Thursday, November 28, 2019
Motivation in Learning and Teaching free essay sample
University teachers these days have to make themselves accountable in their teaching. Students are certainly a good source of feedback, for after all it is students that have first-hand experience of their teachersââ¬â¢ teaching. However, even ignoring the doubt whether all students are able to exercise impartial and objective judgement on their teachersââ¬â¢ performance, there are plainly aspects of teaching on which students are not in a position to pass professional judgement. Indeed, ââ¬Å"student feedback questionnairesâ⬠tend to be rather limited in scope. Come to think of it, there are actually a number of sources in addition to student feedback, on which we as university teachers can depend for evaluating our teaching. First of all, we ourselves are sometimes the most reliable source of feedback a sort of ââ¬Å"gut feelingâ⬠which we must be having right after teaching a class, a vague but genuine feeling about how well or how badly we have done! If only that feeling could be ââ¬Å"externalisedâ⬠and categorised or even quantified, how much more useful would that be for appraising our own performance. We will write a custom essay sample on Motivation in Learning and Teaching or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Another rich source of feedback is of course our colleagues, our peers. It is precisely in the context of evaluating our teaching performance that colleagues are able to play a significant role. Peer review/observation of teaching, if handled with care and carried out systematically, is capable of yielding extremely fruitful results, because our peers can be absolutely impartial, objective and are subject specialists. Furthermore, peer review/observation of teaching may over time form a substantial part of anyoneââ¬â¢s ââ¬Å"teaching portfolioâ⬠which may turn into an effective basis for contract renewal, ubstantiation or promotion. But then all this is easier said than done. We are of course well aware of the benefits of peer review/observation of our teaching. But the crucial question is: How should we go about it? One solution may be to happily marry a new form of micro-teaching to peer review/observation of teaching by using ââ¬Å"state-of-the-artâ⬠video technolog y. Dr. Dwight Allen, who was one of the founders of traditional micro-teaching back in the sixties in Stanford University, 1 recently developed a new micro-teaching model which centres around the so-called ââ¬Å"2 + 2â⬠feedback. It works like this 1 Allen, Dwight W. Wang, Wai-ping (1996), Micro-teaching,Hsin Hua Publishers, Beijing The colleague whose teaching is being evaluated, teaches a five-minute lesson to a group of peers, usually four colleagues, focusing on one particular skill or technique, e. g. questioning skill, in the presence of a supervisor who is an expertââ¬â¢s in the colleague field. The entire session is videotaped, preferably using more than one camera, so that ââ¬Å"split screen effectsâ⬠can be achieved, capturing teacher and student action and reaction for playback viewing. Right after the ââ¬Å"trial teachâ⬠, the supervisor will ask the teacher to self-critique his or her own performance. Then each peer will be asked to give feedback by following the ââ¬Å"2 + 2â⬠formula, which is actually making two positive comments and two suggestions for improvement. This way, if there are four peers present, a total of eight positive comments and eight different suggestions for improvement will be made available for the teacherââ¬â¢s consideration. All the time, videotaping is going on, so that every one will have a live record of what is happening. For the teacher such micro-teaching sessions would represent opportunities for safe practice and useful feedback. Colleagues may like to consider this suggestion, give it some thought and then try it out together with other colleagues. Colleagues may form ââ¬Å"self-help groupsâ⬠for micro-teaching/peer review purposes, whereby each colleague will take turns to be ââ¬Å"observed and evaluatedâ⬠and every time one colleague will act as ââ¬Å"supervisorâ⬠. It should be emphasised that not only ââ¬Å"genericâ⬠teaching kills such as getting students motivated and interested in the lesson, but even more importantly, particular skills that are specific to a given discipline or subject area should be trained and practised. Thanks to information technology (IT) facilities such as capturing video segments and footage, capturing sound and other media effects onto VCDââ¬â¢s and CD-ROMââ¬â¢s, colleagues these days can ââ¬Å"storeâ⬠their teaching endeavours and micro-teaching sessions reviewed by peers, in IT-based formats as well as in print format, making documentation of their teaching performances so much more versatile and variegated.
