Toni Morrisons Sula - Sula and Nel as Soulmates Essay -- Sula Essays

Sula and Nel as Soulmates in Toni Morrison's Sula In examining the two distinct characters of Nel (Wright) Greene and Sula Peace from Toni Morrison's Sula, a unique individual soul emerges from the two women. This soul takes into account good, bad, and gray area qualities. They gray area qualities are needed because, while Nel exhibits more of the stereotypical "good" qualities than Sula, the stereotypes of good and bad don't fit the definition completely. Nel and Sula combined create a type of ying and yang soul, each half including some of the other half. While at times the two women are polar opposites of one another in point of view, they arrive at their opinions with the help of the other. The two characters need each other in order to exist to the extent that they become "two throats and one eye" (Morrison 2167). A physical example of how connected the two girls are is seen when they line up head to head forming a straight, continuous, and complete line (2124). The greatest influence on a growing girl is her mother, and in some cases, like Sula, her grandmother. In order to fully grasp the connection between Nel and Sula, one must examine who and what their mothers were and what traits and beliefs they handed down to their daughters. Nel's mother, Helene, sought to teach her daughter the ways to be a stereotypical "good woman," a supportive wife and a caring mother. As an example to her daughter, Helene took great pleasure in raising Nel and found in her "more comfort and purpose than she had ever hoped to find" in her life (2105). Helene took pride in motherhood and was proudest when someone complemented on how "obedient and polite" Nel was (2105). Helene's embracing of these qualities, an accommodation to the sta... ...;http://www.time.com/time/magazine/1998/ > (accessed on September 9, 2001) Morrison, Toni.   Sula.   New York: Penguin Books Ltd, 1973. "Toni Morrison."   Contemporary Authors, Gale Research, 1993; abstracted at <http://www.cwrl.utexas.edu/~mmaynard/morrison/biograph.htm>   (accessed on September 26, 2001) O'Neill, Cynthia.   Goddesses, Heroes and Shamans.   New York: Larousse Kingfisher Chambers Inc., 1994. Pessoni, Michele. â€Å"‘She was laughing at their God.’: Discovering the Goddess Within Sula.† African American Review 29 (1995): 439-451. Rigney, Barbara Hill. The Voices of Toni Morrison. Columbus: Ohio State University Press, 1991. Rubenstein, Roberta. â€Å"Pariahs and Community.† Toni Morrison: Critical Perspectives Past and Present. Ed. Henry Louis Gates, Jr. and K. A. Appiah. New York: Amistad Press, Inc., 1993. 126-1 58.   

Evaluation and Application of Thesis

MMS DBA Student-Walden University Introduction Christopher and Towill in the article, â€Å"Developing Market Specific Chain Strategies†, developed the thesis that there are three feasible pipeline designs for supply chain (Christopher & Towill, 2002). These designs resulted from the analysis of the relations between, demand, product, supply lead-times, as main factors in global supply chain, and, cost and agility, as results from the market requirements. Christopher and Towill adopted a notion of total cost that reflects more the unit cost than the traditional way of limiting cost to manufacturing cost (Christopher & Towill, 2002). Hewlett-Packard (HP) along with its early integrated process supply chain management has adopted that notion of total cost (Lee & Billington, 1995; Edmondson & Wheelwright, 1989). In fact total integrated inventories with retailers adopted by HP correspond to the quick response model developed by Christopher and Towill (Billington et al. , 2004). The predictable demand model may fit the decentralized incorporated system adopted by HP (Edmondson & Wheelwright, 1989). Analysis and Findings Based on the assumptions that demand is either predictable or volatile, product is either standard or special, and supply lead-times are either long or short, and all are applicable in the global supply market, Christopher and Towill induced eight possibilities for the supply chain based on demand, product, and supply lead-times (Christopher & Towill, 2002). The findings of eight possibilities based on the characteristics of demand, product, and lead-times specified is coherent to the mathematical combination formulae associated, the number of possibilities to combine three sets of two elements each. The analysis of these eight possibilities, in respect with agility and cost effectiveness, led Christopher and Towill to conclude on the representativeness of the three pipelines, lean pipeline, agile pipeline, and quick response model, as supply chain models (Christopher & Towill, 2002). These models fit well the global supply chain for, an expected demand is either predictable or volatile corresponding to the two first pipelines and an unexpected demand requires a quick response, hence the quick response model fits that kind of demand. Christopher and Towill provided in that study examples and tables supporting the findings and developed a concise theoretical basis for the quick response model. The tables may have been supported with more mathematical concepts within the text. The research findings by Christopher and Towill in this study are intended for managers of global supply chain as a whole in order to achieve competitive advantage for their companies. The lean supply chain that applies the lean model to the entire supply may be a modern view of the quick response model developed by Christopher and Towill (Mentzer, Myers, & Stank, 2007, p. 288). Applicability to HP Hewlett-Packard (HP) started to tackle the global supply cost related problems back in late 1980s, and implemented integrated processes (Lee & Billington, 1995; Edmondson & Wheelwright, 1989). HP company leaders continued research for competitive advantage through supply chain models adopting the concept of total cost and resulted in massive cost savings (Billington et al. 2004). The adoption of the total cost of