. It is because this act could prevent the pain or death of the innocent people who are exploded by the bomb. Do you think Eli Lillys practice is the right action from the perspective of utilitarianism? 1.0 Answer: In the perspective of utilitarianism, Eli Lilly Company practices a right action. Based on the theory of utilitarianism, it is hedonistic which focuses on the pursuit of pleasure. An action is good if it brings about the most amount of pleasure or happiness for the most people and the least amount of pain. 1.1 A chance of cure the disease From the passage, we know that Eli Lilly Company discovered a new drug for sale. The intention of the company is positive which used for curing the specific disease. If the new drug is applicable, it can save a lot of peoples life in the world. When Eli Lilly began using homeless alcoholics for Phase I testing, they met the requirements set forth both by Congress and by the FDA. These subjects came forward, regardless of their personal motivation, to perform a service that would benefit the greater good. This act exemplifies utilitarianism. 1.2 Providing an employment opportunity The test subject is homeless alcoholics who abide by the Congressional requirements of providing informed consent and making a truly voluntary and un-coerced decision. The target subject from soup kitchen, shelters, jails, and homeless alcoholics who selected by the company is a right decision. It is because these people who are leading a vagrant and poverty life. Moreover, they may not have their family members. Thus, this selection could eliminate their worries on their family members. Besides, Eli Lily Company can employ them as their temporary worker to earn some pocket money. Homeless alcoholics are usually poor and lazy which could not afford to own a house themselves. Thus, with a new employment, they could earn money and spend it whatever they wish. This act exemplifies utilitarianism in providing employment opportunities for those unemployed and homeless people. 1.3 Improvement standard of living Eli Lily Company provides a set of benefits to the participants who take part in the drug testing. They can earn $85 per day while receiving a warm bed, food and medical care. Besides, the tests runs for months, participants can make money up to $4500 which is abundant in the point of their views. Thus, they can enjoy a better living compared to a vagrant life. 1.4 Exclude the people who have their family From the decision of Eli Lilly made, the target subject is homeless alcoholics. The reason is the company knows a healthy person will not take an untested substance that is not intended to cure them of anything. Besides, it may have side effects which could lead to unimaginable consequences. Therefore, the company decided to choose those people who do not have a family to have a drug testing. In this case, it can minimize the risk and responsibility that a person has to bear. Besides, the participant will have less worries and burden in taking in a drug test. This act has proved the utilitarianism by minimize the pain in the society. 1.5 Reducing a countrys crime rate Homeless alcoholics are the person who usually unemployed and do not own a house. They might not have enough money to purchase the alcohol beverages and will think out many negative approaches in order to get it. As a result, crime cases like break-in, rob, snatch handbags, and stealing often exist within a country. In Eli Lily Company decision, it utilizes the homeless alcoholics as test subject is mutual beneficial. Homeless alcoholics can the benefit as they sign an informed-consent form to participate in drug testing. The participants can earn $85 per day while receiving a warm bed, food and medical care. Meanwhile, the company could achieve its objective in launching the drug testing in phase 1. As a result, this act exemplifies utilitarianism in term of reducing the probabilities of potential crime rate within a country. Question 2 The concept of a right plays a critical part in many of the moral arguments and moral claims invoked in business discussion. How do you apply the concept of a right in this case study? 2.0 Answer: 2.1 The concept of Right The Concept of Rights is defending an alternative to both of the traditional views and the justified-constraint theory of rights. On this view of concept, a person has a right if a feature of that person is a sound justification for others to have a particular sort of normative constraint. The justified-constraint theory is avoiding the problems which have bedeviled the interest, benefit theories and the choice of will theories. It also will solve the puzzle of the relational nature of rights. On the justified-constraint view, an obligation correlative to a right is the right-holder when it is a feature of the right-holder that justifies the obligation. The analysis also shows that, as far as the concept of rights is concerned, any sort of individual or group can have rights. The limits on what sorts of things have rights are substantive, not conceptual. After that, the justified-constraint solves the problem of the rights of past and future generations. It is a theory which applies, without modification, to past, present and future beings. In this study case, the peoples had signed the informed consent and make a truly voluntary and uncoercived decision agreement with the company. They should know about the test may have some effects to their body but they still sign. According to the justified-constraint theory, those peoples had the responsibility to complete the test. Although the test might have some negative effects, the people must know the test clearly before they had to sign any agreement for the company. The Categorical Imperative is a rule for testing rules of a conduct. It will exclude as immoral any rule of conduct that implies that one person may do something but another, in the similar situation, he will not do the same thing. In other words, it is demands consistency. Contractual right is a part of the concept of right. Contractual rights are deriving from the practice of promise-keeping. They apply to particular individuals to whom contractual promises have been made. Contractual rights arise from specific acts of contract making. They normally come into being when the contract is made, and they reflect the contractual duty that another party has acquired at the same time. Once when they are sign the agreement and get the benefits from the company, they had the contractual duty and provide the service for the company. The test may affect the rest of their life but they still had to do it. So, all the peoples had to understand their reason of choice. Is it a valuable and worthy for them to make this kind of choice. After they make the agreement, they cant break it and must have to complete it. Question 3 What is in your opinion the application of deontological approach to justify Eli Lillys action? 