Sunday, June 7, 2020

Eat, Drink, Be Frugal - Advice From Parents on Paying the Tuition Bill

HomeFinanceCollege SavingsEat, Drink, Be Frugal Advice from Parents on Paying The Tuition BillThis page may contain affiliate links.May 31, 2019If you live in a house with a high school senior, this time of year the air is charged with a nervous and excited energy and it has nothing to do with the holiday season. December and January is time for filling out college and financial aid applications. For families going through the college process for the first time, the endeavor can be overwhelming. Four years at a private college can cost an average of $120,000. If you save for your child since birth, that’s about $7,000 you need to stash away annually until they are 18. This assumes you only have one child, earn a stable income backed by an economy that provides a robust climate to grow your college savings portfolio, and are simultaneously putting away for retirement. Since the recession of 2008, the preceding scenario for growing a college nest egg is a mere fantasy for most. It was the same year which Sallie Mae conducted its first annual study, How America Pays for College, one of the most comprehensive studies on the issue of America’s financial attitudes towards higher education. Though they may not express as much worry as they did during the height of the recession, 25 percent of parents interviewed in the 2013 study said they worry tuition will go up again this year. Similar to other years of the study, 67 percent of families eliminated certain colleges in their search because of tuition costs. While a large majority of parents said a college education was an investment in the future, many are reconsidering traditional routes such as completing core requirements at a community college. Some are weighing the prestige, connections, and large scholarship endowments of a private institution with the competitiveness and lower tuitions of the nation’s best public universities. Families are relying on 529 plans more than ever before but they worry that their savings accounts may take them out of the running for receiving financial aid. As America’s college-bound families prepare to make one of life’s most important decisions, and perhaps their largest financial investment, we will follow several families to see how they rethink their outlook on securing a higher education for their children. Our series of articles will explore various options families are pursuing to help their children attend college and graduate debt-free. This series will include interviews with financial consultants and families who are veterans of the college hunt, both of which have common threads of advice: Save early. Live simply. Consider public universities over private ones, and do everything in your power to have your child graduate debt-free. Meet Louise and Charles* – living a nice lifestyle in an upscale San Diego neighborhood but struggling to save money for their children’s college accounts. In the mid 1990’s Charles and Louise knew they had to find the nearest exit ramp from the high-rolling lifestyles that surrounded them. â€Å"When they were little, my daughters attended birthday parties where the favors cost more than what I was willing to spend on the gifts. Kids had countless after school activities and it was totally a keeping-up-with-the-Joneses life,† said Louise. Charles and Louise wished to raise their daughters Chelsea and Amy among a more down-to-earth setting. In a bold move, they sold their home in San Diego and moved closer to their Western New York family roots in 2000. They purchased a home for under $200,000 in a suburb of Rochester, where housing costs are 51 percent lower than they are in San Diego. Profits from the sale of the San Diego home went into a college savings fund for their two daughters Chelsea and Amy. Charles continued to telecommute to his high-tech job in California, while Louise continued her education to receive a Master’s degree in education. In May 2013, the family’s oldest daughter graduated from the Newhouse School of Communications at Syracuse University and now works for a media company in New York City. Tuition, room and board at Syracuse was $56,000 a year, but because they scrimped – no winter vacations in Florida; and saved – the speedometer on Louise’s Subaru clocks in at over 100,000 miles – Chelsea was able to graduate debt free. Now it’s almost Amy’s turn to go to college. Louise and Charles want the same opportunities for their high school junior, but are having doubts if the price tag at a private institution is worth it. They instead are setting their hopes on New York’s public SUNY system. It’s not that Louise and Charles cannot afford to pay another four-year tuition to a private college, but like many belt-tightening Americans, they are rethinking every purchase they make and that includes tuition. Perhaps it is the contrast in career choices for their daughters – Chelsea is pursuing a career in a female-dominated field of media and public relations, and Amy has plans to explore engineering, where there will be more scholarships and job opportunities for women. Louise also remarked on the rate of college students she sees around her who are in debt – 60 percent of college graduates in New York State have an average debt of $25,537 according to The Project on Student Debt’s latest study. And these rates of debt run much higher for private college graduates. There are many issues to consider when deciding between a public or private college education – availability of merit scholarships, course selection, job placement, net cost of at tendance and more. We’ll follow Amy (and her family) as they work through the process of deciding where to apply: public or private. *Last names have been eliminated for privacy. Road2College Debbie Schwartz is former financial services executive and founder of Road2College and the Paying For College 101 Facebook group. She's dedicated to providing families with trustworthy information about college admissions and paying for college. With data, tools and access to experts she's helping families become educated consumers of higher ed. View all posts CATEGORIES College SavingsFinance TAGS admissionsCost of CollegeExpected Family ContributionFinancial AidFinancial NeedNEWER POSTYear End Strategies for Maximizing Your Financial Eligibility Dec. 2013 WebinarOLDER POSTControversy Erupts Over Site to Compare College Costs

