Managing Organizational Change - Project proposal Essay

Overseeing Organizational Change - Project proposition - Essay Example While experiencing literary works, I discovered dazzling that ‘resistance is an asset, a chance and a power’ (Palmer, Dunford and Akin, 2009 and Ford and Ford, 2009) as obstruction can assist administrators with increasing more thoughts and input about the proposed changes. The course venture paper will think about this as an individual model for explicit change the executives and portray its hypothetical points of view and down to earth confirmations dependent on important written works. Exploratory examination will be utilized in the paper to portray the change the board idea of ‘resistance to change’ and to investigate vital activities to oversee opposition, in light of checking on different significant literary works in the field, taken from books and diaries got to from sources like EBSCO, Emerald and so forth. Aside from the course reading material, diaries will be utilized to audit the writing that investigates hierarchical protection from change. Out of diary sources, the insightful articles, Decoding Resistance to Change: Strong pioneers can hear and gain from their faultfinders by Ford and Ford (2009) and Navigating Organizational Change: Change Leaders, Employee Resistance and Work-based Identities by Dijk, R. V and Dick, R. V (2009) will be of more prominent use in the examination paper as these sources have nitty gritty much about overseeing opposition and moving toward it as force and

Case of Dell in Australia Essay Example | Topics and Well Written Essays - 1000 words

Instance of Dell in Australia - Essay Example B2B and B2C become the primary models utilized by organizations to arrive at their intended interest groups gesture satisfy clients needs (Bearden et al 2004). It appears to be likely that immediate selling from the producer will develop exponentially. In reality, it is this very transferability of data which for all intents and purposes ensures the death of conventional industry limits. Organizations are progressively finding that, in the event that they join their data resources with those of different organizations, the consolidated data asset is significantly increasingly helpful to all sides: two and two, in this example, can make much more than four. Set up a government managed savings or duty database with another database of individuals who owe obligations and you have a methods for following individual indebted individuals over extensive stretches of time and gathering the obligation from them when they at long last have the cash to reimburse it (a procedure is known as obli gation reconnaissance and right now being offered by certain organizations) (Dedrick and Kraemer 2001). The corporate destinations of Dell are to make self improvement increasingly valuable and simpler to utilize, improve client care and direct client connections. The unmistakable and viable methodology permits an organization to reclassify itself †at all levels, from procedure to the activity of individual procedures (Drejer, 2002). Dell, an organization that is nearly unconstrained by physical geology (a dealer of administrations over the Internet, for instance) can reconfigure its conveyance to exploit the changes in residential expense systems at essentially no cost: it doesn't have any physical resources of any result that should be migrated. For dell, its worth chain can be viewed as a progression of interrelated capacities inside any association that connect its sources of info (crude materials to an industrial facility, inbound coordinations to a retail outlet) to its yields (outbound coordinations, the offer of merchandise to clients), the virtual worth chain alludes to t he worth that can be created by abusing the data produced by any phase of thisâ process.

PSA The 2016 Siemens Competition is now open

PSA The 2016 Siemens Competition is now open As Ive blogged before, many students who are interested in MIT are also interested in high school research competitions, including (but not limited to)  those listed on our enrichment opportunities page. One of these is the Siemens Research Competition. MIT is a University Partner for Siemens, which means that we host a (virtual) regional event and provide volunteer judges to review student projects. All students in grades 9-12 during the 2016-2017 school year are eligible to win up to $100,000 in college scholarships through their participation in the competition. Siemens encourages all students, working as individuals or in teams, to submit research they are currently working on or to begin research now with the goal of applying. You can review the student entrant toolkit, as well as competition flyers, in both English and Spanish at the Siemens Research Competition Resources page. The deadline for submission is September 20th, 2016. Just wanted to share a PSA! Sorry I havent blogged much over the last few weeks. Ive been mostly traveling since ISEF and it took me awhile to get back and then to get my life back together. Will have more stuff for you all soon!

PSA The 2016 Siemens Competition is now open

PSA The 2016 Siemens Competition is now open As Ive blogged before, many students who are interested in MIT are also interested in high school research competitions, including (but not limited to)  those listed on our enrichment opportunities page. One of these is the Siemens Research Competition. MIT is a University Partner for Siemens, which means that we host a (virtual) regional event and provide volunteer judges to review student projects. All students in grades 9-12 during the 2016-2017 school year are eligible to win up to $100,000 in college scholarships through their participation in the competition. Siemens encourages all students, working as individuals or in teams, to submit research they are currently working on or to begin research now with the goal of applying. You can review the student entrant toolkit, as well as competition flyers, in both English and Spanish at the Siemens Research Competition Resources page. The deadline for submission is September 20th, 2016. Just wanted to share a PSA! Sorry I havent blogged much over the last few weeks. Ive been mostly traveling since ISEF and it took me awhile to get back and then to get my life back together. Will have more stuff for you all soon!

Taxonomy Lab to Show Organism Relationships - 995 Words

Name: Date: March 16, 2014 Instructor’s Name: Professor Tyra Hall – Pogar Assignment: SCIE207 Phase 5 Lab Report Title: Taxonomy Lab to Show Organism Relationships Instructions: You will need to fill out the data table and answer a set of questions. When your lab report is complete, post it in Submitted Assignment files. Part 1: Using the lab animation, fill in the following data tables to help you answer the questions that follow: Table 1: Samples 1–5 Phylum/Division | Sample 1: Chrysophyta | Sample 2: Annelida | Sample 3: Arthropoda | Sample 4: Amphibia | Sample 5: Aves | Common Feature | Unicellular, primary producers| Segmented body | External skeleton and segmented body | Can obtain oxygen from†¦show more content†¦| Diffusion | Nephridia in each segment; solid waste exits through the anus | Malpighian tubules | Kidneys, intestines, anus | Kidneys, intestines, anus | Growth and Development Does the organism go through metamorphosis, develop in an egg or uterus, or grow from seeds? | Start as small cells; grow bigger until division | Start out as fertilized eggs, hatch into little worms that continue to grow, and then mature sexually into adults | Complete (egg, larvae, pupae, adult) or incomplete (egg, nymph, adult) metamorphosis | Metamorphosis: Egg, tadpole, adult | Develop in egg | RegulationHow does the organism control body processes (hormones, nervous system)? | The nucleus directs protein synthesis. Euglena ha ve eye spots that can detect light | Tiny anterior brain, ganglia, and the nerve cord runs the length of the body | Tiny anterior brain, nerve cord, ganglia, and extremely well-developed sensory organs | Brain, nervous system, good reflexes | Nervous and endocrine systems | Sample organism | Phytoplankton * Chrysophyta | Earthworm * Annelida | Fruit fly * Arthropoda | Frog * Amphibia | Bird * Aves | Table 2: Samples 6–10 Phylum/Division | Sample 6: Reptilians |Show MoreRelatedLab : The Different Types Of Living Organisms805 Words   |  4 PagesChandini Shirupalli Date of Lab performed: 9/14/15 Date it was submitted: 9/21/15 Lab 1# Systematics and Taxonomy Pages 2-10 Purpose of the Lab: The purpose of the lab is to show the different types of living organisms. Also, to show how Woese’s system of classification, was used to organize information about many types of organisms. So that you can define the organisms. 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In this TES Essential Guide, James Williams, a lecturer in education at the University of Sussex, makes sense of it all. Theory and practice 4 What it’s all about. Bloom’s taxonomy of learning 8 Bloom’s theory links the knowledge we have to how to we think, explains how attitude affects motivation and how our ability to do practical things changes the way we learn. Behaviourist approaches 12 Behaviourist theoriesRead MoreThemes in the Study of Life5755 Words   |  24 PagesChapter 1 Introduction: Themes in the Study of Life Lecture Outline Overview: Inquiring About Life †¢ Organisms are adapted to the environments they live in. †¢ These adaptations are the result of evolution, the fundamental organizing principle of biology and the core theme of this book. †¢ Posing questions about the living world and seeking science-based answers are the central activities of biology, the scientific study of life. †¢ Biologists ask a wide variety of ambitious questions. Read MoreHbr When Your Core Business Is Dying74686 Words   |  299 Pages66 90 The Leadership Team: Complementary Strengths or Conï ¬â€šicting Agendas? Stephen A. Miles and Michael D. Watkins When members of a leadership team play complementary roles, the whole is often greater than the sum of its parts – but such relationships may also result in confusion, especially when members move on. Organizations can learn to enjoy the advantages and minimize the risks of complementarity without sowing the seeds of disaster during succession. 100 100 Avoiding Integrity Land

