How to write books in a paper
Essay Topics Beowulf
Tuesday, August 25, 2020
Free Essays on Witch
Free Essays on Witch Conviction Considerations going through my head As I gaze out the forlorn window I wonderâ⬠¦ Whatââ¬â¢s going to transpire? In the event that I am sentenced, will they allowed me to live or allow me to bite the dust? For what reason do they accept that I am a witch? What have I done? I havenââ¬â¢t pointed my finger I havenââ¬â¢t summoned any spells I was basically moving in the forested areas Does that make me a witch? I havenââ¬â¢t ever spread any wings I havenââ¬â¢t ever flown like a fowl I just donââ¬â¢t comprehend Iââ¬â¢m not a witch Iââ¬â¢ve havenââ¬â¢t ever conversed with the fallen angel I havenââ¬â¢t loved any spirits How might I demonstrate to you that I am not a witch?... <input type=submit class=button orange value=Read the Full Version onclick=window.location = 'https://www.free-school essays.com/signup.html'; return bogus;/>
Saturday, August 22, 2020
COMPETITION Assignment Example | Topics and Well Written Essays - 250 words
Rivalry - Assignment Example This will help grasp the precise result of the opposition in the system and development of differed plant networks. The article involves testing a speculation that the serious impact of multi-species blends on a particular target plant can be outlined as a plain added substance capacity of the impacts of explicit species. The diagram presents consequences of a controlled field rivalry among 4 basic types of dry acidic meadows (Hieracium pilosella, Jasione montana, Corynephorus canescens and Festuca ovina) with a point of researching the results of similarly, explicit and multi-species neighborhoods on the objective species H. pilosella. The opposition in this diagram is estimated by the objective plant biomass pointing at a serious degree of neighbor species with F. ovinaas being the main rival trailed by C. canescens and H. pilosella. Moreover, J. Montana reducedly affects the objective. Eventually, the investigation of the serious impact presents no indication of serious increment or lessening with a developing number of neighboring
Wednesday, July 29, 2020
Why Chantix Might Help You Quit Smoking
Why Chantix Might Help You Quit Smoking Addiction Nicotine Use How to Quit Smoking Print Learn Why Chantix Might Help You Quit Smoking By Terry Martin facebook twitter Terry Martin quit smoking after 26 years and is now an advocate for those seeking freedom from nicotine addiction. Learn about our editorial policy Terry Martin Medically reviewed by Medically reviewed by Sanja Jelic, MD on October 17, 2014 Sanja Jelic, MD, is board-certified in sleep medicine, critical care medicine, pulmonary disease, and internal medicine. Learn about our Medical Review Board Sanja Jelic, MD Updated on July 09, 2019 Daniel Jensen/E/Getty Images More in Addiction Nicotine Use How to Quit Smoking After You Quit Nicotine Withdrawal Smoking-Related Diseases The Inside of Cigarettes Alcohol Use Addictive Behaviors Drug Use Coping and Recovery Chantix (varenicline) is a prescription medication that is commonly prescribed to help people quit smoking. It has shown to be rather beneficial for many people. However, it does have a number of well-known side effects. Whether or not it is right for you is a discussion you need to have with your doctor, but it is a good idea to learn how Chantix works and why it may help you break a nicotine addiction. Overview Chantix is the brand name for varenicline tartrate, a smoking cessation drug developed by Pfizer, Inc. It was developed specifically to help people quit smoking and it has two very unique qualities. Chantix mimics a low dose of nicotine, which eases the symptoms that are common when going through withdrawal. It also blocks nicotine from binding to receptors, essentially rendering it ineffective. If a person smokes while taking Chantix, they do not get the normal nicotine boost and smoking actually becomes bland. Studies