3.0 Answer: The approach used by Eli Lillys action not appropriate. This is because, Eli Lillys company has been trying to keep the product to be really tested before it is sold to the public. The company is using the drunken and mostly suffering from health issues. As the requirement required by the FDA, the U.S Food and Drug Administration law, the product has to be tested by healthy consumers and approved itself by the FDA rules. Therefore the procedure and application of testing by the Eli Lillys action is not fair to all consumers later. The tested drug can be giving a false data as positive. The research for the product to be testified as useable for all consumer later after the product is commercialized will not be accurate. Therefore, it is not applicable. The Eli Lily Company should hire healthy subjects as a tester towards the product. Eli Lily Company maybe cheating and doing the crime, which providing the false data to FDA to seek approval. Eli Lily should run a proper and correct test so that, the FDA will further approve the product in order to be sold later. Other than that, the Eli Lily has been forcing the testers to try the drug, because one of the homeless alcoholic do not even know what type of product he has tested. Therefore already, signing the letter of informed-consent. Informed consent is a type of agreement between two parties which agrees toward the action one tries to take toward another. This is unethical, as it is perceive as the testers are force to do so. However, the Eli Lilys is also encouraging the homeless alcoholic drinker to continue drinking and be homeless. This is because of the rewards given to them is hefty and huge to the homeless. After all the testing rewards is given only for one month. Eli Lily Company should seek true volunteers rather than choosing the drunken homeless. This is because the true volunteers can give a more accurate data, if they are potential product users. Even though Eli Lily is providing good rewards to the homeless, but not drunken homeless are the potential product user later, when the product is commercialized. Eli Lily Company should not try to cheat the government rules and law, by seeking approval using this way. The accurate data from potential users of the product should be submitted instead of the homeless drunken. However to testify the product as use able, should not only be conduct using human testing. Eli Lily should use the technology and bio-technological experts to testify the product. Question 4 In your judgment, is the policy of using homeless alcoholics for test subjects morally appropriate? 4.0 Answer: No. It is morally inappropriate. 4.1 Discrimination This is a form of discrimination toward the potential costumers and homeless alcoholics. This is because the company is making the homeless alcoholic more addicted to the drinking habits when they have the huge reward. The company do not care if the product is going to cause any side effect such as paralysis, organ damage, and other chronicle damage to the potential costumers. The company is taking advantage of the homeless alcoholic weaknesses to test their product by rewarding them. The homeless people are already suffering from their personal problems. But with the reward given, will make it worst. After that, all the reward only last for a month during the testing period. The company could care less about the rest of the potential consumer later, for have not doing the proper testing on the product. For example, company should use the bio or chemical-technology expertise to testify the product. The company is not concern about the side effects of the drugs intent to be sale, but trying to make a business in the environment. 4.2 Against the law and regulation of FDA As stated that the newly discovered drug, it will only be approved for sale by the FDA when the test is on healthy humans only. Therefore, Eli Lilys is doing an unlawful business. The business may result many of public consumers to be suffering from the drug side effect. This is because the company is relying on the drunken homeless alcoholics feedback on their product as a positive feedback in order to get approval from the FDA. The company may be submitting a fraud legal document to the government to be given approval. Therefore many users later, may suffer from the side effect of drugs. The health condition of the homeless drinker maybe different, data cannot be adequate for a positive feedback for use ability for all consumers. The homeless drunk is not appropriate feedback representing to all potential consumers. The product tested by tester should have clue and information about what the product intend to be sold. Therefore, using true volunteer is required. 4.3 Attempt to deceive the participants In general, drunken people are usually posses an unsound mind. It is because they are poisoned by the alcohol and their thinking might be ambiguous. As a result, they may make a wrong decision in participating in the drug testing. In addition, homeless alcoholics may short of money and desperate to gain money as much as possible. They may not think twice before an act. Therefore, truly and uncoercived decision in signing an informed consent is not existed. Besides, the company only pay for the participant $85 a day which is believed as the lowest among its peers. However, because of desperate money in the homeless alcoholics mind have no choice to agree and accept the offer given by the company. 4.4 Absence of a compensation plan Eli Lilly Company did provide the participants in term of money, warm bed, food, and medical care. However, all these things are provided in short term view. The company did not provide them in long term purposes and treat the participants as guinea pigs. Eli Lilly Company did not mention and provided the appropriate compensation plan to the participant in case of death or any side effects. Indeed, they just fulfil the desire of homeless alcoholics and achieve their objective in accomplishing the phase 1 test. The company does not bother a participants safety and danger issues by issuing an appropriate compensation to the injured participant. 4.5 Insufficient of explanation In Eli Lilly Company decision, it did mention the new drug may have dangerous side effect during the testing. Besides, the company also met the requirements set forth both by Congress and by the FDA to launch a drug testing. The FDA requires that participants in such medical test must give their informed consent and make a truly voluntary and uncoercived decision. Unfortunately, the informed consent seems to be failed among the participants. When asking one of the homeless alcoholics, he said he is recruited but he has no idea what kind of drug to be tested on him even though he had signed an informed-consent form. Thus, it has proved that the company did not deliver the adequate information to the intended participant. Conclusion Ethics of an organization is important. This is because the ethics will result towards how the company will be successful. The case of Eli Lilys Company, is a complex situation. The company is at both of moral and ethical clash with law and personal company benefits. Even though the company insist to provide the shelter and financial help to the homeless, but it is still a very selfish act from the company. The FDA, U.S Food and Drugs Administration should consider furthermore of the Eli Lilys company and brand of product. This is because the drug that Eli Lilys produce may not be suitable for the real potential consumers because the tester are not true volunteers to critic and giving positive feedback for the company to develop and testify the product before sale.