The Downside Risk of Illustration Essay Thesis That No One Is Talking About

The Downside Risk of Illustration Essay Thesis That No One Is Talking About The Illustration Essay Thesis Cover Up Etc then there's summary conclusion at which you will give a brief review of the whole essay. It's probable that, whatever your educational objectives, you will gradually compose a book report. A book review provides the opinions of the author and includes his personal views. It is not the same as a book report, and the distinction will be made between the two. The One Thing to Do for Illustration Essay Thesis Writing a thesis is easily the most challenging undertaking for the majority of students. Methodology is the part that also can bring about trouble even in the event that you think that you are aware of how to do it. Key Pieces of Illustration Essay Thesis Then you'll need to revise your thesis statement while you're writing the paper. No wonder it's as vital as writing the essay itself. If it comes to writing essays in college, all of us need somewhere to begin. Furthermore, the biographical essay may present exceptional challenges to them. The Appeal of Illustration Essay Thesis All you have to do is consult with an expert customized essay writing service like ours that is guaranteed to submit all of your assigned work in time. You're able to use our papers as the ideal guides whenever you're attempting to accomplish similar works. Getting help is cheap despite what you might have heard about expert writing services. On the flip side, there isn't anything wrong with getting assistance from a very good consultant on the right outline format. In the quick prelude, give couple of examples which ought to be described in the subsequent paragraphs. It is critical to commit to paper the principal points that you are likely to discuss in introduction, body paragraphs, and conclusion. An outline is a short description or a most important point of something. Interestingly, in addition, there are cases where you are requested to take care of biography about yourself essay. Look carefully at the types of evidence the author has used to show the argument. At times, a thesis statement is widely shared, while others might be more controversial. It is usually only one sentence and is made up of the topic, focus, and three main points of the essay. It is not easy to begin your essay whenever you do not understand what it is you are handling. An essay template is a guide which ensures your approach is correct and that you don't deviate from the home purpose. Do not divert from the chief theme which you're handling. Both examples are excessively broad. Thesis writing could possibly be quite stressful. An essay template makes it possible to define the aim of your essay and stick with it. Thesis is a critical portion of every essay. An excellent thesis is argumentative and encourages the readers to take part in debate concerning the subject of the essay. The Illustration Essay Thesis Stories Below you can discover a sample essay outline structure to have a better idea about how to organize your own outline. You also need to go through the essay template to learn more on the subject of essay structure ones your outline is completed. An outline is helpful for many factors. Your outline needs to be easy and informative. Top Choices of Illustration Essay Thesis You are able to check our top-notch biographical essay example to have a glimpse of the way to organize your work. The quotes demonstrate the point you're making at that moment.

