Healthcare and Nursing – Social Justice in Healthcare Distribution

1. Introduction

In many different contexts, self-righteousness seems evident on the part of those who critique the poor or make generalizations about them. One does not have to look far to see, for example, people elaborating about the “lazy poor” who are a “parasitic drain on the hard-working class.” Self-righteousness is defined as being smugly superior in one’s own self, and out of the three forms of self-righteousness to be mentioned in this paper, this definition will refer to all. Rather employed or not, the U.S. Census Bureau has consistently estimated that at least “37 million Americans are currently living below the poverty line” as measured by the standard of low-income in the United States. I feel confident in saying that those who critique the poor as such do not have to deal with the ups and downs that poverty gives. It is also fair to say that such people probably do not understand how complex poverty is and how it affects the human mind and spirit in so many life-altering ways. I decided to make poverty the focus of my paper because I learned through AP English 11 in my senior year that this is a critically complex social issue in which how it manifests differs across the United States. Also, many stratification systems are influenced by poverty because it is so widespread throughout the world, and so as a global pandemic, no nation should consider themselves safe from how poverty is or can be worsened on a large scale. As a future member in the world of work and business, understanding the complexity of social stratification and the various systems in which human life is disenfranchised – such as the system of poverty or the issues surrounding access to human and public services such as proper education or healthcare – is instrumental to contributing effectively towards the well-being of society as a whole. My paper will, I hope, portray why self-righteousness regarding the poor is erroneous, but also illustrate that such attitudes are born out of an oversimplification of poverty in the United States.

1.1. Definition of Social Justice

Social justice, in the context of practical ethics, is a concept based on the idea that every person has an equal right to the same treatment and condition in life. Ideally, all individuals should have equal social, political, and economic opportunities. Therefore, the rights of an individual should not be violated based on the class, gender, race, and sexuality. Social justice is expansive and includes a wide array of things from a just society and economy. Social justice is also a concept that certain privileges are unfair. These privileges not only benefit this person or persons but also are a barrier to the rights in which every person should have. There are two ways in which we can understand the concept of social justice. The first is individual rights and the second is good of the community. Individual rights are morally justifiable in which all individuals within a society are benefited in most of the cases. When the rights of different individuals undermine others, for example wealthy people have more opportunities in a society than those who are less fortunate, this would be seen as an unfair privilege and therefore an unfair social justice. Next, common good, this is the understanding that as a society, everyone should have a right to a rich and fulfilling life. It is generally assumed that the benefits of equality and social justice are a better citizen. When groups such as children, elderly, disabled and people of that nature are excluded from the common good it is referred to as social injustice. Social justice means that we, as a society, must provide certain things; such as health care, social security, and education to all. It is most commonly expressed through civil rights. This is a fairly drastic approach and often changing the institution that is enforcing the injustices. Often, the lack of civil liberties is caused by overlap between the various forms of social injustices. In the work “Social Justice: A Case for Marriage Equality,” it is argued that the state must recognize same-sex marriage because doing so is a matter of fundamental civil rights. It makes the case that state discriminations prohibits gays and lesbians from carrying out the common and often cherished human right of formalizing their relationships as heterosexuals can. It is in the denial of this liberty of one to most cherished rights that the injustice exists.

1.2. Importance of Social Justice in Healthcare

Social justice in healthcare is of great importance, especially when the government provides for the health of its entire population. According to the Institute of Medicine, if the society is to move forward, then every individual in the population must have access to adequate and quality healthcare services. The United States has been providing healthcare services to the people such as immigrants and veterans, but there is still a wide gap in terms of who should get the services. Researchers have found out that most of the social injustices in healthcare are brought about by the difference in healthcare management and neglect between places in the same city. People living in places that are naturally endowed with better resources tend to receive better healthcare quality compared to those living in poorer environmental conditions. To exacerbate this, the poorer individuals in the less endowed areas are either underinsured or uninsured and cannot have access to good healthcare as dictated in the National Standards for Culturally and Linguistically Appropriate Services. This trend affects the society as a whole because the sick people in those areas cannot work effectively, hence the national income is affected. The political left supports national uniform healthcare and many theories and articles have been published in favor of equality in health maintenance which result in a thesis and academic writing for students in healthcare. In solidarity with the Catholics Bishops 1993, it is fair to state that the “most important” right of them all is the right to life. Every “right” to education, healthcare, or any other area is a right only if it is based on the inalienable right to life from the moment of conception to natural death. This can justify the importance of social justice and equality in healthcare. Its main aim and purpose are the physical and emotional well-being of the individuals. Governor Arnold declares that the health of society is measured by the quality of life of its most vulnerable members and healthcare is a top priority of government and it is essential to the life and health of a person. He is so much convinced with the belief that social justice in healthcare is vital. He looks at life as a gift from God and it is the duty, and responsibility to protect that “God given” gift. He perceives social justice and all sort of health policies are aimed at addressing various social and economic disparities. Chrétien et al 2007 accused the government for political misuse of the term the life and privacy of patients were often violated and terms of life could be interpreted arbitrarily. There was no guarantee that fair and equal treatment is given based but not because of the financial or social status of an individual and this can reflect the importance of the ethical leadership and the promoting a culture of integrity by the government. Lastly, implementing just in time inventory may actually reduce the waiting time for healthcare services. This is the best way compared to previously used by the hospitals using the behavior and consumption of patients to evaluate patient needs and the number of healthcare services to be provided. Placing the burden of healthcare financial and social success on the patients would not solve the problem of social justice. Patients may not have time to wait until the advance stages of illness, in order to get the treatment provided for rather their life could be posed in danger. Also it could not give equal differential value on life and may be seen as people in certain age or worth of life are to be given more immediate attention. On the hand, patients would not overuse healthcare services as it will be provided at the exactly right personal time and will help to alleviate the pressure on healthcare providers. Such a method allows all patients to receive equal healthcare accessibility because all control is shifted to healthcare providers to anticipate and fulfill healthcare needs.

2. Historical Perspective

2.1. Evolution of Healthcare Distribution

2.2. Challenges Faced in Ensuring Social Justice

3. Ethical Considerations

3.1. Principles of Social Justice in Healthcare

3.2. Ethical Dilemmas in Healthcare Distribution

4. Impact on Vulnerable Populations

4.1. Disparities in Access to Healthcare

4.2. Effects on Underprivileged Communities

5. Policy and Legislation

5.1. Government Initiatives for Healthcare Equity

5.2. Legal Frameworks Addressing Social Justice

6. Healthcare Professionals’ Role

6.1. Advocacy for Social Justice in Healthcare

6.2. Training and Education for Healthcare Providers

7. Strategies for Improvement

7.1. Community Outreach Programs

7.2. Collaborations with Non-Profit Organizations

7.3. Research and Data Analysis for Informed Decision Making

8. Case Studies

8.1. Successful Models of Social Justice in Healthcare Distribution

8.2. Lessons Learned from Failed Attempts

9. Future Directions

9.1. Innovations in Healthcare Delivery for Social Justice

9.2. Potential Challenges and Solutions

Healthcare Policy: Impact on Nurses’ Working Conditions and Scope of Practice

1. Introduction

This article explores the impact of healthcare policies on nurses’ working conditions and scope of practice. It highlights the importance of healthcare policies and nurses’ working conditions in providing quality healthcare. The influence of healthcare policies on working conditions is discussed, including staffing ratios, workload, and occupational health and safety guidelines. The impact of healthcare policies on the scope of practice for nurses is also examined, including regulatory frameworks, legal and ethical considerations, and collaborative practice. The article suggests policy initiatives to improve working conditions, such as safe staffing standards and promoting a healthy work environment. It also explores strategies to expand nurses’ scope of practice, such as policy changes to allow advanced practice roles and legislative support. Challenges and barriers in policy implementation, such as resistance to change and financial constraints, are identified. The article concludes with future directions and recommendations, including innovations in healthcare policy, strengthening advocacy efforts, and collaboration between policymakers and nursing associations. As these policies and nurses’ work situations evolve, it is still critically important to keep focus on illuminating more empirical-based knowledge, integrating research results into policy making and providing a positive trajectory that can enhance both the quality of healthcare and working lives for nurses. Interdisciplinary exchanges between nursing, health professions, sociology, psychology, public health and public policy, both in broad senses and in specific research projects, are a welcome and necessary step to realize the goals to promote a more vital and healthy nursing workforce and ultimately to contribute for improving healthcare systems. These interdisciplinary approaches especially resonate with policy research, as nursing associations and scholar researchers may work together so that innovative proposals may be generated. This article has focused on how healthcare policy has and continues to influence various aspects of nurses’ occupational life. Key issues of workload, working environments and scope of development have been addressed. However, it is not a comprehensive study of all the impacts of healthcare policy on nurses. While the majority of studies consider policy as a method of assessing nurses’ performance, this article took a broader view and used policy as an independent variable of investigating conditions of nursing work. With comparisons between United Kingdom and other parts of the world, the article has provided readers with an overall analysis of problems and directions that researchers and nurses are facing today. Also, recommendations have been made on potential future development of different aspects and implications. Future research should include more long-time studies to show how successful those changes in policy. More empirical-based evidences are needed to further validate and consolidate current findings.

