Competency Framework in Prescribing - Free Essay Example

Sample details Pages: 4 Words: 1178 Downloads: 6 Date added: 2018/12/19 Category Health Essay Type Case study Level High school Tags: Communication Essay Did you like this example? Communication between the doctor and the patient determines the success of the consultation. Hence, there is a high correlation between medical outcomes and the consultation that exist between medical practitioners and patients. Point to note is that patients are not only physically ill or distressed emotionally but also are likely to be suffering from both conditions exclusively. Don’t waste time! Our writers will create an original "Competency Framework in Prescribing" essay for you Create order During the consultation process it is hard to determine whether both states prevails or not. Therefore, the medical practitioner, is required to use the skills attained in the medical training to learn the prevailing condition. Being keen and listening to the patient is what the doctor is expected to show in the commencement of the treating of the patient. Moreover, the medical practitioner will determine while noting whether the patient is physical or emotionally distressed or even both.it goes without to mention that the medical practitioner is required to involve the patient actively in the process (Shirley 2012). Traditionally medical consultation did not evidently show the involvement but till lately the status quo where the society and health sector has embraced the changes. Also, the reduction in the risk factors has been emphasized mostly, to persuade the patients to embrace the preventive measures and convince them to avoid risks to their health. Consequently, most of the patients have shown the urge to know more than they see some issues(Dean 2013).Additionally, they have demonstrated the need to be involved in the decisions concerning their welfare and treatment in that matter. This decides the probabilities of the success in the treatment and probably the side effects of the medical treatment. However, some patients decide to leave the decision making of their health to the medical practitioners. Though this is right, but it is crucial and advisable to be the part of patient treatment. When the decision is left on the doctors freedom, he or she has supposed to advice accordingly the patient on the probabilities of success and the side effects as well (PSNC 2013) Worth to note, while building the relationship between the patient and the doctor, the medical practitioner is expected to greet the patient and welcome them warmly, and if possible would be appropriate to greet them by their name. This creates a good a rapport and the patient ha s the feeling of belonging in the medical facility. Next, the medical practitioner is expected to observe and detect any emotional distress and respond accordingly (Shirley 2012). That said, the medical practitioner now is involved in keen listening to the patient noting down the physical and psychological distresses that they may be prevailing in their reach of treatment. Also, the medical practitioner takes the data from the patient noting them down without interruption. Consequently, creates trust and confidence, crucial to the treatment process. The patient gets the first impression from the medical practitioner by the rapport they build by listening to their health matters. That said, the doctor brings forth the detailed explanatory design to get more of what the patient expects from him or her, it involves considering additional factors to assist in making decision. Finally, the medical practitioner will give a comprehensive understanding about the issues raised by the pati ent and share with the patient (Selye 2011) A management plan is provided by ensuring the appropriate information is available to the patient and reassure the dependency of the info. Moreover, the proposal created should be negotiable, to give the patient the freedom to express them on the likelihood of attaining every set goal in the plan. Also, further consultations are made by creating more links (Kvinkina 2010) Better medical practice requires that any practitioner must work and recognize the limits at which ones competence has reached. Also keeping the skills and knowledge gained up to date (Murray 2002).Hence developing and maintaining skills and knowledge in pharmacology is required.in addition, medicine management, and prescribing expertise is essential in the ones skills of prescribing. Prescribing safety can be improved by use of electronic system whereby for instance you highlight the interactions as well as the allergies accompanied by your prescription (Dean 20 13). Also, compatibility and consistency of the medicine prescribed, administered and supplied are of importance in the practice.it is critical to note that the medicine and healthcare regulatory bodies provide the information to support the use of medicine that is safe, as well as the medication you tend to prescribe. Therefore, for safe prescribing of medicine, clinical governance creates a framework in which NHS institutions can improve the safety and quality of patient services. Consequently, SFT priority is to ensure that the safety and quality of the health services to patients is preserved.in addition, every prescription is done under standards of prescribing practice. On-medical practitioners (NMPs) might prescribe in the medication range as per qualification (IP or SP) and under competence and experience (Robert 2009) In the practice of prescribing by NMPs must let the patients know that they are getting services from an NMP as well the limit at which is allowed to gi ve the prescription. The reason behind making the notifications is to ensure that the patient to some particular point is expected to be referred to another higher professional level to access more advanced health services. Clinical management plans are put in place and ensured that is followed by the letter.NMPs in case of prescription is expected to give the limit of their practice and keep the records appropriately (Marcel 2005) Prescribing practice is expected to fall under the local and international guidelines and SFT medicine policies. Hence, NMPs have to be aware of the latest BNF while prescribing.in reporting of the adverse side effects of the drugs administered must be reported using the yellow card system guidelines. Therefore, NMPs should be updated on the skills and knowledge on the prescribing to maintain the safety of the patients. The prescription must be recorded on the SFT prescriptions forms to whether in the inpatient medicine charts or the discharge summary. Although the NMP is not expected to prescribe and administer the prescription, they have written and advisable to let the other competent practitioner be involved in measuring the accuracy (PNMC 2013) Consultation and prescribing in the medical field is inevitable and forms the foundation of the treating process of the patients. Consequently, helps to build trust among the patients and medical practitioners. Therefore, knowledge and skills are required to make it a success.it is essential to that due to the rise of many cases involving misinformation given by non-medical practitioners, then the government should come up with strict rules and regulations to curb the cruel practices. References Marcel. D. (2005). Dietary Suppliments.McGraw-Hill.New York. Shirley F. Barbara J. (2012). Health Professionals Style Manual.? Robert W. (2009). Successful Scientific Writing: Guide for the Biological and Medical Sciences.? Murray P Rosenthal K, (2002). Medical Microbiology. 4th ed. St. Louis: Mosby. Dean.W. (2013).Smart Drugs and Nutrients; Santa cruz.p222. Sokolowaska.M. (2011).Medicine and Society, Problemy. Kvankina.E (2010).Body Resistance and Adaptions, Rostov State University, p126. Selye.H. (2011).Stress Without Distress.Toronto.Stewart. Standards for medicines management, NMC, Sept 2012 Prescribing Rights PSNC, June 2013

