Leadership Theories And Areas Of Application - 1719 Words

Leadership Theories and Areas of Application Leadership Theories The multicultural concept and path goal approach are two leadership approaches that are vital for the field of social work. In America, the country is made up of different races and ethnicities and is viewed as the most diverse country in the world. If social workers in this country used an ethnocentrism approach, then we would be a country divided instead of united, and only assist individuals who provide the opportunity for personal gain (Potocky, M. 1997). For example, if I only choose to assist African American women, then my goal to help them has more to do with their similarities to me, instead of being focused on the client, holistically. In Social work, no one gets†¦show more content†¦The environment is a fast paced, stressful, and dangerous. The leaders of the screening center need not to easily crack under pressure, be able to work in a fast paced and loud environment, and be able to use the best judgment when involved in a crisis and use diffe rent approaches in different situations. In this theory a leadership style is identified and in my environment the primary leadership style is transformational. The leaders inspire their individuals to achieve greatness and make the best decisions individually and collectively. At this screener center the leaders and team members are very aware of each team member’s strengths and weaknesses, which helps us operate better. Transformation leaders already focus on motivating others, and this theory focuses on the factors that will help the team expand and reach the goal at hand (Schriesheim, Castro, Zhou, DeChurch, L. A. 2006). In social work it is important to have leaders who can motivate team members and promote change as working towards a specific goal. The multicultural approach is also important at the screening center, because we assess a diverse population and we have to take in consideration that something like believing that a family member from the dead can visit a p erson may be considered a delusion in one culture and reality in the other (Levine, 1999). It is important to set aside one’s own beliefs about religion politics and other topics that

