Wednesday, January 29, 2020
Health Care Providers Essay Example for Free
Health Care Providers Essay Health Care Providers Respiratory therapists care for people of all ages with restricted breathing problems such as emphysema, chronic obstructed pulmonary disease and asthma. Respiratory therapists may work in hospitals, long term care facilities, physiciansââ¬â¢ offices, and home health services. Respiratory therapists must have an associateââ¬â¢s degree, although most have a both an associates and bachelorââ¬â¢s degree from an accredited college. They are licensed in all states except Alaska (Bureau of Labor Statistics 2012). Licensure requires passing a state certification or professional examination. Respiratory therapists teach patients how to use inhalers and aerosol machines. They provide counseling on smoking cessation. Also set-up, connects, and monitors ventilators for patients that cannot breathe on their own. Respiratory therapists also perform chest physiotherapy on cystic fibrosis patients to remove mucus from their lungs to make it easier for them to breathe. They also perform diagnostic testing such as Pulmonary Function Testing and Methocholine Challenge Testing. The Pulmonary Function Tests provides physicians information on the patientââ¬â¢s lung capacity and breathing ability to assist them in prescribing the appropriate medication. The Methocholine Challenge Test determines if the patient has reversible asthma disease. The Respiratory therapist also performs a test called polysomnogram, a test to determine if a person has sleep apnea (breathing pauses during sleep). The annual median pay for Respiratory therapists as of May 2010 is $54, 280 (Bureau of Labor Statistics 2012). Employment of Respiratory therapists is expected to grow 28% from 2010 to 20120 (Bureau of Labor Statistics 2012) because of the rise in the in the number of elderly with increased incident of emphysema, chronic bronchitis, pneumonia and other respiratory diseases that restrict lung function or cause permanent damage. Also affecting the increase in the need for respiratory therapists is the continued use of all forms of smoking, air pollution and respiratory emergencies. A podiatrist is commonly known as a foot doctor, but is really a doctor of podiatric medicine (DPM). Podiatrists treat and diagnosis conditions of the feet, ankles, and lower legs. Podiatrists must complete four years of training in a podiatric medical school, after earning a bachelorââ¬â¢s degree and three years of residency training in a hospital setting. Podiatrists must be licensed in every state. To become licensed they have to pay a fee and passà a state exam. Podiatrists can choose to specialize in various fields such as pediatrics, wound care, surgery, sports medicine, or diabetic care. Podiatrists can earn board certification by taking an exam after advanced training and clinical experience. The American Board of Podiatric Medicine and the American Board of Podiatric Surgery are the two certifying boards. Podiatrists traditionally work in private offices either alone or with partners, hospitals, and long-term care. The median annual salary for a podiatrist as of 2010 was $118,030 per year (Bureau of Labor Statistics 2012). The job outlook for podiatrist looks very good in the future, partly due to the limited number of podiatric medical schools and the amount of older podiatrists retiring. Education for chiropractors is one of the stringent of todayââ¬â¢s healthcare providers. The chiropractor uses spinal manipulation to relieve the symptoms of low back pain, neck pain, and headaches. Chiropractors believe your body has a natural way of healing itself, the bodyââ¬â¢s structure, nerves, bones, muscles, and joints are all enter-related, and chiropractic treatment helps to balance your body and promote self-healing. When a person decides to enter chiropractor school he must have already completed fours of pre-medical undergraduate education. Once accepted into an accredited chiropractic college, four to five years of intense professional study is standard. Due to the hands on approach to chiropractic medicine most of the training is done in the clinical training. Because of their extensive training, chiropractors are able to diagnose health problems and refer patients to other healthcare providers as needed. Doctors of chiropractic are required to pass a national exam to become state licensed prior to practicing on their own. Chiropractors work in a variety of settings, hospitals, private practices, and schools. The median annual salary for a chiropractor varies depending on the location and setting, ranging from $ 31,120 to $142, 000 (Bureau of Labor Statistics 2013). Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2012-13 Edition, Respiratory Therapists, on the Internet at http://www.bls.gov/ooh/healthcare/respiratorytherapists.htm http://www.apma.org/learn/content.cfm?ItemNumber=992navItemNumber=558 Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2012-13 Edition, Podiatrists, on the Internet at http://www.bls.gov/ooh/healthcare/podiatrists.htm http://www.acatoday.org/level3_css.cfm?T1ID=13T2ID=61T3ID=151 http://www.bls.gov/oes/current/oes291011.htm http://www.mayoclinic.com/health/chiropractic http://www.bls.gov/ooh/healthcare/respiratory-therapists
Tuesday, January 21, 2020
Mystery and Suspense in Sir Arthur Conan Doyles Literature :: Sir Arthur Conan Doyle Literature Essays
Mystery and Suspense in Sir Arthur Conan Doyle's Literature In this essay, I will compare and analyse how Sir Arthur Conan Doyle creates mystery and suspense in three short stories. In retrospect, mystery and suspense go together. If one of the two is present in a story, so is another. Both of these elements are evident in the three short stories by Sir Arthur Conan Doyle. I intend to go into the intriguing world of this master of mystery and explore the methods used by the writer. I aim to analyze the stories and highlight common traits in the way in which he creates mystery and suspense. In order to fully grasp the essence of the stories, we must first know some background information about the writer and the period in which the characters involved in the stories lived. Sir Arthur Conan Doyle studied medicine in Edinburgh and graduated in 1881. He set up practice soon afterwards but unfortunately his patients were far and few between. He then turned to writing. In the duration of his stay in Edinburgh, he met Joseph Bell who was a professor at the University that Sir Arthur Conan Doyle attended. Bell had an intriguing hobby of deducing people's characters from their appearance. Bell became the model for the protagonist of the Sherlock Holmes stories, which were introduced in 1887. In these stories, Doyle portrays himself as Dr. Watson, a friend of Holmes who spends a great amount of time with him. The story of "The Engineer's Thumb'; starts in a way that is typical of many of the Sherlock Holmes stories. Dr Watson is recalling one of the numerous mysteries that he and his friend have solved and he explains which story he is going to tell and why he is going to tell the story. By telling us the reasons for telling the story, the author is provoking the interest of the reader. He also makes the story seem realistic thus gaining the readers belief, which is vital in a story because people prefer not to read stories that develop no sense of credibility. The reader feels that they must read on and find out more about the details offered by the writer. This method is simultaneously setting the story whilst gaining the reader's attention. Another way he builds of the inquisitiveness of the reader is by showing the impacts of the event such as "The Engineers Thumb'; and where he states the effect the case made on him.
