Impact of Leadership Skills on Organizations and Personal Leadership

question
Respond to at least two of your colleagues by explaining how the leadership skills they described may impact your organization or your personal leadership, or by identifying challenges you see in applying the skills described.
answer
1. Introduction
Leaders have a special role in an organization’s success. It is said that a leader is born, not made, but leadership is exhibited in various forms. Leadership is the quality that is reflected in behavior and approach to do the given work. It believes in achieving the target with cooperation in team and maintaining high spirits. A leader motivates the team to achieve a common goal. Leaders have the power to influence others and convince them to adopt a new belief. Leaders are the agents of change; they are the ones who possess a vision. Based on this vision, they can bring the change for the betterment of an organization. This vision has been an important element in defining a leader’s success. Leadership effectiveness has been a major issue in literature of management. Over the years there has been a constant debate whether leadership skills are an innate ability or that they can be developed with learning and experience. This issue has its significance, particularly with respect to the training and development of future managers. This essay will discuss the theoretical framework for leadership effectiveness. A detailed discussion in this regard has been given by conducting a critical analysis of the concepts of leadership effectiveness, the type of leader which is more effective, how to increase the leadership effectiveness and its effect on the performance and morale of an organization. This essay will provide an evaluation of the impact which effective leadership can have on the success of an organization and the role of leadership in fostering an ethical and socially responsible work climate.
1.1 Importance of Leadership Skills
One of the vital functions towards the success of an organization is the leadership ability in which the managers exercise. When leadership is effective, it can increase motivation, foster better decision making, and help in the development with the followers. This in turn can result in higher performance, and decreased counterproductive behaviour within the organization. A study carried out by Dumdum, Lowe, and Avolio (2002) examined 59 samples of research and concluded that the impact of transformational and transactional leadership on individual outcomes was positive (Appendix, Fig 1). This shows that leadership has a significant effect on the attitudes of followers, affecting job satisfaction, role clarity, and commitment. This is important for the organization as a whole, as it can improve individual performance which can result in overall increased organizational performance.
Leadership has been defined in many ways, albeit in general, as the ability to influence others towards the attainment of a goal (Stogdill, 1950). With the growing instability in the external environment, work organizations are beginning to realize the importance of having effective leadership within the organization. The purpose of this paper is to examine the relationship between leadership and an organization’s performance. As well as understanding the importance of leadership styles, and the effect it has on the climate within the organization.
1.2 Role of Leadership Skills in Organizations
The study of the world’s most admired companies has been the focus of much attention for a few years. The reason these companies are selected as the most admired organizations lies in the fact that these companies are a “Leadership Factory”. Research has shown that these companies are trying to break out of the traditional paradigm in which leadership was viewed as an individual attribute, which was the responsibility of an individual business leader. They have come to believe that leadership is best viewed as a strategic process that can be virtually owned by the parent company. In other words, it is a force that infuses an entire business. Leadership is viewed as a force that can be shared to reintegrate a fragmented corporation. An executive interviewed at one such company “strongly believes that if we are to reintegrate the corporation, we are going to have to change an individualistic entrepreneurial mode of leadership into a collective mode. This can be best thought of as an attitude that each manager takes the same level of responsibility for the continued success of the company.”
A leader is a person who is followed by others. The same person can prove to be the best leader for some and might turn out to be a big failure for others. So, it’s always the environment (organization in an invisible leader’s case) and the followers who demand a leader with specific attributes. Also, one leader is a leader in different situations. Leadership is “the behavior of an individual, directing the activities of a group toward a shared goal. Reflection of what professionals such as managers do in the work role may well be termed the functions of leadership.”
2. Impact on Organizations
2.1 Increased Employee Engagement
2.2 Improved Team Performance
2.3 Enhanced Organizational Culture
2.4 Higher Productivity and Efficiency
2.5 Effective Change Management
3. Impact on Personal Leadership
3.1 Self-Awareness and Emotional Intelligence
3.2 Effective Communication and Relationship Building
3.3 Decision-Making and Problem-Solving Abilities
3.4 Adaptability and Resilience
3.5 Inspiring and Motivating Others
4. Challenges in Applying Leadership Skills
4.1 Resistance to Change
4.2 Overcoming Resistance from Team Members
4.3 Balancing Different Leadership Styles
4.4 Navigating Complex Organizational Structures
4.5 Managing Conflicts and Difficult Situations
5. Conclusion