South African Public Hospitals Health And Social Care Essay Free Essays

string(20) " out of 193 states\." The words â€Å" crisis † and â€Å" wellness attention † follow each other in sentences so frequently in South Africa that most citizens have grown numb to the association. Clinicians, wellness directors and public wellness experts have been speaking about a crisis in entree to wellness attention for more than half a century, and the coming of democracy has non alleviated the state of affairs. South Africa ‘s inability to adequately react to its many crises is besides the consequence of a national health care system designed to supply intervention instead than bar. We will write a custom essay sample on South African Public Hospitals Health And Social Care Essay or any similar topic only for you Order Now The over-dependence on hospital-based attention in South Africa non merely makes the health care system expensive and inefficient, but besides precludes much-needed investings in primary and preventive attention. Health curate Dr Aaron Motsoaledi candidly conceded that the public wellness system faces ‘very serious challenges ‘ ( Philip 2009 ) . In this reappraisal I describe the crisis in child care and its effects for the wellness of kids, characterise the implicit in grounds for the crisis, analyze current intercessions and research some medium and longer term solutions. How terrible is the crisis? It is non surprising that the populace ‘s perceptual experience of wellness services are frequently determined by narratives about the attention offered to kids presented in the media. For case, in one hebdomad in May 2010, two narratives dominated newspaper and media headlines in Gauteng. One was the decease of seven newborn babies and the infection of 16 others as a consequence of a deadly infection ( later identified as a norovirus ) acquired by the babies at the Charlotte Maxexe Johannesburg Academic Hospital. At Natalspruit Hospital in Ekhuruleni, 10 kids likewise succumbed to a nosocomial ( hospital acquired ) infection ( Bodibe 2010 ) . These types of events, with big Numberss of kids geting infections in infirmaries are non uncommon, although merely a fraction grabs the headlines. Outbreaks occur at regular intervals at infirmaries throughout the state. An eruption of Klebsiella infection was responsible for 110 babes deceasing at Mahatma Gandhi Hospital in Durban, harmonizing to the administration â€Å" Voice † that threatened a category action instance against the Department of Health. The national wellness section itself has identified infection control as one of six cardinal countries that needed betterment in the public wellness sector ( Department of Health 2010 ) . Poor wellness attention at several Eastern Cape infirmaries left more than 140 kids dead in one of South Africa ‘s poorest territories within the first three months of 2008 ( Thom 2008 ) . A undertaking squad look intoing these deceases in the Ukhahlamba territory concluded that they were non the consequence to any peculiar disease eruption or exposure to contaminated H2O as ab initio suspected, but instead that the wellness service available was hopelessly faulty. ( Report on childhood deceases, Ukhahlamba District, Eastern Cape ) The Ukhahlamba undertaking squad, comprising of three experient public sector baby doctors, painted a inexorable image of Empilisweni Hospital kids ‘s ward where most of the deceases occurred. Problems identified included: The construction and layout of the physical installation was inappropriate – no nurse ‘s station or work surfaces, no separation of â€Å" clean † and â€Å" dirty † countries and no drama or stimulation installations, The ward and cells were overcrowded and no proviso existed for boarder female parents, who paid R30 to kip on the floor next to their kids, There were grossly unequal services – no O and suction points, excessively few electrical sockets, no basins or showers and excessively few lavatories in the patient ablutions, and an unacceptable ward kitchen, Highly limited clinical equipment, Staffing deployment and rotary motion did non advance effectual attention, with few nurses dedicated to the kids ‘s ward and physicians altering wards every two months, go forthing the ward devoid of experient forces, There were limited policy paperss and no protocols or entree to allow clinical mention stuff or guidelines, Clinical patterns were uneffective or unsafe, peculiarly sing infection control and the readying and distribution of infant provenders and medical specialties, Not a individual infirmary record included inside informations about the prescribing or disposal of infant provenders. Fluid direction was severely documented. Three of the kids appeared to hold died from fluid overload due to inappropriate and unregulated fluid disposal, The bulk of the kids were ne’er weighed, their nutritionary position was non assessed nor their Hiv position established. The undertaking squad ‘s audit of 45 of the deceases revealed that most of the deceases occurred within the first 48 hours of admittance to infirmary and were in babies who were self-referred. The dominant diagnosings were diarrheal disease, pneumonia and malnutrition. The undertaking squad concluded that â€Å" These deceases are more likely the consequence of hapless attention of a vulnerable destitute community with high rates of malnutrition among the babies and hapless use of the available wellness services. † The hapless state of affairs described at Empilisweni Hospital is non alone and similar low conditions can be found at many of the pediatric wards at the 401 infirmaries in the state. While nonsubjective grounds to back up this contention does non be, pediatric practicians in many states and scenes would readily admit the veracity of the claim. The account offered by different probes of inauspicious events happening at public infirmaries countrywide is unusually similar. Uniformly, there is a combination of overcrowded wards, understaffing, overpowering work loads, a dislocation of hygiene and infection control processs, and direction failure with a deficiency of scrutinizing or supervising systems to place and react to jobs at an earlier phase. Increasing kid mortality What is non combative is that South Africa is one of merely 12 states where childhood mortality increased from 1990 to 2006 ( Children ‘s Institute 2010 ) , with a doubling of deceases in kids under the age of five old ages in this period ( from about 56 to 100 deceases per 1000 unrecorded births ) . The 2010 UNICEF State of the World ‘s Children estimates South Africa ‘s under 5 decease rate to be 67 per 1000 for 2008 ( UNICEF 2009 ) . This high rate ranks South Africa 141st out of 193 states. You read "South African Public Hospitals Health And Social Care Essay" in category "Essay examples" The national statistic besides hides pronounced interprovincial fluctuations ; from about 39 per 1 000 in the Western Cape to 111 per 1 000 in the Free State ( McKerrow 2010 ) . A individual disease – HIV- is mostly responsible for the increased mortality. States with a similar economic profile ( Gross National Income [ GNI ] ) as South Africa such as Brazil and Turkey boast about quadruple lower under 5 mortality rates ( U5MR ) . South Africa ‘s high U5MR is even more confusing when compared to poorer states such as Sri Lanka and Vietnam. These two states ‘ U5MRs are approximately five times lower ( 15 and 14 per 1,000 severally ) despite holding a GNI less than one half to a 3rd of South Africa ‘s ( UNICEF 2009, World Bank 2010 ) . Despite being classified as a high in-between income state, South Africa has high degrees of infective diseases such as diarrhea, pneumonia, HIV, TB and parasitic infections usually found in poorer states. Similarly, there has been small success in cut downing undernutrition in kids – a one-fourth of South Africa ‘s kids are stunted ( short ) . Further, as a consequence of increased urbanization and economic development, the state is besides sing increasing degrees of traumatic hurts and chronic diseases of life style such as fleshiness, diabetes and cardiovascular disease that are more typical of better resourced states. These diseases chiefly affect grownup populations but are progressively being identified in kids. The deterioration in kid wellness has occurred despite important betterment in kids ‘s entree to H2O, sanitation and primary wellness services. About 3000 new clinics have been built or upgraded since 1994, wellness attention is provided for free to kids under 5 old ages and pregnant adult females ( Saloojee 2005 ) , and the kid societal support grant is making 10.5 million kids ( more than half of all kids in the state ) ( Dlamini 2011 ) . These accomplishments have been marred by several defects. Many new clinics and the territory wellness systems are non yet adequately functional because of a deficiency of forces and fundss, hapless disposal, and spread outing demands. Public third wellness attention ( academic infirmary ) services have badly eroded. Characterizing the crisis The World Health Organization, in 2000, ranked South Africa ‘s wellness attention system as the 57th highest in cost, 73rd in reactivity, 175th in overall public presentation, and 182nd by overall degree of wellness ( out of 191 member states included in the survey ) ( World Health Organization 2000 ) . What explains this blue evaluation? Despite high national outgo on wellness, inequalities in wellness disbursement, inefficiencies in the wellness system and a deficiency of leading and answerability contribute to South Africa ‘s hapless kid wellness results. Hospitals operate within a dysfunctional wellness system Poor infirmary attention is but one marker of a dysfunctional wellness system that comprises splodges of independent services instead than a coherent, co-operative attack to presenting wellness attention. Most primary wellness attention services for kids are merely offered during office hours, with some clinics curtailing new patients ‘ entree to services by early afternoon – a waste of available and expensive human resources. Some clinics lack basic diagnostic trials and medicine. Consequently, many infirmary exigency suites are flooded with kids with comparatively minor complaints because their health professionals choose non to line up for hours at ill managed local clinics, or prefer accessing wellness services after returning from work. The referral system in which patients are referred from clinics to territory, regional or third infirmaries harmonizing to how serious their wellness jobs are has disintegrated in many parts of the state. Children who require more specialized attention frequently can non acquire it either because they get stuck within a dysfunctional system or because there is no infinite for them at the following degree of attention. Conveyance to secondary and third degree infirmaries is debatable, ensuing in holds or non-arrival, increasing the badness of the disease and intervention costs when the kid does arrive. District infirmary services are the most dysfunctional ( Coovadia 2009 ) , with patients frequently by-passing this degree of attention in scenes where entree to secondary ( regional ) or third attention ( specializer ) services are available. Despite cut-backs in budgets, third attention scenes continue to try to supply ‘first-class ‘ services, which although applaudable, may ensue in over-investigation and intervention, and denial of indispensable attention to kids who reside outside their immediate catchment countries ( because the infirmary is ‘full ‘ ) . Changing wellness environment Some of the increasing emphasis faced by the public infirmaries may be attributed to the altering wellness environment in which they operate. Two factors are most responsible for the alteration: rapid urbanization and the AIDS epidemic. Urban, township infirmaries are peculiarly affected by the load of increased patient tonss, and hardly get bying with the demand. Although a national strategic program for HIV/AIDS exists, the ability to implement the program is constrained by the tremendous demands on human and financial resources demanded for its execution. The budget allocated to HIV/AIDS has increased from R4.3 billion in 2008 to an estimated R11.4 billion in 2010 ( 13 % of the entire wellness budget ) ( Mukotsanjera 2009 ) . New enterprises aimed at beef uping the HIV/AIDS response, include a national HIV guidance and proving run and the decentalisation of antiretroviral intervention from infirmaries to clinics with nurses now supplying the drugs. About a 3rd of kids at most South African infirmaries are HIV septic. HIV-positive kids are hospitalised more often than HIV-negative kids ( 17 % compared to 4.7 % hospitalised in the 12 months prior to the survey ) ( Shisana 2010 ) . Children with AIDS tend to be sicker and frequently require longer admittances despite enduring from the same spectrum of unwellnesss as ordinary kids. Greater Numberss of patients, higher disease sharp-sightedness degrees and complications, and slower recovery rates all impact on limited resources. High mortality rates take an emotional toll on physicians and nurses. Hospital pediatricss, which has ever been a popular and rewarding pick for freshly qualified physicians because of modern medical specialty ‘s ability to rapidly reconstruct urgently sick kids to wellness has now become much more about chronic attention bringing because of the high figure of HIV infected kids in the wards, many of whom are re-admitted on a regular basis because of perennial infections. In recent old ages, immature physicians have been dissuaded from choosing primary attention subjects, such as pediatricss, and have moved alternatively to prosecuting fortes where contact with patients is limited, such as radiology, for fright of geting HIV from work-related accidents such as needle-stick hurts. The handiness of extremely active antiretroviral ther apy to increasing figure of kids nationally, though still limited to fewer than half of all eligible kids, has the possible to return pediatricss to its old position as a rewarding and fulfilling forte. Unfairness Unfairnesss and inequalities abound in South African wellness attention disbursement by and large, and specifically sing kids ‘s wellness. Of the R192 billion spent on wellness attention in 2008/09, 58 % was spent in the private sector ( Day 2010 ) . Although this sector merely provides attention to an estimated 15 % of kids, two-thirds of the state ‘s baby doctors service their demands ( Colleges of Medicine of South Africa 2009 ) . Furthermore, of the R90 billion provincial public wellness sector budget, approximately 14 % is spent on cardinal ( third ) infirmary services ( Day 2010 ) , which chiefly benefits kids shacking in urban scenes and wealthier states such as the Western Cape and Gauteng. Similarly, pronounced unfairnesss exist in the figure of wellness professionals available to kids in different states with, for illustration, one baby doctor serving about 8,600 kids in the Western Cape, but 200,000 kids in Limpopo ( Colleges of Medicine of South Africa 2009 ) . This differential exists among most classs of wellness professionals. The current wellness system claims to supply cosmopolitan coverage to kids. Yet, from a resourcing, service bringing and quality position, the handiness and degree of service is unjust with many patients and communities sing significant trouble in accessing the public wellness system. Rural and black communities remain most deprived. Apartheid age derived functions continue in present twenty-four hours wellness attention. Therefore, for case, while the once whites merely Charlotte Maxexe Johannesburg Academic Hospital now chiefly serves a black urban population, its resources including ward installations, staff-patient ratios and overall budget still demo a clear positive prejudice when compared to the resources available to the Chris Hani Baragwanath Hospital located in Soweto ( a former ‘black ‘ infirmary ) ( von Holdt 2007 ) . Nationally, the most stressed infirmaries are those with the lowest resources per bed. The least stressed infirmaries continue to be those with old reputes as high-quality establishments ( largely antecedently â€Å" whites merely † infirmaries ) that provide them with a sort of ‘social capital ‘ ( von Holdt 2007 ) . Management capacity crisis The conflict for the control of infirmaries South Africa has embraced the construct of wellness services delivered within a three-tiered national wellness system framework – national, provincial and territory. States are charged with the duty of supplying secondary or third infirmary services, with territory services holding duty for territory infirmaries and clinics. Existing legislative assembly allows hospital main executive officers ( CEOs ) considerable powers in the running of their ain infirmaries. However, there is a dysfunctional relationship between infirmaries and provincial caput offices, which frequently assume autocratic and bureaucratic control over strategic, operational and elaborate procedures at infirmaries but are unable to present on these. There is a bleary and equivocal venue of power and decision-making authorization between infirmaries and caput offices ( von Holdt 2007 ) . Hospital directors are disempowered, can non take full answerability for their establishments and are largely unable to make up one’s mind on affairs such as staff Numberss and assignments, pulling up their ain budgets or playing any function in the procurance of goods and services. The structural relationship between state and establishment is a disincentive for managerial invention, giving rise to a infirmary direction civilization in which disposal of regulations and ordinances is more of import than pull offing people and operations or work outing jobs, and where incompetency is easy tolerated. Hospital directors ‘ deficiency of control undermines direction answerability and promotes subservience to the cardinal authorization. The function of provincial wellness sections should truly be about commanding policy sing preparation, occupation scaling and answerability. Silos of direction Most South African infirmaries have basically the same direction construction where authorization is fragmented into separate and parallel silos. Therefore, physicians are managed within a silo of clinicians, nurses within a nursing silo, and support staff by a mesh of separate silos for cleaners, porters, clerks, etc. The senior directors in the establishments have broad domains of duty but with small authorization to do determinations or implement them ( von Holdt 2007 ) . As an illustration, a clinical section such as pediatricss is headed by a senior or chief pediatric specializer who has no control over the nurses in the pediatric section. In the wards, nursing directors are responsible for effectual ward operation, but have small control over ward support staff such as cleaners or clerks. A senior clinical executive ( overseer ) has duty for the paediatric ( and other ) sections, but can exert small significant authorization over it because power prevarications within each of the silos ( physicians, nurses, support workers ) . As a consequence, the clinical executive has to try to negociate with all parties. Doctors and nurses do non find budgets, or proctor and control costs. In kernel, those responsible for utilizing resources have no influence on their budgetary allotment, while those responsible for the budget presume no duty for the services that the budget supports. Most clinical caputs have no thought what their budgets are and costs are non disaggregated within the establishment to single units or wards. Therefore, what should be managed as an incorporate operational unit ( for illustration, a ward or clinical section ) operates alternatively in a disconnected manner with small clear answerability. In this circumstance all parties are disempowered, and relationships oscillate between diplomatic negotiations, persuasion, dialogue, angry confrontation, ailment and backdown. In the procedure few jobs are definitively resolved, with negative effects for patient attention. Where institutional emphasis is high, the disconnected silo constructions generate the mistake lines along which struggle and managerial failure manifest ( von Holdt 2007 ) . Fiscal crisis Insufficient outgo on wellness, infirmaries and kid wellness Between 1998 and 2006, South African one-year public per capita wellness outgo remained virtually changeless in existent footings ( i.e. accounting for rising prices ) , although disbursement in the public sector increased by 16.7 % yearly between 2006 and 2009 ( National Treasury 2009 ) . However, the little additions in outgo have non kept gait with population growing, or the greatly increased load of disease ( Cullinan 2009 ) . In 2009 the state spent 8.9 % of the gross national merchandise ( GDP ) on wellness ( Day 2010 ) , and easy met the World Health Organisation ‘s ( WHO ) informal recommendation that alleged developing states spend at least 5 % of their GDP on wellness ( World Health Organization 2003 ) . However merely 3.7 % of GDP was spent in the populace sector, with 5.2 % of GDP expended in the private sector ( Day 2010 ) . In per capita footings R9605 was spent per private medical strategy donee in 2009, while the public sector spent R2206 per uninsured individual ( Day 2010 ) . Although the wellness of female parents and kids has been a precedence in authorities policy since 1994, including in the latest 10 Point Plan for Health ( Department of Health 2010 ) , it has non translated into motions in financial and resource allotment. Children comprise about 40 % of the population ( Statistics South Africa 2009 ) , but it is improbable that a similar proportion of the wellness budget is spent on kid wellness. No dependable informations exist, as authorities departmental budgets do non specifically represented outgo on kids, easy leting this constituency to be short-changed or ignored. Poor financial subject A deficiency of answerability extends throughout the wellness service, and includes the deficiency of financial subject. Provincial sections of wellness jointly overspent their budgets by more than R7.5bn in 2009/10 ( Engelbrecht 2010 ) . Provincial sections often fail to