Sunday, January 12, 2020
ââ¬Åa Contemporary View on Health Care System in Bangladesh.ââ¬Â
CHAPTER ââ¬â 1 Introduction 1. 0 origin and background of the report The report ââ¬Ëââ¬ËA Contemporary view on Health Care System in Bangladeshââ¬â¢Ã¢â¬â¢ is the outcome of Internship Program which is a precondition for acquiring MBA Degree. Only curriculum activities are not enough for handling the real business environment, so it is necessary to get the better knowledge about the real scenario. The report is a requirement of the internship program for my MBA Degree. Conduction of Internship/ Dissertation started on 20th December 2009 and ended on 12th February 2010.My internship supervisor at International Islamic University Chittagong, Dhaka Campus, Mr. R M Nasrullah Zaidi assigned me the topic of my report. The reason behind choosing this topic is getting a clear picture of the health sector of Bangladesh. Working on this topic gives me an opportunity to understand the Problem and prospect of health care system in Bangladesh. In todayââ¬â¢s world of globalizatio n Thiland is seeking to encourage ââ¬Å"health touristâ⬠to its country under the banner of ââ¬ËThailand: Centre of Excellent Health Care of Asiaââ¬â¢, India is building an e-health industry and Singapore is building hospitals abroad.When scenarios are like that where the health sector of Bangladesh ? Here we try to get a idea about what is the real scenario of various related issues like access to health-relate knowledge and technology, the provision of new hospital and aliened health institution and the availability of health professionals. 1. 1 objectives of the report The objective of my study divided into two segments: 1. 1. 1 Primary Objective The primary objective of this report is to meet the requirements of the course, OCP 5900, Internship. 1. 1. 2 Secondary ObjectiveThe secondary objectives are: * To confer a clear picture of National health senario. * To know about list and capacity of existing Hospital & clinic * To know about manpower supply capacity and req uirement * To know about Morbidity and its rate * To know about Available alternative or traditional medical care system. * To know about health education of mass people * To know about government structure- health system * To know about demographic structure of population * To know about role of different institution in respect of Health Care 1. methodology I have planned to perform the task in four stages: Step 1 Planning of the work Step 2 Data collection Step 3 Analysis and interpretation of data Step 4 Drawing conclusions and recommendations The first stage is the most important stage. I have allocated enormous time for this stage. I am emphasizing on thorough and detailed planning. Planning includes detailed methodology and scheduling of the remaining three stages. I am also emphasizing on documenting detailed planning which would serve as a guideline and performance measure for the whole report.The second stage is the data collection stage. I have planned to collect data in t hree main phases. * Collect data from internet, different books and medical journals. * Conduct interviews with selected representatives from different level of health professionals. This phase actually concentrates on clarification and elaboration of data collected from the first phase. * Conduct interviews and communicate with health providers who are in the front line. This phase actually concentrates on accumulating data for the overall scenario. The third stage is the analysis and interpretation of data.In this stage I would use some statistical and graphical analysis tools to interpret the relationship among different variables and factors. The fourth stage is the stage for drawing conclusions and prescribing recommendations. In this stage the results from the previous stage would be used to draw conclusions about different aspects of concerned matters within the organization and prescribe some recommendation for future improvement. The project is base on both primary and seco ndary information. Primary Source: * Informal discussion with employees of UHL. Observation while working in different desks * Interview with health care providers. Secondary Sources: * Official Web Site of UHL * Annual Reports of Ministry of Health * Various Manuals and Brochures of DG Health * Different publications of WHO. 1. 3 scope This report solely deals with the health related information of Bangladesh. Here we try to accumulate information from various topics that have role with the health system of a country. The project is based on both primary and secondary information. Health system is a very vast area to work; thousands of issues are related here.Here we make some major segment to discuss like national health status, health care delivery system, facility based health service, leading public health problems and health education. 1. 4 limitations 1. The major limitation faced in preparing this report is the enormous number of parameters that have relationship to the heal th care system of a country. 2. Less availability of data at all tiers of service providing especially in the private sector. 3. Less accessibility to data due to shortage of time and proper arrangement and at the same time the authenticity of data not beyond questions. 4.Health sector requires few specified technical knowhow for better understanding. Being a non medical background some time face some problem to understand technical terminology and frequently needed explanation and further study. CHAPTER ââ¬â 2 Bangladesh: National Health Status 2. 0Location and Geography Bangladesh was emerged as an independent and sovereign country in 1971 following a nine months war of liberation. The country is one of the largest deltas of the world with a total area of 147,570 sq km. Being a low-lying country it stretches latitudinal between 20? 34â⬠² and 26? 38â⬠² north and longitudinally between 88? 01â⬠² and 92? 1â⬠² east. It is mostly surrounded by Indian Territory (West Bengal, Tripura, Assam and Meghalaya), except for a small strip in the southeast by Myanmar. Bay of Bengal lies on the south. The standard time of the country is GMT +6 hrs. 2. 1History Bangladesh has a glorious history and rich heritage. Once it was known as ââ¬ËSonar Bangla' or the ââ¬ËGolden Bengal'. The territory now constituting Bangladesh was under the Muslim rule for over five and a half centuries from 1201 to 1757 AD. Subsequently, it came under the British rule following the defeat of the sovereign ruler, Nawab Sirajuddaula, at the battle of Plessey on 23 June 1757.The British ruled over the Indian subcontinent including this land for nearly 190 years from 1757 to 1947. During that period, Bangladesh was a part of the British Indian provinces of Bengal and Assam. With the termination of British rule in August 1947, the sub-continent was partitioned into India and Pakistan. Bangladesh was a part of Pakistan and was called ââ¬ËEast Pakistan'. 2. 2Physiography With a bout half of its surface below the 10 m contour line, Bangladesh is located at the lowermost reaches of three mighty river systems -the Ganges-Padma river system, Brahmaputra-Jamuna river system and Surma-Meghna river system.Coinciding with the division of the country based on altitude the land can be divided into three major categories of physical units: Tertiary hills, Pleistocene uplands and Recent plains (formed in recent epoch). The heavy monsoon rainfall coupled with the low altitude of major parts of the country makes floods an annual phenomenon in Bangladesh. Quaternary (began about 2 million years ago and extends to the present) sediments, deposited mainly by the Ganges, Brahmaputra (Jamuna) and Meghna rivers and their numerous distributaries, cover about three-quarters of Bangladesh.The physiography and the drainage pattern of the vast alluvial plains in the central, northern and western regions have gone under considerable alterations in recent times. In the context of ph ysiography, Bangladesh may be classified into three distinct regions: (a) floodplains, (b) terraces and (c) hills, each having distinguishing characteristics of its own. The physiography of the country has been divided into 24 sub-regions and 54 units. 2. 3Climate Bangladesh has a tropical monsoon-type climate, with a hot and rainy summer and a dry winter.January is the coolest month with temperatures averaging near 260 C (780 F) and April is the warmest with temperatures from 330 to 360 C (910 to 960 F). The climate is one of the wettest in the world. Most places receive more than 1,525 mm of rain a year, and areas near the hills receive 5,080 mm). Most rains occur during the monsoon (June-September) and little in winter (November-February). Bangladesh has warm temperatures throughout the year, with relatively little variation from month to month. January tends to be the coolest month and May the warmest.In Dhaka, the average January temperature is about 19à °C (about 66à °F), an d the average May temperature is about 29à °C (about 84à °F). 2. 4Administration From the administrative point of view, Bangladesh is divided into 6 Divisions, 64 Districts, 6 City Corporations, 308 Municipalities, 482 Upazilas and 4498 Unions. The six administrative division's are namely, Dhaka, Chittagong, Rajshahi, Khulna, Barisal and Sylhet. The country is governed by the Parliamentary Democracy and it has a unitary National Parliament, nameBangladesh Jatiya Sangsad. There are 40 Ministries and 12 Divisions.The Ministry of Health ; Family Welfare is one of largest ministries in the country. At the national level, the Ministry oHealth ; Family Welfare (MOHFW) is responsible for policy, planning and decision making atmacro level. Under MOHFW, there are four Directorates, viz. , Directorate General of HealthServices, Directorate General of Family Planning, Directorate of Nursing Services and Directorate of Drug Administration. Beside, there are a separate National Nutrition Proje (NNP)and Construction, Maintanance and Management Unit (CMMU). . 5Economy Bangladesh has an agrarian economy, although the share of agriculture to GDP has beendecreasing over the last few years. Yet it dominates the economy accommodating major rural labour force. From marketing point of view, Bangladesh has been following a mixed economy that operates on free market principles. The GDP of Bangladesh is 6. 21% and per capitincome is US$ 599. The principal industries of the country include readymade garments,textiles, chemical fertilizers, pharmaceuticals, tea processing, sugar, leather goods etc.Theprincipal mineral includes Natural gas, Coal, white clay, glass sand etc. 2. 