How to Become a Professional Nurse Essay

Becoming a professional nurse, a nurse must self-regulation with knowledge to practice standards and code of ethics. One of the first stepping stone is reflecting in journal of experiential learning. â€Å"Knowledge of yourself is gained from reflecting on your experience† (Cooper, 2001, p. 22). In the course Development of self as nurse I have learned how to be a professional nurse practicing the standards and code of ethics in a working environment. Also how the tools of communication is affective towards patients. When walking into a patient’s room for the first time, a Nurse is expected to examine the patients view and to provide the best quality of care. Personally I found the lesson Way of Knowing most engaging to learn because it teaches a nurse student how to approach the patient and communicate with them. There are many different types of ways of knowing which are empirical, ethical, aesthetical, personal and emancipatory. I found this topic most interesting because each one creates the principle and foundation of patient care. During one of the group activities we read a case study of a patient’s chart and discussed her condition and how we would approach and make a connection to her. This made me feel engaged to the subject as if I was standing next to the patient’s bed. Professionalism is one of many characteristic of being a nurse, with a responsibility of their actions, attitude and display the code of conduct to provide the best practice. How the media views affect nurses image has a negative impact on the professionalism aspect of nursing. In this activity we pulled pictures off of the internet of nurses and most were Halloween costumes or cartoons and we discussed how this affects the perspective of professional nurse. I found this most engaging because all the images of nurses on the internet are not what nurses thrive for in a professional view. A professional nurse is responsible for self regulation and to follow the code of ethics, this topic I was least engaged. Reading history of nursing creates an understanding of the past to enhance the present and is the foundation of structure with economics, consumer demand, family structure, science and technology, demography and the women movement. Without an activity and just reading about history of nursing I was least engaged with this topic. The most important lesson I have learned in Development of Self as Nurse is human relationships regarding the tools of communication and ethic, values regarding beliefs, attitude and spirit. Verbal, nonverbal, electronical, interpersonal, and therapeutic are tools of communication. I believe these two concepts are important to my personal development as a professional nurse by understanding the principle of providing proper socialisation processes which starts by approaching, communicating and connecting to a patient creating a positive patient-centered environment. â€Å"Sometimes a patient will tell us something over a cup of tea that may seem trivial, but that we can use to help make their stay more comfortable. † says Julie Thompson, Head Nurse of Burton Hospital. â€Å"Relative feedback that suggested nurses over look the little things that can make a huge difference. The Initiatives are small, but they are having a big impact. † Finding time to sit down with a patient and talk breaks down the barrier between the professional and patient enables real dialogue to take place (Friend, B. , 2013). In order to understand others beliefs, morals and values a professional nursing must have knowledge of one self. â€Å"Therefore, understanding oneself results in ethical practice. Applying this practice when a patient is uncertain about their values by helping them clarify their values by listing alternative, examine possible consequences of choice, choose freely and feels good about the choice. Kozier et al (2010), p. 75 Various forms of communication are practiced by having knowledge of interpersonal skills and professional communication. Using the tools of communication influences effective communication skills, a professional attitude, respect and dignity. Expectations and issues can become present when communicating with patients or other health care professionals. I am wondering how to overcome situations where an issue has occurred during communication with a patient and how to practice standard procedures to solve the issues, different influences including gender, culture, and illness. Nonverbal communication can be expressed such as a gesture or touch and is crucial to nurse-patient relationship. This often shows how a person is feeling then what is actually said. â€Å"Research shows that touch is the best way to comfort, generally from the shoulder down to the hand is the only acceptable areas for touch professionally. † Chillot, R. (2013). Many facts influence effective communication and I question how to apply and gain effective interpersonal skills? Having knowledge of critical thinking is very important in the role of nursing which identifies awareness of personal thinking skills and styles. Always asking yourself in any situation or scenario why? What else? And what if? This leads me to question how to apply critical thinking from the classroom to practice. Turning errors into learning opportunities is the key to skill development in critical thinking. Throughout the course Development of self as nurse I believe it has taught me how to figure out my own morals, values and beliefs and to successes in helping others to find theirs. Tools of communication open up a range of affective nurse-patient relationship and professional environment.

Causes and Consequences of the Reformation Essay

There were several causes of the Reformation. Some of them were short-term causes and others were long-term causes. One of the long-term causes of the Reformation was that many people thought that the Church was not following the Bible. For example, many people were unhappy with the idea of indulgences. Indulgences were gifts that people gave to the Church so their sins would be forgiven. In 1517 Luther nailed his Ninety-Five Theses to the door of a church in Wittenberg, Germany. They spoke against the theory of indulgences. Luther said they were very secular because mostly rich people were able to give indulgences, but that did not mean that the poor people were bad because they had no money for indulgences. This was like selling forgiveness to the people. So the rich thieves would be forgiven because they were so rich, but he poor slaves would not be forgiven because they had no money. Another cause of the Reformation was that the Church was having some major problems at the time, other than many people trying to break away from it. For example, the Great Schism. The Great Schism greatly reduced the Church?s popularity when there was so much confusion over who was Pope. In 1378 the Cardinals in Rome elected Prignano to be Pope, but they soon chose Robert of Geneva to be Pope. Robert called himself Clement VIII and left Rome to Avingnon. Much chaos followed because the Pope was not home to solve problems with Protestants, etc. A third long-term cause was that the Church owned lots of land. This was an economic reason. In Germany, for example, the Church owned about one-third of all the land, but it did not pay taxes on it. So the other landowners were forced to pay much higher taxes. To add to that, the Church had the power to collect its own taxes. This made it seem to the people of the German states that much of the money went out of their country and into Rome. In response to this, many European rulers now had a good reason to break away from the Church and collect taxes on the Church?s land. In 1524 German peasants rebelled because of such high taxes. At least 100,000 lost their lives when the revolt was put down. Yet a fourth short-term cause of the Reformation was that ideas began to spread quicker. For example, Johannes Gutenberg invented the printing press. He made the first printed book in Europe. As more people began to read and understand the Bible, they began to see what the Church was doing wrong. Writers were now able to publish their books and sell them for much less than hand-written books. Many more people owned books now. This is how ideas began to spread. Another way that ideas spread was through traveling students, artists, and writers. As they traveled around Europe, they took their ideas with them. There were also consequences of the Reformation. Some of them were short-term consequences and some were also long-term consequences. One of the long-term consequences of the Reformation was that many people broke away from the Catholic Church. For example, when Luther came, many people broke away from the Church and became Lutherans. They believed in his ideas that the Catholic Church was nonreligious and thought it fair to break away. Another group of Protestants in Europe was the Anabaptists. This group of people in Switzerland followed Ulrich Zwingli. This group of people was much like the Lutherans, but they believed that people did not have to be forced to go to Church. Other people broke away and became Calvinists, following John Calvin and his idea of predestination. Calvinism was also much like Lutheranism, but Calvin believed that God had already set a fate or destiny for people. In France, Calvinists were called Huguenots. Another example of people breaking away from the Catholic Church is the foundation of the Anglican Church. This break-away, however was much different from the others. In this case, King Henry VIII of England fell in love with a sixteen-year-old girl named Anne Boleyn. The problem was that he was already married, but the Catholic Church forbade divorce. So what Henry did was he broke all of England away from the Catholic Church and established the Anglican Church, which allowed him to divorce his wife. Then he was able to marry Anne Boleyn. This change, though, did not make the Anglican Church Protestant. It still continued many of the Catholic practices. Yet in 1570, Anne Boleyn became the head of the Anglican Church and pronounced England Protestant. Another consequence of the Reformation was that many rulers, like Holy Roman Emperor Charles V, tried to stop the Protestants. Charles V was not unsuccessful, though. In 1555, he and the German princes signed a treaty called the Peace of Augsburg. This agreement forced Charles V to recognize the Lutheran Church. He could no longer have any affect on the local religion. In France there was a giant dispute between the Catholics and the Huguenots. The French rulers made an attempt to end the violence in 1572 with a marriage between the rulers of the two opposing groups, but they failed. Finally, in 1598 King Henry IV issued the Edict of Nantes, allowing the Huguenots to continue their practices peacefully and ending the violence. Another example of this consequence is when Zwingli tried to establish his Anabaptist church in Switzerland he was attacked. The leaders of Switzerland ended the conflict in 1531 and allowed each local government to choose the religion of their canton themselves. Through all of these attempts to stop the Protestants, the Catholic Church lost a big part of its influence and money, and the national governments gained more money and power. A third consequence of the Reformation was that the Catholic Church was finally forced to reform itself. This was a huge change for the Church. They appeased both the reformers and the conservatives, emphasized good deeds, gave people more free will, banned books, put the Pope in charge, and revived the inquisition. Although the Church lost lots of money during the Reformation, peace finally followed.