Sunday, May 17, 2020

Why Was It Needed For Corinthian Women - 801 Words

Why was it needed for Corinthian women? â€Å"In the case of headcovering, Paul continues his ‘yes, but’ logic†. He is â€Å"yes† for women to pray and prophesying, but â€Å"no† for abusing the freedom in Christ. â€Å"These women were not merely speaking in worship, but doing it in a way that unnecessarily flaunted social conversation and the order of creation. So Paul has to encourage them to exercise restraint†. â€Å"The nub of the difficulty is that in 1 Corinthians 11:2-16, Paul is quite prepared for women to pray and prophesy, albeit with certain restrictions†. I was astonished with Charles’ saying; â€Å"Paul had no problem with women praying and prophesying in church; his difficulty is that they are doing these things in a way that denies their created sexuality. In Paul’s world, certain things were social symbols of femaleness and maleness. They distinguished the sexes. Amon the signs of femaleness was long hair. (On the eve of her marriage in the Acts of Paul, Techla is converted to celibate Christianity. After baptism, she cut her hair short and dresses like a man. This act said she had transcended her sexuality)†. Why is it only for women? Why not for men? Many debating on this issue, and the text raises a number of questions for us. First, why does Paul want to maintain for women, but not for men. Is it just a custom of â€Å"nature itself†? Witherington says that â€Å"It appears that such headcoverings were worn in the Roman context to demonstrate respect and subservience to the gods.Show MoreRelatedWomen s Work And Worship Of The First Century Churches1726 Words   |  7 PagesWomen in Paul’s Letters: Women played an important role in the work and worship of the first century churches. In Paul’s letters he portrays women as equals to men. Paul’s ideas were to renew a community of God’s people; including all races, sexes, and religious backgrounds. While some people will argue that Paul is all for the equality of women, others say that he is misogynistic. Some things that were written may sound harsh to our ears in today’s society; however, when considering the era thatRead MoreGender Double Standards For The Past Millenniums And Morrison1685 Words   |  7 Pages Women have been historically treated as second class citizens in both domestic and professional life. Society has circled around men for the past millenniums and Morrison depicts these gender double standards in Song of Solomon. She establishes the norms that women were subjected to and the social pressures that forced them to act, behave, and even live in a certain manner. Throughout the nov el, Morrison continually describes Milkman s perspective toward the women that are involved in his lifeRead MorePaul and the Church of Corinth Essay example971 Words   |  4 Pagescity was still relatively young due to the Romans destroying the old Corinth in 146 B.C.E. The city was not even a century old when Paul first entered and it was only during 44 B.C.E. that Julius Caesar re-established Corinth as a Roman colony. Corinth at the time was around five times larger than Athens and was the capital of the nearby province called Achaia. The city was strategically located near the narrow isthmus that connected the Peloponnesus to the mainland which in result was a powerfulRead MoreEssay On The Church893 Words   |  4 Pageswould be free to establish healthy kingdom alliances with fellow spirit filled ministries. In Acts 2:42, the apostles clearly understood that the mission that they were called to was relational. So they continued daily from house to house, fellowshipping, breaking bread and praying. It’s a miracle to get 50 pastors in any city in America to come together for that city alone for any extended period of time. Most churches and pastors have tunnel vision and short memories just like children. The giftRead MoreAnalysis Of Milkman In Toni Morrisons Song Of Solomon1606 Words   |  7 Pageshistory, reporting: â€Å"The boy in the middle†¦ (it seemed always to be a boy) spun around with his eyes closed†¦ pointing† (Morrison 299). Like the boy at the center of the circle, Milkman blindly points his attention and â€Å"hog’s gut† in the direction of the women around him, causing them nothing but pain (216). His behavior is symptomatic of the possessive masculinity he exercises, courtesy of his father and in direct competition with the softer masculinity his aunt Pilate offers. Milkman inherits masculineRead MoreSummary Of The Garden Of Eden 1305 Words   |  6 Pageshas an emotional aspect to his personality. In his state of innocence in the Garden of Eden, man was in a state of emotional bliss, for all that God had created was very good and man was without sin. Adam and Eve were perfectly content, for they knew the joy of communion with God. When Adam and Eve sinned they became separated from the presence of God and spiritually dead. Their emotional life was seriously impaired, for they felt afraid, ashamed and guilty. Their relationship became stressfulRead MoreGod s Foolishness Is Better Than Human Wisdom1674 Words   |  7 Pagesfrom God, and righteousness and sanctification and redemption, in order that, as it is written, â€Å"Let the one who boasts, boast in the Lord.† 1 Corinthians 1:25-31 Because the foolishness of God is wiser than men; and the weakness of God is stronger than men.Christ on the cross appeared to be weakness in the eyes of people; but that weakness of God was stronger than men and everything that men could produce.[22] The sign-seeking Jews could not comprehend the mighty sign of the prophet Jonah,Read MoreWhat Is True Love?1847 Words   |  8 Pagestowards his or her sport, or the teenagers to video games, or the love of a mother towards their child? According to Krishna Sechadri, â€Å"Love could be considered as a collection of activities associated with the acquisition and retention of emotions needed to survive and reproduce.† For this reason, humans need love in order to survive. Moreover, love is a feeling reproduced by the neurotransmitters in our brain; thus, this means that human nature craves to give and receive affection. However, thisRead MoreThe Evil Of Evil And Commit Sin989 Words   |  4 PagesPeople might wonder why the â₠¬Ëœalmighty’ Christian God unable to prevent humans from temptations. Free will is a gift to humans; God does not force people to do anything because He wants them to love Him ‘whole-heartedly’ (Matthew 22:37). This paper will explain why Lewis is right based on the possibilities to do evil and commit sin, and yet also be forgiven. This can be surprising to many other people such as non-believers. Sin is defined as an offense against God. The sin that Satan has taught humanRead MoreSocial Analysis Of Religion And Gender Socialization1642 Words   |  7 Pagesand dad who are still together, and a brother named Justin, who is younger than me by fifteen months. My dad was a stay at home dad until I was eleven, when he decided to go back to school to pursue his calling to go become a school counselor. Growing up, my mom worked 50-60+ hours a week at Chase bank, she was in upper level management, so there were times I did not see her often. I am/was very close to my dad, he started my addiction to coffee and Jack Black movies. Neither of my parents cooked

