Challenges faced by Psychiatric Nurse-Free-Samples-Myassignment

Question: Identify the challenges faced by Psychiatric Nurse in maintaining Patients autonomy during Emergencies. Answer: Introduction: The nursing practice standard is organized around the nursing process of assessment, diagnosis, planning specific health outcome, implementing interventions and evaluating the care process. However, psychiatric mental health nurse face various challenges in maintaining the nursing standards while caring for mentally ill patients. According to the standard 9 of the NMBA standards for nursing practice, nurses are required to support individual or groups to informed decision making and respect a patients decision for care (Nursing and Midwifery Board of Australia - Registered nurse standards for practice 2017). This implies that nurses have the responsibility to respect patients autonomy while delivering care (Rahmani, Ghahramanian Alahbakhshian, 2010). However, in psychiatric nursing practice, ethical challenges increases for mental health nurses as they cannot engage patients in decision making due to impaired mental and reasoning capacity. This increases the risk of violation of pat ients autonomy and creates a dilemma for nurse. Increase in ethical dilemma apart from the complexity in care of mentally ill patient is the major reason for high turnover rate and poor satisfaction of nurse with psychiatric nursing job (Ma et al., 2016). To overcome these issues and increase the satisfaction of psychiatric nurse in their professional practice, conducting qualitative research to get detailed insight about challenges in maintaining patient autonomy in psychiatric nursing practice is important. This will help to modify models of care and give nurses the flexibility to justify their action of taking clinical decision on behalf of patient in emergencies despite the need to maintain patients autonomy during clinical decision making. This research proposal seeks to employ qualitative research method to understand the dilemma faced by psychiatric nurse in decision making during emergency situation. Research question and research objective: Research objective: The main objective of the research proposal is to- Identify the challenges faced by psychiatric nurse in maintaining patients autonomy during emergencies Evaluate the impact of challenges on psychiatric nursing practice Identify and recommend strategies to improve the skills of psychiatric nurse Recommend strategies to overcome the identified challenges and promote ethically safe nursing practice Research question: The research question is- What are factors that results in violation of patients autonomy/right during emergencies? What is the impact of these challenges on mental health nursing experience? How can they cope with the challenges? Gaps in Literature review: Before proceeding with the research work, it is necessary to review previous research done on the topic and find out what questions stills remain unanswered. The review of recent literature on the issue of ethical conflict in psychiatric nursing practice has shown that frequent ethical problem between nurse and mentally ill patient arise due to neglect and careless behavior towards patients, poor knowledge of nursing ethics and poor skills to manage complexities of psychiatric nursing practice (Rahmani, Ghahramanian Alahbakhshian 2010). Smith Herber (2015) justified the nurse action of violating patients autonomy to serve the best interest of patient and prevent them from any harm. The research explained that people with mental disorders have poor capacity to give informed consent during emergencies and in such situations nurses are required to take best decision on behalf of patient without compromising their life. They do not have the option of consulting family members too becau se they may not be readily available during emergencies or waiting for them might risk patients life. In addition, Puthran et al., (2013) also pointed out that violation of patients autonomy incidence depended on level of therapeutic relationship between patient and nurse. This was based on the assumption that a nurse is more likely to respect patients autonomy if they have good understanding about the subjective feelings of patients with mental illness. Despite the presence of useful insight regarding ethical implication in psychiatric nursing, the gap in these research work was that no process or system was described by which nurses could report about ethical issues in their practice. In some studies, detailed analysis of challenges was not present which limited the transferability of the findings in real setting. Some studies did not addressed the consequences of the challenges for psychiatric nurse. Secondly, there is lack of appropriate evidence regarding the coping mechanism t hat nurses can take to manage professional obstacles in nursing practice. Research methodology: Research paradigm and approach: As the key focus of the research proposal is to investigate in-depth about the psychiatric nurses perspective about violating patients autonomy in emergencies, the use of qualitative research approach is considered to be the most appropriate according to the research objective. The