6Communication The transport system of Bangladesh consists of roads, railways, inland waterways, two sea ports, maritime shipping and civil aviation catering for both domestic and international traffic. Presentlythere are about 21,000 km of paved roads; 2,706 route-kilometres of railways (BG-884km and MG -1,822 km ); 3,800 km of perennial waterways which increases to 6,000 km durinthe monsoon, 2 seaports (Chittagong and Chalna) and 3 international (Dhaka, Chittagong andSylhet) and 8 domestic airports. . 7Religion and Culture The majority (about 88%) of the people are Muslim. Over 98% of the people speak in Bangla. English, however is widely spoken. Bangladesh is heir to a rich cultural legacy. In two thousand or more years of its chequered history, many illustrious dynasties of kings and Sultans ruled the country and have left their mark in the shape of magnificent cities and monuments. The people of Bangladesh are very simple and friendly. A beautiful communal harmony among the different religions has ensured a very congenial atmosphere.More than 75% of the population lives in rural areas. Urbanization has, however, been rapid in the last few decades. 2. 8Population and Demography Bangladesh is now Asia's fifth and world's eighth populous country with an estimated population of about 146 mil lion. Density of population is around 979 per square kilometer, the highest in the world. Rural population comprises about 76% while urban constitutes about 24%. Adult literacy rate is 54% (2006). Census of 2001 reveals that 43 per cent of the population is below 15 years of age.This young age structure constitutes built-in population momentum. Also urban population is increasing quite fast. Though Bangladesh has made progress in reducing poverty and per capita income has been creeping up, a substantial number of population are poor. Progress made in improving Bangladesh's Human Development Index (HDI) has placed her among the medium-ranking HDI countries. Strong policy interventions led to continuous reduction in the annual growth rate of population from the level of 2. 33 % in 1981 to 1. 54 in 2001 and further to 1. 48 (2007). The TotalFartility Rate (TFR) also went down from 3. 4 in 1993-94 to 2. 2 (2007). The CPR (any method) increased from 44. 6% in 1993-94 to 58. 1% in 2004, b ut again fell down to 55. 8% in 2007. Life expectancy at birth has continuously been rising, and is now 65 years (2007) from the level of 58 (1994). Reversing past trends, women now live longer than men. The country, however, is over burdened with about two million new faces every year creating extra pressure on food, shelter, education, health, employment, etc. , and thus making the anticipated economic growth difficult. . 9Health Status Since independence Bangladesh has made significant progress in health outcomes. Infant and Child mortality rates have been markedly reduced. The underfive mortality rate in Bangladesh declined from 151 deaths per thousand live births in 1991 to 65 deaths/1000 live births in 2007 and during the same period infant mortality rate reduced from 94 deaths per 1000 live births to 52. EPI coverage extended its reach from 54% in 1991 to 87. 2% in 2006. The MMR reduced from 574/100,000 live births in 1991 to 290 in 2007.Deliveries attended by skilled birth a ttendants increased from only 5% in 1990 to 20% in 2006. The prevalence of malaria dropped from 42 cases /100,000 in 2001 to 34 in 2005. Bangladesh has also achieved significant success in halting and reversing the spread of tuberculosis (TB). Detection of TB by the Directly Observed Treatment Short-course (DOTS) has more than doubled between 2002 and 2007, from 34 to 92%. The successful treatment of tuberculosis has progressed from 84% in 2002 to 91% in 2007. Polio and leprosy are virtually eliminated. HIV prevalence is still very low.Development of countrywide network of health care infrastructure in public sector is remarkable. However, availability of drugs at the health facilities, deployment of adequate health professionals along with maintenance of the health care facilities remain as crucial issues, impacting on optimum utilization of public health facilities 2. 10Nutrition Status There has been considerable progress in reducing malnutrition and micro nutrient deficiencies i n Bangladesh. According to BDHS, percentage of U5 underweight (6-59 months) has reduced to 46. (2007) from 67 (1990) and that of U5 stunted (24-59 months) from 54. 6 (1996) to 36. 2 (2007). Percentage of children 1-5 years receiving vitamin-A supplements in last six months has increased from 73. 3 (1999-00) to 88. 3 (2007). The rate of night blindness has reduced to 0. 04 per 1000 people (IPHN, HKI 2006). However, in spite of efforts taken by the government, high rates of malnutrition and micronutrient deficiencies along with gender discrimination remain common in Bangladesh. 2. 11Urban Health ServiceThe urban areas provide a contrasting picture of availability of different facilities and services for secondary and tertiary level health care, while primary health care facilities and services for the urban population at large and the urban poor in particular are inadequate. Rapid influx of migrants and increased numbers of people living in urban slums in large cities are creating con tinuous pressure on urban health care service delivery. Since the launching of two urban primary health care projects, the services have been delivered by the city corporations and municipalities through contracted NGOs in the project's area.Rest of the urban areas and services are being covered by MOHFW's facilities. Moreover, 35 urban dispensaries under the DGHS are providing outdoor patient services including EPI and MCH to the urban population. 2. 12Organizational Setup of MOHFW The Ministry of Health & Family Welfare is one of largest ministries in the country. At the national level, the ministry of Health & Family Welfare (MOH&FW) is responsible for policy, planning and decision making at macro level. 2. 12. 1Executing Authorities of MOHFW:Under MOHFW, there are four Directorates General or Directorates, e. g. , Directorate General of Health Services, Directorate General of Family Planning, Directorate of Nursing Services and Directorate of Drug Administration. 2. 13Directorat e General of health Services (DGHS) The Directorate General of Health Services (DGHS) is entrusted for the implementation of the policy decisions of the Ministry of Health and Family Welfare (MOHFW) as regards health service delivery to all the people under the jurisdiction of the Government of the People's Republic of Bangladesh.It provides technical guidance to the ministry. DGHS carries out its activities through different directors, line directors, project directors, institution heads, district and upazila health managers and union health staffs. 2. 14Health, Nutrition ; Population Sector Program (HNPSP) The constitution Bangladesh mandates for basic health care services for its people as one of the fundamental responsibilities of the state. Towards this goal, the government has taken different endeavors to extend health facilities to the population.The broader policy document of the Government of Bangladesh that shapes direction of health care is the Poverty Reduction Strategy Paper (PRSP) although the current government has indicated that it will go for Five Year Plan. The Government of Bangladesh is running a program through which the health care services are provided to the people from the grass root to the central level. The program is entitled Health, Nutrition and Population Sector Program for the period of July 2003 through June 2010 (HNPSP 2003-2010).The Ministry of Health and Family Welfare (MOHFW) designed the Program Implementation Plan (PIP) in accordance with the PRSP to implement its sector wide program popularly known as Health, Nutrition and Population Sector Program (HNPSP). The HNPSP covers 38 Operational Plans (OP) to be implemented by 38 Line Directors and 14 Projects/Programs. The Government has recently decided to continue HNPSP until 2011. The details of the program are well documented in the form of Program Implementation Plan (PIP) duly endorsed at the highest policy level of the government, the Executive Committee for National Ec onomic Council (ECNEC).The Implementing Agency of the program is Ministry of Health and Family Welfare (MOHFW) with its attached departments. The financial involvement is estimated to be around Taka 324,503 million which includes contributions for GOB (Government of Bangladesh) and DPs (Development Partners). 2. 15Priority Objectives and Goal One of the important goals of PRSP and HNPSP is attainment of Millennium Development Goals (MDGs). The health sector is specially striving for attainment of health related MDGs.The priority objectives of HNPSP are: (i) reducing MMR; (ii) reducing TFR; (iii) reducing malnutrition; (iv)reducing infant and under-five mortality; (v) reducing the burden of TB and other diseases; and (vi) prevention and control of noncommunicable diseases including injuries. The commitment of the government targets towards reaching the goal of sustainable improvement in health, nutrition and family planning status of the people by the end of the program period. It ma y be mentioned here that HNPSP deals with health care service delivery of the public sector.Nevertheless, it strives to maintain a strong cooperation and coordination with the efforts of the Private Sector as well so as to ensure the overall well-being of every citizen of the country. Of the 38 OPs, 7 are under MOHFW, 19 under Directorate General of Health Services (DGHS), 9 under Directorate General of Family Planning (DGFP), 1 under Directorate of Nursing Services (DNS), 1 under Directorate of Drug Administration (DDA) and 1 under National Institute of Population Research and Training (NIPORT) and.Of the 14 projects/programs, 1 is under MOHFW, 9 under DGHS, 1 under DGFP, 2 under DNS and 1 under NIPORT. The Health Bulletin 2009 is an attempt of Management Information System (MIS) of DGHS to provide an overview of the current health profiles of Bangladesh. CHAPTER ââ¬â 3 Health care delivery systems of Bangladesh Distribution of public health care services and facilities follows similar pattern of administrative tiers, viz. national (mostly capital-based in Dhaka), regional (in divisions), district, upazila, union and ward. The country has 