Anaesthetic care

Anaesthetic care In the following text I the author will provide an account of the anaesthetic care given to a paediatric patient in my care during a surgical procedure to repair her cleft palate. I will discuss the rationale behind the chosen anaesthetic technique and will analyse why the method was identified as the most suitable backing the findings up with related literature. The text will explore the care given to the patient and the preparation needed to ensure a safe procedure starting from the pre-assessment visit right to the anaesthetic room looking at the roles of some of the multi disciplinary team members involved in the child’s care. An episode of care for any individual patient is a complex series of interactions that make up the process of care. The recipient of this anaesthetic care is an 8-month-old female, who, as patient confidentiality forbids the use of her real name (NMC 2002a) shall be known as Eve. Eve was born at 41 weeks gestation, during a routine prenatal scan at 23 weeks gestation an abnormality of her facial structure was noted, her parents were informed of this and counselling and advice was offered. The extent of the abnormality was not seen until Eve was born. She was born with a unilateral cleft lip and palate, which is were there is a single cleft of the lip, and the hard, and soft palate are also divided (Shprintzen and Bardach 1995) but was otherwise fit and well. In accordance to Watson et al 2001 clefts of the lip and palate may be isolated deformities or may be a part of a syndrome. Eve has not been diagnosed with a syndrome there for this is an isolated deformity. Watson (2001) suggests that non-syndromic clefts are multi-factorial in origin and could occur due to gene involvement, various environmental factors or embryo development in relation the mothers life choices during pregnancy i.e. excessive alcohol, drug abuse etc. Eve had previously undergone the first stage of the surgery, which was a repair to her cleft lip. This is done between the ages of two and four months within our trust. This is mainly due to cosmetic reasons but also to encourage oral feeding and sucking and to encourage the tissues to grow at the same rate as the child’s facial structure (Watson Et al, 2001). Eve was admitted to hospital the day prior to her surgery. Eve’s mother had requested this rather than attending pre-admission clinic as she had problems with transportation to the hospital. This highlights good communication (Department of Health, 2003) between the nursing staff and Eve’s mother, which is of benefit to both the child and the family’s needs (Clayton, 2000). The Department of Health (1989) states that the welfare of the child is paramount, however Smith and Daughtrey (2000) believe that it is also important to ensure that parental needs are also met. Wong (1999), states that good family centred care is considerate of all family members’ needs and not only the needs of the child. The initial assessment of Eve involved her primary nurse, Eve and her mother Joanne. The cleft palate pathway was used as assessment aid and highlighted any needs that Eve and her family had. The anaesthetist (Dr A) then examined Eve and was able to explain the procedure to Eve’s mother. This meeting with Dr A provided Eve’s mother with both verbal and written information therefore equipping the family with knowledge and support (Summerton, 1998).

Management and behaviour Essay Example | Topics and Well Written Essays - 1500 words

Management and behaviour - Essay Example I should say that for as long as I can remember, I am not a team player. I prefer working on individual assignments. Working in a group project, therefore, as a requirement for this module was some sort of a struggle for me. This paper is a self-assessment of my team working skills based on how I evaluate my performance in our group project at British Airways. As much as possible, I exerted every possible effort not to compromise the objectivity of the assessment. However, since this is a group project, the assessment is still in relation to how I see myself as a part of the group. The first thing I noticed was that there was difficulty right at the start. It seemed very difficult not just for me but for the entire group to get going. I began to think then that I might be stalling the progress of the group. It was, therefore, a relief that I stumbled upon a book by Levi (2001) which revealed that â€Å"start up-activities take up longer than anticipated †¦ [because] it takes time to decide on the definition and goals of a project and to develop social relations and procedures for effective teamwork† (p. 40). It was also quite a revelation to discover from this reading that the most difficult stage of a group work is the definition of the project itself. For the first time, I was reading a book that I can relate to in real life. I felt an interest in being an active and productive member of a working group. The group was assigned tasks related to booking and reservation with British Airways. We were simply given a list of tasks to complete and we we re on our own. To make the long story short, almost every one in the group would like to take on technical tasks. The first group brainstorming session ended with no tangible results. The same thing happened to the second group session to thresh out problems in the first session. To

American Literature Essay Example | Topics and Well Written Essays - 500 words - 4

American Literature - Essay Example These descriptions of his voyages, the land and the people he had seen in these places are what drove Spain to Hispaniola. Here, they set up colonies that led to problems for the local inhabitants of those lands who had previously lived in peace. Bartolome de las Casas (Burrell 38 - 39) fought against the ill treatment that the Indians from Hispaniola faced at the time. The Spanish had taken over the islands belonging to the Indians and taken the inhabitants as slaves. They had taken their land and drove them to less habitable areas while taking all the food they produced. The Spanish broke the existing family structures that were in place in the island. Families were separated through death when some of their members were killed. Others were taken away to Spain as slaves to work in plantations, in the mines to harvest gold and in the sea harvesting pearls. The Indians who had been peacefully living in their islands as families faced life threatening difficulties with the arrival of the European man. Conquest of New Spain†, it is evident that there were various similarities between the indigenous culture and the European culture at the time. Both cultures had well established cosmologies, high nobles, a priestly class and elected officials. Montezuma was the elected Emperor of Mexico at the time. These civilizations also both had warriors and a sophisticated division of labor that allowed them to conduct their daily affairs in an organized manner. Both cultures engaged in pottery and ceramics, metallurgy, weaving for basketry and clothing. These two cultures were both very advanced with well-developed social structures that enabled them to acquire beauty and wealth that allowed them to survive during their time

Dude Essay Example | Topics and Well Written Essays - 500 words

Dude - Essay Example For example, when I see an acquaintance who I would like to greet, I would normally say: â€Å"Hey dude, good to see you. What’s up?† This meaning was validated in the Merriam-Webster Dictionary (par. 3) as it revealed â€Å"fellow, guy —sometimes used informally as a term of address†. The distinctive element here is that the word is used as a term of address. In other circumstances, dude could mean a guy who wears fashionable clothes or accessories that caught my attention. In this case, I could blurt out: â€Å"Wow! That dude surely dons flashy outfit with such colors, prints and all that bling!† The meaning I want to relay is the fact that the person is dressed in a certain style or fashion worthy of attention. Another meaning of dude for me refers to a person who seem be unfamiliar with life in the city and could be coming from a rural area or from another culture. In this situation, I would use dude as: â€Å"Look at that dude, he seems to be lost or something? Do you think he needs help?† This meaning was likewise validated in Merriam-Webster (par. 2) as â€Å"a city dweller unfamiliar with life on the range; especially: an Easterner in the West†. By manifesting expressions or gestures that indicate unfamiliarity with the surroundings, a person who is new to the environment could be called dude. When the term needs to be explained to people who are learning the English language, one could indicate, in addition to the meanings mentioned above, that dude simply refers to a person, male in gender, who is being referred to or addressed by young people from contemporary generation. Explicitly, this definition appears in the learner’s dictionary portion of Merriam-Webster (par.4) as â€Å"[count] chiefly US slang: a man —used especially by young people†. This definition encompasses the rest of the meanings expounded previously. I was surprised to see from Merriam-Webster (par. 7) that the origin for this term is unknown

Analysis of Leadership and Management Research Paper

Analysis of Leadership and Management - Research Paper Example Hence, change is a continuous process in an organization. It acts as an effective tool, which helps the organization to achieve its goals and objectives. Change is possible only when the employees are ready to accept the change. Therefore, change leads to the transformation from the old state to the new state, which helps an organization to understand its external and internal conditions. (Collett, n.d.). Successful change management requires employees support and top management support. When the change cannot be managed in a systematic way, there will be a decline in productivity and quality. Therefore, while implementing the change generally people are not mentally and physically fit to accept the change because employees are shifting their old way of doing the things and thus there will be lack of confidence and disloyalty among the employees. Last but not least change will lead to an increase in absenteeism. In case of effective change management, there will be an increase in pro ductivity and organization standard, the employees will start contributing ideas and providing solutions towards the problems, employees’ interest, and motivation level rise up.  Ã‚   To exist in the competitive market, an organization needs to bring behavioral change in employees in order to help them to adjust to the new organizational culture. Therefore, change focuses on creating a new product. For example, Tea Gardens, Jute Mills etc are lucrative organizations but they have been changing from hand to hand perhaps because the new ones are not competent like the earlier ones. That is how changes are continuously going from years to years. Change always requires an extra effort to learn new things since it provides an opportunity for people to feel responsible for the accomplishment of work. From the theories and models of the change management, we generally develop our understanding of planned organizational change. According to Kotter’s framework, change management focuses on increasing employee motivation and encouraging him/her to adopt the change (Heathcote & Taylor, 2007, p.2-7). The reason behind the successful organization change is strong leader ship and educating the employees about the change that will occur in day-to-day activities of the organization. Kurt Lewin represented the three-stage process of change in order to bring the change in the organization. His model is, known as Unfreeze- Change – Refreeze. At the Unfreezing stage, the managers educate the people about the change.  Ã‚  

Market Entrance Assignment Example | Topics and Well Written Essays - 2500 words

Market Entrance - Assignment Example There is no tax and this generates a lot of revenue for the business houses. While this is a positive move by the governments, there is plenty of stakes for the natives. In order to generate income for their own people, the government of Qatar has remained realistic to the happenings. Like most Arab nations, the Government of Qatar too encourages foreign investment, particularly in joint ventures with Qatari partners. Wholly foreign-owned firms are permitted to operate in Qatar, provided they have a local agent or a sponsor. Foreign-owned firms and the foreign-owned portions of joint ventures are subject to corporate income tax, ranging from 5 percent to 35 percent of net profits. Qatari and GCC nationals and business concerns are exempted from the income tax provisions. Qatar is part of OPEC nations in the Middle East. The nation is home to millions of expatriates who come from as far as Indonesia in search of work. The Asian community presence is conspicuous with Indians, Pakistanis, Bangladeshis, Pilipino, and Sri Lankans making up the majority. The 80s and 90s saw an influx of migrants because of the growth of industries here. Many multinationals, especially British and American oil companies set up huge infrastructures which required both skilled and unskilled labour to run them. With the influx of people, other industries began to move in. Today, Qatar is a thriving economy and must thank the millions of migrant workers here for this. Multinational companies that seek to establish business here can do so with the participation of local Qatari partners. This ensures that a part of the gains from business remain within the country, and both the government and the local partners benefit. In such a scenario, would the entry of IKEA, result in a success for the company, and if so, how would the marketing planners define their strategy 3.0 IKEA IKEA, the leaders in economical and fashionable furnishing company that styles on European flavour, began its long journey since its inception. IKEA works with the concept of offering a wide range of well designed, functional home furnishing products at prices so low, that even the most lower strata of society would be able to take home a product of international quality. IKEA believes in quality and affordability, a hall mark of true marketing genius. Rather than selling expensive home furnishings focused on the elite of society, the company makes it possible to serve the many by providing low-priced products that contribute to helping more people live a better life. Franchise opportunities are available in unrepresented areas and IKEA believes in equal opportunity for all its associates. IKEA works with the idea of understanding and servicing areas with the help of their local associates. This is a key to their success as well. Once the local taste and demand is identified, it becomes easy to attract business. This way, the company manages to save on R&D and spend more time in innovation. Franchisee is an