Wednesday, May 6, 2020

Essay on Finding Ones Self - 879 Words

Finding Ones Self Throughout Rudolfo Anayas novel, Bless Me, Ultima, Anaya presents the reader with the complications and difficulty of cultural identity and in the end suggests that a person can draw from several cultural traditions instead of just one in particular. The main character, Antonio, is the guide to Anayas lesson. Antonios parents, Ultima, and even his town present him with different situations and ideas that contributes to his identity. In the first chapter we are introduced to Antonio and his family. Antonio is a young six-year-old boy and lives in his Spanish village. Antonio himself is not a full fledge Latino. His father had been a vaquero all of his life, ...a calling as ancient as the coming of the†¦show more content†¦His mothers lifestyle on the other hand, emphasizes strength, efficiency, and family, which manifest them to move to Guadalupe. Even at Antonios young age his future already conflicts between these two contrasting alternatives. When Ultima enters his life Antonio seeks her advice and wisdom as guidance towards his confusing identity crisis. Ultima brings great balance to this story by guiding Antonio through life. And I was happy with Ultima. We walked together in the llano and along the riverbanks to gather herbs and roots for her medicines. She taught me the names of plant and flowers, trees and bushes, of birds and animals; but most important, I learned from her, that there was a beauty in the time of day and the time of night, and that there was peace in the river and the hills. She taught me the mystery of the groaning earth and to feel complete in the fulfillment of its time. My soul grew under her careful guidance (15). This statement made by Antonio shows how much affect Ultima has on his life. It gives examples, such as, the love for nature, relaxation, and spiritual oneness, which help Antonio identify with his fathers love for the llano. In the fourth chapter Antonio is once again guided by Ultima. In this chapter Antonio finally realizes that he does not have to choose between his two parents conflicting heritages. Instead, he can incorporate both of them into his life.Show MoreRelatedFinding The Will by Losing Ones Self1945 Words   |  8 Pageshis money or give it to someone in need and decides to give his money away is displaying that he has the characteristic to be good or generous. For Nietzsche though, it is not an interest in virtue when looking at plays but the ability to lose one’s self through another characteIt is through plays that we are able to see The Will as played out amongst humans as we are able to find plots and actions that many humans fall privy to. It is through this commonality that people are able to enjoy the playRead MoreThe Self Reference Effect On Mother1498 Words   |  6 PagesThe extensibility of the self-reference effect to mother Organism used the sense of self to distinguish itself from the immediate external environment (Neisser, 1988). The idea of ‘extended self’ suggested that the self was not limited to the body but also incorporate with self-relevant information (Kim Johnson 2012). The self-object associations was developed as far back as early childhood, which showed that ownership was important in cognition (Cunningham, Turk, Macdonald, Macrae, 2008). ThreeRead MoreNotes On Social Identity Theory1191 Words   |  5 Pagesal., 2015) and its implications on ingroup inclusion, intergroup behavior, and self-esteem (Brewer Yuki, 2007). This theory is further discussed here, particularly its conception of group identification and esteem, to give context to BIRG and the framework of analysis that will be used to analyze the phenomenon. SIT assumes that individuals pursue group memberships (i.e. social identities) to attain a positive self-concept by affiliating with groups of high status (Gudykunst Bond, 1980). As suchRead MoreRace, Religion, Social Class, And Ethnicity1274 Words   |  6 PagesHow you do in school, your social ability, and your awareness of others are all guided by how you identify. Identification in one’s gender, race, religion, social class, and ethnicity are all driving forces behind your future self. Identity is a crucial part of who you are, and in recent studies and experimentation researchers have been trying to identify new, untested factors that influence behavior in people. Although, in the past there hasn’t been a strong focus on the positive and negative effectsRead MoreA Study Done By Vrangalova ( 2015 ) Essay1699 Words   |  7 Pagessuggests that the self-esteem of women will decrease due to more negative outcomes when it comes to hooking up. While the men experienc e more positive outcomes of hooking up therefore their self-esteem increases. In the current study the effects of hooking up and self-esteem between men and women will be tested using a survey that involves Rosenberg’s Self Esteem Scale. A correlation method will help determine if the effects of hooking up amongst men and women are different, while the self-esteem of menRead MoreSocial Psychology, The Social Identity1492 Words   |  6 Pages(Galang, Quià ±ones, Adriano, Portillo, Carvajal, 2015). The ingroup identification afforded by social identities then allows individuals to distinguish between people belonging to and excluded from the ingroup (Brewer Yuki, 2007), and to bolster one’s self-concept through affiliation with high-status groups and individuals (Gudykunst Bond, 1980). In addition, these social identities are created and manifested in different ways across cultures as a function of the values endorsed by society, theRead MoreRobert Cialdini And His Colleagues Essay1749 Words   |  7 Pagesgroup—with whom they share a preexisting ingroup identity—when the latter has succeeded in an endeavor that brings group pride. Social identity theory is typically invoked to explain how the phenomenon is manifested through ingroup affiliation and self-enhancement. Though BIRG as a phenomenon has been found to be replicable across cultures, its determinants and manifestations nonetheless vary cross-culturally. Through the current literature review that aims to integrate the results of previous studiesRead MoreSocialisation, Personal Identity, Gender Identity And Gender Roles1313 Words   |  6 PagesGender Roles: defines ‘Socialisation’ as â€Å"a term used to refer to the lifelong process of inheriting and disseminating norms, customs and ideologies providing the individual with the skills and habits necessary for precipitating within one’s society, thus the means by which social and cultural continuity are attained† (, 2015). The process of socialisation involves an individual such as an adolescent to have interactions with various agents of socialisation. Agents of socialisationRead MoreFinding One ´s Self, Though Society ´s Values Want to Shape Us776 Words   |  3 PagesOne’s everyday life is all too often a drab and boring one, simply following a schedule as one has always done. In these circumstances, it is all too easy to simply go with the flow and become self- centered, losing sight of oneself in the process. However, it is important that one stops and finds oneself and throw off society’s values, what David Foster Wallace calls â€Å"the default setting†. Joseph Campbell, a former mythologist, writer, and lecturer, talked a lot about finding oneself. InRead MoreQualitative Reflection1032 Words   |  5 Pagesqualitative research the addition of a literature review to aid the depth of understanding about audience responses was used. However, the experiment’s qualitative themed purpose, including characteristics of community based self- critiquing, is built to enhance my understanding of self on how I am perceived compared to my peers. In addition, at a quantitative standpoint, the experiment is to test the hypothesis if I am viewed more or less professional than by classmates. The nature of this Qualitative