qualitative method of inquiry is useful for in-depth understanding of human behavior and this can be effectively used to evaluate the experiences of psychiatric nurse too (Lewis 2015). The nature of this research can also be defined as exploratory as it mainly explores the research question in detail to determine the nature of problem. Data for the research can be collected by semi-structure interview or survey method and the main advantage of exploratory nature of research in the context of the research question is that it will provide better understanding about the ethical challenges faced by nurse and facilitate brining change in the right direction based on the revelations from the new data (Barker and Pistrang, 2015). By this approach, the meaning of the data can be adequately categorized according to different themes. Reliable and clear set of data can be collected by semi-structured interview method. The use of open-ended questionnaire will help to explore relevant topic in depth which might not be possible with close ended questions (Leung 2015). Close ended questionnaire will also be prepared mainly to get demographic detail of research participants such as age, experience and qualification. Research paradigm is the specific method of inquiry and interpretation to understand a phenomenon in particular context (Mertens 2014). As the purpose of this research proposal is to investigate and evaluate challenges experienced by psychiatric nurse in maintaining patients autonomy during emergencies, it is reflective of interpretivist paradigm. Interpretivist research approach aims to understand human experience and as this research proposal particularly investigates about the experience of psychiatric nurse, it is also dependent on participants views of the situation (Cohen et al. 2013). It can also be regarded as anti-positivism and phenemonology paradigm because anti-positivism focus on interpreting the individual by the ideological position they posses and phenomenological research approach helps to explore the reasons for specific behavior of an individual based on direct interaction with the phenomena (Burrell and Morgan 2017). Hence, this research will not begin with a theo ry, however patterns of meaning will be generated by means of appropriate data collection method. The use of semi-structured interview method in this research also shows qualitative phenomenological approach in research which seeks to describe the lived experience of a phenomenon (Smith 2015). In the research, the lived experience of psychiatric nurse will be investigated and the phenomenon is working engaging in decision making with mentally ill patient. Research design: Descriptive qualitative research design has been adapted for this research proposal as it seeks to investigate about the research topic by means of qualitative semi-structured interview method. This is in relevance to the interpretivist research paradigm because interpretivist research approach integrates human interest in study and this research also focuses on the interest of psychiatrist nurse (Ormston et al. 2014). The reality of challenges in this study will be explored by interviewing psychiatrist nurse working in emergency care with the use of detailed questionnaire on the research topic. The descriptive research design will help to organize the findings into different theme and analyze them individually. True meaning behind the reason for increase in ethical issues related to patients autonomy violation by psychiatric nurse can be understood from this study. Research strategy Data collection: To address the research question, primary data will be collected by means of interview and survey methods. The interview will be based on set of open-ended and close ended questionnaire related to the research questions. The close ended questionnaire for the study will include the following: Year of experience in emergency department of acute mental health nursing Interaction with type of mentally ill patients Age and country of origin Qualification The open-ended questionnaire will inquire about the following Number of ethical violations related to patients autonomy Factors contributing to violation of patients autonomy System in place of psychiatric nurse to report about challenges in psychiatric practice Coping mechanism adopted to deal with challenges The interview will be conducted with selected sample group in an enclosed room and recorded for data analysis purpose. The main interviewer for the study will be an individual with at least 10 years of experience in psychiatric nursing practice but belonging to different institute. This will eliminate any biasness in analysis of research data. The primary data will help in collection of all information related to research question and topic. This can then be analyzed by researcher to answer the research question. Sampling method: The research will be conducted in a reputed mental health care setting in Australia. Non-probability sampling method will be followed to choose specific participants as per requirements of the research. Non-probability sampling is different form probability sampling as it does not employ random methods for selection of participants. This helps in the