Infective Endocarditis: A Brief Literature Review

1. Introduction
Infective endocarditis (IE) is an infection of the endocardial surface of the heart, which may include one or more heart valves, the mural endocardium, or a septal defect. We distinguish between native valve infective endocarditis and prosthetic valve endocarditis, pacemaker infective endocarditis, and infective endocarditis on the right side of the heart. It is a serious condition that can cause significant morbidity and mortality. Despite improvement in diagnostic methods and outcomes, infective endocarditis remains a life-threatening disease with high in-hospital mortality. However, infective endocarditis accounts for a high percentage of all heart disease-related deaths in many studies published in the United States and Europe on cardiac and cause of death statistics, with mortality rates not seeming to decrease over time. There were significant developments in the understanding of infective endocarditis during the 19th and the 20th century, first with the recognition of the role of microorganisms causing infective endocarditis and with the advent of modern microbiology and guidelines for the diagnosis of infective endocarditis. Echocardiography, which is an essential diagnostic tool in infective endocarditis, became commonly used only from the 1960s but has been rapidly evolving to provide increasingly accurate diagnosis of infective endocarditis and its complications. Finally, the incidence of infective endocarditis has been increasing in the past decades, most studies report an increase in older patients and finding Staphylococcus aureus to be the most common cause of infective endocarditis.
1.1 Definition and Overview
Definite emphasis on the big picture, the summary of the whole essay, states the important main idea of the whole content of this section. The main idea is as follows: there are three things I need to explain and cover in this section. And also, the reason why the definition and overview is important is because the author uses this as a springboard to the following sections to introduce what’s going to be talked about afterwards, to introduce the theories that others have, that we would have discussed in the next sections. That’s why the definition and overview is important and makes sense. And also, the author in this paragraph makes a transition from a general overview of the topic of the review to the specific aim of this section. And later, after we finish the definition, the author would repeat and tell the reader what was just covered, and transition into the next session. And I’ll definitely emphasize that we connect the dots and let the reader know what the overview for this section of the definition is and give them the definition of infective endocarditis. And the definition of infective endocarditis is, it refers to an infection of the endocardium, the inner lining of the heart, commonly involving the heart valves. And next, over the course of the years, the definition has been supplemented by the modified Duke’s criteria, which includes a combination of pathological signs and clinical findings to establish a diagnosis.
1.2 Historical Background
Since ancient times, medical practitioners observed that some patients with a chronic wasting illness developed petechiae. Sir William Osler, widely referred to as the father of modern medicine, has been credited with first describing the classic clinical presentation of subacute bacterial endocarditis in 1885. However, the history of infective endocarditis, which is a synonymous term of the disease Osler described, dates back further. In 1329, Ibn al-Nafis, an Arab physician, provided the initial description that correlated human dissection findings with the postmortem evidence of cor triatriatum sinister. The condition was later known as the “Sheikh disease” and Nafis’ cited findings adapted in some Western medical literature in reference to the phenomenon in the following centuries. Andrea Marzari, an Italian doctor, was the first to perform a successful cardiac surgery on a patient with endocarditis. In 1872, he pursued a surgical approach including division of style and valvular leaflets with patience, resulting in relief of ailment up to 3 months. This unique attempt at early valvular surgery with hypothesis that the absence of one particular leaflet would release the built-up blood flow and provide resistance was revealed in the renowned “Napoleon’s buttons” by Dr. Barbara J. Niss. Dr. Emanuel Libman and his protegees, Dr. Leslie Abramowits and Dr. Joseph Weinstein, perfected the technique of culturing for the diagnosis of subacute bacterial endocarditis from blood in 1909. Dr. Libman was a prolific writer and has been consulted in many edition of Osler’s textbook for guidance on infectious endocarditis and other medical conditions. As a result of the pioneering work of those physicians, the culture technique emerged as the golden standard for laboratory diagnosis till Schick and his associated embraced the usage of antistreptolysin in the late 1930s. Surprised patient and their relative would ask why modern physician performed all these procedures and the ground of a “minor incision” on the chest. Well, the answer lied in a ground-breaking event, the first successful cardiopulmonary bypass perfusion by John Heysham Gibbon, Jr. in Thomas Jefferson University Hospital on 6 May 1953. His associate, the tireless Dr. Lenly Steven Lillehet, completed the cases that followed. Dr. Lillehet’s effort reaching an impressive 72 hours on bypass was universally acclaimed in the surgical circle and his record still stood unrivalled until a better technology eclipsed the traditional model. The establishment of Cardiac Surgery Unit, as well as subsequent surgical advancement, allows removal of many tumors, obliteration of multiple septal defects, valvular leaflets repair and successful outcome of the first staged correction for tetralogy of Fallot ever reported. It was through identification of hemolytic pathogens Caenorhabditis elegans and Drosophila melanogaster in 1962 that set up a vital platform for studying and researching the pathogenic effect of streptococcal bacteria. With referable genetic similarity to higher species including Homo sapiens, the experimentation and correlation constitute the initial necessary step in a greater understanding when subsequent researches could be conducted on larger mammals like guinea pigs and eventually in human. Creaton et al. published a groundbreaking result in the genome size and phylogenetic distribution of species in Streptococcus bovis group, reporting the association of S. gallolyticus with numerous gastro-intestinal maladies and sporadic endocarditis in the developed country in 2012. As the history chronicles major breakthrough and advances in our understanding of the modern endocarditis. These legendary cases, techniques invented and long-withstanding aliases used to described infective endocarditis serve as solid reminders to our epic but perpetual struggle against one of the most feared heart condition known to mankind.
1.3 Incidence and Prevalence
It appears from the literature that incidence and prevalence vary with patient population and geographical region. For example, there is a lower incidence of infective endocarditis caused by Chlamydia in the UK and Europe compared to the USA. This could be due to differences in climate and therefore the prevalence of the arthropod vectors of Chlamydia.
The incidence and prevalence of various infective agents causing endocarditis also differ. For example, a study in Olmsted County, Minnesota (1975-1984) showed that there were only 1.4 episodes of Q fever endocarditis per 100,000 person-years compared to 4 for Staphylococcus aureus and 1.7 for viridans streptococcal infection. However, this was in contrast to the nationwide French survey, which found a prevalence of only 2% for prosthetic valve endocarditis but 19% for Q fever endocarditis.
Studies suggest that the incidence of infective endocarditis is increasing. The recent French study showed an increase of 33% between 1991 and 1999 compared to the previous decade. This is thought to be related to an aging population, the increasing numbers of prosthetic valves, and better ascertainment due to improved availability of echocardiography.
In a study of 468 patients in New York state between 1998 and 2000, the annual incidence was 15 cases per million population. This is in line with an earlier survey (1969-1983) in North America, which suggested an incidence of 10 cases per million.
In a French study of 1,135 patients with infective endocarditis during the 1980s, the overall annual incidence of infective endocarditis was 33 cases per million population. This increased with age to 60 cases per million population in those aged 60 to 70 years and 120 cases per million in those over 70. The annual incidence among those with rheumatic heart disease or a prosthetic heart valve was much higher at 377 and 553 cases per million population. The male to female ratio in this study was 1.6 to 1; however, there were no cases in women under 20 or over 70.
The true incidence and prevalence of infective endocarditis have proven difficult to ascertain and are subject to much geographical and temporal variation, especially with the advent of new diagnostic and echocardiographic techniques. However, population-based studies have helped to define this more clearly.
2. Etiology and Pathogenesis
2.1 Microorganisms Involved
2.2 Risk Factors
2.3 Pathophysiology
3. Clinical Presentation
3.1 Signs and Symptoms
3.2 Complications
3.3 Diagnostic Criteria
4. Imaging and Diagnostic Techniques
4.1 Echocardiography
4.2 Blood Cultures
4.3 Other Diagnostic Modalities
5. Treatment Approaches
5.1 Antibiotic Therapy
5.2 Surgical Intervention
5.3 Prophylaxis
6. Prognosis and Outcomes
6.1 Mortality Rates
6.2 Long-Term Complications
6.3 Factors Influencing Prognosis
7. Prevention Strategies
7.1 Education and Awareness
7.2 Dental Prophylaxis Guidelines
7.3 Intravenous Drug Use Prevention
8. Research and Advances
8.1 Current Studies and Trials
8.2 Emerging Therapies
8.3 Future Directions

Information Systems and Artificial Intelligence

question
Information Systems and Artificial Intelligence: Explore the relationship between information systems and artificial intelligence (AI). You could discuss how AI is being used to develop new information systems and how information systems are being used to support the development of AI.
answer
1. Introduction
During the last three decades, a good deal of confusion has surrounded the term ‘Information Systems’. This term has been used broadly to cover the utilization of Information Technology (IT) by business users of all sorts. Frequently it has been used for the more narrow description of computer-based information systems (CBIS) which will be dealt with in section 1.1. Even in CBIS, the terminological difficulties do not cease. Many technical and complex terms have been employed to describe systems and there is frequently little agreement as to the meaning of these. In the context of Artificial Intelligence, the word ‘information systems’ has been used to describe systems which are in essence AI systems. These systems attempt to use a computer to manipulate knowledge and data that a human would use in some intelligent way, for example to produce a diagnosis or to solve a complex problem. Whatever the system called, the new wave of AI systems which are information systems suggest that we should re-examine the ways in which we develop systems and the theoretical frameworks that underpin this development. This is bound to have a beneficial effect on conventional information systems and it may well make it easier to understand what has been done in the past and what will be done in the future.
1.1. Definition of Information Systems
Information systems are an integrated set of components for collecting, storing, and processing data and for delivering information, knowledge, and digital products. Businesses, other organizations, and individuals in contemporary society typically rely on information systems to manage their operations, compete in the marketplace, provide services, and augment personal lives. Built on a solid infrastructure of computer hardware, software, data, and networks, information systems play a critical role in the competitive and the general well-being of an organization or society. Information systems are frequently considered only in the context of organizational operations or in the context of data storage and retrieval systems. This can be misleading. We will consider information systems in a broader sense than simply record keeping or data processing. In this view, an information system collects, processes, stores, analyzes, and disseminates information for a specific purpose.
1.2. Definition of Artificial Intelligence
“AI can be defined as ‘narrow’ if it is performing a specific intelligent task using methods that are applicable only to that task and are not intended to simulate human cognition. AI is ‘general’ if it simulates human cognition in thought and action” (Luger and Stubblefield, 2004). This represents a dichotomy in the field of AI. AI systems that are not simulating human cognition are already prevalent and hugely successful. Techniques in these systems have taught us much about problem-solving and have led to the development of tools that are extremely useful. An example would be the ‘simplex’ algorithm for linear programming. This is an advanced method for finding the best solution from all possible solutions to maximize or minimize a linear objective function. It has exact methods and achieves an exact result. Unfortunately, methods in AI continue to be overshadowed and compared to human intelligence techniques. This has led to the stigma in computing circles that AI serves no other purpose than to simulate human cognition. The ultimate evidence of this would be success in writing a program that emulates all human intelligence behavior. Failure to achieve this would leave many to believe that the methods in human cognition were not understood well enough in the first place.
The definition of artificial intelligence (AI) is itself a complex issue. We have, however, at least one iteration of a general definition that will be used as a point of reference. According to Winston (1992), AI is “the study of the computations that make it possible to perceive, reason, and act.” The purpose of AI has been the long-running dream of computer scientists who have developed computer-based systems to solve problems that normally require human intelligence. They have been attempting to replicate reasoning, knowledge, planning, learning, communication, perception, and the ability to move and manipulate objects. In many cases, these systems have vastly outperformed humans in their specific tasks. This has led to a large proportion of AI research being focused on areas that will enable the development of non-intelligent systems to act more intelligently. If we label the overall effort to create computer systems that can execute intelligent tasks, this would cover almost all of AI. This would indicate that a system is intelligent if it can act and prevail in the task it was designed for.
2. Relationship between Information Systems and Artificial Intelligence
2.1. Overview of the Relationship
2.2. How AI is Used to Develop Information Systems
2.3. How Information Systems Support the Development of AI
3. Applications of Artificial Intelligence in Information Systems
3.1. AI in Data Analysis and Decision Making
3.2. AI in Natural Language Processing
3.3. AI in Machine Learning
4. Benefits of Integrating AI into Information Systems
4.1. Improved Efficiency and Accuracy
4.2. Enhanced Decision Making
4.3. Automation of Repetitive Tasks
4.4. Personalized User Experiences
5. Challenges and Limitations of AI in Information Systems
5.1. Ethical Considerations
5.2. Data Privacy and Security
5.3. Lack of Human Judgment and Intuition
6. Future Trends and Developments in AI and Information Systems
6.1. Advancements in Machine Learning Algorithms
6.2. Integration of AI with Internet of Things (IoT)
6.3. AI-Powered Chatbots and Virtual Assistants
7. Case Studies
7.1. AI-Driven Customer Relationship Management (CRM) Systems
7.2. AI-Powered Recommendation Systems
7.3. AI in Healthcare Information Systems
8. Conclusion