1.1 Importance of healthcare policies

By pursuing a progressive healthcare policy, a more personal and comprehensive patient care system will be established. The article acknowledges that the impact of healthcare policies on healthcare providers such as doctors and nurses is an important area to concentrate on. The influence on different healthcare stakeholders needs to be researched, articulated, and communicated. Such knowledge and understanding would be much helpful for healthcare professionals to reform their practices and work dynamically and innovatively in different healthcare settings under different healthcare policies.Such a comprehensive health system will focus on holistic care and incorporate different treatment options for patient conditions. This means that nurses will be responsible for providing precise and proper care based on an individualized treatment plan. Ensuring that the patient receives the necessary care and understands their specific health needs can be vital in preventing the worsening of current healthcare conditions. And such positions will be available to nurses at different levels of experience and education. This provides many opportunities for career advancement in the field of nursing. Most importantly, it gives more chances for nurses to work in a variety of dynamic and innovative clinical settings.By forming an integrated health system under healthcare policies, patient-centered medical homes that include comprehensive physician-led healthcare and primary care case management can be established to improve the coordination and quality of care for patients. Nurses and other healthcare professionals receive payment incentives focusing on the quality of care, not the volume of patients seen. Such a system encourages the team approach to their care; each person in the group will be able to see how everyone else is working to give comprehensive patient care. This differs from a physician-centered health system where it is based primarily on one provider and leaves the patient with little to no say in their care. This will allow nurses and other healthcare professionals to have more authority and to develop innovative practices to make healthcare efficient and effective for patients.Under healthcare reform legislation passed in 2010, the entire healthcare system is shifting its focus. Emphasis will fall on prevention, increasing the availability and affordability of healthcare services, and the modernization of the United States healthcare system. Under this healthcare reform, nurses will have the opportunity to take on many new responsibilities that will change the way they give care. Nurses will be charged with being more involved in the care of individuals. This is a much more personal way of giving care to people and means that every individual will be evaluated on their own and not just diagnosed by their conditions.Healthcare policies play a critical role in the United States’ healthcare system. They serve as a framework for healthcare organizations to ensure that the clinical and business operations are in compliance with applicable laws and regulations. The United States is different from other countries because it does not have a standard health system but rather a variety of healthcare policies. Such policies range from insurance and payment policies to federal and state policies. Under different healthcare policies, a different number of cultural indicators, including effectiveness, quality, efficiency, and equity, are used to measure the respective policy and health system performance.

1.2 Significance of nurses’ working conditions

Nurses’ working conditions have a significant impact on the quality of nursing care and patient outcomes. Patient safety and the well-being of nurses depend on the working environment and the organizational characteristics. Therefore, when many experts and professional associations talk about quality of care, they would point out that nursing, the essential element of patient care, has a strong relationship with the quality of care. And the status of working condition has been addressed vigorously as one of the most important factors to determine the retention of nurses and patient safety. In the existing studies, it was found that 30% of hospital staff nurses received patient care assignments exceeding their level of education and clinical expertise. It is not only heightening the potential for medical error, but also has the effect of increased nursing burnout, higher turnover rate, and put the general patient safety in jeopardy. Therefore, the political motivation behind work redesign in health care, including proposals for changing skill mix, extends beyond improving technical and allocative efficiency. The importance of nurses’ working conditions has been recognized also in the political arena. The parliament debate and research topic analyzed and focused on the improvement of nursing workforce, including the issues of pay, training, career structures and flexibility around personal life, therefore, the agenda to modernize the nursing workforce appeared. Through enhancing the healthcare policies today, experts believe that a radical approach of modernizing the nursing workforce should involve the improvement of working conditions for nurses. Also the nursing professionals have to tweak the interests and the freedoms that can be designed in their everyday working practices, particularly with an eye toward improving the quality of patient care given the significance and standing of nursing work. The better working conditions not only help to improve the quality of care patients received, but also nursing workforce could be maintained as well. The general public and media commonly associate the poor working environments for nurses with many clinical turbulence and accidents in hospital, such as MRSA, overcrowdedness and long waiting list. In addition, the morale of nurses in generally are heavily influenced by the working conditions, patient care environment and the autonomy over their own practice. The deteriorated working conditions, the increasing litigation against health care providers and the temptation for nurses to strike can be seen. Ergonomists, government agencies, and equipment manufacturers alike are now paying more attention to potential reducing nursing injuries and promoting safe working environment. Creating an ergonomically working environment, which tailor the nurse working conditions and daily practice, could heighten nurses’ morale and enhance the patients’ care. It is mentioned that good work stations, comfortable design of the facilities and a supportive management can help present nursing staff to maximize their patient care time while minimize the chance to be injured at work. The significance of better working conditions towards the provision of quality care does not end on the loci of nurses and their daily practices; it makes a difference in the patients’ health and well-being as well. It also enhances and promotes the job satisfaction among nurses where these may fulfill their life seen as having significance and worthwhile.

1.3 Scope of practice for nurses

In terms of nurses, the new act has allowed nurses to become ‘independent prescribers’ and ‘supplementary prescribers’ and to prescribe almost any drug for any condition. This has greatly expanded nurses’ scope of practice in terms of drug therapies. Also, it gave nurses a chance to develop their roles and made services more accessible. On top of that, the new act is encouraging more nurses to take further training in prescribing, which can really help patients and make better use of nurses’ skills. As a result, we can see that healthcare policy can actually change nurses’ scope of practice and always impacts on it. Also, the range of activities that a nurse is permitted to undertake is based on relevant training and experiences. The nurse’s scope of practice may have different variations depending on the levels of seniority and specialisms.In a healthcare system, changes are often being made to improve it. Therefore, the scope of practice for nurses is constantly changing because the government and the NMC are always reviewing patients’ care, research evidence, the roles of the health professional, and the healthcare policy. As a matter of fact, healthcare policy has a significant impact on nurses’ scope of practice. For example, the Health and Social Care Act 2012, which was passed in the UK parliament, has changed the way that services were provided. It gave health services and professionals new responsibilities and new challenges in both providing effective patient care and protecting the safety and well-being of patients.The Nursing and Midwifery Council (NMC) is a regulatory body that maintains a register of nurses and midwives who meet set standards of training, professional skills, and behavior. Every nurse would need to follow the guidelines set by NMC. NMC also marks the nurse or midwife that has fit the practice standard. However, nurses’ scope of practice in the UK is defined by the UKCC/GCN standards for records and record-keeping, which means that if they are not under this regulation, they cannot deliver record-keeping practices. In this way, nurses are required to keep accurate records of their work.Nursing is the largest profession in the National Health Service (NHS) and nurses are also the people who use the most NHS services. Nurses and midwives make up the highest proportion of the health service workforce. The NHS could not function without them. They are valued for their care, compassion, and technical knowledge. In recent years, nurses have been given extra roles and more responsibilities. This shows their roles, for example, ‘nurse prescribers’. They have some right to prescribe some medicines just like a doctor.

