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Tuesday, August 25, 2020
Knowledge management and innovation
Information the executives and advancement As of late, there are countless scholastic articles, which have been centered around the subject of information the executives and advancement. Both scholastic analysts and callings appear to concur that information is the most important resource of a firm (Garcã a-Muiã ±a et al., 2009). In addition, Hsiangchu and Tsai-Hsin (2002) proposed that the organizations information is the fundamental upper hand for an enterprise. In this manner, overseeing information in associations could be considered as a key factor for the accomplishment in todays business world. There are four significant components in the information procedure which incorporates making information, coordinating information, sharing information and arranging information (Newell et al. 2009). An investigation by Teece et al. (1997 refered to Leiponen 2006) suggested that the making of information can have the significant consequences for execution of a partnership. While different analysts referenced that making infor mation isn't incredible enough and exhaustive information sharing and coordination of an association are shown its prosperity (Okhuysen and Eisenhardt, 2002). The objective of this paper is to survey the current writing on information the board and apply these speculations in blend with certain instances of different associations to dissect principle key information reason for an association by looking at one explicit contextual analysis of a biopharmaceutical organization Panther Biotech The advancement of a radical new helpful for an intense fiery sickness. One might say that the contextual investigation gives a genuine case of overseeing information and advancement in an information concentrated firm. Besides, this paper will likewise give an inside and out examination of how Panther Biotech puts forth an attempt to present great practices in information sharing and information joining so as to improve its new medication advancement process. Definition Information As per Davenport and Prusak (1998) the meaning of information is portrayed as Knowledge is a liquid blend of surrounded understanding, values, relevant data, master understanding and grounded instinct that gives a situation and system to assessing and consolidating new encounters and data starts. There are various meanings of information yet this definition could be one of the most referenced definitions in the writing of this field. In addition, various types of information, for example, inferred, unequivocal and verifiable at the individual, social and authoritative levels should be considered so as to uncover its possible commitment to the exhibition of the firm (Nonaka and Takeuchi 1995, Spender 1996). Information the board In today business, one might say that a large portion of firms demonstrate their push to apply information the board so as to improve business exhibitions or to advance development process. As indicated by McIrnerney (2002), information the board is characterized as a push to increment helpful information inside the firm by advancing correspondence, offering chances to learn, and advancing the sharing and move of suitable information. Information the executives can be characterized as the arrangement of exercises that empower the creation, stockpiling, circulation, and utilization of information in associations (Chow et al. 2005). Various meanings of information and its administration shows the decent variety of the information the board forms going from information creation, sharing, coordination, codification, move, search, stockpiling, use, etc. Information Intensive firms A Knowledge escalated firm has been characterized by Alvensson (2004) as an association which sell information based items or the utilization of information to the market. It very well may be said that the center exercises of this firm dependent on the information on countless representatives. Advancement Verloop (2004 refered to Khiji et al., 2006) depicts advancement as another thought or idea made by RD exercises and fruitful development requires changes in hierarchical procedures and change of a thought into an industrially useable item. Other researcher characterizes advancement as a procedure: the turn of events and execution of new thoughts by individuals who after some time take part in exchanges with others in an institutional setting (Van de Ven, 1986). Writing survey of Knowledge the executives and Innovation The rising of the idea of information based social orders, our social orders have been moving bit by bit to become information social orders (Hsiangchu and Tsai-Hsin 2002). Developing nations like China and India are moving their assembling based economies to information based economies, and these two nations could be the primary string to the US and Western economies. For instance, China and India are the two greatest markets for IT re-appropriating. A mechanical based economy changes to the data age or information based time and results of information and information works are turning out to be principle hotspots for firms and countries to make benefits and upper hands (Newell et al. 2009). The significant favorable position of China when contrast and different countries could be a copious flexibly of modest information laborers. Therefore, it could be proposed that overseeing information and the administration of information laborers assume a significant job in the accomplishment of the organizations and the countries also. During the most recent two decades, there has been a developing in the quantity of analysts which lead their examination in the field of information and its administration. Research on this field has been additionally gotten a fruitful history (Argote et al., 2003). These researchers additionally recommended that exploration on information the board