budget adequately, ensuing in the freeze of stations and the limitation of basic service proviso ( e.g. everyday kid immunization services were earnestly disrupted in the Free State state in 2009 [ Kok D 2009 ] ) . Every twelvemonth, budgetary undiscipline consequences in critical deficits of drugs, nutrient supplies and equipment in many states, peculiarly during the last fiscal one-fourth from January to March, and during April when new budgetary allotments are being released. â€Å" Stock-outs † of pharmaceutical agents, medical supplies such as germicides or baseball mitts or radiological stuff, and nutrient or baby expression, may rag staff but may hold lay waste toing effects for patients, including decease. Most of these â€Å" stock-outs † are the consequence of providers ending contracts because of failure of payment of histories. In Gauteng, medical providers are presently owed more than half a billion rand by the Auckland Park Medical Supplies Depot, the cardinal unit from which medical specialties are distributed to provincial infirmaries and clinics. The largest sums owed by the terminal are to two pharmaceutical companies ( some R130 million ) ( Bateman 2011 ) . A recent embarrassing happening is the return of R813 million to Treasury at the terminal of the past fiscal twelvemonth by the wellness section because of unexpended financess ( Bateman 2011 ) . Most of the money was budgeted to resuscitate collapsed and unfinished substructure at infirmaries. This map belongs to the Department of Public Works, and infirmaries have small influence on the operation of this separate section – a farther illustration of disconnected services. Treasury has however allocated financess for the resurgence or building of five academic infirmaries by 2015, chiefly through public private partnerships. These are Chris Hani Baragwanath in Soweto, Dr George Mukhari in Pretoria, King Edward VIII in Durban and Nelson Mandela in Mthatha, every bit good as a new third infirmary for Limpopo. Provincial wellness sections are get downing to demo modest success in rooting out fraud and corruptness, but their attempts have revealed widespread victimizing bing taxpayers one million millions of rands, much of it deeply systemic ( Bateman 2011 ) . The majority of endemic corruptness involves dishonorable service suppliers with links to identify wellness section functionaries, plundering via shade and multiple payments loaded onto payment systems. In the Eastern Cape an external audit of ‘anomalies ‘ in four wellness section provider databases revealed R35 million in extra or multiple payments in 2010 ( Bateman 2011 ) . Some 107 providers had the same bank history figure, 4 496 had the same physical reference and 165 providers shared the same telephone figure. Less sophisticated fraud involved the bribing of territory ambulance service managers to transport private patients. Larceny of equipment, medicine and nutrient is permeant, worsening bing constrictions in supply concatenation direction. Almost R120 000 worth of infant expression destined for malnourished babes or babies of HIV-positive female parents was stolen in the Eastern Cape in 2010 for which three foreign national business communities and four wellness section functionaries were arrested. Eight nurses at Mthatha ‘s Nelson Mandela Academic Hospital were arrested for allegedly stealing R200 000 worth of medical specialties ( Bateman 2011 ) . In KwaZulu-Natal, a study to the finance portfolio commission revealed 24 ‘high precedence ‘ instances affecting abnormalities, supply concatenation and human resource misdirection, overtime fraud, corruptness, nepotism, misconduct and carelessness, amounting to about R1 billion. Among others, the former wellness MEC, Peggy Nkonyeni faced charges of irregular stamp awards amounting to several million rands ( Bateman 2011 ) . Ten wellness section functionaries in Mpumalanga, including its main fiscal officer, appeared before a disciplinary court on charges of corruptness. Three separate investigations uncovered monolithic fraud and corruptness in the section, including abnormalities with stamp processs and the purchasing of unneeded infirmary equipment. Perversely, Sibongile Manana, the wellness MEC, was removed from her station by the provincial Premier, and given the Sports, Recreation, Arts and Culture portfolio. The Premier justified this determination by claiming that the reshuffle of his executive council was to rectify ‘instances of misdirection and wrongdoing ‘ uncovered by a series of forensic audits ( Bateman 2011 ) . Human resources crisis Staff deficits Staff deficits are a critical job in most public infirmaries, and are the consequence of underfunding every bit good as a national deficit of professional accomplishments. About 43 % of wellness stations in the populace sector countrywide are vacant, and more concerning appear to be increasing ( up from 33 % in 2009 and 27 % in 2005 ) ( Lloyd 2010 ) . Some establishments are running with less than half the staff they need, with more than two-thirds of professional nurse stations and over 80 % of medical practician stations in Limpopo unfilled ( Lloyd 2010 ) . Deficits of support workers such as cleaners and porters exacerbate the job, since nurses and physicians end up executing unskilled but indispensable maps. Deficits of nurses in peculiar are bring forthing a health care crisis in South African public infirmaries ( von Holdt 2007 ) . Nurses have a broad range of pattern, and bear the brunt of increased patient-loads, staff deficits and direction failures. Ironically, a figure of nursing colleges were closed down in the late ninetiess as portion of authorities ‘s cost-cutting steps while authorities made it really hard for foreign physicians to pattern in the state. The state of affairs is now being addressed with acknowledgment of the demand for both more nurses and physicians to be trained. However, the constricted resources available bound a speedy or meaningful response and considerable investing in new installations and trainers is required over the following decennary to turn to the current shortage. Throughout the state, physicians and nurses invariably make determinations about which patients to salvage and which to keep back intervention from based on available staff and physical resources, instead than medical standards. Because of the force per unit area on beds, kids are sometimes denied admittance to infirmaries, non referred suitably or discharged prematurely, therefore confronting the danger of impairment, backsliding or decease. Conditionss of service Understaffing and vacant professional stations and are the consequence of a figure of factors, and vary in different locations. They include failure to set up new stations despite the increased demand for services, ‘frozen stations ‘ because of deficient support being available and deficiency of appropriately qualified staff. This deficiency may be because of â€Å" pull † or â€Å" push † factors. â€Å" Pull † factors attract staff off from the public service and include out-migration and motion to the more moneymaking private sector. â€Å" Push † factors such as hapless wages, the inability of infirmaries to fulfill the simple animal amenitiess of staff, peculiarly in rural or township scenes, and a blazing discourtesy by hospital decision makers of the professional position of staff induce staff to go forth the public service. The high decease rate of wellness workers from AIDS has farther exacerbated the accomplishments crisis. The Occupational Specific Dispensation was a step introduced to specifically turn to the hapless wages paid to nurses and physicians. Although the intercession has been successful in retaining some staff in public sector infirmaries and even luring private sector nurses and physicians back, this fiscal inducement was deficient to forestall national work stoppages by both physicians in 2009 and the full wellness sector in 2010. Much of the dissent and sadness related to conditions of service, instead than the declared difference about the size of the one-year addition of the wage bundle. The long and bruising six-week work stoppage was a sad indictment of the hapless degrees of professionalism of wellness workers, with wards full of newborn and immature babies in many infirmaries being abandoned immediately and wholly with no interim programs for their eating or attention. This necessitated exigency emptyings or alternate agreements by practicians who were willing to put their small p atients ‘ demands above those of the work stoppage action, and by concerned members of the populace. Undoubtedly, many 100s of kids ‘s lives were lost during this industrial action but the inside informations of these deceases and any attendant punitory action has been handily ignored in an effort to pacify further work stoppage action by the responsible parties. Aberrant staff behavior Absenteeism among wellness workers is prevailing, even at good run establishments such Durban ‘s Addington Hospital ( Cullinan 2006 ) . This is largely due to emphasize, but nurses â€Å" moonlighting † in private infirmaries to supplement their province wages is besides a factor. At infirmaries where direction was weak, such as Cecilia Makiwane Hospital in East London or Prince Mshiyeni in Durban, nurses besides turned up late, left early, and frequently ignored patient attention such as regular monitoring of critical marks ( Cullinan 2006 ) . Hospital directors ‘ ability to take disciplinary action is badly limited by the centralized nature of provincial wellness bureaucratisms. In many states, the provincial caput of wellness is the lone individual able to disregard staff. Hospitalised kids are the most vulnerable, since they can non demand services or recommend for their ain demands. Therefore lost provenders, failure to have prescribed medicine timeously or missed doses, inattention to supervising critical marks and holds in reacting to sudden clinical impairment are day-to-day happenings in kids ‘s wards countrywide. Service bringing crisis Inadequate patient attention There is a crisis of caring at infirmary throughout the state. Evidence of hapless service bringing at infirmaries is disputed, ignored, and largely tolerated by readily accepting the alibi of low staff morale, staff or resource deficits and ‘no money ‘ ( Saloojee 2010 ) . The caring ethos that characterises the wellness profession has eroded to the grade that most patients are thankful for any Acts of the Apostless of kindness directed to them. Many patients can tell how their most basic demands, such as aid with eating, toileting or trouble control, have been ignored by wellness staff even in state of affairss where wards have been quiet and adequately staffed. Despite the well-known Batu Pele ( People First ) principles being conspicuously displayed in wellness Centres, few appear to be committed to their execution. The effects of this deficiency of lovingness and answerability are predictable and inevitable for kids – higher morbidity and decease. The grounds for unequal paediatric attention is good documented and significant. The Salvaging Children 2005-7 study reviewed 8060 child deceases at 51 infirmaries in all nine states of South Africa ( Stephen 2009 ) . The sites represented different degrees of paediatric health care functioning rural, peri-urban and urban populations. Almost one out of three deceases was considered evitable. For each kid who died during this clip there were, on norm, more than two happenings of substandard attention, one of which 1 could be attributed to clinical forces. One-third of deceases occurred during the first 24 hours in infirmary, which reflects jobs with initial appraisal and exigency attention of kids on admittance. Nevertheless, the reappraisal identified jobs in all countries of clinical attention: appraisal, direction and monitoring. In the wards, staff deficits increased increasingly during the three old ages under reappraisal. Merely 14 of 380 public sector infirmaries run into and keep criterions set by the internationally accredited not-for-profit quality betterment and accreditation organic structure, the Council for Health Service Accreditation of South Africa ( COHSASA ) ( Bateman 2007 ) . This administration has pioneered a quality betterment programme to help and promote infirmaries to work towards accomplishing significant conformity with the quality criterions, taking finally to accreditation. While many ( 243 ) infirmaries have been supported in accomplishing accreditation over the past decennary, merely 32 achieved accreditation position. Some ( 36 ) made deficient advancement or withdrew from the programme, while others ( 17 ) achieved accreditation but later ‘backslid ‘ as a consequence of non keeping criterions. Lack of answerability A deficiency of answerability at all degrees of the wellness system may be the best account for why awkward public presentation has been tolerated for so long. Accountability requires public functionaries to be answerable for specific actions, activities or determinations to the populace ( from whom they derive their authorization ) . Accountability besides means set uping standards to mensurate public presentation, every bit good as inadvertence mechanisms to guarantee that criterions are met. Concentrating on answerability is hence of import for advancing capacity development and public presentation. In the absence of any provincial or territory degree monitoring of deceases or quality of attention, the hapless or negligent public presentation of some wellness establishments continues unbridled. A ‘culture of averageness ‘ dominates. Merely the occasional patient or job attracts media attending, normally because of a catastrophe sufficient to raise major concern from wellness governments, who normally act to penalize the ‘guilty party ‘ instead than to rectify or turn to the implicit in causes and jobs built-in in the system. A disturbing but of import set of contemplations on the public presentation of the wellness sector was provided by the amalgamate national and single provincial studies of the Integrated Support Teams commissioned by the so Minister of Health, Barbara Hogan ( Barron 2009 ) . Despite being ready in May 2009, the studies were merely available publically after being leaked in late 2010. The amalgamate study was scathing approximately many issues observing a deficiency of: national guidelines, norms and criterions, alliance between planning, execution and monitoring and rating, managerial answerability for the attainment of service related marks, an sanctioned policy and overarching model, and lucidity sing functions and duties ( e.g. between monitoring and rating, strategic planning and programme divisions [ e.g. HIV, TB, Maternal and Child Health ] ) . The national wellness section has been loath to set up clear norms and criterions for a figure of cardinal countries such as human resources ( e.g. figure of nurses per pediatric bed ) , equipment or budgets. This is likely related to a fright of the existent possibility of a tribunal challenge if it is found desiring in its ain criterions. The effect is a farther deficiency of answerability as no 1 can be held accountable for non presenting to a criterion that does non be. This state of affairs is now being addressed through the constitution of an Office of Health Standards conformity at the national degree. Solutions From the description presented, it should be clear that a solution to the wellness crisis in general, and for hospital attention of kids in peculiar, is complex, multi-layered, requires the intercession of multiple histrions and activities, demands new and reallocated resources and will necessarily be a long-run procedure. Many wellness professionals desperation, non cognizing how to act upon or consequence alteration in such a complicated and dysfunctional system, and prefer to make nil, trusting alternatively that some Jesus ( such as the Minister of Health ) will repair everything. The wellness curate himself recognises the demand to â€Å" pass the whole wellness system † and considered the wellness attention system unsustainable, â€Å" highly expensive † , healing and â€Å" hospicentric † ( The Star 2011 ) . Despite there being no quick holes, a figure of short- and medium-term solutions could significantly better the state of affairs. The limited range of this paper prevents an in-depth geographic expedition of these thoughts, but many should be obvious based on the item presented earlier. However, even obvious solutions can be impossible to implement in some environments. I summarise some of the cardinal intercessions required below. A major hindrance to adequate attention at province infirmaries is managerial disempowerment. Considerable investing in direction capacity and systems is required to get the better of current direction palsy, and optimise scarce fiscal and human resource use. A restructuring of the relationship between provincial caput offices and public infirmaries is a precedence, as is the empowering of hospital direction and augmentation of their competences. There is acknowledgment and understanding at the highest degrees, including the Presidency, about the demand for this. In his 2011 State of the Nation Address, Jacob Zuma, emphasised the demand for assignment of appropriate and qualified wellness forces. Provincial caput offices should release their chokehold on infirmaries and an insisting on micro direction and dressed ore alternatively on policy, scheme and monitoring of direction public presentation. Hospital directors should hold the authorization to run their ain infirmaries and be held accountable for this without undue intervention from caput offices, harmonizing to hold concern, budget and public presentation programs. Hospital organizational constructions should be based on clear operational units. A unit such as pediatricss should hold clear lines of authorization and answerability and silo maps should be disintegrated. An every bit crippling precedence is the deficiency of competent staff. In footings of supply, nurses preparation colleges are being reopened and medical schools being encouraged to increase admittance Numberss, with a clear penchant for pupils arising from rural or distant scenes since they are more likely to return at that place on finishing their preparation. The Occupational Specific Dispensation has made public sector wages much more attractive and competitory. A more hard job to get the better of is the inability of infirmary and provincial decision makers to appreciate the demand to handle wellness professionals as valuable assets whose demands need to be respected instead than sing them as easy dispensable trade goods. Task shifting, where undertakings that can be performed by less trained staff with specific accomplishments are allowed to pull off some conditions within their competence, is acknowledged to be a utile manner to cover with the accomplishments shortage. Better service bringing can be promoted through the coevals of norms and criterions, and the application of these including monitoring of conformity. Widening the Child Healthcare Identification Programme ( CHIP ) system of scrutinizing of deceases to all infirmaries in the state offers another mechanism for quality control, even though this attack merely scrutinises events in those kids with the worst results, i.e. decease. Measures and processs that extract answerability from wellness professionals, directors and decision makers are urgently needed, but few have succeeded to day of the month. Civil society has been outstanding in advancing action for HIV and AIDS and could play a more powerful function for the wider wellness docket in South Africa. A provincial administration policy is required which makes proviso for the creative activity of a cell of senior regional clinicians to supervise the map of the assorted major fortes throughout the state. Therefore, the regional baby doctor, for case, would be required to supervise the development and execution of norms and criterions for the physical substructure and equipment of kids in all infirmaries in his/her part. This person would be tasked to turn to issues of unfairness, every bit good as better synchronism between clinics and infirmaries and take constrictions in the referral system. A specific demand for pediatricss is a committedness to greater resource allotment for kids ‘s wellness. A recent exercising conducted in Gauteng estimated that an extra ( fringy ) investing of merely R4 billion over five old ages ( or R70 per capita ) in kid wellness could salvage the lives of 14,283 kids and cut down the U5MR by 50 % , about run intoing the provincial Millennium Development Goal mark for 2015. This extra investing would necessitate less than 5 % of the current provincial wellness budget ( Gauteng Department of Health 2009 ) . Not all of this needs to be ‘new ‘ money – much, but non all, of the money could be obtained through cut downing present inefficiencies. The authorities will present a new National Health Insurance in 2012. Detailss of this are still sketchy soon and its impact on child care at infirmaries is hard to foretell. It is chiefly a wellness attention financing mechanism, raising financess from taxpayers and users of the private wellness sector to buy wellness attention benefits for the broader population. The Minister of Health has claimed that the NHI would present ‘universal coverage and better health care in one united health care system ‘ ( The Times 2009 ) . Sceptics argue that it can and will make little to turn to the built-in defects in the wellness bringing system outlined in this paper. Many of the recommendations made in this subdivision are non new and good recognised and some have been accepted by wellness sections antecedently. However, there is limited grounds of their execution and even less grounds of their successful execution. However, islands of excellence remain in the public wellness service, many making this is the face of the same fiscal and logistical restraints as everybody else. The challenge is placing how to acquire everybody else to emulate these success narratives and retroflex their consequences. Children ‘s lives depend on making this quickly. How to cite South African Public Hospitals Health And Social Care Essay, Essay examples