Accounting for Inventory Transactions and Profitability Evaluation in Merchandising Companies

QUESTION
discuss the accounting-for-inventory transactions of merchandising companies, the two formats of preparing the income statement, and how to evaluate the profitability of a merchandising company. We will also discuss how companies determine the year-end inventory value and cost of goods sold using one of the cost-flow assumptions. Finally, we will examine the impact of choosing a certain cost-flow assumption on the tax liability and other financial statement numbers of a company.
Let’s begin with this question: How is the income statement of a merchandising company different from that of a service company?

ANSWER
1. Income Statement Differences between Merchandising and Service Companies
The income statement of a service company and a merchandising company differs in terms of the amount of reported revenues and the presentation of cost of goods sold and gross profit. In a service company, the revenue section of the income statement looks simple. Revenues are reported when services performed, not when cash is received. The statement shows the total revenues generated by the company during the reporting period. It does not record any revenues for future services that have been paid in advance. The unearned revenue is recorded in the balance sheet as a liability. In contrast, a merchandising company uses a more complex revenue recognition principle. The income statement should show the sales revenue for the period and the gross profit of the company. Sales revenue represents the actual invoiced sales to customers, not the purchase revenue as recognized in the company’s books. However, as for services, revenue is recognized when goods are delivered to the buyers, not when the cash is received. The cost of goods sold is the expenses that a merchandising company has paid to produce the goods that have been sold during the reporting period. The calculation of cost of goods sold is not necessary in a service company’s income statement. Besides, it is also different from the expense of purchase that has been paid during the period. This is because the cost of goods sold should be recorded as expenses in the same period as sales which have been generated from the sold goods. Unlike in a merchandising company, the statement will only show the net sales after deducing the cost of goods sold. It does not show the total revenues from goods purchased by the company. However, the revenue section will show total revenues overall, including for any future services that have been paid in advance. In contrast to a service company, the income statement of a merchandising company should also present the cost of goods sold and gross profit. The cost of goods sold is the expenses that a merchandising company has paid to produce the goods that have been sold during the reporting period. The calculation of cost of goods sold is not necessary in a service company’s income statement.
1.1. Revenue Recognition in Merchandising Companies
The title to the inventory passed from the seller to Revcon Inc. at the shipping point. The goods will be shipped FOB (Free On Board) shipping point. When the inventory arrives at Revcon Inc.’s location, the prepaid freight will be reclassified to the income statement and Revcon Inc. will record the delivery costs as a part of the cost of the goods sold.
Illustration 1: Revcon Inc. ordered an inventory costing $4,000 on 11/20/X1 and received the inventory on 12/3/X1. The seller paid for the shipping cost of $200.35.
Revenue is earned when the seller transfers the promised goods or services to the customer, regardless of when the customer pays for the product. In a merchandising company, revenue is earned through the sale of merchandise. Revenue from the sale of inventory is recorded in the income statement when title to the goods passes from the seller to the buyer. Goods can be sold under different contractual terms. If the seller explicitly agrees to pay for the transportation of the inventory to the buyer, then the seller has title to the goods until the inventory reaches the buyer. If the merchandise is shipped FOB (Free On Board) shipping point, then the title to the goods passes to the buyer at the shipping point. In this case, the seller will record the sales revenue and the inventory will be reduced when the goods have been loaded onto the shipping vehicle. The buyer is responsible for the transportation costs and the seller will not record additional costs associated with delivering the inventory to the buyer. If the merchandise is shipped FOB destination, then the title to the goods passes to the buyer when the goods reach the buyer’s place of business. In this case, the seller will record the sales revenue and reduce the inventory when the merchandise has been delivered to the customer’s location. The seller is responsible for the additional costs of shipping the merchandise to the buyer, and therefore the seller will record the costs associated with the transportation as freight-out expenses on the income statement. On the contrary, if the seller agrees to pay for the additional transportation costs, then the buyer will not take title to the goods until the merchandise is delivered. If the merchandise is shipped FOB destination, then the revenue from the sales transaction and the related cost in the amount of the prepaid freight will be recorded as a deferred cost on the balance sheet. The seller will record the freight cost as a part of the cost of the goods sold when the inventory is delivered to the customer’s location. As a result, the merchandise appears in the inventory and the seller consumes the freight cost, at which point the deferred cost of the prepaid freight will be reclassified from the balance sheet to the income statement.
Revenue from sales transactions
1.2. Cost of Goods Sold Calculation in Merchandising Companies
The cost of goods sold calculation in the income statement in merchandising companies is a primary difference from the income statement in service companies. In service companies, there is no requirement for tracking the inventory and the cost of goods sold. Instead, the cost of goods sold in merchandising companies is like the direct labor and manufacturing overhead in manufacturing companies: it is associated with the inventory that has been sold. In another word, cost of goods sold represents the expense of the goods that have been sold during the period. The calculation of cost of goods sold is shown as follows: begin with the beginning inventory, add the purchase, and then subtract the ending inventory. The beginning and the ending inventory are also reported in the balance sheet at the end of the year. However, the income statement is only for each period. When the goods are sold, the cost of those goods will be transferred from inventory to the cost of goods sold. From the formula of calculating the cost of goods sold, it is understood that cost of goods sold usually involves three accounts: the inventory, the purchase, and the cost of goods sold itself which is shown in the income statement. Since the merchandise inventory in the balance sheet has to be measured at the end of the month every time, the cost of goods sold should be periodically calculated and matching with the actual cost of the goods which are in the inventory. You could see how important the time and the effort of keeping track of the inventory, buying and selling the goods are to the manager. All these activities will be reflected in the income statement and the balance sheet that provide useful information for decision making, performance evaluation, and comparison with similar companies. According to the document, there are two formats of preparing the income statement in merchandising companies, which are single-step income statement and multiple-step income statement. The single-step income statement is simple and uses only one step to calculate the net income. On the other hand, the multiple-step income statement provides more detailed information for the users, like the gross profit and the total operational expenses. And it also provides a subcategory for each kind of operational expense.
1.3. Gross Profit Calculation in Merchandising Companies
The formula to calculate gross profit is: Gross Profit = Net Sales – Cost of Goods Sold (COGS). It is important to note that COGS is the cost of inventory at the beginning of the accounting period, plus the cost of purchases during the accounting period, minus the cost of inventory at the end of the accounting period. Inventories usually involve various cost factors due to inflation or other price level changes. So, the management has to choose a cost flow assumption from different inventory valuation methods. There are three most widely used inventory valuation methods under a perpetual inventory system, which are: First-In, First-Out (FIFO); Last-In, First-Out (LIFO) and Weighted Average Cost. These methods will lead to different allocation of cost of goods sold between consecutive accounting periods and therefore it will lead to different figures of gross profit and eventually different tax liability. On the other hand, under a periodic inventory system, the cost of goods sold and the ending inventory are physically counted and then costed at the end of the accounting period. The value of closing inventory is calculated by: closing inventory = opening inventory + purchase – closing inventory. As a conclusion, the main difference between gross profit margin, operating profit margin and net profit margin is the deduction used in the formula of each margin. Gross profit margin deducts cost of goods sold from net sales, while operating profit margin deducts the total operating expenses from gross profit; and net profit margin deducts all the other expenses (e.g. interest, taxation) from the operating profit. It is important to make an overall efficiency comparison on different profit margins of a particular company, by comparing with the margins growth over different accounting periods and by comparing the margins with the average company margins in the same industry.
2. Two Formats of Preparing the Income Statement
2.1. Single-Step Income Statement Format
2.2. Multiple-Step Income Statement Format
3. Evaluating the Profitability of a Merchandising Company
3.1. Gross Profit Margin Analysis
3.2. Operating Profit Margin Analysis
3.3. Net Profit Margin Analysis
4. Determining Year-End Inventory Value in Merchandising Companies
4.1. Perpetual Inventory System
4.2. Periodic Inventory System
5. Cost of Goods Sold Calculation using Cost-Flow Assumptions
5.1. First-In, First-Out (FIFO) Method
5.2. Last-In, First-Out (LIFO) Method
5.3. Weighted Average Cost Method
6. Impact of Cost-Flow Assumptions on Tax Liability and Financial Statements
6.1. Tax Implications of Different Cost-Flow Assumptions
6.2. Effect on Inventory Valuation
6.3. Impact on Profitability Measures

