Sunday, December 29, 2019
The Constitution Of The United States - 1453 Words
The Constitution of the United States of America was presented in 1787, pertaining to a newly formed government and how the former colonists of England projected to run a new country. The Constitution was drafted in Philadelphia by the brilliant and later 4th President of the United States, James Madison. This document was presented to ameliorate the Articles of Confederation, written in 1777, that contained a weak central government and no chief executive or court system. Another intention of the Constitution was to frame, or establish, a government with no tyranny, the absolute control of one person or a specific group of people. As problems usually arise, solutions can also be forged to solve these issues. The work of Madison and many others helped extinguish the dilemma of tyranny, but specifically ââ¬Å"how did the Constitution of the United States guard against, or protect the country from, tyranny?â⬠Explicitly, the Constitution of the United States protects the people a gainst tyranny by federalism, the separation of government powers, checks and balances, as well as the the big states versus the small states. One way that the Constitution guards against tyranny is by the compound government, referred to as federalism. A federalism government is one government consisting of two components- a central government, or a nation as a whole, and individual state governments. The United States still holds this principle, with the central government, based in Washington D.C., andShow MoreRelatedThe United States Constitution And The Constitution Essay1491 Words à |à 6 PagesThe United States Constitution, this very detailed group of words was written in 1787, but it did not take effect until after it was ratified in 1789, when it replaced the Articles of Confederation. It remains the basic law of the United States then and till the present day of 2016. The first state to ratify the Constitution was Delaware; the last of the original thirteen to ratify wa s Rhode Island and since only nine were required, this was two years after it went into effect. When the U.S. ConstitutionRead MoreThe Constitution Of The United States Constitution Essay1185 Words à |à 5 Pages(framersââ¬â¢ of the U.S. Constitution) position on the Presidency: The framers experienced the abuse of the English monarchs and their colonial governors. As a result, the framers were skeptical of the excessive executive authority. Furthermore, they also feared excessive legislative powers. This was something that the Articles of Confederation had given their own state legislatures. The framers of the constitution deliberately fragmented power between the national government, the states, and among the executiveRead MoreThe Constitution Of The United States885 Words à |à 4 Pages In 1787, our founding fathers came up with a few principles that would establish what we now know as the United States of America. These principles were put on paper to serve as a guideline for how the United States would be operated and structured. This historical piece paper became known as the Constitution of the United States. In the Constitution, a Preamble is implemented at the beginning that essentially tells what the founding fathers set out to do. ââ¬Å"We The People, in order to form a moreRead MoreThe Constitution Of The United States894 Words à |à 4 Pagesthe substratum for that country. A Constitution can be defined as a document that is the substratum of the countryââ¬â¢s principles. Elements in the Constitution may contain sundry information. Which can include: how many terms a leader may serve, what rights the citizens have, how the judicial system works, etc. The United States in no different from those countries. Every constitution is different, no country has the exact constitution as another. The U.S Constitution is a four-page document detailingRead MoreThe United States Constitution Essay1515 Words à |à 7 PagesThe United States constitution was written in 1787 by the founding fathers of this country. Now it might be appropriate to question why a document that is the basis of the government for one of the most culturally and racially diverse countries in the world, was written by a group of heterosexual, cisgender, rich, white men. Some might think that a constitution written well over 200 years ago would be outdated and irrelevant to the American society of today but with some research, it is quite theRead MoreThe Constitution Of The United States756 Words à |à 4 PagesPromulgation and Legislation in the U.S. Constitution: The federal system of government of the United States is based on its constitution. The Constitution grants all authority to the federal government except the power that is delegated to the states. Each state in the United States has its own constitution, local government, statute, and courts. The Constitution of the United States sets the judiciary of the federal government and defines the extent of the federal courtââ¬â¢s power. The federalRead MoreThe Constitution Of The United States1007 Words à |à 5 PagesThe United States of America has previously experienced failure every now and then. With trial and error, the country has learned to correct its ways and move toward(s) perfecting itself. Realizing the ineffectiveness of the Articles of Confederation is a prime example of the U.S. learning how to better itself. Subsequent to the Articles of Confederation, the Constitution of the United States was set as our new and improved framework