selection of participants according to specific plan of research (Acharya et al., 2013). The main criteria for selecting sample in this research study is- The participants must have qualification in psychiatric nursing Students with experience up to ten years will be included Nursing student must be between the age of 20-50 years Before conducting the research, the ethical approval for the study will be taken from the Research Committee of Australia and the permission for interview will also be taken from the mental health care setting. The participants will be provided all detail about the purpose of research and they will be included in the research study only after they give their consent for research (Marshall and Rossman 2014).For this, consent form will be sent to all psychiatric nurses. The sample size will be determined on the basis of number of positive response by psychiatric nurses. Data analysis: After the collection of data from semi-structured interview method, the evaluation of the data can be done by thematic approach. The data obtained from the interview can be categorized into the different themes such as organizational barrier, personal practice barrier and patient related barrier based on the response from participants. The content analysis can be done by summarization and tabulation method. The basic level of analysis will be descriptive account of the data and high level would be interpretive analysis of the participants response (Elo et al., 2014). This research design is likely to cover the limitation found in past research as it will provided detailed analysis about challenges and it will also give idea about the limitation in the current system present for nurse to report about ethical challenges in emergency nursing practice. Structure of research: The proposed research will have five chapters consisting of introduction, literature review, research methodology, findings and discussion and conclusion. The first chapter will clearly explain the purpose and significance of research. The second will present the previous work on the topic of investigation. The third chapter will adequately summarize relevant research design, data collection and sampling methods adopted for conducting the research. The fourth chapter will give an indication about the response of ethical challenges faced by psychiatric nurses while working with mentally ill patient patient. Based on the study finding, the final chapter will recommend appropriate strategies needed to enhance the competency of nurse in maintain patients autonomy during care References Acharya, A.S., Prakash, A., Saxena, P. and Nigam, A., 2013, Sampling: Why and how of it, Indian Journal of Medical Specialties,4(2), pp.330-333. Barker, C. and Pistrang, N., 2015, Research methods in clinical psychology: An introduction for students and practitioners, John Wiley Sons. Burrell, G. and Morgan, G., 2017, Sociological paradigms and organisational analysis: Elements of the sociology of corporate life, Routledge. Cohen, L., Manion, L. and Morrison, K., 2013.Research methods in education. Routledge. Elo, S., Kriinen, M., Kanste, O., Plkki, T., Utriainen, K. and Kyngs, H., 2014, Qualitative content analysis: A focus on trustworthiness,Sage Open,4(1), p.2158244014522633. Eren, N., 2014, Nurses attitudes toward ethical issues in psychiatric inpatient settings, Nursing ethics,21(3), pp.359-373. Leung, L., 2015 Validity, reliability, and generalizability in qualitative research Journal of family medicine and primary care,4(3), p.324. Lewis, S., 2015, Qualitative inquiry and research design: Choosing among five approaches, Health promotion practice,16(4), pp.473-475. Ma, Y.C., Yang, C.Y., Tseng, C.A. and Wu, M.H., 2016 Predictors of Work Stress among Psychiatric Nursing Staff in Rural and Urban Settings in TaiwanInternational Journal of Studies in Nursing,1(1), p.70. Marshall, C. and Rossman, G.B., 2014, Designing qualitative research, Sage publications. Mertens, D.M., 2014, Research and evaluation in education and psychology: Integrating diversity with quantitative, qualitative, and mixed methods Sage publications. Nursing and Midwifery Board of Australia - Registered nurse standards for practice. 2017,Nursingmidwiferyboard.gov.au., Retrieved 31 August 2017, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx Ormston, R., Spencer, L., Barnard, M. and Snape, D., 2014, The foundations of qualitative research, Qualitative research practice: A guide for social science students and researchers,2. Puthran, S., Vaswani, V., Jain, A. Kakunje, A., 2013, Perception about autonomy of patients having psychiatric disorder/illness by psychiatry nursing Staff,Age,21, p.30. Rahmani, A., Ghahramanian, A., Alahbakhshian, A. (2010), Respecting to patients autonomy in viewpoint of nurses and patients in medical-surgical wards, Iranian journal of nursing and midwifery research,15(1), 14. Smith, J.A. ed., 2015, Qualitative psychology: A practical guide to research methods, Sage. Smith, J.P. Herber, O.R., 2015, Ethical issues experienced by mental health nurses in the administration of antipsychotic depot and long?acting intramuscular injections: A qualitative study, International journal of mental health nursing,24(3), pp.222-230.