the supply chain framework mentioned shows that the quick response model as developed by Christopher and Towill is consistent to the HP Company supply model at least for pioneering in viewing the cost of a unit not only in term of manufacturing but in term of supply, building and distribution (Christopher & Towill, 2002). The electronic market is changing rapidl y and HP had since 1991 implemented a decentralized and incorporated system that allowed localized divisions to operate more independently (Lee & Billington, 1995). This incorporated and decentralized system adopted by HP leaders is consistent to the predictable demand pipeline developed by Christopher and Towill. Conclusion Christopher and Towill concluded, suggesting that: Generally the preferred solution will be that predictable demand for standard items will be met via a lean pipeline probably fed from overseas manufacturers. Volatile demand for special items will then be met via an agile pipeline probably fed from home manufacturers. A third pipeline design is for quick response to top-up standard products for which there are an unexpected demand for specific colors, sizes, and volume. References Billington, C. , Callioni, G. , Crane, B. , Ruark, J. D. , Rapp, J. U. , White, T. , & Willems, S. P. (2004, Jan/Feb). Accelerating the Profitability of Hewlett-Packard’s Supply Chains. Interfaces, 34(1), 59-72, from Business Source Premier, doi: 10. 1287/inte. 0103. 0054 Edmondson, Harold E. , & Wheelwright, Steven C.. (1989). Outstanding Manufacturing In The Coming Decade. California Management Review, 31(4), 70-90, from ABI/INFORM Global. (Document ID: 289046). Lee, H. L. , & Billington, C. (1995, Sep/Oct). The Evolution of Supply-Chain-Management Models and Practice at Hewlett-Packard. Interfaces, 25(5), 42-63. Martin Christopher, & Denis R Towill. (2002). Developing market specific supply chain strategies. International Journal of Logistics Management, 13(1), 1-14, from ABI/INFORM Global. (Document ID: 196608131). Mentzer, J. T. , Myers, M. B. , & Stank, T. P. (Eds. ). (2007). Handbook of global supply chain management. Thousand Oaks, CA: Sage Publications.

Breaking Through Essay

â€Å"Success is not final, failure is not fatal; it’s the courage to continue that counts†(Winston Churchill). Life is dependent on our dreams. If you ever fail along the way to your success, you’ll be tempted to get yourselves right back and continue your journey. Although, if ever found yourself to be successful, would you stop there? Or would you have the courage to continue and set higher goals for yourself? In the book â€Å"Breaking Through† in which Francisco Jimenez is the main character and author, he faces many obstacles. Although, Francisco has encountered multiple obstacles, he has many characteristics, which are being responsible, ambitious and respectful. Francisco has faced many dilemmas in his life, yet they’ve made Francisco a better person at the end of the day. Francisco has countless of characteristics. Although the ones in which stood out the most would be being responsible, ambitious and respectful. Francisco has a large number of characteristics, which make him such an admirable character in the book â€Å"Breaking Through†. The first characteristic that plays a big role in Francisco’s character would be being responsible. Francisco’s dreams are to go to college and have a better future for himself and his family. Although his home situation and him being emigrate from Mexico, struggling with English cause him to face many obstacles before he reaches his goal. Due to his home situation, Francisco learns to be very responsible. One perfect example would be when Roberto and Francisco come back to Bonnetti ranch with out their parents. Roberto and Francisco had to go to school and work and lastly save money to send to their parents back at Mexico. Francisco says, â€Å"The sounds of Papa’s coughing, the rattle of his aspirin bottle, and the rolling of Mama’s twelve-inch lead pipe as she pressed dough to make tortillas were absent.† Francisco says (19) The second characteristic Francisco has would be is being very ambitious with helping his family and his personal goals like attending college. Francisco has always loved learning but English has not always been easy for him to learn. Although Francisco has other responsibilities apart from school he works in the  fields and with Mike Nevel. One example that shows how ambitious Francisco is when he runs for student body president. Regardless of Francisco’s other obligations he was determined to make time for school priorities. â€Å"If I run and win, I’d have to study more in the evenings after work, sleep less, and skip some scho ol dances.† â€Å"Francisco says (140) Lastly, the third characteristic that stood out to me as well is Francisco is very loyal. Francisco and papa have different opinions about the future. Although papa would prefer for Francisco to not leave for college, Francisco always has Papa’s wishes in his heart. Every decision he makes or takes into consideration, Francisco always thinks about how will it affect his family finically or emotionally. One example to this characteristic would be when Francisco is at his second semester of his senior year. When his fellow classmates are sharing their options on what university they might attend. Although not for Francisco, he is positive about Papa not letting him continue his education beyond high school. â€Å"Some were going to the University of California at Santa Barbra or UCLA. Others got into Fresno state but were waiting to hear from Berkeley. I did not share their enthusiasm. I had to stay at home and continue helping my family.† Francisco says (163) In conclusion, although Francisco has many characteristics that are shown in â€Å"Breaking Through† the ones that stood out the most me were being responsible, ambitious, and loyal. Characteristics are what make us a good or bad person at the end of the day. Also, it’s meant for us to show other people are potential in life or other wise.