Sunday, November 24, 2019
Vision of My Dream India Essays
Vision of My Dream India Essays Vision of My Dream India Essay Vision of My Dream India Essay to be wholly Hindu or wholly Christian or wholly Mussalman, but I want it * Save Essay * 9 pages * 2159 Words 14. Indian Consumer Behavioural Pattern could shape preference rather than the other way around! There is no doubt that India is a dream to a mass, volume marketer. The junior Sharmas, Kulkarnis * Premium * 3 pages * 617 Words 15. India Superpower and Bharat become one: connected and integrated. The India of my dreams, then, is one that provides capabilities, opportunities and rights to people, ordinary people * Premium * 22 pages * 5410 Words 16. Dream Of Our Nation she cannot create achieve good standards living for her citizens. The India of my dreams would be an India that is self-sufficient in food. All the barren lands * Premium * 0 pages * Words 17. Gd Topics is all about human relations Borderless worlds Dream or reality? Quality is a myth in India. Education and success Is there a correlation? We dont learn * Save Essay * 26 pages * 6379 Words 18. Fighting For Freedom INDIA OF MY DREAMS. Our country India has completed 62 years of her independence. In every walk of life, we find Indians on the top. For example, earlier in sports * Save Essay * 2 pages * 277 Words 19. Secondary Education 1 Education 1. 1 ELEMENTARY EDUCATION AND LITERACY 1. 1. 1 The role of education in facilitating social and economic progress is well recognized. It opens up * Save Essay * 95 pages * 23724 Words 20. Ngo Project INTRODUCTION DREAMINDIA 2020 DI is a group of people, working across India, share a dream. A dream of a developed India. An India free of poverty and illiteracy * Premium * 19 pages * 4700 Words 21. Immunisation In Children have an answer to this problem, the solution of which still eludes us. This would be the India of my dreams, and I would contribute whole-heartedly in the making * Save Essay * 5 pages * 1003 Words 22. My Dream For India I saw so many cultural and social things in my life child, which have so much indelible imprint in my mind, how people in villages were full of * Save Essay 2 pages * 434 Words 23. Interlinking Of Rivers In India emissions, the huge interlink threatens to become an open sewage garlanding India. The canals, designed for carrying irrigation waters rather than large peak * Save Essay * 6 pages * 1324 Words 24. Hindu In India he say that could help me get through this? I called my grandfather in Bangalore India. Tears rolled down my face as I told my story to him. My grandfather? s * Save Essay * 4 pages * 781 Words 25. Mapping Imaginary Spaces In Salman Rushdies Fiction a space in the mind rather than a place on the map. For Rushdie India is a dream that everybody agreed to dream. And now I think there actually is a country called * Premium * 17 pages * 4250 Words 26. Gandhiji in the life of the Buddha or several of our epic heroes. Gandhi had a dream for India Realizing this dream has become a nightmare Today, we are living in a constant * Premium * 10 pages * 2395 Words 27. Value Of Space Science In India The Enterprise is a symbol of what it means to imagine, to dream, to create a future. Indias Space exploration is important because we have problems here * Save Essay * 6 pages * 1251 Words 28. Child Labour In India ittle children work for their food, instead of enjoying at school. When the school can only be a dream for the poor, we find the little boys at tea stalls, small * Save Essay * 5 pages * 1089 Words 29. Doing Business In India foreign trade and foreign direct investment. However, since 1991, India has gradually opened up its markets through economic reforms and reduced government contr ols * Save Essay * 21 pages * 5231 Words 30. Indians Dream : Rs. 14,31,527 crore. Per capita income Rs. 14,682. Indias heart lives in its villages. Agriculture and allied activities make the single largest contribution to * Save Essay 3 pages * 708 Words 31. Toyota Corolla In India quality of life of the team members and promote robust economic activity in India Empowering employees. to achieve perfection TKM firmly believes that employees * Save Essay * 21 pages * 5168 Words 32. India 2020 the country developed with no negative systems or ideas or beliefs. It is my dream also to see India as one of the most developed nations. 2020 is a good deadline * Save Essay * 4 pages * 809 Words 33. The Day The Constitution Of India Came Into Force became a truly sovereign state. In this day India became a totally republican unit. The country finally realized the dream of Mahatma Gandhi and the numerous freedom * Save Essay * 0 pages * Words 34. Chandrayaa One Giant Leap For India Astrophysicists Chandrayaan-1, that lifts off Wednesday morning October 22, 2008) from Sriharikota, is Indias first and the worlds 68th mission to the moon, The worlds first moon * Save Essay * 4 pages * 859 Words 35. India On The World Stage recognition, power and progress and anxious to see their dream take shape. The world is moving fast but India is leaving it dazed with its speed. In the last 10 * Save Essay * 7 pages * 1545 Words 36. Fiat