What Must Be Done to Improve Ethics in Finance and Corporate Governance free essay sample

Corporate governance can be referred to the rules, processes, or laws by which businesses are operated, regulated and controlled. It can also refer to internal factors defined by the officers, stockholders or constitution of a corporation. After finding the meaning of Corporate governance, which can also be referred to corporate responsibility, I thought about the policies in which the company I work for have. I work for Northrop Grumman, which is one of the leaders in global security. My company does strive to remain committed to maintaining the highest of ethical standards, embracing diversity and becoming an ideal corporate citizen ,taking responsibility for the quality , delivering customer satisfaction, demonstrating leadership as a company, acting with integrity, valuing people, and regarding our suppliers as essential team members. A lot of training programs and ethics training must be completed every year in order to have access to computer systems. They have strict policies on which business associates are to conduct business. We will write a custom essay sample on What Must Be Done to Improve Ethics in Finance and Corporate Governance? or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page So there are a lot of regulations on not sacrificing integrity to achieve business objectives. The goal is to abide by the highest principles and integrity and concern for others. With the reputation Northrop Grumman has, they strive on doing what is right, so respect and support is gained. Corporate governance has received a lot of attention because of the scandals involving abuse of corporate power, alleged criminal activity and unethical or illegal acts on the name of the company. Corporate governance matters because there is a level of confidence that is associated with a company that is known to have a good reputation. Having the presence of a directors and board members contributes a great deal towards ensuring confidence the market. Since Northrop Grumman works in the US and internationally, investors are depending on this information, to know whether to invest in them or not. Having corporate governance makes it easier for companies to source capital at more reasonable costs. When you think about corporate governance and the scandals that come to mind is Enron. This turned out to be scan in which Enron lied about its profits, shady dealings and concealing debts. A lot of regulations came down from the government regarding corporate responsibility and regulations. Big businesses had a lot of freedom to do what they wanted to do. Directors, Shareholders, and Presidents of companies needed to take another look at how their businesses were being run. What needs to change and what needs to be implemented so this doesn’t happen to us? The Securities and Exchange Commission voted on three measures that are intended to better inform and empower investors to improve corporate governance and help restore investor confidence. The Commission proposed requiring public companies receiving money from the Troubled Asset Relief Program (TARP) to provide a shareholder vote on executive pay in their proxy solicitations . The Commission also voted to propose better disclosure of executive compensation at public companies in their proxy statements, and approved a New York Stock Exchange rule change to prohibit brokers from voting proxies in corporate elections without instructions from their customers. Congress passed the Sarbanes-Oxley Act of 2002 (SOX) in an effort to protect U. S. capital markets and millions of American shareholders. SOX promote accountability and transparency in corporations. It also has a few provisions that enhance the effectiveness of corporate directors, in-house and outside counsel, and internal and external auditors. Some ways that the SEC can enforce these compliance regulations is to develop an inspection program to review corporation’s financial statement and accounting practices. Shareholders should be given a greater role in voting, through nominations, election of individual candidates instead of slates, and majority instead of plurality decisions. The boards compensation committee should be required to approve the compensation of all top-tier executives. The boards audit committee should obtain control over the internal audit function as well as over the outside auditors, including the power to terminate personnel and to approve compensation. Tying ethics to finance isn’t that hard. Ethics is the moral correctness of specified conduct, the study and practice of appropriate behavior, regardless of the behaviors legality. Certain industries have professional organizations setting and promoting certain ethical standards. When we look at the banking industry for an example, we are putting our money into in a company, who is supposed to protect it, give us interest on it and possibly advise on making investing decisions. With investing, ethics helps inform the investment decisions of some individuals and companies. But recently large banking has failed. The U. S. Financial system was rather free and didn’t have many regulations to control greed and fraud. Wrong and risky moves were made and in turn it affected the customer. There are more fees, less interest and failing banks. There are many ethical violations that affect finance but there are ways to improve financial ethics. Improving standards, such as creating a plan. The first step, as should be the case with any initiative, is to create a clear plan that focuses on addressing particular situational needs of the organization. Each plan should be unique to fit the business, typical activities would include items such as improving the hiring process, clear communication of the ethics policy and codes of conduct, establish a systems of checks and controls to ensure wrong doing is discouraged and discovered in a timely manner, and finally a clear policy and procedure for investigating and handling breeches in ethics appropriate to its level and severity. Finding weak links in the business and once it has been identified; implement steps to improve the ethical environment. Hold the training classes, circulate the code of conduct annually with each employee signing a statement that they have read it and will comply. Follow the plan for hiring even if it is inconvenient to check references and background. identified by the plan, develop clear policies and procedures for key processes, and then conduct training to ensure all relevant employees understand the expectations of how processes should be carried out. Clear policies and procedures communicated and followed by organizational members is a critical piece of an internal control. Ethics is a part of the organizational culture, besides developing and executing a plan, the most important way for a business to improve ethics is for the organizational leaders to display the highest degree of ethical behavior in how they conduct business on a day to day basis. In conclusion, ethics in finance and corporate governance go hand in hand. The importance of honesty and integrity plays a critical part in any organization. In my professional career, I have witness both sides of the correct way of conducting business and the incorrect.