Act One of Romeo and Juliet Essay - 1786 Words

Act One immediately engages the audience. Do you agree with this statement? How does Shakespeare achieve this? Act One of Romeo and Juliet by William Shakespeare does indeed immediately engage the audience. Shakespeare does this by using several language techniques to create an interesting opening scene. Shakespeare uses humour, action and romance all in Act One and it is this variation that keeps the audiences attention. The play begins with a prologue that is written in the form of a sonnet. The Prologue gives a summary of the play but does not give away too much of the plot, in order to keep the suspense. Shakespeare tells of the great tragedy that will follow. The sonnet form is used because it is more interesting†¦show more content†¦They are usually dressed in bright, colourful costume, they walk jauntily and they talk jovially between themselves to create an immediate light-hearted, happy air. The two servants poke fun at each other and use sexual innuendo to create an immediate sense of humour in the play. They begin by using wordplay to create humour on the first four lines and then move on to boasting to one another about their fighting skills. Sampson says, I strike quickly, being moved to mean that he is quick to fight when he is angry. From line ten, the servants begin to use words with two meanings, one of which is sexual. Words like thrust, stir (to have sex), stand (have an erection) and maidenheads (virginity) are used. Sampson and Gregory continue to use sexual innuendo to insult each others manhood and brag about their own virility. Sampson says that t is known I [he] is a pretty piece of flesh to mean he is an attractive man but Gregory replies insultingly by suggesting that he is not able to have an erection. This gives the play humour and grabs the audiences attention. Immediately after this, an argument breaks out between Sampson and Gregory and two servants of the Montague household. After a few insults, they begin to fight. When performed on stage, it isShow MoreRelatedRomeo And Juliet Act One Scene 1 Analysis1416 Words   |  6 Pages In the first Act of Romeo and Juliet Shakespeare foreshadows the end of his play by saying Remeo and Juliet will both die at the end of the play after he informs you about how the play will end he enters into the first act and shows conflict between the Capulets and the Montagues who have a fight in the middle of the town Verona as they fight Benvolio ,a Montagues also a peace maker, shows up and tries to end the fight Part fools! Put up your swords. You know not what you do. Wilst he tries toRead MoreThe Importance of Act Three Scene One of Romeo and Juliet by William Shakespeare842 Words   |  4 PagesThe Importance of Act Three Scene One of Romeo and Juliet by William Shakespeare In act 3, scene 1,Benvolio warns Mercutio that they are risking a fight. When Tybalt arrives he is ready to fight, and challenges Romeo as soon as he appears. Romeo has married Tybalt’s cousin so he dismisses the challenge. Mercutio is outraged and challenges Tybalt. As Romeo tries to stop them, Tybalt who runs away wounds Mercutio. Mercutio dies, and when Tybalt returns, Romeo kills him and fleesRead More The Dramatic Effect of Act One Scene Five of William Shakespeares Romeo and Juliet1241 Words   |  5 PagesThe Dramatic Effect of Act One Scene Five of William Shakespeares Romeo and Juliet In this essay I will explain how Act 1, Scene 5 is dramatically effective. Act 1, Scene 5 is the most important scene in the play because it is the scene where Romeo and Juliet first meet. This play is essentially about two families that are enemies, The Capulet’s and the Montague’s, Juliet is the daughter of Capulet and Romeo son of Montague during the play they fall in love. Right from Read MoreWhy Act One Scene Five of Romeo and Juliet is an Effective Piece of Drama1158 Words   |  5 PagesWhy Act One Scene Five of Romeo and Juliet is an Effective Piece of Drama ‘Romeo and Juliet’ is a play, telling the tragic story of two lovers kept apart by their family’s hate for one another. It was written by William Shakespeare. First published in 1597, the play is set in the Italian city of Verona and is themed on the love between Juliet, the daughter of the Capulet household, and Romeo, the son of the Montague household. 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This ultimately leads to Romeo and Juliet’s suicide. Who is more to blame for Romeo and Juliet’s death? Although Juliet acts rashly, Romeo is more to blame. Furthermore, Romeo starts the whole tragedy. True, Juliet acts naà ¯ve, nonetheless Romeo acts hastily by encouraging theRead MoreWilliam Shakespeares Romeo and Juliet Essay951 Words   |  4 PagesWhat comes to mind when you hear the names Romeo and Juliet? I think of love, hate, and most of all tragedy. It is a tragedy because their love led to their deaths and because Romeo and Juliet were responsible for their own destiny. From the start to the end of their love affair they knew they were going against their parents’ wishes. Romeo and Juliet also made selfish and immature decisions. And as we all know, it was Romeo and Juliet who chose to kill themselves. All of these things contributedRead MoreWilliam Shakespeare s Romeo And Juliet962 Words   |  4 Pagespeace of Verona in the future. After the fight, Benvolio finds Romeo. 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Exceptional Value