Journal Vascular Interventional Radiology -Myassignmenthelp.Com

Question: Discuss About The Journal Vascular Interventional Radiology? Answer: Introducation In the emergency department, establishing vascular access is the most common procedure. However, handling patients with difficult vascular access becomes a challenge for nurses. Certain conditions like obesity, vasculopathy, hypovolemia and chronic vascular access increase the likelihood of difficult vascular access. The review of research studies on interventions for difficult intravenous access has revealed that CVC (Central Venous Catheterization) is an alternative approach for the management of difficult access and achieving cannulation (Crowley et al. 2012). Although CVC helps in providing vascular access for different medical purpose, however there are many evidence which shows the risk associated with CVC cannulation. Kornbau et al. (2015) has revealed that CVC increases large number of complications in patient. Immediate complications include vascular, cardiac and pulmonary complication and some of delayed complications include catheter infection. Parienti et al (2015) also s howed that CVC is associated with infectious and thrombotic complications and catheter related bloodstream infection has negative implications on health care cost, morbidity and mortality of patient. These evidences points out to the uncertainties in management of difficult access by CVC method. However, there is also abundant evidence regarding the effectiveness of ultrasound guided venous access in increasing success rate in cannulation and decreasing complications. Hence, it would be beneficial to review PICO question based on area of practice: Population (P): Patients with suspected or known difficult venous access Intervention (I): Ultrasound-guided Intravenous access Comparison (C): Traditional techniques Outcome (O): Improved intravenous access and less complications In patients with suspected or known difficult venous access, does Ultrasound-guided Intravenous access compared to traditional technique improve intravenous access and lessen complication? Search for highest level of evidence: While looking at highest level of evidence related to the research topic, it is necessary to start from the top of the 6S pyramid. The 6S pyramid consists of systems, summaries, synopses of syntheses, syntheses, synopses of single studies and single studies (Murad et al. 2016). When seeking to find answer to the above research question, the main focus was to find highest level of evidence and then move down the list. The electronic databases that can help in getting answer to healthcare and clinical questions include Google Scholar, CINAHL, PubMed, Cochrane Library and PyschINFO (Kable, Pich and Maslin-Prothero 2012). On the basis of hierarchy of evidence, systematic reviews comes at the top of the list followed by evidence syntheses, article synopses, RCTs (Randomized Controlled Trial), Cohort Studies, case controlled studies and expert opinion (Hansen 2014). While searching relevant articles related to ultrasound guided intravenous access, the focus will be to start finding article s from highest level of evidence. To answer the PICO questions, Google Scholar, CINAHL, PubMed, Cochrane Library and PyschINFO databases were search. These databases were selected as it provides peer-reviewed articles on health care research. The search was first started with broad search terms like Ultrasound-guided Intravenous access and this was typed in Google Scholar. If the search for top two levels failed, then broad search term was also applied in CINAHL, PubMed, Cochrane Library and PyschINFO databases. For searching articles from CINAHL, PubMed and PyschINFO databases, certain specific search terms and Boolean operators like AND, OR and NOT was used. The search result was limited by limiting the search full text and peer reviewed articles. When more than one search term such as Ultrasound-guided Intravenous access and reduction in venous access complication was used, then AND or OR was used. In this way, combination of two search term was added to get relevant and highest quality evidences. After entering d ifferent combinations of search terms in databases and analyzing them according to hierarchies of evidence, three highest piece of evidence was found. One article was a randomized study by Wu et al. (2013) focusing on comparison between two-dimensional ultrasound guidance technique and land mark method in critical patient. The second article was a retrospective analysis done in emergency department Scoppettuolo et al. (2016) and the final included prospective observation study in cancer patients (Cavanna et al. 2010). Comparison of the highest level of evidence found: To effectively apply highest level of evidence to current practice in nursing setting, comparison and critical analysis of three research articles are presented below: The first randomized study by Wu et al. (2013) is considered relevant to answer the PICO question by reviewing at its title, abstract and background. The population, intervention as well as the comparator is evident from the title of the research article. It clearly showed that that real time two-dimensional ultrasound guidance technique for CVC was the main intervention and landmark method was comparator. The population of interest was also evident after reading the methodology and the outcomes of the technique was mainly evaluated in patients undergoing CVC. The landmark method compared in the RCT study also became clear after reviewing the introduction section of the article. Hence, based on this justification, the article is found relevant to answer the research question. Finding such articles specific to the research question also proves that PICO question has been appropriately formulated for clinical research and evidence based practice. Evidence has proved that formulation of clinical question by using PICO format helps in framing questions directly relevant to patient problem or clinical issue. Developing a researchable question facilitates implementing quality research and evidence based clinical practice (Aslam and Emmanuel 2010). Apart from the relevance of the article by Wu et al. (2013) in addressing research question, another attribute that resulted in the selection of this article for critical appraisal includes the position of the evidence in the hierarchy of evidence. As this assessment mainly aimed to finding out the best evidence to inform current nursing practice, taking highest level of evidence has an advantage. The hierarchical system of classifying evidence is one of the cornerstone of evidence based practice and practitioners are mainly encouraged to find highest level of evidence because maximize its effectiveness for particular intervention. The level of evidence helps to prioritize information and providing a guide to effectively evaluate results of the research (Burns, Rohrich, and Chung 2011). The article by Wu et al. (2013) has also been selected for addressing research questions because it is the highest level of evidence as it is a meta-analysis of various RCT study. The main rational fo r regarding systematic reviews and meta-analysis as being the best evidence in informing health care practice is that systematic reviews are synthesis of many good quality evidence. This helps the reviewers having time constraints to get reliable idea about the effectiveness of intervention. In case of meta-analysis, the precision of the result increases because it is a mathematical synthesis of two or more research studies (Gopalakrishnan and Ganeshkumar 2013). After reviewing the first article on the basis of relevance to the research question and hierarchy of evidence, the next goal is to evaluate the article on the basis of informing the effectiveness of ultrasound guided venous access in improving cannulation process and reducing complications. To compare and contrast real time two-dimensional ultrasound (RTUS) guidance technique with anatomical landmark method, Wu et al. (2013) retrieved randomized studies from PubMed, EMBASE, ISI Web of knowledge and OVID EMB reviews. Selection of these databases are commendable because all are updated and versatile medical databases. The methodological rigor in selecting article is seen because Wu et al. (2013) used two reviewers screened articles. One was involved in reviewing the title and abstract and other reviewed the whole article. The assessment of studies has been validated by the use of Jadad tool, which is a reliable tool to assess quality of RCT studies (Zeng et al. 2015). The impact of ultrasound techniques on puncture site, patients age and risk of cannulation failure was evaluated. The final result of the meta-analysis showed that RTUS technique reduced risk of cannulation failure in adult patient, however the same result was not found for pediatric patients. However, it reduced the risk of accidental puncture. Overall the benefits of RTUS in reducing cannulation failure incidence, accidental puncture and hematoma was proved. One significant value of this research is that it has pointed out to the changes in outcome in case of pediatric patient. Hence, while deciding to use this evidence for real pr actice, it would be essential for practitioners to assess the role of RTUS in pediatric patients or find out other approach for them. Such consideration is important in evidence based research because before implementing such evidence, there is a need to address complexity in system of care and different patient group (Hamer and Collinson 2014). The second research article that has been found to address the PICO question include the article by Scoppettuolo et al. (2016) which focused on conducting retrospective analysis for ultrasound-guided short midline catheters for difficult venous access in the emergency department. The congruence of the article to the PICO question is partly understood from reading the title of the article and partly by reading the abstract. The title gave idea about outcome and the intervention. The population of interest became evident by reviewing the background section of the article. The manner in which PICO question has helped to retrieve relevant research article also proves that PICO format is an essential tool to pursue research and explore the validity of research for application in real setting (Riva et al. 2012). On the basis of level and hierarchy of evidence, it can be said that Scoppettuolo et al. (2016) has focused on retrospective analysis comes under level II evidence for clinical studies. Burns, Rohrich and Chung (2011) have proved that for prognostic studies, retrospective analysis comes under level II of evidence. A retrospective analysis is a method that looks back at the outcome of an event that has been already established. In such cases, the data is secondary and the advantage of this method for research is that it helps to further evaluate and identify potential biasness in past studies (Smith 2015). Assessing the hierarchy of evidence is a major factor in evidence based practice and evidence based hierarchies provides the right guidance to determine the quality of evidence. This can be said because hierarchy of