Leadership Theories and Behaviors

Question
 examine the leadership theories and behaviors  
Answer
Leadership Theories and Behaviors
1. Introduction
By providing its specific goal and relevant leader behavior, the so-called “trait” theory falls into the “managing own personal development” area. When people talk about the “task” theory, which emphasizes accomplishing work and reaching common objectives through the execution of a mission, it matches with “management of self” leader behavior.
This book is specially designed for the use of postgraduate students of the Master of Science Degree in Management. It provides a well-structured and conceptual development on leadership theories and a practical approach on leadership behaviors. By going through this book, it’s believed that the audiences at least will get some new ideas on leadership theories and effective ways in adopting these theories as their leader behaviors.
First of all, managers tend to be more practical and proactive with the adoption of leadership behavior. For example, when they are managing a team, the manager may first identify which theories can be applied to improve his team regarding work performance; then, he will align his management tasks according to the relevant leader behaviors, such as ensuring all team members concern their common objectives and showing respect to their opinions.
The introduction section defines leadership theories and emphasizes the importance of leadership behaviors. In general, leadership theories are divided into four critical main types: behavioral theories, trait theories, contingency theories, and transformational theories. However, on one hand, leadership behaviors are generally concerned with the roles which leaders play in the organizations. On the other hand, these behaviors are critical to organizational success, especially in human resource and project management. Therefore, this book will cover nearly the whole spectrum of leadership theories and behaviors.
1.1. Definition of Leadership Theories
However, the term ‘leadership theories’ is relatively a recent phenomenon and it does not have a single definition. Nowadays, the definition is in the process of being formulated. In fact, the 1990s and 2000s saw multiple of the most important and well-established leadership theories and meta-theories come to the fore. Each of these theories aims to provide an increased understanding of how and why leaders act the way they do and how and why leadership affects group processes and effectiveness. In turn, the various types of theory in the leadership focus on wider stakeholders at various levels, including those that may have no direct access or may be unaware of the leaders and other intra-group processes. By using these theories, there are four different leadership theories that may be involved, such as trait theory, behavioral theory, situational or contingency theory, and also full-range theory.
1.2. Importance of Leadership Behaviors
The trait theory has created many words from researchers to find out what traits are commonly found among leaders. However, many concluded that no simple list of traits has been proven to be more successful in explaining leadership. Also, the trait theory provides few explanations for the underlying causal mechanisms of how the traits lead to the leadership process. It could be due to the incapability of leaders to state precisely which traits they possess and technical difficulties such as low reliability and outdated measures and inappropriate statistical procedures.
Also, for a leader to develop his cognitive abilities, it is possible to bring about changes in cognitive patterns to encompass new experiences and knowledge, which will enable them to learn from the experiences and challenges faced. Cognitive ability can be enhanced and learned through experience-based development and formal education, such as learning aspects of psychological theories, social influence, leadership roots, and management principles. Cognitive ability also helps to assess underlying principles of an organization’s technologies and people.
Cognitive ability is also important for a leader, as many leadership tasks require problem-solving skills and the effective functioning of the leader’s mental processing. Cognitive ability helps in understanding how the subordinates react to certain issues and how the work team members’ coordination is like, and that information can be used to better guide the team to success.
Many empirical researches have been carried out to identify the specific characteristics of great leaders. Some of the traits consistently found in successful leaders include “drive,” “the desire to lead,” “honesty and integrity,” “self-confidence,” “cognitive ability,” and “job-relevant knowledge.” These traits can help ensure that the leader always acts in the best interests of their group, as these traits are associated with the trait of integrity and honesty in the leaders, which is essential for the leader-member relation behavior found by Fiedler’s contingency theory. Such theory suggests that leaders who are trusted and are in good relation with group members are more effective in every situation.
Secondly, different situations need different kinds of leadership. For example, during a crisis or a situation where fast and quick decisions are required, the trait theory, which emphasizes the personal attributes of leaders, may not be as effective as theories that focus on the behaviors of leaders in the particular situation.
One of the limitations of this theory is that it has been found that many different combinations of leadership traits provide effective leadership, which means that people can be a successful leader under different situations. For example, some leaders may be better at providing direction and instructing subordinates to complete a task, while there may also be leaders who can emotionally support and empathize with subordinates when necessary.
Trait theories of leadership are theories that consider personality, social, physical, and intellectual traits to differentiate leaders from non-leaders. This theory assumes that certain traits are best suited to leadership. Leaders born with these traits will rise to leadership more easily than someone who lacks them. It seeks to identify the individual characteristics of leaders.
2. Trait Theories of Leadership
2.1. Identifying Key Leadership Traits
2.2. Evaluating the Effectiveness of Trait Theories
3. Behavioral Theories of Leadership
3.1. Understanding Different Leadership Styles
3.2. Analyzing the Impact of Behaviors on Leadership Effectiveness
3.3. Comparing Autocratic and Democratic Leadership Styles
4. Contingency Theories of Leadership
4.1. Exploring the Contingency Approach to Leadership
4.2. Assessing the Situational Leadership Model
4.3. Understanding the Path-Goal Theory of Leadership
5. Transformational Leadership
5.1. Defining Transformational Leadership
5.2. Examining the Characteristics of Transformational Leaders
5.3. Analyzing the Impact of Transformational Leadership on Organizations
6. Transactional Leadership
6.1. Understanding Transactional Leadership
6.2. Exploring the Role of Rewards and Punishments in Transactional Leadership
7. Authentic Leadership
7.1. Defining Authentic Leadership
7.2. Examining the Importance of Authenticity in Leadership
8. Servant Leadership
8.1. Understanding the Concept of Servant Leadership
8.2. Analyzing the Role of Servant Leaders in Organizations
9. Charismatic Leadership
9.1. Defining Charismatic Leadership
9.2. Examining the Characteristics of Charismatic Leaders
9.3. Assessing the Impact of Charismatic Leadership on Followers
10. Leadership Development and Training
10.1. Identifying the Importance of Leadership Development Programs
10.2. Exploring Different Approaches to Leadership Training
11. Leadership in Different Contexts
11.1. Examining Leadership in Business Organizations
11.2. Analyzing Leadership in Nonprofit Organizations
11.3. Understanding Leadership in Government and Politics
12. Conclusion