indicate that your chances of success are two to three times higher with Chantix than if you used no medication. Researchers also found that it is more effective than Zyban (bupropion) and other nicotine replacement therapies, such as patches and lozenges. As with all of these options, the best success rates are found in people who receive counseling or support while attempting to quit. Quit Smoking and Make It Stick! Prescriptions Chantix is available by prescription only so you will need to see a doctor in order to receive it. Its very important to have an honest conversation about your medical history and non-smoking goals as well because Chantix is not recommended for everyone. When discussing Chantix with your doctor, be sure to mention any of the following if they pertain to you: Other quit aids youre usingAll other prescription medications youre using, including insulin, asthma medicines, and blood thinners.Non-prescription medications you use, including vitamins, pain relievers, herbal remedies, and supplements.Kidney problems, including dialysis treatmentsIf you drink alcoholAny history of seizuresAny known heart or blood vessel problemsIf youre pregnant or planning on it. Its not known whether Chantix can hurt an unborn child. According to the U.S. Food and Drug Administration (FDA), animal studies have indicated decreased birth weights.If youre breastfeeding. Its also not known whether Chantix passes through human breast milk, though the FDA does note that animal studies indicate that it may to some degree. You and your doctor should evaluate whether you should take Chantix or breastfeed. It is not advised to do both. Dosage and Use Its recommended that you start taking Chantix while youre still smoking. This allows the drug to build up in your system, making it much easier to stop smoking when your quit date arrives. Starting Chantix There are two ways to begin your therapy:Choose your quit date and then start taking Chantix seven days before you quit smoking.Begin taking Chantix and choose a quit date that is between eight to 35 days of treatment. Chantix comes in two strengths: .5 mg and 1 mg. Following your physicians specific instructions, you will likely begin with a low dose of Chantix once a day and gradually increase the dosage until youre taking 1 mg tablets twice daily. Always take Chantix with a full glass of water and after eating. If you miss a dose, take it as soon as you remember. However, if its close to the time when you should take the next dose, just wait and take that dose, skipping the missed one. If you slip up and smoke a cigarette, continue using Chantix and try again. It can take a few weeks for this therapy to take hold for some people, so dont give up. Typically, Chantix is prescribed for up to 12 weeks. Your doctor will be able to create a treatment plan that suits your needs best. How Chantix Helps You Control Nicotine Cravings Side Effects You may have heard that Chantix comes with side effects. Among the most common are nausea, gas, vomiting, constipation, and a disruption in dream patterns. There are other less common and potentially serious side effects associated with Chantix. It is not recommended for people with certain medical conditions or who are taking particular medications. Only your doctor will be able to help you decide whether Chantix poses a significant risk to you. It is best to talk to him before making a decision based on other peoples experiences, particularly stories you read online. Safety Concerns and Side Effects of Using Chantix A Word From Verywell Its important to remember that quit aids are exactly what the name impliesâ"aids. Without resolve and determination to quit smoking, as well as additional support, a quit aid may not be able to help you. On the other hand, with those other elements, any quit aid you choose can be of great help. When youre ready, talk to your doctor about Chantix to see if its a good fit for your smoking cessation program.