evidence in constructed by evaluating the research methods on the basis strength and precision in research design (Greenhalgh, Howick and Maskrey 2014). Hence, selecting research articles on by using evidence hierarchy as a guide provides the best approach to validate the quality of evidence at the first place. The usefulness of the research by Scoppettuolo et al. (2016) in terms of its applicability by nursing practice can be understood by analyzing the results of the study. The retrospectives analysis on ultrasound-guided peripheral venous access in patients admitted to emergency department in 1 year revealed that success rate of insertion of 100% and no thrombotic complications or infection was reported. On the basis of this outcome, it can be said that the research article has addressed and provided answer to the PICO question. The data based on clinical charts has convincingly proved that no complication occurred during cannulation in patient. In terms of comparison of the ultrasound guided venous access technique with traditional palpation approach, it was proved that the ultrasound guided technique was the superior method for successful venous cannulation (Scoppettuolo et al. 2016). The strength of the evidence is that the author has not only defined outcome and superiority of the te chnique, but also gave clear about the reason for positive outcome. The main reason for high success rate was that ultrasound guided technique reduced the rate of percutaneous punctures that occurred in traditional method. However, one limitation that can act as barrier in the implementation of the evidence for practice is that the study showed that success rate is dependent on characteristics of vessel. Secondly, the cost effectiveness of the method has been hampered by short duration limit for the procedure. Hence, this study points out to the need for future research in the area of addressing short duration related challenges for staffs. It also point to the need for simulation based training regarding the technique to maximize the utility of evidence for evidence based practice This points out to the need for simulation based training (Ma et al. 2011) The third article by Cavanna et al. (2010) was also found to address the PICO question and this is evident clearly by looking at the title of the article. The interventions and outcome mentioned in the title matches with the PICO question. The title is not matching the population group as the study has been done with cancer patients. However, still the research is significant to inform practice because evidence has showed that risk of complications in central venous access mainly increases in patients with chronic illness (Tapson et al. 2017). Hence, the research work on cancer patient is considered inform to inform practice in clinical setting because central venous access is necessary for all cancer patients. In terms of hierarchy of evidence, Cavanna et al. (2010) occupies the level I hierarchy as it is a prospective study (Burns, Rohrich and Chung 2011). The strength of this methodology for research is that it helps in analysis of subjects based on outcomes over a long period of time. This evidence is also found fewer biases and confounding factors compared to retrospective study. Hence, such results obtained from such study are reliable. Cavanna et al. (2010) mainly conducted the research with cancer patients requiring CVC. The Seldinger technique was used to place the catheter and 16 needle was placed under real time ultrasound guidance. Within two hours of the procedure, any CVC related complication was recorded. The outcome study done on participants for 9 years showed no bleeding and nerve puncture, however self limiting hematoma was observed. The study is found useful because it also answers the PICOT question and proves that ultrasound guidance can reduce complications in cancer patients. The strength of this evidence is that this research performed the procedure on largest number of patient thus enhancing the reliability and credibility of the result. It is the most accurate prospective trial as it has been carried out over a longer period of time. Such piece of evidence can readily applied in practice after providing some period of training to nurses. Among the three evidence, two was highest level of evidence and one was II level of evidence. In case of meta analysis and prospective study, the prospective study by Cavanna et al. (2010) is found to be the most strongest level of evidence from the three articles. This is because the methodology is free from biasness compared to other methods and analysis of outcome for long period has further enhanced the validity of the study for application in real setting. The other two studies are not reliable for application in real setting because of limitations in methodology and research outcomes as explained in sections for respective studies. Barrier to implementing EBP Among the three evidences, Cavanna et al. (2010) can be implemented as evidence based practice (EBP) in current setting because the article has clearly discussed the procedure and also addressed the limitations related to short time limit in implementing the procedure. This can be said because Seldinger technique was applied to address this shortcoming in the procedure (Goldstein et al. 2015). However, while trying to implement this evidence, certain barriers may arise in practice setting. For instance, nurses may feel reluctant to adopt the new method and abandon the traditional technique of cannulation. To address this barrier, it will be necessary to hold two or more session with nurses so that they understand the effectiveness of evidence for patient safety and reducing health care cost. This will help to address individual level barrier and changes the attitude of nurses towards EBP (Jordan, Bowers and Morton 2016). Another barrier to the implementation of EBP may include lack of time in learning about the new technique. This barrier can be addressed once the organization realize the need to change traditional practice and provide support to nurses so that they can manage their work priorities as well as attend training for effectively implementing new intervention in real setting. Such barrier can be addressed by clinical leader in organization as they can develop strategic climate for implementation of EBP (Aarons et al. 2014). Reference Aarons, G.A., Ehrhart, M.G., Farahnak, L.R. and Sklar, M., 2014. Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation.Annual Review of Public Health,35. Aslam, S. and Emmanuel, P., 2010. Formulating a researchable question: A critical step for facilitating good clinical research.Indian journal of sexually transmitted diseases,31(1), p.47. Burns, P.B., Rohrich, R.J. and Chung, K.C., 2011. The levels of evidence and their role in evidence-based medicine.Plastic and reconstructive surgery,128(1), p.305. Cavanna, L., Civardi, G., Vallisa, D., Di Nunzio, C., Cappucciati, L., Bert, R., Cordani, M.R., Lazzaro, A., Cremona, G., Biasini, C. and Muroni, M., 2010. Ultrasound-guided central venous catheterization in cancer patients improves the success rate of cannulation and reduces mechanical complications: a prospective observational study of 1,978 consecutive catheterizations.World journal of surgical oncology,8(1), p.91. Crowley, M., Brim, C., Proehl, J., Barnason, S., Leviner, S., Lindauer, C., Naccarato, M., Storer, A., Williams, J. and Papa, A., 2012. Emergency nursing resource: difficult intravenous access.Journal of Emergency Nursing,38(4), pp.335-343. Goldstein, S.D., Pryor, H., Salazar, J.H., Dalesio, N., Stewart, F.D., Abdullah, F., Colombani, P. and Lukish, J.R., 2015. Ultrasound-guided percutaneous central venous access in low birth weight infants: feasibility in the smallest of patients.Journal of Laparoendoscopic Advanced Surgical Techniques,25(9), pp.767-769. Gopalakrishnan, S. and Ganeshkumar, P., 2013. Systematic reviews and meta-analysis: understanding the best evidence in primary healthcare.Journal of family medicine and primary care,2(1), p.9. Greenhalgh, T., Howick, J. and Maskrey, N., 2014. Evidence based medicine: a movement in crisis?.Bmj,348, p.g3725. Hamer, S. and Collinson, G., 2014.Achieving Evidence-Based Practice E-Book: A Handbook for Practitioners. Elsevier Health Sciences. Hansen, H.F., 2014. Organisation of evidence-based knowledge production: Evidence hierarchies and evidence typologies.Scandinavian Journal of Social Medicine,42(13_suppl), pp.11-17. Jordan, P., Bowers, C. and Morton, D., 2016. Barriers to implementing evidence-based practice in a private intensive care unit in the Eastern Cape.Southern African Journal of Critical Care (Online),32(2), pp.50-54. Kable, A.K., Pich, J. and Maslin-Prothero, S.E., 2012. A structured approach to documenting a search strategy for publication: a 12 step guideline for authors.Nurse education today,32(8), pp.878-886. Kornbau, C., Lee, K.C., Hughes, G.D. and Firstenberg, M.S., 2015. Central line complications.International journal of critical illness and injury science,5(3), p.170. Ma, I.W., Brindle, M.E., Ronksley, P.E., Lorenzetti, D.L., Sauve, R.S. and Ghali, W.A., 2011. Use of simulation-based education to improve outcomes of central venous catheterization: a systematic review and meta-analysis.Academic Medicine,86(9), pp.1137-1147. Murad, M.H., Asi, N., Alsawas, M. and Alahdab, F., 2016. New evidence pyramid.Evidence-based medicine, pp.ebmed-2016. Parienti, J.J., Mongardon, N., Mgarbane, B., Mira, J.P., Kalfon, P., Gros, A., Marqu, S., Thuong, M., Pottier, V., Ramakers, M. and Savary, B., 2015. Intravascular complications of central venous catheterization by insertion site.New England Journal of Medicine,373(13), pp.1220-1229. Riva, J.J., Malik, K.M., Burnie, S.J., Endicott, A.R. and Busse, J.W., 2012. What is your research question? An introduction to the PICOT format for clinicians.The Journal of the Canadian Chiropractic Association,56(3), p.167 Scoppettuolo, G., Pittiruti, M., Pitoni, S., Dolcetti, L., Emoli, A., Mitidieri, A., Migliorini, I. and Annetta, M.G., 2016. Ultrasound-guided short midline catheters for difficult venous access in the emergency department: a retrospective analysis.International journal of emergency medicine,9(1), p.3. Smith, J.A. ed., 2015.Qualitative psychology: A practical guide to research methods. Sage. Tapson, V.F., Hazelton, J.P., Myers, J., Robertson, C., Gilani, R., Dunn, J.A., Bukur, M., Croce, M.A., Peick, A., West, S. and Lottenberg, L., 2017. Evaluation of a device combining an inferior vena cava filter and a central venous catheter for preventing pulmonary embolism among critically ill trauma patients.Journal of Vascular and Interventional Radiology,28(9), pp.1248-1254. Wu, S.Y., Ling, Q., Cao, L.H., Wang, J., Xu, M.X. and Zeng, W.A., 2013. Real-time Two-dimensional Ultrasound Guidance for Central Venous CannulationA Meta-analysis.The Journal of the American Society of Anesthesiologists,118(2), pp.361-375. Zeng, X., Zhang, Y., Kwong, J.S., Zhang, C., Li, S., Sun, F., Niu, Y. and Du, L., 2015. The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta?analysis, and clinical practice guideline: a systematic review.Journal of evidence-based medicine,8(1), pp.2-10