2. Influence of Healthcare Policies on Working Conditions

2.1 Staffing ratios and nurse-patient ratios

2.2 Workload and job demands

2.3 Occupational health and safety guidelines

3. Impact of Healthcare Policies on Scope of Practice

3.1 Regulatory framework for nursing practice

3.2 Legal and ethical considerations

3.3 Collaborative practice and interprofessional relationships

4. Policy Initiatives to Improve Working Conditions

4.1 Implementation of safe staffing standards

4.2 Enhancing work-life balance for nurses

4.3 Promoting a healthy work environment

5. Strategies to Expand Nurses’ Scope of Practice

5.1 Policy changes to allow advanced practice roles

5.2 Legislative support for expanded responsibilities

5.3 Continuing education and professional development opportunities

6. Challenges and Barriers in Policy Implementation

6.1 Resistance to change from healthcare organizations

6.2 Financial constraints and resource allocation

6.3 Addressing cultural and societal perceptions

7. Future Directions and Recommendations

7.1 Innovations in healthcare policy for nurses

7.2 Strengthening advocacy efforts

7.3 Collaboration between policymakers and nursing associations

8. Conclusion

Best Practices for Building Strong Relationships with Investors

1. Establishing Initial Contact

New relationships require a focus on the fundamentals. For example, when making investment decisions in a newcomer, the investor will look at how the initial contact was made and how the discovery process was managed. This information will be used by the investor to make a decision on further engagement with the entrepreneurial team. Therefore, the first meeting with an investor is very important as the entrepreneur has only one chance to make a good first impression. The entrepreneur has a dual objective to achieve in the initial meeting. First, the investor has to be convinced of the value of the proposed business opportunity. At the same time, some evidence has to be shown about the personal qualities of the entrepreneur and the management team as the entrepreneur is also marketing himself and the team to the investor. Usually, the process of making and managing innovative investments can be seen as consisting of five main stages and the initial contact will lead to entry into the first stage. At the first stage, the assessment of the investment opportunity is self-oriented. This means that the investor is not as interested in learning about the essence and potential of the investment opportunity. Investors focus on deciding how they want the discovery process to be managed in the future. There will be big differences in terms of how entrepreneurs should relate to a new investor in comparison to an experienced investor, a technology transfer office, a corporate investor, a business angel, etc. Entrepreneurs and investors have to learn working with each other over time and basic requirements have to be fulfilled in order for that process to be managed efficiently and effectively. However, it is also a fact that not all innovative investment projects will reach the commercialization stage. The probability of project failure or success is largely dependent on the entrepreneurial decisions made throughout the business development process. As a result, setting a promising initial contact is vitally important for the prosperous development of the investment opportunity.

1.1. Researching Potential Investors

But for an entrepreneur, having many different options can actually be a hindrance than a help. Many start-ups find themselves struggling with choosing the right investor. Choosing the right investor can be harder than it seems. After all, start-ups depend a lot on the capital they receive and hence it is crucial to find an investor or a group of investors who not only have the right resources but also the same vision of success as you do for your company. A method widely used in the past but has slowly started to lose its effectiveness in recent years is the “power of proximity”, where start-ups only look at investors within local or reasonable travel distances. While it is satisfying knowing we have the support of someone close to home, technology and modern transport means that a cross-country investor is not that large an obstacle, and by only surveying the local investment community you could be greatly limiting your prospects. Now, it is certainly good to consider this method when looking for an investment, nothing can beat an investor who has a proven track record. For many investors, providing a one off cash injection and subsequent support is an attractive proposal. However, is it not always the case that these investors are also seeking a greater influence within the company? This is why a number of investor relationships take the form of “partner investors”, where instead of giving a small amount and some advice, larger investors can provide significant amounts of financial and industry based support. This surely lead to the opportunity for long term thinking on a long term scale and tailored guidance to help with the company’s unique targets. This in turns can provide a great advantage that will help secure long term success. Financial strength is not only the indicator for a reliable and successful investor, how they manage their own assets has to be taken into account. This is why choosing an investor with a proven track record is so important- their financial strategy has shown to be a success. It is important to consider not only the providers of finance; their partners also must be taken into account as the investor’s decision making is partly reliant on their associates. Different investors have different focuses in terms of what they wish themselves and the company as a whole to achieve. This is why a start-up should thoroughly research the investors that they have shortlisted to help ensure that not only will they be a good fit for the company’s growth and proactive targets, but also have the capability to provide assistance if the business starts to stagnate.

1.2. Crafting an Effective Introduction

After conducting thorough research, the next step is to create a compelling and effective introduction. The main purpose of the introduction is to engage the investors and to get them interested in the business. This will increase the chances of the investors asking questions about the business and the investment opportunity. However, drafting the introduction is not a simple task. It must be well written, straight to the point and attention grabbing. First and foremost, the introduction must start with a description of the investment opportunity. It is important to provide a brief overview of the business, the business model and the products or services it provides. This will help the investors to understand what they are investing in. For example, if the business is a manufacturer, the introduction can start with a description of the products it manufactures. At this stage, we do not have to go into great detail about the products or services. However, we should try to make the introduction specific to the business. This means avoiding ambiguity and jargon which investors might not be familiar with. But make sure not to oversimplify things; the investors are likely to have industry knowledge and they might be looking for something refreshing. Then the introduction must provide a background of the management team. This should include the experience and track record of the key personnel in the business. For example, if the business is carried on by a group of experienced professionals, the introduction should highlight their backgrounds and the key achievements in their careers. This will help to build credibility and trust. Last but not least, the introduction must end with the reasons why the opportunity is attractive and how it can generate good returns for the investors. This can be supported by the use of financial forecasts and the details of the market research. As for me, the best approach for drafting the content is to write a few drafts and revise them over time. Getting friends and family members to read the drafts can be a good way to collect feedback and to improve the content. Also, do online research about marketing strategies and keep an eye on the current market trends will definitely help. By continuously improving the introduction, it will not just benefit the investor pitching but possibly all sorts of promotion for the business. Balancing what attracts investors and what I am passionate about in the business is the key. This will not just grab the attention of the investors, but also keeps me motivated in the future running of the business.

1.3. Leveraging Networking Opportunities

While digital networking is effective, in-person networking should not be overlooked. Attending industry conferences, meetups, and investor events can provide valuable opportunities to make connections. When meeting potential investors in person, having a short and effective pitch prepared can be useful for making a strong impression. This should include details about the start-up, what it does, and what makes it unique. Elevator pitches should be concise, engaging, and give insight into the business, such as the problem it aims to solve. When delivering a pitch, it is important to remain open to feedback. Investors may give advice or suggestions, and showing a willingness to listen and learn can help form positive relationships. Following up with new contacts is essential. After an event or meeting, sending a short email to thank the person for their time will help to keep the line of communication open. Building a broad network is valuable for start-ups, and so meeting people in different sectors or at different events can also be beneficial. This approach increases the chances of making a connection with an investor who is a good fit for the business. Be selective about which events to attend. Time is valuable, and so forethought should go into which events will be most useful. Research events and consider which are best suited for the business, then set clear goals for those events. For example, the goal may be to make three strong connections rather than just to hand out as many business cards as possible.