31 Beautiful Quotes to Say, I Love You

31 Beautiful Quotes to Say, I Love You The three simple words, I love you, might not seem like enough to really express how you feel. After all, how can a measly 10 characters (including spaces) adequately plumb the depths of your soul? Tell that special someone whats in your heart with some eloquence and grace after getting some ideas from some famous romances- and romantics- through the ages. Hearing thoughtful words never gets old, even if your sweetie already knows your love is true. George Moore George Moore was a 19th-century Irish poet. It is said that he was in love with Lady Cunard  and had a secret relationship with her. Although Moore was keen to dedicate a novel for his lover, Lady Cunard did not want to publicize their relationship. Eventually, Moore convinced Lady Cunard to let him write a dedication to her in his novel  Heloise and Abelard. However, Lady Cunard made sure that Moore only mentioned her as Madame X and did not use her real name. This quote is from a collection of his letters that were published as Letters to Lady Cunard published in 1957: The hours I spend with you I look upon as sort of a perfumed garden, a dim twilight, and a fountain singing to it. You and you alone make me feel that I am alive. Other men, it is said to have seen angels, but I have seen thee and thou art enough. Elizabeth Barrett Browning and Robert Browning Elizabeth Barrett was a well-known poet even before she met her future husband,  Robert Browning. An invalid and a recluse, Elizabeth had found her true love. The 573 letters they wrote to each other started in 1845 with Robert writing to say how much he enjoyed her work. The couple fell deeply in love, but their relationship was frowned upon by Elizabeths strict and dominating father. On September 12, 1846, they eloped. After the wedding, Elizabeth returned home  but kept her marriage a secret. Eventually, she fled with Robert to Italy and never returned to her fathers home. This quote reflects her deep love for her husband: I love you not only for what you are but for what I am when I am with you. Robert didnt hide his feelings either: So, fall asleep love, loved by me...for I know love, I am loved by thee.   King Henry VIII King Henry VIII and Anne Boleyn were an unlikely match. Their desire to marry was the root cause of the separation of the Church of England from the Roman Catholic Church, which would not grant him a release from his first marriage. King Henry VIII was so besotted by Anne Boleyn that he chased her until she agreed to marry him. He wrote Anne in a love letter in 1528: I beseech you now with all my heart definitely to let me know your whole mind as to the love between us... More Famous Words  of Love Love letters of most people remain private, unless, of course, you become famous. From Johnny Cash to June Carter Cash You’ve got a way with words and a way with me as well. The...ring of fire still burns around you and I, keeping our love hotter than a pepper sprout.   We get old and get used to each other. We think alike. We read each others minds. We know what the other wants without asking. Sometimes we irritate each other a little bit. Maybe sometimes take each other for granted. But once in a while, like today, I meditate on it and realize how lucky I am to share my life with the greatest woman I ever met. You still fascinate and inspire me. You influence me for the better. Youre the object of my desire, the #1 Earthly reason for my existence. Herman Hesse If I know what love is, it is because of you. Charlie Parker to Chan Woods   Beautiful is the world, slow is one to take advantage. Wind up the world the other way. And at the start of the turning of the earth, lie my feelings for thou. Herbert Trench Come, let us make love deathless. Woodrow Wilson, to future wife, Edith You have the greatest soul, the noblest nature, the sweetest, most loving heart I have ever known, and my love, my reverence, my admiration for you, you have increased in one evening as I should have thought only a lifetime of intimate, loving association could have increased them. Rockwell Kent to wife, Frances And as I love you utterly, so have you now become the whole world of my spirit. It is beside and beyond anything that you can ever do for me; it lies in what you are, dear love- to me so infinitely lovely that to be near you, to see you, hear you, is now the only happiness, the only life, I know.   