Report On Neon Essay Research Paper Neon free essay sample

Report On Neon Essay, Research Paper Neon was discovered in 1898 by British chemists Sir William Ramsay and Morris W. Travers as a constituent of the most volatile fraction of liquified petroleum Ar obtained from air. Upon using an electric current to it, the chemists found that it had an orange freshness, and they decided that it was non argon, but instead a new component wholly. Neon is non a really common component, but the topographic points it is most abundant in are the Earth # 8217 ; s atmosphere, and trapped within stones in the Earth # 8217 ; s crust. The topographic point where it is most abundant, nevertheless, is the throughout the universe. In the Earth # 8217 ; s atmosphere, neon lone comprises 0.0018 per centum of the volume. On the Earth, Ne is ever present as a gas. There are many physical belongingss of Ne, such as the fact that it is colourless, odourless, and tasteless. Besides, Ne is lighter than air. We will write a custom essay sample on Report On Neon Essay Research Paper Neon or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page With a denseness of denseness 0.89990 g/liter. The freezing point of Ne is -248.67? C, and the boiling point of Ne is -246.048? C, which is even lower than the boiling point of N ( -195.8? C ) . When under low force per unit area, neon emits a bright orangish-red freshness if a little electric current is passed through it. The negatron constellation of Ne is 1s22s22p6. The chemical belongingss of Ne include the fact that it is non reactive because it has a full outer shell , and hence can non derive or lose any negatrons. Because of this, neon belongs to a group of elements called â€Å"noble gases.† These are all gases which have a full outer shell and can non respond in nature. The period of Ne is 2, and the group is 18. Neon has an atomic figure of 10, and a mass of 20.180. Neon has three stable isotopes: Ne 20, 21, and 22. These three isotopes comprise 90.92 per centum of natural Ne, 0.26 per centum of natural Ne, and 8.82 per centum of natural Ne, severally. There are five other isotopes of Ne, and they are all radioactive. None of these five isotopes occur in nature. There is merely one common usage for Ne, and that is in electric and fluorescent visible radiations to bring forth a bright orangish-red freshness. Neon is produced industrially by distillment of liquified air. The most volatile portion of the liquid air is comprised of N, Ne, and He. The N is removed by condensation under increased force per unit area, and lowered temperature. Then, the N is adsorbed by extremely cooled wood coal. Neon is separated from He by selective surface assimilation on activated wood coal at low temperatures. Extracting Ne from air is drawn-out, and produces merely 1 lb of Ne for every 88,000 lbs of air that is processed. Bibliography Neon. Encyclopedia Britannica CD, 1999.