Economic trade Assignment Example | Topics and Well Written Essays - 500 words

Economic trade - Assignment Example Nations restrict international trade is the need to protect the infant domestic industries from unfair trade practices and ensure the newly developing industries grow in order to become competitive. The governments may impose quotas on imported products in certain industries and issue subsidies to the domestic industries in order to facilitate their growth and attain competitiveness in the international markets (Boudreaux, 2008, p 62). The nations also restrict international trade in order to safeguard the local jobs from ‘cheap labor abroad’ through supporting the establishment of domestic industries that will create jobs for the population. For instance, the US government has outlined initiatives that reward companies that create jobs for US industries rather than shipping jobs to least expensive manufacturing countries. The US motor industry is an example where the government has undertaken measures in order to ensure the firms establish manufacturing and assembly plants within the country borders in order to create jobs. The restrictions also shield downgrade of the domestic wages due to influx of cheap labor from the developing countries (Grimwade, 2006, p 72). According to Grimwade (2006), nations will restrict international trade if the national security is at stake (p 71). For instance, nations protect the national defense industries and associated industries such as oil industry. For instance, the US government has embarked on attaining fuel efficiency through investing in low emission and sustainable energy sources in order to stop reliance on imported oils. Boudreaux (2008) asserts that nations may restrict international trade in order to control their trade deficit through use of tariffs in order to control the volumes of imports in to the economy (p 58). Another reason why governments restrict international trade is to gain revenues from the high tariffs and taxes that are

Schools Website Development Template Essay Example for Free

Schools Website Development Template Essay Education in its broadest, general sense is the means through which the aims and habits of a group of people sustain from one generation to the next. Generally, it occurs through any experience that has a formative effect on the way one thinks, feels, or acts. Wikipedia defines a website, also written as Web site, web site, or simply site, as a set of related web pages containing content such as text, images, video, audio, etc. A website is hosted on at least one web server, accessible via a network such as the Internet or a private local area network through an Internet address known as a Uniform Resource Locator. All publicly accessible websites collectively constitute the World Wide Web. A school website is any website built, designed, and maintained by or for a school. Many school websites share certain characteristics, and some educators have developed guidelines to help schools create the best and most useful websites they can. Now a days, website becomes an educational tool, some international schools like Harvard University (Cambridge, Massachusetts, United States), American Herbrew Academy (Greensboro North Carolina) uses website for their school. Locally, like University of the Philippines, Polytechnic University of the Philippines, De La Salle University, Ateneo De Manila University and may more university in the Philippines has their school website. This study focuses in two Municipality; Botolan, Zambales and Iba, Zambales. We notice that some of the schools in Botolan and Iba, have their website but most of them do not especially the elementary schools and public high schools. We come to an idea to develop a web development application wherein a school can create their school website in the easiest way and even if they have no technical background in web programming/web develoing. Background of the Study The study focuses in schools in Botolan and Iba, Zambales. We notice that some of the schools in Botolan and Iba, have their website but most of them do not especially the elementary schools and public high schools. So we come with an idea to develop a website development application for schools, this study aimed to help public schools in Botolan and Iba or even private schools to provide them an application wherein they can create their school website in an easy way. The schools can create a link where in they can post some news articles, school calendar etc. The proposed School’s Website Development Template aims to provide an application for schools in creating a website in an easy way. This application provides a friendly user interface so that the creator of the website can create a website without any technical background in web programming/web developing. Statement of the Problem The researcher wanted to know the effectiveness of the School’s Website Development Template. This research needs to provide answers to the following questions: 1. What is the profile of the respondents with respect to: 2. 1 Name 2. 2 Organization affiliated with 2. 3 Position 2. 4 Numbers of Years in Service 2. What is the level of effectiveness of the School’s the School’s Website Development Template be described in terms of: 3. 5 Reliability 3. 6 Functionality 3. 7 Operability/Usability 3. 8 Performance 3. 9 Maintainability 3. 10 Traceability 3. 11 Conceptual Framework The researcher aimed to develop School’s the School’s Website Development Template for schools. This Software is a website content management software where in a ordinary teacher can make their school website without any background in web developing. Input Profile: -Name -Organization affiliated with -Numbers of years in service Perception towards: * The School’s Website Content Management Software As to: Reliability Functionality Usability Performance Maintainability Traceability Output The Development of The School’s Website Content Management Software Process Survey Questionnaire Interviews Statistical Tools: Likert Scale System Quality Frequency Mean t-Test . Scope and Limitation The School’s the School’s Website Development Template has the capability to: a. The School’s the School’s Website Development Template can provide a template with an application where in they can develop a website for school. b. The website created by the School’s Website Development Template cannot be update online. c. The website created by the School’s Website Development Template can create, remove and update a link for the website. d. The website created by the School’s Website Development Template can create their header and footer for the website. e. The website created by the School’s the School’s Website Development Template has the ability to upload a banner for the school. (jpeg file) f. The website created by the School’s the School’s Website Development Template has the ability to upload icon in every link created. Significance of the Study School’s Website Content Management Software will benefit and provide to the following individual: Current Students. They can access the schools announcements; read some school news articles; can update school’s activities through school calendar. Interested Enrollee/Incoming Students. They can open the website to have an appropriate information about the school. They can view offered courses online so that they can choose a course for them. Student’ s Parents/Guardians. They can also use this website, so that they can view the school activities by reading and articles posted in the website. School teacher. They access the website and download the template at the same time the web development application wherein they can make website for their school in an easy way and even they don’t have any technical background in web developing.