traverses various zones, for example, financial aspects, data frameworks and hierarchical conduct and hypothesis (Argote et al., 2003). The assorted variety of information the board inquire about shows the extraordinary effect of this field in numerous controls in this way biotechnology and pharmaceutical industry probably won't be stood apart of this pattern. Gans and Stern (2004 refered to Khiji et al., 2006) proposed that biotechnology assumes a significant job in worldwide industry and bit by bit ascends with the consolation of development to improve human heath and personal satisfaction. Biotech firms might be remarkable among certai n reasons. Gans and Stern (2004 refered to Khiji et al., 2006) additionally said that the advancement of a biotechnology organization emphatically relies upon its science exercises. It very well may be recommended that biotechnology organizations are information concentrated firms. These days, finding the response for an inquiry where and how information is made and ensured that is the test task for this industry and overseeing information is additionally not as an essential assignment as in the past (Allarakhia and Walsh 2011). Pharmaceutical firms are all the more regularly driving accomplice associations with biotech firms and research focuses (Walsh et al., 2002 refered to Allarakhia and Walsh 2011). Unions between biotech organizations, scholastic foundations and pharmaceutical organizations might be the standard in this industry. It tends to be recommended that these unions could enable these organizations to show signs of improvement access to reserve and information from the ir key accomplices and firms will react to the new turn of events and innovation in quicker and progressively adaptable manners. As per Khiji et al., (2006), the normal time for the entire biotech process from first speculation for logical disclosure to sell item in the market can take as long as 15 years. Biotech organizations regularly attempt to draw in capital and associations in the beginning periods of theirs advancement procedure and with various endeavors to locate the correct organization accomplices for the subsequent stages which can incorporate assembling, item plan and advertising (Khiji et al., 2006). Shockingly, the vast majority of them neglect to manage these undertakings; Gassman et al. (2004 refered to Khiji et al., 2006) indicated a report of these choices with a 90% disappointment rate among biotech organizations. This can be recommended that biotechnology is a drawn out speculation with high hazard and firms should exceptionally consider the job of time-delicat e choice. Also, in spite of numerous individuals accept that biotech industry has indicated colossal potential for development, very few firms can partake in the achievement. Contextual analysis 4.1 Background Puma is a biopharmaceutical organization this implies it creates clinical items utilizing biotechnology. Creating restorative advancements to improve patients heath so as to increase exceptional advantages for investors is the fundamental undertaking of Panther. It is an openly recorded organization with net money and fluid asset of $400 million, and it additionally makes almost 300 employments on the West bank of the US. Its representatives are specialists in the beginning time of the new medication advancement process. All RD exercises of Panther, with the exception of later phase of medication improvement are supported without anyone else. The reason for this money related methodology is to guarantee the activity of firm runs easily until it shows the fruitful of advancement medicate in clinical preliminaries. The subsidizing for any later phase of medication advancement forms is deliberately settled dependent upon the situation. As of not long ago Panther has taken just four adva ncement forms into clinical preliminaries without anyone else. 4.2 Discussion
Saturday, August 22, 2020
Hamlet: Fate :: essays research papers
Hamlet: Fate In our present reality mystics attempt to anticipate what will occur in our fates. What may occur later on is constrained by a force far higher than what can be seen by somebody at the opposite finish of a "1-900â⬠¦" phone number. The play Hamlet, by Shakespeare, presents a perspective on the world in which man's astuteness is feeble to comprehend and foresee the impulses of Fate. Man is represented by a heartless and maybe disturbed force. The characters of the play are not the slightest bit ready to grasp what may lie later on. Hamlet realizes that there is some kind of problem with the marriage between his mom (the sovereign) and Claudius (King Hamlet's sibling). The marriage happens only months after the killing of King Hamlet. "Something is spoiled in the territory of Denmark." The characters of the play realize that there are powers at work in the realm. A power that could be viewed as heavenly is in charge of the activities of the play. Hamlet is visited on a few events by an apparition that offers intriguing data. Hamlet knows not whether to trust the soul or dismissal what he has been told. "â⬠¦ the demon hath power T'assume a satisfying shape" Hamlet believed that the soul might be attempting to deceive him in the mission to discover his dad's executioner. Characters of the play become uncertain of their aims because of the odd spots of fortune that they are managed. Characters in the play that were so certain about their choices became dubious. This vulnerability emerges when the plans of characters are some way or another adjusted. The modifications change the destiny of numerous characters. Polonius was slaughtered in the wake of Hamlet's arrangement to discover his dad's executioner. Hamlet had no expectation to execute anybody that didn't merit it. It was by chance that Polonius was in the office of the sovereign when Hamlet showed up. Polonius took cover behind the blind and was slaughtered with a push of a blade. "Time is out of joint.