Bullying Prevention and Assistance for Bullied Children

question
Bullying prevention is a growing research field that investigates the complexities and consequences of bullying.  There is also a complex relationship between bullying and suicide.  
Visit http://www.stopbullying.gov/resources/index.html and identify resources for preventing bullying
and assisting children who have been bullied.
Answer
Bullying Prevention and Assistance for Bullied Children
1. Introduction
First and foremost, the text could persuade people to stand against bullying efficiently. To fulfill this purpose, the text starts with research that tries to connect to academic and research studies to develop new effective ways for anti-bullying. By implementing this, readers would be convinced that this is the best practice and gives a meaningful impact. Meanwhile, the text then continues to state the significance of the research. After the aim or objective of the research is clearly stated, it is important to continue with the literature review about bullying. Through the literature review, it could help the readers understand more about the topic and justify the hypothesis. The text could provide some supportive statements or evidence from the literature. The next paragraph could talk about the characteristics of the bullies that the research found. In this part, the text needs to elaborate on how the characteristics have been studied. By providing a paragraph to talk about the characteristics of the bullies, the text would not be too focused and describe too much about the positive characteristics of the bullies. The idea of positive characteristics might not be accepted by the majority. When stating the method of the research, the text could provide some ideas and give insight into what type of data has been collected. On the other hand, the text could also provide the tools that have been used for data collection. Last but not least, the text is suggested to have research limitations as well. Researchers need to be honest with the readers that there is no perfect research. Therefore, the author should state the obstacles that have been faced during the research. By providing an honest statement, it could actually lead the readers to know more about the possible challenges that they may face for continuing the research. Also, it further gives room for improvement for the future, i.e. what the researcher could aim and do for the next research.
1.1. Overview of Bullying Prevention Research
As well, the Olweus Bullying Prevention Program is a widely recognized approach to preventing bullying. It is designed for children and youth and involves a combination of school-wide, classroom, individual, and community efforts. It has been found to reduce bullying in schools. In addition, the program provides a focus on creating a positive school climate. Schools and school districts around the country are using the Olweus program and are supplementing it with research-based strategies such as social emotional learning. Social emotional learning is the process through which children and adults understand and manage emotions, set and achieve positive goals, feel and show empathy for others, establish and maintain positive relationships, and make responsible decisions. Researchers are discovering the significant impact an emphasis on social emotional learning can make on both school climate and student learning. Such programs provide students with strong, evidence-based social and emotional education and help to facilitate the growth of a more positive school climate where bullying is less and less likely to be present. Clearly, research shows the importance of approaching bullying on different levels, from the individual to the school-wide level, and tailoring strategies to the type of bullying as well as the ages of the youth involved. By continuing to study the countless forms of bullying and the subsequent effects of each kind and by providing educators and parents alike with research-based prevention programs, strategies, and materials, we may be able to weaken the foundation upon which bullying is founded. Although there is no surefire way to prevent bullying, the aim of academic research and the information contained within this resource is to provide a more thorough understanding of the multitude of forms of bullying, and to provide assistance and resources for those who may be affected by such negative behaviors. By exploring research, the underlying causes of a variety of bullying types, and how educators and parents can help to prevent or diminish such behaviors, individuals can develop a strong sense of how bullying negatively affects not only the victim, but also the bully and witnesses to bullying.
1.2. Understanding the Complexities of Bullying
Firstly, it is important to recognize the various different forms of bullying. These can be physical, verbal, relational, and sometimes it can even encompass that of sexual harassment. For example, in some instances, the very friends that a person had turned against them, which is a form of social aggression that sometimes can be even more devastating than just the individual direct bullying itself. Another complexity is that statistics themselves are not always clear as to the true extent or definition of bullying. It is often debated as to whether the bullies themselves are suffering from an underlying psychological problem, or whether they are in fact fully aware of their actions. This is something we explore later within this literature. One key element identified by many is that in order to be able to tackle the issue of bullying, it is essential to understand the different and complex behaviors that are often associated with these types of repeated aggression. For example, research commissioned by the Department for Education and Skills (2009) identified and recognized that there are many different ‘push’ and ‘pull’ factors that are associated within cases of bullying. Ergo, what may start out as a learned cycle of repeat type of aggression can often become a dominant pattern of negative behavior. This can become deeply ingrained over prolonged periods, especially if the bullying tactics are tolerated or remain unanswered. At the core of the underlying issues, it is identified by the research that the individual being the target of the bullying is more often than not at risk from not only ‘psychosocial’ problems such as low self-esteem, or that of an inability to protect themselves effectively from the aggression, but it is known now that academic studies are also a big potential target for the bullies as well.
1.3. Consequences of Bullying
One of the most common and dangerous effects of bullying is the development of low self-esteem. Self-esteem is how a person feels about his or herself and can greatly influence how a person views the world and their role in the world. If a person feels badly about themselves, they are less likely to take productive action towards their goals and more likely to feel helpless and depressed. Additionally, bullying can have long-term effects on a person’s life. The US Department of Health and Human Services reports that children who are bullied are more likely to develop depression and anxiety and grow up to be more susceptible to mental health problems, job insecurity, and even homelessness in their adult years. There have also been multiple studies that have suggested that children who are bullied are more likely to abuse alcohol and other drugs in adolescence and as adults. Bullying has even been linked to an increase in the likelihood of a person committing criminal acts. It has been suggested that the experience of being bullied, and the resulting shame, isolation, and quiet rage, may be contributing factors behind the decision to commit criminal acts. Some of the worst effects of bullying occur when the victim takes his or her own life. When a person is constantly told that they are ugly, not good enough, or that they should kill themselves, the simple words become a reality to the victim and he or she will take their own life. Victims of bullying and cyberbullying are between 2 to 9 times more likely to consider committing suicide, as cited by the US Department of Health and Human Services. There are many different LGBTQ youth support groups and other anti-bullying organizations throughout the country that help provide a safe haven for victims of bullying. They often help children who are being bullied learn to defend themselves, promote greater awareness in schools and communities, and provide education on the patterns that bullying can take. Research has shown that young people who are actively engaged in implementing programs and strategies that foster positive youth-adult relationships and that help to develop conflict resolution and leadership skills are much less likely to problem-bully or to have been seriously victimized themselves. Such programs create an environment where bullying, particularly if it is more subtle or persistent, has a much smaller chance to take root.
2. Bullying and Suicide
2.1. Exploring the Relationship between Bullying and Suicide
2.2. Identifying Risk Factors for Suicide in Bullied Individuals
2.3. Strategies for Suicide Prevention among Bullied Individuals
3. Resources for Preventing Bullying
3.1. StopBullying.gov – Overview and Purpose
3.2. Educational Programs for Bullying Prevention
3.3. Training Materials for Teachers and Parents
3.4. Research-Based Strategies for Bullying Prevention
4. Resources for Assisting Bullied Children
4.1. Supportive Organizations for Bullied Children
4.2. Counseling and Therapy Services
4.3. Building Resilience in Bullied Individuals
4.4. Legal Protection and Advocacy for Bullied Children
5. Conclusion