Dreams By Sergio Marchione Romeo, and IVECO, directly on US territory. Should be around 2011-2013 Fiat Dreams Much has been made of a possible alliance between Chrysler and Italian auto * Save Essay * 6 pages * 1259 Words 37. India Vision 2020 nation in an advanced state of decay!!!!! A quote A developed India by 2020, or even earlier, is not a dream. It need not be a mere vision in the minds of many * Save Essay * 11 pages * 2563 Words 38. Will India Be Able To Control Pollution? prove to be a highly elusive task. I am convinced that it is not going to be an India that anyone of us dreamed of. Poor. Polluted. And politically sick. Welcome * Save Essay * 13 pages * 3180 Words 39. Indias Nuclear Weapons certain requirement. Indias past prime ministers have been scared of becoming nuclear, but it has been the Indias citizens dream to become nuclear, and now * Premium * 2 pages * 351 Words 40. India Banking History FY09 into two. From April 2008 to September 2008 Up to the mid of FY09, India continued its dream run of high economic growth. Due to sustained inflow of foreign * Premium * 25 pages * 6056 Words 41. Incredible India seen in virtually every aspect of life in the country. Hinduism is the dominant faith of India, serving about 80 percent of the population. Ten percent worship Islam * Premium * 14 pages * 3344 Words 42. The Brave New World: India- a Nation In Transition. absolute freedom or purna-swaraj has turned into a distant dream. Though free from the clutches of the colonizer, India today is a cluster of nations within a nation * Save Essay * 8 pages * 1801 Words 43. Strong India: Youths Role spirit of the modern man. Is this a dream? Yes. Is it an impossible dream? No, it is not. This can be done by the youth of India. Youth is the spring of life * Save Essay 4 pages * 873 Words 44. a. p. j Abdul Kalams India Vision 2020 II : vision 2020. 5. Agni could be deployed within three month. 6. Dreams float on an impatient wind 7. India should market itself well. 8. Dr. Abdul Kalam interview * Save Essay * 3 pages * 692 Words 45. The Utopian India SPEECH 1. The Utopian India Today I am here to talk to you about the India of our dreams The utopian India. We are all Indians and proud of it. And yet there * Premium * 2 pages * 326 Words 46. Corruption And Discovery Of India By Shri Jlnehru whenever it achieved its independence. Discovery of India reflects the dreams of the future leader of independent India. Nehruji had covered in brief all the issues * Premium * 5 pages * 1133 Words 47. Jet Airway In India reports, the strike cost the airline some $8m (? 4. 79m) a day. [15] JETAIRWAYS IN INDIA In April 2007, Air Sahara was bought over by Jet Airways for 14. 5 billion * Save Essay * 54 pages * 13357 Words 48. Different Questions On Different Fields In India : Bank services, career, career planning, competitive exams, competitive exams india, competitive exams, question papers, solved papers, curr, descriptive questions * Save Essay 10 pages * 2277 Words 49. Apollo Case Study Reddy (Founder of the AHG) to take healthcare to the distant corners of India through his dream project, The Apollo Clinic. Short term Objective: To maximize * Premium * 5 pages * 1176 Words 50. My India the country developed with no negative systems or ideas or beliefs. It is my dream also to see India as one of the most developed nati ons. 2020 is a good deadline * Save Essay * 0 pages * Words 51. The Former President Of India, Abdul Kalam for the New Millennium by A. P. J. Abdul Kalam, Y. S. Rajan; Penguin Books India, 2003. India-my-dream by A. P. J. Abdul Kalam; Excel Books, 2004. Envisioning * Save Essay * 12 pages * 2822 Words 52. Higher Education In India ââ¬â Its Drawbacks And Suggestionsfor Reform Saturday, March 27, 2010 Higher Education in India Its drawbacks and suggestionsfor reform Today the world is of science, new inventions and competitions to excel * Save Essay * 4 pages * 778 Words 53. Leather Industry In Pakistan for the development of this industry. Pakistan faces its competition from countries like India and China who are now trying to compete with Pakistan both in terms * Premium * 67 pages * 16625 Words 4. Air India Sucks flight a flight crash was not enough for the great national carrier of india to wake up from a dream of it being the undisputed leader in the indian aviation history * Save Essay * 2 pages * 436 Words 55. World Science And India Are We There? the day with Love. This is the way to God. Life is a challenge, meet it! Life is a dream, realise it! Life is a game, play it! Life is Love, enjoy it! Do not give * Save Essay * 2 pages * 370 Words 56. India In The Decades Post-Liberalization equivalent of ISI, local cultural staples sprung up to fill the void. Bollywood, Indias film industry, got its start largely on account of the limited exposure of * Save Essay * 13 pages * 3006 Words 57. Women Entrepreneurship In India:Growth,Problems Solutions thousands of men and women under them and give food to their aspirations and dreams. The role of Indian women has ranged from that of a deity to that of a devdasi * Save Essay * 16 pages * 3972 Words 58. Classical Dances Of India Krishna, in the Natwari style (as it was then called) but the Moghul invasion of North India had a serious impact on the dance. The dance was taken to Muslim courts * Save Essay * 4 pages * 891 Words 59. Pride Of India 2009 WORLDS LEADING SOURCE OF GLOBAL BUSINESS INFORMATION, KNOWLEDGE AND INSIGHT, HAD PUB- INDIAS TOP PSUS 2009, IN AN EFFORT TO RECOGNISE THE STRATEGIC IMPORA R EPORT * Premium * 185 pages * 46095 Words 60. a Mission To Develop India By 2020 developed India by 2020, or even earlier, is not a dream. It need not be a mere vision in the minds of many Indians. It is a mission we can all take up and succeed * Save Essay * 0 pages * Words