Policy Analysis on Dementia Care The WritePass Journal

Policy Analysis on Dementia Care Abstract Policy Analysis on Dementia Care ). This policy aims to increase diagnosis rate, improve health and care services in hospitals, care homes, communities and homes, create dementia-friendly communities and widen research on dementia care. This brief will only focus on improving health and care services in communities and homes and relate these to the DNs role in providing care to patients in their own communities and homes. Implications of the Policy on Current Practice The policy on dementia care has an important implication in my practice as a district nurse. Providing holistic interventions to improve the quality of care in community settings require collaborative efforts of health and social care professionals (National Collaborating Centre for Mental Health, 2007). As a district nurse, I take the lead in provision of healthcare in community settings. On reflection, patients with dementia have complex needs that require collaborative care from nurses, physical and occupational therapists, dieticians, social care workers and other healthcare professionals. My role extends from planning care to coordinating care with other professionals. The King’s Fund (2012) explains that multidisciplinary teams are needed to provide quality care to patients. However, the quality of care could be affected if there are fewer nurses caring for patients. I observed that the number of registered nurses in my practice is declining. This observation is similar in a survey conducted by the Royal College of Nursing (2011), which reported that almost 70% of district nurse respondents claimed that registered nurses in their staff have dropped out. In my current caseload, a third of my patients in our team suffer from dementia. The incidence of dementia in Hackney is four times higher compared to the UK’s average (Public Health England, 2013). However, due to the nature of the condition, the care of this group of patients requires a disproportionate amount of time and resources. One of the duties of DNs in addressing the policy on dementia care is to ensure that carers also receive appropriate support. Carers have the right to h ave their needs assessed under the Carers and Disabled Children Act 2000 (UK Legislation, 2000). In my experience, CBT has been show to be effective not only in reducing anxiety in my patients but also depression in the carers. It has been shown that joining support groups has been associated with reduced incidence of depression (NICE, 2006). Implications of the Policy on Future Practice With the increasing focus on community care, there is a need to strengthen the district nurse workforce. Based on my experiences and observation, the quality of care could be compromised due to the decreasing number of DNs (Queen’s Nursing Institute, 2010). There is increased pressure to provide quality care at the least cost and with reduced number of nurses (Queen’s Nursing Institute, 2010). Establishing a therapeutic relationship is difficult when the continuous decline of healthcare workforce in the community is not addressed. Sheehan et al. (2009) argue that a positive relationship between healthcare professionals and the patient is needed in order to make healthcare decisions that would dictate the future of the patient. Based on these observations, the policy on dementia care would require additional workforce of registered nurses who would be willing to work in community settings. At present, the issue of sustainability of the DN workforce in meeting the present and future demands of elderly patients has been raised (Royal College of Nursing, 2013, 2011). Unless the issue of reduced workforce is not addressed, meeting the demands of the dementia policy would continue to be difficult. The policy would also require additional education and training for nurses. The Royal College of Nursing (2013) has acknowledged that the present DN workforce is highly qualified. Many have met the qualifications of nurse prescriber or district nurse while the rest of the staff either have completed qualifications for nursing first or second level registration or at least hold a nursing degree. However, the Royal College of Nursing (2013) also notes that the workforce number is still low. A small workforce could not adequately meet these needs. Further, the ageing population in the UK would mean that the NHS would continue to see a rise in the incidence of dementia in the succeeding years. The issue of recording performance data is also raised with the recent policy on dementia care. This would be a challenge since a community or a home does not present any safeguards commonly found in a controlled environment such as wards in hospital settings (Royal College of Nursing, 2013). There is also a need for DNs to be trained on how to give education and training to caregivers. In a systematic review conducted by Zabalegui et al. (2014), suggest that the quality of care of patients with dementia living at home could be improved if caregivers receive sufficient education and training from healthcare providers. Political, Economic and Philosophical Context The Alzheimer’s society (2014) states that in the UK, approximately  £23 billion is spent annually to manage patients with dementia. However, the same organisation is quick to observe that a large portion of this cost is borne by carers of the patient rather than social care services or the NHS. To date, there is only one study (Alzheimer’s UK, 2007) that investigated the cost of managing patients with dementia in community settings. The report shows that in 2007, the cost of managing one patient with mild dementia within one year in a community setting amounts to  £14, 540. For an individual with moderate dementia, the annual cost is  £20,355. This increases to  £28,527 for a patient with severe dementia. If a patient is sent to a care home, the annual cost of managing the condition amounts to  £31,263. It should be noted that all these costs were calculated almost 7 years ago. The individual cost of treatment is now higher. The same survey also shows that majority of the costs of dementia care is channelled to the