Friday, October 18, 2019
Strategic management Essay Example | Topics and Well Written Essays - 3000 words - 13
Strategic management - Essay Example British Airways is part of the International Airline Group (IAG) which is incorporated in Spain and has in its portfolio Iberian Airlines (Gray and Gray, 2011). British Airways however remains an entity that the British government has significant investments in and a strong influence within (Gray and Gray, 2011). The slogans of British Airways include ââ¬Å"To Fly, To Serveâ⬠and ââ¬Å"The Worldââ¬â¢s Favorite Airline; Upgrade to British Airwaysâ⬠(Gray and Gray, 2011). British Airways is positioned as a premium airline that targets the upper middle and the middle class members of societies (Barrett, 2010). They therefore offer premium services that targets young and old professionals, business executives and managers. These are operation are launched and conducted in richer and upmarket sections of societies around the world. The airline also seeks to target passengers who prefer comfort and reliable services (Barrett, 2010). They have corporate customers and seek to acquire premium service seekers who want a flying experience that includes a high degree of comfort and convenience. British Airways is therefore seen as a premium and executive airline brand. British Airways, being a premium entity has some strengths. This includes the fact that they have the backing of the British government. They have a strong brand and a major presence in different parts of the world. The link of the airline to Britain and the United Kingdom gives BA a strong history that is tied to the old British Empire (Vaughan, 2012). Due to this, the airline continues to flourish and gain roots around the world (Vaughan, 2012). With British Airwaysââ¬â¢ position in Heathrow Terminal 5 as an entrenched and inalienable possession, the airline has the capability of expanding and reaching different parts of the world. It also has the competency to go into the growing markets of the Asian Pacific
Thursday, October 17, 2019
Topic Selection Process Essay Example | Topics and Well Written Essays - 250 words
Topic Selection Process - Essay Example When I went to the internet and searched on conflict, the results were amazing. There were results on the definition of conflict, conflict management, and conflict resolution (Alice, 2003). Many topics on conflict were available including the causes of conflict, types of conflict, and conflict examples. Searching conflict management gives an interesting result about conflict management skills. When I searched on the topic conflict management, a lot of articles came up. This shows the huge amount of literature available on the topic (Gleditsch, 2002). There are book in electronic form and also in print form which are available, on conflict management and resolution. The literature available is sufficient to complete my project. Recognizing that the initial questions one typically presents on a given topic are not (yet) crafted to the level of specificity required for a research questionââ¬âand these initial questions really just serve to get you into a particularly body of literature, what makes a good inquiry question? In coming up with an inquiry question, one should consider a question which is interesting to the inquirer. The inquiry question should be an open research question. The question should give room for a number of
Characteristics of Innovative Organisations Term Paper
Characteristics of Innovative Organisations - Term Paper Example Organizations that have strong visions are more capable of appreciating and utilizing people's creative talents. With a strong vision comes a better focus on the long term outcome. This enables the company to devise different creative and innovative ways to reach that outcome. True vision is defined as the ability of the organization to create a strong future from nothing. It is a fact that all the organizations have a past and a history. Strong vision enables the company to have a strong future irrespective of the past. That is why having visionaries are the most important feature of such innovative organizations (Donna, Prestwood & Schumann, 2003). Because they can create such a vision or redefine an old vision that can bring success to the organization. They are not dictated by the past and history of the organization but on the other hand that does not mean that they neglect this factor completely. They learn from the mistakes of the past and try to improve their methods and prac tices. Innovative organizations are constantly looking forward to re-inventing themselves in a very flexible manner but without losing the necessary focus. They are constantly driven by their vision of the future and they continually push forward to achieve this. They are very proactive in nature. They like to create their own future rather than react to the future dictated by others around them. Change towards the better is their first priority rather than the last as is the case with most of the organizations around the world (Donna, Prestwood & Schumann, 2003). Innovative organizations try their very best to know their customers. They learn from the needs of their customers and often let this factor dictate their innovation. They increase their innovation and competitiveness to cater to the varying needs of their customers. They are constantly in the process of thinking about their products and changing them.Ã
Wednesday, October 16, 2019
Topic Selection Process Essay Example | Topics and Well Written Essays - 250 words