Friday, May 22, 2020
Learning Experience From Reflection On Administering
LEARNING EXPERIENCE FROM REFLECTION ON ADMINISTERING INTRAMUSCULAR INJECTIONS NURSING ESSAY. This is a reflective essay based on my experience whilst during the clinical placement, using Gibbââ¬â¢s template. My aim of this essay is to reflect on my learning outcomes: Pressure sore care and management; PEG feeding which is an alternative way to provide nutrition to a patient who is not able to obtain nutrition through the mouth and administration of a subcutaneous injection. To reflect on my learning process, I am going to apply Gibbââ¬â¢s reflective model, which is a renowned model in reflective practice. This model requires passing through six stages to complete one reflective cycle. These six stages are description , feelings, analysis, evaluation , conclusion and action plan and I am going to explore in these six steps how I achieved my learning outcome. DESCRIPTION: The first stage of Gibbââ¬â¢s reflective model (1988) I will describe the events which inspired me to get competent. My placement area was a nursing home setting where almost all service users are old age people. However, one particular service user named Mrs. N to maintain her confidentiality (NMC 2008). She is an 86 yrs old bedridden suffering from chronic renal failure, stroke and pressure sore. She is on PEG feed and Injection Clexane (OD). She had a big, black and hard wound on her right hip. The skin was intact but it was extremely discolored. According to EPUAP (EuropeanShow MoreRelatedReflection, Activities of Daily Living1446 Words à |à 6 PagesFor the purpose of this essay the Kolbââ¬â¢s model of reflection (1984) has been chosen as a guide to reflect on administration of oxygen therapy. Administration of oxygen therapy is the aspect of nursing practice that I selected as a result of completing the case-based learning scenarios. I will explain how the administration of oxygen therapy can have an effect on a patientââ¬â¢s activities of daily living (ADL), including some of the psychological and ethical issues. Breathing is the selected ADL thatRead MoreDrug Administration to Patients994 Words à |à 4 Pagesensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed. Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit. DrugRead MoreReflecting Upon Practice Experiences And Relate From The Six Core Fundamental Values1931 Words à |à 8 Pagesupon practice experiences in relation to competence of administration of medicines. This assignment aims to reflect upon practice experiences and relate them to one of the six core fundamental values. For the purpose of this assignment, the core fundamental value chosen shall be Competence. In relation to the adult field of nursing, this is one of the most important values when caring for a patient effectively (Scott-Tilley, 2008.). In order to do this, Driscollââ¬â¢s model of reflection (Driscoll, 2011)Read MoreResearch Study On Behavior Management871 Words à |à 4 PagesThe article discusses findings from four years of empirical research regarding behavior management in the classroom. More specifically, the article focuses on the findings and implications of a rarely discussed behavior known as ââ¬Å"teacher retreating.â⬠Teacher retreating is defined as the ââ¬Å"behavior that occurs in the classroom when a teacher backs down after one or more students undermine the teacherââ¬â¢s authority by failing to complyâ⬠(Ratcliff, Carroll, Hunt, 2014 , p. 170). Furthermore, the researchRead MoreSocial Media And Web 2.0 Tools789 Words à |à 4 PagesUsing Social Media and Web 2.0 tools to enhance the experience with Self- Regulated Learning Self-regulated learning is a total work of the human brain; it entails attention, concentration, self-assessment, change and responsibility for one in learning. Research states that self-regulation possibly have little to do with intelligence and development. Psychologist in the year of 1960 studied how they discovered the ability to delay gratification is by forming the basic for self-control. A personRead MorePersonal Experience: Completing the Medication Management 507 Words à |à 2 Pagesof completing her Medication Management OSCE and had never experienced administering insulin. During the learning experience planning (RCN, 2008) the student nurse and I discussed the importance of best practice in relation to the administration of insulin. Insulin is described as being a ââ¬Ëhigh alert medicationââ¬â¢ as, if administered incorrectly, serious harm can occur. (NPSA, 2010). The student nurse did have previous experience in injection technique and had undertaken related university clinicalRead MoreStandardized Testing Should Not Be Banned Essay1585 Words à |à 7 Pagesstudent promotion to the next grade; but at what cost? Preparation for standardized tests is almost twenty-four-seven, every year from third grade to eighth grade. The preparation that takes up valuable learning time in school. The preparation that is a waste to the students future in college and life beyond school. Standardized testing seems to demand so much from schools; not to mention its impending threat on schools to label them with bad reputations or closing them down. With such a threatRead MoreSmarter Ways And Test Our Potential Youths Essay1587 Words à |à 7 Pagesdetermine a student promotion to the next grade; but at what cost? Preparation for standardized tests is almost twenty-four-seven, every year from third grade to eighth grade. Preparation that takes up valuable learning time in school. Preparation that is a waste to the studentsââ¬â¢ future in college and life beyond school. Standardized testing seem to demand so much from