Question: Evaluate the role of brands, innovation, integrated marketing communications, alliances, customer relationships and service in decisions for developing a differentiated positioning to create exceptional value for the customer. Answer: Adekola and Sergi (2009) have stated that in the past, the typical global business and the talent strategies used to run from one direction to another and that is simply from developed markets towards the emerging market. However, in this context, BRIC economies, i.e. Brazil, Russia, India and China have been gradually matured as the global growth engines and this economy has included Indonesia, Malaysia, the Philippines, South Africa, Turkey, Thailand and Vietnam. These all are gradually establishing themselves as growing economies along with the growing source of the talents. Therefore, because of this situation, the north to south, i.e. the old model has gradually become outdated with the course of time. In this particular task, the focus would be shed on China Railway Construction Corporation Limited and it is no doubt to say that the company has been looking for fresh new approaches to their most pressing global challengers and has been focusing on south to north strategy or Sou th to south to south strategy. The company has been concentrating in the BRIC countries along with some other emerging markets that could drive talent strategies around the entire globe (Adler and Tovar 2012). Company overview China Railway Construction Corporation Limited is listed as the second largest construction and engineering company in the whole world by the amount of revenue in the year 2014. This company is a state owned construction enterprise and this company has achieved second highest position in accounts payable by the market cap as of 2015. This famous company has built much of the transportation infrastructure in China that takes into account high-speed rail, subways as well as the expressways. Therefore, it can be said that the main business activity of this selected company is in construction and engineering and apart from that; the company is engaged in real estate development as well as the copper mining (China Railway Construction Corporation Limited, 2016). Apart from China, the company has expanded their business in Asia, Middle East and different parts of Africa. Reports have established the fact that the company has been on the track to hold on their position as the largest construction companies in China along with one of the top 500 enterprises in the whole world. In this highly competitive business scenario, the company has extended their services from railway system to highways, airports, marine ports, hydropower, industrial plants, municipal projects and water conservatory system both in home as well as in abroad. It has been observed that the top three competitors of this company are China State Construction Engineering Corporation, Beijing Urban Construction Corporation Limited and China Communications Construction Company Limited. Therefore, in order to remain at their number one position, the company has been concentrating on different global strategies to expand their business and these strategies have been helping the comp any to focus on domestic, regional and international success (China Railway Construction Corporation Limited, 2016). Critical Evaluation of the Environmental trends in the international market In order to carry on a detailed critical evaluation of the environmental trends, some of the important aspects have been taken into consideration in this part and each of these aspects have been discussed here in details. The entire research can be researched under three main coverage areas and they have been mentioned here: Corporate Coverage: This particular area covers the main subsidiaries, Divisions along with the geographic market areas of the selected company, i.e. China Railway Construction Company Limited (Avadhani 2010). Product Coverage: This part tends to cover the market areas of the company, the product and the market sector for China Railway Construction Company. Market Coverage: It has already been mentioned that the company has been operating in different parts of the world and in this part; the focus would be shed on home market along with other important national markets within which the company trades (Belz and Peattie 2012). The company is highly dedicated to become a global construction company and this effort to gain this status was apparent in the 2000 at that time when the company had 209 projects in their hands in 35 countries and most of these countries were in Africa. From the company profile, it has been found that the major overseas projects of this company were in Algeria, Nigeria, Libya, Angola and Saudi Arabia. It has been observed that the company has branched to several overseas markets as well as moved up the value chain towards to construction of high speed railways. It has been mentioned that the company has adopted the new strategies that justify the present situation appropriately. Chattopadhyay et al. (2012) have said that until recently, several global companies have tended to have limited business strategies in the promising markets, centering on the labor arbitrage, driving several full-fledged products along with locating the matured business processes in the BRIC countries as wel l as BRIC economies. Therefore, as a result of this, many people had the limited anticipations from the workers in all the emerging markets. At the same time, the employees in these BRIC regions were very satisfied as they had some global opportunities available to them at that time (Cho 2012). Comelli (2012) has said that many companies in this region had the large ranging access towards the low cost talent for manufacturing as well as supporting functions and the employers were able to reduce their focus on the several adopted talent strategies rather than concentrating on improvisation of some other functions that are highly supportive for their business strategy. At this scenario, many companies along with the selected company realized that the long term development along with the retention of the employees in these emerging markets was far more important and this helped the companies to design their marketing strategies efficiently. Desbordes and Richelieu (2012) have found that the present day scenario has changed in the BRIC countries along with the newer emerging markets have become one of the major centers of attraction for the entire global economy. Keeping pace with that, the competition for the talent has been becoming fiercer with the time. Approaches adopted by the company in the Emerging markets As per the viewpoint of Dinh et al. (2013), all the emerging market consumers demand the goods and the services tailored to their values as well as priorities. Therefore keeping in mind this formula, the global companies have been starting to recognize the requirements and the demands to create the local work force, which can effectively respond more to the local buyers. Dou (2013) has opined that several global companies distinguish the developments and the changes taking place and try to sense the requirements to modify their already existing global talent frameworks that allow local customization. The company has been focusing on the new strategies to engage large number of the local employee to engage in the production process to get the highest attainable result. The company China Railway Construction Corporation is able to open the flow of several innovative ideas in between the markets and the delivered localized approaches (Du 2013). The company has been concentrating on the strong leadership program and concentrates on reward strategies that highly consider the differing market values as well as the retention strategies. As the company deals in the international market, they possess a solid foundation for the continued growth of their core operations, which is the result of their numerous core technologies in