Total Quality Mangement free essay sample

What is Total Quality Management (TQM)? TQM is a management strategy that attempts to maximize the competitiveness of a organization through continual improvement of quality in its products and services. The ultimate goal is to increase customer satisfaction. They premise in this method is that everyone involved is the responsibility of everyone involved in the process; this includes management, workforce, suppliers and even customers. [ (Wikipedia, 2012) ] We will examine two test cases and examine how TQM can help them improve. We will examine their failures and examine how TQM would help them overcome them. In the book â€Å"Out of the Crisis†, by Dr Deming he points out fourteen points that manager must use in order to follow a successful TQM strategy. They are: 1) Create constancy of purpose for improvement of product and service. Management must change from a preoccupation with the short run to building for the long run. This requires dedication to innovation in all areas to best meet the needs of citizens or clients. We will write a custom essay sample on Total Quality Mangement or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 2) Adopt the new philosophy. Americans have been too tolerant to poor performance and sullen service. We need a new philosophy in which mistakes and negativism is unacceptable. 3) Cease dependence on mass inspection. Inspection is equivalent to planning for defects; it comes too late, and it is ineffective and costly. Instead, processes must be improved. 4) End the practice of awarding contracts on the basis of price tag. Purchasing departments customarily operate on orders to seek the lowest-priced vendor. Frequently, this leads to supplies or services of low quality. Instead, they should seek the best quality and work to achieve it with a single supplier for any one item in a long-term relationship. 5) Improve constantly and forever the system of operations and service. Improvement is not a one-time effort. Management and employees are obligated to continually look for ways to reduce waste and improve quality. 6) Institute modern methods of training on the job. Too often, employees learn their jobs from other employees who were never trained properly. They are forced to follow unintelligible instructions. They cannot do their jobs because no one tells them how. ) Institute modern methods of leadership. Lower-level managers must be empowered to inform upper management about conditions that need correction; once informed, management must take action. Barriers (such as reserved parking places for top management) that prevent employees from doing their jobs with pride must be removed. 8) Drive out fear. Many employees are afraid to ask questions or t o take a position, even when they do not understand what the job is or what is right or wrong. People will continue to do things the wrong way or to not do them at all. The economic loss from fear is appalling. It is necessary for better quality and productivity that people feel secure. 9) Break down barriers between staff areas. Often staff areas, departments, units, and so on are competing with each other or have goals that conflict. They do not work as a team so they can solve or foresee problems. Worse, one departments goals may cause trouble for another. Each discipline must stop optimizing its own work and instead work together as a team for the company as a whole. Multidisciplinary quality control circles can help improve design, service, quality and costs. 0) Eliminate slogans, exhortations, numerical goals and targets for the work force. These never helped anybody do a good job. Let people put up their own slogans. Although workers should not be given numerical goals, the organization itself must have a goal: never ending improvement. 11) Eliminate work standards and quotas. Quotas focus on quantity not quality. They are usually a guarantee of inefficiency and high cost. To hold a job, a person meets quotas at any cost, without regard to damage to the organization. 12) Remove barriers to pride of workmanship. People are eager to do a good job and distressed when they cannot. Too often, misguided managers, faulty equipment, and defective material stand in the way. These barriers must be removed. 13) Institute a vigorous program of education and training. Because quality and productivity improvements change the number of people needed in some areas and the jobs required, people must be continually trained and retrained. All training must include basic statistical techniques. 14) Create a structure in top management that will push every day on the above 13 points. (Demings, 2000) The Nightmare on Telecom Street In our first test case James Harrington attempts to make a flight reservation by calling a major airline. His experience is an excellent example of a company trying to be so efficient that they alienate their customers. Efficiency is very important to a company, but not at the cost of losing customers. The service failures started even before the phone was answered; the phone rang five times before the auto attendant answered. From there the customer was given an endless amount of choices to get routed to the right department. Once there she was on hold before a live person finally answered the phone. This person asked the caller for the same information they just provided to the auto attendant. Once the caller was verified, the person tells them they have reached the wrong department and gives them another phone number to call so they can start the process all over again. In order for this airline to solve their service failures they need to think of their customers. It is okay to have an auto attendant to direct traffic in the right direction, but maybe only one or two choices before reaching a live person. They also need to give the option of pressing zero and speaking to an operator that would forward the call to the right department. The airline must realize that people like to speak with people, not computers. The phone call is the first impression that the potential client will have of the airline. They need to make this phone call as enjoyable as possible so they will not hang up and call a competitor. The State University Experience The second case study is about a student that is very excited to go to a certain State University and his enthusiasm is diminished by the universities actions. This case is another example where there the customer is an afterthought. In this case it is obvious that there was no thought given to the customer experience. There were difficulties starting with the campus tour and throughout the entire enrollment process. The service failures started the school tour. It is obvious that the university just paid any student to take potential enrollees on a tour of the school; they did not provide them any formal training on what to say or design a specific tour of the school that highlights the schools best features. They did not even make sure that the lights in all the buildings on the tour were on during the tour. It only went downhill from there. The enrollment process was painful, the student kept having to send in the same documentation; the university kept losing stuff. The student sent in everything requested several times and they still ended up enrolling him into the wrong program. A total disaster! This case study is an example of a program that has to be revamped from the beginning. They need to start with meeting and exceeding customer satisfaction. If the tour is going to be in the middle of the summer, they need to make sure that the tour does not spend too much time outside; you need to make sure that people are comfortable. The tour guide needs to go through training on the message the university wants potential students to hear. Finally, the enrollment process has to be more efficient. They need to use technology to make their enrollment process smoother. He should not have to send in the same documents more than once. Conclusion In both test cases you see examples of potential clients being really let down. In today’s competitive environment firms have to make sure that potential clients have a good overall experience. In does not take many unhappy clients to post on their facebook page before you have a nightmare. I believe companies can use the 14 points to improve their TQM and improve their customer experience. Works Cited Demings, W. E. (2000). Out of the Crisis. The MIT Press. Wikipedia. (2012, 3 4). Total quality management. Retrieved 2012, from Wikipedia: http://en. wikipedia. org/wiki/Total_quality_management