Strategies of Patient Assessment in Nursing

Strategies of Patient Assessment in Nursing Introduction to Nursing Care The purpose of this assignment is to describe how a nurse assesses a patient admitted to a hospital ward. It will discuss the history of the patient, any pre-existing medical conditions and the reason they were admitted to the ward. It will also describe the hospital setting, the nursing model used, the risk assessment tools and the information collected from the assessment including the needs identified and what can be and will be done. For the purpose of this assignment the patient, healthcare professionals and the trust must remain anonymous, and will be referred to by pseudonyms. This is in accordance with the Nursing and Midwifery Council (NMC) code, where it clearly states you must respect peoples right to confidentiality (NMC Code, 2008). The patient receiving assessment and care will be referred to as Mrs Ethel Morris. Mrs Ethel Morris was admitted to an orthopaedic trauma ward within the North West. Orthopaedics is the correcting of deformities to the skeletal joints and bones, which have been caused by damage or disease (McFerran, 2008). The ward consisted of many staff, including, nurses, health care assistants, a house officer, medical consultants and physiotherapists. It had three bays, 2 being female, with 8 beds in each and one ten bedded male bay. Also, there were 4 side rooms for patients that needed to be isolated. This was an acute setting with various Orthopaedic conditions, including fractures of all types. The ward admits patients twenty-four hours a day from Accident and Emergency (AE) and transfers from other hospitals. Many of the patients admitted have pre-existing medical conditions, which have to be taken into account alongside their fractures. Ethel was an 82-year-old lady who had fallen whilst she was out shopping with her daughter. She usually walked with a walking stick to aid her balance, but with a previous history of dementia she had forgotten it. Dementia is a progressive deterioration of the brain, caused by structural and chemical changes within the brain. Symptoms include, memory loss, disorientation and changes in personality (Ouldred, 2007). Ethels friend had called an ambulance immediately after the fall, and she was admitted to the ward through accident and emergency. Ethels fall had resulted in a fracture to the neck of femur in her left leg. Marieb (1998) states that the femur is the strongest and largest bone in the body. It consists of a ball, which is known as the head of the femur, which is carried on the neck of femur to the long bone. The neck is the weakest part of the femur. Elderly people are more at risk of falls as their muscles become weaker they become less flexible. This then interferes with their movement and balance, they become more inactive and this increases the risk of falls. (Skelton et al, 1999) Ethel also has osteoporosis, which may have contributed to her fracture. Liscum (1992) states this is the formation of the bone having decreased. Elderly women suffering from osteoporosis, who subsequently sustain a fractured neck of femur, face a fifty percent chance of not walking again. Ethel appeared confused when she arrived on the ward, not knowing how she had come to be in hospital, apart from being aware of the pain and discomfort she was suffering with her hip. The nursing staff reminded Ethel what had happened and checked her drug kardex immediately for pain relief. The doctor who had seen Ethel in AE had written her up for 5ml of oromorph every three hours to control the pain. As oromorph is a controlled drug the nurse checked the dosage with another registered nurse and give it to Ethel orally. Once Ethel was comfortable, the nurse in charge of the bay began the nursing assessment. An assessment is the collection of information from an individual, to establish their needs and develop a clear prospective of their situation. The nursing process relies upon complete and thorough assessments to be a success. A key nursing skill is observing a patient, using all five senses, from listening to gain information, to touching them, assessing their temperature and the condition of their skin (Brooker and Waugh, 2007) Holland et al (2008) also states that an assessment identifies the priority amongst the problems. Data can be collected in a number of different ways, from observing a patient, communicating with them and through their clinical notes. Collection of information can also be made through a secondary source (a relative), if, for example, the primary source (the patient) was unconscious. A named nurse approach was used on the ward; this provides individualised care for the patient from admission to the point of discharge. Named nursing has been developed from primary nursing and is very closely connected to team nursing. (Dawe, 2008) The ward follows a philosophy of care to meet individual needs. Providing patient centred care, meeting individual needs whilst respecting their privacy, dignity, religious and cultural beliefs. They strive to provide high quality care and aim to maximise the potential of individuals to adapt and cope with their conditions. The wards philosophy reflects the National Service Frameworks (NSFs) quality of care. NSFs are in place to improve care in twelve specific areas, including blood pressure, diabetes and mental health. The standards have been implemented nationally and they have all been set certain time scales. (Department of Health (DOH), 2008) The ward uses most of the NSFs depending on which patient they are dealing with. In Ethels case the main ones being blood pressure and older people, which has eight different standards of its own. The nurse firstly recorded Ethels clinical observations, and her saturations appeared to be very low at only 89%. Oxygen saturations are monitored through an electronic device called a pulse oximeter. This reads the oxygen levels of haemoglobin in the arteries and is updated with each pulse (Jevon, 2000). The nurse immediately put her on four litres of oxygen through a nose cannula. A Nose cannula is two small plastic tubes that are inserted into each nostril to administer oxygen. This allows room air to be breathed in at the same time and is secured by tubing over the ears, which fits onto the oxygen cylinder (Brooker and Waugh, 2007). The nurse carried out Ethels assessment by her bedside with the curtains drawn to respect her privacy. As Ethel had dementia her daughter was present for the assessment, to confirm details and help with the process. Barrett et al (2009) states that nurses who carry out disorganized, incomplete assessments, may fail to notice a major concern, or recognize an underlying problem. Nursing models are used in the assessment process in most care settings. They are in place to establish the information that is required, ways it can be gathered for the best results, and the detail that is likely to be more helpful. (Aggleton and Chalmers, 2000) Roper et al (2000) says that models are used to help organize thinking by creating theory. They are global views that have been summarised into systems. There are many different Nursing Models used in clinical settings from Orems self care model to Hendersons model of nursing. Nursing models are used to provide a distinctive framework, to highlight what the patients needs are (Fawcett, 1989). The nursing model used on this ward was Roper Logan and Tierney, Activities of living model. Roper et al (1996) activities of living consists of twelve activities that ensure survival, these are, maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling of body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying. These activities are all as important as each other and one cannot be done without another. The impact of illness will affect more than one of these activities. Roper et al (2000) activities of living was first written in 1980 for nursing practice to be introduced to students. At this time there were five concepts in the model that included activities of living, lifespan and individuality in living. The model became the United Kingdoms most popular model and was also widely used throughout Europe. The nurse used a number of risk assessment tools when assessing Ethel. These were, the malnutrition universal screening tool (MUST), waterlow score, falls risk assessment score for the elderly (FRASE) and the Abbey pain scale. The MUST tool is a nutritional screening tool that recognises over nutrition (obesity) and under nutrition (BAPEN, 2008). The MUST tool was developed so nutritional care would improve in all care settings, by the malnutrition advisory group (MAG) of BAPEN. This tool can be applied to all adult patients, even those who are bed bound (BAPEN, 2008). As a result of the MUST screening tool, Ethel was commenced on a fluid balance chart. This measures the quantity of liquid intake, including Intravenous (IV) fluids and drinks, against the total urine output. Also to be monitored was Ethels food intake, this was to be done on a food chart. This needed updating after every mealtime to show how much was being eaten at different times. The waterlow score is to determine whether a patient is at risk of developing a pressure ulcer (Waterlow, 2005). This tool uses a scoring system, based on patients data. The categories include skin type, age, and continence. (Thompson, 2005) Ethels score was sixteen and she was at high-risk of pressure sores, this was due to her age and mobility. Waterlow (2005) first designed this tool for students use in 1985. It is the most frequent risk assessment tool in the United Kingdom (UK), and is used throughout hospitals, nursing homes and within the community. Pressure ulcers are most common in people with bony surfaces, thin skin and an unhealthy diet. Ethel was found to be a high risk of developing a pressure sore, as she was immobile and had tissue paper skin. The nurse commenced her on a turns chart so she would be rolled or moved every three hours to check and relieve her pressure areas. Also a pressure-relieving mattress was ordered for Ethel, this alternates the body areas under pressure by rotating the air throughout the mattress. (Collins, 2004) The FRASE assessment tool is to assess if a patient is at risk of a fall, taking into account their history and their current state. (Bolton NHS, 2003) Connard developed a fall risk assessment for the elderly in 1996; this was then adapted into a hybrid tool, known as the FRASE tool. It is in similar context to the waterlow score as they both use a points scale to assess the patients level of vulnerability (Kinn and Hood, 2001) The nurse carrying out the assessment began Ethel on a falls care plan, as she was at high-risk from having another fall. A member of staff was to update the care plan each day, noting any unsteadiness or falls. This was going to play a greater part after Ethels operation, as for the time being she was bed bound. The Abbey pain scale was developed in Australia to assess patients pain levels. It was used for individuals who had trouble communicating effectively and who suffered from dementia (Turner-stokes and Higgins, 2007). Abbey (2004) researched and developed the abbey pain scale between 1997 and 2002, and wanted it to be a straightforward and effective tool, used by all health care staff. It consisted of six scales to measure pain including physiological changes to changes in body language. Ethels score was seven and her pain level was acute to chronic during the assessment. The nurse had previously administered 5ml of Oromorph, and because of this the abbey scale was to be updated every hour to monitor the success of the pain relief. During the assessment the nurse collected various information from Ethel, including objective and subjective data. Newson (2008) states that objective data is information collected that can be measured such as temperature and blood pressure. The MUST tool was used to measure Ethels weight, and other observations were recorded, including blood pressure which was 142 systolic and pulse of 84; these were all in satisfactory limits. Any data collected outside the normal range would have been given an early warning score. A doctor and the outreach team need informing if a score totals three or above (Baines and Kanagasundaram, 2008). Also collected was Ethels details that included her, address, date of birth, and her medical history. This can be obtained through medical notes. as original records cannot be tampered with and all records made must be clear and accurate (NMC Code, 2008). Subjective data is information that cannot be measured, for example, information that the patient has given about him or herself, or the nurses insight on the patient (Newson, 2008). The nurse asked Ethel questions to gain this information, if she felt nauseas, or in pain and how she felt about what had happened. Also observed was Ethels behaviour to see if she was agitated or frightened, closed body language showed she was as her arms were wrapped around herself. The nurse also looked at and noted the condition of her skin, nails and hair. Due to Ethels dementia she didnt understand very much of what was going on and didnt know how she had ended up on a hospital ward. Short-term memory is affected alongside some long-term memory loss. This affects the ability to communicate with people and can result in the patient asking the same question repeatedly (LEHR, 2006). The nurse had to keep reassuring Ethel about what had happened, how she ended up on the ward and what her plan was. Communication is a key skill in nursing and it is an essential part in building the patient-nurse relationship. The nurse has to gain lots of information from the patient so it is important to know whether there is a communication barrier, such as a hearing problem or if the patient cannot read or speak the same language. They may need to speak more loudly or slowly so the patient can lip-read (Holland et al 2008). McCabe and Timmins, (2006) states that communication should be focused on the patient, rather than task centred. Listening, empathy and support are essential communication skills in nursing, but the main being to develop a relationship with the patient, and nurses should make time to spend with them. Ethels daughter stayed during the assessment process to help the nurse gain accurate information and communicate effectively with Ethel. The nurse had to speak slowly so she understood, and if she looked confused the nurse would reassure her and repeat the question. This process took a long time but it was necessary so Ethel could gain trust in the nurse. This made her feel more relaxed and comfortable as she could feel the warmth that had developed between them. This assignment has shown how a nurse has an important role in assessing, planning and the implementation of patient care. It has shown that nurses have to obtain data by using a various number of different sources, from assessment tools to observing patients behaviour. The nurse must also use a nursing model to help complete full and accurate assessments of patients and their needs. If there is a communication barrier, nurses must be able to overcome it by using an interpreter or picture cards. The needs identified during the assessment process have to be implemented and care plans introduced. Nurses then have a responsibility to keep regularly updating the care plans by re-assessing the patient on a regular basis.

Irving Textual Analysis of The Legend Of Sllepy Hollow Essays

Textual Analysis of "The Legend of Sleepy Hollow" 1.) Romantic Description: a. pg. 715 - "there is a little valley, or rather lap of land, among high hills, which is one of the quietest places in the whole world.   A small brook glides through it, with just a murmur enough to lull one to repose; and the occasional whistle of a quail, or tapping of a woodpecker, is almost the only sound that ever breaks in upon the uniform tranquility." Irving describes nature as an untouchable force.   He ignores the realism of nature and reveals only the beauty it holds.   It is the stereotypical description of Mother Nature.   Irving makes it sound so tranquil as if this place doesn’t exist in this world. c. pg 731 - "Its limbs were gnarled, and fantastic, large enough to form trunks of ordinary trees, twisting down almost to the earth, and rising again into the air. The tree is almost created into somewhat of a creature.   With the limbs twisting out and rising into the air.   Irving takes ordinary earthlike objects and changes the perspective of them into imaginary matter. 2.) Avoidance of Controversy/Digressions: a. pg 717 - "...some little, tough, wrong-headed, broad-skirted Dutch urchin, who sulked and swelled and grew dogged and sullen beneath the birch.   All this he called "doing his duty by their parents;" and he never inflicted a chastisement without following it by the assurance, so consolatory to the smarting urchin, which "he would remember it, and thank him for it the longest day he had to live."   When school hours were over..." Irving constantly made fun of the Dutch, and this is one of those examples.   He calls them wrong-headed and mocks their appearance by criticizing their  broad-skirted dress.   Then to avoid the controversy he changes the subject and goes straight into the next thing. b. pg 728 - "The musician was an old gray headed Negro, who had been the itinerant orchestra of the neighborhood for more than half a century.   His instrument was as old and battered as himself." Here, Irving tries to avoid the subject of slavery and human rights. He tries to stay neutral on the issue.   He described the black man as battered and old showing the inequality of the two races, in a sense avoiding the whole slavery situation during that time period.   3.) American Character Types: a. pg 722... ...cts women as a bit lazy because in the passage they jut sit around talking, eating, and having a good time and have no work to do. Therefore, implying that men do all the work and the women just lounge around. 8.) Use of American History: a. pg 719 - "He was, moreover, esteemed by the women as a man of great erudition, for he had read several books quite through, and was a perfect master of Cotton Mather's history of New England Witchcraft, in which, by the way, he most firmly and potently believed. Irving refers to an actual historical event by mentioning that Ichabod was a firm believer in Cotton Mathers writing about the Salem witch trials. Irving is pretty accurate because it is actually a real book and was commonly read.   He references to the literary works of the time and the thoughts that people had about the world during the time. b. pg 728 - "The British and American line had run near it during the war; it had, therfore, been the scene of marauding, and infested with refugees, cow-boys, and all kinds of border chivalry." Irving does use an historical American setting, America and the British were engaged in war at the time and had battles around that.  