their every business operations. The company has the ability to develop proprietary technologies and they focus on using the sophisticated equipment largely. The manufacturing industry has been called the cradle of innovation and keeping pace with that, the technical changes has all the time occupied an extraordinary position in the thinking of the economic policy makers. Among all the sectors, the majority of the innovations are generally introduced first and commercialized in this particular sector that make it the main engine of the overall technical changes along with the high economic growth (Gupta et al. 2012). As per the viewpoint of Hill (2010), technological changes are in turn the decisive drivers of the overall competitiveness in the concerned manufacturing industry and therefore, this is one of the particular centre for the interest of the both the business leaders as well as the policy makers. The renewed interest among the policy makers of the countries among the countries around several parts of the world are observed on the role of manufacturing as this plays a vital role in the national economy of the country. At the same time, a consequent focus is shed on the potential of the manufacturing strategies in regards to enhance the industrial competitiveness in all the short term, medium term and long-term projects (Hollensen 2012). Competitive Advantage of the company Recently, it has been found that newly merged China Railway Construction Corporation, which is the second railway manufacture, has opened the way of trading in Shanghai and Hong Kong on June 8. From the company profile, it has been found that the company has an impressive economy of scale at the point of disposal that gives the company a highly competitive advantage in all the overseas market. Recent market analysis has said that an aggressive global strategy is said to take place as this company has aimed to compete in Africa along with some parts of Latin America and South East Asia (Kawai and Prasad 2013). Within the existing international market settings, this sharp edge has successfully balanced the superior quality and along with that, the technology offered by the strong global rivals of the company has provided the company enough time to catch up on their basis. As per the opinion of Alexious Lee, who is the Head of the Industrials Research for CLSA, the products of China mig ht not have the capacity to boast the high-end specifications, but these products have the potentiality to provide value for money. The company has been gradually upholding the strong position with the market capitalization of $130bn (Keegan and Green 2012). The concerned company, i.e., China Railway Construction Corporation is bigger than some other giants namely Siemens, Alstom and Bombardier and this has achieved the second position just after General Electric. Reports have revealed the fact that the new titan of the concerned Railways industry has the total profits of $32bn along with the strong work force of 118000. From the current reports, it has been observed that the United States have been investing comparatively much smaller amount in rail and transit and on the contrary, China has secured the first position in national investment in Rail Infrastructure. The below picture demonstrates the present situation easily. Previous studies state the fact that rail manufacturing once was oriented preliminary in the own domestic market. Nevertheless, since 1990s, the trend has changed as some of the local companies started to expand their business in different parts of the world. The China Railway Construction Corporation is one of the leading international companies that has built several transportation infrastructures in China along with different parts of the world. In Asia, the company has constructed the Dhaka Elevated Expressway in Bangladesh. Not only in Bangladesh, the company has constructed their projects in Algeria, Egypt, Libya, and Saudi Arabia and in some more extended areas. In this manufacturing market, differing levels of commitment as well as investment have led towards a highly diverging market volume in different parts of the world (Crcc.cn 2016). Importance of Global marketing strategy to challenge the existing competitors As per the viewpoint of Lin (2012), global marketing is a process that adjusts the marketing strategy of the company to adapt itself towards the conditions in other countries. It has already been found that the company has been operating in different parts of the world and thus they are required to focus on the global marketing very carefully. Therefore, it is no doubt to say that the company China Railway Construction Corporation is required to focus on the global marketing strategy that has the capacity to challenge the existing competitors in the market. It has already been mentioned that China State Construction Engineering Corporation, Beijing Urban Construction Corporation Limited and China Communications Construction Company Limited are the three strong competitors of the company (Michael Gastrow 2012). Therefore, the company is required to distinguish their marketing strategy from these above-mentioned companies in order to challenge in the existing market. It can be easily said that the company, China Railway Construction Corporation really deserves a place in the China Go Global hall of fame due to the history in constructing the iconic Tam-Zam railway in East Africa. This was the first major overseas Chinese project in the entire continent and this has identified the company from some other existing competitors in the railway manufacturing industry (Miller 2000). Considering the present situation, the company is required to remain highly active in Africa. It has already been found that the company has engaged in several railway construction projects in several parts of Africa and the company at present is engaged in the biggest railway project in the continent. Apart from that, the company is engaged in modernization of the Nigerian Railway system (Mun 2010). The company is required to focus on the African market to stay different from the competitors and this help the company to hold on their present position in the market. The adopted strategies of the company has helped them to use the economies of scale as well as take on the international competitors and the same time the company has been becoming cumbersome and very hard to manage because of the huge size of the company. In this regards, the company is recommended to divide the company into several small segments, as this help to carry on the management process easily. It can be opined that China Railway Construction Corporation must be distinguished from the China Railway that operates that rail system within the country (Peng 2010). Recommendations against the background analysis The company is advised to look at some of the parts that help the company to stay different on the global market and operate successfully to hold on the position. The company is required to focus on the global emerging market as the reports have found out the fact that the lions share of global growth has been taking