Topic Selection Process - Essay Example When I went to the internet and searched on conflict, the results were amazing. There were results on the definition of conflict, conflict management, and conflict resolution (Alice, 2003). Many topics on conflict were available including the causes of conflict, types of conflict, and conflict examples. Searching conflict management gives an interesting result about conflict management skills. When I searched on the topic conflict management, a lot of articles came up. This shows the huge amount of literature available on the topic (Gleditsch, 2002). There are book in electronic form and also in print form which are available, on conflict management and resolution. The literature available is sufficient to complete my project. Recognizing that the initial questions one typically presents on a given topic are not (yet) crafted to the level of specificity required for a research questionââ¬âand these initial questions really just serve to get you into a particularly body of literature, what makes a good inquiry question? In coming up with an inquiry question, one should consider a question which is interesting to the inquirer. The inquiry question should be an open research question. The question should give room for a number of
Tuesday, October 15, 2019
Biblical Exegetical paper Essay Example | Topics and Well Written Essays - 1250 words
Biblical Exegetical paper - Essay Example Admittedly, Israel in this context is accused of disobedience to God. Before probing further, I would like to shed light on two commentaries on Micah 6:8 to know how this verse is understood widely. To begin with, Barnes on his commentary on Micah says that the prophet through the 6:8 versus tells the people ââ¬Ëwhat thing is good; the inward man of the heart righteousness, love, humilityââ¬â¢. This is a question from them ââ¬Å"with what outward thing shall I come before the lordâ⬠. What the lord requires is an earnest search within. God seeks you, your heart and your spirit rather than yours, your substances and ram or goat. To seek mercy and love there requires righteous judgment. It is not right if you praise yourself and accuse god for evil in you. It refers to the duty of the man too. As god himself humbled in flesh we need to humble ourselves with God, walk on with him. Matthew 5:48 says be ye perfect as your father which is in heaven is perfect. Be merciful as you r father also is merciful. God is not pleased when they offer creatures ââ¬Ëblood that cannot take away their sin; and instead they themselves become sinful. In the sight of the lord no man living in this world are righteous. No human can wipe away sins that there is nothing that can wash away the stains of offences. It reveals the helplessness of people that they are not at all able to please god by their own abilities except with the help of god. As we are ignorant about what to do to get our sins forgiven, being hesitated we ask, where and how shall I come before the lord. The obedience to god by the people, especially the Pharisees went single dimensional. They lacked the true meaning of it. It was evidential in their Sabbath practices, their offerings and their interpretation of the law and so on. The blood of the animal cannot compensate our sin but that of us. And Barnes continues that even though we dedicate ourselves with all we have, they are not a repayment for our sin s; only the blood of Christ can cleanse our hearts. Micah adds nothing new to the law but only repeating what is in the law. Micah reveals to the people about their half service to God and that is contrary to the law of God. Micah changes the way people looked at and observed the words of Moses to expose unforgivable sins of Israel. According to Barnes, Micah includes nothing more to the law when he prophesies. He just reminds the people who are doing countless rituals and meaningless practices to please God. God being kind towards his people again asks them to pay attention to the same thing that he had been telling through his prophets before. But on the other hand, Matthew Henry in his commentary looks at the verses of Micah with a different perspective. According to him, the people had been trying hard to please God whenever they were warned by God about their ingratitude towards Him. ââ¬ËWhere with shall I comeââ¬â¢ signifies the inner cry of everyone. People still believ e that there is a God who saved them from slavery and who guided them. First of all they seek to come before God and they also want pay homage to him. Further they inquire what the Lord will be pleased with. Like Barnes Matthew Henry also focuses further on the three requirements that God expects from us. Firstly we must do things justly in our daily life and we must be righteous. Secondly, as God does, love to be merciful. Thirdly, the most important is to walk humbly
Relationship between Science and Religion Essay Example for Free
Relationship between Science and Religion Essay The article ââ¬Å"Relationship between Science and Religionâ⬠outlined the different relationships that the said two domains have had over the years. Historically, religion and science were viewed as strictly separate fields that could not be unified. This view is more popularly known as the conflict thesis . On the other hand, Stephen Jay Gould (1999, quoted in Wikipedia 2007) stated that the two fields could ââ¬Å"co-exist peacefullyâ⬠if they do not intervene with each otherââ¬â¢s business. The article also enumerated different kinds of interactions between the two as presented by Polkinghorne (1998, quoted in Wikipedia 2007). Aside from the constant opposing views regarding the natural world or reality, Polkinghorne illustrated that religion and science may reach a common ground or may even be united with regard to a particular occurrence. After this, the article then went on discussing the early efforts