Free Essays on My Last Douchess

The Duke of â€Å"My Last Duchess† Outline Thesis: The Duke of Ferrara, the speaker is a jealous, arrogant and hypocrite man who was very controlling over his dead wife I. The Duke’s desire of control is displayed with each one of his actions A. He shows off the portrait of his dead wife B. He monopolizes his conversation with the envoy C. He tells the envoy when to sit and when to rise II. There is an irony in the control the Duke wants to impose over other people. He really does not have much control. A. He could not control his wife’s smiles B. He cannot control what the envoy will inform the count III. Arrogance is manifested by the Duke The Duke of â€Å"My Last Duchess† Murder, arrogance, hypocrisy, jealously and possessiveness are some of the main themes we can find in â€Å"My Last Duchess†. Robert Browning's poem, "My Last Duchess," features a sixteenth century Duke engaged in dialogue with an arbiter of a Count. "My last Duchess" is spoken from the perspective of the Duke and conveys the Duke’s personality through the literary form of a dramatic monologue. The subtitle of â€Å"My Last Duchess† is â€Å"Ferrara†, which makes a historical reference to the Duke of Ferrara. â€Å"The poem, "My Last Duchess" is based on incidents in the life of Alfonso II, duke of Ferrara in Italy†(Lombardy). According to Hecimovich â€Å"the situation is take [sic] from the life of an actual sixteenth-century, but Browning has imagined the specific incident†. The Duke of Ferrara, the speaker is a jealous, arrogant and hypocrite man who was very controlling over his dead wife. By talking about his previous wife, the Duke s hows of his power and the requirements his next wife should meet. His diction reveals his personality very clearly. The poem begins with the Duke pointing at the painting on the wall that portrays his last duchess. The reader is directed to imagine the Duke walking with the count’s agent through his art gall... Free Essays on My Last Douchess Free Essays on My Last Douchess The Duke of â€Å"My Last Duchess† Outline Thesis: The Duke of Ferrara, the speaker is a jealous, arrogant and hypocrite man who was very controlling over his dead wife I. The Duke’s desire of control is displayed with each one of his actions A. He shows off the portrait of his dead wife B. He monopolizes his conversation with the envoy C. He tells the envoy when to sit and when to rise II. There is an irony in the control the Duke wants to impose over other people. He really does not have much control. A. He could not control his wife’s smiles B. He cannot control what the envoy will inform the count III. Arrogance is manifested by the Duke The Duke of â€Å"My Last Duchess† Murder, arrogance, hypocrisy, jealously and possessiveness are some of the main themes we can find in â€Å"My Last Duchess†. Robert Browning's poem, "My Last Duchess," features a sixteenth century Duke engaged in dialogue with an arbiter of a Count. "My last Duchess" is spoken from the perspective of the Duke and conveys the Duke’s personality through the literary form of a dramatic monologue. The subtitle of â€Å"My Last Duchess† is â€Å"Ferrara†, which makes a historical reference to the Duke of Ferrara. â€Å"The poem, "My Last Duchess" is based on incidents in the life of Alfonso II, duke of Ferrara in Italy†(Lombardy). According to Hecimovich â€Å"the situation is take [sic] from the life of an actual sixteenth-century, but Browning has imagined the specific incident†. The Duke of Ferrara, the speaker is a jealous, arrogant and hypocrite man who was very controlling over his dead wife. By talking about his previous wife, the Duke s hows of his power and the requirements his next wife should meet. His diction reveals his personality very clearly. The poem begins with the Duke pointing at the painting on the wall that portrays his last duchess. The reader is directed to imagine the Duke walking with the count’s agent through his art gall...

Reflection essay Example | Topics and Well Written Essays - 750 words - 11

Reflection - Essay Example Thus, a respectable woman is to be a good housewife and a careful mother, while her husband must maintain family. It seems to be an old-fashioned stereotype now. A huge number of modern families may illustrate this. The task of many husbands is to take care of children, while their wives adopt a role of breadwinners. Statistic data may illustrate this: Thus, precious few people are surprised to hear that a wife earns more than her husband does. It seems to me that this tendency roots in adolescence or even in childhood. The aim of most young people is to build up a successful career in future. Earlier it was accepted to think that high ambitions are more typical and even natural of men, rather than of women. This is not the case in our time. I notice such a tendency among my friends – girls usually pay much more attention to their studies than guys. As they say, they must think about their future career in advance. At the same time, most guys seem to be quite careless about this. Such a tendency may partially be prescribed to the fact that girls are proven to grow up faster than boys, both physically and mentally (Bergland, 2013). It seems to me, however, that certain feminist ideas exert much more influence in this case. Anyway, such girls are quite likely to become successful business-ladies in future. One more thing which helps girls and guys become friends is their similar hobbies. Surprisingly, a lot of my female friends adore football, basketball, and even hockey, though all these games are traditionally associated with men. For example, as statistics show, in 2012 soccer was the third most played team sport by high school girls – almost 1,5 million school girls tried this game only in the US (NFHS, 2011). When it comes to pastime, it is also necessary to mention computer games and computer skills in general. People are used to think that computer games are only for narrow-minded and not really responsible

Economic of a Security System Essay Example | Topics and Well Written Essays - 500 words

Economic of a Security System - Essay Example airline and airport security. It provides trained federal employees for passenger and baggage screening and it supplies sky marshals (air marshals) for unnamed commercial flights (Salant, 2002). With all the increased taxes because of additional airport security undertaken by our government, is it still viable for airports to further add their own measures in security Will these measures not affect passenger's willingness to travel by air, given an additional $ 5 to their tickets and more minutes waiting in line The federalization of commercial aviation resulted in the removal of contract private security personnel from passenger- and baggage-screening points. They were replaced with twice as many federal TSA employees, who earn almost two times the salary of their private-sector counterparts. The impact of this transition has yet to be measured. Some have argued that federalized passenger screening has not delivered a noticeable improvement in air passenger safety (Dalton, 2003). Also, wages of airport security personnel have been increased and are now comparable to police and fire protection jobs. Entry-level pay starts at around $20 an hour plus U.S. federal employee benefits (GAO, 13 June 2003). As airline security is now a national concern, it is the standard operating procedu