place in the emerging market of the globe. Poon (2012) has said that in order to gain more success, the company is required to stay engaged in the emerging market economy, as the economies in the global emerging market has been growing by leaps and bounds and on the contrary to the emerging market, the matured markets are often declining or flat. It has been found that the income level in the emerging markets has successfully increased by 96% from 2000 to 2010 and it is expected to increase more 45% from 2010 to 2016 (Tadajewski and Hewer 2012). Therefore, the company is required to concentrate on the emerging markets rather than the matured markets as the reports have been suggesting that the local customers would prefer to purchase the local goods and products by more than 50%. It has been noticed that the consumers in the emerging markets has been increasingly feeling interest do carry on the business with the companies that tends to contribute more towards enhancement of the local economy, provide wide range of the local jobs and target to take care of the local workers largely. Therefore, the company, China Railway Construction Corporation is required to incorporate effective strategies in these afore-mentioned areas to enhance the business (Umeda 2012). Apart from this, it has been found that the competition for talent in the emerging markets have been heating up, as the employers in this markets face both established and new competition for talent purpose. It has already been noticed that the forward thinking global companies in the already developing country-specific talent strategies that tends to help the company to become more attractive to the local workforce. Therefore, many companies who operate in the global scenario have been shifting their attention towards the talent showground, as this help the companies to achieve the organizational objectives easily (Wessner and Wolff 2012). In this regards it can be recommended that the global companies must carefully consider both the corporate and the geographic expectations at the time of developing their marketing as well as talent strategies. Wessner and Wolff (2012) have suggested that attempting to forcefully fir the global business standards into the emerging markets without acknowledging the local values as well as the local culture often make it highly difficult not only to attract but also to retain the top local talents. It has already been found that China Railway Construction Corporation is one of the leading international companies and thus they are highly required to focus on these places. Umeda (2012) has opined that the companies that tend to develop some geography specific strategies for the company must keep in mind the requirements of the local people along with the cultural values. The company is recommended to respect the global talent brand, proper access to the global colleagues, increasing focu s on the improved resources along with the global mobility opportunities (Worldfinance.com 2016). Concentrating on these mentioned parts effectively help the company to gain a strong a reliable position in the global market. Wessner and Wolff (2012) have opined that these points of a company help them to get large number of the talented workers in the work place. Most importantly, the company is required to keep in mind that global organizations must recognize that the requirements as well as the priorities of the employees especially in the manufacturing industry are highly dynamic in the emerging economies of the world. Therefore, the management and the marketing team of the company is advised to focus as well as closely monitor the timely evolution of the BRIC economies and talent market to stay highly competitive in the global emerging markets (Mun 2010). Apart from this, the company is advised to revise their existing country specific compensation and benefit systems in regards to get more talented local work force. As per the viewpoint of De Mooij (2013), several cultures, different environments along with the diversified regulatory regimes drive the different requirements as well as the employee priorities. Therefore, the company is recommended to prepare a detailed analysis of this situation to understand the requirements of the local workers based on their work. It has been found that global employers in the growth economies must keep in pace with the rapidly changing priorities of the employees. Some research works have found that pay continues to be one of the most important tools for employee retention in China and at the same time, other factors like some extra benefits that help to support the work life balance of the employees are equally as well as increasingly important (Lee and Carter 2011). As the company is a Chinese c ompany, it is no doubt to say that the company is required to focus on the regular analysis of these factors to have talented employees in the organization. These motivational factors help the employees to perform strongly in the work place and thus the company has secured one of the leading global positions in railway manufacturing industry (Kolk 2014). Besides this, it can be said that the company must focus on the improved leadership development, as some reports have found that the companies in the emerging markets might not have the proper leadership pipeline in order to drive the growth of the organization. Therefore, the company is recommended to adopt proper leadership model in which senior company executives are highly deployed towards the emerging markets and this might prove to be beneficial for the company to achieve both the long term and the short-term goals. Williams et al. (2015) have mentioned in his work that as more companies expand into the several emerging markets, that capacity to develop the local leaders will likely tend to become a major differentiator. To offer some challenges towards the existing companies of the industry, the company is required to pay enough respect for the new ideas as well as the innovations. It can be said that the company has successfully expanded the business in the emerging markets and this has been possible only because of the fact that the company has respect for the new ideas and they have continuously shed focus on the innovations to stay updated with the industry trends. In this aspect, it can be said that the company must use regionally oriented talent segmentation models that might account for the potential growth of the different markets, as well as the conventional role and the dimensions of talent. In this case, the companies would likely to be able to concentrate on the portfolio of the companys talent investment initiatives on the growth market, especially in the emerging markets like BRIC countries (Douglas and Craig 2011). Significance in becoming the global challengers The company is advised to become one of the leading global challengers in order to acquire suitable advantages from the already existing market. Apart from that, the company is recommended to create new products as well as innovative services in railway manufacturing industry to make the business attractive. One of the