Cassandra Clare, City of Glass I love you, and I will love you until I die, and if theres a life after that, Ill love you then. Prince Albert to Queen Victoria Even in my dreams I never imagined that I should find so much love on earth.  How that moment shines for me still when I was close to you, with your hand in mine. Pearl S. Buck I love people. I love my family, my children†¦but inside myself is a place where I live all alone and thats where you renew your springs that never dry up. Jessie B. Rittenhouse My debt to you, Beloved, Is one I cannot pay In any coin of any realm On any reckoning day. John Keats   My dear Girl I love you ever and ever and without reserve. The more I have known you the more have I lov’d....Can I help it? You are always new. The last of your kisses was ever the sweetest; the last smile the brightest; the last movement the gracefullest. When you pass’d my window home yesterday, I was fill’d with as much admiration as if I had then seen you for the first time...No ill prospect has been able to turn your thoughts a moment from me. This perhaps should be as much a subject of sorrow as joy- but I will not talk of that. Even if you did not love me I could not help an entire devotion to you: how much more deeply then must I feel for you knowing you love me. My Mind has been the most discontented and restless one that ever was put into a body too small for it. I never felt my Mind repose upon anything with complete and undistracted enjoyment- upon no person but you. When you are in the room my thoughts never fly out of window: you always concentrate my whole senses.   Cole Porter Birds do it, bees do it, even educated fleas do it; let’s do it, let’s fall in love. Mark Twain to Olivia Langdon Out of the depths of my happy heart wells a great tide of love and prayer for this priceless treasure that is confined to my life-long keeping. You cannot see its intangible waves as they flow towards you, darling, but in these lines you will hear, as it were, the distant beating of the surf. Ralph Waldo Emerson Thou art to me a delicious torment. Ronald Reagan to Nancy Reagan When you arent there Im no place, just lost in time and space. I more than love you, Im not whole without you. You are life itself to me.  When you are gone Im waiting for you to return so I can start living again. Stephen King The most important things are the hardest to say, because words diminish them. Frida Kahlo to Diego Rivera I’d like to paint you, but there are no colors, because there are so many, in my confusion, the tangible form of my great love. Anonymous So many times I thought I would never find someone to love me the way I needed to be loved. Then you came into my life and showed me what true love really is! Beth Revis, Across the Universe And in her smile I see something more beautiful than the stars. Ernest Hemingway to Marlene Dietrich I cant say how every time I ever put my arms around you I felt that I was home. Napoleon Bonaparte to Josà ©phine de Beauharnais The charms of the incomparable Josephine kindle continually a burning and a glowing flame in my heart†¦I thought that I loved you months ago, but since my separation from you I feel that I love you a thousand fold more. Each day since I knew you, have I adored you more and more. Victoria Michaels, Trust in Advertising I won’t lie to you. We aren’t going to ride off into the sunset together and have everything fixed overnight. I know that, and I think you do too. But I’m willing to work at it, if you are. I do love you. I mean that with every cell in my body, every breath that I take. I think you’re worth it. I think we’re worth it. I think you could be the great love of my life, Vincent Drake. Richard Burton to Elizabeth Taylor My blind eyes are desperately waiting for the sight of you. Ludwig von Beethoven to Immortal Beloved Even in bed my ideas yearn towards you, my Immortal Beloved, here and there joyfully, then again sadly, awaiting from Fate, whether it will listen to us. I can only live, either altogether with you or not at all.   What longing in tears for you- You- my Life- my All- farewell. Oh, go on loving me- never doubt the faithfullest heart Of your beloved L Ever thine. Ever mine. Ever ours.​