Organic Molecules Challenge :: essays research papers

Organic Molecules Challenge Silicon's Reign as King of Semiconductors There is a revolution fomenting in the semiconductor industry. It may take 30 years or more to reach perfection, but when it does the advance may be so great that today's computers will be little more than calculators compared to what will come after. The revolution is called molecular electronics, and its goal is to depose silicon as king of the computer chip and put carbon in its place. The perpetrators are a few clever chemists trying to use pigment, proteins, polymers, and other organic molecules to carry out the same task that microscopic patterns of silicon and metal do now. For years these researchers worked in secret, mainly at their blackboards, plotting and planning. Now they are beginning to conduct small forays in the laboratory, and their few successes to date lead them to believe they were on the right track. "We have a long way to go before carbon-based electronics replace silicon-based electronics, but we can see now that we hope to revolutionize computer design and performance," said Robert R. Birge, a professor of chemistry, Carnegie- Mellon University, Pittsburgh. "Now it's only a matter of time, hard work, and some luck before molecular electronics start having a noticeable impact." Molecular electronics is so named because it uses molecules to act as the "wires" and "switches" of computer chips. Wires, may someday be replaced by polymers that conduct electricity, such as polyacetylene and polyphenylenesulfide. Another candidate might be organometallic compounds such as porphyrins and phthalocyanines which also conduct electricity. When crystallized, these flat molecules stack like pancakes, and metal ions in their centers line up with one another to form a one-dimensional wire. Many organic molecules can exist in two distinct stable states that differ in some measurable property and are interconvertable. These could be switches of molecular electronics. For example, bacteriorhodpsin, a bacterial pigment, exists in two optical states: one state absorbs green light, the other orange. Shinning green light on the green-absorbing state converts it into the orange state and vice versa. Birge and his coworkers have developed high density memory drives using bacteriorhodopsin. Although the idea of using organic molecules may seem far-fetched, it happens every day throughout nature. "Electron transport in photosynthesis one of the most important energy generating systems in nature, is a real-world example of what we're trying to do," said Phil Seiden, manager of molecular science, IBM, Yorkstown Heights, N.Y. Birge, who heads the Center for Molecular Electronics at Carnegie-Mellon, said two factors are driving this developing revolution, more speed and less space. "Semiconductor chip designers are always trying to cram more electronic

Free Essays - Power and Authority in Animal Farm :: Animal Farm Essays

Power is authority and strength, which is any form of motive force or energy, ability to act, or control.   When too much power is given, a dictatorship government can form, in which all decisions are made by one authority.   In the book Animal Farm, by George Orwell the author portrays how â€Å"Power tends to corrupt and absolute power corrupts absolutely† (Lord Acton). Old Major, who is a respected animal on the farm, had given a speech to stir the animals emotion into rebellion. He used his power of respect and trust to persuade the others to pursue the vision in his dream.   â€Å"Old Major was so highly regarded on the farm that everyone was quite ready to lose an hour’s sleep in order to hear what he had to say† (Orwell 15).   Old Major’s dream was for the earth to be ruled by animals.   Old Major strongly believed that animals have only one adversary.   â€Å"Man is the only real enemy we have† (19).   His oration inspired and energized the listeners.   â€Å"At this moment there was a tremendous uproar† (21).   Old Major had all the power and history has proven that dictatorship does not work, due to the fact that, power leads to corruption in a communism style government.   The power Old Major held led his friends into taking action in what he desired to do, which led to rebellion and future tragedies.   Power corrupted society and absolute power that is eventually obtained becomes corrupt within. (Lord Acton). From the death of Old Major, Snowball, Napoleon, and Squealer replaced him. At first things started off pretty well; the harvest was very good the first year and the reading and writing system had helped some, but had limited success on others.   In time, the leaders of animal farm started to have mixed feelings.   Snowball and Napoleon were in constant disagreement.   An important meeting that was held ended with an astonishing outcome. One decision that was made was concerning the windmill project and the most important decision made was who would be the head animal.   Snowball and Napoleon each gave their input on what needs to be done around the farm.   â€Å"Snowball stood up and, though occasionally interrupted by bleating from the sheep, set forth his reasons for advocating the building of the windmill.   Then Napoleon stood up to reply.   He said ver quietly that the windmill was a nonsense and that he advised nobody to vote for it† (57).

Individual Rights Essay

When I am at my placement which is a day care centre for the elderly, I treat patients with respect; I do this by talking politely to the patients, knocking on the door before I entered patient’s room and asking them how they wish to be named (e. g. Mr, Mrs) To be treated as an individual: While I was at placement I treat everyone as an individual, I did this by talking to the patients and finding out about their interests and watching how they act. I did not treat all the patients the same. Just because 2 were diabetic I didn’t stop all patients having sweets. To be treated in a dignified way: I tried to maintain the patient’s dignity by taking them aside if they wanted to tell me something or closing the door behind them if they were going to the toilet. When the patients said or did something laughable, I didn’t laugh at them. To be treated equally and not to be discriminated against: Everyone at placement is different based on their religion, race, sexuality, disabilities or age. But I didn’t not discriminate them against this or treat them unfairly. To be allowed privacy: If the patients wanted privacy when I was with them during my time on placement I would have closed the door which would have blocked other people out from seeing into the room or would have gone outside the room with the patient where they could have privacy to do what they wanted. To be cared for in a way that meets out needs and takes account of preferences and choice: I take it into account what patients say to me and about their choices. If they wish to do a certain activity, I would have gone out of my way to do as they wanted. To be able to communicate using a preferred method: At placement I communicate in which method the patient wanted, if a patient wants to write on a piece of paper and have a conversation this way that is what we would have done. To be allowed access to information about themselves: When at placement patient information is confidential but if the patient asks something about themselves, they were give the information as this may have help them through something. To be safeguarded from danger or harm: Patients should always be in an environment which they feel safe in; they should feel like they are safe in the building and safe with the people caring for them. During my time at placement I have reassured patients when they are feeling unsafe and calmed patients when they are worried about their safety. An example of this; when patients see people entering the centre they worry about who they are and what they are doing here, I then reassure them.

Introduction to Routing and Switching Essay

1. Introduction – Computer Network A computer network is a setup which comprises of multiple computers and devices to create connection in order to support the communication of all such devices. This facilitates sharing of information and resources to all the users present in the network. The following are the main purposes that the network provides to its users:  · Communication- networks allow free flow of communication among all the users. These include chat, messages, emails, conferences, etc.  · Sharing of Resources – Resources can be shared among all the users within a network. These include: o Hardware – The different computers in a network can also make use of a single hardware attached to the network. Consider the example of a shared printer attached to multiple devices in the network like in case of a university or office environment. o Software- Network also allows users to share software application programs through their computers o Files and other data – Files and data can be shared among systems in a network environment through authorized access. This helps members to work and submit tasks on the same domain and within deadlines, thus saving from hassles. 2. The Open Systems Interconnection OSI Model The hardware components of the network operate at the layers of the OSI model which are briefly discussed below: Physical layer This is concerned with the functions that carry a stream of bits over a physical medium at the mechanical and electrical level. Hubs and Repeaters operate at the physical layer of the OSI model. Data link Layer This layer categorizes data from network layer (upper layer) into frames and handles errors of the physical layer to provide to the network layer. The Bridges operate at the Data link layer of the OSI Model. Network Layer The delivery of the packet is the responsibility of the network layer which can include multiple links. Network layer can be used in cases of multiple networks where there are some links between the networks. Routers operate at the Network layer of the OSI model. Transport Layer The transport layer is also responsible for delivery of packets but it also recognizes relationship between messages. This is done in proper order and the layer also ensures control of error and flow at the source as well as the destination. Session Layer This layer controls dialog and synchronizes interaction within the network. Presentation Layer This layer is also one of the most important layers as it is looks into the syntax and semantics of the data being transferred within the network. Application Layer This layer involves interfaces and other supporting frames for the user to access the network. 3. Hardware Components within a Network The following re the basic hardware components within a network to interconnect devices (Sosinsky 33): 3.1 Network Interface Cards (NICs) These are the components used to connect to another networking medium. The NIC has a unique identification number known as Media Access Control address (MAC address) that is provided by the manufacturer. 3.2 Repeaters Repeater is a device used to transmit signals after cleaning them by regenerating the original bit pattern. 3.3 Hubs Hub connects multiple devices in the network so that they appear as a single device, therefore, it has multiple ports. 3.4 Bridges These are also hardware components that connect multiple segments of the network. 4. Network Hardware Components – Routers and Switches Routers and switches are important components of the computer network that support the above mentioned purpose of a network. These are discussed in details as under: 4.1 Routers Router is a software or device that helps in transmitting data between users in a predefined manner, thus helping in serving the purpose of the network. The data is in the form of packets that travels along the network, where the routers process the data present in the packet. In many cases there is a pre-defined forwarding or routing table used to direct the information to the appropriate destination (Beasley 62). The main tasks of the routers include:  · Ensures information forwarding to the required destination  · Keeps track and avoids information from reaching where not needed 4.1.1 Characteristics The following are the characteristics of Routers:  · The routers correspond to internet Protocols such as the internet Protocol, internet Control message Protocol, etc.  · Provides interfaces between the packet networks through the required functions  · Sends and receives datagrams  · Chooses destination for the datagram according to the routing database  · Provides support facilities for network management which includes status and exception reporting, debugging, etc. 4.1.2 Routing Routing is the process of sharing information by connecting networks and translating protocols between them. It functions at the network layer of the OSI model, acquiring addresses from the IP header of the layer to get the sources and destination. Here the Routing Protocols are used. Routers also use the routing tables to decide the destination of the packets. The routing tables include:  · Address information  · Connection Priorities  · Traffic Rules Routing differs in its delivery schemes which include the following:  · Delivery to a single node (unicast) where the node is predefined.  · Delivery to multiple specified nodes (multicast)  · Delivery to all the nodes that are part of the network (Broadcast)