major aims of the company is to compete with the global competitors and offer something new to the customers so that the customers get attracted enough towards this particular company. As the company has been operating in the global emerging market, they are required to develop a great talent within the work force in order to strengthen the work structure of the company. Apart from that, the company is advised to focus on the enhanced work force to create a new point of reference among the existing organizations to identify the company separately (Griffith and Hoppner 2013). In the specified area of the company, it is recommended to respond to the global challenges quickly than the other existing companies in the market. Ko et al. (2012) has said that one of the objectives of the companies who operate in the global market is to create large employment opportunity. Therefore, the company is required to concentrate on this part sincerely to make a clearly visible difference than the other existing corporations in the same industry. Moreover, the company is suggested to improve the cost structure, as this will help the company to retain with the positive employee support (Rao et al. 2015). The huge size of the company has been affecting the overall operations of the company and this they are advised to maintain a strong hierarchical structure. Apart from these, it can be said that the company is required to maintain an effective and updated hiring process of the employees that would help the company to bring the best employees in the work place. Besides these all, the company is required to focus on the increasing brand awareness, as in todays highly competitive business scenario, brand awareness is considered as one of the most important aspects of each company (Ko et al. 2012). After the conduction of the entire study on China Railway Construction Corporation, it can be said that the company is already in one of the leading global positions in the railway manufacturing industry. However, the company has been facing a stiff challenge in the global market with the three strong competitors. Therefore, in order to become identical than the other companies, they are advised to follow some of the features, as they have been operating in the global emerging market of the world. The wide ranges of the marketing capabilities have been mentioned here for the easy understanding of the situation. The importance of the global marketing strategies has been discussed here to analyze the situation of the company. Moreover, the competitive advantage of the company has been mentioned here. The importance of brand awareness, innovation and customer relationship have been discussed here in details fir the overall understanding of the position of the selected company China Rail way Construction Corporation. References Adekola, A. and Sergi, B. 2009. Global business management. Aldershot, England: Ashgate. Adler, G. and Tovar Mora, C. 2012. Riding global financial waves. [Washington, D.C.]: International Monetary Fund. Avadhani, V. 2010. Global business. Mumbai [India]: Himalaya Pub. House. Belz, F. and Peattie, K. 2012. Sustainability marketing. Hoboken, N.J.: Wiley. Chattopadhyay, A., Batra, R. and Ozsomer, A. 2012. The new emerging market multinationals. New York, NY: McGraw-Hill. Cho, H. 2012. Green and smart technology with sensor applications. Berlin: Springer. Comelli, F. 2012. Emerging market sovereign bond spreads. [Washington, D.C.]: International Monetary Fund. China Railway Construction Corporation Limited, 2016. [online] Available at: https://www.crcc.cn/ [Accessed 3 Jan. 2016]. De Mooij, M. 2013. Global marketing and advertising: Understanding cultural paradoxes. Sage Publications. Desbordes, M. and Richelieu, A. 2012. Global sport marketing. Milton Park, Abingdon, Oxon: Routledge. Dinh, H., Rawski, T. and Zafar, A. 2013. Tales from the Development Frontier. Washington: World Bank Publications. Dou, R. 2013. Proceedings of 2012 3rd International Asia Conference on Industrial Engineering and Management Innovation (IEMI2012). Berlin: Springer. Douglas, S. P., and Craig, C. S. 2011. Convergence and divergence: Developing a semiglobal marketing strategy. Journal of International Marketing, 19(1), 82-101. Du, Z. 2013. Intelligence computation and evolutionary computation. Berlin: Springer. Griffith, D. A., and Hoppner, J. J. 2013. Global marketing managers: Improving global marketing strategy through soft skill development. International Marketing Review, 30(1), 21-41. Gupta, A., Wakayama, T. and Rangan, U. 2012. Global strategies for emerging Asia. San Francisco, CA: Jossey-Bass. Hill, C. 2010. International business. London: SAGE Hollensen, S. 2012. Essentials of global marketing. Harlow: Financial Times/Prentice Hall. Kawai, M. and Prasad, E. 2013. New paradigms for financial regulation. Tokyo: Asian Development Bank Institute. Keegan, W. and Green, M. 2012. Global marketing. Harlow: Pearson Education. Ko, E., Taylor, C. R., Sung, H., Lee, J., Wagner, U., Navarro, D. M. C., and Wang, F. (2012). Global marketing segmentation usefulness in the sportswear industry. Journal of Business Research, 65(11), 1565-1575. Kolk, A. 2014. Linking Subsistence Activities to Global Marketing Systems The Role of Institutions. Journal of Macromarketing, 34(2), 186-198. Kotler, P. and Keller, K. 2012. Marketing management. Upper Saddle River, N.J.: Prentice Hall. Lee, K., and Carter, S. 2011. Global marketing management. Strategic Direction, 27(1). Lin, Z. 2012. Advanced manufacturing focusing on multi-disciplinary technologies. Durnten-Zurich: Trans Tech. Michael Gastrow, 2012. A review of trends in the global automotive manufacturing industry and implications for developing countries. Afr. J. Bus. Manage., 6(19). Miller, R. 2000. Doing business in newly privatized markets. Westport, Conn.: Quorum. Mun, H. 2010. Global business strategy. Singapore: World Scientific. Peng, M. 2010. Global business. Mason, OH: Cengage South Western. Poon, P. 2012. Ethical and Social Issues in Global Marketing. Journal of Global Marketing, 25(1), pp.1-2. Rao, C. P., Kothari, V., and Kurtz, D. 2015. Global Marketing Opportunities in Services for Third World Business. In Proceedings of the 1993 World Marketing Congress (pp. 179-182). Springer International Publishing. Tadajewski, M. and Hewer, P. 2012. Global contributions to marketing management. Journal of Marketing Management, 28(9-10), pp.1015-1020. Umeda, Y. 2012. Design for innovative value towards a sustainable society. Dordrecht: Springer. Wessner, C. and Wolff, A. 2012. Rising to the challenge. Washington, D.C.: National Academies Press. Williams, J. D., Mummalaneni, V., and Erramilli, M. K. 2015. An Innovative Classroom Approach to Analyzing the Role of Culture on Business Relationships using the Global View International Business Simulation. In Proceedings of the 1997 World Marketing Congress (pp. 130-132). Springer International Publishing. Worldfinance.com, 2016. China Railway Construction Corporation opens. [online] Available at: https://www.worldfinance.com/home/china-railway-construction-corporation-opens-for-business [Accessed 2 Jan. 2016].