Thursday, September 19, 2019

Body Preparation for Photo Shoot :: Photo Shoots Health Self Image Beauty Essays

Body Preparation for Photo Shoot Get a good night's sleep the two days before the shoot. Nothing wrecks a great photo more than a tired model. Hair Conditioning Healthy hair is thick hair. Thick hair is much more attractive in photos -- since it "lifts" off the top of the head and it "fills out" the air surrounding the head. The easiest way to achieve full hair is to use hair conditioner for at least two weeks. Additionally -- avoid using any hair dryers, heated curlers, or curling irons on your hair. This "heat" breaks down the hair proteins -- which leads to loss of hair volume and split and frayed hair. Nails Most people have problem nails. A simple solution it so apply nail coloring which is the same color as the "center" portion of the nail. By having the entire nail the same color -- it helps minimize the attention paid to hangnails, discolorations in the nail, and rough nail tips. Shaving There is a right way, and a wrong way to shave. When shaving -- you want to "shave with the grain" of the hair. Each hair comes out of the skin at a particular angle. The handle of the razor should be pointed in the same direction. This shaves off the hair cleanly at the surface. If you shave "against the grain" of the hair -- the razor is "pulling" the hair out of the body as it cuts it -- so that the hair "snaps back" under the skin after being cut. The Razor Burn (redness, itching, bumps) associated with shaving are caused by the hair trying to push its way back through the skin. When shaving longer hair (like pubic areas or legs) -- you will first want to use a very sharp scissors and trim the hair as close to the skin as possible. This will not only allow you to clearly see which direction the hair is coming out of the body -- but it also prevents the razor from "skipping & jumping" over long and tangled hairs (which leads to nicking of the skin). To shave properly, get the skin and the hair very wet. Use a shaving cream or baby oil (preferred) to help the razor glide over the skin more easily. I recommend using baby oil -- since it still allows you to see the direction the hair is exiting the body.

Wednesday, September 18, 2019

The Bachelor: Expectations For Love Essay -- reality TV, culture

What does the show, "The Bachelor", say about our expectations for love in our culture? The search for love is a dilemma most people are faced with at some point. Many different reality shows have been released over the years focusing on relationships. However the television show, The Bachelor, takes reality T.V. dating to the next level. Different from most dating reality T.V. shows, the participants on The Bachelor are looking for much more than just a relationship; the end goal is a proposal. The show revolves around a single bachelor who is essentially dating an entire group of woman, typically starting the first episode with around 25. As the show advances the bachelor eliminates women by not offering them a rose during the ceremony. All of the women that do receive a rose are invited to stay another week at the house while continuing to go on dates with the same man. Early in the season, the bachelor goes on large group dates with all of women at once but as the season progresses; the remaining women are also invited on one-on-one dates. The problem with this sh ow is that it depicts love in an illogical way. Because she is the last woman, the bachelor’s logic dictates that she must be the right woman for him. The women and the bachelor of the show are whisked away to romantic and tropical areas to live while dating each other. Aside from the fact that the man these women are dating also is dating 24 other women, the participants in this show are completely removed from actual reality. There is no strain or issues that they have to work through like the real world with honest relationships. In this paper I will explain the issues with The Bachelor and what affects it has on our culture. My research question is: What does... ... together. Just because a person feels passionate love does not mean it leads to companionate love. The Bachelor leads our culture to believe that simply by longing to be with someone means you are in love. If our culture continues to attempt to keep up with the definition of love according to The Bachelor then real love, companionate love, might fade out all together. Works Cited Mickel, E., & Hall, C. (2008). Choosing to Love: The Essentials of Loving (Presents and Problems). International journal of reality therapy, 27(2), 30-34. Kito, M. (2005). Self-Disclosure In Romantic Relationships And Friendships Among American And Japanese College Students. The Journal of Social Psychology, 145(2), 127-140. Sassler, S, F Addo, and D Lichter. "The Tempo of Sexual Activity and Later Relationship Quality." Journal of Marriage & Family 74.4 (2012): 708-725.

Tuesday, September 17, 2019

Links in Virtual Space Essay -- Internet Web Cyberspace Papers

Links in Virtual Space Imagine a virtual community of more than 2.7 million residents. Individuals are almost always up-to-date on what their friends are up to and often converse with them on a daily basis, even if they live halfway across the world. They often meet others through mutual acquaintances or shared interests and can develop fast friendships. Communication is quick and easy; within minutes, one can publicize an event, engage in a debate, or publish a piece of writing, all without leaving the house. The community is LiveJournal, an online network of individual journals. A new user creates an identity (also known as a username), selects a journal layout and color scheme, and fills the journal with entries just as one would with a paper journal - except these entries are typed, allowing the user to add font styles, hyperlinks, and even graphics. LiveJournal (LJ) users are allowed to submit any number of entries, any time, any length. They will recount recent events, rant about their day, or spill out whatever it is they're thinking at the time - all things typical of a generic paper diary. However, what users may or may not be aware of is the possibility that the versatile online atmosphere of LiveJournal causes them to be less concerned with privacy and to write more for an audience than for themselves. Although each user ultimately determines the purpose of his or her journal, LJ developers immediately push the site's social aspects. Its frequently asked questions section answers the most generic query, "What is LiveJournal?", with the following paragraph: "LiveJournal is not just an online journal; it's an interactive community! You can meet new friends, read and comment in other journals, and interact wi... ...nabox/179565.html. "LiveJournal.com Statistics." LiveJournal. Accessed 4 April 2004. http://www.livejournal.com/stats.bml. "Niel." "I hope this helps." [Weblog comment.] 17 March 2004. "LiveJournal Survey." Lauren LaLonde. LiveJournal. 16 March 2004. http://www.livejournal.com/users/mooinabox/179565.html. "Rhi." "One of my friends†¦" [Weblog comment.] 16 March 2004. "LiveJournal Survey." Lauren LaLonde. LiveJournal. 16 March 2004. http://www.livejournal.com/users/mooinabox/179565.html. "Sarah." "from ann arbor/ypsi group†¦" [Weblog comment.] 17 March 2004. "LiveJournal Survey." Lauren LaLonde. LiveJournal. 16 March 2004. http://www.livejournal.com/users/mooinabox/179565.html. "Shawn." "Came here via†¦" [Weblog comment.] 18 March 2004. "LiveJournal Survey." Lauren LaLonde. LiveJournal. 16 March 2004. http://www.livejournal.com/users/mooinabox/179565.html.