Thursday, November 21, 2019
Vodafone Marketing Issues Assignment Example | Topics and Well Written Essays - 1000 words
Vodafone Marketing Issues - Assignment Example Proposal: From the above annexure, it is observed that sales, as well as the market capitalization of the organization, has increased in the past year owing to the advertising efforts taken up by the company from past 2007 in the Hong Kong as well as the other units. Out of the total revenues generated by the advertising companies, a 9% increase is attributed to the Vodafone advertising campaigns (Eaton. M, 2007). With the increase in the ad spends, the company could boost its sales of mobiles and network services so much that even though the Average Revenue per User (ARPU) has been reduced to its rock-bottom prices, the increased customer base improved the profitability levels of the company. As already known, due to the recessionary pressures in this year, the sales targets were cut down twice already. The company is gearing up to face the turmoil by cost-cutting measures. In this exercise, reports suggest that severe cut in the ad spend would be taken up as one such measure along with the other measures of job cuts and logistics. (Thiel. S, 2009). As already emphasized, ad spend is directly related to the increase in sales and customer growth, a cut in that expenditure may cause negative repercussions for the organization. Instead, if increase in the ARPU is considered commensurate to the industry levels, given the existing large customer base of 289 million customers (Anon. 1, 2008), more revenue can be generated per customer which could be utilized for the required ad spend thereby giving a scope for the growth of the customer base in the future also. Research conducted by the Mc. Kinsey and London Business School suggests that firms which reduce their ad spend during the worst of the times tend to lose both in the short and the long terms.Ã
Wednesday, November 20, 2019
Kate Chopin Research Paper Example | Topics and Well Written Essays - 1750 words
Kate Chopin - Research Paper Example On the rare occasion when one 'woke up' from her enforced dullness, she was either reduced in social status, ruined forever, or killed by the restrictions keeping her from remaining fully awake. These are the issues Chopin explores in her work, reminding us, even now, of the need to protect women's rights and freedoms. Awakening the Female in Kate Chopinââ¬â¢s Works Perhaps the greatest single characteristic of the Victorian age was its nature as an era full of strong contradictions. These contradictions are often captured in the works of female writers working during this time period. As the greater world of farm and commerce changed around them, women as a gender began to question their expected roles in society and began demanding more opportunities available for personal fulfillment. This wasn't simply a selfish desire to follow their own dreams, although this was a factor. It was also a recognition of the fact that many women found it necessary to have more options open to th em for self-support and for the greater welfare of their families. Although women throughout time had found various ways to make it on their own, it was rarely possible for them to attain both material comfort and personal independence without the interference of a man. These are issues that figure prominently in women's writing of the time, such as in the work of Kate Chopin. Within her short stories and novels, Chopin reveals deep meaning and strong feminism embedded within the text due to her careful use of perspective and imagery. Her talent enables her to ââ¬Ëpaint a pictureââ¬â¢ of life as it was experienced in that moment. Her stories gain their strength by focusing on key elements of the environment in which the characters move and through the special attention she gives to just how the story should be told. Her style enables the reader to experience the various constraining forces, both material and psychological, that were experienced by women of her time and illustr ates why they would want to escape from it. These ideas are easily discovered in a comparison among some of Chopin's short stories, such as ââ¬Å"The Story of an Hourâ⬠and "The Storm," and her novel Awakening as the women experience an awakening to their own long-hidden inner nature. The possibility that one can actually awake to a hidden inner self is the primary action of many of Chopin's works and can be easily found in her short short story "The Story of an Hour." The story begins with the introduction of a frail woman later discovered to be named Louise. Louise is sitting in her home's living room being told by her sister and a close family friend of the sudden death of her husband during a railroad accident. ââ¬Å"She wept at once, with sudden, wild abandonment, in her sisterââ¬â¢s armsâ⬠(Chopin 199). Following her somewhat alarming outburst, Louise closes herself in her upstairs bedroom and sits in another chair looking out the window as she considers her new position as a widow. Her feelings toward her husband are revealed in this scene to have been strangely ambivalent: ââ¬Å"And yet she had loved him ââ¬â sometimes. Often she had not. What did it matter?