schools; not to mention its impending threat on schools to label them with bad reputations or closing them down. With such a threat breathingRead MoreThis reflective essay will lay emphasis on one of the learning needs I have developed during my two1300 Words à |à 6 PagesThis reflective essay will lay emphasis on one of the learning needs I have developed during my two week taster placement in hospital. Reflection helps an individual build upon their skills and makes room for self-criticism as he or she can contemplate upon actions and make relevant changes (Taylor, 2000). I will be applying the ââ¬Å"Whatâ⬠, ââ¬Å"So whatâ⬠and ââ¬Å"Now whatâ⬠model of reflection by Driscoll (2000) in this piece of work because it is a more coherent and comprehensible approach to follow when writingRead MoreUnderstanding And Abolishing Spiritual Stereotypes967 Words à |à 4 Pagesengage in spiritual behavi ors that do include a Higher Power, are more deserving of achieving sobriety and recovery because they are practicing by being involved with working the 12-step program, thus, making them more righteous in obtaining a blessing from their Higher Power. Noteworthy, the term spirituality is often linked with religion with no specific boundaries out of lack of knowledge. Engaging in a spiritual practice that allows an individual to have a spiritual solution that is higher than them
Saturday, May 9, 2020
The Number One Question You Must Ask for Proposing a Solution Essay Topics
The Number One Question You Must Ask for Proposing a Solution Essay Topics The key arguments being made in your proposal also needs to be reiterated. If you've got few proposal essay suggestions for your academic assignment, make sure you've ironed out all of the unnecessary elements and only the effective ones. There are lots of points that have to be taken into account when choosing appropriate proposal essay topic. Clarify how you are going to address your topic, identify sub-arguments you have to prove to create your large argument true. Being a real student, you should understand that understanding an essay proposal is critical. An essay template makes it possible to define the target of your essay and keep it up. A proposal essay is extremely straightforward to comprehend. It is one of the least frequently assigned academic papers, but one that you are likely to be assigned at least once over the years spent at college. Researching and deciding on an intriguing topic is the principal point of writing an essay. Interest about a topic creates a huge difference in essay writing and it determines the quantity of work you're prepared to put, to produce the essay a good one. Introduction page three ought to be banned. The Dirty Facts About Proposing a Solution Essay Topics Speaking about the factors for which you want to participate in a specific action is equally as significant as affirming that action. Internal and global security issues in regard to the protection of minority rights are being discussed also. If you're totally free to select the problem your proposal should address, consider going with a relatively little issue. Brainstorm to discover a narrow, local issue that is an issue for you. Nevertheless, any sort of proposal must adhere to the very same fundamental criteria. Below you can locate a sample essay outline structure to have a better idea about how to organize your own outl ine. An essay template is a guide which ensures your approach is correct and that you don't deviate from the primary function. You might also observe the ideal outline examples. If the essence of the predicament is understood, it is going to be possible to spell out its backbone and to find all the required sources for the research. Your reply to the problem should be thought of in the type of many targets. You should produce a notion and offer some evidence. It is crucial to mention that the idea doesn't need to be a good one. For example, a science program could give a new medication. Based on your target, there is an assortment of types of proposals you could write, that range from scientific proposals to book proposals. Based on your proposal (and, naturally, your assignment guidelines), you can want to incorporate any variety of varying elements in a proposal paper. Employing proposal examples is a superb means to learn from somebody else's experience and produce an outstanding powerful proposal. You can't be prosperous in your field of work if you don't have the proper skills to devise a compelling and appealing proposal. A research proposal is an essay written by students that are inclined to turn in an application for an academic degree like the PhD. Ponder on which aspects you might have to explain or offer extra data about. Curriculum proposal topics is a means to try. Get the Scoop on Proposing a Solution Essay Topics Before You're Too Late The brief description of your proposal will act as a thesis statement to build the rest of the chapters on. Your outline could possibly be a topic or sentence outline. Proposal page three is something which ought to be banned because it's an outdated quality of the newspaper which blatantly goes against the essence of the paper as stated by its publishers. Describe the method by which the problem can get an affect the readers if left unattended. When writing about the issue, your target is to convince readers a problem exists and that readers want to care about the issue. To begin with, you should be precise and execute a very clear vision of what you're likely to describe (provide an obvious concept, time, place and so forth). Convince your audience that it is a true issue and something should be done about it.