7 divisions, 64 districts, 482 upazillas and 4,498 unions.As the Ministry of health and family Welfare deploys health workforce according to the older ward system, which divides each union into 3 wards. Therefore, number of MOHFW wards is 13,494. Primary health care (PHC), which includes family planning services in the urban area (city corporations and municipalities), is provided by Ministry of Local Government; and in rest of the country by Ministry of Health and Family Welfare (MOHFW) provides health care service. Provision of secondary and tertiary care, in both urban divisional directorates with necessary staff. and rural areas, is the sole responsibility of MOHFW.The MOHFW delivers its services through two separate executing authorities, viz. Directorate General of Health Services (DGHS) and Directorate General of Family Planning (DGFP). The names explain their functions. PHC services of both DGHS and DGFP begin at the ward level through a set of community health staffs, at least one in each ward (Table). To supervise these field staffs, there is one assistant health inspector (for DGHS) and one family planning inspector (for DGFP) at union level. There are several hundred non-bed community facilities to provide outpatient services (1466 for DGHS and 3500 for DGFP).Besides DGFP also operates additional 97 maternal and child welfare centers (MCWCs) (union: 23; upazila: 12; district: 62), 471 MCH-FP clinics (upazila: 407; district: 64), 177 NGO clinics (upazila: 68; district: 104; national: 05), 08 model clinics (national: 02; regional: 06) and organizes 30,000 makeshift satellite clinics per month. The public sector hospital care in Bangladesh is mainly provided by DGHS. Primary level hospital care| Secondary level hospital care| Tertiary level hospital care| Begins through Upazila Health Comp lex (31 to 50 Bed) existing in 418 upazilas. The district hospitals (50 to 375 bed), one each district, provide secondary level hospital care in several specialty areas. | The regional hospital are multidisciplinary tertiary care hospitals (250 to 1700 beds) mostly affiliated with teaching institutes. At the national level, there are postgraduate and specialized hospitals (100 to 600 beds)| 3. 0Divisional level health organization At the divisional level, there is a divisional Director for Health. S/he is the head of a Divisional Directors supervise the activities of the civil Surgeons. 3. 1District level health organizationAt the district level, Civil Surgeon is the health manager. S/he has own administrative office supported by various categories of staff. There is either a Sadar Hospital or a General Hospital in each district head quarter. The Hospital provides services under the management of Civil Surgeon with a view to render out-patient, in-patient, emergency, laboratory and imaging services to the people. The in-patient services internal medicine, general surgery, obstetrics and gynecology and other common specialist clinical services. It is the secondary level referral facility of health services of Bangladesh.Currently there are 59 Sadar district hospitals and 2 General hospitals in the country each having 100-250 bed. 3. 2Upazila level health organization Upazila Health Complex (UHC) is another fixed service delivery point next to district level hospital. It provides the first level referral services to the population. In each UHC, there are posts for 9 (nine) doctors including one Upazila Health and Family Planning Officer (UHFPO). UHFPO is the Chief Health Officer of upazila and also Head of the UHC. Other doctors of UHC are Junior Consultants-4, Resident Medical Officer-1, Assistant Surgeons (MO)-2 and Dental Surgeon-1.There are 418 Upazila Health Complexes (UHC) in the country of which 153 are 50bed and rests are 31-bed. UHC provides out-patient , in-patient and emergency services, limited diagnostic and imaging services, emergency obstetric care, contraceptive services and dental care. 3. 3Union level health organization There are four types of static health facilities in the union level. These are Rural Health Centers (RHC, 10-bed hospital), Union Sub-centers (USC), Union Health and Family Welfare Centers (UHFWC) and Community Clinics (CC). There are 22 RHCs, in each of these, there are sanctioned posts of 20 staffs.RHC provides both out-patient and inpatient services. In an USC, there is sanctioned posts for one medical officer, one medical assistant, one pharmacist and one MLSS. Number of USC is 1,362; that for UHFWC is 87. Under HPSP, Government planned for establishing one Community Clinic for every 6000 rural populations. Number of CCs so far built is 11,883. But, these were not made functional. Recently Government has decided to start the CCs again. The total number of CCs will be 18000. The existing UHCs and Union level facilities will also provide services of CCs in the respective communities.So,13,500 additional CCs will be required. The main health workforce in the union level is the domiciliary staff called health assistants. They are placed in each ward, which is the lowest and smallest administrative unit of the health sector. They visit the homes of the local people for providing primary health care services and collection of routine health data. The health assistants routinely organize satellite clinics for immunization services. Besides there are other small to large hospitals and special purpose hospitals spread across the country both in rural as well as in urban areas.Under the DGHS, there are altogether 40 teaching/training institutes and 589 small to large hospitals. In Family Planning sector, there are one national research-cum-training institute, two hospital-based training centers, and 32 other training centers (national: 12; regional: 20). Nearly six hundred health managers under DGHS and a similar number under DGFP, from national to upazila levels, play roles in administering the health and family planning services (1,17). This figure does not include the institute and clinic/hospital heads. CHAPTER ââ¬â 4Facility Based Health Services Hospital service is one of the important activities of health sector, which is the most visible health service also. This chapter of the Health Bulletin 2009 will provide an overview of the hospitals and their bed capacity as well as utilization based on the information from January through December of 2008. 4. 0Hospitals by bed capacity There are 585 hospitals ranging from 10 beds to 1,700 beds under DGHS currently. All of these hospitals provide a total of 37,090 beds. The table below gives a detail profile. No. f hospitals by bed capacity and total beds under DGHS Sl. No. | Bed capacity | No. of hospitals in this type | Total beds | 1 | 1700 beds | 1 | 1700 | 2 | 1010 beds | 1 | 1010 | 3 | 900 beds | 1 | 900 | 4 | 800 beds | 1 | 800 | 5 | 600 beds | 5 | 3000 | 6 | 500 beds | 3 | 1500 | 7 | 414 beds | 1 | 414 | 8 | 375 beds | 1 | 375 | 9 | 250 beds | 19 | 4750 | 10 | 200 beds | 2 | 400 | 11 | 150 beds | 3 | 450 | 12 | 100 beds | 53 | 5300 | 13 | 80 beds | 1 | 80 | 14 | 56 beds | 1 | 56 | 15 | 50 beds | 158 | 7900 | 16 | 31 beds | 271 | 8401 | 17 | 30 beds | 1 | 30 | 8 | 25 beds | 1 | 25 | 19 | 20 beds | 43 | 860 | 20 | 10 beds | 22 | 220 | | Total = | 589 | 3817138171| Type of hospitals Following list gives an overview of the type of hospitals currently in operation under DGHS Type of hospitals | No. of hospitals | Total bed capacity | Postgraduate institute hospital | 7 | 2014 | Dental college hospital | 1 | 20 | Hospital for alternative medicine | 2 | 200 | Medical college hospital | 14 | 8685 | Mental hospital, Pabna | 1 | 500 | Shekh Abu Naser Specialized Hospital | 1 | 250 | Narayanganj 200 bed Hospital | 1 | 200 |Specialized Health center (Asthma ; Burn unit) | 2 | 150 | Sarkari karmoc hari hospital | 1 | 100 | Chest hospital | 12 | 566 | Infectious disease hospital | 5 | 180 | Leprosy hospital | 3 | 130 | District Level Hospital | 60 | 8100 | 50 bed hospital(Tongi, Saidpur) | 2 | 100 | 100 bed hospital (Narsingdi) | 1 | 100 | 25 bed hospital (Jhenidah) | 1 | 25 | Bangladesh korea moitree hospital | 1 | 20 | Upazila health complex | 421 | 15958 | Health complex (31 bed) | 3 | 93 | 20 bed hospital | 28 | 560 | 10 bed hospital | 22 | 220 | Postgraduate Institute Hospitals all are national level hospitals and are located in Dhaka) Total = 7 | No. of beds | | Total | Revenue | Develop. | Proposed | Beds will Increase | 1. National Institute of Chest Disease and Hospital (NIDCH) | 600 | 600 | 0 | 0 | 0 | 2. National Institute of Cardiovascular Disease (NICVD) | 414 | 250 | 164 | 0 | 0 | 3. National Institute of Traumatology and Rehabilitation (NITOR) | 500 | 500 | 0 | 0 | 0 | 4 National Institute of Cancer Research and Hospital (NICR;H) | 50 | 50 | 0 | 250 | 200 | 5 Na tional Institute of Ophthalmology (NIO) | 250 | 250 | 0 | 0 | | 6.National Institute of Kidney Disease and Hospital (NIKDU) | 100 | 0 | 100 | 0 | 0 | 7. National Institute of Mental Health (NIMHR) | 100 | 50 | 50 | 0 | | Total = | 2014 | 1700 | 314 | 250 | 200 | Medical College Hospitals of Teaching Hospitals of equivalent level (Regional hospitals and are used as undergraduate and postgraduate teaching hospitals). Division | District | Name of hospital (Total = 17) | No. of beds | | | | Beds | Revenue | Develop. | Proposed | Bed will increase | Barisal | Barisal | Sher-e-Bangla Medical College Hospital | 00 | 600 | 0 | 1000 | 400 | Chittagong | Chittagong | Chittagong Medical College Hospital | 1010 | 1010 | 0 | 0 | 0 | | Comilla | Comilla Medical College Hospital | 250 | 250 | 0 | 500 | 250 | Dhaka | Dhaka | Dhaka Medical College Hospital | 1700 | 1700 | 0 | 2000 | 300 | | | Sir Salimullh Medical College Hospital | 600 | 600 | 0 | 0 | 0 | | | Shahid Suhrawardy Hospital, Dhaka | 37 5 | 375 | 0 | 0 | 0 | | | Homoeopathic Degree College ; Hospital | 100 | 100 | 0 | 0 | 0 | | | Unani ; Ayurvadic College ; Hospital | 100 | 100 | 0 | 0 | 0 | | | Dental College and Hospital, Dhaka | 20 | 20 | 0 | 200 | 180 | | Faridpur | Faridpur Medical College Hospital | 250 | 250 | 0 | 0 | 0 | | Mymensingh | Mymensingh Medical College Hospital | 800 | 800 | 0 | 1000 | 200 | Khulna | | Khulna Medical College Hospital | 250 | 250 | 0 | 500 | 250 | Rajshahi | Bogra | SZR Medical College Hospital | 500 | 500 | 0 | 0 | 0 | | Dinajpur | Dinajpur Medical College Hospital | 250 | 250 | 0 | 500 | 250 | | Rajshahi | Rajshahi Medical College Hospital | 600 | 600 | 0 | 0 | 0 | | Rangpur | Rangpur Medical College Hospital | 600 | 600 | 0 | 1000 | 400 | Sylhet | Sylhet | MAG Osmani Medical College Hospital | 900 | 900 | 0 | 1000 | 100 | Total = | 8905 | 8905 | 0 | 7700 | 2330 | Specialized Centers under DGHS with bed capacity (Year 2008) Division | District | Name of hospital (Total = 2) | No. of beds | | | | Beds | Revenue | Develop. | Proposed | Bed will increase | Dhaka | Dhaka | 1. National Asthma Center at NIDCH | 100 | 0 | 100 | 0 | 0 | | | 2. Burn Unit | 50 | 0 | 50 | 200 | 150 | Total = | 150 | 0 | 150 | 200 | 150 | | | 4. 