Monday, July 27, 2020
8,726,400 SOS Its Coming Home (by it, I mean me)
8,726,400 SOS Itâs Coming Home (by it, I mean me) Theory: *written by Rukia H. 21 as a part of the 8,726,400 Seconds of Summer guest post series* Theory: If we were to use the World Cup as an analogy for my life right now, I just lost a group stage match, but I still managed to progress beyond the group stage and into the knockout round. Background (why the World Cup): I have been obsessed with the World Cup for the past month, which is strange considering none of the teams I support qualified for it (the US and the Dutch). But anyone who knows me well enough knows that if you sit me in front of a TV and give me a game to watch, Iâll end up passionately supporting someone within ten minutes. I get heavily invested during soccer matches; itâs a fact. I can barely stay still in my seat as I urge players to run faster, jump higher, and save the impossible. I give them nicknames and scream loudly at the television screen as if they can hear me. I yell when they fail to do the incredible (ironic considering my athletic ability is that of a peanut). And I cry with them when itâs over. Observations (of the World Cup): One of the best parts for me when it comes to watching a game is listening to the pundits comment on the players and the game because you can learn a lot in the process (side note: this one time, I thought one of the Belgium players was so slow and a terrible player overall, but the commentators then were like âlook at that amazing play by *player x*â and I was like rip, so much for my soccer knowledge) One comment Iâve been hearing a lot about is how players grow into the World Cup and what they mean by that is that as teams progress, they start playing better. They may be a bit shaky at first (this applies to all players, no matter how great you are!) but then you learn as you go and become better. A great example of this would be France. I remember waking up at 3 AM to watch them churn out an unconvincing win in the group stage and how disappointing it was to see that, but now look at them! Theyâre world champions and rightfully so! They regrouped and managed to defeat impressive teams from the difficult end of the bracket to reach the final and then won it all. Evidence (from real life): Early on, during second semester, I booked my plane ticket home. Being from California, I didnât get many chances to go back home and see my family during the year; in fact, I only went home once and that was during winter break. So I booked the ticket and that was the end of it. Or at least it would have been, had I been at any other school. As spring semester began to dwindle down, everyone seemed to have summer plans like exciting internships, going abroad, or new/continuing UROPs. I was starting to feel the pressure as the inevitable question arose repeatedly about my own plans for the summer. And so I frantically applied to anything within fifty miles of my house⦠and got rejected from all of them. When I got on that plane, Iâll admit it sucked. I felt like I was falling behind again, producing some lackluster performance that was definitely not worth an admittance to MIT. Because clearly someone who goes to MIT would get the internship (Elle Woods: like itâs hard?) and excel and change the world all in three months. Because thatâs what they do. Because thatâs what I want them to do. But Iâm home and after a month and a half, I know it will be fine. The first few days were tough because I missed the fast-paced MIT lifestyle. I spent those days agonizing over the fact that I had nothing to do and how it was such a waste of time. Now one day seems to blend into the next and it doesnât worry me anymore. I like waking up late and staying up, doing whatever I want everyday. I like having this