Wednesday, May 6, 2020
Apple Powerbook Case Write-Up Free Essays
After the failed release of Appleââ¬â¢s first miniaturized computer, the Portable, the company was faced with the likelihood of losing significant ground in the mobile computing market if it didnââ¬â¢t bring a product to market at record speed. Apple had anticipated the Portable would be competitive enough to maintain market share until its longer term ââ¬Å"Companionâ⬠project was complete. However, thirty-six months remained until Companion would be ready. We will write a custom essay sample on Apple Powerbook Case Write-Up or any similar topic only for you Order Now Weak sales coupled with Compaq introducing the far superior LTE notebook created intense pressure to bring a product to market in the next 18 months that could serve as a placeholder until the Companion arrived. Bringing a product to market this quickly was no easy task. The new portable needed to be small and compact, yet the short timeline meant only existing technologies would be available. If that was not challenging enough, the company culture was such that most products had a time-to-market of 48 months and involved a slow bureaucratic process with multiple departments needing to sign-on for each decision. Additionally, Apple still had not fully confronted the notion that their desktop core competencies were not necessarily going to translate into success in mobile computing. Despite these long odds, Apple not only prevailed, but created a revolutionary product called the PowerBook that brought in billions of dollars in revenue and revolutionized the conventional wisdom behind the companyââ¬â¢s design philosophy. Part of Appleââ¬â¢s struggle in mobile computing stemmed from being the pioneer of desktops. The company felt it knew what the market wanted based on its previous success. It was with the desktop in mind that Apple released the Portable, a mobile computer designed to do everything that a current desktop could do with the added benefit of being able to collapse into a carrying case and be taken on the road. At a staggering 17 pounds and a cost of $5000, the Portable was met with plenty of skepticism and was doomed for failure. The company had simply failed to take the customerââ¬â¢s needs into consideration. Instead of making it smaller and lighter, as the market demanded, Apple focused on functionality and battery life. This contributed to problematic weight and size problems for the machine. The failure to recognize what consumers demanded wasnââ¬â¢t Appleââ¬â¢s only development flaw. They also failed to recognize how quickly technological trends and consumer tastes were changing. The company was still developing products on a three to four year cycle and had yet to embrace a time-to-market philosophy. Instead priorities were still ââ¬Å"time-to-perfectionâ⬠with the company maintaining that it would not bring anything to market ââ¬Ëbefore its timeââ¬â¢. Additionally, they still had a desktop mentality, which meant strict design regulations that hindered the development of a sleeker, lighter computer. It was a combination of these factors that led to the failed release of the Portable and created the immediate need to development the PowerBook. As Apple scrambled to assemble the PowerBook team, the project objective was clear; get a mobile computer to market at record speed and keep the size and weight to a minimum. The speed of develop was a major challenge to overcome and it was mainly due to the organizational structure. Apple structured its company by functions and departments. And instead of dedicating specific resources for a project, each department supported all projects. This led to a cumbersome and lengthy decision making process which typically involved project managers struggling to get objectives accomplished. Often times the project manager was relegated in authority and routinely superseded by functional heads with all decisions inevitably at the mercy of the president of Apple Products, John Louis Gassee. Apple realized its current structure lacked the dexterity to meet its time-to-market objective and driven by necessity made several key decisions to secure time-to-market success. First, Apple made the decision to organize the company into separate divisions: desktop and portable. Second, they decentralized engineering and product marketing, with the immediate goal of building a new portable engineering group. Lastly, although their Product and Industrial Design teams remained centralized, it was agreed that personnel from those teams would co-locate for the PowerBook project to ensure everyone was ââ¬Å"breathing the same air and talking the same talkâ⬠. Revamping the organization structure was a key step but there were still many missteps and obstacles that nearly derailed the project. One major issue was the allocation of personnel. Despite the intense pressure and importance of the