1BSMMU Bangabandhu Sheikh Mujib Medical University (BSMMU) is the premier Postgraduate Medical Institution of the country. It bears the heritage to Institute of Postgraduate Medical Research (IPGMR)which was established in December 1965.In the year 1998 the Government converted IPGMR into a Medical University for expanding the facilities for higher medical education and research in the country. It has an enviable reputation for providing high quality postgraduate education in different specialties. The university has strong link with other professional bodies at home and abroad. The university is expanding rapidly and at present, the university has many departments equipped with modern technology for service, teaching and research. Besides educ ation, the university plays the vital role of promoting research activities in various discipline of medicine. Since its inception, the university has also been delivering general and specialized clinical service as a tertiary level healthcare center.The university provides patient care services on various disciplines like Psychiatry, Physical medicine, Pediatrics, Neonatology, Pediatric neurology, Pediatric surgery, Clinical pathology, Dermatology, Colorectal surgery, Nephrology, Urology, Neurology, Neuro-Surgery, Internal Medicine, Gastroenterology, Hepatology, Ophthalmology, ENT, Obstetrics ; gynecology, Surgery, Hepatobiliary Surgery, dentistry, and blood transfusion services. It provides different treatment services like Intensive Care, Lithotripsy, Pain management and diagnostic services like radiology, endoscopy, CT scan ; MRI and a one-stop laboratory service. BSMMU runs Institute of Nuclear Medicine (INM). INM is a joint project of Bangladesh Atomic Energy Commission and BS MMU. The INM has modern diagnostic and therapeutic facilities including computerized ultrasonography, gamma camera and a well equipped radioimmunoassay (RIA) laboratory.This is considered to be the best center for noninvasive diagnoses. 4. 2Smilingà Sunà Franchiseà Program à (SSFP) The Smiling Sun Franchise Program is a project funded by the United States Agency for International Development (USAID). It is intended to complement the wide network of healthcare facilities set up by the Government of Bangladesh resorting to an innovative approach to health care franchising. SSFP is committed to improve the quality of life of all Bangladeshis by providing superior, friendly and affordable health services in a sustainable manner. To achieve relevant health outcomes, SSFP is jointly working with partnering NGOs to convert the existing network into a viable social health system.SSFP objective is to strengthen partnering organization's quality of care while helping them to enhance t heir financial sustainability, thus enabling them to continue serving an important segment of the Bangladeshi society, including the poorest of the poor. Currently 29 NGOs are providing health care services to women, children and through 319 static and 8,500 satellite clinics in 61 districts of Bangladesh. 34 clinics of this network are providing Emergency Obstetric Care (EmOC) services. This network will continue to expand the volume and types of quality health care under ESD provided to the able-to-pay customers as well as underserved and poor clients. 4. 3Urban Primary Health Care Project (UPHCP-II): About 35 million people representing almost 25 percent of the population of Bangladesh live in urban areas, a large proportion of whom are slum dwellers.The health knowledge of the urban slum dwellers and their access to essential basic health services are low. Children living in urban slums are deprived of education and health care, and vulnerable to violence, abuse and exploitation . On the other hand, high rate of mortality and morbidity exists among women who remain neglected in terms of meeting their basic health needs and ensuring their rights. The Government of Bangladesh is committed to put in place strategies to address the issues of improving the health status of the urban population. This is to be done through improved access to and utilization of efficient, effective and sustainable Primary Health Care Services.The provision of public health services in urban areas is the responsibility of Local Government Bodies by dint of City Corporation Ordinance of 1983 and Pouroshova Ordinance of 1977. For primary health care services delivery, the public sector works in partnership with NGOs and the local government institutions such as the City Corporations and Pouroshovas. The health service delivery mechanism in urban areas involves diverse roles of the government (MOLGRD&C and MOHFW), NGOs and the private sector. CHAPTER ââ¬â 5 Leading Public Health Pr oblems 5. 0Communicable disease The prevention and control of communicable diseases represent a significant challenge to those providing health-care services in Bangladesh.Sound knowledge on the disease epidemiology is a must for the health service providers in various levels. The Bangladesh population is namely affected by diarrheal diseases, cholera, hepatitis A & E, Malaria, Mycobacterial Disease like Tuberculosis and Leprosy, Dengue, Japanese encephalitis, Nipah virus infection, etc. Crowding, poor access to safe water, inadequate hygiene and toilet facilities, and unsafe food preparation and handling practices are associated with transmission. Cholera is endemic Bangladesh, between 800 and 1000 cases are usually being recorded daily at the hospital of the ICCDR, B in Dhaka. Hepatitis A and E levels are usually high in the country.Malaria risk exists throughout the year in Bangladesh. Thirteen out of 64 administrative districts are high malaria endemic areas. 98% of all malaria cases reported are from these districts, which are mainly located in the border areas of India and Myanmar. Tuberculosis still remains as a major public health problem, which ranks Bangladesh fifth among the high-TB burden countries in the world. The present revised National Tuberculosis Programme (NTP) was launched and field implementation of DOTS (Directly Observed Treatment short course) was started in 1993. Kala Azar or Leishmaniasis or is endemic in Bangladesh and has an incidence of 175 per 100,000 per annum.It is caused by a protozoa which is transmitted from the bite of infected sandfly and may present in cutaneous or visceral forms (particularly common in Bangladesh). Filariasis is a mosquito borne parasitic disease causality urogenital organs, breast, etc. with long arm disability. In Bangladesh, it is endemic in 23 districts, mostly the bordering ones. About 20 million people are already infected, most of whom are incapacitated. Leprosy has been a major health problem in Bangladesh for a long time. Bangladesh was considered a high endemic country and was listed among ten countries with high case load (1992). Leprosy situation has changed globally after 1981 when the Multi Drugs Treatment (MDT) were introduced.Hepatitis A virus infection is common in Bangladesh with a prevalence of about 2% to 7%. Prevalence of hepatitis C virus infection is less than 1%. Sporadic outbreak is often seen caused by hepatitis E virus infection; but presence of hepatitis D infection is not exactly known. Polio free status prevailed from 2001 until now (June 2009) except a small window period in 2006 when 18 cases of child polio were seen in boarder areas of Bangladesh. it is assumed that these cases were imported from India. Dengue fever/Dengue hemorrhagic fever (DF/ DHF) is a viral disease transmitted by the Aedes aegypty mosquito. It is on the increase in South East Asia. Bangladesh reported 100, 000 cases in 2005.However case fatality rate (CFR) remained
Saturday, January 4, 2020
Impact of Rewards on Employee Motivation - 5008 Words
ijcrb.webs.com INTERDISCIPLINARY JOURNAL OF CONTEMPORARY RESEARCH IN BUSINESS A STUDY ON THE IMPACT OF REWARDS ON EMPLOYEE MOTIVATION IN THE TELECOMMUNICATION SECTOR OF PAKISTAN Farheen B. Zaidi 1, Zahra Abbas 2 JULY 2011 VOL 3, NO 3 Abstract A good reward system is necessary to motivate the employees of an organization. This study was conducted in order to investigate the impact of rewards on the motivational level of employees of telecommunication sector of Pakistan. The impact of three independent variables rewards, monetary rewards and non-monetary rewards on the dependent variable motivation was studied. Four dimensions of motivation, focus, determination, effort and satisfaction were considered for the development ofâ⬠¦show more contentâ⬠¦Employees that are motivated and are fully aware of the organizationââ¬â¢s goals, and know that organization will provide those benefits when they will achieve the goals, they will divert their all hard work and devotion towards those goals. (Roberts, 2005). The telecommunication sector of Pakistan is offering several benefits and rewards to its employees; so that employees feel motivated and remain satisfied with their jobs and improve their performance in orde r to achieve organizational goals. Objectives The basic objectives for carrying out this research were; To measure the impact of rewards in the most fast growing sector of (a) Pakistan i.e. Telecommunication sector Pakistan on the motivation of its employees. To measure which type of reward i.e. monetary rewards or non monetary (b) rewards cause more motivation among the employees of telecommunication sector of Pakistan. To measure whether there are significant evidences of having different (c) motivational levels on the basis of demographic variables or not. To determine is there any difference or not in rewards that were being (d) offered to employees on the basis of demographic variables Literature Review It was in the past when there was a permanent guarantee for the job and in return employees used to give the organization the loyalty, best output etc. since itââ¬â¢s a dream now, this indicates that rules of working in the organizations has changed and now the organization should understand thatShow MoreRelatedImpact of Reward System on Employee Motivation3826 