Who am I Ten Years from now Essay Example

Who am I Ten Years from now? Essay Who am I ten years from now? What will I become ten years from now? It took me hours thinking about it, though with the course Im taking right now, it is pretty obvious. No one can predict his/her own future and no one can exactly tell what will be our life 10 years from now. Theres a possibility that you will die or theres a possibility that youll have your own family or whatsoever. I always wanted to see what will be my life in the future. As I reminisced my childhood years, I have many dreams and aspirations that I would like to accomplish. Like to become an actress, model, beauty queen and the like, amazing isnt it? Look how ambitions I am. When I was in high school, those dreams of mine changed. Maybe because thats too impossible to happen with the situation I have. Yes, like any other students here in NORMS, I also belong to a poor family. It was my family who decided what will be my course. I never heard a question from them saying, Nuns mug Ghana nag Kurds day? Kay nonsupport ramie. One time when I intentionally penned up what course I want or like, the conversation always ended up with away nag Kurds nag mammal, kina rang borate. But look I am today, a 3rd year education student who now loves her course. I realized that teaching is really my passion. With the question above, I know that by Gods grace, Ill be an agent of change, a successful educator someday and a wife with 2 or 3 kids. With those thoughts I Just cant stop myself smile. And I know, my family would be very proud of me 10 years or few more years fro m now. We will write a custom essay sample on Who am I Ten Years from now? specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Who am I Ten Years from now? specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Who am I Ten Years from now? specifically for you FOR ONLY $16.38 $13.9/page Hire Writer

Westside story Essay Example

Westside story Paper Westside story takes the form of a musical. The plot works itself around the songs which are structured in each scene. There are two acts and within the acts are scenes which help to create the storyline and structure the play. As there are two scenes we could say there are two episodes, because the first act builds up the story and develops the key roles of the characters so the audience gets to know what they are like. In the first scene in act one we are immediately introduced to the two gangs. The audience find out what is happening between both gangs and the reasons why these events are happening. The first scene is structured so that it builds into both gangs having a rumble. After this scene the rest of the play is set out to revel the build up tension before a big climax at the end of both acts. There are a number of scenes within both acts. It is set in chronological order; however act two has fewer and shorter scenes compared to act one. This could be in order to build up tension and the last scene of the whole play releases this for the big final. This is shown in the scene involving Tony and Doc at the drugstore and Doc reveals to Tony that Chino has shot and killed Maria. We will write a custom essay sample on Westside story specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Westside story specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Westside story specifically for you FOR ONLY $16.38 $13.9/page Hire Writer This is a very short scene; it has created an effect on the audience because it straight to the point and it leaves the audience thinking what is Tony going to do next? As the play has taken the form of a musical. Songs and dance has obviously been included. These are used within the play and must work well to have the desired effect with the storyline for the play to work as a whole. This is shown in act one scene five when Tony is outside Marias window and they both sing, Tonight, Tonight. They are showing their true love for each other and nothing can stop them from being together. This song has been structured so that it finishes towards the end of the first act and the eventual climax of it. Another example is also in act one scene five when the Puerto Ricans sing the song, America. This fits in with the storyline because of the fact that they are immigrants who have just moved here showing their feelings and views about America and Puerto Rico. Dance is used to reflect movement and physicality. An example of this is the opening scene when the Sharks and Jets are introduced. We acted out this scene as a class. We divided ourselves into two equal groups, lined up and faced the opposite group about ten feet away from each other. We each held a pose for a few seconds and began walking around the room keeping eye contact with everyone especially those in the opposite group. Each of us had our eye one particular rival gang member, we both would eventually come together making unfriendly gestures towards each other and try and get a nasty reaction out of one another, like imitating the way one walks. After getting away from one another, each and every one of us in the whole class would suddenly hit someone, be hit or dragged by our hair by an imaginary person, but with no one physically jus imitating as if someone was really there. The sequences of the balance of dialogue, monologues and songs were factors that do effectively create the desired effect. The actions and dialogues used in the play helps to show us their background culture. For example, the Sharks; Puerto Ricans are always clicking their fingers and are always in an upright matter. This implies their status and think highly of themselves. This is also shown through dialogue, for example when Bernardo clicks his finger, all the gang follow without him having to say a word. When discussing monologues, they are spoken in both verse and song. Monologues of the characters have been structured so that they take the form of a song. Some songs involve more than one character, but whatever way the last sentence is always left with one person communicating with the audience. The structure of the play as a whole does not change very much. At the end of both acts there are major climaxes and they built up in the previous scenes. The two main scenes are at the end of each act. At the end of act one, tension has been