i am daivd essays

i am daivd essays I Am David is written by Anne Holm and is about a boy called David. David is a twelve year old boy who has spent his life in a concentration camp. One day a man from the camp helps him to escape. He is told that he must go north until he comes to Denmark. He doesn't know what life is like outside the camp and is constantly scared in case he gets caught. The only way to get food is by finding it or earnng money to buy it. He sneaks aboard a ship thats sailing for Italy but is caught by a sailor. The sailor takes pity on him and allows him to go the rest of the way. When he is travelling in Italy he sees a girl trapped in a burning hut and saves her life. The girls parents allow David to stay in there house as a thank you. David doesn't tell them where he came from so the parents become suspicious and David has to run away again. This is a very good book and is one of the best I read all year. ...

Health Program Evaluation Essay Example | Topics and Well Written Essays - 750 words

Health Program Evaluation - Essay Example As the officials in charge of social programs happen to be humans and thus fallible, either deliberately or inadvertently, a strong requirement for accountability keeps them alert and keeps such programs, efficient and productive. As the state run health and social programs happen to be complex and intricate, so far as their scope, implementation, assessment and budgeting is concerned, an accurate and scientific system for the evaluation of such programs enables the state and the citizens in determining and enforcing accountability on the officials and professionals managing such vital programs, that are often so crucial, so far as the stability and progress in a welfare state is concerned. "Program evaluations are systematic studies using scientific research methods to assess how well a program is working (Shipman, 2008, p.1). In the contemporary era of constrained budgets, when health has become a major political and public issue, it is imperative that the agencies managing the health and social programs are able to authenticate the expenses incurred by them in the light of the pragmatic and desirable outcome achieved by them. In that sense, evaluation facilitates the people and the state agencies with the much desired tool, which can be used to gauge as to what extent these programs contribute to the envisaged goals and helps them cross check and improve the performance of such programs on a regular basis. Establishing accountability, so far as health and social programs are concerned becomes a mere exercise in words, unless it is backed by authentic and verifiable data. Accountability can be enforced only if it is supported by concrete evidence that brings it within the framework of legal and statutory remedies. Herein lies the relevance of evaluation. Many experts like to put forward the argument that government agencies have miserably failed, so far as the management of health programs is concerned and the privatization of these services is the only possible panacea. Such individuals fail to see that entrusting such crucial programs in private hands can possibly further augment the scope for inefficiency, as the private firms work purely for profit motives and lack any welfare oriented guidelines. Infact, it simply does not matter who stands at the helm of affairs, whether it is some state official or a private firm. The point that deserves the tax payer's immediate attention is th at what kind and quality of evaluation programs are being employed to analyze such programs It is pivotal that the evaluation programs being used to assess the health or social programs should be accurate enough to solicit a wide range

Recruitment, selection, and retention challenges Essay

Recruitment, selection, and retention challenges - Essay Example f mismatch between job description and job requirement, the organization might be forced to cancel the recruitment results and conduct fresh recruitment. The organization might also decide to train the employee to make sure he/she can carry out the duties associated with that job requirement. Most organization use job interviews and resumes to get information about job applicants. Technology may be used to conduct job interviews via live video conferencing (Billsberry, 2007). It is important to ensure that the organization selects a job applicant who will feel comfortable and will be successful. This can be achieved if you assess your organizations culture, define the candidate you are looking for and taking time to learn about the applicants working style and personality. Managers need to select candidates based on occupational qualifications. The selected applicant should possess the necessary skills required to be successful when carrying out the requirements of the job. The law prohibits any form of discrimination during the recruitment process. It is illegal to discriminate against sex, age, marital status, ethnicity or religious affiliation (Billsberry,

Using nanotechnology for new drug discovery Article

Using nanotechnology for new drug discovery - Article Example Drug discovery is a growing paradigm that is increasingly in need of better technologies to improve the effectiveness, efficiency and cost effectiveness of the various processes involved in the drug discovery processes. For example, it is currently estimated that the full process of new drug discovery typically takes a period of not less than 10years and costs approximately $800 million. Many researchers however agree that a number of nanotechnology applications have a potential to address some of the challenges commonly met during the drug development process. One of the potential uses of nanotechnology in new drug discovery is the analysis of signaling pathways using various nanobiotechnology techniques such as proteomics which enable researchers to gain new insights regarding the disease processes. In this regard, nanotechnologies not only help drug scientists to identify more efficient biomarkers, but such techniques can also enhance their understanding of the drug action mechanisms during their drug discovery processes. Refining the application of proteomics using nanotechnologies is particularly play a critical role in the identification of drug targets as well validation phases during the drug discovery process. For instance, nanodevices such as nanotube electronic biosensors are increasingly being used in proteomics to enhance the investigation of protein –protein and surface protein binding as well as in the development of highly accurate electronic biomolecule detectors (Lynn, 128). Consequently such devices provide effective alternatives of detecting important biomolecules such as antibodies during the drug discovery process. Another important use of nanotechnology for new drug discovery involves the application of nanoparticles such as quantum dots (QDs) in tracking single drug molecules. Although the tracking of single drug molecules has been previously been done using the old