Critical Thinking Essay

Strong critical thinking (CT) skills are necessary for every successful nurse manager. Giving them an edge at creating a positive work environment, that is conducive to job satisfaction and retention of staff RNs. This study is entitled, â€Å"Critical Thinking of Nurse Managers Related to Staff RNs’ Perceptions of the Practice Environment. † The California Critical Thinking Disposition Inventory (CCTDI) was used to measure critical thinking in nurse managers in relation to their respective staff RNs. Enhancing critical thinking skills is important, staff RNs that work in an environment perceived to be positive are in a better position to deliver higher quality and safer patient care. As nurses we are responsible for helping a patient every way we can, being able to engage in critical thinking is a skill that must be obtained. This study was based off of twelve volunteering nurse managers and their respective one hundred and thirty-two staff RNs. Assessment of Nurse Manager’s Critical Thinking Skills This study (Critical Thinking of Nurse Managers Related to Staff RNs’ Perceptions of the Practice Environment) used the California Critical Thinking Disposition Inventory (CCTDI) to measure CT skills in nurse managers in relation to their staff RNs. This study was conducted in a nonprofit, hospital in the northeast United States. This study was completely voluntary, only thirty-one percent of nurse managers chose to participate, leaving the pool of staff RNs slim. This article is about a study that took place in the northeast United States at a 490 bed nonprofit, tertiary care hospital. The study explores,† the differences between nurse managers’ dispositions to use critical thinking skills and their respective staff RNs’ perceptions of the practice environment† (Zori, Nosek & Musil, 2010). This study was completely voluntary and with a limited number of nurse manager participants, the number of staff RNs was also very limited. Nurse Managers need to have good leadership skills and critical thinking skills; these skills are assed in comparison to those of their respective staff RNs. Research Question & Hypothesis There is a correlation between the Critical thinking skills of Nurse Managers and their respective staff nurses perception of the practice environment. Nurse Managers skilled in the use of critical thinking, may be able to create a positive practice environment for staff RN’s. Positive practice environments means increased retention of staff RN’s and improved job satisfaction. Sample of the Study Twelve nurse managers and one hundred and thirty-two staff RN’s were sampled. The study was conducted at a 490-bed voluntary, nonprofit, tertiary care hospital located in the northeastern United States. Only nurse managers who voluntarily chose to answer the CCTDI were included in the study (31. 6%). Sample size limited the ability to address how the difference in type of unit and full- or part-time work may influence the outcome. Descriptive Study In this descriptive study nurse managers were categorized as weak or strong in critical thinking dispositions based on scores achieved on the California Critical Thinking Disposition Inventory (CCTDI). Then, staff RNs from the units of participating nurse managers completed the Practice Environment Scale (PES). Staff nurses’ Practice Environment Scale (PES) results were dichotomized based on the critical thinking disposition scores of their nurse managers. A two-tailed, independent sample t test was conducted to determine if there were significant differences in the Practice Environment Scale(PES) mean overall and subscale scores of the two groups of staff RNs (Zori, Nosek & Musil, 2010). CCDTI was created based on the APA Delphi Study. Reliability testing was conducted, with an overall score of . 90. The CCDTI is therefore considered reliable. Practice Environment Scale PES was developed from Nursing Work Index (NWI). Reliability testing of the final 31 items was conducted on both individual nurse scores and on the aggregate of subscale scores. Individual nurse subscale scores (n = 1,610) were analyzed using Cronbach’s ? , with ? > . 80 for all subscales except the collegial nurse-physician relations (? = . 71). The nurse manager ability, leadership, and support of nurse’s subscale scored the highest. The results are reliable. The PES has been endorsed by the National Quality Forum and is used by the ANA as part of the National Database of Nursing Quality Indicators to measure staff nurse job satisfaction (Lake, 2007). Enhancing critical thinking skills and dispositions of course managers may help to create positive work environments for staff RNs. Staff RNs who work in an environment perceived to be positive may be in a better position to deliver high quality, safe patient care (Zori, Nosek & Musil, 2010). Table One Table one, of the article is entitled, â€Å"Nurse Manager California Critical Thinking Disposition Inventory (CCTDI) Score Distribution and Standard Deviation by Subscale. † This table breaks down the CCTDI Scale into seven subscales: truth-seeking, open-mindedness, analyticity, systematicity, CT confidence, inquisitiveness, and cognitive maturity (Zori, Nosek & Musil, 2010). The table also shows the minimum score, maximum score, mean score, median score, and standard deviation for the twelve sample nurse managers. Table Two Table two of the study entitled, â€Å"RN Staff Nurses’ Practice Environment Scale scores by Nurse Managers’ Critical Thinking (CT) Dispositions. † According to the study, â€Å"As this table indicates, there are significant differences in PES scores when they were compared based on their nurse managers’ strength or weakness on the CCTDI subscales of analyticity, systematicity, open-mindedness, and critical thinking confidence† (Zori, Nosek & Musil, 2010). The biggest difference between staff nurses and nurse managers scores were in the truth-seeking subscale (strength versus weakness), within the nurse-physician relationship. Limitations This study was conducted in one medical facility in the northeast United States. This may not be a proper representation of the whole population of nurse managers and their respective staff nurses. Also the nurse managers who participated did so by choice and were not required to, therefore, the number of staff RNs were limited to those whose nurse manager participated. Out of thirty-eight nurse managers only twelve chose to participate, this limited the three hundred and twenty-seven possible staff RNs down to one hundred and thirty-two. If there were more willing participants then the findings could be better generalized to the entire nurse manager population. My Findings and Improvements Nurse Managers skilled in critical thinking create a positive environment for staff RN’s resulting in increase in job satisfaction and retention of RN’s, decreasing job turnover. This study is extremely important because the World Health Organization (WHO) anticipates the RN shortage to reach 285,000 by the year 2020. If I was conducting this study, I would look at part-time vs. full-time employees, and areas of practice. Is burn-out more noted in critical care areas? Statistical Procedure, Methodology & Measurement This was a voluntary survey conducted at one tertiary hospital. A t-test was conducted. Scores of 40 or above were considered strengths, and scores of 39 and below were weakness. Scores on inquisitiveness and cognitive maturity were all in the strength range. Final Analysis As nurses we must use critical thinking every day, nurse managers are no exception to this. This study shows that by having a nurse manager who has strong critical thinking skills, the staff RNs respond positively.