Bergers Disease: IgA Nephropathy

Bergers Disease: IgA Nephropathy Sarah A. Poorman IgA nephropathy, or Bergers disease, is one of the most prevalent, primary, and chronic glomerular disease and an imperative cause of renal failure (Mayo Clinic, 2017). IgAN is one of the most common renal diseases present in todays world. It can occur at any age, perceiving first evidence of renal disease when people are in their teens to late 30s (Wyatt and Julian, 2013). It is twice more likely to appear in men than women, being the most common amongst Asian and Caucasian populations (Wyatt and Julian, 2013). Early stages of Bergers Disease may not have symptoms. It can be silent for years, sometimes even decades before a single symptom shows. The most common symptom witnessed is hematuria, or bloody urine (NIDDK, 2015). This is a definite sign of a damaged glomeruli. Usually, the tint of urine will become a hue of pink or resemble the color of tea or cola (National Kidney Foundation, 2016). Another common symptom to arise is albuminuria. This is when urine contains an overabundance or albumin. Albumin is a protein, typically found in the blood, which maintains fluid balance throughout the human body (Nephcure, 2016). Blood loses its capacity to absorb fluid from the body once albumin leaks into the urine. Due to the lost blood supply, low blood albumin levels will occur. Too much fluid will let to edema, or swelling, of various body parts. The most common body parts to experience edema are the legs, feet, and ankles, leaving the face and hands to be the least commonly affected (NIDDK, 2015). Foamy urine is a signal of albuminuria. The least common symptoms associated with IgAN are high blood pressure and high cholesterol levels (NIDDK, 2015). Glomerulus is a system of capillaries situated at the beginning of a nephron in the kidney (Wyatt and Julian, 2013). Its focal objective is to assist as the first phase of the filtration process of the blood, which is carried out by the nephron in the creation of urine (Mayo Clinic, 2017). IgA nephropathy, or IgAN, is considered an autoimmune disease that affects the glomeruli of the kidneys. Glomeruli are tiny filtering units where the blood is cleared. As the IgA deposits build up in the glomeruli, it causes the kidneys to leak blood and protein into the urine. Human IgA antibodies have two subclasses, IgA1 and IgA2, while IgA1 constitutes 85% of the total IgA in the circulation, starting in the bone marrow (Wyatt and Julian, 2013). Predominantly, these deposits consist of IgA, but they can also exhibit IgG and IgM antibodies by themselves or combined. As the IgA deposits build up in the glomeruli, it causes the kidneys to leak blood and protein into the urine. IgA in the glomerular deposits are exclusively of the IgA1 subclass and are in the polymeric form (Wyatt and Julian, 2013). IgA1 exhibits galactose deficiency in the O-linked glycans in the hinge region of the heavy chain (Suzuki et al, 2011). Going all the way back to basic chemistry, galactose, or Gal, is a monosaccharide sugar that is composed of the same element as glucose, but has a different arrangement of atoms (Maillard et al, 2015). The Fc receptor will blind the GD-IgA1 to create immune complexes that leads to the complement activation. The transcription of IgG and IgM trigger the pathways of complement activation, containing immune complexes (Maillard et al, 2015). Eventually, over time, the massive discharge of ctyokines, components of the ext racellular matrix, and oxidants that disrupt the function of the glomerular basement membrane will induce apoptosis (the product of TGF-B and IL-6) and glomerular scarring (Maillard et al, 2015). This creates the destruction of the kidneys which leads to the major development of end-stage renal disease. To put it simply, T cell-dependent activation of B Cells is initiated by APCs, which processes the antigen, and creates peptides to present, in MHC 11, to CD4+ T cells. This results in the production of T Helper cells. With the interaction of B and T cells, the expression of CD40L, a protein apart of the TNF (tumor necrosis factor) family, begins. Isotype switching of naà ¯ve B cells towards IgA1 and IgA2 producing plasma cells takes place. The B cells carry the antigens to the surface of the cell by Ig expression. They present this to MHC II, which aids in the recruitment of T cells. With the expression of CD40L and cytokines and signals from APCs will begin the regulation of production for IgA the IgA immunoglobulin will typically bind oneself to an antigen or infection found in the body. This will result in the activation of an immune response, which will find a way to rid the body of the infection. People with IgAN have an augmented blood result of IgA that signifies less galactose than what is considered normal. This galactose-deficient IgA, or GD-IgA1, in the blood, is recognized as foreign by the other antibodies circulating the blood. But, when an individual has IgAN, a flawed arrangement of IgA antibodies attach their selves to another IgA antibody, as an alternative of an infection or antigen, resulting in the creation of immune complexes. These immune complexes turn out to be jammed in the kidneys glomeruli, causing damage to the filters. Inflammation takes place, which causes blood and proteins to leak out of the kidneys and into the urine. Eventually, this will lead to end-stage renal disease (ESRD) and total kidney failure, resulting in death or the dire need of a kidney transplantation. Currently, there is no known cure for IgA nephropathy, with no ultimate way of knowing what path the ailment will take. Once the kidneys are scarred, they cannot be repaired. Therefore, the vital goal of IgA nephropathy treatment is to inhibit or delay the inevitable, end-stage renal disease. Some people experience complete remission and others live normal lives with low-grade blood or protein in their urine. Treatment with numerous of medications can slow the progress of the disease and help manage symptoms such as high blood pressure, protein in the urine, and swelling. Some of the medications that are currently being used to treat IgAN are as follows: 1) Angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) which lowers blood pressure and reduces the amount of albumin in the urine. 2) Omega 3 Fatty acids, which aid in the reduction of inflammation throughout the body, in this case the glomeruli, leaving no harmful side effects. 3) Immunosuppressants such as corticosteroids medication (prednisone) will suppress the immune system response, allowing to protect kidney function. However, these can cause serious side effects such as high blood pressure and high blood sugar. 4) Statin therapy are cholesterol lowering medications that are known to help slow the damage to the kidneys. 5) Mycophenolate mofetil, or CellCept, has been successfully used in some pati ents who have had persistent protein in the urine, however, most studies so far have failed to show the benefit for using this medication. There are no sources in the current document.   Ã‚  

Carbon Sinks and Global Climate Change :: Environment Earth Papers

Carbon sinks have been a hot topic surrounding global climate change. To understand this debate it is first essential to understand what carbon sinks are and what they do. Plants have the natural ability to soak up carbon dioxide from atmosphere, storing it as carbon. In relation to global climate change, plants, especially trees, can help to absorb some of the carbon dioxide that humans have emitted into the atmosphere. This becomes one possible solution in mitigating climate change. As with many possible solutions to climate change, there are positive and negative sides of carbon sinks as a mitigation option. There is also quite a divergence of viewpoints between countries. The issue of carbon sinks continues to be debated today. Is this an area in which consensus and cooperation can occur? Unfortunately, this has just been another area in which there has been controversy in global environmental politics. After an in depth look at the negative and positive aspects of carbon sinks i n relation to global climate change, it seems at this time the negative aspects outweigh the positive. Due to scientific uncertainty, an inadequate monitoring and measuring system, as well as a lack of rules and guidelines, the use of carbon sinks will prove to be more of a problem than a solution to the global climate change problem. First of all, what are carbon sinks? The earth contains various natural stocks or reservoirs of carbon. These stocks can be found in the ocean, forests, soils, and the atmosphere. When one of these stocks releases carbon, such as when a forest is reduced by fire, decomposition, or deforestation, it is known as a source of carbon. When these stocks absorb carbon they are called sinks (Sedjo, 4). The ocean can hold the most carbon; it contains about fifty times as much carbon as the atmosphere. Forests and soils contain about 3.5 times as much carbon as the atmosphere (Kolshus, 2). This paper mostly focuses on carbon sinks in forests because it is currently the subject under debate in the climate change regime. Sinks can be used to mitigate global climate change in two ways: either by producing new forests to absorb the carbon, or by preventing the release of carbon into the atmosphere through actions such as deforestation (Pagiola, 25). However, currently there is a lack of consensus as to how much carbon can actually be absorbed by these sinks.