relaxed, lazy, maybe even boring summer because in the back of my mind, itâs feeding my ambition to do more. Doing nothing makes it painfully obvious what exactly you want to do and I know precisely what I want to do for this upcoming year and the summer following it. So maybe on paper, this summer was a bust for me, but in the long run, I think it will be a major stepping stone to something incredible. Conclusion: Group Stages (Results) Surviving freshman year at MIT = +3 Going home = +3 Getting rejected by internships/not really having summer plans = +0 Notes: I still made it through despite not getting the result I wanted! Knockout Rounds (TBD) Sophomore Year Junior Year Senior Year Notes: I still have all these matches to play! Using what I know now, I can make the appropriate changes to produce the results I want. Iâm definitely still growing as a MIT student and thatâs okay! And who knows, maybe with time, Iâll be up on that podium, drenched in rain, but holding the greatest prize of them all. ¹ Also, whatâs pretty cool about life is that unlike the World Cup, you canât really get knocked out. You may not always get what you want at a certain time, but you always get the chance to try again and bring the trophy (aka your happiness) home :) ¹ diploma? pirateâs license? the key to the city? the world may never know Post Tagged #8726400 Seconds of Summer #Home #World Cup
Friday, May 22, 2020
Jane Eyre And Oedipus Mason Essay - 915 Words
Evil lurks around every corner, even within oneself and other persons, waiting for an opportunity to sneak up and ruin plans, inject pain and triumph over happiness. Often this malevolence hides in a familiar face as a hidden demon. This hidden demon is also often on display in literature having dramatic consequences in everyday life. In Charlotte Bronteââ¬â¢s Jane Eyre Bertha Mason serves as the hidden devil character for Jane, causing the destruction of everything she desires; likewise, Sophoclesââ¬â¢ Oedipus Rex contains a devil figure, ironically Oedipus himself, who causes the loss or poisoning of all he holds dear. In Jane Eyre and Oedipus Rex, the hidden demon serves as a vehicle for the downfall of the protagonist. Bertha Mason, simplyâ⬠¦show more contentâ⬠¦The final prophecy brings about the revelation that Oedipus is ââ¬Å"a wretch, in birth, in wedlock cursed, / A parricide, incestuously, triply cursed!â⬠(Sophocles, 66). He has indeed married his mother and killed his father; thus the course of his life is set by the gods regardless of his desires. These two themes: of mighty gods and powerless mortals, fits with what Sophocles may have been trying to convince his audiences of, in his time the belief in the gods was under attack. This self-fulfilling prophecy makes Oedipus his own selfââ¬â¢s demon and seals the genre of tragedy, it is all the more saddening and inspires more pity for Oedipus that there was no way for him to escape fate. Rather than being a blind fool, this theme makes him a tragic hero. Oedipus must go through the agony of discovering who he is and facing his own demon. Jane, unlike Oedipus, is not fated to pain; she chooses the agony of being separated from Mr. Rochester over a life she knows is wrong. It is the main example of Jane Eyreââ¬â¢s prominent theme: independence. This self-inflicted pain marls the differences in the themes revealed by these storiesââ¬â¢ hidden devil characters. While Oedipus is fated to suffer and destroy himself, Jane chooses to face the pain that her devil character instigates and overcome it. It takes the journey to Moor house, Janeââ¬â¢s employment as a solitary teacher, and the loveless proposal of St. John, all started by Bertha being married to Rochester, to show Jane how to stand on her
Saturday, May 9, 2020
A New Term Has Emerged In Education Recently That Has...