Monday, September 16, 2019

Emergency Preparedness Essay

Emergency preparedness is vital for the safety and security of the general public. Disasters, according to Powers (2010), are events that cause damage to lives and property during which community resources cannot keep up with the demand. In the unfortunate event of a disaster, having a plan in place as to how a it will be managed allows for the smoothest possible outcome with the fewest amount of casualties. The three levels of emergency preparedness prevention are each an important part of being ready for a disaster. The planning involves the time before the disaster, the acute disaster scene, and the long term management of the disaster survivors (Rittenmeyer, 2007). At the disaster scene, a triage color code system is used to organize and prioritize patients and the level of care they require. There are many types of disasters that can affect the public. see more:short essay on disaster management Three technological disasters will be addressed, all involving exposure: biologic, chemical and radiation. Nurses and other health care workers may encounter a disaster where their skills are needed, whether it be on the job or as a citizen. It is important that health care workers understand the components of disaster management, triage at the scene, and different types of agents to which patients may have been exposed. Levels of Disaster Management–Emergency Preparedness Prevention There are three levels of a disaster management plan: primary, secondary and tertiary. Each of them is important to allow for the best possible outcome in the event of a disaster. Primary Prevention Primary prevention involves everything that can be done before the actual disaster occurs. This includes training personnel, educating the public, and creating evacuation plans. Rittenmeyer (2007) describes disaster planning as assessing the risk of a disaster occurring as well as the capacities that will be available during a disaster. First, a risk assessment to determine what hazards a particular community is vulnerable to is done (Powers, 2010). Based on the findings, a disaster response plan is created for the greatest risks to the community. Training and practice for the disaster(s) are the core components of primary prevention. For instance, in a hospital setting, nurses can attend a seminar on evacuation as well as participate in an evacuation drill to simulate a real disaster. The simulation provides the opportunity to become familiar with the disaster plan and how it will be carried out. Secondary Prevention Secondary prevention, or relief response, is the interventions that take place during the acute disaster stage (Rittenmeyer, 2007). Patients are triaged based on level of acuity for further treatment. If exposure to a toxin or microorganism has occurred, the nurse may be assisting with decontamination and/or applying chemical suits and respirators. As Powers (2010) mentions, nurses in the field may be assessing the needs of the community that has been affected to determine who needs shelter, food, water or vaccinations and helping them to obtain what they need. Disaster relief also includes performing rescues, relocating people who are displaced, and preventing disease and/or disability (Rittenmeyer, 2007). For instance, during Hurricane Katrina in 2005, nurses and other health care workers were deployed to assess, stabilize and evacuate patients to safer ground (Klein & Nagel, 2007). Tertiary Prevention Tertiary prevention, or disaster recovery, begins when the initial crisis is over and involves long term support for the needs of the population affected by the disaster. Activities that take place during the recovery phase include rebuilding affected infrastructure, hospitalization for the injured, rehabilitation and therapy to cope with the disaster. These will vary according to the type of disaster that has occurred. Rittenmeyer (2007) states that during the recovery phase the effectiveness of the disaster plan should be evaluated and the plan then altered based on the findings. Triage Color Code System In the event of a disaster, the triage color code system is beneficial for three major reasons (Klein & Nagel, 2007). First, triage determines who needs rapid medical care. Next, triage reduces the amount of patients sent  to hospitals by separating minor versus major injuries. Thirdly, triage distributes casualties among available medical facilities to keep any one facility from being deluged with patients. The system most widely used during a disaster triage is the IDME color code system. The mneumonic IDME stands for the levels of acuity of the patients. Each level is assigned a color. They are as follows according to Husted (2012): I–Immediate (Red); D–Delayed (Yellow); M–Minimal (Green); and E–Expectant (Black). The categories have criteria that the responder should be familiar with in order to triage the patients into the appropriate color. Based on the patient’s level of injury, each is given a triage tag, commonly placed on the wrist. Using this system, patients are treated in order of the urgency of their injury. The red category is reserved for critical patients. These patients are seriously injured but do have a chance of surviving. The yellow category is for patients that need first aid but should not deteriorate rapidly if care is not immediate. The green category is for patients that are considered the â€Å"walking wounded†. These patients may have minor injuries such as abrasions or contusions and can either self treat or be taken care of by a someone without medical training. The final category is the black which is for patient who is unresponsive and without a pulse or has a catastrophic chest or head injury (Husted, 2012). Types of Disasters Three types of disasters that could occur are exposure to biologic, chemical and radioactive agents. It is important that medical personnel are familiar with the types of possible toxins and agents to appropriately treat those affected while protecting themselves as well. Exposure to Biologic Agents This type of exposure is a deliberate release of a virus, bacteria or other germ (Briggs, 2006). These agents are used to cause illness or even death. They are naturally occurring agents and can be spread via inhalation, orally in food or water, or through the skin (Briggs, 2006). Examples of biologic agents, also know as bioterrorism agents, are smallpox, the plague, and anthrax. Exposure to Chemical Agents The release of a hazardous chemical that is released and may harm people’s health is termed a chemical emergency (Centers for Disease Control and Prevention, 2012). Chemicals can be natural or created. Examples of possible chemical health threats are nerve agents and vesicants. Nerve agents such as Sarin and VX affect nerve function. Vesicants cause erythema and vesicles on the skin and can also injure the eyes, the airway and internal organs. The nerve agent Sarin was used in 1995 in a Tokyo subway, affecting over 5,500 people (Briggs, 2006). Chemical agents are now deemed terrorist weapons. Exposure to Radiation Briggs(2006) describes ionizing radiation’s effect on the body. Radiation alters the cells in the body, damaging or killing them. External irradiation occurs when the whole body has been exposed to radiation from an external source such as an x-ray. Contamination occurs when radioactive material comes into contact with the body, either externally or internally. Contamination by radioactive agents can occur through contact with the skin, being inhaled or ingested. Conclusion Emergency preparedness is extremely important for the safety of the public. By having a disaster management plan in place, the acute disaster scene will not be just chaos but will have a sense of order amidst the mayhem. The injured will be organized by the triage color code system to ensure the treatment of those in greatest need first and delaying treatment for those that can wait. It’s important to understand the differences in biologic, chemical and radioactive exposure in order to best treat patients should an unthinkable disaster occur. References Angeli, E., Wagner, J., Lawrick, E., Moore, K., Anderson, M., Soderlund, L., & Brizee, A. (2010, May 5). General format. Retrieved from http://owl.english.purdue.edu/owl/resource/560/01/ Briggs, S.M. (2006). The  ABCs of disaster medical response. International Trauma and Disaster Institute, Harvard Medical School, Massachusetts. Retrieved from http://www.gs-interactive.net/ITDI/ABCs2ndEDition.pdf Centers for Disease Control and Prevention (2012). Retrieved from http://www.bt.cdc.gov/hazards-specific.asp Husted, E. (2011). Principles of triage during a mass casualty incident. (PowerPoint Slides). Retrieved from http://www.ohioresponds.gov/docs/Triage.pdf Klein, K.R., & Nagel, N.E. (2007). Mass medical evacuation: Hurricane Katrina and nursing experiences at the New Orleans airport. Disaster Management and Response: DMR: an official publication of the Emergency Nurses Association, 5(2), . Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17517364 Powers, R. (2010). Introduction to disasters and disaster nursing. In E. Daily (Ed.), International disaster nursing (pp. 1-10). Cambridge, MA: Cambridge University Press. Retrieved from http://www.wadem.org/documents/chapter_one.pdf Ramesh, A. C., & Kumar, S. (2010). Triage, monitoring, and treatment of mass casualty events involving chemical, biological, radiological, or nuclear agents. Journal of Pharmacy and BioAllied Sciences, 2(3), 239-247. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3148628/ Rittenmeyer, L. (2007). Disaster preparedness: Are you ready?. Men in Nursing, 2(3), 18-23. Retrieved from http://www.nursingcenter.com/prodev/ce_article.asp?tid=726331#