Words à |à 16 Pages(SECTION: 2) ââ¬Å"IMPACT OF REWARD SYSTEM ON EMPLOYEE MOTIVATIONâ⬠SUBMITTED TO: SIR RAZA NAQVI SUBMITTED BY: (Group#6) Shazia faiz (MM111119) Zainab Hassan (MM111027) Robeela qayyum (MM103070) DATE: 22 JUNE 2011 ââ¬Å"IMPACT OF REWARD SYSTEM ON EMPLOYEE MOTIVATIONâ⬠Shazia Faiz, Zainab Hassan Robeela Qayyum Abstract The purpose of the study was to investigate and analyze the impact of reward system on employee motivation and how well the current reward system was helpingRead MoreThe Importance Of Employee Motivation And Customer Retention Essay1634 Words à |à 7 Pagesquality, customer loyalty, and work efficiency. Indeed, in their research study, Ganesh and Mangalore (2016) established a strong link between employee motivation and customer retention. Therefore, any effort to improve the performance of an organization should begin with addressing human resource issues in the attempt to improve its motivation. Employee motivation has been a central area of focus in organizational behavior issues and studies. Scholars and professionals have been trying to understandRead MoreIntroduction. Sns Is A Marketing And Public Relations Company1544 Words à |à 7 Pagesretains an engaged employee pool that will provide exceptional customer service to the clients. Over the next several months, SNS will i mplement various motivational tools to encourage and reward creativity, insight, teamwork and enthusiasm. The Importance of Motivation In todayââ¬â¢s demanding work environment, employee engagement can be a challenging task. Understanding the importance of motivating employees is vital to the success of the company. Rabideau (2005) states that motivation is the correlationRead MoreTHE RELATIONSHIP BETWEEN EMPLOYEE MOTIVATION AND PERFORMANCE1110 Words à |à 5 PagesMotivation can be a key-contributing factor in employee performance. It is of great importance to an organization to recognize ways in which it can use employee motivation to positively affect employee performance. The methods used by organizations to motivate its employees are essential in determining how they affect employee performance. There are both positive and negative motivational tools that may be explored. The purpose of this paper is to examine the relationship between motivation andRead MoreThe Work For Organisations And With Their Abilities And Skills1651 Words à |à 7 Pagesachieve higher levels of output. The employees loses their interest and their working efficiency level gets reduced when they feel that their good work is not noticed and not been appreciated by the management. Similarly some of the employees may need motivation for them to get on track and start using their skills for the benefit of their organisation (Liopis, G., 2012). There is an old saying you can take a horse to the water but you cannot force it to drink; it will drink only if itââ¬â¢s thirsty-so withRead MoreThe Role Of Total Reward And Motivation1573 Words à |à 7 Pages 3.1 Role of Total Reward and Motivation in the Third Sector Organisation Providing and working for a specific cause for people and environment is always seen as a positive attribute. However, employers in the third sector are in race to attract and retain their most important and valuable asset their employees, who are drifting from working with charitable organisations towards the private organisations. Based on a research by the Best Companies in 2009 for HR magazine, it was stated that majorityRead MoreMotivation/Reward System1404 Words à |à 6 PagesEssay 1: Motivation/Reward System by Blake P. Rodabaugh EDD 9100 CRN 35455 Leadership Seminar Nova Southeastern University January 15, 2012 Essay 1: Motivation/Reward System Employee motivation seems to be at the core of what defines leadership or more importantly a leader. The success or failure of an organization is dependent upon the ability of those in leadership positions and roles to motivate and inspireRead MoreThe Theory Of Motivation As Defined By Vroom ( 1964 )901 Words à |à 4 PagesIntroduction In recent years, organizations have shown an interest in addressing the subject of employee attitude regarding their jobs and tasks. Many leaders believe that motivation is a key factor in keeping employees on a path to achievement in the workplace. Motivation as defined by Vroom (1964) is the force impelling an employee to perform a particular action. Theories of motivation started to be developed following World War II. Prior to this time, organizations had not shown any concernRead MoreWhy Incentive Plans Can Not Work1555 Words à |à 7 Pagesredemptive effects of rewards. Many companies in United States support as well as use this program to enhance the employee productivity but there are many evidences that render this practice useless. These evidences state that the actual effect that could have been achieved by the program is not the end result. Problems with the Rewards Program: One of the major problems seen with the rewards program is the temporary compliance with the program. Generally the mechanism followed in the rewards program associatesRead MoreThe Link Between Performance and Reward Management1061 Words à |à 4 Pagesï » ¿Performance and Reward Management: Performance management is an important organizational aspect that is geared towards developing people with necessary competencies and commitment for working towards the achievement of common organizational goals. As a result, the frameworks of this component are developed in order to enhance both individual and organizational performance. This is done through identifying performance needs, providing regular feedback, and helping individuals in their career development
Friday, December 27, 2019
Dream Job for a Better World - Free Essay Example
Sample details Pages: 8 Words: 2387 Downloads: 1 Date added: 2019/02/20 Category Career Essay Level High school Tags: My Dream Job Essay Did you like this example? Most people have never heard of the profession called CRNA. This profession is highly unrecognized and the numbers show it. There are only 38,000 practicing CRNAs (this doesnââ¬â¢t include student CRNAs) in the United States which may seem like a lot but compared to say construction workers which are employed by the millions, the number is miniscule. Donââ¬â¢t waste time! Our writers will create an original "Dream Job for a Better World" essay for you Create order CRNAs are just as important as Anesthesiologists if not more since they do the same job and more of the prep work. Through the study of nursing and anesthesia, the student of medicine can better understand anesthesiology. Most CRNAs have a minimum of a masters degree but you can get a doctoral degree in this field. ââ¬Å"Becoming a certified registered nurse anesthetist (CRNA) can be a rewarding career choice due to personal satisfaction, benefits to society, and relatively generous compensationâ⬠(How). CRNAs require several years of schooling and experience prior to becoming certified in their field. AANA provides a possible path to becoming a Nursing Anesthetist. First, earn a BSN degree or something similar, while it is not required for you to earn a BSN to become an RN a BSN can give an edge on the competition when applying to any accredited CRNA program. Triton college has an Associates degree of Nursing program which partners with other Bachelors of Science in Nursing programs. Tritons program is a two-year course that includes clinical time as well as lab and lecture classes. Triton held an ADN seminar to help anyone wanting to go into the program find more information regarding what classes they need to take, how selective the program is, when the programs application exams are, how the scoring for the program works, and some information about the TEAS exam. There are a bunch of classes needed just for general education for getting into the program but the three most important classes are BIS 241, PSY100, and RHT 101. The reason behind these classes being the most important is they add to your admission points. The minimum number of points is 6 while the max is 10. Just because someone meets the minimum doesnt mean they will be accepted into the program. An applicants GPA will earn them points toward their admission but the GPA accounts for the 3 courses listed earlier. For example, the applicant needs AT LEAST a 2.5 to get in. If they earned a ââ¬Å"Câ⬠in RHT, a ââ¬Å"Câ⬠in PSY, and a ââ¬Å"Bâ⬠in BIS their total GPA would only be a 2.4 and they would not be qualified to be considered into the program. From a GPA of 2.5-2.9 will earn the applicant 2 points. A GPA from 3.0-3.49 will be given 3 points. The highest amount of points to be earned from a GPA is 4 points meaning those 3 courses earn a GPA of 3.5 or more. The next way to earn points if through the applicants TEAS scores. Applicants can earn 2-4 points through their TEAS scores.ââ¬Å"TEAS, which stands for Test of Essential Academic Skills, is administered through Assessment Technologies Institute (ATI) Nursing Education. The test is a basic aptitude test designed to identify students who would succeed in nursing school and who have the ability to think like a nurseâ⬠(Wilson). This test is comprised of 4 tests which are Reading(40 questions), Math (45 questions), Science (30 questions), and English (55 Questions). The minimum is earning a 58.7% on all these tests put together. Anything from 58.7%-77.9% will be given 2 points. Earning a 78%-89.9% will be given 3 points. Having a 90% or higher will be given 4 points towards the admission score. ââ¬Å"The difficulty of the tests allows schools to select students to have the best chances to succeed academicallyâ⬠(Wilson) The other 2 points are awarded for previous college his tory ranging from if the applicant ever earned a ââ¬Å"Dâ⬠or ââ¬Å"Fâ⬠to whether they have earned an Associates or Bachelors degree prior. There are additional program requirements like a drug screening criminal background check alcohol breath test, knowing CPR, and making sure all annual flu shots are up to date. After acceptance into the program, the courses and work are very tough on each student and it is suggested that students dont work and only focus on school. Once an ADN is completed the student can transfer to a $-year University to complete their BSN. As mentioned before Triton partners with other colleges for a 4-year degree to make the transition as smooth as possible for students and this also means that most, if not all, credits transfer. One college that Triton works with is Dominican. ââ¬Å"The