2. Building Trust and Credibility

2.1. Delivering on Promises

2.2. Maintaining Transparency

2.3. Providing Regular Updates

3. Understanding Investor Needs and Objectives

3.1. Conducting Investor Surveys

3.2. Identifying Investor Preferences

3.3. Aligning Goals and Expectations

4. Effective Communication Strategies

4.1. Active Listening

4.2. Tailoring Messages to Investors

4.3. Utilizing Various Communication Channels

5. Building a Strong Team

5.1. Hiring Skilled Professionals

5.2. Fostering a Collaborative Environment

5.3. Encouraging Accountability and Responsibility

6. Providing Value to Investors

6.1. Offering Exclusive Opportunities

6.2. Providing Industry Insights and Analysis

6.3. Facilitating Networking among Investors

7. Managing Investor Expectations

7.1. Setting Realistic Goals

7.2. Educating Investors about Risks

7.3. Managing Expectations during Challenging Times

8. Resolving Conflicts and Issues

8.1. Addressing Investor Concerns Promptly

8.2. Seeking Win-Win Solutions

8.3. Engaging in Mediation or Arbitration if Necessary

9. Maintaining Long-Term Relationships

9.1. Celebrating Milestones and Achievements

9.2. Seeking Feedback and Suggestions

9.3. Continuously Improving Investor Experience

Challenges and Solutions in Global Supply Chains

1. Introduction

The term “resilience” can be very vague and broad, and evaluating it in a supply chain context needs systematic analytics and indicators. By boiling down the performance of a resilient supply chain, we can have profit-centric measures, customer-centric measures, and internal efficiency measures, which categorize three dimensions of resilience: robustness, agility, and responsiveness. Robustness measures how well the supply chain can handle and resist changes of state, for example, disruptions in the operation of the supply chain. Agility measures how well the supply chain allows for rerouting of resources, for example, being able to switch suppliers in response to changes in the manufacturing plan. Responsiveness measures how quickly the supply chain can return to a steady operational state given an external disturbance. Each of the measures can define different elements and types of resilience, and it will all depend on the perspective of the company’s operation.Whilst different literature seems to provide different definitions and metrics for supply chain resilience, they will all revolve around the same idea, which is the ability of a supply chain to return to a desired level of performance after it has been disrupted by an unexpected event. When supply chain disruptions carry more severe consequences such as damages to revenue, loss of market share, or companies’ reputational damages, the ability to recover and the speed of recovery are crucial. Hence, the concept of resilience involves not only the capability to absorb temporary damages but also the ability to reconfigure and recover so that the supply chain will sustain and thrive in the long run.An integral part of the logistics industry is managing the movement of goods throughout the entire world, or global supply chains. The importance of these global supply chains in today’s society requires them to be efficient and effective, but in many of the popular supply chains today, this is not necessarily the case. Given the advent and ongoing spread of the global COVID-19 pandemic and the resulting severe regional and international shutdowns and restrictions, as well as the increased emphasis on environmental protection and social responsibility, the notion of resilience in global supply chains is becoming ever so crucial and important.

1.1. Overview of global supply chains

It is almost impossible to think of a final product that does not involve global supply chains at some point of its manufacturing process. Global supply chains refer to the production and distribution of goods, starting from raw materials all the way to the final product, in a way that adds the most value at every stage and serves the end customer most effectively. In recent years, as companies strive to become more efficient in meeting customer needs, global supply chains have become a major area of emphasis. For instance, there are more and more degree programs offering specialization in global supply chains, due to the increasing demand for people who could make good strategic decisions and manage the flow of materials in a cost-effective manner along the supply chain. With the continuous advance in technology and globalization, the scope and complexity of global supply chains will only become larger and more intricate. For example, the development of the internet and information technology has been used to ‘shrink’ the supply chains, because now companies are gradually building competitive edges by offering customers what they want, how they want it, at the lowest price and in the fastest time possible. On the other hand, globalization should imply longer supply chains because of the involvement of more and more countries, from suppliers of raw materials, manufacturers, wholesalers, retailers to end consumers. With the emergence of new markets, especially in the developing world, we could expect to see even more complex supply chains in the future. The significance of global supply chains could also be evidenced by the amount of managerial attention and capital investment that it has been receiving. Which of course makes sense – a lot of your cash can be tied up along the chain! And also, by managing it effectively, a company could improve the balance between revenue and costs. Ergo, a comprehensive understanding of global supply chains will be beneficial to professionals in so many different ways. However, as pointed out by Monczka and Morgan, no matter what your company strategy is, effectively managing supply chains could make the difference between success and failure. In the upcoming sections, which might be beneficial for the reader to know where the potential issues are and how a particular supply chain could be improved, we will discuss the challenges faced by global supply chains and how these challenges can be confronted.

1.2. Importance of resilient supply chains

It’s not good enough to have a standard level of resilience measures in place; best practice would be to have regular testing and assessment of the vulnerabilities of a system, security experts say. This approach, known as ‘stress-testing’, is where the chain is put under the pressure and scrutiny of a simulated disruption event so that issues can be ironed out, before it’s too late. Specialist insurance product can help to implement this ‘stress-test’ regimen, and paints a useful picture of how the capabilities and considerations of stakeholders within the chain can vary.Resilience, essentially, is the ability of a supply chain to anticipate, adapt to and/or recover from an external hazard. These hazards can include natural disasters, such as earthquakes or hurricanes, but also human-centric dangers, like terrorism or theft. This means that there is a broad range of issues that can create a disruption. Resilience will differ from supply chain to supply chain and, indeed, for a single supply chain over time. It will need to be adapted to consider both dynamic and evolving sources of disruption and also physical changes to the chain itself.Resilient supply chains are critical to the success of businesses and the economies in which they operate. It is not simply a case of providing a buffer against disruption; it is about providing a competitive advantage that can drive economic growth. These are the words of the UK’s Chartered Institute of Procurement and Supply (CIPS), highlighting the importance of resilience in the wake of global disruptions, such as the COVID-19 pandemic or large-scale cyber-attacks. CIPS is a not-for-profit organisation that provides training to professionals working on supply chain management.

2. Current Challenges in Global Supply Chains

2.1. Disruptions in supply chains

2.2. Shortages of essential goods

2.3. Logistical bottlenecks

3. Root Causes of Challenges

3.1. Impact of pandemics on supply chains

3.2. Geopolitical tensions and their effects

3.3. Reliance on single-source suppliers

4. Strengthening Supply Chains

4.1. Importance of resilience in supply chains

4.2. Diversification as a strategy

4.3. Near-shoring and its benefits

4.4. Technology adoption for supply chain optimization

5. Proposed Solutions

5.1. Enhancing supply chain visibility

5.2. Strengthening supplier relationships

5.3. Investing in risk management strategies

5.4. Collaborative approaches in supply chain management

6. Conclusion

Childhood Obesity: Why is childhood obesity a growing concern in public health?

1. Introduction

Childhood obesity is a serious public health concern that has increased in prevalence over the years. It is caused by an overconsumption of high-calorie foods and limited exercise. Today, it is estimated that over 18 percent of children in the U.S. are affected by obesity, as opposed to 1960 when the rate of childhood obesity was less than five percent. This means that today childhood obesity is the most common chronic disease in society, greatly affecting kids both physically and mentally. Research must be done on the prevention of obesity in children because these kids will suffer the effects of the disease for the rest of their lives, not to mention the cost of medical and related treatments. This is a serious problem that has fast-tracked children into becoming obese. It is especially prevalent as technology advances and becomes readily available to even young children. But what causes childhood obesity? Various reasons lead to childhood obesity, and many of them are preventable. Firstly, the most evident reason for obesity among children is unhealthy diets. Many foods that are readily available to them are full of sugar and fats, which are also high in calories. Secondly, childhood obesity has increased at an alarming rate because of how easily kids become addicted to TV and video games. Studies prove that the more TV a child watches, the more likely they are to get used to a sedentary lifestyle and therefore the more likely they are to become obese.

1.1 Definition of Childhood Obesity

Childhood obesity is usually measured with the body mass index (BMI). BMI is calculated by taking a person’s weight in kilograms and dividing it by the square of the person’s height in meters. For children and teenagers, the BMI score is plotted on a gender-specific BMI-for-age growth chart. The BMI-for-age percentile shows how a child’s measurements compare with others of the same gender and age. If a child has a BMI above the 85th percentile and below the 95th percentile, he or she is considered overweight. A child is considered obese if he or she has a BMI at or above the 95th percentile for children of the same age and sex. This accurate definition can be found on the National Heart, Lung, and Blood Institute’s website. This definition provides a clear basis for identifying the children who may need medical or health intervention due to the risks associated with childhood obesity. This evidence-based and straightforward definition contrasts with the notoriously ineffective definition of obesity in adults, which is the simple accumulation of excess body fat. Under that definition, a judgment has to be made about how much excess fat constitutes obesity. The result is that hundreds of definitions exist. This is why the World Health Organization has so far declined to provide a definitive global definition for the term. Even though the symptoms of obesity in childhood and adulthood are similar, the diseases set in at different stages of life and require different interventions, yet another reason for having a precise definition for childhood obesity.