Sunday, September 15, 2019

Introduction to Statistics

Random Sample: each member of the population has the same chance of being selected Representative Sample: characteristics should represent those of the target population without bias Observational Study: no intervention by the investigator, no treatment imposed Experimental Study: Investigator has some control over the determinant Variables: Categorical – each observation falls into a feline number of groups Nominal: named variables with no implied order e. G. Personality type Ordinal: grouped variables with implied order e. G. Veil of education Continuous – measured variables Discrete: take discrete values e. G. Number of children Numerical: can assume any value within a certain range/elemental e. G. Height Types of Designs: True experiment: researcher has potential to randomly allocate observations to conditions Quasi-experiment: demonstrate a relationship between an IV/DVD researcher makes use of naturally occurring groups, can't make cause and effect statements Non- experiments (correlation design): question If there Is a relationship between variables, can't make cause & effect statementsBetween groups: two groups being compared on some outcome measure Within-subjects: participants experience each condition of an IV, with measurements of some outcome taken on each occasion Extraneous variables: variable present In an experiment, which might Interfere with the relationship between IV & DVD Confounding variables: mediating variable that can adversely affect the relation between IV/DVD Internal validity: extent to which a casual relationship can be assumed between IV & DVD.External validity: degree to which you can generalize the results of your study to mom underlying population T-test One sample t-test – A: data should arise from a normal population Paired t-test -A: must be independent, arise from a normal distribution & populations of same spreads Independent sample – A: normally distributed, homogeneity of variances, independen ce of the observations Correlation/Regression – A: the relation in the population is linear, the residuals in y have a constant standard deviation and the residuals arise from a normal distribution detests of good fit and test of independence – A: expected count has to be larger than five