Realism versus other Theories of International Relations

The history of world-politics has been dominated by various theories that help explain international relations. In the recent past, debate has been rife over which theory is better suited to foster sound world-politics. The world’s political forum constantly attempts to substantiate which international relations theory can successfully deal with pressing global issues such as war and peace.Advertising We will write a custom essay sample on Realism versus other Theories of International Relations specifically for you for only $16.05 $11/page Learn More In this debate, most scholars are of the view that the choice of the international relations theory has a great impact on global politics. Unlike political ideologies, international relations theories have to be proven before being instituted. The most common theories of international relations are liberalism and realism. Theories of international relations are modeled on the concept that nations usu ally act in a manner that serves their national interests. Examples of national interests include economic prosperity, military power, and self-preservation. This essay presents the argument that realism explains more about the important aspects of world politics than the other theories of international relations. Realism is an international relations theory that argues that countries only act in a manner that increases their power in relation to that of other countries. Realism claims among other things that a powerful country is best suited to outdo other relatively weaker countries. The general concept behind realism is that the world is a dangerous and harsh place. There are several theories that counter the concepts contained in realism. The most prominent counter-realism theory is liberalism. According to liberalism, the closeness between countries has nullified realism. The fact that several states have similar interests has eliminated the need to employ military power in the event of a disagreement. The other counter-realism theory is idealism. Idealism stresses on the need for nations to employ moral ethics when they are conducting their international politics. Idealism champions for the abandonment of inferior tactics such as trickery, dishonesty, and violence. Proponents of realism argue that it is formulated on the assumption that the global-politics arena is dominated by anarchy. The foundation of realism is pegged on ‘human nature’. This means that realists assume that governments like human beings are driven by self-interest. Therefore, it is unlikely that the political organizations that are formulated based on other international relations theories can be able to change human nature. The pessimistic nature of realism is often challenged by both idealists and liberalists. Although the pessimistic nature of realism seems undesirable, its central premise bears a solid argument. Many scholars concur that human beings are creatures who are self-preservative by instinct. Politics is a reflection of individual human beings albeit in a collective front.Advertising Looking for essay on international relations? Let's see if we can help you! Get your first paper with 15% OFF Learn More Realists articulate that nations are primarily reflections of collective human nature. This makes it hard to argue that the behavior of states can be different from that of individuals. The evidence of the anarchy that is characteristic of human nature can be witnessed all over the world. The events that transpire in the course of conducting global politics provide a solid backing for realism. Currently, the drive for self-preservation and accumulation of resources are prime influences of international politics. For instance, the relationship between the United States and China is dominated by the need for self-preservation on the side United States and the need to gain resources on China’s side. Most human beings wo uld concur with the premises behind realism. There are several events around the world today that are used to interpret the current state of world politics. Some of the events that help interpret global politics include ideological differences between nations, armed conflict, and possibilities of conflict. These events are a clear indication that realism is a valid theoretical concept. Even in a world where people lean towards other theories such liberalism and idealism, political events are still characterized by realistic tendencies. For instance, the political class in the United States constantly distances itself from realism and yet its actions are in line with realism. In addition, the fact that the most politically influential countries in the world are also the countries with the most military power supports realism. The anarchical mode of political operation that is proposed by realism is very similar to the current order of events in the global political arena. Even though realism is well represented in the global arena, its advocacy can steer a state towards a path of conflict. Proponents of realism blame the theory for increasing aggression, unnecessary military expansions, and conflicts. The need to foster international political unity is greatly undermined by realism. Unsatisfactory political unity can hamper free trade, peace, and cooperation among countries. The liberalists often blame realism for the collapse of the Soviet Union. In its heydays, the Soviet Union exemplified one of the strongest political units to date. Liberalists also argue that the benefits of globalization are too valuable to be ignored. Given that realism is often touted as one of the deterrents of globalization, liberalists conclude it has no place in modern day global politics. The fact that realism conveys the most important facts in modern politics can be exemplified by the fact that it is a useful reference during conflict resolution. For a conflict to be resolved, it s cause has to be understood.Advertising We will write a custom essay sample on Realism versus other Theories of International Relations specifically for you for only $16.05 $11/page Learn More Realism is best suited in scenarios where tensions and conflicts are rife. The fact that realism concerns itself with a world that is characterized by self-interest and war makes it pertinent to global politics. The last century has seen realism come under attack as an outdated international relations theory. However, events that have transpired within this same period indicate that these attacks have been baseless. For instance, the political events that transpired during the cold war era highlighted realism on a global scale. During the cold war era, constant jostling for positions of power kept both the US and the USSR in a state of near conflict. These actions point towards the anarchic political actions that are exemplified by realism. Without an in-depth un derstanding of realism, it would be hard to resolve political conflicts and acts of aggression. Realism is arguably the easiest theory to define amongst the international relations theories. All political and international relations experts concur that realism provides a measurable success rate as opposed to other theories. For instance, military superiority can be exhibited through machinery to a measurable extent. However, opponents of realism often decry the over-emphasis of military might as a measure of political superiority. There is a school of thought that is of the view that the simplistic nature of realism renders it circular in nature. For instance, realism leads to the argument that countries ‘obtain power because they obtain power’. Therefore, little attention is paid to the reasoning behind the actions of the countries that pursue realism. The hunger for power among nations can also eclipse other important developments in international politics. A lot of a ttention is paid to displays of power as opposed to other modern methods of conflict resolution. The legitimacy of realism as the most relevant international relations theory is constantly undermined by the other international relations theories. The Democratic Peace Theory for instance argues that democracy in itself can foster peaceful coexistence among nations. The efficacy of the democratic theory is however undermined by the fact that even democracies get involved in conflicts. Another backing to realism being a superior and more simplistic international relations theory is that even the other theories tend to employ realism in their operations. For example, the United States’ invasion of Iraq was said to be an attempt to foster democracy in that country. However, the invasion itself was characteristic of realism because it involved violence and military invasion. The major opposing theory towards realism is liberalism. Liberalism advocates for free trade among countries , capitalism, and democratically elected governments. Realists usually fault liberalists using the argument that liberalism is not a real-world theory. This argument is not entirely true but it is fostered by the fact that the results achieved by liberalism are less dramatic than those achieved by realism are. However, the tedious nature of liberalism makes it seem more like an ideology than a theory.Advertising Looking for essay on international relations? Let's see if we can help you! Get your first paper with 15% OFF Learn More The debate as to whether realism is the most practical and simplistic theory when it comes to international politics is set to continue. The most prominent argument for realism is that it is the only true theory and the other theories are mostly ideologies. The main argument against realism is that it is has no place in today’s globalization politics. However, the facts indicate that the relevance of realism in politics is evident and it cannot be ignored. This essay on Realism versus other Theories of International Relations was written and submitted by user Dylan George to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