Marketing Communication Channels for Selected Business

Assignment Content
Marketing communications channels, whether traditional or online, are used to attract buyers and increase customer loyalty. Different channels are used for different reasons, such as for reaching specific demographics or for their functionality. Marketing teams must analyze various communication channels to determine the best fit for their product or service. Within the marketing plan, teams must identify the channels that can be used to convey key messages.

Using your selected business from the previous assessments, create an outline in which you:

Select and identify at least 5 marketing communication channels that could be used to reach selected audiences that area fit for your selected business. These should include online and traditional communication channels to convey key messages.
Determine the advantages and disadvantages of each selection.
Answer
1. Introduction
The introduction would include background information on what is marketing communication and what are the purposes of undertaking such communication. It would also provide readers with an overview of the forthcoming report, including an outline of the different sections contained in the report. The introduction would help set the stage for the remaining report by outlining the key points that are going to be discussed. It would draw readers’ attention to the systematic unfolding of the report’s elements. In addition, the introduction would also provide information on why should we use marketing communication, including reasons such as creating and reinforcing brand awareness, encouraging engagement with customers, and driving sales. The introduction would set a formal tone as expected in an academic report; it would provide an awareness regarding the importance of marketing communication practices in today’s dynamic business environment and businesses’ continuing commitment to meet customers’ needs. It would help readers to understand the growing importance of marketing communication in modern businesses. Furthermore, the introduction would include an outline on what sections will be analysed in the forthcoming report and what the readers can expect to find in each of the sections. Through this, readers will be helped to navigate the report from a systematic perspective. This will draw readers’ attention to the clear structure of the report. By providing an outline, readers will have the assurance that the report is well designed. Last but not least, the introduction would provide a briefing about the chosen business. This will enable readers to gain a general understanding of the business’s products, services, locations, distribution channels and other general operations of the chosen business. It paves the way to a detailed analysis on how marketing communication channels can be applied to meet the specific needs and wants of the chosen business. Readers would be provided with greater depth of understanding the nature of the business. Based on the analysis of marketing communication channels in relation to the chosen businesses, readers would be able to appreciate the business relevance of marketing communication theories and practices. Also, as the report develops, the application of marketing communication practices would be closely linked with the general operations of the chosen businesses. It would provide a structured and coherent transitional point between each of the marketing communication channels to be discussed.
2. Online Marketing Communication Channels
2.1. Social Media Platforms
2.2. Email Marketing
2.3. Search Engine Marketing
3. Traditional Marketing Communication Channels
3.1. Television Advertising
3.2. Print Advertising
3.3. Direct Mail
4. Advantages and Disadvantages of Online Channels
4.1. Social Media Platforms
4.2. Email Marketing
4.3. Search Engine Marketing
5. Advantages and Disadvantages of Traditional Channels
5.1. Television Advertising
5.2. Print Advertising
5.3. Direct Mail
6. Conclusion

Challenges of Managing Information Systems

Question
The Challenges of Managing Information Systems: Explore the challenges of managing information systems. Discuss issues such as system integration, data quality, and user adoption.