of some religious groups to complement their doctrines with scientific facts. But of course, there were groups, particularly Islam that resisted the proliferation of science in what they believe as sectarian-dominated world. Inevitably, with the advancement of science and fast modernization of societies, there were new groups formed embodying beliefs apart from the fundamentalist view of religion. These groups range from the liberal Enlightenment advocates to non-fundamentalist sects such as Protestant Christian. There were even organizations formed that are not religiously affiliated but perform functions congruent to what religion usually does. Though there were new groups organized, some religion, which date back to ancient times claim that their dogma is capable in adjusting with scientific advancement and this has been actually used by them to explain their own theories toward the strengthening of their own beliefs. The last parts of the article list the varied point of views of scientists toward religion. Some view that religion and science are distinct from each other while others believe that the two could be unified. Others simply believe that the two fields share the same objectives in trying to provide explanation of the happenings in the environment they live in. And also, since religious beliefs are part of cosmos, they can be scientifically tested. Lastly, the article presented studies and findings on relevant issues being tackled. Since the article is not argumentative in nature, it is difficult to determine fallacious statements. The article did not clearly propose or suggest anything nor did it draw any conclusion. It was presented in a seemingly objective manner. I used the words ââ¬Å"seemingly objectiveâ⬠because if one read the paper, it would be observed that the relationship between religion and science were clearly outlined without favoring any of the items. However, as one analyzed the pattern on how the article was written, the biases would be realized. The article enumerated four kinds of interaction between religion and science. However, as the article progresses, only the CONFLICT and INDEPENDENCE kinds of interaction were substantiated. The paper presented early efforts and manifestations of well-established, if not ancient, religious denominations to reconcile the two fields but it failed to elaborate on this matter. The article could have cited instances, findings or any on-going research wherein the two subject matters were integrated. Instead, the article highlighted some points in history when scientific advancements were sanctioned by religious authorities. Moreover, as if strengthening the idea that religion and science are irreconcilable, the article pointed out the formation of non-religious organizations. Though the article presented the ââ¬Å"non-fundamentalist relationship viewsâ⬠, it fell short in showing that the sectarian side is attempting to make a world where they are both accommodated. For example, aside from mentioning the non-sectarian groups, it could have also stated some religious institutions that support scientific and technological development. The second bias that allude to the favoring of the separation of the two domains are the surveys showing that a higher percentage of scientists do not believe in any religious systems. How about presenting data on spiritual leaders who also uphold basic principles of science? Lastly, towards the end of the article, it showed findings on the ââ¬Å"correlation between religiosity and intelligenceâ⬠. Though this study didnââ¬â¢t categorically stated that those who observe holy practices and those who are strict believers of religious doctrines have low serotonin levels, it seems to create the stigma. If this line of thinking were continuously propagated, many would be discouraged to associate themselves with any religious beliefs. All the biases lean towards the implication that efforts to settle the differences between religion and science should be abandoned. This is what makes the article problematic. At first, the writing tried to present the relationship between the two in an objective way. But it failed because biases were evident. If the author had really wanted his output to be presented objectively, he should have shown the two sides of the coin. For example, he asserted the aggressive progression of science but mentioned only historic accounts on the side of religion. Also, he cited a list of studies disputing the validity of religious co-existence with science, but he again failed to mention the side of religion. Is religion also trying to draw a clear line against science or is it accepting the recent wonders of the latter? Since the author failed to be impartial in writing the article, he should have instead taken a clear-cut position on the issue so readers would be guided in the direction heââ¬â¢s driving at. Bibliography Greene, Perry (1997) Logical Fallacies [Internet], Available from: http://www. engl. niu. edu/wac/fallacies. html [Accessed 24 March 2007]. Johnson, George (1998) Science and Religion: Bridging the Great Divide. The New York Times Archives, [Internet], June 30, 1998 Available from: http://www. nytimes. com/library/national/science/063098sci-essay. html [Accessed 24 March 2007]. Raymo, Chet (1998) Skeptics and True Believers: The Exhilarating Connection Between Science and Religion. New York, Walker and Company. Relationship Between Religion and Science (2007) [Internet]. Available from: http://en. wikipedia. org/wiki/Relationship_between_religion_and_science#_note-3 [Accessed 24 March 2007]. Shelp, Earl Edward ed. (1985) Theology Bioethics Exploring the Foundations Frontiers II Series. Holland, D. Reidel Publishing Company.