Political Spectrum

The Political Spectrum is a term given to the different ideologies of political parties or organizations. The Young Men's Christian Association is one organization on the left side of the Spectrum. The YMCA provides after school programs for both children and adults. A right wing group is the John Birch Society which dedicates itself to restoring and preserving freedom under the United States Constitution. The Young Men's Christian Society (YMCA) was founded in London to improve the spiritual condition of young men engaged in the drapery and other trades during the 1800s. Today the YMCA appears in over 124 countries and help promotes a healthy, balanced lifestyle regardless of beliefs or gender. This year on, April 27 2007, Durham YMCA held an open house for their new Y-Knot Abilities Programs. This program offers children and youth with physical disabilities access to the YMCA programs. The Y-Knot creates an â€Å"Equal Playing Field† for disabled youth. The Y-Knot Abilities program shall run every Friday from 5:00 to 7:00 pm in the gymnasium. Through the years, the YMCA has setup the YMCA Strong Kids Fundraiser. The money raised helps provides, families YMCA memberships, Children and Youth a chance to go to camp, renovations on community YMCA's and the fees for training new employees. Their goal from the fundraiser is hope on providing children and families with the tool they need to succeed. The YMCA's goal to create a positive attitude both physically and mentally in the community is achieved through a balanced leadership style. The organization creates both fundraisers to decrease membership fees, improve community recreations and increase daily activities to achieve their goal. There is no force by the organization to the community in participating in fundraisers and activities. The John Birch Society (JBS) is a right wing organization established in Indiana in 1958 by a group of twelve â€Å"patriotic and public-spirited† men. The society opposes socialism, communism, Nazism, and fascism, and strongly agrees to a limited federal government under the Constitution of the United States. The JBS plans many campaigns to help preserve freedom for themselves and American families. A recent campaign was called the â€Å"Repeal NAFTA† campaign. Goals are to withdraw U.S. membership form in the North American Free Trade Agreement (NAFTA). The society has dedicated time in creating pamphlets and written articles to approve in the withdrawal of NAFTA. The JBS has also organized the â€Å"JBS Freedom Campaign†. The campaign was designed for all Americans who want to preserve their cherished lives of freedom for themselves and their family. Through this campaign they will have the opportunity to participate with other Americans to help defeat some of the biggest threats to their way of life. The campaign acts like umbrella against issues such as illegal immigration and the North American Union. The JBS goal to preserve freedom for themselves and American families is achieved through an authoritarian leadership style. The society sets campaigns against the government to set regulations or eliminate different acts such as Illegal Immigration and NAFTA. The group forces people to join through riots, publicity and the internet. The YMCA on the spectrum is located at 3 o'clock on the left side due to being a beneficial organization to many communities. YMCA holds programs, clubs, fundraisers and teams to help create a positive attitude physically and mentally in the attitude. The JBS society would be located between 9 o'clock and 10 o'clock along the right side. The JBS is a group against communism and socialism, which are mid. to high left wing characteristics. The society opposed the â€Å"Civil Rights Movement†, an act of equality between colored and whites. Both organizations are clearly opposites due to the way they achieve their beliefs and achieve them.

Cash Flow Essay

Cash Flow A statement of cash flows is required by generally accepted accounting principles to be included in a complete set of financial statement. www.wiley.com Companies are required to prepare a statement of cash flow because it contains information for lenders and investors (external users). When a company uses the statement of cash flow it contains their annual reports that help to make decisions about the companies. The basis for cash flow analysis is presented in the statement of cash flow. It contains the actual cash a company generated and it shows how the company is able to operate and perform in the future. There are three ways a company shows the way they consume and produce cash. The cash flow statement has three sections. The three ways are cash flows from operations, investing and financing. How the company gets its cash is the operations and financing. The investing section shows the way the company spends its cash. Ratios would be used in the decision making process. One of the examples of the ratios is the operating cash flow ratio. This measures how current liabilities are covered by the cash flow generated by a company operation. A ratio that falls below 1.00 shows the company is not generating enough cash to meet current commitments. When a company falls below 1.00, it will have to find ways to fund its operations or slow their rate of spending in its cash. If the company has an existing cash balance that can meet the needs, they would have to consider if the company will be able to continue to operate without additional funds, because the existing cash may not last. The cash current debt coverage ratio is another important ratio. This ratio measures the ability of a company to repay its current debts. Ratios less than 1.00 in the cash current debt coverage, means the company is not  generating cash to repay its current debt obligations. On a company balance sheet it is better to have a higher multiple calculated by this ratio. With the trend analysis, which is also called the horizontal analysis, typically over years, financial ratios are compared. Doing a year to year comparison will highlight trends, which will be useful in showing improvement in the organization financial performance or it will show deterioration. The most important information from analyzing statement cash flow is the relationship of two or more variables. This is the cash flow from operation activities to total cash flows. RUNNING HEAD: CASH FLOW The major difference between indirect and direct method is the information that it shows. The indirect method focuses on net income and cash flow of operations. It adds depreciation back and calculates changes in items in balance sheet. The most important line of the statement is the net cash from financing activities to show if a company continually needs to borrow or add other investors to survive. The direct method reports the classes of operating receipts of cash and payment. www.inc.com This would be money received and spent to calculate net cash. There is no depreciation included because it is not money received or spent.

Is the United Nations in need of reform and if so, in what form should Essay

Is the United Nations in need of reform and if so, in what form should such reform take - Essay Example It comprises of 192 member countries across the globe, with its headquarters in New York. The existence of United Nations dates back to World War II with the objectives to unite all the countries of the universe in order to work in correlation with tranquility and harmony, which must consist on the ideology of fair dealing, respect of humanity, and fulfillment of the fundamental rights of the people2. United Nations aimed to bring the countries closer so that they can work in coordination to develop friendly relations and address the common issues with gravity. The working of the assembly is not restricted to the decisions of any monarch, thus, every county possess the same and equal rights to give their opinions and viewpoints in any discussion happening in the general assembly of the United Nations3. A global body formed in early 1900s, known to be the League of Nations was the key stakeholder to sustain equanimity and placidity in the world, as well as maintaining the coordination amongst the global community. This parent body proved to be flourishing with 58 members across the globe with the prime motive to encourage and endorse worldwide collaboration in order to bring the world under one roof through unity and peace. With the increasing power and control of the Axis Powers over the world, the League got an alarming sign and its success started to fade and declined slowly, thus, resulting in the Second World War. During the World War II, United Nations came to an existence with an official announcement in order to bring the counties in association to each other. Initially, the UN consisted of 51 member countries, which then rose to 192 members at a later stage4. United Nations came under development with a goal to alleviate poverty and raise the living standards of the masses on global basis. It also determined to raise the literacy rate and abate the spread of diseases and environmental degradation to make the world a better place to live. United Nations aimed to support and cushion the under developed countries to lift their economies, build up the social sector and back them to move ahead towards success5. To achieve these objectives, UN designed a set of values, which the member countries were to abide by. United Nations strictly abhorred the violence and tyranny, instead they promoted calm and diplomatic methods to solve the problems, and therefore, member countries came under expectation to settle down rivalries and sensitive matters with serenity. UN made an obligation on all the members to comply with the agreements made between them, and the parent body did not participate in any government activity or personal matter of the member state6. The working of UN depends upon five subdivisions. The first division is the UN General Assembly, whose prime job is to maintain the standards of its guidelines and procedures and always have a room for improvements through suggestions. The assembly has a president who comes under appointme nt from its member states. The second subdivision is the UN Security Council, which has the right to penalize the member countries if they do not follow the rules and regulations that comes under development by the assembly, they also have the decision making power during any sort of disagreements between the member states. Therefore, it comes under consideration as the strongest amongst all the other branches7. The third branch is the International Court of Justice, which is

Renaissance Art and Music Essay Example | Topics and Well Written Essays - 2500 words

Renaissance Art and Music - Essay Example Northern painters, especially those from Flanders and the Netherlands, were as advanced as Italian artists in landscape painting and contributed to the innovations of their southern contemporaries by introducing oil paint as a new medium. Although portraiture also developed as a specific genre in the mid-15th century, Renaissance painters achieved the greatest latitude with the history, or narrative, picture, in which figures located within a landscape or an architectural environment act out a specific story, taken either from Classical mythology or Judaeo-Christian tradition. Within such a context, the painter was able to show men, women, and children in a full range of postures and poses, as well as the subjects' diverse emotional reactions and states. The Renaissance was also a period of avid exploration; ships set sail in search of new routes to Asia, which resulted in the discovery and eventual colonization of North and South America. Painters, sculptors, and architects were dri ven by a similar sense of adventure and the desire for greater knowledge and new solutions; Leonardo da Vinci, like Christopher Columbus, discovered whole new worlds. This paper aims to define the characteristics of visual art and music during the renaissance through the use of examples, know a little about the artists of the artworks which were used as examples for this paper as well as to compare the works selected as examples in terms of the elements of art. In so doing, the paper will establish that renaissance art, however old and different the world it originated from is still continued to be regarded as timeless and valuable pieces in modern day art. Body Renaissance Art is any type of art produced... The two principal components of Renaissance style are the following: 1. a revival of the classical forms originally developed by the ancient Greeks and Romans, and 2. an intensified concern with secular life—interest in humanism and assertion of the importance of the individual. The Renaissance period in art history corresponds with the beginning of the great Western age of discovery and exploration, when a general desire developed to examine all aspects of nature and the world.During the Renaissance, artists were no longer regarded as mere artisans, as they had been in the medieval past. The renaissance has indeed been a period of rebirth because people at that time were given a â€Å"second chance† to live life again. Along with this chance is the realization of the importance of appreciating life and the environment. People were able to have an identity of their own as they were recognized according to what they do best, just like the painters and the musicians. Although, the period is a time of rebirth, still many of its influences, both in visual art and music, comes from religion. Until today, even how old the art pieces of renaissance artists both in visual art and music, their works are still highly regarded and served as guides and models of aspiring artists today. This is manifested in how these new artists study the life and works of renaissance artists and sometimes compare their works to what the young ones of today have created. Truly, renaissance pieces, in art visual art and music, are timeless for until now it has still been considered to be timeless and priceless works of art.