Professional Project Engagement and Employee Behaviour

Question: Discuss about the Professional Project for Engagement and Employee Behaviour. Answer: Project Description The main aim of the research is to evaluate the various human resource practices in an organization and the study the effect of the practices on the performance of the employees in an organization. Background Wesfarmers started its operations in the year, 1914. It has its headquarters at Western Australia. Currently it has around 210,000 employees and has a base of shareholders that accounts to the number 500,000 (, 2016). It is important for the organization to keep a check on the human resources practices so that the organization is able to retain the employees in the organization and enhance their performance. The research will throw light on the effect of the human resource practices and the practices will help in enhancing the performance of the employees Various factors related to the human resource management practices help effect the performance of the employees. Some of the practices are: Recruitment and selection of the employees Internal recruitment as well as external recruitment both affects the performance of the employees (Bratton, Gold, 2012). External recruitment will help the organization to look for talent for the market, while internal recruitment will result in the promotion of the employees. Compensations and benefits of the employees Once the employees will get proper compensation and benefits from the organization, they will be happy in the organization and will perform well in the organization (Jiang et al., 2012) Performance appraisal of the employees All individual need recognition and the performance appraisal give the desired recognition (Budhwar, Debrah, 2013). If the employees get proper appraisal, they will work hard and for the betterment of the organization. Training of the employees Not all employees have the desired talent and technical training is required at all level. The trainings will help in enhancing the intrinsic motivations of the employees and they will work hard (Renwick, Redman, Maguire, 2013). The significance Rensis Likerts Participative Decision Making Theory can explain the effect of the human resource management practices on the performance of the employees. According to the theory, the employees should be treated as the human beings rather than considering them as worker bees (Likert, 1967). Once the employees are asked to take part in the decision-making process, they will feel attached with the organization. They will feel important to the organization and will performance accordingly. The theory can be applied in other aspects as well. The appraisals, the recruitment styles, the trainings and the benefits will help the employees feel connected the organization. The connection of the employees with the organization is important to motivate the employees, as the employees are the ones who are able to drive the organization for a netter future (Storey, 2014). The significance of the research is that it will be applicable in the local, national as well as the international level. The motivation of the employees is important and organizations. The more motivated they will be, they better performer they will become. The human resource practices should be formed in a manner that will help in the motivation of the employees and select the best employees for the organization (Alfes et al., 2013). Wesfarmers is an internationally acclaimed organization, while it keeps a check on the taste and preference of the local customers and its performance nationally. As the organization has to keep a check on the customers from different regions and have to manage the employees so that they are able to handle all types of customers. Research questions What is the effect of compensation and benefits on the performance of the employees in the organization? What is the effect of recruitment and selection on the retention of the employees? Will training and performance appraisals will enhance the employees will perform in the organization? A Gantt chart and assessment milestones Activities for the research work 1st week 2nd week 3rd week 4th+5th week 6th week 7th week Selecting the topic Studying the previous research work and theories for the literature review Arranging the methods for the completion of the research Collection of the Primary data Analyzing the primary data and writing the result of the analysis Analyzing the findings Drawing the conclusion Revising the final work and prepare the final solution Team charter The first member will carry out the secondary research, will find the articles related to topic and will study the theories that help in the management of the human resource. The second member will carry out the data collection process. The second member will take the interview of the manager and the employees of Wesfarmers. Both members will analyse the data, arrange the findings, and draw the conclusion. References Alfes, K., Shantz, A. D., Truss, C., Soane, E. C. (2013). The link between perceived human resource management practices, engagement and employee behaviour: a moderated mediation model.The international journal of human resource management,24(2), 330-351. Bratton, J., Gold, J. (2012).Human resource management: theory and practice. Palgrave Macmillan. Budhwar, P. S., Debrah, Y. A. (Eds.). (2013).Human resource management in developing countries. Routledge. Jiang, K., Lepak, D. P., Han, K., Hong, Y., Kim, A., Winkler, A. L. (2012). Clarifying the construct of human resource systems: Relating human resource management to employee performance.Human Resource Management Review,22(2), 73-85. Jiang, K., Lepak, D. P., Hu, J., Baer, J. C. (2012). How does human resource management influence organizational outcomes? A meta-analytic investigation of mediating mechanisms.Academy of management Journal,55(6), 1264-1294.Buller, P. F., McEvoy, G. M. (2012). Strategy, human resource management and performance: Sharpening line of sight.Human resource management review,22(1), 43-56. Likert, R. (1967). The human organization: its management and values. Renwick, D. W., Redman, T., Maguire, S. (2013). Green human resource management: A review and research agenda.International Journal of Management Reviews,15(1), 1-14. Storey, J. (2014).New Perspectives on Human Resource Management (Routledge Revivals). Routledge. Ulrich, D. (2013).Human resource champions: The next agenda for adding value and delivering results. Harvard Business Press. User, S. (2016). About Wesfarmers - Wesfarmers. Retrieved 29 July 2016, from

Monday, April 20, 2020

Quality Management in Health Care System in Nigeria A Case Study of Isalu Hospitals Limited, Ogba, Lagos free essay sample