â⬠(Chopin 201). The horror of her emptiness as a married woman is clearly expressed in her nearly emotionless assessment of what sheââ¬â¢s lost in conjunction with her dawning realization that she is finally free to follow her own idea of happiness: ââ¬Å"
Monday, November 18, 2019
Post Colonial And World Literature In English Essay
Post Colonial And World Literature In English - Essay Example The abandonment of cultures and traditions by the colonized is one of the most significant aspects of post-colonial literature in the discourse on colonialism.The pacification of indigenous people in colonies was completed through the conversion of these individuals to Christianity because it was believed that it was the true religion and that the practices of these communities were satanic. The adoption of Christianity was considered by colonial administrators to be a means to not only pacifying the colonized but also as the first step of achieving their civilizing mission (Morrison 1984, p.327). This process was brought about through European missionary activities during the colonial period. colonialism developed mainly as a result of the diverse European powers seeking to ensure that they not only gained markets for their goods, but also for the purpose of prestige. The discussion above has shown that colonialism and racism are among the most important themes that are addressed in the post-colonial literature. Furthermore, colonialism developed mainly as a result of the diverse European powers seeking to ensure that they not only gained markets for their goods, but also for the purpose of prestige. In addition, the discussion has shown that forced labor is one of the aspects of colonialism that led to the development of resentment among indigenous people towards the colonists. Finally, the abandonment of cultures and traditions by the colonized is a significant aspect of post-colonial literature in the discourse on colonialism.
Friday, November 15, 2019
Balancing Productivity and Quality Patient Care
Balancing Productivity and Quality Patient Care Balancing Productivity and Quality Patient Care Abstract The purpose of this examination is to identify challenges balancing productivity and quality patient care as it stands from a supervisory position. Todayââ¬â¢s supervisors must not only focus on their staff and patients, but also on the organizational business aspects such as increasing productivity and quality patient care. Supervisors are getting sandwiched between balancing productivity and quality care. In this somewhat daunting quandary the supervisors must strive to find ways to accomplish both missions. As I will propose this will require communication changes in organizational health care systems and a paradigm shift in current ideologies in the health care industry. Letââ¬â¢s start off in my own backyard so to speak, my organization is a Nursing and Rehabilitation hospital. The Mission statement is, ââ¬Å"Come Here, Get Well, and Go Homeâ⬠. This is a 213 bed facility. There are approximately 135 employees throughout the organization working on any given day. The organization specializes in sub-acute care, long-term care and has a rehabilitation unit. Also the organization has physical therapy, occupational therapy and speech therapy components to support patientââ¬â¢s recovery. All of these people in organization eventually may have some contact with a new patient at different times in the recovery process. It is obvious from a macro-perspective it would be difficult to realize any improvements in productivity or patient care without solid supervisory skills and knowledge. Nursing is my focus and professional occupation in which I will narrow the field to nursing for this examination. As a nursing supervisor one has to continually be knowledgeable to accomplish both goals of productivity and quality patient care. Their responsibilities include planning, organizing and overseeing staff. Nurse supervisors provided leadership two staffs under their charge. The nurse supervisor implements and interprets organizational policies and procedures maintaining nursing standards and regulations. They also continually evaluate patient care and ensuring their satisfaction. A nursing supervisor skills also include budgeting, prioritizing duties and delegating responsibilities. Some of the obstacles that impede the ability of nursing supervisors out of their control is rising healthcare expenditures have motivated spending reforms