Saturday, September 14, 2019

Best Buy Co., Inc: Sustainable Customer Centricity Model Essay

Best Buy is the largest national electronics chain and the only one that remains since the closing of Circuit City in 2009 and Comp USA before that. Founded in St Paul, Minnesota in 1966 as the Sound of Music Store, it was rebranded as Best Buy in 1983 with a single flagship store in Burnsville, Minnesota. By 1993, Best Buy had become the United States second-largest consumer electronics retailer, breaking into Fortune magazine’s annual ranking of top 500 companies two years later at number 373. A partnership with Microsoft in 1999 help to boost the company’s profile and lead to the opening of its first retail store in Shanghai which was followed by stores in Canada, Mexico, Turkey, and nine European countries (Lowe, 2008 May 8). Best currently operates 1,105 big box stores in the United States. In addition to personal computers, computer equipment, and consumer video and audio products, Best Buy outlets, which are on average 44,000 square feet in size, also offer large and small appliances, and entertainment software that includes DVD’s, compact discs, video games, and computer software (Funding Universe, n.d.). Best Buy’s subsidiaries include Geek Squad, Magnolia Audio Video, Pacific Sales, and in Canada, it operates under both the Best Buy and Future Shop labels. Best Buy differentiates itself from its closest competitors, Walmart and Amazon.com, by not focusing on low cost products but by switching from an aggressive commission-based system of service to highly trained sales associates and service solutions. Having a well-trained staff who can educate the customers regarding product features, allows the customer to make informed buying decisions on big-ticket items. In addition, with Geek Squad capabilities available in-store, Best Buy is able to provide installation services, product repair and on-going support for these or other items the customer purchases (Hill & Jones, 2013, pC22). This end-to-end solution is one aspect that separates Best Buy from its competitors. This is also one of the many strengths Best Buy currently possess’. Best Buy’s customer centricity approach is key in its survival and is something often missing from their competitors. Best Buy takes the time to understand who its customer is and what they need. They then took this information and started selling solutions instead of just products. Best buy also changed the layout of the store based on customer feedback. This included bundling together related products, offering installation help for all electronics, and improving store productivity by adding more technology experts to the sales floor and deploying touch screen monitors with product information. Future plans also include a 10% reduction in US square footage over the next 3 to 5 years. A reduced floor plan will not only be more cost efficient but will provide an overall easier shopping experience for the customer (Briggs, 2011 April 14). Customer centricity is necessary in today’s competitive market and it is a concept Best Buy continues to excel at. One of Best Buy’s weaknesses includes the decline of net income and operating margins. Although this could be a function of increased costs, it is more likely due to pricing pressure (Hill & Jones, 2013, pC20). The economic decline and consumer pressure has forced the prices of consumer electronic products to be lowered. This decrease in prices has caused the decline in margins which negatively affect net income and operating margins. Another area of concern is the increase in accounts receivable and inventory. Best Buy had a 1% increase in inventory from 2008 to 2009 and a 12.5% increase in revenue accompanied by a 240% increase in accounts receivable (Hill & Jones, 2013, pC20). This creates a potential risk for losses due to bad debts. Best Buy is weak in their ability to quickly adjust inventory level to the demand, in order to reduce costs related to inventory. Best Buy did not recognize the economic downturn and was not successful in adjusting their inventory levels (Sien na College, 2009 April 17). This is an area for improvement for Best Buy as the economic downturn has created an oversupplied market. Best Buy’s best opportunities lie in their series of acquisitions into their Best Buy family. Best has gained valuable experience in the process of integrating new companies and service providers with their keen ability to know where to expand and is a key component in their ability to differentiate their company from others in the marketplace (Hill & Jones, 2013, pC23). Best Buy also has room for opportunities as they have expanded upon their global presence. This global presence exceeded expectation late in 2009 with a 15% uptick in international sales. European stores experienced a 4% gain in same store sales, while Best Buy’s China store sales jumped 34% (Lindner, 2010 March 25). This global presence also opens up opportunities to trace global technology trends first hand and opens the door to newly developing markets. It also provides a wide range of places to test and introduce new products and analyze customer needs. Best Buy faces many threats beginning with the economic decline. Today’s customer has less disposable income and Best Buy sells luxury goods and not necessity items. The future of the economy including consumer confidence, unemployment, tax rates, fuel costs, and the availability of consumer credit are all factors that could affect consumer spending and Best Buys earnings. Another concern for Best Buy is increased competition particularly from online competitors like Amazon.com. Amazon has an advantage over Best Buy because they are able to maintain a lower cost structure compared to a brick and mortar store like Best Buy and can push those savings through to their product pricing and selection. With an increasing trend in the consumer electronics industry to shop online, Amazon.com is positioned perfectly to maintain strong market growth and potentially steal some market share away from Best Buy (Hill & Jones, 2013, pC22). Best Buy will have to continue to differentiate themselves from their internet competitors with their unmatched customer centered model of business. Based on the findings of the SWOT analysis, Best Buy should continue to develop and implement their customer centricity model. This customer based model creates better customer satisfaction, promotes growth, and creates a unique experience. On the other side, Best Buy needs to address their decline in net operating income. This means cashing in on opportunities such as expanding their global presence which has had much success in generating profits. Best Buy should also be conscientious of their inventory levels in comparison to revenue increase. They need to adjust for the economic downturn while continuing to offer a good mix of products accompanied with superior service. Best Buy needs to stay on top of technology trends in order to keep up with online sales threats from Amazon.com and others. Best Buy’s focus should be on the continual improving of the in-store shopping experience that currently differentiates them from competitors like Amazon. This means added customer service, technology experts, and services that take the customer from the initial purchase all the way through installation and use. Best Buy’s corporate level strategy revolves around their customer centricity model and is the core of their company mission and goals. To implement this strategy and achieve a competitive advantage, Best Buy maintains a wide variety of products to meet customer needs but also goes beyond the initial sale into service offerings. Best Buy has used their customer centricity model, which is built around a significant database of customer information, to construct a diversified portfolio of product offerings (Hill & Jones, 2013, pC22). This vital database allows Best Buy to structure customer needs to the locations they are requested, which in turn helps keep costs lower by shipping the correct inventory to the correct locations. This is important because it helps to offset the extra costs required to provide high-level training to sales associates and service professionals. This structuring of inventory is a large part of their business-level strategy and is advantageous for Best Buy because each market contains the products most desired and avoids items not sought after by customers. Best Buy’s customer based structure is only as strong as their greatest service professional and staff member. Best Buy recognizes this and invests a lot into their employees. Best Buy has a reputation for retaining their talent and is widely recognized for superior service. Highly trained sales professionals, like the members found at Best Buy stores, have become a unique resource in the consumer electronics industry, where technology is changing at an unprecedented rate, and this is a significant source of competitive advantage for Best Buy (Hill & Jones, 2013, pC23). Currently, Best Buy has recently gone through an organizational change due to the departure of CEO Brian Dunn, U.S. retail chief Mike Vitelli, and chief administrative officer Tim Sheehan. New CEO, Hubert Joly, is in the process of outlining new strategies that will strengthen operations and financial performance. He has stated that he will continue to build on their strong customer service model and their multi-channel shopping experience (Best Buy News Release, 2012 November 13). While this falls in stride with Best Buy’s previous strategy, Joly has also stated that Best Buy has been slow in capturing their fair share of the online channel. This leads me to my first recommendation, having a larger e-commerce presence. While Best Buy can’t duplicate their high-level customer service experience found in-store they can expand on sales by offering a broad range of products online. From here, customers can be invited to visit stores in person for services that may aide in the set-up and installation of products purchased online. I also recommend that Best Buy address their issues with outstanding debt by temporarily halting expansion and focus on their current strengths. While acquisitions have been very profitable for Best Buy, they may want to slow down temporarily as the economy starts to recover and consumer spending slowly begins to increase. While Best Buy has faced a lot of hardship in recent years, they also have made smart strategic decisions that have kept them pliable. Best Buy’s new leadership has a lot to work with and should also introduce fresh organizational change that will help propel Best Buy into profitable territory. References Best Buy News Release. (2012, November 13). Best buy holds analyst and investor day to provide assessment of the company and to outline priorities to reinvigorate performance and rejuvenate its business. Retrieved from http://pr.bby.com/phoenix.zhtml?c=244152&p=irol-newsArticle&ID=1758160&high