INTRODUCTION In this age, hospital services have gone beyond the conventional way of doctors sitting in their clinics, reading newspapers or engaging in other vain discussions hoping that patients would patronise their healthcare services. Various private hospitals have carved out a niche for themselves using relationship management, customer relations and hospital marketing techniques to expand their business. Although the prime aim of hospital/healthcare establishments is to save lives, the truth is that private healthcare services are profit-driven as owners have to cater for various expenses and overheads to keep the business moving. Those who run healthcare business grapple with regular payment of staff salary, procurement of new medical equipment, maintenance of computers and buildings, payment of electricity bills, procurement and fuelling of power generators, maintenance of official vehicles, communication expenses, staff seminars and printing of receipts, appointment cards and medical report sheets. Just like a good product, a good hospital service sells itself. We will write a custom essay sample on Quality Management in Health Care System in Nigeria: A Case Study of Isalu Hospitals Limited, Ogba, Lagos or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This comes mostly through testimonials from people who have practically experienced the service(s). But a good product or service cannot, by itself, propagate its services to the users. Certain machinery should be put in place to achieve this end. Although medical bodies such as Nigeria Medical Association strictly prohibits hospital advertising, the dynamic nature of medical business, not only in Nigeria but globally, has made it mandatory for Health Maintenance Organisations (HMOs) to place their advertisements on the pages of newspapers, over the radio/television and on the Internet under the guise of health insurance, since insurance does not forbid advertising its services to various target groups. Good customer care/ relationship management matters in healthcare business because keeping the existing clients—that is, the patients—seems easier than getting the new ones, as satisfied clients will do a lot of our testimonial appeals for us to the new prospects. Some people will use our service on the recommendation of a friend or sibling. This is because patient who feels good experiencing our medical service is most likely to stay with the healthcare and make recommendations to others about us. In these days of sophisticated and well educated customers, patients look beyond coming to the hospital and being attended to in the â€Å"usual manner†. They want to experience an informal contact (tactile communication); they want the doctor to tell them what they don’t know in medicine because many of them have already googled their internet to know about their ailments before consultation; they want to feel like they are in their homes; they want to feel that they are in safe hands and they want to be healed by the words of mouth of the doctors in charge, nurses on duty as well as all other contact points— i. . the staff—in the hospital. Hospitals therefore establish mutual relationship with several HMOs as well as corporate companies (on retainership) and families or private patients to garner more companies on their clientele. STAGES OF COMPANY DEVELOPMENT Various business organisations launch their products/services into the market to claim some mar ket share. Right from the time a product or service is newly introduced, there is always scramble among companies that offer similar services or produce parity products to have some comfortable share of the market to their advantage. In order to achieve this, most producers or service companies have good positioning of their USP. Some hospitals have ATM where patients can easily withdraw money to settle their medical bills without any stress of going to the bank. Some have supermarkets where people on appointment can take some bread with drink before taking their drugs or injections. Others have immaculate environment befitting of a healthcare. Each of these is a strength, a unique selling point (USP) for their medical business. (a)Pioneering stage— This refers to when services are new to the prospective clients. They are only being introduced. Concepts are created. Proposals are developed and companies, HMOs as well as individuals are being convinced to use such medical services. Many companies die at this stage and never make it to the competitive stage. (b)Competitive stage— Most service companies or products remain at this stage throughout their life cycle. Here market acceptance has been met by a service company as certain percentage of the market share has been claimed. Many hospitals especially private ones can be categorised under this stage. The more quality medical service they provide, the more competitive and recommendable they become. c)Retentive Stage—This is the highest point a product or service company can achieve. Although not all products or service companies get to this stage, it is not impossible for any healthcare establishment to get there in Lagos State for instance. It is not always easy to get to the top and retaining it is more tasking. At this stage, the superiority of a company ser vice over all service providers will be established, making it command more clients and greater market share . DEFINITION OF TERMS For the purpose of exposition, I will like to define the following words—quality, management and healthcare respectively. Quality In the estimation of Longman Dictionary of Contemporary English, 2005 edition, the word quality is defined as how good or bad something is. It goes further†¦something that is typical of one thing and makes it different from other things, for example size, colour etc this may be a unique way of doing things. We may settle for this last definition of the word quality by the same lexicon: a high standard. Management Management can be defined as the activity of controlling and organising the work being carried out in an oganisation. The word ‘management’ also means the people who are in charge of a company. According to Kreitner (1980), management is a â€Å"problem-solving process of effectively achieving organisational objectives through the efficient use of scarce resources in a changing environment†. The universally accepted functions of management are planning, organising, staffing, directing and controlling, according to Onifade (1999). Healthcare Simply put, healthcare refers to the service of providing medical care to different categories of people. By classification, there are primary and secondary healthcare systems. Primary healthcare refers to the patient’s first contact for health care. It deals with general health problems which are mostly handled by GPs. They are hospitals dealing with health problems such as malaria and other basic illnesses and accidents while secondary healthcare system is a branch of healthcare that deals with specialised and more technical areas such as paediatrics, surgery, gynaecology, ophthalmology and many others. A healthcare provider can therefore be defined as a hospital where medical care is provided in various forms: laboratory investigation/diagnosis, clinical analysis, medical check-up, edical advice, surgery, blood transfusion, admission and so forth. Quality management in healthcare should be seen as a problem-solving process. How qualitative are the processes in our hospitals today? Are they of high standard or otherwise? The problem-solving process in any hospital environment cuts across all the contact points of the system—right from the gatemen through the customer service executives, the nurses, the laboratory scienti sts, the pharmacists to the consulting room. This chain does not exclude the maintenance officers, the cleaners, administrative staff, the kitchen executives, the security men and all others that have one role or the other to play in the process of caring and live-saving. Quality management in healthcare will be examined in the following key areas viz: ? Information management ?Patient management ?Staff management ?Relationship management ?Human Resource Management. ?Corporate Social Responsibility Information management: This bothers on how organisational messages are communicated in our hospitals, vertically or horizontally? Are messages well relayed to their proper destinations? How do heads of departments in the healthcare system manage hospital information at their disposal? Do we maintain the professional secrecy in the job? Many of us are aware of doctor-patient confidentiality for instance. The laboratory scientist has a lot of information at his disposal. Does he shield the information from the third party? Does he label accurately his specimen to avoid mix-up of laboratory results to the patients? Are our nurses used to discussing such information casually? Do people divulge the hospital’s classified information to the outsiders? These are heart-throbbing questions practitioners in healthcare should examine deeply from time to time. Telephone reception in hospital environment is another vital area where many hospital owners do not take seriously. Many nurses and other administrative healthcare workers lack telephone etiquette. In hospital environment, telephone reception should exceptionally be handled with courtesies and empathy because all patients