such as Medicares payment system. While such initiatives aim to limit wasteful healthcare expenses, they may inadvertently result in lower-quality care: providers may face an incentive to reduce the quality of their treatments to minimize costs and increase patient loads. (McDevitt, 2013) Unfortunately this is not the only pressure in which health care organizations have to do more with less. Supplies, operating costs, state and national legislation has placed a huge strain on the healthcare system at large. In the past nursing productivity has been the defined as the ratio of patient care per hour, per patient to salary and benefit costs paid out to staff by the organization. (Kohr, 2012) In the current economy this does not take into consideration the level of expertise in which nurses must process information to accomplish the goals of increased productivity and patient care. After all of that is said: Nursing productivity models of any kind should take into account patientsââ¬â¢ needs, nursing competencies, the availability of material resources, and services provided. Nursing workload is a direct reflection of these variables and affects the delivery of patient care, patient safety, as well as satisfaction of nurses and of patients and their family members. Many investigators have linked nursing staff indicators and nurse staffing with patientsââ¬â¢ outcomes (Kohr, 2012) The problems of balancing productivity with quality patients care are reducing costs and employee hours for the sake of protecting the bottom line is that really ââ¬Å"protecting the patient?.â⬠Yet that statement has clearly infiltrated and grayed the area between professional ethical, moral boundaries. In attempts at optimizing for efficiency are we as supervisors ultimately must manage both dichotomies. Managing these dichotomies is seemingly overwhelming at first glance. This is what I mean by the proverbial sandwich effect, the danger here is being so overwhelmed that you are paralyzed into doing nothing. I contend that productivity and quality patient care are not at odds with one another: they are both vital to the success of any healthcare organization. The essence of productivity vs. quality patient care dilemma is this: Productivity is visible, continuous, readily-understood and directly measured: a daily metric. On the other hand, quality patient care is invisible, boring, discontinuous, indirect, and its success is measured by the absence of negative outcomes. (Appel, 2012) Now thatââ¬â¢s somewhat of a quandary. Almost in the same breath organizations are willing to state quality patient care is our core principle. The problem, however, is turning that vision into action: it is in the daily operations (Appel, 2012) and responsibility functions of the nurse supervisor, this is where the rubber meets the road. Nurse supervisors are critical to the surveillance and coordination that reduce such adverse outcomes. Much work remains to be done in evaluating the impact of nursing care on positive quality care indicators, such as appropriate self-care and other measures of improved health status. (Mitchell, 2008) Nurse supervisors must instill in the people that they manage to continually gather information that can be correlated into data to finding that balance between productivity and quality patient care. Whether it be quantitative or qualitative data all must be brought together to facilitate to make informed decision for possible change. Harnessing this information could unlock knowledge that may elicit innovations striking that balance between productivity and quality patient care. Leave no stone unturned, is the mantra of nurse supervisors in todayââ¬â¢s tough economic and social times. How do we start? Communication, communication, communication is essential to establish any opportunity to balance a seemingly diametrically opposed processes. They can be integrated (productivity and quality patient care) to provide success for the organization and the patient. Tighter reins of communication and functions must be streamlined for optimal performance. Nurse supervisors can trigger a needs analysis of the situation informing the employees and organization that there is a performance gap between productivity and quality patient care. This brings in the team concept of the organization as a whole (everyoneââ¬â¢s job) needs to be the spearhead, focal point for systematic change and concern with both issues of productivity and quality patient care. A decision-making structures is needed, a paradigm shift. What is a paradigm shift? Stephen Covey suggests that a paradigm shift is what we might call the AHA ! experience when someone finally sees the composite picture in another way or finally sees the light. (Covey, 2004) The health care industry has been moving ââ¬Å"paradigm shift toward placing more value on quality and outcomes. This affect has changed in the way health care organizations do business. Higher quality can be the solution, said Dr. Michael Ogden, chief clinical integration officer with Cornerstone Health Care during the discussion at High Point University. In health care specifically, higher quality could actually