1.2 Prevalence of Childhood Obesity

Obesity is defined as having excess body fat due to excessive accumulation of large fat cells. It is different from being overweight, which means weighing more than what is thought to be a healthy body weight. Both terms mean that a person’s weight is greater than what is healthy for his or her height. However, there is evidence to suggest that the prevalence of obesity is increasing at an alarming rate, not only in the United States but throughout the developed world. According to the World Health Organization (WHO, 2016), the prevalence of obesity worldwide more than doubled between 1980 and 2014. It is now estimated that over 41 million children under the age of five are overweight, and the WHO has further predicted that the figure will rise to over 70 million by 2025. Further figures from the Centers for Disease Control and Prevention (CDC) show that obesity in children over the last 30 years has more than doubled and has more than quadrupled in adolescents. Today, more than one-third of children and adolescents in the United States are overweight or obese. These statistics help to show just how prevalent childhood obesity is and the scale of the problem that it poses to public health. Furthermore, research and official statistics show that certain groups of children are disproportionately affected by obesity, particularly those from low-income and underserved communities. The CDC (2015) states that children from low-income families are more likely to be obese compared to children from high-income families. This is a trend that is very worrying as research evidence suggests that these individuals are likely to suffer from worse obesity-related health issues over the course of their lives. As well as the significant impact it has on individual health and well-being, childhood obesity also has important implications for the economy and the overall stability of public health. For example, there is increasing pressure placed upon health services to identify and treat obese children with weight-related health issues. This has led to a growing body of evidence that suggests childhood obesity is causing feedback loops that will affect future generations.

1.3 Impact of Childhood Obesity on Public Health

The increase in childhood obesity rate is a particular concern because it is “a significant predictor of adult obesity” and is more related to the risk of adult mortality than obesity starting in adulthood. It is more attacking public health, as the physical effects of cardiovascular diseases, high cholesterol, high blood pressure, diabetes, bone and joint problems, and sleep apnea may create many complications in the lifestyle, due to limited mobility. Furthermore, in 2013 many reports pinpointed the socio-cultural effects that obesity in childhood will have on the psychology of an individual. Critics are suggesting a view that “overweight children see it as predetermination to obesity in adulthood” and may directly withdraw from exercise when other children comment on their size. This has created an ongoing debate, as some people argue that the “public spending would benefit from more early years workers to tackle weight problems in children”, whilst others support the idea of “mental health services targeted at children and adolescents”. As a matter of fact, by researching the physical and psychological effects together it can be concluded with confidence that psychological effects do increase by different levels of mental stress and many found that starting stimulating physical activities and exercises at an early age can reduce these stress. However, as public health has been placing more efforts on encouraging children to be involved in a variety of sports and exercises, there is a small population of children who have never been active and have no history of seeking physical activities, these will be at a high risk of a serious health effect in the next generation. Any individual, from the youngest to the old generation, will be affected by such radical health in their whole life. Therefore, this reflects that obesity is attacking public health as those physical and mental effects will not only decrease the potential lives of both now and adults but also raise the medicate cost, especially for the mortality directly caused by obesity, such as cancer.

2. Causes of Childhood Obesity

2.1 Sedentary Lifestyle and Lack of Physical Activity

2.2 Unhealthy Dietary Habits

2.3 Genetic Factors

3. Health Risks Associated with Childhood Obesity

3.1 Type 2 Diabetes

3.2 Cardiovascular Diseases

3.3 Psychological Effects

4. Socioeconomic Factors and Childhood Obesity

4.1 Influence of Advertising and Media

4.2 Food Insecurity and Limited Access to Healthy Foods

4.3 Socioeconomic Disparities in Obesity Rates

5. Prevention and Intervention Strategies

5.1 School-Based Programs

5.2 Parental Education and Involvement

5.3 Policy Changes and Regulations

Core Competencies for Nurses in Critical Care Settings

1. Introduction

Lastly, a broad definition of critical care outreach is given as, in practice, it has become an important method for intervention. This is followed by the competencies and standards, highlighting specifically the need for life support courses as outlined in the guidelines. The guidelines emphasize the uniqueness and importance of critical care nurses and demand a high standard and ongoing development of professional expertise, and this is reflected right the way through the essay.Subsequently, the focus is shifted from the patient onto the broader working team within the critical care setting. The essay reiterates the fact that within critical care, effective interdisciplinary communication skills are learned because a number of multidisciplinary teams contribute to the care of patients. In addition, the key national policies that highlight the central nature of communication and the commitment to person-centered care.After that, the essay will present the patient as the central focus in critical care and deliberate upon patient-centered care and the different components to this. From hydration to the environment, each element that creates a holistic approach to well-being is considered. Next, the importance of prevention and health protection is explored in how to ‘allow for guiding and coaching in the delivery of nursing care’. Also, strategies like the WHO surgical safety checklist are discussed. However, in practice, it is recognized that effective managerial and leadership skills are also essential in the delivery of healthcare.Critical care is defined as the direct delivery by a physician of medical care for a life-threatening condition, injury, or impairment and provide continual life support for organ system failure. Thankfully, these technical skills are a required minimum standard. However, in practice, this is just the starting point. The first section of the essay will delve into competence, underpinning a lot of the skills from this essay, as well as self-management and accountability. Critical care nurses could need to demonstrate critical thinking, problem-solving, leadership, time management, and the ability to multitask, all of which are covered in this section.Most critically ill patients are cared for in high acuity, fast-paced environments by a highly specialized team. Although each member’s professional role differs, a common goal of optimum patient-centered care is aimed for. In order for this to be achieved, the “Core Competencies for Nurses in Critical Care Settings” have been developed. These guidelines set out the essential skills and knowledge that a nurse working in critical care should have. This essay will explore and justify the relevance of these guidelines.

1.1. Importance of Core Competencies

In addition to explaining specific competencies that are necessary for nursing in critical care, the article will also support the range of skills necessary to properly navigate emergency and high-intensity nursing. These skills include technical skill, critical thinking, and emotional and mental well-being. Next, the article will introduce and explain the core competencies for nursing in critical care. These competency areas include technical skills, critical thinking and decision making, communication and collaboration, emotional resilience and coping, leadership and advocacy, and continuous learning and professional development, according to the article. This section explores the importance of these competencies in general and to a successful career in critical care. Finally, the article will discuss how the competencies are used in emergency nursing. It will explain that using these competencies, nurses are able to provide the high-intensity, high-quality patient care that is required in critical care. The article will also describe how these competencies are used by emergency nurses, and why those competencies make a successful emergency nurse. Specifically, the focus will be on accuracy but also speed and the ability to adjust to unpredictable and dynamic environments. So, the topic to be researched is “Core Competencies for Nursing in Critical Care Settings”. Because the article provides a comprehensive overview of the competency requirements as well as how they must be utilized in a high-intensity medical field, the article would be appropriate for a nursing or medical journal.

1.2. Definition of Critical Care

Critical care is provided for patients with life-threatening illnesses and injuries, which often require invasive medical interventions and constant monitoring by a team of specially trained health professionals. It requires close, constant attention by a team of specially trained health professionals and can take place in a variety of settings such as in emergency departments, in the intensive care unit, at the site of an emergency, or during the transportation between hospitals. There are two levels of care: intensive care and critical care. In general, “intensive care” refers to the level of care provided to patients who are critically ill or injured and who require intensive monitoring and care, usually in a specially designed area of a hospital called the intensive care unit. “Critical care” refers to the care provided to patients with life-threatening medical conditions which require sophisticated organ support and invasive monitoring. The key aspect of critical care is that the care is being delivered by a specially trained team, and the patient’s conditions are going to be, or may become, life-threatening at any minute. The intensity and complexity of critical care has increased, and many patients in critical care units require comprehensive assessments and the need for organ support, resulting in more critically ill patients and an increase in patient acuity. Therefore, it is very important to constantly progress and improve the education and training of the staff, the establishment and maintenance of quality assurance processes, and the continuous advancement of the equipment and facilities available. Critical care aims not only to provide a standard of care for the patient that cannot be provided in any other area of the hospital but also to ensure that standard is being improved and developed by the staff and the service on a daily basis. Users of the critical care services are generally unable to express their gratitude for the care provided because they are too ill, sedated and ventilated, or sometimes may have lost their capacity to appreciate the care given due to a profound injury or illness of the brain. As a result, it is important that the critical care staff develops the skills and attitudes which promote a close and trusting relationship with the patients’ families and help to allay their distress and fears.