calling the hospital lines, whether through the ntercom or hotlines, day or night are not doing so in vain or for pleasure. Many patients on admission are distressed and need urgent attention. The ringing of an emergency bell should serve as a saving grace to the in-patients. Some patient is in pains and wants to know if he should continue his dosage or come over to the clinic—this has to be confirmed from the doctor almost immediately because the patient is waiting on the pho ne. Some patient will call to know when doctor A, B or C will be on duty because she has confidence in their treatment and prescriptions. An enrollee will want to know if he has been delisted by his HMO or whether his brother-in-law can come with his card and be treated on fee for service. We must not wait for the third ring before springing into action. This will prove us as real life-savers. The manner and approach by which a hospital staff attends to any of these patients in terms of the information they need will, to a large extent, depict the quality of service available in such a healthcare. Patient management: How do we manage our patients? Do we value one patient over another because of their differing backgrounds? Do we give them the required attention needed at all times? For how long do we delay them especially when they are distressed or in pains? As healthcare practitioners, do we give them due recognition as soon as they enter our facility? Whether an HMO, retainership or private patient, all patients must be accorded courtesies, recognition, sympathy and attention. Are the nurses giving them the total nursing care most hospitals/HMOs promised on the pages of their profiles, tracts or website? Do hospitals design and administer questionnaires on patients’ satisfaction/dissatisfaction of their medical services so as to improve on various areas? Areas such as drug efficacy, hospital hygiene, doctor’s competence, nurses’ attitude and laboratory test results should be appraised by healthcare management as feedbacks from the patients. However, the best way to get feedback from patients is through interpersonal discussions and interview. By this, the healthcare practitioner can read beyond verbal discussions. This will help them improve on areas of deficiencies and at the same time know their strength. At times, in some hospitals, nurses are fond of passing the buck as to who will take the vital signs for a patient who is in pains or who will clean the medical pack. This attitude gives a negative impression of our ladies(men too work as nurses! ) clad in immaculate white to save lives. A patient is ethically and professionally protected on any medical information relating to them. Healthcare professionals especially doctors should protect their patients in this relationship because it is the right of the latter. Common observations have revealed that hospital practitioners like nurses and laboratory scientists in some instances are fond of discussing the confidential document or medical status of patients openly with colleagues to the hearing of other patients or even outsiders. Apart from the fact that this practice is unethical, it shows a betrayal of trust on the part of these supposed ‘professionals’ who are expected to be guardians of patients’ confidential information. Patients with some pain should not be further unleashed with psychological pains through careless gist by healthcare staff during/after working hours. Some health workers would gossip in their OPD that so-so patient is XYZ, whereas a large percentage of people who visit hospitals these days are well aware that a patient whose card is marked XYZ is HIV positive. Although dynamic hospitals are finding alternative terms as tags on their patients’ files, doctor’s reports or medical examination forms, all allied workers to the doctors in the healthcare should be well sensitised on the trauma such patients go through when their ailment is divulged to strangers without their consent. Another area of patient management in the healthcare is prescription and administration of drugs. This area largely constitutes the output of doctors’ diagnosis/treatment. Patients will always accuse the providers of prescribing or dishing out ineffective drugs. The doctors on their part blame this on the economic system/proliferation of fake drugs since they are not the manufacturers of these drugs. Healthcare practitioners such as doctors and pharmacists should collaborate with NHIS, NMA and Pharmacists Association to tackle the problem of drug fakery in the country while each healthcare establishment should source their drugs from registered pharmaceutical companies such as Fidson, Evans, Reals, Emzor, Beecham or Pfizer for instance. This will make them achieve desired results in treatment of their patients. Oftentimes, patients never complete their drug dosage as prescribed by doctors. Sadly, they expect good result. But what we are told in medicine is that if a patient fails to complete the last two of a 4-4-2 anti-malarial drug at a specified time, for instance, such patient has to start all over again or take a complete dosage of another anti-malarial on doctor’s prescription. Patients should be oriented, by doctors, on dangers of not completing their drugs. Staff management: If you smile at a mirror, amazingly, it smiles back at you. This basically concerns the management of a healthcare whether government-owned or private. How do we manage our staff? Do we pay them as at when due? Do we express that a staff is more important than the other? Do we value viable ideas/proposals from members of staff or jettison them into the trash bin? An organised healthcare should realize that a tree does not make a forest. It should make all its members of staff work as team. For example, players in a football team cannot afford to play in disarray and achieve fruitful result. So is the practice in the theatre, in the labour and even during emergency. The combination of the efforts of the nurses, domestic staff, doctors and the laboratory scientist yield the desired result of life-saving. Members of staff in the healthcare should be team-players to achieve the high professional standard in our society. A hungry man, they say, is an angry man. Since the living of healthcare workers too largely depends on their salary, all stake-holders in the health sector should realize that prompt payment of workers’ salaries amounts to saving their (workers’)own lives too. Since they are the engine room of an organisation, they must be considered by the management of individual organisation as most important. Their sweat, their energy, their ideas and commitment to various responsibilities assigned to them will—in the long run—make the organisation achieve its objectives. The good treatment of the internal publics by the management always reflects on the output of the business. Private hospitals should encourage research, paper presentations among staff and sponsor them for seminars so that they impact this for more efficiency in their healthcare establishments. Relationship management: Good interpersonal relationship in any organisation is the key to achieving success and growth. If certain colleagues are not in good talking terms, there can never be a quality management—problem solving process—in that organisation, especially in the healthcare where workers’ primary business is to save lives. Therefore, there should be good relationship between the staff and the top management; between the customer service and the nursing departments; between the domestic and the administrative department and so forth. All the departments of our hospitals or other healthcares like HMOs should be able to work as a team. As a former relationship manager in the healthcare, I had always got back to various departments/units on feedbacks from our clients to achieve this purpose. All forms of biases should be cancelled and a third party should always mediate between two conflicting groups or individuals. Quality management in our hospitals requires the concerted efforts of all people involved. Below is a sample questionnaire of Isalu Hospitals Limited, Ogba, Lagos on service evaluation: - Hospital Service Evaluation fig 1. Poor Satisfactory Good Excellent Caring attitude of doctors Nurses’ competence Neatness of our hospital environment Communication/listening skills Infrastructure: A/C, TV, Computers Performance of housekeepers Can you recommend our hospital to your family member/friend? Yes No Other comments†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. The above questionnaire was administered on 100 patients using Isalu Hospitals, Lagos in June 2009 and the following were the responses received. In all, 82 of the respondents said they could recommend the hospital(in terms of its ser vices) to their family and friends while 18 were indifferent. 70 of them rated doctors’ performance as good, 21 as satisfactory and 9 as excellent. 