Economic of race and gender Assignment Example | Topics and Well Written Essays - 750 words

Economic of race and gender - Assignment Example These films could be brutal but sometimes, reality is worst than we would like it to be. The stories are just examples of what really happens in this world, whites discriminating Blacks or Asians and men acting like gods over women. What could be alarming is to know that there are also other skin colors discriminating the whites and more shockingly, women discriminating men. The films may have not shown the latter but in reality, things happen and it is not a news to break because there have been news of domestic violence also where the men are the victims. It is sad to realize that we can not escape these realities and they could happen to any of us. It is then very helpful to be educated about the issues on race and gender discrimination. Taking this class has opened my eyes and my understanding of the existence of such acts, now I know the rights of a person one needs to fight for, as well as what way of thinking one should have so as not to involve ones self in such actions. I believe that if I consider not discriminating, there would be one less racist in this world and no matter how minute its effect could be; still I could impact the world I am moving in. Diverse social positions can lay the foundations of a person’s political and economic access. For instance, a poor person can be deprived of education in his early years because he has to work in order to survive. Eventually, he will have minimal probabilities of ever going to school to get a better job in the future. Politically, he would have limited access to the rights of a regular paying worker if he ends up with menial jobs which do not give him the benefits of government employed workers. Loss of job pushes a person to self-employment particularly getting in to business because it gives advantages like being the boss of oneself, the opportunity for success and the convenience

Business Disaster Recovery Essay Example | Topics and Well Written Essays - 1500 words

Business Disaster Recovery - Essay Example The topic of the research has also been recognized by the researchers and social scientist as an important issue for the business so there was lot of literature present at different resources around the topic that cover the topic from different aspects. In this situation it was one of the major concerns to select and review the material that is not only relevant but also useful for the dissertation. Having too much choices in front often creates confusions and a big worry was to overcome this confusion that what to take for the review and what not. In the same way the selection of the company for the case study was also not a simple decision because there are many company that have faced disasters at some time and they have also make their plans for the recovery. Some of them were successful in restoring their losses and some of them were failed so it was a difficult decision to select the company. Moreover it was decided to conduct an in-depth interview of personnel of the selected company so there were also concerns about the matter that weather any of the personnel will allow due time for interview and weather the results or findings of the interviews will be fruitful for the research or not. The present work is done while utilizing all the best possible sources and abilities and if there is another chance got to do the same work again then there much be review of the work previously done to find out the mistakes and flaws so that in the next attempt all the flaws can be removed.

Evidence-Based Practice Project Assignment Example | Topics and Well Written Essays - 750 words - 4

Evidence-Based Practice Project - Assignment Example To help among the interventions on heart diseases, echocardiography was introduced. The use of echocardiography as a means of identifying the structural aspects and those related to functional means in relation heart diseases remain disagreed on. Some of the problems associated with the use of the machine include the recurrence rate of the problem due to failures or weaknesses related to this machine. To add on to the above is the fact that echocardiography has only been used among adults and has not been used among teenagers yet teenagers face an increased risk of heart diseases. This is a problem because teenagers must also receive the help if the machine can help them (Mane, et.al. 2012). Addressing heart diseases from a young age should be the ideal intervention. Therefore, by leaving teenagers out in the tests on whether the machine can help control heart diseases alongside other interventions is not right (Welsh, Sharma, Cunningham & Vos, 2011). As such, this problem must be re solved to ensure that teenagers have the chance to use the machine. There are several stakeholders/ change agents that are concerned or may benefit from this proposal. The first change agents will be the teenagers. This proposal directly affects teenagers and the proposed solution will be tested on them. Therefore, teenagers form the first and most important change agents and stakeholders in this respect. The second stakeholders is the parents and or guardians of the teenagers because teenagers cannot make decisions to participate in the proposed solution by themselves. Therefore, parents and or guardians come in as representatives for teenagers. The university is a stakeholder in this proposal because the proposed solution will be implemented under the university. Therefore, it is an important stakeholder in this proposal. The healthcare system, healthcare practitioners especially cardiologists, manufacturers of echocardiography and potential users are all stakeholders/

Teaching Methods Mathematics Essay Example | Topics and Well Written Essays - 500 words

Teaching Methods Mathematics - Essay Example In this principle of one to one correspondence it is a necessary for a full understanding of numbers and emphasized by counting with the child's actions like counting her fingers or counting her crayons. They also learn this principle when they count while playing like jumping and swinging. They can participate in this activity while counting out loud. A rule can make like counting 1 to 20, then another person's turn. At an early age they are now able to detect that counting was wrong if counting of numbers is reversed in order or skipping two numbers it is a violation to stable order principle. They may said that there's a counting mistake. If counting violated the cardinality principle with the use of the same medium - a toy, states that the number was one more or less than had been counted, They usually said that the answer is wrong. Therefore, toddlers are learning the counting principles, even though they may continue to make counting mistakes when counting larger numbers. Larger number like counting 1 to 15 have a difficult time to understanding. The teacher can help them and learn about numbers providing a concrete demonstration of number.

Policy Brief Essay Example | Topics and Well Written Essays - 500 words

Policy Brief - Essay Example This service will also promote security and make people to refrain from getting involved in criminal activities. They will therefore, look for other options such as setting up a business to sustain themselves. This will increase the level of employment and widen the sources of revenue to the government. The gross domestic product of the country will also improve due to increase in number of people doing business. Furthermore, it will enhance productivity among the members of a society because; they will not be worried about their security. The service will be tested through multiple testing to ensure that it works and is free from abuses. This technology will require every mobile owner to submit his or her details with the intelligence offices. The fingerprints will be taken and every individual will have a secret code that will be pressed once criminals attack a person. Once the code is pressed, security personnel will be alerted. The location and the names of the individual appear on the security personnel computers. The security personnel will quickly identify the nearest police stations in the area and instantly communicate for a quick measure to be taken. Mobile phones will therefore, be used to ensure that security of the individual is guaranteed. The service will function in such a way that even if the phone is stolen, the second person cannot use it. The phone can be traced and the last person’s fingerprint will be detected and used to launch investigation using information stored in the database in the security headquarter. For this mobile service to succeed, it requires cooperation of security officers with the citizens. Every citizen will be required to scan their fingers and retain their details with police officers. The second condition is that the person when attacked must dial the secret code. Thirdly, the security intelligence department will be required to be vigilant and put up measures to enhance the security of

The beginning of my junior year in high school Essay Example for Free

The beginning of my junior year in high school Essay It was the beginning of my junior year in high school. I was just becoming accustomed to Knoxville, which I have called my new home since moving from Orlando, Florida my sophomore year in high school. I had been making friends and adjusting myself to this new environment, and now it finally felt like home. As I was settling in., I realized something; I didn’t know exactly whom I was or what I wanted to accomplish in life. I had my most important year of high school dawning upon me and no time to spare. In order to discover what i was interested in, I joined the National Honor Society at my school. I felt it was an appropriate way to contribute back to my community as well as explore new hobbies and meet great people along the way. During late September, I saw a great opportunity unfolding before my eyes. A local barbeque restaurant called Buddy’s Bar-B-Q was hosting a fundraising cancer awareness race around the Worlds Fair Park in downtown Knoxville. My father being a cancer doctor, this could not be turned down. When I arrived at the event, I saw an old man sitting alone on a bench, so I decided to join him. He saw my volunteer shirt and thanked me graciously. His name was Jim and he described how he recently lost his wife to breast cancer, and had no children or close relatives to help ease the situation. He asked why I decided to volunteer for this race, and I explained my journey through school and how my father happened to be a cancer doctor. Before the race started, Jim pulled me aside and told me to remember one thing in life, â€Å"No matter how bad you feel rejected and alone in life, there is always someone who can help† From that day on I did not think about Jim being an old wise man just shedding advice to somebody young, yet I saw him as a man who even though suffered the worst, still managed to live out all his life to the fullest. I realized that there is no way to map out the rest of my life; life is full of opportunities that have to be seized and experience can be taken from them. The University of Florida demonstrates a gateway to a world full of diversity and opportunity that I will successfully be able to grasp and take away great things from.