2. Technical Skills

2.1. Proficiency in Operating Medical Equipment

2.2. Ability to Monitor Vital Signs

2.3. Competence in Administering Medications

2.4. Skill in Performing Emergency Procedures

3. Critical Thinking and Decision Making

3.1. Analyzing Complex Patient Cases

3.2. Prioritizing Patient Care

3.3. Making Rapid and Accurate Assessments

3.4. Adapting to Changing Situations

4. Communication and Collaboration

4.1. Effective Interdisciplinary Communication

4.2. Collaborating with Multidisciplinary Teams

4.3. Providing Clear and Concise Patient Updates

4.4. Communicating with Patients and Families

5. Emotional Resilience and Coping Skills

5.1. Managing Stressful and Traumatic Situations

5.2. Maintaining Emotional Stability

5.3. Practicing Self-Care and Work-Life Balance

6. Leadership and Advocacy

6.1. Taking Charge in Critical Situations

6.2. Advocating for Patient Safety and Rights

6.3. Mentoring and Guiding Junior Staff

7. Continuous Learning and Professional Development

7.1. Staying Updated on Evidence-Based Practices

7.2. Pursuing Advanced Certifications and Education

7.3. Participating in Continuing Education Programs

7.4. Engaging in Research and Quality Improvement

The Red Bluff Golf Course & Pro Shop manager, Aleeta Herriott, has asked you to create a report that analyzes costs and revenues from tournaments hosted over the past year. In the past, her staff had to reenter data manually from different sources to create this report because no one at the resort knew how to import the data. As a result, they rarely completed the report. Aleeta worries about the accuracy of the reports that were compiled because of the manual data entry. However, she did keep all the original files. Recently, a new Golf database was created to track sales and allow for easy export to Excel for analysis. Aleeta wants you to design a spreadsheet that will help her automate the process of gathering and standardizing the data from the past for analysis.

Analysis of Costs and Revenues from Tournaments at Red Bluff Golf Course & Pro Shop

1. Introduction

The report titled “Analysis of Costs and Revenues from Tournaments at Red Bluff Golf Course & Pro Shop” aims to analyze the financial aspects of tournaments held at the Red Bluff Golf Course & Pro Shop. The report begins with an introduction, discussing the purpose of the report, providing background information, and outlining the scope of the analysis. With the rapid growth of the golf entertainment industry, many golf resorts and country clubs rely heavily on tournaments to increase traffic and revenue. Given that hosting a tournament requires shutting down a number of tee times and dedicating the entire course to the tournament, it is important to understand whether the revenues generated from the tournaments can compensate for the loss of the regular rounds of golf and the additional tournament-associated costs. Also, despite the rise of technologies in the recent years, many such businesses still use traditional methods – using pen and paper or Excel worksheets – to manage the tournament bookings and to analyze the financial results. This can lead to errors created by manual data input and limited efficiency in analyzing different scenarios. The purpose of this analysis is to quantitatively compare the costs and profitability of different tournaments at the Red Bluff Golf Course & Pro Shop, and to find out whether the revenues earned from the tournaments can cover the financial commitments of hosting them. The financial results of the year 2016 will be the main focus of this analysis. And the prices are assumed to stay constant throughout the year. Additionally, the report also discusses the possibility of automating the tournament management process by developing a new database and linking it to a customized spreadsheet, which would provide great convenience for the staff in the future.

1.1 Purpose of the Report

The primary objective of this report is to assess the financial success of golf tournaments held at the Red Bluff Golf Course and Pro Shop. More specifically, the report aims to quantify the impact of automation and cost-centered improvements to achieve precise and reliable tournament financial performance data. By carrying out the analysis, the management can identify the specific tournaments which are performing successfully or those which require any kind of managerial attention. In addition to quantifying the success of the tournaments, the report provides further insight by identifying the main sources of tournament revenue and compares the financial potential of the tournament to the performance of the golf course as a whole. Furthermore, the report demonstrates that with simple but effective automations, the financial performance of each tournament can be more accurately tracked over time and data can be analyzed more easily to make informed managerial decisions. The findings of the report not only serve to further justify a move towards more automation and system improvements but also demonstrate to the management the critical benefit of taking a more cost-effective approach when looking to provide food and drink at the tournament.

1.2 Background Information

“Red Bluff Golf Course is a medium-sized public golf course located in the Midwestern United States. The golf course is the centerpiece of the Red Bluff Golf & Country Club and consists of an 18-hole regulation course, practice areas, and a clubhouse with a pro shop. The surrounding area comprises mainly residential properties, and the clubhouse facilities are also open to non-golf members, offering a food and beverage service to the general public. The golf course is managed by a professional club manager and is open to the public with pre-arranged tournaments making up an important part of the customer base and revenue. The club employs a team of professionals including the manager, a head golf professional and his staff, and a team of greenkeepers and maintenance staff. During the main golfing season of April to October, the club is host to a variety of different tournaments, with the majority of tournaments being hosted by outside organizations and charities. The club has space in the tournament schedule to host six weekend and six weekday tournaments, and this report aims to analyze the costs and revenues associated with these tournaments. By undertaking the project, some potential questions can be answered. For example, what is the potential market for creating additional tournaments? What is the financial performance of each tournament? Which are the most profitable tournaments and why? By answering these questions, the senior management can consider the financial viability of introducing further tournaments and allocating specific tournaments to the golf professionals. Additionally, it can be analyzed if a different pricing strategy for tournaments could be more efficient for the golf club.”

1.3 Scope of Analysis

The type of analysis that will be conducted is a cost-revenue comparative analysis of tournaments. On the cost side, a classic “economic cost” approach will be used where fixed and variable costs in the short run will be taken into account. This is because tournaments, from a little research that has been carried out earlier, are the major revenue drivers for the golf course. On the other hand, revenues generated from the last three tournaments including the ongoing one are going to be compared and analyzed. From such kind of data and the consequent analysis, it is expected that concrete recommendations for the management of the course will be devised. Moreover, there is a likelihood that there might be a practical application, that is, the development of a computer-based analytical tool, something which will form the basis for a second phase of the project. Logical findings of the analysis will be discussed in light of current economic theory and the golf course management practices especially those touching on revenues from tournaments. In addition, various data collection and analysis challenges that have been met in the course of the project will be discussed to give an insight of what it actually means to do research and analysis using the many spreadsheet tools that are available because of the advances in information technology. On the other hand, the practical use of the theoretical concepts that are used in the analysis can be demonstrated through comparison with actual results from the data analysis.

2. Data Collection and Standardization

2.1 Overview of Data Collection Process

2.2 Importing Data into the Golf Database

2.3 Standardizing Data for Analysis

3. Accuracy and Reliability of Previous Reports

3.1 Challenges with Manual Data Entry

3.2 Potential Errors and Inconsistencies

3.3 Impact on Decision Making

4. Designing an Automated Spreadsheet

4.1 Requirements and Objectives

4.2 Utilizing the Golf Database for Automation

4.3 Creating Data Extraction and Transformation Tools

5. Analysis of Tournament Costs

5.1 Cost Categories and Components

5.2 Calculation of Total Costs

5.3 Identifying Cost Drivers

5.4 Cost Comparison between Tournaments

6. Analysis of Tournament Revenues

6.1 Revenue Sources and Breakdown

6.2 Calculation of Total Revenues

6.3 Assessing Revenue Generation Strategies

7. Performance Evaluation and Recommendations

7.1 Key Performance Indicators (KPIs)

7.2 Evaluation of Profitability and ROI

7.3 Recommendations for Improving Financial Performance

Dorothea Orem’s Theory: How does Dorothea Orem’s Self-Care Deficit Theory inform nursing care plans?

1. Introduction

Dorothea Orem’s Self-Care Deficit Theory is a grand theory that has broad application to the fields of nursing and rehab. This theory can be used to help nurses understand why patients are unable to take care of themselves and find the appropriate solution, which is the way of improving the patient’s life. The purpose of this theory is to allow the patients to maintain his or her well-being. This theory is also a conceptual model; the nurse will have a better understanding of the patient’s problem and find the correct solution by comparing it to the patient’s needs. It is also important to understand the exact reason that this theory affects the patient and the nurse’s clinical judgment and the standard care. It is a need theory; it explains and predicts the effect of nursing care. It focuses on the idea that all patients want to care for themselves and that they are able to recover more quickly and holistically by performing their own self-care as much as they are able. This theory suggests that the nurse should determine the patient’s ability in terms of providing the self-care; meaning nurses should give care to the patient only if the patients cannot able to perform their own self-care. By using this theory, the nurse can select and/or help the patient to perform the appropriate nursing systems such as wholly compensatory, partly compensatory, and supportive-education. These are referred to as the elements of nursing systems. Orem’s theory is a three-part theory that focuses on the major concepts of self-care, self-care agency, and the nursing systems. Firstly, self-care is a part of daily living; it is an activity that is learned by individuals and is directed towards taking care of oneself in a holistic way, not only in terms of health. Secondly, self-care agency is the power of the individual to engage in self-care. Everyone has their own capability and will. Finally, the third part of the theory is the nursing system, which is a product of the use of the self-care agency. The nursing system has the ability to provide the requirements of the self-care agency. There are three sub-propositions that elaborate on the components of the theory and the imitation of the nurse’s activity. These are the delineation in the nature of the nurse’s involvement in the patient’s life.