Answer
1. System Integration
System integration is the process of connecting different sub-systems within the whole system in order to maximize functionality of the system. By working on their coordination of each sub-system, they can be developed with maintaining their autonomy but also can be integrated to work together to serve the organization’s overall purpose. The goal of system integration is to not just share data, but to enhance the integrated organization’s performance. An important benefit of system integration is the ability for different systems to easily access and exchange information. The main problem faced is ensuring that the relevant data can be available on the new platform once it has been accessed. Data integration is a precursor to system integration; system integration is broader in scope in comparison to data integration. Integration of a new system to systems already present in the organization has caused a greater need for ETL (Extract, Transform, Load) tools to migrate data, as well as a data warehouse environment to facilitate the necessary data transformation and provide the integrated system with visible access to the data it requires. In the evolution of IS/IT technologies, the integration method has evolved from old custom coding methods to the more reusable option by using middleware technology. It has been another challenge to ensure different systems and middleware platforms can be integrated. System integration is an essential phase in more complex automation systems. Failure to integrate can cause delays in development or unnecessary additional costs.
1.1. Interoperability challenges
This often results in a situation where point-to-point integration is used with a custom-built interface, but this approach has been heavily criticized as costly and high in coupling between the integrated systems.
The most pressing interoperability issue lies with newer systems being deployed, as these will eventually become the legacy systems of the future, and so businesses will want to leverage the existing IT infrastructure. This creates a need for temporal interoperability, the ability for systems to exchange data and use the services of other systems, but in a way that can cope with future changes to those systems or deactivation of the system.
It has been suggested that due to the high level of complexity present in modern systems, achieving fully interoperable systems may, in fact, be infeasible. This is due to the difficulty of modeling and creating a standard for every automated business process that can be implemented by different systems but still allow meaningful data interchange.
Interoperability, the ability of a system to share data and services with other systems, is the crux of system integration. An absence of widely accepted system-interconnection standards and the related trust between organizations has made achieving system interoperability very difficult. This, in turn, has led to a situation where systems are very brittle and exhibit a low grace of failure. As a result, the cost of ownership of the system increases as organizations find themselves maintaining and remediating the same issues.
1.2. Legacy system compatibility
Legacy systems refer to systems that are considered outdated or obsolete. These systems are often proprietary and require just a few people to maintain them. Other times they are highly customized to perform specific functions for a particular business or organization. Legacy systems may not be replaced simply because they are critical to the business and the cost of replacement is too high to justify the implementation of a new system. Therefore, in these cases, the new system must be compatible with the old. This can pose major problems for both the company implementing the new system and the vendor providing it.
A) When firms attempt to integrate their systems with those of business partners or change to new software packages, they often find that the new applications either do not work together, or the business partners’ systems cannot operate with the latest technologies. The result is that firms are forced to maintain complex, costly, and extremely difficult to maintain links between systems. For example, the Australian Wool Exchange invested $8.5m for an online transaction processing system to handle the buying and selling of wool. This was to replace a system that had been in place for 40 years. However, wool brokers were unwilling to invest in the technology required to move the data from their systems to the exchange. This led to the abandoning of the project and a return to a manual process. This is a common situation for businesses. Almost every system in existence is connected with another in some form. Therefore, when a new system is implemented, it must work in tandem with the old system or the system being replaced.
1.3. Data migration issues
Major integration and development projects bring a high probability of data migration because most systems being integrated or replaced will need to maintain some level of data accessibility and functionality. However, data migration itself is one of the most challenging and critical components of the integration process. Rapid changes in technology and data structure make migration a difficult task, and failure in migration can lead to project delays or, in extreme cases, complete project failure. Data migration can most easily be described as moving data to one or more systems in an effective and efficient way in order to access and use that data when it is in the new location. It is often best to view migration as a process, rather than a single event. Usually, the process is automated, but it can involve manual steps. Direct data transfer is often the most appealing option, but there may be a need to modify data in order to match the new system’s requirements. This is a risky scenario, as altering data can lead to integrity loss, and if transfer methods are not well considered prior to the actual transfer, it can lead to much time and expense on recoding and rerunning the transfer process. If the data has a complex modern structure, it may be more efficient to rebuild the data in the new system, either by manual entry or with some form of data capture and processing. Many organizations underestimate the complexities involved in migrating data, and this is reflected in a general lack of knowledge in the area, and subsequently, data migration project failures are a common occurrence.
2. Data Quality
2.1. Accuracy and completeness
2.2. Consistency and reliability
2.3. Data governance and stewardship
2.4. Data security and privacy
3. User Adoption
3.1. Resistance to change
3.2. Training and education
3.3. User interface design
4. Information System Performance
4.1. Scalability and capacity planning
4.2. System reliability and uptime
4.3. Response time optimization
5. Information System Governance
5.1. IT strategy alignment
5.2. Risk management and compliance
5.3. IT project prioritization
6. Information System Security
6.1. Cybersecurity threats
6.2. Access control and authentication
6.3. Incident response and recovery
7. Information System Analytics
7.1. Data mining and analysis
7.2. Business intelligence tools
7.3. Predictive analytics
8. Cloud Computing and Information Systems
8.1. Cloud adoption challenges
8.2. Data sovereignty and privacy concerns
8.3. Vendor lock-in risks
9. Mobile Technologies and Information Systems
9.1. Mobile app development
9.2. Device compatibility and fragmentation
9.3. Mobile security and data protection
10. Artificial Intelligence and Information Systems
10.1. Machine learning applications
10.2. Ethical considerations
10.3. Human-AI collaboration
11. Emerging Technologies in Information Systems
11.1. Internet of Things (IoT)
11.2. Blockchain technology
11.3. Augmented and virtual reality
12. Big Data Management
12.1. Data storage and retrieval
12.2. Data processing and analysis
12.3. Data privacy and compliance
13. Knowledge Management Systems
13.1. Knowledge capture and sharing
13.2. Expertise location and retrieval
13.3. Collaboration and social networks
14. Change Management in Information Systems
14.1. Organizational change readiness
14.2. Communication and stakeholder engagement
14.3. Change implementation and evaluation
15. Project Management for Information Systems
15.1. Scope definition and requirements gathering
15.2. Resource allocation and scheduling
15.3. Risk identification and mitigation
16. IT Service Management
16.1. Incident and problem management
16.2. Service level agreements (SLAs)
16.3. Continual service improvement
17. Data Warehousing and Business Intelligence
17.1. Data extraction and transformation
17.2. Data modeling and schema design
17.3. Report generation and data visualization
18. System Development Life Cycle (SDLC)
18.1. Requirements analysis and specification
18.2. System design and prototyping
18.3. Testing and quality assurance
19. IT Governance Frameworks
19.1. COBIT (Control Objectives for Information and Related Technologies)
19.2. ITIL (Information Technology Infrastructure Library)
19.3. ISO 27001 (Information Security Management System)
20. Business Process Management and Information Systems
20.1. Process modeling and optimization
20.2. Workflow automation and orchestration
20.3. Performance monitoring and improvement

Nurses’ Safety Measures When Administering Medications and EHR System Safety Measures

question
Students will identify and evaluate nurses’ safety measures when administering medications at a specific healthcare facility. Each student will also evaluate an EHR system’s safety measures at one healthcare facility. Students will prepare a Powerpoint to present details of the assignments in no more than 20-25 minutes. Students should follow the assignment rubric the instructor provided to complete the assignment.
Ruberic:
Overview of hospital, bed, capacity and services
This criterion is linked to a Learning OutcomeDescription of Safety Measures Used by Nurses When Administering Medications
Description of Safety Measures Used Within an EHR System
This criterion is linked to a Learning OutcomeEvaluation of Safety Measures Used by Nurses and Within an EHR System
This criterion is linked to a Learning OutcomePresentation/Writing Mechanics and Formatting Guidelines
answer
 
1. Overview of the Healthcare Facility
An overview of the nurse’s work routine is a must to understand and view the nurses’ safety measures when administering medications and the EHR system safety measures wholly. The nurses at this facility are given patients to manage for specific shifts that include morning shift (7am-2pm), afternoon shift (2pm-9pm), and night shift (9pm-7am). Usually, there will be an average of 6 patients per nurse as our bed capacity is 25. During the mentioned shift times, nurses will have their main jobs such as wound dressings, management of leg ulcers and post-operative wounds, and medication rounds.
The healthcare facility is a general inpatient unit for acute and chronic medical conditions. The bed capacity is 25 beds with 5-6 side rooms. The services that are provided by the facility include dispensing and administering medications, wound care for acute and chronic conditions, and also managing wounds of post-operative patients from general surgical, orthopedic, and colorectal surgery. Other than that, leg ulcer management is also provided by the facility, which includes compression bandaging and ulcer assessment.
1.1. Hospital Description
The current essay is focused on the nurses’ medication safety measures and EHR system to prevent medication errors. Adelaide Hospital is a small community hospital in the south of Australia. Physicians working in the University of Adelaide and Flinders University Adelaide have admitting rights to the hospital. Most of the patients in Adelaide Hospital were referred by the physicians from University Adelaide because it is a teaching hospital. Adelaide Hospital is divided into 6 units. Unit A is the Medical Unit, Unit B and C are Surgical Units, Unit D is the Integrated Maternal and Child Health Unit, Unit E is the Mental Health Unit, and Unit F is the Outpatient Unit. This essay is not only describing the systems or how the nurses can prevent medication errors, but the essay is also providing the specific instructions or steps that the nurses can do to prevent the errors and the EHR system itself. Adelaide Hospital is a teaching hospital with 230 beds. This hospital provides full internet access to the allusion healthcare software, whereas it is the EHR system that creates electronic medication administration record (eMAR) and several clinical information systems. EHR is a secure, interactive, and permanent tool which can make collaboration of healthcare providers easier and efficient for the patient in obtaining the best care. Measures to ensure that patients get the best care provided by nurses who are aware of the needs of the patient, safety, and how to achieve the best care. The error in giving medication to the patient here is something that is undesirable. The hospital is trying to resolve the problems frequent incidents of drug administration to the wrong patient or wrong medication dose for because nurses are less emphasis on patient data recorded in the medical record and less oversight of the doctor to give a prescription.
1.2. Bed Capacity
The facility is composed of several buildings in close proximity and connected by a series of hallways. The East Hospital was constructed in 1994, and has 107 acute care beds. In 2004, the West Hospital was built, and increased total bed capacity to 239 acute care beds. During the past several years, the West Hospital has become home to several clinical areas, to include the Neuroscience Intensive Care Unit, Neurology/Neurosurgery/ENT clinics, Ophthalmology, Vascular, and Urology services with plans for further expansions and relocations in the near future.
1.3. Services Provided
Overview of the Healthcare Facility Hospital Description Bed Capacity Services Provided
2. Safety Measures Used by Nurses When Administering Medications
2.1. Medication Verification Process
2.2. Proper Dosage Calculation
2.3. Checking for Allergies and Adverse Reactions
2.4. Monitoring Patient Vital Signs
2.5. Documentation of Medication Administration
3. Safety Measures Used Within an EHR System
3.1. User Authentication and Access Control
3.2. Data Encryption and Security
3.3. Audit Trails for Tracking System Activities
3.4. Error Prevention and Alerts
3.5. Regular System Updates and Maintenance
4. Evaluation of Safety Measures Used by Nurses and Within an EHR System
4.1. Effectiveness of Medication Safety Measures
4.2. Identification of Potential Risks and Hazards
4.3. Comparison of Safety Measures with Industry Standards
4.4. Feedback from Nurses and Healthcare Providers
4.5. Recommendations for Improvement

Chronic Illness Trajectory and its Influence on the Plan of Care

Question

   Describe the chronic illness trajectory for the selected illness based on the patient’s age. 
 