Friday, September 13, 2019

Toni Morrison's Commencement Speech at Wellesly College on Adulthood Essay

Toni Morrison's Commencement Speech at Wellesly College on Adulthood - Essay Example When we talk about development, there are three phases- the future, the present and the past. The trick here is, to understand the realities of each phase face them and live each one of them with the greatest zeal. According to Toni Morrison, nothing gives one a more satisfactory feeling than becoming the adult at mind and heart- not in age. Age is inevitable and so is death, but adulthood is not! One can live being a child forever- immature, careless, insensitive and aimless. The beauty of being an adult is that one can work towards whatever he wants to achieve. Some people like Kardashian never grow up because they do not achieve maturity of the mind. Adulthood is about being content with the present, being happy about the bounties one has and working towards better every day. It is also about understanding the differences between generations and coming to a compromise to reduce discrepancy between generations. Furthermore, adulthood is the outcome of learning from experiences and mistakes that have been made during childhood and teenage, where the requirement is to acquire ample understanding of life from them. Morrison further clarifies this phenomenon by saying that adulthood in the global context requires one to make their story individualistic and different rather than just ordinary. Every adult has the opportunity to make at least his own circumstances different and personalized in the context of his individual circumstances. Morrison believes that every individual who is mature enough to be called an adult should have the tolerance and patience to bear problems and develop tolerance in oneself for others and for things that are out of one’s control. Instead of whining about a specific situation, one should make desirable effort to achieve results that would make things relatively better. Morrison believes that it is the

Thursday, September 12, 2019

Rental and Tenant Laws in the US Research Paper

Rental and Tenant Laws in the US - Research Paper Example The Landlord tenant law is directed to oversee the rentals of residential and commercial properties. According to the Legal Information Institute, a number of states in the US have based their statutory laws under the prescribed Uniform Residential Landlord and Tenant Act and it becomes an important factor during calamities and emergency situations and to prevent discriminations. Under the Federal Statutory Law, no one can be denied of its rights to rent an apartment on the basis of race, color, religion, national origin, sex and age. One cannot be discriminated upon on the basis of familial status, that includes not allowing children, and pregnant women. This also includes physical disability, mental disability. Similar housing laws in states also prohibit discrimination against marital status and sexual orientation. This uniform law is being prescribed to all 50 states of the US. A particular state that upheld the landlord and tenant law is the California government that prohibits unlawful discrimination against any person on the basis of above cited factors. Under the California’s Fair Employment and Housing Act And Unruh Civil Rights, landlords cannot refuse to sell, rent or lease, or refuse to negotiate for a sale, rental or lease to persons on the basis of factors cited by law. Thus, a landlord cannot refuse a person simply because he is colored, or he belongs to an ethnic group. Landlords cannot just deny to these people housing accommodations, or to provide them inferior accommodations, services, facilities and services. Inferior accommodations may be considered as those housing that are with unsafe condition like falling roof or infested by mice or cockroaches. The law also advocates that rental spaces or housing be advertised in newspapers published by ethnic groups to avoid discr imination (CA.Gov.California Dept of Consumer Affairs 2010). Time limit A time limit of one year is set within which one may file complaint from the time the discriminatory act is committed. Complainant should state their formal charges, state how it happened and the names of those involved in the case. Exceptions to the rule However there is an exception to every rule, that the statutory rules does not apply to owner- occupied buildings that has only four or fewer rental units like duplex, or to the housing designated to senior citizens , and those offered by religious groups to their members only. No pet policy In California, a tenant cannot be refused if he owns a pet; most especially if it is a dog that serves as an eye seeing dog or helps him navigate in his disability situation. For instance, a landlord cannot refuse a disabled tenant simply because he owns a dog that helps him. If the landlord does so, he is violating the federal law as well as the American Disabilities Act. Citing a case of violation, the jury from Minneapolis, Minnesota concluded that the no pet policy of the landlord is a form of discrimination when he enforced this policy to a