PowerBook, the company still listed the project very low in terms of priority. All of the ââ¬Å"Aâ⬠talent was dedicated to the Companion project and the PowerBook team was left with either junior level engineers or employees with only desktop computer experience. Inexperience coupled with intense pressure produced multiple mistakes along the way. Design standards were initially poor and prototype builds revealed several critical errors with manufacturing tolerances. All together, a list of 150 items was compiled of issues that the team felt needed to be addressed but it looked unlikely that the time and resources were available to make all the changes. Additionally, the PowerBook team had to overcome intense resistance from its manufacturing department. Manufacturing was accustomed to snap-together desktops and had a very difficult time coming to grips with how they could possibly assemble a portable with 47 screws. The initial reaction from manufacturing was ââ¬Å"we canââ¬â¢t build this thingâ⬠. Product verification testing also proved to be treacherous. The deadline was so tight that after the manufacturing process was well underway and thousands of displays were already in inventory the risk was still present that changes may be needed. This would produce a significant waste of resources. Lastly, the PowerBook team was confronted with bringing its new creative, ergonomic design to life, while dealing with size constraints as well as a mechanical engineering team who was on the critical path and working under a ââ¬Å"weââ¬â¢ll do it if we have timeâ⬠approach. Despite the long list of reasons why the project should have failed, it didnââ¬â¢t. In the midst of all the missteps, Apple made several key decisions which propelled the project to success. One area where Apple thrived was in staffing. Although the engineers lacked experienced, the management involved in the project were innovative, creative, passionate, and practical. They worked tirelessly to make the project a reality and cared very deeply about its success. It was their innovation and tireless effort that slowly caused the project to transform. The team came to the realization that ââ¬Å"a notebook was not a piece of business equipment that someone operated; it was a personal object with which they formed a relationship. â⬠It was this realization that drove the projectââ¬â¢s success. The project became not only about size but about ergonomics and about finding a way to form a connection with the user. It was with this approach that ingenious designs such as the center-mouse trackball and the use of curves took hold. Slowly the PowerBook was morphed from a product simply meant to catch-up to the market to something that surpassed any other notebook available. The team also made several other key decisions that made the PowerBook a success. One key determination was to include the internal floppy drive. There was much discussion if this was a necessary component yet key members of the project argued for its inclusion and it was later determined the product would not have been nearly as successful without it. Another key decision was dealing with the 150 issues that were identified after the prototype build. Originally, only 5 to 10 items were going to be changed. However after much discussion, it was determined the PowerBook would not be a success unless they fixed every last issue. To complete such a major overhaul in a short period of time they pulled all resources from the entire portable organization and were able to complete all the modifications in a reasonable amount of time. As one project member later admitted, fixing all 150 items turned the PowerBook into ââ¬Å"something that I would be proud of versus a piece of junkâ⬠. One final trait that the PowerBook team used to make the project a success was persuasiveness. There was organizational resistance throughout the project. From convincing senior management to embrace the ergonomic design to convincing manufacturing that they had the ability to assemble a computer with 47 screws, the team used persuasiveness throughout the project to eventually turn a vision into reality. Apple ultimately took a big risk with the PowerBook and it paid tremendous dividends. Along the way they learned a great deal about listening to their customer and designing to their preferences. The company transformed from designing around homogeneous parameters to instead designing to the customerââ¬â¢s specific desires. Consequently, their product line became more flexible and adaptable to the marketplace. Apple also matured operationally during this process. Prior to the PowerBook, the organization was not designed to be time-to-market, however necessity forced Apple to restructure to keep pace with competition. The companyââ¬â¢s human capital also benefited heavily. Mobile computer experience was at a minimum prior to the project, however the process eventually led to a much smoother release of the Companion computer several years later. The PowerBook project was fraught with potential disaster. But inevitably the company overcame many adversities and released a revolutionary product that redefined the standard of excellence in mobile computing. How to cite Apple Powerbook Case Write-Up, Papers