A Brief History of Steamboats

A Brief History of Steamboats The era of the steamboat began in the late 1700s, thanks initially to the work of Scotsman James Watt. In 1769, Watt patented an improved version of the steam engine that helped usher in the Industrial Revolution and spurred  other inventors to explore how steam technology could be used to propel ships. Watts pioneering efforts would eventually revolutionize transportation. The First Steamboats John Fitch was the first to build a steamboat in the United States. His initial 45-foot craft successfully navigated the Delaware River on August 22, 1787. Fitch later built a larger vessel to carry passengers and freight between Philadelphia and Burlington, New Jersey. After a contentious battle with rival inventor James Rumsey over similar steamboat designs, Fitch was ultimately granted his first United States patent for a steamboat on August 26, 1791. He was not, however, awarded a monopoly, leaving the field open for Rumsey and other competitive inventors. Between 1785 and 1796, Fitch constructed four different steamboats that successfully plied rivers and lakes to demonstrate the feasibility of steam power for water locomotion. His models utilized various combinations of propulsive force, including ranked paddles (patterned after Indian war canoes), paddle wheels, and screw propellers. While his boats were mechanically successful, Fitch failed to pay sufficient attention to construction and operating costs. After losing investors to other inventors, he was unable to stay afloat financially.   Robert Fulton,  the Father of Steam Navigation   Before turning his talents to the steamboat, American inventor Robert Fulton had successfully built and operated a submarine in France but it was his talent for turning steamboats into a commercially viable mode of transportation that earned him the title of the father of steam navigation. Fulton was born in Lancaster County, Pennsylvania, on November 14, 1765. While his early education was limited, he displayed considerable artistic talent and inventiveness. At the age of 17, he moved to Philadelphia, where he established himself as a painter. Advised to go abroad due to ill health, in 1786, Fulton moved to London. Eventually, his lifelong interest in scientific and engineering developments, especially in the application of steam engines, supplanted his interest in art.   As he applied himself to his new vocation, Fulton secured English patents for machines with a wide variety of functions and applications. He also began to show a marked interested in the construction and efficiency of canal systems. By 1797, growing European conflicts led Fulton to begin work on weapons against piracy, including submarines, mines, and torpedoes. Soon after, Fulton moved to France, where he took up work on canal systems. In 1800, he built a successful diving boat which he named the Nautilus but there was not sufficient interest, either in France or England, to induce Fulton to pursue any further submarine design.   Fultons passion for steamboats remained undiminished, however. In 1802, he contracted with Robert Livingston to construct a steamboat for use on the Hudson River. Over the next four years, after building prototypes in Europe, Fulton returned to New York in 1806. Robert Fultons Milestones On August 17, 1807, the Clermont, Robert Fultons first American steamboat, left New York City for Albany, serving as the inaugural commercial steamboat service in the world. The ship traveled from New York City to Albany making history with a 150-mile trip that took 32 hours at an average speed of about five miles per hour. Four years later, Fulton and Livingston designed the New Orleans and put it into service as a passenger and freight boat with a route along the lower Mississippi River. By 1814, Fulton, together with Robert Livingston’s brother, Edward, was offering regular steamboat and freight service between New Orleans, Louisiana, and Natchez, Mississippi. Their boats traveled at rates of eight miles per hour downstream and three miles per hour upstream. Steamboats Rise Cant Compete with Rail In 1816, when inventor Henry Miller Shreve launched his steamboat, Washington, it could complete the voyage from New Orleans to Louisville, Kentucky in 25 days. But steamboat designs continued to improve, and by 1853, the New Orleans to Louisville trip took only four and a half days. Steamboats contributed greatly to the economy throughout the eastern part of the United States as a means of transporting agricultural and industrial supplies. Between 1814 and 1834, New Orleans steamboat arrivals increased from 20 to 1,200 each year. These boats transported passengers, as well as cargoes of cotton, sugar, and other goods. Steam propulsion and railroads developed separately but it was not until railroads adopted steam technology that rail truly began to flourish. Rail transport was faster and not as hampered by weather conditions as water transport, nor was it dependent on the geographical constraints of predetermined waterways. By the 1870s, railroads- which could travel not only north and south but east, west, and points in between- had begun to supplant steamboats as the major transporter of both goods and passengers in the United States.

Population Statistics - Village of 100 People

Population Statistics - Village of 100 People If the world were a village of 100 people... 61 villagers would be Asian (of that, 20 would be Chinese and 17 would be Indian), 14 would be African, 11 would be European, 9 would be Latin or South American, 5 would be North American, and none of the villagers would be from Australia, Oceania, or Antarctica. At least 18 villagers would be unable to read or write but 33 would have cellular phones and 16 would be online on the Internet. 27 villagers would be under 15 years of age and 7 would be over 64 years old. There would be an equal number of males and females. There would be 18 cars in the village. 63 villagers would have inadequate sanitation. 33 villagers would be Christians, 20 would be Muslims, 13 would be Hindus, 6 would be Buddhists, 2 would be atheists, 12 would be non-religious, and the remaining 14 would be members of other religions. 30 villagers would be unemployed or underemployed while of those 70 who would work, 28 would work in agriculture (primary sector), 14 would work in industry (secondary sector), and the remaining 28 would work in the service sector (tertiary sector). 53 villagers would live on less than two U.S. dollars a day. One villager would have AIDS, 26 villagers would smoke, and 14 villagers would be obese. By the end of a year, one villager would die and two new villagers would be born so thus the population would climb to 101.

Definition of Construction Essay Example | Topics and Well Written Essays - 250 words

Definition of Construction - Essay Example Construction is not restricted to new structures only; it encompasses even repairing and replacing worn out components for the already existing structures to resume their original functions. The distinction amid construction and maintenance is the extent and the area covered by either replacement. Construction entails renovation of large sections (more than 50%) contrary to maintenance whose action has small restriction and involves replacing small bits or components (OSHA, n.d). Chiefly, construction calls for appropriate and timely planning where activities have specified time set for them coupled with how they will be undertaken (OSHA, n.d). In addition, its activities usually affect large parts of the machine where it incorporates diverse changes that may emanate from the alteration of a single section. This has a core contribution in the working of the machine. Construction unlike maintenance requires competent specialists who will have ample knowledge to undertake the expected roles on the site meant to make everything to function normally. This will call for even contemplation of jobbing environment that will ensure workers undertake their responsibilities effectively. Maintenance due to its scope of operation entails just a restricted section meant to ensure that the whole system is in order and any further complications construction is implemented (OSHA, n.d). Occupational safety & health organization (OSHA). (n.d). Construction v maintenance. Retrieved on 12, Jan. 2012 from

Developing a Teaching Plan Assignment Example | Topics and Well Written Essays - 750 words

Developing a Teaching Plan - Assignment Example [3] The obvious outcome expected are the following: Information is supplied {b} Doubts are clarified {c} Questions are answered {d} Need is highlighted {e} Motivate the reader {f} Action is advocated {g} Decision is aided {h} Prompt action is encouraged. {c} If the student is not immunized then the Booklet must be provided and the student should be told to read and come back to the college office again when a more detailed information could be gathered. [5] The methods of instruction to be used can be varied and it becomes subject to the budget allocation for such an ongoing program. The following can be considered: {a} Print material in booklet form in text and graphics, the size that fits into a purse or pocket. {b} An audio-visual, in the form of a VCD. {c} Fliers & Mind Joggers & Posters & Banners in the college campus. {d} Inserts in the college prospectus. {e} Class room sessions. Disease Invasive meningococcal disease occurs in three common clinical forms: meningitis (49% of cases), blood infection (33%) and pneumonia (9%); other forms account for the remainder (9%) of the cases. Onset can be abrupt and course of disease rapid. Epidemiology # Annually, 1,400-2,800 cases of invasive meningococcal disease occur in the US. 20% of cases occurs among adolescents and young adults ages 14-24. 16% of cases occurs among infants under 1 year of age. ... [5] The methods of instruction to be used can be varied and it becomes subject to the budget allocation for such an ongoing program. The following can be considered: {a} Print material in booklet form in text and graphics, the size that fits into a purse or pocket. {b} An audio-visual, in the form of a VCD. {c} Fliers & Mind Joggers & Posters & Banners in the college campus. {d} Inserts in the college prospectus. {e} Class room sessions. [6] The content will have to be very carefully designed and it has to be sensitive to the student group it continually addresses. True and correct information Teaching Plan 3 should be passed on about Meningococcal Diseases and Meningococcal Vaccines. The following brief format is excellent { to develop it please go to its website3}: Overview This document seeks to familiarize vaccination providers, partners, and the public with the epidemiology and clinical features of meningococcal disease Disease Invasive meningococcal disease occurs in three common clinical forms: meningitis (49% of cases), blood infection (33%) and pneumonia (9%); other forms account for the remainder (9%) of the cases. Onset can be abrupt and course of disease rapid. Epidemiology # Annually, 1,400-2,800 cases of invasive meningococcal disease occur in the US. 20% of cases occurs among adolescents and young adults ages 14-24. 16% of cases occurs among infants under 1 year of age. # College freshmen living in dormitories are at higher risk than general population of similar age. Causative Bacteria Meningococci are carried only by humans in the nasopharynx-their only reservoir. Overall 5%-10% of the population carries the bacteria. Adolescents and young adults have the highest carriage rates. The Vaccines Here detailed information has to be provided