of government. Possessing knowled ge on how America, although strongRead MoreThe Constitution Of The United States951 Words à |à 4 Pageshappening again. Unlike the artifacts, The Constitution of the United States has not been forgotten, it is actually still very alive today. Unlike most relics, The Constitution still holds a very heroic and patriotic implication, freedom. With freedom comes self-government, freedom of speech, religious tolerance, etc. With all these things comes the great responsibility to adapt and fit to the wants and needs of the decade. Even though the Constitution was made for the interests of the people ofRead MoreThe Constitution Of The United States1338 Words à |à 6 Pages The Constitution is the basis of law in The United States and has been since it was written in 1789. Since then it has been amended 27 times with the first ten amendments collectively known as the Bill of Rights. The US Constitution was preceded by the Articles of Confederation and supported by the Federalist Papers which we will touch more on later. James Madison, Alexander Hamilton, John Adams and Thomas Jefferson all wrote or influenced The Constitution in a very important way. Alexander HamiltonRead MoreThe Constitution Of The United States1388 Words à |à 6 PagesInterpretation of the Constitution is one of the biggest conflicts within the United Statesââ¬âthe highly contentious issue of statesââ¬â¢ rights resulted from two different interpretations of what powers should belong to the federal government versus what powers belong to the individual states. No issue has ever caused as much turmoil as the issue of statesââ¬â¢ rightsââ¬âbut one side must have more v alid arguments. Should the federal governmentââ¬â¢s power be superior, or should the authority of the individual states be held
Friday, December 20, 2019
Wenyu Li MINI CASE Essay - 2092 Words
Wenyu Li BUS 581 03/01/2015 Chapter 7 MINI CASE Your employer, a mid-sized human resources management company, is considering expansion into related fields, including the acquisition of Temp Force Company, an employment agency that supplies word processor operators and computer programmers to businesses with temporary heavy workloads. Your employer is also considering the purchase of a Biggerstaff Biggerstaff (BB), a privately held company owned by two brothers, each with 5 million shares of stock. BB currently has free cash flow of $24 million, which is expected to grow at a constant rate of 5%. BBââ¬â¢s financial statements report marketable securities of $100 million, debt of $200 million, and preferred stock of $50 million.â⬠¦show more contentâ⬠¦The valuation process, in this case, requires us to estimate the short-run non-constant growth rate and predict future dividends. Then, we must estimate a constant long-term growth rate at which the firm is expected to grow. Generally, we assume that after a certain point of time, all firms begin to grow at a rather constant rate. Of course, the difficulty in this framework is estimating the short-term growth rate, how long the short-term growth will hold, and the long-term growth rate. What are the expected dividend yield and capital gains yield during the first year? P0=46.66 Expected dividend yield= 2.6/46.66 = 5.6% Capital gains yield= 7.4% What are the expected dividend yield and capital gains yield during the fourth year (from Year 3 to Year 4)? â⬠¨ P3= 56.5964 Expected dividend yield = 7.0% Capital gains yield= 6.0% i. What is free cash flow (FCF)? A measure of financial performance calculated as operating cash flow minus capital expenditures. Free cash flow (FCF) represents the cash that a company is able to generate after laying out the money required to maintain or expand its asset base. Free cash flow is important because it allows a company to pursue opportunities that enhance shareholder value. Without cash, its tough to develop new products, make acquisitions, pay dividends and reduce debt. FCF is calculated as:EBIT(1-Tax Rate) + Depreciation Amortization - Change in Net Working Capital - Capital ExpenditureIt can also be
Thursday, December 12, 2019
Organizational Skills and Psychology
Question: Discuss about theOrganizational Skills and Psychology. Answer: Introduction This paper assesses the issues relating to poor safety culture at Sacred Heart Hospital and provides recommendation to the management for their consideration. Safety culture can be said to be the way patient safety is conceived among member of the staff of a hospital or a health care facility while discharging their respective mandates in the treatment process of the patient. It is human nature to find shorter ways of accomplishing tasks within the shortest time possible even though this has some ramification on the quality of the output. The Hospital is faced with poor safety culture and this has been entrenched further by the fact that accidents at the hospitals is at all time low. While this is a fact this paper has raised compelling issues that are likely to tilt statistics against hospital regarding accidents arising due to poor safety culture in the Hospital. Inadequate Communication and Medication Errors The survey carried out at the Sacred Heart Hospital raised a number of normalized behaviors that exposes patients and medical staff at the hospital at risk. The Hospital staffs have a tendency of not checking patient identification using two names, not checking patient allergies and medication profile while prescribing drugs. There is also communication problem among the staff especially when changing shift