Monday, October 14, 2019
Myringotomy And Bilateral Ear Grommets Insertion General Anaesthesia Nursing Essay
Myringotomy And Bilateral Ear Grommets Insertion General Anaesthesia Nursing Essay I am a student anaesthetic practitioner with a clinical placement in an acute hospital. I will be reflecting on my personal experience with a 20 year old patient who underwent a Myringotomy and Bilateral Ear Grommets Insertion procedure wherein a local anaesthetic was used and had failed, and prompting the case to be done under general anaesthesia. The operation was deemed necessary by the consultant as the patient was diagnosed with recurrent Otitis Media with Effusion (OME), see Appendix A [on page 23], because it will eventually help to correct his hearing loss and prevent further deterioration as stated by Woolfson and McCafferty 1993. Following the NMC Code of Conduct (2008) on Confidentiality of patients information, I will refer to patient as Mr. B. I will be using the Gibbs Reflective Cycle which is shown in Appendix B as the framework of my reflection Jasper (2003). It will highlight how researching further led to a better understanding of surgery and anaesthetics and to know how to respond if the same situation happens again. Mr. B. had been admitted in the ward at noontime of the surgery. He was seen by the anaesthetist to carry out a preoperative assessment. According to the anaesthetist, he is generally fit for surgery and does not pose as an anaesthetic risk. The anaesthetist discussed with him about her plan to give him a general anaesthesia, but he asked the anaesthetist if the operation can be done without having a general anaesthetic because he prefers to remain awake. The consultant surgeon also came in and explained the surgery. He was allowed to undertake a local anaesthetic provided that he cooperate well and if the local anaesthetic is unsuccessful, an alternative anaesthetics will be used, that is a general anaesthesia. The surgeon and anaesthetist explained what he will experience with local anaesthetics like a burning sensation in his ears, including possibly a degree of pain. Any anaesthetic may arise complications and that other types of anaesthetic is not sufficient for the surgery and therefore needs to be changed to a general anaesthetic at any time (Box Hill Hosp. Dept. of Anaesthesia, 2001). A written consent was obtained by the surgeon from Mr. B. The Department of Health Guidelines (2007) on Consent states that Informed Consent ensures the patient has full knowledge of the procedure because it is fully explained to the patient by the surgeon. The patient is also given the time to ask any questions he may have and voice any concerns and honest answers must be provided. I was assigned in the ENT theatre for the afternoon session which has three booked cases. The operating department practitioner (ODP) and I did the necessary checks in the anaesthetic room and safely prepared the anaesthetic materials and equipment in preparation of the list (AAGBI 2004). I also checked the safe and correct functionality of the anaesthesia machine and refilled drugs in the anaesthetic cupboards. Shields and Werder (2002) said that adequate preparation of the anaesthetic equipment, resources and patient is essential to the provision of safe anaesthetic care. The team members gathered to initiate a preoperative briefing. During the briefing, the surgeon mentioned about the order of the list. Mr. B will be done last as he is a private case anyway. After finishing the first two cases, the ODP and I went to the waiting area of patients to fetch Mr. B. I introduced myself and checked his identity. Then I checked that all preoperative preparations were done and documented. The consent form was confirmed to him that it was his signature and dated. As the patient was having a Myringotomy and Bilateral Ear Grommets Insertion, the site of his procedure was not marked. For most procedure, this is an important check. The National Patient Safety Alert NPSA (2005) recommend that by marking the site for the operation with an arrow using a permanent marker will assist in reducing the incidents of wrong site surgery being performed. I also checked him for any allergies, presence of any metalwork, prosthetic aids in his body, contact lenses, crowns and dentures and asked if he has any other significant surgery or illness. Then I accompanied him to the operating room and made him lay down comfortably. While conversing with him, I placed on the external non-invasive monitors such as the blood pressure, ECG and pulse oximeter. I tried to maintain a quiet and supportive environment. I sat beside him and continued to communicate with him as he looked anxious. Kumar (2 000) said that patients are apprehensive about what will happen and the anaesthetic practitioner needs to monitor patients anxiety level throughout the surgical procedure. Meanwhile, the circulating nurse initiated the Time Out check which is carried out in every operation to enhance a safe surgery (World Health Organisation Guidelines for Safe Surgery, 2008). The surgeon applied the