A new term has emerged in education recently that has teachers unease with how they feel about it. The ever so emerging ââ¬Å"flipped classroomâ⬠technique is starting to become integrated in several classrooms today. The reason so many teachers are suspicious of the technique, is because it is foreign and rather new. Traditional styled teachers are struggling to accept the new style due to the deranged forms of learning. Whereas the newer teachers are excited to track progress and learn new techniques. I personally feel that educators need to respect the fundamentals of education, and embrace the ever so changing society. Central Methodist University should flip their writing courses because it enhances student learning and collaboration,â⬠¦show more contentâ⬠¦Technology has been advancing rapidly during this generation, in turn, causing members of this generation to be highly dependent on technology. The flipped classroom utilizes technology to enhance learning insid e and outside of the classroom. Allowing students to learn on a device which suits their comfortability level, makes learning a subject less scary or intense. ââ¬Å"By obtaining videos from other sources the students indicate they are more engaged and found the information refreshing,â⬠(Schmidt) . Many teachers see the technology aspect of flipped classrooms as the deciding factor. Some teachers feel that some children will not have access the videos then resulting in students lacking the lesson. However, on the flip side teachers have combated this problem by providing students with technology when they are in the classroom. Utilizing technology in the classroom has enhanced learning capabilities, and has maximized the potential for several students. Using technology also allows students that are absent to have access to the videos online. Living in Missouri we experience a lot of miserable weather, with a flipped classroom students can continue to make progress at home with the videos online. An advanced placement chemistry class was able to almost complete a whole unit on their own when out of school for a week due to snow (Hardy) . Having to review the videos and lectures that they post online, teachers are now double checking their work. In order for theShow MoreRelatedThe Case Of Epperson V. Arkansas953 Words à |à 4 Pagescase of Epperson v. Arkansas (1968) was argued before the Supreme Court. The case originated in 1965, when Susan Epperson was hired to teach 10th grade biology at Little Rock Central High School. The local school board had recently adopted, as a part of an approved curriculum, a new biology textbook that included a section on evolution. Immediately, Epperson recognised her dilemma; that to teach the required curriculum would put her at risk for dismissal under the ââ¬Å"anti-evolutionâ⬠statute. 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Public Services - The quality of public servicesRead MoreWhat Are Icts and What Types of Icts Are Commonly Used in Education?6247 Words à |à 25 Pagesare ICTs and what types of ICTs are commonly used in education? ICTs stand for information and communication technologies and are defined, for the purposes of this primer, as a ââ¬Å"diverse set of technological tools and resources used to communicate, and to create, disseminate, store, and manage information.â⬠These technologies include computers, the Internet, broadcasting technologies (radio and television), and telephony. In recent years there has been a groundswell of interest in how computers andRead MoreTeacher Leadership : The Things2724 Words à |à 11 PagesTeacher leadership: The things to consider and the roles to adopt Teacher leadership is not a very old concept in the field of education. It has been emerged after seeing the role of leadership in various other fields of the academics like science and engineering. 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Wednesday, May 6, 2020
Principles and practice of mental health nursing Free Essays
string(158) " Client may come up with thought like: I am not good at preparing speeches; I will make a fool of myself, or what will people think if I say the wrong thing\." Introduction This essay will discuss the development of Cognitive Behavioural Therapy (CBT) and its role in mental health nursing. A brief definition of CBT will be given, and treatment modalities used before the advent of CBT for the treatment of anxiety will be explored. The essay will evaluate the principles and practice of CBT, and equate this with the recovery process. We will write a custom essay sample on Principles and practice of mental health nursing or any similar topic only for you Order Now The essay will also explore two CBT approaches that can be use to work with anxiety. The limitations of CBT will be discussed, likewise the relevance CBT to mental health nursing. The essay will be concluded by highlighting the learning I derived by writing this essay. CBT is an umbrella classification of the different approaches in psychotherapy treatment which helps patients to understand how their thoughts and feelings influence their behaviour. CBT is evidenced based, collaborative, structured, time limited, and empirical in approach (Westbrook et al, 2007). According the National Institute for Health and