lead to lower costs. (Covington, 2014) As a nurse supervisor myself this sounds good but how do we get there? Some employers and health plans are pushing for greater price transparency. They argue that if consumers realized that they could receive high-quality services from lower-cost providers, they would seek them out. This, in turn, could encourage competition among providers based on the value of care not just on reputation and market share. (Unknown, 2012) Another aspect would be to empower the patients to be active participants making decisions about their own care. Empowerment of the patient also means to include them as a part of the health care team which may stimulate opportunities and innovation. As a nurse supervisors some of these ideas are not new, I however assert that nurse supervisors must educate themselves to perform their managerial duties at high levels, not only will the organization benefit, but so too will the patients. Nurse supervisors will need considerable intestinal fortitude to sustain balancing productivity and quality patient care. A nurse supervisor of the future will have to be multi-dimensional with traits like leadership and persuasion skills. Nurse supervisors must show empathy, creating trust with coworkers and patients. They must also have analysis skills, to be able to make fact-based decisions. Last but not least, a nurse supervisor must have performance management and coaching skills to follow through on goals and objectives. Finally, I concludes this examination by making a statement that balancing productivity and quality patient care will always be challenging. References Appel, M. (2012, April 20). KevinMD. Retrieved from The problem of mixing productivity with patient safety: http://www.kevinmd.com/blog/2012/04/problem-mixing-productivity-patient-safety.html Covey, S. R. (2004). The 7 Habits of Highly Effective People: Powerful Lessons in Personal Change. New York : Free Press a division of Simon and Schuster. Covington, O. (2014, March 21st). Health care providers tout paradigm shift as path to reining in costs. Triad Business Journal. Kohr, L. M. (2012, November Volume 21, No 6). American Journal of Critical Care. Retrieved from Building a Nurse and Productivity Measure Based on this Energy Model: http://www.aacn.org/wd/Cetests/media/A1221063.pdf McDevitt, P. L. (2013, February). Productivity and Quality in Health Care:Evidence from the Dialysis Industry. Retrieved from http://www.econ.psu.edu/~plg15/gm_dialysis_Feb2013.pdf. Mitchell, P. H. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, Md: Agency for Health Care Research and Quality. Unknown. (2012, April/May). The Commonwealth fund. Retrieved from Quality Matters: http://www.commonwealthfund.org/Newsletters/Quality-Matters/2012/April-May/In-Focus.aspx
Wednesday, November 13, 2019
The Great Skater :: Personal Narrative Essay
The Great Skater Like any other sport, ice-skating is obliged to creative people who bring something new to it. These people are known to everyone as the inventors of particular jumps, splits, spins. They are given credit for their work and, sometimes, the skating moves they invented carry their names. For instance, the Lutz jump was invented by Alois Lutz before World War II; the Walley jump was attributed to Bruce Mapes who performed with the Ice Follies in the 1930s. With Mabel Fairbanks that was never the case. The spins she invented never have been officially admitted to be exclusively her creation. For me, it was a profound experience to be coached by her, as I was learning not only the art of skating, but also many things that one can learn from a wise person. I treasure her advice very much. Mabel Fairbanks was a brilliant and a hard working skater. The only problem she experienced over and over was the unwillingness of the skating world to admit that she was deeply talented. It was the second quarter of the 20th century, and she was not allowed to perform the major skating movements--the elements she found the most fun to perform. She was black, she was too good, and the other girls in the show wouldn't look as skillful having Mabel performing next to them. In fact, Sonja Heini once refused to allow Mabel to join Sonja's popular skating troupe because Mabel was too gifted. Mabel was restricted in her skating to the simple elements. But, Mabel wouldn't be Mabel if she didn't extricate herself from the restrictions. How? The solution was ingenious: "If they don't let me skate the conventional way, I'll invent something of my own. This way, nobody and nothing can prevent me from skating to my full abilities." Necessity turned out to be the mother of invention. In a short period of time, Mabel, the first black superstar skater in the history of the United States, came up with the new variations of basic spin. They were so gorgeous! She was the star of the shows at British West Indies with the famous Ice Follies, and in Mexico with the Ice Capades. The only sad thing is that the spins she invented have never been called anything more than just spin's variations. If it were for me, I'd call them Fairbanks spins.
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