carers. However, these costs do not account for the informal carers. Alzheimer’s UK (2007) estimates that the number of hours informal carers devote to caring run up to 1.5bn hours each year. This translates to  £12bn in cost, which is higher than the combined health and social care cost for dementia. Patients with severe dementia living in their homes or communities need at least 46 hours of paid carer support within a week (Alzheimer’s UK, 2007). However, the changing dynamics of families, with children living far from their parents or loss of spouse due to divorce or death could limit the pool of family carers. This issue could all influence the impact of the service provided by informal carers of dementia. The ageing population of the UK (Office for National Statistics, 2013) could further drive up the cost of caring for patients with dementia. The policy on dementia care increasingly depends on homes and communities to support the care of patients with dementia. Since many informal carers manage patients with dementia, the burden of caring is now channelled to the patient’s family. The main stakeholders then for this policy include informal carers, patients, DN staff and multidisciplinary team. This increasing reliance on home care and management could even be viewed as a strategy of the NHS to reduce the cost of caring for patients with dementia. There is also a concern on whether the quality of care is maintained at home, especially with fewer DNs supervising the care at home. Apart from the economic cost, politics could also influence DN practice. As with other policies, the policy on dementia (Department of Health, 2013) bring care close to home and care at home. These gradual changes are projected to empower patients, lower costs of healthcare while empowering communities to take care of their own health (Department of Health, 2013). The withdrawal of the state in providing minimum services for patients with dementia in favour of care at home should be evaluated on whether this would cause harm to the patient. If care at home would be possible with supportive carers, my role as a DN would focus on coordinating care with other healthcare professionals. However, if the patient does not receive sufficient support, the Mental Health Act 2007 (UK Legislation, 2007) mandates the appointment of a carer for the patient. The consequences of the political context of moving care closer to home for patients with dementia would be felt in the succeeding years. On re flection, making this policy work would require DNs to provide adequate support to the informal carers. The philosophical underpinning of this policy focuses on tackling health inequalities. Social determinants of health (NHS, 2012) have long known to influence the health outcomes of many individuals. In the London Borough of Hackney, incidence of dementia is higher amongst the older black elderly compared to the general white population (Office for National Statistics, 2013; Public Health England, 2013). Yaffe et al. (2013) argue that genetics do not account entirely on the disparity of incidence between black and white older populations in the UK. Instead, Yaffe et al. (2013) maintain that socioeconomic differences appear to have a greater influence on the higher incidence of dementia amongst black older people. Related risk factors for dementia such as poorer health, less education and literacy are higher in the black elderly and might account for the variation in dementia incidence. A number of earlier studies (Haas et al., 2012; Thorpe et al., 2011) have pointed out the relationsh ip between socioeconomic status and cognitive outcomes. The dementia policy not only brings care closer to home but also addresses socio-economic disparities of patients with dementia by allowing DNs to provide care in home settings. However, this is still challenging since carers and family members would provide care on a daily basis. The limited financial capacities of families with lower socio-economic status could have an effect on the nutritional status and physical health of the patients (Adelman et al., 2009). It has been stressed that poor nutrition and health could increase the risk of cognitive decline (Adelman et al., 2011). Ethical and Moral Implications of the Dementia Policy for Practice Approaches to ethics include the Deontological approach, Justice, Virtue and Consequentialism. Fry (2010) explain that in deontology, individuals should perform an action because it is their duty to do so regardless of the consequences of the action. The Dementia Policy in the UK is underpinned by ethical approaches. Using deontology, it is moral for nurses and carers to provide care for patients with dementia. In rule-deontology, decisions regarding the care of patients become moral when these follow the rules. Fry (2010) emphasise that the actions of individuals following deontology is usually predictable since it follows set of rules. A second approach to ethics called the Results of Actions (Fry, 2010) is opposite to deontology. In this ethics approach, an action becomes moral when its consequences produce more advantages for the patient than disadvantages. The third approach to ethics or the virtue approach states that there is an ideal that should be pursued by individuals in order to develop their full potential (Jackson, 2013). This approach is more encompassing than the deontological approach since it seeks to make a person moral by acquiring virtues. A review of the policy reveals that the virtue approach is followed since it seeks to provide holistic care to the patients. The policy emphasises providing psychological, social and emotional support not only to patients but also to their carers. Meanwhile, Beauchamp and Childress (2001) have set out four principles of ethics. These are autonomy, non-maleficence, beneficence and justice. The Nursing and Midwifery Council’s (NMC, 2008) code of conduct has stressed that patient autonomy should always be observed in all healthcare settings. A review of the dementia policy reveals that allowing patient’s to be cared in their home settings would likely increase patient autonomy. Patients in the early stages of dementia or those with moderate