65 of the respondents said the nurses’ performance was satisfactory, 25 said it was good and 10 said it was excellent. Under communication skills, 30 of the respondents ticked satisfactory, 33 ticked good and 37 excellent respectively. Also, 25% of the respondents ticked satisfactory, 35% ticked good while 40% ticked excellent under hygiene. On other comments,65 of the patient respondents said the hospital’s bill was high, 20% said the hospital needed a bigger space while 15% were indifferent. The data can be vividly represented in fig. 1A, fig. 1B and fig. 1C respectively: fig. 1A fig 1B Fig 1C Basically there are two categories of people working in Isalu Hospitals. These are what I coin as: (a)Professional healthcare practitioners (b)Professionals in healthcare practice PROFESSIONAL HEALTHCARE PRACTITIONERS These are people who have received education and training in hospital-related courses such as medicine, nursing, pharmacy, laboratory science and so forth. They are our doctors, nurses, pharmacists, laboratory scientists/technicians etc PROFESSIONALS IN HEALTHCARE PRACTICE All healthcare workers coming from backgrounds different from medicine and other allied courses are referred to as professionals in healthcare. These professionals are recruited from areas like Accounting, Banking and Finance, Business Administration, Marketing, Personnel Management, Economics, Mass Communication etc to be part of the problem-solving process in the hospital environment. Isalu Hospitals, like other healthcare organisation, is segmented into sundry departments based on the two categories mentioned above. Though some jobs are more professional oriented than others in this hospital, the jobs of the two categories are inextricably intertwined to achieve the desired objective, which is high standard. In order to continue to achieve professional excellence in our healthcare system, through human capital development, members of staff should undergo periodic training relevant to their background and job description. Human Resource Management: The most valued assets of any organisation are the people who may make or mar the quality management in such an establishment. Otherwise known as Human Capital Management (HCM), Human Resource Management is the strategic function of managing an establishment’s most valued assets—the staff of such an organisation. The human resources department of any organisation is charged with not only employing but training, developing, directing and managing various talents in the workforce and as well putting in place development process in the organisation. The department responsible for recruiting the workforce in the healthcare, be it private or government-owned, should be competent enough to hire the right people. Both professional practitioners and other professionals in the profession should comprise this department. This will give room for people of right attitude, coupled with academic merits, to harness the system. Corporate Social Responsibility: Both private and government healthcare should be socially responsible to their immediate society. Isalu Hospitals for instance, publishes and distributes tracts that treat different topics in medicine. As part of its social responsibility, between 2008 and 2009 alone, more than N1m was expended on some portions of Wempco Road by the management of the hospitals not only to ease the traffic congestion but to alleviate motorcycle accidents on the sharp bend of the road to the hospital from Agidingbi Road. CONCLUSION AND RECOMMENDATIONS Since the primary aim of establishment of healthcare institutions in Nigeria and elsewhere in the world is to save lives as well as care for people in pains and sicknesses, owners and administrators of hospitals and HMO’s should ensure quality management in this respect. National Health Insurance Scheme (HNIS) which constitutes the compass between the primary/secondary providers and the HMO’s should not renege on its efforts to separate the grain from the chaff in healthcare industry in Nigeria to ensure quality healthcare standard we deserve. In January 2010, the NHIS suspended further accreditation of Health Maintenance Organisations (HMO’s) and Healthcare Providers (HCP’s) for one year, justifying, inter alia, that â€Å"Only 816 of the 3, 012 accredited primary healthcare providers have 500 lives (patients/enrollees) and above† and there was the need â€Å" to strengthen the scheme and improve quality of healthcare services delivery through re-accreditation processes† The Governing Council of the NHIS further stated in the advertorial that â€Å"( i) Only twenty-seven (27) of the sixty-one (61) HMOs operating under NHIS formal sector programme have lives (ii) Reports of re-accreditation exercises show that HMOs have not made sufficient progress in folding in Organised Private Sector (OPS) and other tiers of government into the scheme†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. (iv) The need to shift focus to re-accreditation processes of HMOs with the view to improving access to quality hea lthcare. † The National Health Insurance Scheme should be further encouraged by the Federal Ministry of Health in making the quality management realistic. To achieve quality management in both government and rivate healthcare in Nigeria, only competent healthcare practitioners and other professionals who are ready for the challenges of the job should be employed and continually trained. It is also high time all the healthcare administrators as well as practitioners valued the sanctity of human lives. There should be a way of instituting a health security system where people’s lives will be guaranteed first—whether in times of accident, serious illness or delivery—whenever they are rushed into the hospitals in Nigeria. This may be through the HMOs or government hospitals. Hundreds of thousands of Nigerians have lost their lives because there was nobody to make financial deposit on their behalf for doctors to commence treatment. The social security gesture in the health sector should start from the government, perhaps through some allocation of some sort from the yearly budgets to the government hospitals in the first instance. Other registered healthcare with the government and the NHIS should be considered. GLOSSARY OF TERMS OPD: The out-patient department of a hospital where patients wait to be attended to by a nurse or doctor. It is a large room where people also wait to see the in-patients—hospital reception. HMO: Also known as Health Insurance, Health Maintenance Organisation (HMO) is responsible for insuring people’s health through a payment called capitation. GP: General Practitioner (GP) is a doctor who has been trained in general medicine. IN-PATIENTS: Patients who are on admission in a hospital because they need special attention by the doctor. PAEDIATRICS: A branch of medicine that deals with care and treatment of children. A paediatrician is a specialist who diagnoses and treats children of their illnesses. SURGERY: A branch of medicine concerned with treatment of diseases, deformities, and injuries through operations on patients. GYNAECOLOGY: A branch of medicine that deals with diseases and fertility especially in women. A gynaecologist is a specialist in this area. OPHTHALMOLOGY: A specialisation in medicine concerned with the function, care as well as the disorders which affects the eyes. An ophthalmologist is a specialist that treats eye disorders. ENROLLEE: A patient who has registered with an HMO to receive medical care from a provider (hospital). TOTAL NURSING CARE: The kind of care that requires all the attention of the nurses to the patients during illness, accident and recovery. PROVIDER: A hospital that provides medical service to enrollees especially under HMO DOCTOR-PATIENT CONFIDENTIALITY: Professional secrecy in medical profession where patients enjoy confidentiality in matters relating to their health. It is unethical of a doctor and other health practitioners to divulge such information without the patient’s consent. VITAL SIGNS: The basic signs and symptoms of illness taken by nurses to assist doctors in diagnosis. They are routine checks including the temperature, pulse, blood pressure, blood/urine analysis and physical examination to evaluate organ function. FEE FOR SERVICE: A medical fee charged on an enrollee who has enjoyed medical service in a healthcare where they are not covered or registered under an HMO. Bibliography 1) Katib, I. K. (2008) Corporate Identity: Telephone Reception for Isalu Hospitals Limited A customer service presentation. 2) Katib, I. K. (2009) Isalu Hospitals: Beyond the Competitive Stage, A Paper Presentation at Isalu Hospitals Limited, Ogba, Lagos. 3) Katib, I. K. (2010) Telephone Paradigm for Crescent University: A Practical Approach, A Paper Presented at A One-Day Seminar, Facilitated by Public Relations Unit, Crescent University, Abeokuta. 4) Katib, I. K. (2010) Listening to your USP, A newspaper article published by Crescent Voice, Accreditation Special, June 2010, page 6. 5) Kreitner, R. (1980) Management: A Problem-solving Process, USA: Houghton Mufflin Company 6) Microsoft ® Encarta ® Encyclopedia 2002.  © 1993-2001 Microsoft Corporation. 7) Oketola, D. (2009) Growing Business through Effective Talent Management, Adapted from The Punch Friday June 19, 2009. ) Onifade, A. (1999) Effect of Change and Time Management on Attainment of Organisational Goals, Adapted from The Polymath, 1999 Edition. 9) Osho, S. (1999) Political Public Relations and National Stability, Jedidiah Publishers, Abeokuta, Nigeria 10)Osunbiyi, B. (1999) Advertising Spiral, from Advertising: Principles and Practice, Gbenga Gbesan Publications, Abeokuta, Ogun State 11)Summers, D. (2005) Longman Dictionary of Contemporary English, Pearson Education Limited, Essex England. 12)Widdowson, H. (2006) Oxford Advanced Learner’s Dictionary, Seventh Edition.