GPRS navigator Essay Example for Free

GPRS navigator Essay Living for them is not the scenario but they have to earn a handsome income so that they can have nice bread and butter. Crime is not a thing which is always present in the blood of a person; sometimes the situation rams a person to do such crime. Many of you don’t even understand the basic definition of crime, crime is an evil act and it is very much punishable under law. Crime is not punishable under the law especially when the crime is committed in an act of self-defense. As said earlier, sometimes people are forced to take such a step to complete or accomplish the needs of the person itself and also the fellow family members. During the prosecution of a person for any type of crime, the reason for committing such crime is also taken under consideration. Now days some people commit crime in order to satisfy their needs, such as rape cases, cannibalism etc. Cannibalism is one of the crimes which can disturb the state of society. In cannibalism, a person starts eating human flesh itself. But, in this very section we have to discuss on the case of robbery which was committed by person whose main interests were playing sports which could involve many people. He only had elementary education along with few years in high school. His monthly income was very low. He was a middle aged person with a wife and children to be looked after. He was spending his livelihood in a rented house and had a semi-skilled line of work, i. e. a work of a laborer. He started living in a society to understand the term society and wanted to integrate. He knew many people in the society, and then suddenly he had to collect $4000 to pay the house rent. There were only two ways through which he could get the money, one way was to borrow from someone or the second way was to adopt the path of a criminal. In that he had two options either to supply drugs or sell stolen items. He decided to follow the path of a criminal, but in that too there were two possible ways. The option to supply drugs was very dangerous as money earned from it was very less and chances of getting caught was more but the other option which was selling of stolen goods was much better as the risk was much lesser and also the money which could be earned was more. Then he finds a friend which could help him in finding such people who buy stolen cars and then they make a list of the cars which were in demand. Then he made a list of the cars which could be easily stolen and do not have GPRS navigator or alarms. Then started the planning process in which his would help in jacking the car and helping him in taking the car. He decided to divide the money between his friend and him. Then due to his good communication skill and knowledge he started the process of stealing. He spotted a location of the car and checked the amount of risk associated with the crime, and then with the help of his friend he succeeded in jacking a car and taking to a neighboring community where he could possibly dispose off the car. He came through with the situation and earned a handsome amount of $6000, but the amount was achievable only when he could deliver another car. Then after assuring the presence of his in the next incidental, he started the planning of one more robbery in which there were less chances of being caught and the act could be carried out without any carry-on. He advanced into the next incident by finding a car which could be easily stolen and also the risk was minus. Then with the help of his fellow friend, he jacked the car and carried out the process which was against the law. He finally succeeded in selling the car and with this he earned again bounteously. With the proper execution of this act he earned an amount of $4000. Then as decided they distributed the money which they earned which was $10000, so they both earned an amount of $5000 each which was sufficient to satisfy the need of the person which was of $4000. He made the amount which was needed by him in a very less time. How can someone assure me that he will not take the same path when he is again in need of the money? Now, it is the time to learn the steps of robbery which he did to properly execute the robbery. Are you really interested? If yes, then also don’t take such a path. But I must tell you what are the skills he possessed and which are needed to perform such crime. He was already conversant with the community and also with the roads around which helped him. He had an idea of the path ways of illegal trade around and by getting to know the people who are involved he started making the gasp of the act. Then he started burglarizing the cars rather than going for simple mainstream crimes. Then gathering information of such cars which could be easily stolen and do not have GPS navigator or alarms, made him analyze the cars which were ready to be stole. Due to his command over communication skills he succeeded in getting contacts of the people who were ready to buy the stolen car and also helped him in finding a friend which could help him in carrying out the robbery as he was a car thief. Then he persuaded the dealers for a handsome amount on each robbery due to his winning over power. He then arranged some of the tools which were required for the robbery to be successfully carried out, in which he had assistance of his friend who was himself a genius in the business and knew how to quickly jack a car. Then starting he car could not be done by him if his friend would not have helped and with good handsome for each act, he was successful in accomplishing a task which was not very easy for an experienced man as well. Getting two people which could him a handsome amount for he act and also getting two cars in a span of just two days, with a very little risk of being caught also indicated the luck in his favour. But the risk increases as the serial number of the incident increases, but he still superintended the act very smartly the next day as well. This helped him in paying his debts which were the actual cause of making such a man to do such act which was actually against the law. Money and its immediate need force many people in such a direction which they very well know, that the path is not appropriate and the end results could be legal injury. This is such a kind of path which always have a inlet to allow people to enter into such a business any time, but only few succeeds in finding the outlet of this path, i. e. it is very easy to adopt this path of legal injury, but it is very difficult to get out of it almost next to impossible (only few finds a way to pass through the walls of crime). Now, it is the time to analyze what steps the police officials would possibly take to control such a situation of crime in the city. It has always been very easy for the police officials to take a control of such acts of crime in the city as in such cases there is always a possibility of evidence left behind by the criminal. In such criminal acts, the best possible way to conquer is by following the evidences which are available after the crime is successfully accomplished. The officials must always look through the point of view of a thief in order to successfully succeed in catching the thieves. They must always think that which could be the next place where the thieves would find a great deal of their business material and also a place from where these thieves could easily run away if officials would attack them. Then the police officials must look for a pattern (if exist), as in most of the high profile robberies there is link which connect all the robberies as they are pre planned. It also on the other hand very difficult to find the thieves, if there is not much evidence in the past incidents and the criminals stop their activity for some time. This situation is a self explanatory situation, as you have no evidence and there is no incident preceding to provide a hint for the next possible event and hence making it impossible for the police officials to get hold of the criminals. The criminals can only be caught, if there is a systematic procedure opted by the police officials and also they must consider each and every fact which could possibly help them to catch the criminals. By such systematic approach, proper execution of the plan with the proper support as a team can only lead to the success which the police officials are looking for and which is watching the criminals stand behind the bars. Now, I would like to give the information about one more crime which I read on internet and really one of the crimes which would affect you mentally. It is a crime which was going on from months and the police officials were not actually thinking this way, by this I mean the situation which was revealed after the interrogation of the police officials. This is an incident which all started with the kidnapping of a small child about four to five years old. Then the parents of the child reported this missing to the police officials and immediately the police officials started working on this matter. But after several days of sleepless nights the officials ended up with no clue to what actually happened to the child and where the child was. Then suddenly, one more parent came running to the police officials to report on more missing of their child who was again four to five years old. This report messed up the situation more for the police officials. This made the police officials to restart the investigation from the scratch. But again in the end there was not even single evidence with the police officials and this made the situation worst for the police officials. But, then a sequence of kidnapping started in the city where children of age group four to eight were kidnapped and there was not even single evidence with the police officials which could make things easy and simple for the police officials. This all carried for about a span of six months, when a ray of hope stroked in the favour of the police officials and there was a case which was registered, not in the police department but in the local sewage department as there was lot of smell which was coming from the drainage which was associated with a house, which was taken by a person where he could make a nursing home for small children who are homeless. Then the local authorities responded to the situation very quickly as it was disturbing the atmosphere. The smell which was coming out of the drainage was very unusual and being an unusual smell, it was disturbing the people a lot and made them to lodge a complain for it. When the local authorities started the process of digging the drainage, then initially everything went on nicely and smoothly. But as they proceeded one of the shocking incidents came to the notice of the police officials and also to the people who were residing in the same locality. It made the police to think on and on as nothing of such sort had ever taken place in the city as well as in the country. What could be the possible crime Can u think or imagine Wait, I will tell you. The incident actually started when the first missing report was launched about six months back and the same process continued until now. The person who was the owner of the house, which was meant for homeless children, was actually the kidnapper who was kidnapping children from various parts of the city. His motive was not actually which you all are thinking off, this case was not as simple as it seems. His motive was not extortion as he was himself very rich. So, what was the case all about Now, it is the time for you all to know what was the crime all about. The crime actually was done by the person to meet his sexual need. He used to rape each and every child, and then he used to kill them and put them in the sewage which was attached to his house. Could you possibly imagine a rape of a four to five year child by a forty year old man? I know what your answer is and possibly the same reply I too have, i. e. NO. It is actually very difficult for a human to analyze such a criminal act. The person then went missing and the police officials started their investigation for which Special Forces were also used in order to get assistance and then after some days, the man was caught in a city which was about 500 kilometers away from the city where the crime took place. The man was beaten by the local people for his act which was simply inhuman and then in the end he was sentenced to death by the court. Is it sufficient to give death sentence to such a person From the point of view of a normal citizen, the answer would be no but from the point of view of a court; this is the highest punishment which they can give to any criminal. Hence, from my point of view there should be made a change in the law and also the constitution, where such people make the life of a normal citizen a living hell by committing crime and then in the end, they are sentenced to death. But what about those people who are actually the victim of such crimes and have to live with such a horrifying reality throughout their life. This is a real incident to which the crime was known to the person and the police did not take the proper action. This is an incident which took place in my near by location. The person is a male of not more than fourteen years of age or a teenagers, he has five more friends who are involved in such an operation. The person wants to earn a livelihood or handsome money which could lead him a sum amount for his actions to take place. He always wants to have good food or some thing like that but no one could understand what was in his mind. The person had stolen the bike, this was a series of misery as day by day the crime was helding his hands high and the security could not get catch hold of them. Now what was going on in the mind of the thief that he wants to earn a handsome amount of money so that he can earn his entire livelihood? But now as the series was going the security was made tight but then also he did not stop or rather no one was able to stop him. Now the action did not took place for a month but suddenly the person whose bike was lost caught hold of them. The bike was stolen from the basement, the boy had parked his bike in the basement and went up to his house for some work when he came back somebody had broken the lock of the bike and had started off to take it. Now the bike was taken away from the location or the community was he was living. The person lodged a complain in the police station but no action was taken but instead the police told them to give the names of the person who were involved in the operation. Later on, on the very next day the person saw his bike and again went to the police station to tell them that he had seen his bike again in the community near by. The police said the same statement as said earlier. The person could not get a satisfaction but then also he didn’t give up. H got the names of the person involved in the crime and gave it to the police but then they told him to get hold of them and hand over them to the police. Now you can imagine that what would be the status of the person at that time. Now what is the person at that phrase of time? He could not get the things back but now he can not trust the police any more. Now what was the very next operation or the crime to take place which can be taken place? The person of such a small age can get through what he was doing so or the police can take some action which can be involved in such a case where the person can be trapped and he can held his crime. The robbery or other sought of crime can never be cut short but not a strict action can take place where they can easily get hold of them. But if police can not prove that they are with the local people, they have to be every time alert about the crime. The police and the local people along with the security can make or catch hold of such type of crime and every person can make there things secure by passing the loot affairs in your premises. The security alarms and GPS tracking system of such a thing can be added to your set of place and things. Your place and items are not a single set of things which can secure your items. They grabbed the opportunity and manage to take it without being caught once again. References 1. CRIMINAL LAW. 2. MERCHANTILE LAW. 3. GOOGLE 4. BUSINESS LAW.