Bachelor of Science in Nursing at Dominican University is a natural complement to Dominicans strength in the sciences, as the university already boasts a strong reputation for its programs in biology, chemistry, neuroscience, nutrition science, and medical scienceâ⬠(Sramseth). Dominican has many faculty members with years of nursing experience to help students connect their in-classrom learning with real-world settings. Once a degree is earned, become licensed to practice as a nurse which involves usually passing an approved training program and the NCLEX-RN. The exam covers a variety of topics ranging from health assessment to infection control. Licensure and requirements may vary throughout the states so it is important to check prior to registering for an exam. Once you become an RN it is time to earn your stripes. You need experience before applying to an accredited CRNA program. At least 1 full year of work as an ICU, CCU, or ER nurse is to be expected before applying. During this time some nurses choose to earn a specialization as a critical care nurse which can help their chances of getting into a certified registered nurse anesthetist program. ââ¬Å"Eligibility for a critical care registered nurse includes having a valid RN license, passing an exam, and completing at least 1,750 hours of direct critical care within the previous two yearsâ⬠(How). Some programs advise nurses to shadow CRNAs for the experience. According to the AANA, there are 121 accredited CRNA programs and over 1,799 active clinical sites. ââ¬Å"Admission to these programs can be highly competitiveâ⬠(How). Before applying one should check the admission requirements prior to applying to an accredited CRNA program. The programs take anywhere from 2-3 years of study where you graduate with a minimum of a masterââ¬â¢s degree. There are some programs that offer a doctoral degree in this profession. These programs, whether it be for a master or doctorate, include courses from anesthesia pharmacology to anesthesia pathophysiology. ââ¬Å"Additionally, the nurse anesthesia programs include clinical practice in university-based or large community hospitals where students are exposed to a range of procedures requiring anesthesia such as pediatric, plastic, and open-heart surgeriesâ⬠(How Do I Become a Nurse Anesthetist). The Drexel University offers a Masters Of Nursing in Anesthesia which is an on-campus 28-month, 89- quarter credit full-time program. Drexel University is one of the top programs in the U.S.A. for earning an MSN in Anesthesia making it very difficult to get into. In this program ââ¬Å"students take part in nurse anesthesia clinical practicum under the direct supervision of certified registered nurse anesthetists and/or anesthesiologists to learn how to administer a variety of anesthetics including sedation during monitored anesthesia care, general anesthesia, and regional anesthesia. Additional clinical subspecialty rotations provide anesthesia management experience for the obstetrical, pediatric, cardiac, and neurosurgical patientsâ⬠(Master). The program is very rigorous with an attrition rate of 12% as of last may. The program offers credits in science, clinical practicum, and nursing and research. Getting an MSN is one way of earning your CRNA degree. Another is earning your DNAP which stands for Doctor of Nurse Anesthesia Practice. By the year 2025, all CRNAs will be required to have completed a doctorate in nurse anesthesia to enter into the field. Virginia Commonwealth University is ranked number one in Nursing-Anesthesia as of 2016. The program offers on and off campus classes for the first two semesters in which the students may continue w1orking as RNs. ââ¬Å"Semesters three and four are a traditional format and employment is strongly discouragedâ⬠(College). Semester 4 is when the clinical training really takes place. There are 6 clinical practicum courses in this program stressing any and all relevant science and research in anesthesia practice while engaging in direct patient care. ââ¬Å"Throughout the Clinical Practicum coursework, students will be afforded the opportunity to plan for and administer all types of currently accepted general and regional anest hesia techniques to a variety of patients ranging in medical and surgical acuity. Graduate students will be assigned to various anesthetizing locations with selected affiliate hospitals. At all times while in the clinical environment, students will be directly supervised, instructed, and counseled by CRNA and/or physician anesthesiologist Clinical Instructorsâ⬠(College). For admission into this program, students must have a Baccalaureate degree in nursing or related science, be licensed as an RN, a minimum score of 3.0 on a 4.0 GPA scale, minimum one-year ICU experience, references, interview, and a completion of the GRE. The GRE stands for Graduate Record Examination. This test is commonly required for admission to any grad school. ââ¬Å"Much like the SAT and ACT, the GRE exam is a broad assessment of your critical thinking, analytical writing, verbal reasoning, and quantitative reasoning skills ââ¬â all skills developed over the course of many yearsâ⬠(Brian). It is divided into 3 main sections the Analytical Writing section, the Verbal, and the Quantitative. These sections may include unscored and research sections with questions that are being used for future tests. Test takers wont know which are scored and which are not so they must try their hardest on all the questions. After completing an accredited program, nurses must take the National Certification Exam to become a CRNA. This is a computer exam which typically lasts 3 hours and the exam adjusts according to the participators answers to previous questions. After all the hard work, during school and the exam nurses can finally apply for an entry-level position as a CRNA. Some employers seek CRNAs that can work a variety of departments while others look for nurses who specialize in a certain practice. To stay a CRNA you must recertify through the NBCRNA every 2 years. ââ¬Å"The process includes proof of valid RN license, 40 hours of continued education, verification of work in anesthetics during the prior two years, and absence of mental or physical conditions that could interfere with the practice of anesthesiaâ⬠(How Do I Become a Nurse Anesthetist). Skills that may be useful as a CRNA are good people skills. You must able to explain to a patient and their family what is going on and what will happen. You must be able to focus on more than one thing all at once and not become distracted. Noticing problems and identifying the best way to fix them is a very desirable ability to have as a CRNA. Looking for ways to help people whether that be mentally or physically is a great skill and predisposition to have when practicing as a CRNA. Helping patients to stay calm before a surgery is a great factor in how the surgery goes, a stable mind equals a stable surgery. ââ¬Å"The work begins when a patient is scheduled for a medical procedure. If the patient needs anesthetics, then a CRNA will help. These nurses consult with the patients doctors to find out about the procedure. They also find out the condition of the patient. They review medical records and talk to patients about their medical history. This helps them decide what kind of anesthetic to use and how to administer itâ⬠(Welcome). The nurses answer any questions the patients may have prior to the surgery since patients are often nervous about being put under. The CRNAs, when it is time, put the patient to sleep whether that be through injection of gas. During the surgery, the CRNAs job is the check of the patients vitals and keep them safe. Sometimes the anesthetic needs to be changed and the CRNAs also do this job. You need to be highly motivated, highly educated, and extremely detail-oriented ââ¬â and on top of that you need to be extremely personable, he says. You have anywh ere from 5-15 minutes to get to know your patient such that they are willing to entrust their lives to youâ⬠(Taube). Luckily, there will never be a shortage of job opportunities for this profession as it has a bright outlook for future jobs. As of 2014, there are 1,860 CRNAs employed in Illinois. This number is projected to increase to 2,180 by the year 2024. Thatââ¬â¢s 320 more jobs and a 17.2% increase just in the state of Illinois. Salary expectations are pretty good with the median salary in Illinois being $135,980 or $65.37 an hour. Income, of course, all depends on experience level as well as the employer and geographic location. CRNAs are in demand all over the country and the job opportunities, as I have mentioned, will only increase. The best prospects for this profession will be in rural areas where you can make more than the median salary and sometimes almost $100,000 more. In Montana, CRNAs earn the highest average salary at a very high $243,550. There will never be a shortage for nurses or CRNAs in the medical industry since the industry is always growing and we find out new things about the human body every day. Being a CRNA has been voted as one of the top 5 medical professions and is also in the top 100 best paying jobs out there. The reason for it being one of the 100 best paying jobs and top 5 medical professions is the responsibility that comes with the title as well as if something goes bad during a surgery a CRNA is one of the first people to know. Brian. ââ¬Å"The GRE Test: What You Need to Know.â⬠Petersons, Petersons, 25 June 2018, www.petersons.com/blog/the-gre-test-what-you-need-to-know/. ââ¬Å"College of Health Professions.â⬠Programs | VCU Nurse Anesthesia, nrsa.chp.vcu.edu/programs/dnap-entry-to-practice/. ââ¬Å"Master of Science in Nursing in Nurse Anesthesia.â⬠College of Nursing and Health Professions, drexel.edu/cnhp/academics/graduate/MSN-Nursing-Nurse-Anesthesia/. Sramseth. ââ¬Å"Bachelor of Science in Nursing.â⬠Dominican University Home | Dominican University, 13 Apr. 2017, www.dom.edu/academics/majors-programs/bachelor-science-nursing. Taube, Aaron. ââ¬Å"Heres Why Nurse Anesthetists Earn Over $150,000 A Year.â⬠Business Insider, Business Insider, 15 Sept. 2014, www.businessinsider.com/why-nurse-anesthetists-make-150000-a-year-2014-9. ââ¬Å"Welcome to Career Cruising 2.0.â⬠Career Cruising, 2018, www2.careercruising.com/careers/profile-at-a-glance/652. Wilso n, Brittney. ââ¬Å"What Is the TEAS Test and How Can I Study for It?â⬠The Nerdy Nurse, 3 Sept. 2018, thenerdynurse.com/what-is-the-teas-test-and-how-can-i-study-for-it/.