Dream of the Rood Essay

In the poem The Dream of the Rood, many parallels between a seemingly inanimate object directly correlates with the crucifixion and resurrection of Christ. Although, Christ is mentioned in the poem he is never the speaker, rather the Rood is personified and is the central speaker and theme of the poem. The poem begins with the dreamer’s account of what he experienced as he saw the rood â€Å"gloriously graced† then bleeding as the tree spoke directly to the dreamer. Like Christ has done in biblical stories, the â€Å"tree† speaks him in a dream, depicting the first parallel of the Rood and Christ. The rood tells of how soldiers were forced to carry â€Å"him† on their shoulders and set him up on a mountain, just as Christ was forced to do before his crucifixion. The rood continues to display his bravery as he stands steadfast even though the earth was trembling, for he â€Å"dare not act against the Lord’s word. † This depiction of bravery in the rood is to parallel the bravery Jesus showed and his experience as there was an earthquake during his crucifixion. He expresses how he was â€Å"pierced† just as Christ was pierced, and how he was mocked just as Christ was mocked by onlookers. The cross seems to physically suffer as it â€Å"raised up a mighty king, the heaven’s lord; I dared not bow in homage. † This scene represents all the suffering that Christ endured, yet his bravery prevailed. The rood continues his account as he illustrates his and Christ’s death; â€Å"Finally men brought axes to fell us to earth. That was a frightful destiny! They buried us in a deep pit. Although in the biblical account of Christ’s crucifixion the cross was not buried, the author choose to show a connection between Christ and cross by showing they both perished that day. In the same likeness as Christ, the rood is resurrected and adorned by â€Å"friends â€Å"who learned about him, just as Christ was adorned after his resurrection. The rood announces to the dreamer that he must tell others of his triumph â€Å"so that far and wide men worship me everywhere on earth, and all creation pray to this sign. This metaphor shows the correlation between the rood and Christ, and the reason for which Christ endured all the suffering, so that all those who worship him shall have everlasting life. The rood states: â€Å"On me the son of God suffered a time; therefore I now tower in glory under heaven, and I may heal any of those in awe of me. † The rood explains that he is adorned above all other trees, just as Christ was after his resurrection. He continues to tell the dreamer that he must let all know about Christ and use the rood as a tool to explain his second coming and mankind’s salvation. Although no biblical stories tell of Christ coming to one in a dream, this was to represent God’s plan in sending his Son to tell of God’s plan and their salvation through his crucifixion and resurrection. This idea is clearly displayed when the rood professes â€Å"And on this earth each soul that longs to exist with its savior forevermore must seek His kingdom through that cross. As the dialogue of the poem switches back to the dreamer, he states that he was renewed with hope and joy as he â€Å"prayed to that tree. † Again another depiction of a parallel between Christ and the rood, instead of being described as a rood or crucifix, it’s described as a tree, something unlikely for one to worship. Perhaps the tree is to symbolize Christ, as the tree of life who should be worshiped and adorned with â€Å"gold and gemstones† just as the tree gleamed at the opening of the poem.

Taking a Look at Interpersonal Communication - 1139 Words

I do not need to copy many definitions from books, use plagiarism, or check thousands of websites to w honestly write about the concepts taught in this course. Concepts that have modified many of my ways of thinking that were previously erroneous. The contents of this class have helped me learn more about the verbal, and non-verbal communication among different cultures, ethnic groups and societies. We all practice communication some how, but I feel privileged of learning more details about the concepts of interpersonal communications after finishing the course. Each chapter of the book offers a very interesting, and educational instruction about social problems in relation to communication. I enjoyed reading about the roots of the different types of human behaviors. I consider the study of interpersonal communication as a very intellectual discipline that is essential in our daily lives. I each unit, different concepts were described, but the five of them that captured most of my attention are the following: Internal Tensions The book describes internal tensions as â€Å"relationship stresses that grow out of peoples needs, and peoples interactions.†(Wood 332) For me, it was very important to learn about the influence of the internal tensions that affect the health of friendships, psycological health, and physical health. All human beings have experienced internal tensions that somehow affected relationships with other people. In our lives, we have experiencedShow MoreRelatedTaking a Look at Interpersonal Communication716 Words   |  3 Pagesunderstood,† said Ralph Nichols and this thought is agreeable as the interpersonal skills are the skills people use throughout their life to interact with individuals or group of people in the society. It has been believed that the people with good interpersonal skills are generally more successful and get effective fruitful results in both their personal and professional lives. People who work hard to develop strong interpersonal skills can augment many aspects of life and lead to better relationshipsRead MoreMovie Analysis : Crash By Paul Haggis Essay1305 Words   |  6 Pagessocial issue or things taught in class. In this paper I will talk about the use of interpersonal, intercultural concepts, racism/stereotyping and Knapps conflict strategies. The main characters in this movie all connect with each other and they don’t even know it .In â€Å"Crash† taking place in Los Angeles, there are 10 Important characters that all end up connected to each other through interpersonal communication. You have two white LAPD officers John and Hansen, the African-American couple CameronRead MoreCharacteristics Of Interpersonal Communication746 Words   |  3 Pagesdiscusses interpersonal communication and impersonal communication, chapter one also discusses characteristics of a competent communicator. Interpersonal communication is a process where people exchange information using verbal and nonverbal messages and feelings, it is also described as face to face communication. People create meaning and relationships through the exchange of messages often the messages are affected by external, physiological, and psychological noise. Interpersonal communicationRead MoreDear Sacramento Chinese Community Service Center,. I Hav e1409 Words   |  6 PagesDear Sacramento Chinese Community Service Center, I have been recently taking an interpersonal communication course and have discovered a great deal of information that I believe can be extremely beneficial to our agency’s communication effectiveness. I invite you all to think back to one of our previous meetings, do you recall any of the following? A lack of eye contact, a lack of enthusiasm, and frustrated looks on faces? How about an overall sense of discontent so much so that people are disengagedRead MoreThe Importance of Studying Interpersonal Communication913 Words   |  4 PagesInterpersonal communication is an important day-to-day life skill that many people may go their entire life without formally learning about. Interpersonal communication is the communication between two or more people who are sending and receiving verbal or nonverbal language back and forth. The opportunity to study it at a college level is very important in that it can give you a more refined insight into how it works without needing to bre eze over or amend certain segments for the audience. WithoutRead MoreThe Importance Of Skills And Knowledge Of Your Employer829 Words   |  4 PagesI do believe that skills in today’s work environment have changed. Getting a job used to be based solely on your Interpersonal skills. Being social and knowing the right people or being in the right place at the right time would give you endless opportunities for employment. While I still believe this is true, employees are looking for more skills. One question during interviews includes your knowledge of the job/position and what the employee can bring to the company. Having basic computer, mathRead MoreThe Blind Side Character Analysis1395 Words   |  6 PagesIn this relationship, the interpersonal needs, conflict style, and the nonverbal communication shine in the relationships between the Tuohy family and Michael.The three interpersonal needs are the need for inclusion, need for control, and the need for affection(â€Å" William Schutz PH.D. and the Interpersonal Needs Theory.†2015). The theory behind interpersonal needs is how well a relationship is sustained by the three basic needs(â€Å"William Schutz PH.D. and the Interpersonal Needs Theory.†2015). LookingRead MoreInterpersonal Relationships856 Words   |  4 PagesInterpersonal Relationships Page 1 What are Interpersonal Relationships? Crystal Kinnersley Com 200 Interpersonal Communication Dr. David Koskowitz January 10, 2011 Interpersonal Relationships Page 2 What are Interpersonal Relationships? Do you know what I mean when I say â€Å"What are some things that affect your interpersonal relationships?† Interpersonal relationships are any type of relationship that you have with someone else. I am going to share some tipsRead More Essential Workplace Skills Essay example1596 Words   |  7 PagesI am referring to are Oral and Written Communication, Interpersonal, and Teamwork skill. These sets of skills have been identified US dept of Labor and other universities and learning Centers as the essential skills every person needs. Oral and Written Communication skills are two of the most important skills a person could have in the workplace. Without the ability to effectively communicate or understand communication in written or auditory form taking and giving direction would be extremelyRead MoreThe Importance Of Interpersonal Communication1091 Words   |  5 PagesHave you ever taken into consideration how your intrapersonal communication has an impact on your interpersonal communication? Our interpersonal communication is communication that strives us to create and maintain relationships with others in our life. My interpersonal communication is solely based on my self-concept, self-image, how I perceive myself, my bad and good qualities, and my non-verbal communication. My expectations about myself or my self-concept influences how I communicate with others