Oh, That Jolly Green Giant :: King Arthur Literature Essays

Oh, That Jolly Green Giant In a land of magic, love, betrayal, hatred, loyalty and mystery, there exists a kingdom called Camelot. At the heart of Camelot are the Knights of the Round Table who maintain their loyalty to King Arthur. From the famed knights emerges one knight, who stands out as being traditionally the most loyal, chivalrous, and courtly of all: Sir Gawain. It is during one of Arthur's New Year's feast, that a stranger rudely gallops into the great hall and begins what will be a yearlong test for Sir Gawain. His color, physical stature, power, and magic are astounding to the Knights of the Round Table. Only one knight dares to accept the challenge of this green giant. This is the story of Sir Gawain and the Green Knight, a fourteenth Century Arthurian romance by an anonymous poet. "Great wonder grew in hall/At his hue most strange to see,/For man and gear and all/Were green as green could be." (Norton, 161) Throughout this text, great emphasis is placed on the color green and the fact that great power is associated with the color. Green will again be emphasized at the end of the story when Lord Bercilak's wife gives Gawain a magical green girdle, which has the power to protect Gawain from the Green Knight. The green of everything about the knight is then countered by the red glow of his eyes. In these times, dragons and monsters are green with glowing red eyes. They are also powerful and serve as tests for true knights and heroes. The color green is given a mystical power in this story because not only do the girdle and the Green Knight act as green symbols of magic, but the Green Chapel is also a powerful image of magic. While it is not a traditional Judeo-Christian chapel, but rather it seems to be a prehistoric cave. It can be viewed as a holy place simply because it is the only green "life" that exists in the suffocating white snow of the winter. This alone should have alterted Gawain to believe that magic was afoot. It is the sheer size of the Green Knight that intimidates many of the Knights of the Round Table: "As lightning quick and light/He looked to all at hand;/It seemed that no man might/His deadly dints withstand." (Norton, 162) Because Gawain must uphold his knightly duties, he alone takes on the Green Knight's game and presents himself as the student of humility.

Change and Cultural Case Study

Six months after the merger of Mercy Medical Hospitals and the Promedica Health Systems, the new administration initiated a significant reduction in workforce. The decision was made to redesign patient care delivery. The administration’s first job redesign recommendation was that of a universal worker. The universal worker would deliver many support services. Although this is not a fail proof system, the administration wanted other options to be considered as well. The term universal worker is used when a person is cross trained in many departments, and therefore has a little more assignment flexibility. They are often used in call centers and hospitals to alleviate staff shortages and provide better service without the difficulties of processing so many referrals or dealing with call transfers (webAnswers. com2010). Depending upon the setting, universal worker may be more beneficial. One area that would fall within this area would be assisted living facilities; some of which have been affected since the merger. While some assisted living facilities still operate within this model, the industry as a whole is moving toward a more holistic approach to care in which the universal worker attends to all the daily living needs of their residents: assistance with ADLs, meal service, light housekeeping, laundry, programming, etc. Rather than dealing with four or five different people to have their needs met, residents are able to relate to one or two staff members who actually know them and are familiar with their needs, their routines, their likes and dislikes. The result is care that is more personal, customized and consistent (Widdes, 1996). An additional benefit is increased efficiency in staffing, i. e. , while the caregiver is assisting a resident with his bathing, dressing and so on, he or she may also be able to perform other duties, rather than having to call someone to dust off a countertop or clean a bathroom. Ultimately, this approach can result in increased staffing efficiencies. . The universal worker approach also seems to enhance job satisfaction. Feedback from the staff indicates that they enjoy being responsible for the resident as a whole rather than only one aspect of their care. It is a feeling that undoubtedly enhances the caregiver’s sense of job importance (Widdes, 1996). Training staff to assume responsibilities across departments and even more challenging, reshaping their attitudes and approach to care is an undertaking that requires a commitment to training, retraining and diligent follow up. It is imperative that management be very much in tune with this philosophy. Because this model often fails when implemented, there are only certain departments such as assisted living that the universal worker would actually be implemented in. For the majority of the facility, we would look at job redesign. In order for objectives to be achieved, thought needs to be given to other areas that will be impacted and may require changes to be implemented (An Organization Redesign Process). Other organizational systems that may be impacted by the introduction of a performance based reward system include: †¢The Information System How much information is given to team members, the speed at which they receive it and their ability to us the information to improve results. †¢The Training System- New skills training for employees may need to be implemented in order for them to be able to understand how to interpret information, training in new skills in order for the employees to do their jobs for effectively. †¢The Organization Structure- Departments may need to be integrated or roles significant changed. Decision-making Systems – Consider changing the way decisions are made and the level at which they are made. Authority to decide might need to be taken down to lower levels so that employees are able to make decisions the enable them to more quickly influence or improve the results. †¢Tasks and Technologies – Need to be improved in order fo r the bonus system to achieve its objectives†¦reward people for improved business performance. Changing an organization through an organization redesign process is a journey and generally a rather long journey. That is why the following three principles must be understood by anyone who is about to undertake any type of organization redesign: †¢The entire system has an effect on each element within the system †¢Every element in the system has an effect on the entire system and on each other †¢No matter what you do, the two points above always hold true. When an organization goes through redesign, 1. People need to be identified as being responsible for driving the organization through the process. Those individuals include: †¢Organization Leader: Who is generally the most senior person in the organization. This person will set the direction that the process will go in and names the Steering Committee †¢Steering Team: Consists of key leaders from the organization and other stakeholders. This teams’ responsibilities include naming and commissioning the Design Team, establishing boundaries and guidelines for the Design Team, approving Design Team recommendation and ensuring the Design Team have the resources (time and money included) they require to get the job done †¢Design Team: Generally consists of employees, half are lower level employees and the other half are upper management. Are responsible for reporting back to their functional teams on design choices being recommended and getting the input of the Implementation Team †¢Implementation Team: Basically, the entire organization, who implement the design choices recommended by the Design Team (and approved by the Steering Team). †¢Renewal Team: This team is set up after the Implementation Team. It monitors and assesses to what degree the organization design has done, what it has intended to do and make recommendations for further changes as required. †¢Consultant: Recommends and teaches the design model, the use of tools and methodology. Provides guidance to ensure the design effort stays on track. Provides expertise regarding best practice design choices and independent advice (An Organization Redesign Process). 2. Train the Strategic, Steering and Design Teams. All teams must have a commitment to the process and be able to understand the process in order to go ahead. 3. Environmental Scan: Become aware of the needs and expectations of the external environment: Customers (current and potential), Stakeholders (shareowners and their representatives), Influencers (regulators, suppliers, government, etc. , Competitors and Best in class organizations. 4. Develop Vision & Mission Statements: These statements describe why the organization was created, why it exists and its distinctive competence. 5. Success Criteria: Nominate the outcomes desired in these four categories: Customers, Stakeholder, People, Community 6. Culture: Identify the behaviors, skills and characteristics that the people working in the organization must have, along with the guiding principles that encourage people to use these behaviors and skills, in order to achieve the vision and mission. . Strategies to Influence: Determine the strategies needed to manage and reduce variability and demands from the external environment. This enables you to meet both the requirements of the external environment as well as achieve your desired performance outcomes. 8. Key Performance Indicators: Choose which ones will deliver the business performance required along with inspiring the behaviors and characteristics articulated in the culture. 9. Technical System: Analyze and redesign in terms of how tasks are performed, technologies required and the layout of buildings/facilities so that the people and the technical system are integrated for high performance. 10. Structural System: Design the structure for each of the three teams: Front Line, Resource (known in traditional organizations as Management) and Strategic so that they foster the culture required delivering high performance. 11. Decision Making & Information System: Review: what, where, how decisions are made, what information is needed to make those decisions and how it is stored and captured. 2. People System: Review: Competencies, Job Design, Selection, Induction/Orientation, Learning, and Performance Contracting, Career Development. 13. Reward System: Review how employee’s contributions are recognized and rewarded. Does the system encourage people to focus on organizational goals? 14. Renewal System: Decide how you will regularly review your business and make any design changes needed to ensure continuing optimum performance. 15. Develop an Implementation Plan: This plan identifies who is responsible for implementation, time lines, resources requires, potential bottlenecks, and contingency plans 6. Execute the plan: When the Implementation Team is kept involved in the process and has input to the Design Team, implementation happens much more quickly and seamlessly. Peter Senge (1990) suggests that team learning is the process of aligning and developing the capacities of a team to create the results its members truly desire. It builds on personal mastery and shared vision. When teams learn together, not only can there be good results for the organization, members will grow more rapidly than could have occu rred otherwise. Virtually all important decisions occur in groups. Teams, not individuals, are the fundamental learning units. Unless a team can learn, the organization cannot learn. Team learning focuses on the learning ability of the group. Adults learn best from each other, by reflecting on how they are addressing problems, questioning assumptions, and receiving feedback from their team and from their results. With team learning, the learning ability of the group becomes greater than the learning ability of any individual in the group (Learning Organisations). In order to make the work teams function at its optimal performance, there are nine key activities or work functions that must be present. Those functions include: †¢Advising – gathering and giving information †¢Innovating – creating new ideas or brainstorming new ways to tackle old problem †¢Promoting – selling the idea to management and gathering all the resources †¢Developing – once the idea has been sold to management, it then needs to go to the analytical process and be developed. †¢Organizing – setting up a structure and resources so that the product, scheme, or service can work. Producing – putting the product or service together. †¢Inspecting – watching out for details. Inspection of the high quality must be maintained and accurate records must be kept. †¢Maintaining – it is associated with the support services offered in an organization and the general background work done in a team to ensure that its requirements can be met quickly and efficiently. †¢Linking – is central to the success of all teams. It is the difference between an effective and an ineffective team. Someone coordinating all the team members to ensure that there is maximum cooperation and interchange of ideas, reports and experiences (Margerison, C. & McCann D. , 2000). Being able to plan, and control the intra-organizational and inter-organizational communication that must occur to implement the job design changes will be difficult but not impossible. The information that needs to be given out during the job redesign would have to be given to top managers right before it is given out. Then the staff can be in-serviced on the changes that would be going into effect and a question, answer type forum be done. Once the changes have been implemented, a committee of staff and managers can be appointed to look at the changes and see if there are any additional changes that may need to be implemented because of the initial changes. This is also a way to ensure job satisfaction. If the employee feels that their feedback is worth something and is being listened to, they are more willing to make the changes that need to be made. If individuals enjoy doing a job, they perform at their very best. Giving them the opportunity to be a part of the job redesign, makes them feel as though they have contributed to something and it is worthwhile to the employee.