Thursday, December 19, 2019
Improve Own Performance in a Business Environment Essay
Unit Title: OCR unit number Sector unit number Level: Credit value: Guided learning hours: Work with other people in a business environment 205 Y/601/2474 2 3 10 31 December 2013 Unit expiry date: Unit purpose and aim This unit is about working within a team, sharing responsibility with others to make sure that a team can achieve agreed goals and objectives. Learning Outcomes The Learner will: 1. Understand how your role fits with organisational values and practices Assessment Criteria The Learner can: 1.1 Describe the sector in which your organisation operates 1.2 Describe your organisationââ¬â¢s missions and purpose 1.3 Compare you organisation to other types of organisation in your sector 1.4 Outline your responsibilities 1.5â⬠¦show more contentâ⬠¦Be able to use feedback on objectives in a team 10.1 Contribute to providing constructive feedback on the achievement of objectives to a team 10.2 Receive constructive feedback on own work 10.3 Use feedback on achievement of objectives to identify improvements in own work Assessment This unit is centre assessed and externally verified. Your assessor will use a range of assessment methods which may include: ï⠷ ï⠷ ï⠷ ï⠷ ï⠷ ï⠷ ï⠷ observation of performance in the work environment examination work products questioning the learner discussing with the learner use of others (witness testimony) looking at learner statements recognising prior learning Evidence requirements A range of evidence should be gathered to cover the Learning Outcomes and Assessment Criteria. Examples may include: ï⠷ Annotated organisational policies and procedures ï⠷ Appraisal or work review ï⠷ Minutes of team meetings ï⠷ Feedback received from colleagues ï⠷ Feedback provided to colleagues ï⠷ Internal communications between colleagues ï⠷ Communication seeking guidance 4 à © OCR 2010 ï⠷ Development plans ï⠷ Detail of where team working has occurred ï⠷ Referral of or discussion relating to a problem ï⠷ Task/project plans Guidance on assessment and evidence requirements Refer to sections on Assessment andShow MoreRelatedEvaluate and Improve Own Performance in a Business Environment2787 Words à |à 12 PagesCU744 Evaluate and Improve Own Performance in a Business Environment 1. 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Wednesday, December 11, 2019
Impact of Digital Disruption in Amazon.com â⬠MyAssignmenthelp.com
Question: Discuss about the Impact of Digital Disruption in Amazon.com. Answer: Introduction Digital disruption is a new trend in the businesses caused by new and innovative technologies. These new technologies are impacting the business models and the values of the existing goods and services in an outstanding way (Gilbert 2015). Since, these technologies are disrupting the normal way of market and businesses and make them rethink about the way of businesses and reevaluate the goods and services; these are called disruptive technologies (McQuivey 2013). In almost every industry, the digital rivals are taking the advantage of the new platform, tools and equipment and relationships for disrupting the existing market, undercutting the competitors, get closer to customers, and wrecking havoc with the general way of doing the business. According to experts, adopting their method off business is the only way of sustaining in the market for the other businesses. This report will address the impact of digital disruption introduced by Amazon on the company itself and its Work Center ed Analysis (WCA) prior and post to the implementation of the digital disruption event. Amazon is the biggest e-commerce company, holding the third position among the most valuable companies in the world, surpassing Microsoft (Carr 2018). Only Apple and Alphabet stand ahead on Amazon in the list published by Fortune. The company is the largest online retailer in terms of market capitalization and revenue. The company started as an online bookstore and later diversified into almost every category of products that can be sold online. Currently, the company operates in 15 countries across different continents and has different websites for each country. Amazon started their business with a disruptive technology back in 1994 by introducing the concept of online shopping (Amazon.com 2018). Once again the company has introduced another huge level of digital disruption in the name of Amazon Go. Amazon sells groceries too online along with other products. In 2017, it acquired Whole Foods Market, which is an American grocery supermarket chain. Jeff Bezos, CEO of Amazon, had introduced a revolutionary concept of grocery shopping, launched under the name of Amazon Go. This is a digital disruption event in the grocery supermarket industry. In the Amazon Go store, people are able to shop the groceries without having to checkout through a cashier or a self-checkout station. This is a huge technological revolution, which includes computer vision, sensor fusion and deep learning algorithms for automating the purchase checkout and payment process of the retail transactions. This store concept takes the advantage of the smartphones and geofencing technology as a fundamental basic for managing the auto-purchases by the customers along with managing the inventory and supply chain management (Wingfield 2018). It requires the linking of the Amazon Go app with the Amazon.com account of the users before they start purchasing from the store. They can also add others in the family in their account so that their purchases are also linked with the main account. The only store of Amazon Go was launched in Seattle, on January 22, 2018 (Day and Morley 2018). This report aims to analyze the impact of this new revolutionary technology on the company by comparing the work centered analyses of Amazon before and after the implementation of the event, followed by the challenges faced and recommendations to overcome those. Work Centered Analysis (WCA) prior to the disruption event Work Centered Analysis (WCA) refers to the system of work involving 6 major elements, namely, customers, products, business process, participants, information and technology (Naikar 2016). Customers are the internal and external purchasers of the business process. Products refer to the goods and services produced by the business. The business process refers to the steps in the business. Participants are those who get involved in the business to make it happen. Information refers to the knowledge that the business uses or creates for the customers and technology is used by the business to conduct the required activities. The WCA framework and the elements are shown below. From the WCA of Amazon.com, working as a basic e-commerce website, it can be inferred that there are some issues with it to work as a grocery seller also. People would always want to buy the groceries, fresh fruits and vegetables, raw meat and fish, bakery items and dairy products by seeing the condition personally and checking the manufacturing and expiry date, unlike for shopping the consumer goods. This feature is not possible for e-commerce purchasing. Knowing this, Amazon.com never provided these items through the online shopping. At the same time, the e-commerce website does not have the option of credit during the check out process. The customers have to pay through one of the many payment options available while placing the order. It may so happen that the customers do not have the enough money at the particular time of purchasing or the card processing might be having any server problem and thereby payment gets delayed or cancelled. It is assumed that this can create several problems, such as, expiry of any special offer, goods going out of stock, end of sale. Had there been any option for buying now and paying later, the customers would not have faced these issues. The introduction of Amazon Go aims to offer more convenience during the grocery shopping. Work Centered Analysis (WCA) post implementation of the disruption event With the launch of Amazon Go, the company made entry into the supermarket grocery business with a twist of purchasing without having a checkout process. This is a revolutionary step in the business process of Amazon. Eliminating the traditional checkout process of a purchase is the first and one of the most innovative technological inventions in the modern world. When people prefer the convenience of shopping from home for almost all types of goods, Amazon found the opportunity of expanding its business into the grocery department through a twist, which makes grocery shopping all the more convenient to people. Not having to stand in the queue for billing saves a lot of time for the people (Wong 2018). Amazon had already given tough competition to the brick and mortar stores for various types of goods with its e-commerce business, which was a digital disruption itself (Evans 2017). With the launch of Amazon Go, it again introduced a new digital disruption to the supermarket grocery ri vals. The WCA after the implementation of the new technology has been illustrated in Appendix B. However, the company has opened only one store in Seattle and has plans for opening more stores across the world. Recommendations Since the entire system of this digital disruption event is based on higher level of technology, it is possible that the store faces some issues. To handle those issues, the company can follow some of the following recommendations. The employees working at the back of the store should be vigilant enough to help the customers with their shopping. Since, there will be no cashier; the customers would not be able to ask any one if they face difficulties while searching for a particular product. Hence, there should be adequate store assistants to guide the customers through the store and purchasing process. The older generation has the chance of facing much problem with the new system and hence, would require more help from the assistants. Some people might want to take the advantage of the absence of the checkout system and would want to shoplift. Although, there are hundreds of cameras in the store, the employees must keep a sharp eye on the CCTV monitor. The technology team should be up-to-date with the changes happening on the system. Since, the system is entirely new, the company must ensure that it works smoothly and does not crash. Amazon Go does not accept any type of food stamps or meal voucher. In the app, it should create an option for accepting the food stamps or coupons for payment. There can be privacy concerns as there are hundreds of cameras everywhere in the store capturing numerous photos of the customers. The company must ensure that it is not using those photos for any other purpose. Implementation plan for the recommendation Amazon should employ more efficient employees and train them about how to assist the customers with the new system. It should ensure the accuracy of the technology so that not shoplifting, even if accidental, can happen. Option of accepting the food stamps for the grocery purchase should be incorporated as a payment method. Amazon should declare that they are not using any customer image for any other purposes. Conclusions Amazon has been a pioneer in the field of technology. It transformed the world of shopping with launching the concept of online shopping. Apart from online shopping, Amazon has entered into manufacturing and selling of its own branded products, prime membership and its advantages, video streaming and all at a very low cost. The recent digital disruption introduced by the company is in the market of supermarket grocery business. The concept of grocery shopping without enduring queue and process of checkout is entirely new and has been revolutionizing the grocery shopping. This concept has disrupted the usual business process of the supermarket grocery stores, where people have to stand in long queues for check out. The stores also have to employ many cashiers and user operated systems. However, the elimination of checkout system is very new and can face many challenges in future, but it is definitely a digital disruption that has the potential to change the way of traditional grocery selling business. References Amazon.com, 2018.Amazon.com: Online Shopping for Electronics, Apparel, Computers, Books, DVDs more. [online] Amazon.com. Available at: https://www.amazon.com/ [Accessed 17 Apr. 2018]. Carr, F., 2018.Amazon Is Now More Valuable Than Microsoft and Only 2 Other Companies Are Worth More. [online] Fortune. Available at: https://fortune.com/2018/02/15/amazon-microsoft-third-most-valuable-company/ [Accessed 17 Apr. 2018]. Day, M. and Morley, K., 2018.Amazon's new store without checkouts doesn't quite Go to plan. [online] Stuff. Available at: https://www.stuff.co.nz/business/world/100796913/amazon-go-store-with-no-checkouts-opens-to-the-public-in-seattle [Accessed 17 Apr. 2018]. Evans, M., 2017.5 Ways Amazon Will Disrupt Commerce Before Amazon Go Comes To Your Neighborhood. [online] Forbes.com. Available at: https://www.forbes.com/sites/michelleevans1/2017/01/05/5-ways-amazon-will-disrupt-commerce-before-amazon-go-comes-to-your-neighborhood/#1c3339c1358b [Accessed 17 Apr. 2018]. Gilbert, R.J., 2015. E-books: A tale of digital disruption.Journal of Economic Perspectives,29(3), pp.165-84. McQuivey, J., 2013. Digital disruption: Unleashing the next wave of innovation. Naikar, N., 2016.Work domain analysis: Concepts, guidelines, and cases. CRC Press. Wingfield, N., 2018.Inside Amazon Go, a Store of the Future. [online] Nytimes.com. Available at: https://www.nytimes.com/2018/01/21/technology/inside-amazon-go-a-store-of-the-future.html [Accessed 17 Apr. 2018]. Wong, R., 2018.Everything you need to know about shopping at Amazon Go. [online] Mashable. Available at: https://mashable.com/2018/01/22/everything-you-need-to-know-amazon-go/#dXxY81fwmmql [Accessed 17 Apr. 2018].
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