forms of the condition could experience cognitive impairments but still have the capacity to decide for themselves (Department of Health, 2009). The Mental Capacity Act 2005 (UK Legislation, 2005) states that only when patients suffer significant cognitive impairments should representatives of the patients be allowed to make decisions in behalf of the patient. Since the policy focuses on patient-centred care even in home settings, patients or their family members are allowed to decide on the best treatment or management for the patients. District nurses are encouraged in the policy to always seek for the patient’s interest. The emphasis of the policy on allowing patients to decide about their care is consistent with the ethical principle of autonomy. It is also important that nurses should first do no harm to the patients as embodied in the ethics principle of non-maleficence (Beauchamp and Childress, 2001). The policy supports this principle since DNs are available to provide support and lead the care of patients in home settings. However, there are several barriers in implementing the full policy. Although the policy specifies that DNs should rally the support of patients in home settings, there is the growing concern that the standards of care seen in hospital settings might not be transferred in home settings (King’s Fund, 2012). For instance, DNs could not regularly supervise carers on a daily basis on how they provide care to individuals with dementia. These patients need to receive sufficient nutrition, engage in exercises that increase their mobility or regularly receive pharmacologic medications for their conditions (Casartelli et al., 2013; Hopper et al., 2013; Cole, 2012; Bryon et al., 2012). It would be difficu lt to determine on a regular basis if all these tasks are carried out according to standards if patients are cared in their own homes. In a recent King’s Fund (2013) report, the quality of care received by patients from their nurses is highlighted. This report observes that not all nurses are compassionate to their patients and often, basic care such as feeding or giving water to the patients are often neglected. While this report was based on a study in only one hospital setting, the results are important since it showed that basic care might not be observed. In contrast, DNs would only visit the patients in their homes and would not be around to provide long hours of care. If patients receive poor quality care, this could result to poorer health outcomes and faster deterioration of the patient. The ethics principle of non-maleficence might not be observed if the volume of DN staff in the community remains low. There has been an association of high volume of work and low staffing amongst nurses with poor quality care (King’s Fund, 2013, 2012). The policy also observes the principle of beneficence since its primary outcome is to improve the quality of care received by older patients with dementia in their own homes. Although providing care in home settings would drastically reduce healthcare costs for dementia care, it is still unclear if this would benefit the family more. The cost of informal carers remains to be high, and yet is often discounted when approximating the cost of care for dementia (Alzheimer’s Society, 2014). This policy might put undue burden on families who lack the capacity to provide care for patients in advanced stages of dementia on a 24 hours basis (Alzheimer’s Society, 2014). Despite this observation, the policy is beneficial to patients with moderate dementia. A home setting might provide them with the stability and familiarity that is absent in hospital settings (Sheehan et al., 2009). It has been shown that when patients are admitted in hospital settings, they often manifest aggressi ve behaviour that is suggested to be a response to the changes in environment (Sheehan et al., 2009). The ethics principle of justice is also observed since the policy requires all patients, regardless of race or gender and socio-economic status, to receive equitable healthcare (Department of Health, 2013). On reflection, the moral implications of the policy might come into conflict with the state’s increasing reliance on informal carers or family members to provide care for patients with dementia. The issue lies on whether it is moral to delegate most of the care to informal carers who might also need additional support when caring for patients with progressive chronic conditions. The National Collaborating Centre for Mental Health (2007) stress that informal carers also need support to help them manage depression, stress or burnout from providing care to patients who would never recover from their condition. While the NHS continue to practice innovation in delivering care, an evaluation on whether there are enough resources to implement the innovation should be made. Conclusion In conclusion, the recent policy on dementia in the UK sets the direction of care in community or home settings. District nurses are in the position of following this direction since they lead patient care at home and in the community. However, this brief highlights some issues that should be addressed. These include the decreasing workforce of DN and their staff and their need for additional training and education. The political and economic context influencing the dementia policy should also be taken into account. Finally, this brief illustrates the role of DNs in providing quality care to patients in community and home settings. They could lobby for the patient’s rights and coordinate collaborative care between healthcare professionals and those involved in social care. References Adelman, S., Blanchard, M., Rait, G., Leavey, G. Livingston, G. (2011). ‘Prevalence of dementia in African-Carribean compared with UK-born white older people: two-stage cross-sectional study’, British Journal of Psychiatry, 199, pp. 119-125. Adelman, S., Blanchard, M. Livingston, G. (2009). ‘A systematic review of the prevalence and covariates of dementia or relative cognitive impairment in the older African-Carribean population in Britain’, International Journal of Geriatric and Psychiatry, 24, pp. 657-665. Alzheimer’s Society (2014). Financial cost of Dementia [Online]. Available from: alzheimers.org.uk/site/scripts/documents_info.php?documentID=418 (Accessed: 12th March, 2014). Alzheimer’s Research UK (2013) Dementia Statistics [Online]. Available from: alzheimersresearchuk.org/dementia-statistics/ (Accessed: 19th February, 2014). Alzheimer’s UK (2007). Dementia UK: The Full Report. [Online]. Available from: alzheimers.org.uk/site/scripts/download_info.php?fileID=2 (Accessed: 12th March, 2014). Beauchamp, T. Childress, J. (2001). Principles of biomedical ethics. 