in that the outgoing staffs are always in hurry to leave as long as his/her colleague to replace him have arrived. There is also use of dangerous abbreviations that can be easily miss- understood (Raeisi, Nazari, Bahmanziari, 2013). The consequences associated with above poor safety culture are enormous. According to the survey done by the writer of this paper the Hospital receives an average of eight hundred patients per day. This is a significant number of people and by not checking the identification of patient using two or more names increases the risk of packing wrong medication to the patients. This will simple but crucial procedure can be fatal at times because the patient will continue taking wrong medication and may fail to return to the Hospital to complain of not getting well even after taking the medication. This is quite common phenomenon among the patient has 29% of the 100 patients interviewed randomly indicated that they are likely to take considerable time of about two days after taking medication to see if the drugs prescribed will help them recover. If you consider this time and having wrong medication then you will realize that it is likely that the resultant effects of taking wrong medicatio n may not be easily reversed. Some drugs are have instant effects and wont even give time for diagnosis incase the medical history of the patient isnt available at the time the patient is seeking medical assistance. There is need for the Doctors to Identify patient using two or more names to avoid confusing patients dosing. Sacred Heart Hospital will save itself a great deal of Public outrage or disciplinary actions by the regulatory agencies if this simple mistake leads to a patient losing his or her life as a result (Jeong, 2015). Inadequate communication between staffs when changing shifts is likely to lead to improper handover of the patients. This can lead to overdosing or under-dosing of the patient in future as a result of inadequate information or lack of it if the culture is left to continue and unchecked. 52% of the 22 Physicians both locum Doctors and permanent Doctors indicated that they usually leave the written records of the patients records for the incoming Doctor to acquaint him/herself without necessarily providing oral briefing. The oral briefing during handover is good because the Incoming Doctor can also ask questions where he doesnt understand and seek clarification as opposed to leaving only written information and it is upon his or her wisdom to make judgment which might not be the best because he she hasnt been observing the patient for some considerable time to make solid judgment. This is likely to lead to delays in administering medication as the fresh Doctor may want to take some tim e to observe the patient before making a decision on what needs to be done. This will in turn lead to congestion of the facility and the management might be duped into incurring investments in expanding the facility in response to apparent congestion in the Hospital while the same could have been avoided by simply changing the safety culture of insuring Doctors during hand over do proper written and oral orientation to the incoming colleague (Wolff Taylor, 2009). Hierarchy Disrespect Issues The Hospital is also facing hierarchy and disrespect issues among some members of its staff. Doctors have a tendency of dismissing their colleagues observation simply because they are the Physicians. The problem arises from a culture of Doctors looking down upon the nurses and other medical officers that has been in practice for a long duration in the hospital especially when the consultant Doctor is at home and the nurse is calling to make an observation and seek advice. One of the Nurse interviewed reported on an incident in which she called a consultant Doctor at home to inform him of the abnormal vital signs in a body of an expectant mother. The Doctor dismissed her observation saying the condition she is raising shouldnt be happening the same condition is associated certain type of pregnancy which according to him wasnt the case with the patient in question. Despite not being present at the Hospital to make fast hand observation the Doctor stuck to his remote observation and the Nurse had to content with that despite having made a valid observation at that time which the same consultant Doctor made when he came in after his break. The condition was likely to lead to serious complication to the patient and in future it may not have a luxury of time to wait until the consultant is in to make the observation him/herself. This presents a significant risk and may result to problems in future including losing the patient. It is necessary that this culture is corrected at the Secret Heart Hospital to encouraged team work among members of the staff so that the Hospital can accomplish more in shorter period of time and in a safe way (Jeong, 2015). Hygiene A significant number of the Sacred Hearth Hospital staff interviewed admitted of not continually washing their hands and changing gloves when it is necessary. Of the 83 staffs interviewed in the course of the study 42% of them admitted to practicing this culture because they have seen their colleagues doing it and no serious accident as occurred as a result. During the Delivery of the babies Doctors and nurses rarely change gloves thus exposing the mother and the child to health risks. Most of the deliveries at the Sacred Hearth Hospital have been successful thus further entrenching this normalized culture. In an event that medical