local anaesthetic drug Ametop gel 4% onto Mr. Bs ears. Woolfson and McCafferty (1993) suggest that it should be instilled into the external ear canal using a soft, intravenous cannula and a 5ml syringe and performed under a microscope to ensure immediate contact of the gel with the entire ear drums and that the ear canal was filled and the depth of the gel provides self occlusion. According to the BNF (2010) Ametop is a topical local anaesthetic in gel form which contains Tetracaine base 40 mgs. believed to act by blocking nerve conduction mainly by inhibiting sodium ion flux across the axon membrane. The ester type caine anaesthetics are rapidly metabolised in blood mainly by plasma pseudocholinesterase. A slight erythema local skin reaction will be usually seen at the site of the application and as a result of the pharamacological action of tetracaine dilating the capillary vessels.This helps in delineating the anaesthetised area as explained by the National Library of Guidelines (2007). Adequate anaesthesia can usually be achieved following 30-60 minutes application time and anaesthesia is maintained for 4 to 6 hours in most patients after a single application. We waited only for about 30 minutes to anaesthetise his ears. While waiting, Mr. B became anxious as he was seen perspiring a lot. Everyone reassured him. The surgeon began cleaning and draping the area. Working with an operating microscope, the surgeon started to suction and made a small incision in his eardrum. Mr. B reacted to the pain but I encouraged him to keep still. The surgeon continued to suction the fluid present in the middle ear but Mr. B kept on moving his head because the pain was more intense. A tiny grommet was to be inserted into his surgical aperture but he refused as he cannot bear the intense pain. The surgeon stopped and asked the patient not to move if he wanted the operation to continue or if he cannot tolerate, he will be put to sleep instead. Mr. B and the whole team proceeded further as consented. The anaesthetist cannulated Mr. B. using a gauge 18 large bore venflon secured with a transparent and semi permeable dressing connected to a litre of Hartmanns solution which has been labelled and checked by the anaesthetist and the ODP as per NHS protocol for intravenous infusion, AfPP (2007). Clarke and Jones (1998) describes that a Hartmanns or sodium lactate or lactated ringers is a crystalloid type of intravenous fluid that will cross a semipermeable membrane, thus allowing movement of electrolytes to correct any imbalance. It contains calcium, chloride and lactate similar in composition to extracellular fluid as a balanced salt solution. The anaesthetist started the induction and an I-gel airway (see appendix C) was inserted. The surgery was resumed and carried out without any problems. Mr. B. was fully recovered and transferred back to the ward without complications. I felt disappointed because the result of this experience was clearly contrary to initial expectations. A minor operation like this can be done under local anaesthetics and is a quick procedure. It could have finished if only the patient cooperated well. Although this experience was frustrating for the patient as he requested to be awake during the procedure, still it went well and the treatment for a possible hearing loss and deterioration was done for him. The duties and responsibilities expected from me as an anaesthetic theatre practitioner were performed according to the policies and procedures of my clinical placement. The whole team cooperated well and performed their job accordingly. I have also found out a controversial issue regarding the Ametop gel which has aroused my doubt. Netdoctor (2004) points out that Ametop is a topical anaesthetic for dermal analgesia which must not to be applied to broken skin, mucous membrane or to the eyes or ears. Tetracaine gel could be ototoxic like other local anaesthetics and should not be introduced to the middle ear or use in procedures which might involve penetration into the middle ear. Therefore, Mr. B. might be at risk for ototoxicity. In addition to that, the local anaesthetic did not fail but it is because the surgeon did not wait longer enough until Mr. B was pain free before starting the surgery. A proper consent was secured earlier from him, thus, saved the time in securing a fresh consent. Moreover, it saved NHS resources akin to if the list was cancelled and rescheduled and along with the unsatisfactory hospital experience of Mr. B. The surgery could have been done quickly and safely under a most and effective local anaesthetic rather than topical and waiting for a clinically acceptable anaesthesia before commencing the surgery. I suggest that next time this event occurs again, I would tell the whole team in the preoperative briefing, to give ample time for the anaesthesia to take effect before we can start the surgery. I would also write an incident report so that a proper evaluation could be done and errors will be omitted in the future for the safety of the patient.
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