5th ed. Oxford: Oxford University Press. Bryon, E., Gastmans, C. de Casterle, D. (2012). ‘Nurse-physician communication concerning artificial nutrition or hydration (ANH) in patients with dementia: a qualitative study’. Journal of Clinical Nursing, 21, pp. 2975-2984. Casartelli, N., Item-Glatthorn, J., Bizzini, ., Leunig, M. Maffiuletti, N. (2013). ‘Differences in gait characteristics between total hip, knee, and ankle arthroplasty patients: a six-moth postoperative comparison’. BMC Musculoskeletal Disorder, 14:176 doi: 10.1186/1471-2474-14-176. Cole, D. (2012). ‘Optimising nutrition for older people with dementia’. Nursing Standard, 26(20), pp. 41-48. Department of Health (2013). Improving care for people with dementia [Online]. Available from: https://www.gov.uk/government/policies/improving-care-for-people-with-dementia (Accessed: 19th February, 2014). Department of Health Public Health Nursing (2013). Care in local communities- district nurse vision and model. London: Department of Health. Department of Health (2009). Living Well with dementia: A National Dementia Strategy. London: Department of Health. Fry, S., Veatch, R. Taylor, C. (2010) Case studies in nursing ethics, London: Jones Bartlett Learning. Haas, S., Krueger, P. Rohlfsen, L. (2012). ‘Race/ethnic and nativity disparities in later physical performance: the role of health and socioeconomic status over the life course’, Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 67, pp. 238-248. Hopper, T., bourgeois, M., Pimentel, J., Qualls, C., Hickey, E., Frymark, T. Schooling, T. (2013). ‘An evidence-based systematic review on cognitive interventions for individuals with dementia’. American Journal of Speech and Language Pathology, 22(1), pp. 126-145. Jackson, E. (2013) Medical law: Text, cases, and materials, Oxford: Oxford University Press. King’s Fund (2013). Report of the Mid Staffordshire NHS Foundation trust Public Inquiry by Robert Francis QC. London: The King’s Fund. King’s Fund (2012). Integrated care for patients and populations: improving outcomes by working together. A report to the Department of Health and the NHS Future Forum, London: King’s Fund [Online]. Available from: www.kingsfund.org/uk/publications (Accessed: 12th March, 2014). National Collaborating Centre for Mental Health (2007). Dementia: The NICE-SCIE Guideline on supporting people with dementia and their carers in health and social care. London: The British Psychological Society and Gaskell and Social Care Institute for Excellence and NICE. National Institute for Health and Clinical Excellence (NICE) (2006). Dementia: Supporting people with dementia and their carers in health and social care. London: NICE. National Health Service (NHS) (2012). Health and Wellbeing Profile 2011/12. London: City and Hackney and NHS East London and the City. Nursing and Midwifery Council (NMC) (2008). The Code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC. Office for National Statistics (2013). Ageing in the UK Datasets [Online]. Available from: statistics.gov.uk/hub/population/ageing/older-people (Accessed: 19th February, 2014). Public Health England (2013). Hackney: Health Profile 2013. London: Public Health England [Online]. Available from: www.healthprofile.info (Accessed: 12th March, 2014). Queen’s Nursing Institute (2010). District nurse is becoming an endangered species (press release, issued 26 March 2010), London: QNI [Online]. Available from: www.qni.org.uk (Accessed: 12th March, 2014). Royal College of Nursing (2013). District Nursing- harnessing the potential: The RCN’s UK Position on district nursing. London: RCN [Online]. Available from: www.rcn.org.uk/publications (Accessed: 12th March, 2014). Royal College of Nursing (2011). The Community nursing workforce in England, London: RCN [Online]. Available from: www.rcn.org.uk/publications (Accessed: 12th March, 2014). Sheehan, B., Stinton, C. Mitchell, K. (2009) ‘The care of people with dementia in general hospital’, The Journal of Quality Research in Dementia, Issue 8 [Online]. Available from: alzheimers.org.uk/site/scripts/documents_info.php?documentID=1094pageNumber=5 (Accessed: 12th March, 2014). Thorpe, R., Koster, A., Kritchevsky, S., Newman, A., Harris, T., Ayonayon, H., Perry, S., Rooks, R. Simonsick, E. (2011). ‘Race, socioeconomic resources, and late-life mobility and decline: findings from the Health, Aging, and Body Composition Study’, Journal of Gerontology. Series A, Biological Sciences and Medical Sciences, 66(10), pp. 1114-11123. UK Legislation (2007). Mental Health Act 2007 [Online]. Available from: legislation.gov.uk/ukpga/2007/12/contents (Accessed: 12th March, 2014). UK Legislation (2005). Mental Capacity Act 2005 [Online]. Available from: legislation.gov.uk/ukpga/2005/9/contents (Accessed: 12th March, 2014). UK Legislation (2000). Carers and Disabled Children Act 2000. [Online]. Available from: legislation.gov.uk/ukpga/2000/16/notes/contents (Accessed: 12th March, 2014). Yaffe, K., Falvey, C., Harris, T., Newman, A., Satterfield, S., Koster, A., Ayonayon, H. Simonsick, E. (2013). ‘Effect of socioeconomic disparities on incidence of dementia among biracial older adults: prospective study’, British Medical Journal, 347: f7051 [Online]. Available at: bmj.com/content/347/bmj.f7051 (Accessed: 22nd March, 2014). Zabalegui, A., Hamers, J., Karrison, S., Leino-Kilpi, H., Renom-Guiteras, A., Saks, K., Soto, M., Sutcliffe, C. Cabrera, E. (2014). ‘Best practices interventions to improve quality of care of people with dementia living at home’, Patient Education and Counseling, pii: S0738-3991(14)00044-5. doi: 10.1016/j.pec.2014.01.009 [Online]. Available from: ncbi.nlm.nih.gov/pubmed/24525223 (Accessed: 12th March, 2014).