Wednesday, April 29, 2020
Organizational Design and Culture
This paper aims to discuss the changes in organizational structure of healthcare institutions. In particular, it is necessary to show how workplace hierarchy in these hospitals was restructured and how the administration modified means of coordinating and monitoring work of healthcare professionals.Advertising We will write a custom essay sample on Organizational Design and Culture specifically for you for only $16.05 $11/page Learn More Furthermore, we need to evaluate the efficiency of these changes and the improvements they brought. Overall, it is possible to argue that the majority of hospitals attempt to become less bureaucratic and turn themselves into adhocratic organizations. This means that they try to eliminate formal barriers between the top managers and their subordinates in effort to improve the quality of healthcare and remove time-consuming red tape (Mintzberg Ghoshal, 2003, p 464). One of the most common changes, underwent by many hospit als nowadays is the creation of interdisciplinary teams (Aikman et al, 1998). The members of these teams may belong to different departments or units, yet, they focus on the needs of a certain group of patients. To better illustrate this concept, we can draw such an example as Toronto East General Hospital (TEGH); the administration of this institution decided to form workgroups that would address the needs of a specific population, namely pregnant women. These workgroups included obstetricians, counselors, midwifes, psychologists, and nurses; in turn, the decisions about healthcare were formed within these teams (Aikman et al, 1998, p 29). To some degree, the formation of this mix groups can be regarded as a step toward a matrix management. The key principle of matrix management is that a healthcare professional can work under direction of several managers and support organizational activities. The main objective of this organizational change in TEGH was to provide medical workers with a higher degree of autonomy and better opportunity for decision-making (Aikman et al, 1998, p 34). Another form of organizational change is the delayering of the workplace hierarchy. This policy is based on the premise that a medical worker, who is supervised by many layers of management, cannot perform his duties efficiently because he has to constantly ask for the authorization of the superior manager and other authorities in order to take any decision about patient care (Mintzberg Ghoshal, 2003, p 172). This argument is particularly relevant, if we are speaking about nurses who are closely monitored by head nurses, unit-directors, and case managers at the same time. Due to this continuous supervision they are virtually powerless. Therefore, the purpose of delayering is to make senior management more close their subordinates and ensure that both sides are able to quickly share information with one another.Advertising Looking for essay on business economics? Let's see i f we can help you! Get your first paper with 15% OFF Learn More To better explain the process of delayering, we need to refer to such organization as Saint Fransis Community Hospital. In this organization, the front-line workers are accountable only to the heads of interdisciplinary teams (Saint Fransis, 2010, unpaged). Subsequently, these heads of multi-disciplinary teams report to unit directors and vice presidents. The key issue is that members of these multi-disciplinary teams do not have to wait for the approval of head nurses and unit-directors. Judging from these examples, it is possible for us to argue that modern healthcare organizations attempt to erase bureaucratic borders by relaxing supervision over healthcare workers and by reducing workplace hierarchy. To some degree, this tendency can be described as the move toward adhocracy. Yet, this process is far from being complete, even despite the fact that the necessity for organizational change in healthcare organi zations became evident several decades ago. Reference List Aikman. P. , Andress I. Goodfellow I. LaBelle N. (1998). System Integration: A Necessity. The Journal of Nursing Administration. 28 (2), p 28-34. Mintzberg. H. Ghoshal S. (2003). The strategy process: concepts, contexts, cases.Ã NY: Pearson Education. Saint Fransis Community Hospital. (2010). The official website. Web. This essay on Organizational Design and Culture was written and submitted by user Ayanna Herman 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.
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