Clinical Excellence CG22 guideline, (2010) it should be recommended to patient and carers for the management of major mental health problems. The CBT process normalise recovery which is important in therapeutic alliance as oppose to the medical model of care which pathologies recovery. The socialization process fit with that of the recovery model both of which are patient centred, giving hope and optimism to the patient, and using a set of outcomes set by the patients (Till, U. 2007). According to Hersen, M (2008), the earliest origin of CBT can be traced back to the times of Siddhartha Gautama (563-483 BC) and Epictetus (A.D. 50-138) both of whose work reflected the concept of CBT in their teaching. CBT was developed from two parts way: ââ¬ËBehaviourismââ¬â¢ and ââ¬ËPsychoanalysisââ¬â¢ Behavioural therapy was developed from the principles of animal learning to humans from two main principles called classical and operant conditioning (Shawe-Taylor Rigby, 1999). Classical conditioning theory was based on the work of Pavlov (1927) while ââ¬Å"Operant Conditioningâ⬠theory was based on the work of Skinner (1938). Psychoanalysis was developed by Sigmund Freud and looks at the functioning and behaviour of human. BT arose as a response to the psychodynamic image, when Freudian psychoanalysis was questioned for its lack of a scientific base. The application of behavioural science resulted in merging CT BT approaches, resulting to the treatment of anxiety disorder and inappropriate behaviours, and little progress in depression and psychosis (Shawe-Taylor and Rigby, 1999). However, the failure and criticism following the use of strict behavioural concept to explain complex behaviour brought about the emergence of the cognitive behavioural therapy. The major difference between the two approaches is the inclusion of the meditational approach in CT. (Hersen, M and Gross, A. 2008). Rational emotive behavioural therapy (REBT), developed by Albert Ellis (1913-2007) was one of the treatment approach used during this period. CT was developed in the 1960ââ¬â¢s by Aaron Beck, and this approach became popular for its effective treatment of depression. The significant result from the merge of BT CT was the outcome of treatment for panic disorder by both Clark and Barlow in the UK and US respectively. Their combination in the 80ââ¬â¢s and 90ââ¬â¢s has resulted in CBT being a sort after therapy for mental health disorders. Anxiety is an example of a mental health problem. Anxiety is a common and treatable mental health disorders which manifest as feelings of uneasiness such as worry or fear which could be mild or severe, and a normal part of human condition Barker (2009). The feelings of fear and worry are sometimes helpful in psychologically preparing us to face the problem and physically triggering the flight and flight response. This affects 1 in every 10 people (RCPSYCH, 2010). The major types of anxiety disorder are: generalised anxiety disorder, panic disorder, obsessive compulsive disorder (OCD), post traumatic stress disorder and social phobia or social anxiety disorder. The symptoms of anxiety manifest through the mind via frequent worries, lacking concentration, feeling irritable, feeling tired and sleeping badly. While in the body symptoms include palpitations, sweating, muscle tension, fast breathing and faintness (RCPSYCH, 2010). Social anxiety disorder is use for discussion in this essay. Treatment modalities before the coming of CBT include those from psychoanalysis and Behaviourism. Anxiety treatments available before CBT include: refraining people from excess exercise in other not to increase the strain on the nervous system, administering Strychnine, arsenic and quinine and applying a white hot iron along the spine in severe cases. Exposure treatment which is still being use till date, use of Radionics by attaching patients to various devices with the belief that healthy energy is vibrated to unhealthy parts of the body, Use of Rational emotive behaviour therapy (REBT), and the use of Gamma-amino-butyric acid (GABA) facilitating drugs. Insulin shock therapy was also used (Marlowe, J 2011) Cognitive approaches use in working with social anxiety is: cognitive restructuring and exposure therapy. Cognitive restructuring according to Heimberg and Becker (2002) is the identification and challenging of irrational thoughts, which include beliefs, assumptions and expectations and replacing them with those that are rational, realistic and adaptive. The principle is not only challenging the negative thinking pattern that contribute to the anxiety, it also helps to replace them with more positive and realistic thought pattern by suggesting alternatives and by reinforcing the client belief in the alternative interpretations and ideas suggested (Norman and Ryrie, 2009). For a person having a fear of public speaking in social anxiety disorder, the way he or she feels is not determined by the situation but by his or her perception of the situation, thus the thought, emotion and behaviour is important in therapy. The therapist, in collaboration with the client uses the situation-emotion-thought-behaviour (SETB) to structure how the treatment will go. Cognitive restructuring is done in three steps, with full collaboration between the client and the therapist after building up a working therapeutic relationship. The first step is identifying the content and occurrence of the unhelpful thought. The therapist will ask the client to write down his or her thoughts, using thought monitoring records. Client may come up with thought like: I am not good at preparing speeches; I will make a fool of myself, or what will people think if I say the wrong thing. You read "Principles and practice of mental health nursing" in category "Essay examples" The therapist sta rting question could be, ââ¬Å"If we could make one thought go away, which one will you choose to make a difference in the way you feelâ⬠, or ââ¬Å"what is the worst thing that could happen?