Debunking 10 Common Job Search Myths

Debunking 10 Common Job Search Myths Psst†¦if you don’t bring seven copies of your resume to the interview, printed on expensive paper, they won’t take you seriously. Oh, and if you don’t follow up with Human Resources once a day, every day after your interview, they’ll forget you exist. †¦Pass it on! The job hunt is one of those processes that is oddly regimented (when is the last time you saw a resume that wasn’t templated to within an inch of its life?), but also subject to old wives’ tales and everyone thinking they know best. (Except we do. Trust.) It can be hard to know what advice to rely on, and which to take with a grain of salt. In that spirit, let’s look at some of the most common bits of job hunt conventional wisdom, and see how it stacks up, reality-wise.Myth: You don’t need a cover letter anymore.This is a popular one in this age of digital job applications and faceless job engine sites. The phrase â€Å"cover letter† itself conveys a bygone era: you would wrap your resume in a paper-life substance covered with words about your intentions, your qualifications, and your eagerness to talk in depth about this opportunity, then place it in another paper cover, whereupon a civil servant would convey your package to a â€Å"mailbox.† Quaint, no?In reality, the cover letter does indeed serve a purpose, even if the entire process is handled online. It helps give context to your resume, and puts a voice to your stats. Your resume may be neutrally reviewed for key words by a robot inside a hamster wheel (that’s how those sites work, right?), but at some point your package will be viewed by a human looking to hire you. It’s good practice to write a cover letter to attach to your resume, regardless of how you send in your package.Myth: Never quit a job without having another job offer first.Ideally, sure, you’d have your next job lined up while you’re still working, and have a seamless tra nsition from one to the next. But you know what doesn’t always line up correctly? Life. Sometimes quitting your job is the right option, regardless of what you have coming up next. Not having a job lined up can make your job search more complicated, but this isn’t a black-and-white issue.Myth: Add HR people to your network for future opportunities.According to career expert Hannah Morgan, this is not the best use of your time or networking energy. Human Resources professionals are usually focused on filling specific roles at specific times. They may not know about future openings, or even think to mine their own networks for openings that have already come up. You’re better off networking with people in your target departments at specific companies.Myth: Enthusiasm and passion outweigh experience for reach positions.I wish this one were true! Unfortunately, the reality is that overcoming a lack of experience is a major challenge for people looking to level up, o r people trying to change careers. While it’s not an impossible challenge, especially if you’re committed, there’s no easy way around a lack of experience. Ideally, you’d be eager and passionate while actively working to get more experience. But while passion alone may get you spunkiness bonus points, it may not translate into a job offer. If you’re trying to show your dedication to the job, even when you don’t have the most experience, you can help yourself by tailoring your resume to emphasize skills over experience, and use the interview as a platform to talk about other ways you’re qualified for the position.Myth: You can’t change career paths after you choose one.Ever heard of famed newspaper editor Walt Disney? Or how about legendary bureaucrat Julia Child? No career decision is a permanent one, if you don’t want it to be. Sometimes we just outgrow old choices- and career decisions aren’t immune from that. O r maybe your career path isn’t what you thought it would be when you started. Or maybe you just feel ready for a change. Whatever the reason, you can always prepare to start over in a new field. There are challenges in making the switch- experience? Job opportunities? Skills?- but if you’re invested in this change and make plans to get the experience and skills you need (or are willing to start from the bottom), there’s nothing stopping you.Myth: All you need is a good resume.A good resume is the centerpiece of your job application package, that part is true. But it’s not the only thing, and you can’t count on it to get you from first look to job offer. You need to build the rest of your package around it. Even great resume might not be able to overcome a â€Å"meh† interview- or worse, and actively bad one.It’s important to be able to put your resume details (skills, experience, career highlights) in context, and to be able to talk a bout them coherently and confidently. You want your voice as an applicant to come through, and that comes via the interview, not just the bullet points on paper (or screen). Once you send off your resume, that’s your starting point for interview prep. Practice your handshake, come up with specific anecdotes that demonstrate your skills, and don’t forget to bring questions to ask.Myth: Hiring managers will be able to connect the dots on my qualifications for this job.Don’t leave anything to chance! If you want the company to know you’d be a good fit because of your communication and leadership skills, tell them! Don’t count on an HR rep or an interviewer to assume that based on your education, or past jobs, that you’d be a good fit for the position. Use the cover letter and the interview to your best advantage to make connections to the job description, and make sure you hit the points you want to hit.Myth: I’m clearly qualified, so th e automated application system will push me to the top.Remember what I just said about not taking things for granted? This goes double for computerized application processes. When you work on your resume for this application, make sure you’re using as many keywords from the job description as you can, as well as strategizing how to make your resume pop, even in robot eyes. Knowing how these automated