practitioner at Hospital fails to wash his or her hands or change gloves before attending to another expectant mother the patient at the new station may be exposed to germs or/and diseases causing micro organism. This may eventually harm the new born baby as well. Thus this needs to be addressed by the management of the hospital to avoid such cases arising in future. Recommendations On the issue regarding communication, all the staff should be sensitized on the importance of taking time to do proper handing in/handing over to avoid risk of future problems that may arise as a result of inadequate preparation. The fact that the Sacred Heart Hospital hasnt recorded any accident as a result of this poor safety culture doesnt mean it wont happen in future. The Hospital should conduct in service training to its staff on the need for the proper hand in/out. The trainings can be conducted in phases so that it doesnt lead to shortage of staff while the training is ongoing. All the employees should eventually be involved in these trainings because this aspect is important even to the record keepers at the Hospital and other non-medical staff. During the training, members of staff should be placed in similar profession because the details of what is contained in the training program vary from one type of profession to another. For Doctors all the specific items that need to be handed over to the next incoming staff should be mentioned. These details are not necessary to other staffs like the non-medical staffs whose training will be simpler and specific medical terms is not necessary for them because they dont see patients directly. The trainings should be conducted within a period of three months. The funds and other resources for the training should be met by the Hospital. The Hospital management should also conduct a short survey to inde ntify members of staff who have communication skills and practice them during their work. The identified staffs should be given responsibility to champion proper communication within the Hospital and using themselves as examples to their colleagues. It has been found that people tend to listen more to their own colleagues who practice certain ideologies as opposed to an outsider who only mention ideologies and no one can prove that he practices the same. A larger percentage of people learn more through seeing as opposed to listening (Ashworth, 2000). Regarding the Hierarchy and disrespect concerns, Sacred Heart Hospital should conduct team building among her staff. These kinds of trainings should be in mixed groups. Doctors should not be placed in the same group as nurses and other profession. The training can also be rolled out in phases in period of three months to avoid staff shortage at the facility. This will give the staff of the Hospital and opportunity to interact and develop friendship. Once members of staff have a friendly view of one another it is unlikely that they will disrespect one other even when another is a consultant and the other is a midwife nurse. Human beings are said to have emotional and non-emotional side. The non-emotional side is always strict to the rules and procedures even when it is not necessary. For instance the Hospital manual say the Consultant makes the overall decision of what needs to be done to a patient. But that doesnt mean the consultant should be dismissive of observation being made by his/her junior colleagues. The emotional side has friendship part and if the staff can connect on this from then the issue of disrespect will not arise and the all staff will work as a team. The cost for the training should be met by the Hospital (Brown, 1954). Hygiene is a very crucial component of any medical facility. This paper recommends that All Doctors and nurses should be informed to ensure that they wash their hands and change gloves every time the same is required as guided by the rules and procedures. This should be done through the heads of department and in-charges and can be also be emphasized through the internal memos. This step doesnt require any significant or extra funding as it is a matter of communicating the instructions to the intended group. The Hospital should implement this recommendation immediately (Gawande, n.d.). References Ashworth, P. (2000). Psychology and 'human nature'. London: Taylor Francis. Brown, J. (1954). The social psychology of industry. [Harmondsworth, Middlesex]: Penguin Books. Duhigg, C. (2012). The power of habit. New York: Random House. Gawande, A. Being mortal. Gordon, S., Bretherton, T., Buchanan, J. (2008).Safety in numbers. Ithaca: ILR Press/CornellUniversity Press. Graban, M. (2012).Lean hospitals. Boca Raton, FL: CRC Press. Jeong, H. (2015). Combinational Effects of Clinical Area and Healthcare Workers Job Type on the Safety Culture in Hospitals.Biometrics Biostatistics International Journal, 2(2). https://dx.doi.org/10.15406/bbij.2015.02.00024 Newhouse, R. Poe, S. (2005). Measuring patient safety. Sudbury, Mass.: Jones and Bartlett Publishers. Raeisi, A., Nazari, M., Bahmanziari, N. (2013).Assessment of Safety Culture in Isfahan Hospitals 2010.Materia Socio Medica, 25(1), 44. https://dx.doi.org/10.5455/msm.2013.25.44-47 Stahel, P. Mauffrey, C. Patient safety in surgery. Ulmer, C., Wolman, D., Johns, M. (2009).Resident duty hours. Washington, D.C.: National Academies Press. Vincent, C. (2010). Patient safety.Chichester, West Sussex: Wiley-Blackwell. Wolff, A. Taylor, S. (2009). Enhancing patient care. Sydney: MJA Books.
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