Education of Philosophies Essay Example for Free

Education of Philosophies Essay After reading through the different philosophies of education, I have come to the conclusion that I can relate to the student centered philosophy the most for several different reasons. As stated in the chapter, education is not a competition. I don’t agree with having students take multiple choice tests to see who gets the highest amount of right answers. Many students suffer from test anxiety and giving them one chance to prove they are educated on the subject isn’t fair. I am a firm believer that students don’t gain knowledge from textbooks, they gain knowledge by being out in the real world. To me, experiencing things first hand is the strongest way to learn about a subject matter. This leads me to the progressivism philosophy of education. I am all for experimental learning, having students have the chance to learn by doing. Another method of this is called the scientific method. This happens by expecting students to pursue their answers through problem solving and critical thinking, and are rarely expected to find their answers in a textbook. Another method I agree with is social reconstruction. Democracy in a classroom encourages teachers to guide an important dialogue among the children, but to avoid telling students how to think or what to believe. Social purpose gives students an opportunity to instill habits or values that are useful to the greater community. I believe students should be encouraged to think about local, national, and international issues in the real world. More importantly, I believe existentialism is the most crucial student centered philosophy in education. Giving students the ability to develop their own creativity and different ways of self-expression is something that should be focused on in every school. Students should be allowed freedom to go at their own pace and should be inspired by the things shared among peers  in the classroom. Students are expected to be in control of their own lives at school while playing an active role in functioning community, students should leave the school with the important ability to think critically.

Study and Overview of Multinational Banking

Study and Overview of Multinational Banking Introduction: Banks have always been a topic of great discussion as well as great importance. The Banks have been an integral part of the whole economy of the country and hence add greater value to its existence. However, the past suggests that the banks have broken their domestic shackles and entered different markets in foreign countries. Global banking has then emerged as one the most important and biggest industry in the world. This was primarily because of the assessments made by bank management on the growth and profits associated with globalization. In the current scenario, almost every bank internationalizes its operation sooner or later and hence makes it even more important to understand the associated concepts in globalization policy. The research is to propose a well scrutinized description of its determinants and risks associated with it. A further emphasis is given in regards to the risks of multinational banking as the past decades have experienced a lot of banking crises which many regard as an adverse effect created by diversification of banks. Studies in the past have more been on the FDI made by Multinational corporations in trade industry however less has been written about FDI in banking industry even though they have been neck and neck with the other industries in terms of globalization with banks such as HSBC, ICICI, JP Morgan, Citibank, Royal Bank of Scotland and Barclays heading the way. The massive banking industry makes it very difficult to conduct a complete study of all its aspects and hence the key aspects of its globalization have been considered and researched. The involvement of the author in a research related to the study of multinational banking is caused because of the following reasons: Firstly, banking industry has been a key sector in the economy of any country and the success of a country has at times also depended on the functioning of its banks. Secondly, the author has immense interest in the banking field and has always been fascinated by the activities and operations of banks across the globe. Lastly, the personal interests of the author in the globalization field as how and when have firms entered foreign markets. Hence, the investigation of cross country banking industry has made the study very appealing The primary objective of this study is to investigate and highlight the determinants for the growth of multinational banks and to develop an integrated approach to explain the phenomenon of multi nationalization of the banking industry. Also, to intricate the risk associated with multi nationalizing of banking operations. The primary consideration underlying the study is the fact that most of the research and resulting hypothesis are confined to manufacturing and extractive industries. Indeed, lack of empirical studies on multinational banking was also highlighted by Aliber (1984) in the only survey of the literature on this subject. The following are the specific questions that have been dealt and explained in the research study: What are the key determinants behind a bank opting for globalization of its activities? Why do some banks and not others adopt this policy? Why is foreign rather than domestic operation advantageous in serving foreign markets? What are the risks associated with globalizing of banking activities? What are the key considerations in terms of which host country to invest and globalize activities in? The research strategy, design and methodology provide the reader with an in depth view into the framework of the research process undertaken for this study. A separate section has been created called Research Methodology which analyses all the various techniques used in the research such as a research design, difference between the various types of research and the ethod adopted. Also, it highlights the sample used for conducting the primary research and also the research method adopted to collect the primary data. The primary data to brief it up has been collected through a qualitative in depth interview covering a sample of five management level interviewees from banks of UK as well . This chapter starts of with the significance of the commencement of the study highlighting the key reasons behind the selection of the topic and includes a background to the study as well as the personal interests of the researcher which further motivated the specific research. Also, the chapter lays down the aims and objectives of the research with a brief introduction to all chapters included in the study. This chapter has been further divided into two chapters. Chapter 2A stresses on the multinational banking industry as a whole and lays down the definitions and the key characteristics of international banking. Also, it highlights the various entry method options available to a bank in entering specific foreign markets. Chapter 2B then emphasizes on the growth of this industry and reasons behind its outburst. Determinants and risks associated with global banking are discussed in the next section. The chapter ends with a schematic conceptual model developed by the researcher to diagrammatically explain the multinational banking phenomenon. This chapter has been prepared to give insight to the way the whole research has been conducted. The chapter starts of with a strategy of adopting the form of research design and then follows a pattern of discussing, differentiating and selecting among the various options available in conducting the research such as qualitative or quantitative, primary or secondary, questionnaire or interview. The chapter then lays down the difficulties faced by the researcher in his research. Before this chapter, the research has been primarily been related to collecting secondary data from literature resources and primary data from the sample selected for the survey. However, this chapter deals with the analysis and interpretations of the collected data. Hence, the chapter becomes even more important for the correct interpretation of all the data collected. This chapter has been divided into several sections putting light into all aspects discussed in the research method. Also, this chapter explains the information collected from the survey which is then compared and contradicted with the literature. This chapter then explains the conceptual model shown in the literature review chapter. The chapter summarizes the whole research process by laying down the key findings. It further highlights the answers suggested in the study for the aims and objectives laid in the introduction. The chapter further suggests how this study could be used in the banking field and how this research could be enhanced by the future researchers. To conclude the researcher expresses few recommendations to the management in the way the globalization of banking is conducted in the modern era. The key contents of the study have been laid down in this chapter to give an idea of what the study has been conducted for. The aims and objectives of the research have been briefly explained. Also, the research has been more of a personal interest as the study topic has been captivating for the researcher. The second chapter now focuses on the literature in the field of global banking highlighting the key findings and views made by the early researchers. LITERATURE REVIEW: Introduction to Multinational Banking This chapter explores critically the literature that has surrounded multinational banking for the past few decades. The literature has been divided into 2 parts. The first part (A) explores the multinational industry as a whole with a detailed explanation of its key characteristics and the modes of entry a bank can apply for it globalization. Whereas, part (B) highlights the background and the growth of multinational banking as a major industry in the world business followed by a scrutiny of its key determinations and risks. Concept of Multinational Banking This chapter emphasizes on the concept Multinational Banking and the various aspects related with it. The chapter is divided into four sections to make it simple and clear. The chapter begins with the basic meaning and definition of a multinational bank and the types of multinational banks. The second Section then highlights the key characteristics of MNB. The modes of entries for a MNB are then discussed illustrating the various ways in which a bank can internationalize. The chapter finishes with the concluding comments in fifth section. Definition of a Multinational Bank (MNB) Multinational banking involves the ownership of banking facilities in one country by the citizens of another [Baker and Bradford (1974), Baum (1974), Lees (1974 and 1976) and Robinson (1972)]. The definition of a MNB is subject to an array of interpretations and is also used interchangeably with terms such as International Bank or Transnational Bank. Broadly, a multinational bank can be classified as an institution through correspondent relationship, foreign direct investment or direct lending to customers from home offices that engages into cross country banking. In many instances, however, multinational bank is used to refer to a bank with physical presence outside its home country through a branch, an agency, a wholly or a majority owned subsidiary, or a bank formed by merger of two or more banks based in different countries and not the ones with a correspondent relationship or a representative office. Robinson (1972) defined Multinational banking as operating a bank in, and condu cting banking operations that derive from, many different countries and national systems. A multinational bank can be compared to a multinational company and can be classified as a financial multinational corporation as they enjoy similar advantages and disadvantages in host country. However, this theory can only be applied to commercial bank that engages in local banking activities in the host country and hence competes with the native banks. Whereas, a Multinational corporation can little be compared with the bank that operates in the super national markets such as Euromarkets as they do not compete with the local indigenous banks. (M.K Levis 1987). H. G Grubel (1977) was one of the first authors who offered a general theory to explain the existence of multinational banking. He argued that MNB had three different types, which needed different explanations. The first was the multinational retail banking, which entered foreign markets to serve local customers through the same local deposits and loans facilities as domestic banks in the host countries. The second category was the multinational service banking, which consisted of banks servicing the requirements of corporate clients and expatriates from its home economy in foreign markets. Lastly, the multinational wholesale banking, it involves taking large deposits, and the making of large loans and investment. It is worth mentioning that Hoschkaà ¢Ã¢â€š ¬Ã¢â€ž ¢s (1993) similar definition of a multinational financial services corporation (MFSC) is confined to firms that provide banking services. In his view the fact of possession of a representative office in a given country doe s not imply that the owner of this office may be called an MFSC, as it merely serve a liaison function for a parent firm but cannot actively operate in the host market. However, the definition the researcher has used for the multinational bank is of any bank which internationalizes it operation. (Jones. G) After we have discussed the related literature on multinational banking in the chapter two, this chapter discusses in depth the research strategy, design process and the methodology used for investigation. It provides the reader with an insight into the various methods and techniques used for this study. The main discussed issues are based on the proposed stages of the research process by Antonio as shown in the table below: Problem Discovery and Definition Research design Sampling Data collection Data processing and analysis Conclusion The stages of the research process Antonio Exploring Marketing Research, USA: The Dryden Press Problem discovery and definition The formulation of the problem is often more essential than the solution. Albert Einstein. According to Malhotra and Birks (2003), problem definition can be defined as the the general problem and the identification of the specific components of the marketing research problem. Problem discovery and definition is regarded as the primary method in any research and also one of the most important. Therefore, it is very important to understand the nature, scope and limitations of the problem in order to avoid any misinterpretation and to make it understandable to marketing decision makers and marketing researchers.