â⬠Such questions are asked to uncover underlying fear. (Norman and Ryrie, 2009, Padesky and Greenberger, 1995).The second step is challenging the negative thoughts. Here, the therapist will help to dispel the irrational thoughts and beliefs to loose much of its power over the patient at this stage. The third step is replacing the negative thoughts with realistic thoughts which are more accurate and positive, with the therapist teaching the client about realistic calming statements he/ she can say when such anxious situation comes up. Systematic desensitization is a type of behavioural therapy use to treat social anxiety. It was developed by Joseph Wolpe, a South African psychiatrist. Systematic desensitization also called graded exposure, is the process of facing the anxiety or fear producing triggers from the less feared to the most dreaded ones, and the pre ââ¬â planned grading of the triggers for exposure is referred to as ââ¬Å"hierarchyâ⬠while habituation is ââ¬Å"the reduction of anxiety over time when a person encounters an anxiety or fear ââ¬â provoking trigger without the use of safety behavioursâ⬠(Norman and Ryrie, 2009). Systematic desensitization helps a client to gradually challenge his or her fears or anxiety, build confidence over time and master skills for controlling his or her anxiety. The process involves the therapist first teaching the client some relaxation techniques like deep muscle relaxation and assesses their ability to utilise this. For example, a person who is a nxious of facing the public and due to give a lecture, the step is to create a hierarchy of the anxiety or fear experience. The questions the therapist can ask to evoke triggers are: ââ¬Å"What places, thing or people make you uncomfortableââ¬Å"What brings your fear/anxiety/worry on(Norman and Ryrie, 2009). Then the therapist ask the client to set an exposure task according to his hierarchy of triggers, which should be graded, focused, repeated, and prolonged using the daily exposure diary. The client then work through the list with the guardian of the therapist, and the goal is to stay in each situation until the anxiety or fear subsides. The whole process is carried out with both parties collaborating together to achieve the goal, first through ââ¬Å"in vivo exposure, such as imagining giving a speech and when the situation become easier, then the client progresses to the situation in the real world. The use of home work is also use. Despite all the good attributes associated with CBT, it is not without its own limitations. CBT is very complex to implement having a poor outcome with substance users who have a higher level of cognitive impairment (Patient UK). The availability of well trained and experienced qualified therapist is hard to get in the rural communities (Robertson, 2010). CBT does not work for everybody, and requires high commitment from the patient who see the home work as difficult and challenging (Patient UK). Some aspects of CBT therapy cannot be applied on people with learning disability and language is a barrier for those who English is not their first language. Nurses interact and undertake more roles with patient, and they are the first contact complaints are made to, which could give them an opportunity to offer CBT skills in the nursing process if it was incorporated in their training. (Padesky and Greenberger, 1995) Thus, the teaching of basic CBT skills is now being incorporated into the curriculum of the Mental Health Nursing pre/post registration programme. According to Gournay, K (2005), mental health nurses are now taking up challenging roles in management and nurse prescribing, giving advantage of freeing up the psychiatrist to undertake the more complex cases. The case for a nurse cognitive-behavioural therapist has been made glaring by the shortage of qualified therapist as a result of the widening evidence base for the approach and the recommendation by the NICE guidance for the provision of CBT for the treatment of hallucination and delusions (National Institute for Clinical Excellence, 2002). As recovery is all about inspiri ng hope to the patients, the mental health nurses will be better equipped to offer a person centred care required for patient recovery. The incorporation of CBT to mental health nurses curriculum will prepare nurses to be more collaborative in approach, and allow patients to have more input in their care which will improve the therapeutic relationship between the nurse and the patient and make nurses more approachable. With the advent of computer based