Sunday, March 15, 2020

The causes of the American Revolution essays

The causes of the American Revolution essays During the late seventeen hundreds, many tumultuous events resulted in Colonial opposition to Great Britain. The conditions ofrights of the colonists will slowly be changed as the constriction of the parliament becomes more and more intolerable. During the Seven Years' War England was not only alarmed by the colonists' insistence on trading with the enemy, but also with Boston merchants hiring James Otis inorder to protest the legality of the writs of assistance (general search warrants) used to hunt out smuggled goods. "let the parliament lay what burthens they please on us, we must, it is our duty to submit and patiently bear them, till they will be pleased to relieve us....". This is a very strong dictum, that in 1764, the colonists were of a submissive nature, and were weakly pleading for self-autonomy. This small fire of anger will become a huge conflagration as the rights are slowly rescinded. On October 19, 1765 the Stamp Act Congress and Parliamentary Taxation committe e's passed some laws that attempted to strengthen the grip of the English crown. "I.That his Majesty's subjects in these colonies, owe the same allegiance to the Crown of Great Britain that is owing from his subjects born within the realm, and all due subordination to that august body, the Parliament of Great Britain." This statement can be used as a summation of the entire document that the Stamp Act Congress had initiated. The statement depicts the colonists has having to be submissive and servile in the view of Great Britain, this policy angered the colonists very much, and was another component of the transition of the colonists' rights and liberties. When the Declatory Act was passed in March of 1766, many colonies were attempting to claim that they were "seceding" fromEngland. "Whereas several of the houses of representatives in his Majesty's colonies and plantations in America, have of late, against law, ...

Friday, February 28, 2020

Televangelism and Its Religious Impact in the World Essay

Televangelism and Its Religious Impact in the World - Essay Example The media has played a great role in ensuring that religion is spread throughout the world (Fishwick & Browne 51). The media provide a platform through which millions of people are able to interact and share information. The use of television to rely on evangelical messages is referred to as an electric church. The use of media by evangelists has created a positive impact as more people tune in to watch televangelists. Religious shows command a big following, which proves that a lot of people support the role of media in religion. Â  Television as a gathering place is a theoretical framework, which considers television as an environment through which experiences, values, and ideas are shared. It helps in explaining how media presents religion to its masses. Television as a place of gathering means that it is considered a hemmed in the system in which figurative interaction between people takes place. This leads to interaction among people. When talking about television as a place of gathering, one considers two main aspects. These aspects include its integration with the society and as a source of meaning. These two main aspects help people to understand that television is largely a place that does not have any specific location. Religion, thus, capitalizes on the theoretical framework of television as a gathering place in order to reach out to people from different parts of the world (Franki 61). Television helps in shaping the social lives of people through sharing of ideas and meanings. Â  The term televangelism was first coined by Times Magazine. Christianity was the first religion to reach out to many people through the use of media. Christianity is the dominant religion in the world since it enjoys a mass following. Compared to all other religions, Christianity has the greatest congregation across the world.