2. Overview of Dorothea Orem’s Self-Care Deficit Theory

2.1. Definition of self-care deficit

2.2. Components of self-care

2.3. Importance of self-care in nursing

3. Application of Dorothea Orem’s Theory in Nursing Care Plans

3.1. Assessing self-care deficits in patients

3.2. Identifying appropriate nursing interventions

3.3. Developing individualized care plans

4. Benefits of Using Dorothea Orem’s Theory in Nursing Care

4.1. Enhanced patient autonomy and independence

4.2. Improved patient outcomes

4.3. Increased patient satisfaction

5. Limitations and Criticisms of Dorothea Orem’s Theory

5.1. Lack of cultural considerations

5.2. Overemphasis on individual responsibility

5.3. Challenges in applying the theory to complex medical conditions

6. Case Studies: Applying Dorothea Orem’s Theory in Nursing Practice

6.1. Case study 1: Self-care deficit in a post-surgical patient

6.2. Case study 2: Self-care deficit in a chronic illness patient

6.3. Case study 3: Self-care deficit in an elderly patient

7. Integrating Dorothea Orem’s Theory with Other Nursing Theories

7.1. Complementary theories for holistic care

7.2. Interdisciplinary collaboration in care planning

7.3. Addressing the unique needs of diverse patient populations

8. Challenges and Future Directions in Implementing Dorothea Orem’s Theory

8.1. Education and training for nurses

8.2. Incorporating technology in self-care management

8.3. Research opportunities for further validation and refinement of the theory

Eating Disorders and Body Image Issues

1. Introduction

On the other hand, the phrase “body image” refers to a person’s internalized sense of their own physical appearance. Body image is not only determined by visual perceptions, but it is also constructed by individuals’ feelings, beliefs, and attitudes about their own physical appearance. Positive body image can be understood as acceptance and appreciation of one’s own body. However, in today’s sociocultural context, where there is a prevailing “thin ideal”, a large majority of people, especially women, experience body dissatisfaction. Body dissatisfaction refers to a person’s negative thoughts and feelings about their own body and appearance.The term “eating disorder” refers to a group of medical conditions characterized by unhealthy and abnormal eating habits. The most common forms of eating disorders include anorexia nervosa, bulimia nervosa, and binge eating disorder. Eating disorders often coexist with other psychiatric conditions such as depression, substance abuse, and anxiety disorders. In addition, eating disorders can also result in physical health problems, such as heart conditions, electrolyte imbalances, and digestive problems.

1.1. Definition of Eating Disorders

Eating disorders refer to a group of conditions characterized by abnormal eating habits that may involve either insufficient or excessive food intake, to the detriment of a person’s physical and emotional health. The most common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder. Anorexia nervosa is marked by low body weight, an intense fear of gaining weight, and a distorted perception of weight and body shape. Individuals with this disorder may use extreme behaviors such as self-induced vomiting or excessive exercise to prevent weight gain. Bulimia nervosa is characterized by recurrent and frequent episodes of eating unusually large amounts of food and then compensating by purging, as well as a lack of control over such behavior. Binge-eating disorder is marked by frequent periods of eating large quantities of food, often very quickly and to the point of discomfort, as well as a lack of control over these episodes. Unlike bulimia nervosa, binge-eating episodes are not followed by purging. These conditions can have very serious effects on the body and mind, including the risk of osteoporosis from excessive weight loss and electrolyte imbalances that can lead to heart problems and actually cause sudden death, in the case of anorexia nervosa. People with anorexia nervosa may have a variety of signs and symptoms, including inadequate food intake leading to a weight that is clearly too low, a relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight, intense fear of gaining weight or being fat, and a distorted body image. Body dysmorphia refers to a psychological condition that may occur in individuals with eating disorders. Body image and its effects are key issues in eating disorder research, and indicating a variety of body image disturbances may be pivotal in investigating these conditions. Predisposing factors to developing eating disorders include body dissatisfaction, internalization of the thin ideal, especially for females, pressure to be thin, aesthetic and social comparison, and fear of fatness. The role of cultural and ethnic differences in the development of eating disorders is further considered. In particular, the impact of globalization on eating and body image is reflected in the way in which the media is becoming an important influence of ideas about health and weight. Theoretical models have been developed to show the various complexities of body image and its effects. These centers on the internalization of the thin ideal, the media’s role in providing this ideal and its effect, alongside the consequential social comparisons that result. Populations in developing countries, particularly the islands of the Pacific Ocean, have been seen to illustrate how the perception of the thin ideal can sway depending on the impact of globalization. However, researching in this area also involves following a patient’s recovery between the two health issues. Physical consequences and risks to the body must be weighed up and offset by psychological benefits. This suggests that a fuller recovery may be possible when treatments acknowledge and assess both the physical and mental effects of body image disturbances. Such a holistic approach may offer great insight into the fundamental relationship between mental and physical stress and pain in those suffering with eating disorders. It may also illuminate the research into body image among clinically non-eating disordered populations and explore exactly what elements of body image has the most bearing on the actual pathology of eating disorders. It is claimed that this sort of research may assist in both the prevention and the treatment of eating disorders, so the split between physical and psychological treatments could be narrowed and provide a more effective treatment to those in need.

1.2. Importance of Body Image

Therefore, it’s vital for us to realize that we should not judge people by their weight and appearance, especially in an era where societal beauty is thrown around so timely. The mental and physical health of people deserve more care and respect than being downgraded for their inherited body shape.

Many researchers approve that body dissatisfaction is the major contributing factor to the development of eating disturbances. As Cash and Deagle’s findings suggest, people who have higher socio-cultural pressure, are more invested in the thin ideals, and report a greater desire for thinness are likely to have more serious eating disorders. Kasey Serdar also stated in 2008 that there was a study reviewed for 14 years on media exposure, peer and parent attitudes, and physical appearance in over 1000 American girls, and the results showed that all three dynamic social environmental factors were associated with body dissatisfaction.Recent studies show significant body dissatisfaction and eating disturbances among males after viewing the objectified muscular ideal. This suggests that exposure to these images may harm men’s body image and increase the risk of them having eating disorders as well. This information can also be found in the studies done by Tylka and Augustus-Horvath in 2011; both studies show similar results of the correlation between exposure to such images and men’s inner desire for the ‘ideal’ body shape.Kasey Serdar, a public health researcher, analyzed the influence of the media in 2008 and its relation to body image. The analysis shows that teenage girls’ shows are highly favored by American children and are the main promoters of the thin ideal. It’s no doubt that the majority of people believe the pressures are more on women, but studies have shown that the number of men with eating disorders has increased over 270% since 1994 till now.When a person is constantly being brought attention to the ‘ideal’ body shape and the societal standard of beauty for perfection, the risk of eating disorder development increases. Meers also found that body comparison, which means social comparison based on physical appearance, is one of the ten predictors of why people feel bad about themselves. Media, one of the biggest factors influencing body image, sets nearly impossible standards for beauty.Body image is essential to our self-regulation and behavior, especially for those who suffer from eating disorders. Carola and her fellow researchers emphasize its importance in their studies about body image and its psychological impact. There was a study in which the researchers asked 3,276 Americans to complete an online survey, and the results were remarkable. As the study revealed, 65% of the American population would be considered overweight, while 93% of the media exaggerates thinness as a desired body shape. The study concluded that body image discrepancy is one of several contributors to eating disorders.