CBT, the need for patients to meet with the therapist on a one on one basis is reduced, thus addressing the shortages of therapist and opening a new window for the people who are depressed or withdrawn to use the approach. (Robertson, 2010). There is prospect for mental health nursing considering the boost in career prospect this will bring to the profession and their position in the multidisciplinary team. This assignment has been an eye opener for me as a mental health student. It has exposed me to various issues in mental health, past present. And given me the opportunity to plan ahead of the future in shaping my direction in the profession. The essay has also given me the opportunity to know about the history of CBT and the various treatment approaches used before its era. It has given me the opportunity to see the interrelationship between CBT and recovery in care practice and also shown me that CBT skills will greatly enhance the quality of care provided by the mental health nurse. CBT should be made mandatory for all mental health nurses as a matter of necessity. REFERENCES Barker, P. (Ed) (2009) Psychiatric and Mental Health Nursing: The craft of caring 2nd edn. London: Hodder Arnold. Gournay, k. (2005) ââ¬ËThe changing face of psychiatric nursing: revisiting mental health nursingââ¬â¢, Advances in psychiatry treatment, 11, pp. 6-11 RCPSYCH (Online). Available at: http://www.apt.rcpsch.org/cgi/c Hersen, M. and Gross, A. (2008) Handbook of Clinical Psychology. Volume 1. John Wiley Sons. Heimberg, R. and Becker, R. (2002) Cognitive-behavioural group therapy for social phobia: basic mechanisms and clinical strategies. 1st edt. New York: Guilford Press. Marlowe, J. (2011) ââ¬ËHistorical treatments for anxietyââ¬â¢ (Online). Available at: http://www.ehow.com/facts_5681571_hist. Norman, I. and Ryrie, I. (2009) The Art and Science of Mental Health Nursing. 2nd edn. Milton Keynes: Open University Press. National Institute for health and clinical excellence (2010) Summary of cognitive behavioural therapy interventions recommended by NICE. Available at: http://www.nice.org.uk/usingguidance/com Padesky,C. and Greenberger, D. (1995) Clinicians Guide to Mind Over Mood. London. Guilford Press. Patient UK (2011) what is cognitive-behavioural therapyAvailable at: http://www.patient.co.uk/health/cognitive- RCPSYCH (2010) ââ¬ËAnxiety, Panic and Phobiasââ¬â¢. Available at: http://www.rcpsych.ac.uk/mentalhealthinfof (Assessed: 4 March 2011). Robertson, D. (2010) The Philosophy of cognitive Behavioural Therapy: Stoicism as rational and cognitive psychotherapy. London: Karmac. Shawe-Taylor, M. and Rigby, J. (1999) ââ¬ËCognitive behaviour therapy: its evolution and basic principlesââ¬â¢, The Journal of The Royal Society for the Promotion of Health, 199(4), pp. 244-246. Till, R. (2007) ââ¬ËThe values of recovery within mental health nursingââ¬â¢, Mental health practice, 11(3), pp.32-36. Westbrook, D. Kennerley, H. And Kirk, J. (2007) An Introduction to Cognitive Behaviour Therapy- skills and applications. London: Sage. How to cite Principles and practice of mental health nursing, Essay examples
Tuesday, April 28, 2020
Operating Plan Essays - Retailing, Payment Systems,
Operating Plan OPERATING PLAN ADMINISTRATIVE POLICIES Receiving orders for meals Transactions at the Home Cookin' restaurant will be done in a very simple, yet effective manner. In the store there will be a counter with an electronic cash register. All sales will be rung up using this register. Cash transactions will be the simplest and most straight forward. Customers wishing to pay with check must have identification. Visa, MasterCard, and American Express are expectable credit cards but must be verified first. Paying the supplier The suppliers will not be paid in cash. Our corporate office instead will pay them within 30 days. Inventory Control Inventory will be taken every Sunday and Wednesday night. The goal is to have the least amount of inventory left over as possible. Budgets Company budgets for all expense items will be monitored by corporate. Travel, phone usage, entertainment and other expense items may only be used for company related activities by the Managers. It is the responsibility of corporate to make sure these expenses do not exceed the amount budgeted by for each account. Security Systems Sonitrol security systems will be on during all closing hours. Cash will be secured through daily deposits in addition to keeping less than $200 in the cash drawer at all times. RISK ANAYLSIS Sales Projections If sales projections prove wrong we will take immediate steps to evaluate the cash flows, cut expenses and propose a new adjusted projection for sales. Competition There is much competition within the area of Muncie. If these competitors made an attempt to destroy our market place or initiate a price war, we would take the following actions: -Emphasize uniqueness through advertising and promotions -Lower prices too comparable price of competitor's items. -Negotiations with competition. Management Problems If problems with management were to arise, the corporation would need to access the problem and determine a solution. Steps to be taken would include warning, probation period, or termination.
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