How does the chronically ill patient’s illness trajectory influence the plan of care?
Answer
1. Introduction
Chronic illness can be a life-altering incline of suffering and disability. It can affect every stage of a person’s life, from juvenile to old age, and can lead to a heavy burden on the families and caretakers of those with such illnesses. As chronic illnesses progress, there often comes a time when a patient’s living conditions worsen to the point where a healthcare proxy such as kindred or enduring power of attorney is required to make sure the patient’s wishes are respected. Understanding the disease trajectory for an enduring illness is a precarious part in being able to control the course of both the illness and the patient’s life. There are fixed key factors and patterns that need to be taken into account when looking at disease trajectory. The most perilous step in a patient’s trajectory is putting in writing the degenerative course of a chronic illness. As a disease progresses, new supportions and capabilities need to be discovered, practiced, and shared with others. Each phase of the illness course requires necessary adjustments to be made regarding both the patient’s and the caretaker’s daily routine and activities. This article will discuss what a chronic illness is, how it is characterized, and the physical, psychological, and societal consequences of such movement.
1.1. Definition of Chronic Illness
Chronic illness is a persistent condition that lasts a long time, sometimes for the entire life of the patient. An illness is considered chronic if it is persistent and constantly recurring over time. Examples of chronic illness include osteoporosis, diabetes, stroke, hypertension, obesity, and heart disease. Chronic illness not only causes physical disability but also affects mental and emotional health of the sufferers. The most common factors contributing to chronic health problems are lack of adequate physical activity, poor nutrition, tobacco use, and drinking too much alcohol. They are associated with a number of preventable health risks and result in a dramatic increase in the number of people suffering from chronic illness and death. This type of illness can be very complex to treat. Patients’ daily functions can be affected and this generates any number of issues, from the future to the way people live their lives, and even how they define themselves. For that reason, it is crucial to help patients evolve from a take-it-as-it-comes notion of time to a forward-looking and proactive use of time, which signifies that patients should strive for health regardless of the presence or absence of any symptoms. This transition is exemplified by the mutation in their awareness of their bodies and self, no longer as residents of an indifferent form but as partners which illnesses are not so much suffered as waged over. Such changes in thinking and living will have beneficial effects for how patients understand the meaning of their lives and themselves. This transformation in the patient’s self-understanding is the overarching therapeutic goal in chronic illness care. Adoption of the word “chronic” takes on a remarkable reality for all parties involved, for this is indicative of a historical, progressive, and dynamic form of illness that is now perfected in the present. Every moment that the patient experiences is not just a repetition of the same symptoms but a radical rethinking and revision of the meaning of time and the subject’s place in it. Thus, chronic illness care poses a unique challenge for all those involved. It mandates not only medical attention and therapeutic intervention but also a fundamental redirection in the patient’s sense of time and self, and in that, the patients will find that they are not just living with their illness but leading their lives in health. Because of the imposing and oftentimes overpowering aspects of chronic illness, patients are usually unaware of the external stigmas being associated with their condition. Every year, just around 900,000 individuals encounter untimely death because of a chronic illness. However, the public is more prone to be sympathetic toward diseases such as cancer and acute illness, in comparison to chronic disorders. Public awareness towards chronic ailments is essential to minimize the discrimination that patients with chronicity may experience. Alleviating stigmas would have the effect of allowing the patient to better integrate their life worlds with the environment and foster more meaningful relationships with others.
1.2. Importance of Understanding Illness Trajectory
Chronic illness is a great burden for the patient population, and few patients tolerate chronic illness well. When these patients are admitted to a hospital, they require an effective plan of care that will be able to manage their chronic illnesses as well as the acute exacerbation of their diseases. Understanding the chronic illness trajectory is central to the patient and family-centered plan of care design. As mentioned by Corbin and Strauss (1988), the illness trajectory is defined as “the unique course that the disease or illness takes in each individual; it unfolds over time and is characterized by a series of stages such as onset, acute, stable, unstable, and a return to wellness or a deteriorating process.” If the illness trajectory of a specific chronic illness is unknown, it may be difficult for a nurse to understand why patients make seemingly unexplainable decisions and why their condition changes over time. Moreover, in a situation of unplanned care or chronic illness exacerbation, the prior knowledge of the illness trajectory can help the hospital staff differentiate the temporary and long-term treatment needs. In this respect, integrating the illness trajectory of the specific chronic illness into care planning becomes significant. The knowledge of the illness trajectory can enable the care plan to cope and manage with the chronic illness and also minimize the acute exacerbation of the chronic illness. Also, it has great significance to the palliative care coordination and management. If the symptoms of a chronic illness change and worsen over time, the patient may move into the later stage of the illness. At this stage, the focus of the care shifts from treatment-oriented to comfort-oriented care. The understanding of the illness trajectory can help create a peaceful and comfortable environment for those who are dying of the chronic illness. In the parents of care, the patient and the family members are at the center of the care design according to the Chronic Care Model developed by Wagner et al. (1996). The care should be individualized and mindful of the needs of the patient and his/her family members. So when developing the care plan, the first step is to comprehensively understand the illness trajectory and its link to the patient’s current conditions. The individual experiences of the patient can guide the customization of the care plan as well as the synchronization of the patient’s participation in the care plan. Also, the family members may also be involved in the care planning process and facilitate the care activities because of the comprehensive understanding of the illness trajectory in such a family-centered plan of care (Ferrell & Coyle, 2008).
2. Chronic Illness Trajectory
2.1. Overview of the Illness Trajectory
2.2. Factors Influencing the Trajectory
2.3. Stages of the Illness Trajectory
3. Patient’s Age and Illness Trajectory
3.1. Impact of Age on the Trajectory
3.2. Age-Related Challenges in Managing Chronic Illness
3.3. Variations in Trajectory Based on Age
4. Plan of Care for Chronically Ill Patients
4.1. Importance of Tailored Care Plans
4.2. Assessing the Patient’s Needs and Goals
4.3. Collaborative Approach in Developing the Plan
4.4. Adjusting the Plan as the Trajectory Evolves
5. Integrating the Illness Trajectory into Care
5.1. Monitoring and Managing Symptoms
5.2. Addressing Physical Limitations and Functional Decline
5.3. Emotional and Psychological Support
5.4. Palliative and End-of-Life Care Considerations
6. Enhancing Patient and Family Education
6.1. Providing Information on the Trajectory
6.2. Educating about Self-Management Strategies
6.3. Promoting Health Literacy and Empowerment
7. Interprofessional Collaboration in Care
7.1. Role of Healthcare Professionals in the Plan of Care
7.2. Communication and Coordination among Providers
7.3. Engaging Other Disciplines for Holistic Care
8. Conclusion
8.1. Recap of the Importance of Understanding the Illness Trajectory
8.2. Key Considerations for Effective Care Planning