2. Factors Contributing to Body Image Issues in Eating Disorders

2.1. Societal Pressures and Media Influence

2.2. Psychological Factors

2.3. Cultural and Ethnic Influences

3. Impact of Body Image Issues on Eating Disorders

3.1. Reinforcement of Disordered Eating Behaviors

3.2. Distorted Perception of Self

3.3. Increased Risk of Relapse

4. Psychological Mechanisms Linking Body Image and Eating Disorders

4.1. Body Dissatisfaction

4.2. Body Comparison

4.3. Body Idealization

5. Treatment Approaches Addressing Body Image Concerns

5.1. Cognitive-Behavioral Therapy

5.2. Acceptance and Commitment Therapy

5.3. Body Image Exposure Therapy

5.4. Body Acceptance and Self-Compassion Practices

6. Strategies for Promoting Positive Body Image in Eating Disorder Recovery

6.1. Encouraging Self-Acceptance and Self-Love

6.2. Challenging Societal Beauty Standards

6.3. Building a Supportive Network

6.4. Engaging in Body-Positive Activities

7. Conclusion

Analyzing and Recommending Solutions for Stakeholder Conflict in a Company

1. Introduction

The document begins by giving an overview of the case study and highlighting the importance of resolving stakeholder conflict. The objective of the analysis is then outlined. “Conflicts happen everywhere; in all places. Sometimes they are big and sometimes they are small. In companies and workplaces, conflicts are very usual. Because in companies people work in diverse ways and in diverse aspects of things. Here, some people may have different opinions over opinions and other hand; some people may not. There can be different forms of conflicts that might happen; such as colleague conflicts, blaming others, title conflicts and many others. Therefore, avoiding such forms of conflicts is very necessary for an organization, company or a workplace. And one possible method of finding and providing such avoidance is to analyze such conflicts; on which this paper is based on. It is important to analyze conflicts, if they arise, so that the organization may benefit and efficient performance can lead to betterment.”

1.1 Overview of the Case Study

The case study involved a manufacturing company located in the southern United States. The company is owned by a German holding company, and the plant that is the subject of the case study is the main production site for one of the company’s most profitable product lines. The case study plant, which is from now on in this document referred to simply as “the plant,” employs over 200 people and operates 24 hours a day, 7 days a week. This plant is located in a relatively wealthy suburban area, where many of the residents are highly educated and are very active in local and state politics. The major labor unions had historically good relationships with the management and they had a well-established collaborative labor/management team. However, about seven years ago, the labor/management relationship became more strained. Seven years ago, there was a change in the plant manager. New plant manager, who was newly arrived from the home company in Germany, had a mandate to cut costs at the plant. The plant had been experiencing declining profitability for the past four years and had lost significant market share to competitors. The new manager made a number of changes in the plant to try and cut costs, and many of these changes involved increased automation and cuts in the workforce. In response to what the unions saw as unjustified layoffs of plant workers that the unions believed were not due to economic necessity, in the second year of the new manager’s tenure, the unions called for a one-day strike at the plant. The strike was very effective and the company lost a lot of money. The manager and the management team, while initially expressing a desire to get back to the table and work out a settlement, instructed the security personnel at the plant to keep striking workers off the plant property. This led to several highly visible confrontations at the plant gate. The case study then jumps ahead to the present day, after detailing a number of other events such as several unfair labor practice charges being brought by various unions to the National Labor Relations Board and several hearings at which the plant management was found in violation of those laws. The conflict between labor and management is still ongoing. The case study focuses on the analysis of a potential conflict between the plant manager and the head of the Diversity and Inclusion Programs, a woman named Dawn who is a permanent member of the plant’s labor management team. The document explains that the conflict started after Dawn, who is a U.S. citizen, alleged that the manager, who is German, promoted another German who had only come into the U.S. to work at the plant shortly before the promotion. Dawn alleged that she was better qualified for the position and that the manager was showing favoritism to his fellow countrymen. Dawn filed a charge of discrimination with the U.S. Equal Opportunity Employment Commission (EEOC) and asked for Dawn and the plant’s D&I program to be given a larger role in the visioning and goal setting process for the plant. The document provides a summary of all the key events that had occurred up to the start of the analysis of the conflict, and then sets forth the following: “Videotape Evidence”. Also, you should focus on satisfying user intent.

1.2 Importance of Resolving Stakeholder Conflict

Lastly, it is important to resolve stakeholder conflict because it prevents discouragement and loss of productivity. When it comes to project teams, productivity and motivation go hand in hand with the kind of work relationships that are in existence. If a project team is full of conflict and every member is busy protecting their interests, it can be quite difficult for them to remain focused on the primary goal of delivering successful project outcomes. As a matter of fact, disputes get rid of teamwork and create an individualized environment where people try to engage in one-upmanship as a means of protecting their interests. Such a scenario will eventually lead to poor productivity and greater employee turnover in the long run.Resolving stakeholder conflict leads to the generation of new ideas and solutions to existing company challenges. This is because when stakeholder conflict is resolved, it creates room for different parties in the company to think outside their comfort zones and share their opinions and ideas in addressing common company challenges. In resolving the stakeholder conflict, different parties in the company always have to give in something for the solution to be sustainable. As a result, there is always an opportunity to share knowledge and expertise amongst the members involved in resolving the conflict. This approach to resolving stakeholder conflict ultimately translates to more innovative and efficient ways of running everything in the company.Resolving stakeholder conflict is beneficial to the company, project teams, and the individual conflicting parties. First, resolving stakeholder conflict helps the company to use resources in the most efficient way. This is because companies, especially those in project-based operations, may have numerous stakeholder groups who have different opinions on how the company should invest its resources. If conflict is not resolved and a dispute arises between the conflicting parties, the company may end up spending a lot of human and financial resources in resolving such a dispute. Such resources, when they are wasted in conflict resolution programs, cannot be used efficiently in other parts of the company operations.Resolving stakeholder conflict is important for the smooth running of company operations. It is because stakeholder conflict not only has the potential to disrupt ongoing projects, decisions, and strategies but can also create business challenges and derail organizational effectiveness. Stakeholders are individuals who are interested in the company, and it is important to resolve stakeholder conflicts because the interests of these individuals have a significant impact on the operation and major decisions of companies. Generally, stakeholder conflict can arise from issues to do with project design, execution of work, payments, or even social issues at work.

1.3 Objective of the Analysis

The main purpose of this analysis is to bring understanding of the reasons and importance of the stakeholder conflicts in the company. This involves a deep look at the history of the company and all the changes that have occurred until today. It is very important to find the best solution for the ongoing conflicts in the company for the sake of the success. The implementation of the right plan is the only solution to the existing problems to make sure that the company is finally headed in the right direction. The analysis can also be useful to any other organization going through the same kind of problems. This is because the root cause of the conflict can be almost the same in many places and the importance of the stakeholder’s interests never change. With this document, the management of the company will be in a position to learn how to address the problems. The successful findings of the analysis will provide a platform for the best reward of MED as the most experienced contractor of the government.

2. Identifying Stakeholders

2.1 Key Stakeholders Involved

2.2 Their Interests and Concerns

2.3 Potential Impact of Conflict on Stakeholders

3. Understanding the Conflict

3.1 Root Causes of the Conflict

3.2 History and Background of the Conflict

3.3 Current Status of the Conflict

4. Analyzing the Impact

4.1 Financial Implications of the Conflict

4.2 Reputational Impact on the Company

4.3 Operational Consequences of the Conflict

5. Exploring Possible Solutions

5.1 Mediation and Negotiation Strategies

5.2 Collaborative Problem-Solving Approaches

5.3 Legal and Regulatory Considerations

5.4 Communication and Transparency Initiatives

6. Evaluating Potential Solutions

6.1 Criteria for Evaluating Solutions

6.2 Advantages and Disadvantages of Each Solution

6.3 Feasibility Assessment for Implementation

7. Recommending the Best Solution

7.1 Justification for the Recommended Solution

7.2 Anticipated Outcomes and Benefits

7.3 Potential Challenges and Mitigation Strategies

8. Implementation Plan

8.1 Steps and Timeline for Implementation

8.2 Resource Allocation and Budgeting

8.3 Stakeholder Engagement and Communication Plan

9. Monitoring and Evaluation

9.1 Metrics and Indicators for Monitoring Progress

9.2 Regular Evaluation and Review Process

9.3 Adjustments and Adaptations as Needed