engines process and spit out the data in your resume is an extremely helpful tool in actively trying to game the application system. [via Lifehacker]Myth: You should stay in constant contact with the hiring department so they know how engaged you are.Follow-up is great. A thank-you note is imperative. But after that, regularly checking in to see how the post-interview process is moving along is not a great strategy. For one thing, they may be seeing other candidates, or doing an internal review process. Hiring can have a lot of moving parts, and if someone is out on vacation for a few days or there are a number of qualified candidates, you may not get the instant job offer that you might hope to get.After you submit a resume, it’s best to wait until you hear from the company†¦reaching out at that stage won’t necessarily help get your resume seen or considered. After you have an interview, send your thank you on the same day, and then give them at least a week. At the one week mark, it’s okay to start checking in occasionally (but only occasionally). And there are other, less invasive ways to follow up after the interview, if you’re feeling especially anxious and don’t want to annoy the hiring manager or long-suffering HR rep.Myth: Your best job opportunities are found online.The interweb is one of the best, most inclusive tools you have in your job search arsenal. You can find companies and openings that you might never have thought to search for, and can have your resume in someone’s hands in the time it takes to send an email. But don’t count out offline methods, either.There’s something to be said for good, old-fashioned networking: most jobs are still filled by either internal candidates or by applicants directly referred by employees. (There’s a reason so many companies offer referral bonuses for employees who bring in new hires. And who doesn’t like the idea of earning cash for their friends?) So while job engines can broaden your job search, don’t rely on them exclusively to get that job offer in your hands.There’s so much career advice out there, and it can be hard to tell what’s true, what used to be true, and what just isn’t true. Taking the time to think through (and do some research) about which of our most cherished job search truisms and â€Å"facts† will make you a leaner, meaner candidate armed with the best information to make decisions for your own career and job hunt.

SPSS-Analysis Assignment Example | Topics and Well Written Essays - 1000 words

SPSS-Analysis - Assignment Example This assignment describes the E-commerce topic that is a growing trend in the current business field. For this reasons, persons operating within the business industry should take a keen interest in the behaviors of consumers operating within the e-commerce business segment. To gain a better understanding, the researcher reviews previous literature on this subject and understands the various gaps and strengths that we can utilize to conduct future research. In this regard, this assignment discusses in detail two notable quantitative research analysis methods that have been employed in previous research and could potentially be useful for future studies in the area of e-commerce. The two research methods that we will be looking at are Partial least squares path modeling (PLS-SEM) and exploratory factor analysis (EFA). The first method, PLS-SEM, was utilized in the research article â€Å"Influences of gender and product type on online purchasing†. The second method EFA was utiliz ed in the research â€Å"Customer loyalty in e-commerce: an exploration of its antecedents and consequences†. After review the analysis and results of both articles, it is conclusive that the researchers were keen on the expected data analysis section of their chosen methods. An EFA analyses and their results are clear and easily understood by the audience. As for Pascual-Miguel, Agudo-Peregrina, and Chaparro-Pelà ¡ez , they had to modify a section of the data analyses for it to fit their collected data and the end results were satisfactory.

Rare earth-Business Globalization Research Paper

Rare earth-Business Globalization - Research Paper Example as shown at Fig-1.The same can be inferred from Table-1 showing the production of rare earth from 1983-2003.The geographical location of major rare earth mines are shown at Fig-2.China, which produced 120,000 tonnes or 97% of world output of rare earths in 2009, is undeniably the largest producer of rare earths globally, with India trailing far behind at a distant second place producing only around 2% of the global output(Humphries,6),(Rare Metal Mining, Nov 7,2010). The Baotou’s Bayan Obo mines in Inner Mongolia of China, containing 40,000,000 tonnes of rare earth oxides hold the largest estimated deposits of rare earths in the world, producing 55,000 tonnes of rare earths annually, which is more than 50% of rare earths presently extracted in China. Neodymium and Lanthanum are produced from left-overs of iron ores at these mines(Forbes.com). The US company Moly Corp at Mountain Pass, California is the topmost rare earth producing plant outside of China, with 6 tonnes daily ou tput of rare earth oxides which approximates to 40-67% of rare earths extracted outside of Chinese mainland(Lifton J, Rare Earth Crisis-Part-1). China, Japan, Korea and the EU are supposedly following a policy of maintaining reserves of rare earths. The European Union has identified as strategic and critical, 40 metals for safeguarding and stockpiling purposes( Lifton J, Rare Metals,5).China, has only recently embarked upon a similar policy of establishing and maintaining rare earth reserves to stabilize their prices. It has been reported that China has plans to store 200,000 tonnes of rare earth oxide reserves spread over 10 strategically located reserves(Deloitte,3). China appears to have become concerned about its rising domestic consumption of rare earths, fuelled by rapid industrialization of its metallurgical sector and consumer demands in varied other sectors such as wind turbine, and electronic goods such as cell phones, laptops and in green energy technologies.