increases slowly between the two gangs and in this scene both gangs want to end their rivalry once and for all. Also, Tony has fallen in love with Maria, sister of Bernardo, and Maria made Tony promise to not let ant fighting go ahead between both of the gangs. This keeps the audience from wondering if Tony would keep his promise to Maria or not. Both gangs meet under the highway; this provides a necessary image for the fight scene and does actually work really well. Tony does try to stop the fight, however resulting to Bernardo stabbing and killing Riff, Tonys best friend. Tony, in rage that his best friend has just been murdered accidentally, without thinking of the consequences grabs a knife and stabs Bernardo and kills him. Tony is left standing over the two bodies and screams out Marias name. This scene ends with Tony running away and then it is a blackout, end of act one. This leaves the audience on the edge of their seat wanting to know what is going to happen next. The playwright has considered the form of the play and has carefully balanced out what has happened and why. The final scene of the play is the most important of them all. The setting fits with the storyline and as it is set in a street in darkness does give the impression the story is near to an end. The audience want to know what is going to happen now. What one small character can say or do can change the whole course of the play. The scene begins with Tony screaming Chinos name. Tension is still increasing as the audience know that Chino didnt really kill Maria, as this is what Doc told Tony earlier. However, the audience still want to know how this is all going to turn out. To Tonys surprise Maria appears from the shadows and they both begin to run towards each other. Everyone in the audience think they are finally found out the truth and all can be forgiven and they are going to live happily ever after. They are wrong, to the audiences shock when Tony is running towards Maria a gunshot is fired from the shadows and Tony falls into Marias arms and eventually dies. All the characters appear and both gangs reunite and carry Tonys body out and the play is ended. The structure has been created to build up the audience for a happy ending; however the complete opposite has been made giving an unexpected shock to the audience. This is a very powerful scene and the way the scenes have been structured and set out help make tension and give satisfaction to the audience.

The eNotes Blog Reading Round-Up January

Reading Round-Up January We asked everyone in the office to talk about their favorite books from the last month. Take a look at our favorite reads from January, and let us know in the comments which books youll be adding to your to-read list. From nonfiction to comedy to graphic novel, theres something for everyone here! Washington Black by Esi Edugyan Page count: 339 Genre: Historical Fiction Publish date: 2018 Washington Black, narrated by an enslaved 11-year-old boy named Washington â€Å"Wash† Black, begins on a sugar plantation in Barbados. After witnessing unspeakable brutality on the plantation, Wash is able to escape on a hot-air balloon with the assistance of the master’s younger brother. His escape is the start of a lifelong adventure around the world that exposes Wash to a whole new realm of science and discovery. Its a deeply heartfelt story that leaves the reader with a new perspective from which to see the world and a realization that â€Å"everything has value. Or if not value, at least merits investigation.† - Heather, Customer Service Less by Andrew Sean Greer Page count: 273 Genre: Fiction Publish date: 2017 This January, I read Andrew Sean Greer’s Less, a Pulitzer-prize winning novel full of wit, heart, and humor. This cleverly crafted novel stars a man named Arthur Less as he decides whether to attend his ex-boyfriend’s wedding. Fearing the awkwardness of attending and unwilling to admit defeat by declining, Less devises a plan to skip town by accepting invitations to literary events around the world- what could go wrong? Well, your publisher could drop your new novel, the person you’re interviewing could be violently ill, your jokes could not translate, and your frenemy could be waiting to pounce. Tragic as that sounds, Less is a comedy. From the â€Å"evenings with Arthur Less† to the delightfully overconfident way he speaks German, I was laughing out loud from the start. And underneath the humor, Greer’s novel explores an all-too-common fear: growing old, being alone, and wanting to be loved. Part satire, part love story, and all heart, Less should be the next book you pick up. - Wes, Managing Editor Middlesex by Jeffery Eugenides Page count: 529 Genre: Fiction Publish date: 2002 Middlesex is a book that had been on my radar for a while. When I stumbled across a copy of it at Goodwill, I had to see why it was worthy of Oprah’s praise and a Pulitzer. In my opinion, Jeffery Eugenides’s writing style is absolutely captivating. Embellished in striking metaphors and witty remarks, Eugenides’s novel gracefully transforms a multi-generational family saga into a modern-day Greek drama. The narrator and protagonist, Cal Stephanides, invites readers along an intimate journey of self-exploration through the moral dilemmas and twists of fate that have shaped his identity. This story is an intoxicating hybrid of genre and culture that parallels Cal’s own experience as a hermaphrodite, a hybrid of two genders. Overall, Middlesex is a thoughtful read and powerful reminder that we have the ability to choose who we want to be, regardless of where we’ve come from. - Savannah, Social Media Manager Tribe by Sebastian Junger Page count: 182 Genre: Nonfiction Publish date: 2016 If you’ve followed along with some of our previous book recommendation blogs, you won’t be surprised to learn that I usually stick with fiction. This month, however, I stumbled across Tribe and ended up loving it. Simply put, Junger explains how modern society- in exchange for technological and medicinal advances- has removed our ability to bond in the egalitarian, close-knit communities in which humans evolve to thrive. The book is jam-packed with research and always takes an objective stance, so I finished it not with an opinion of how we should or should not live as people, but instead with a better understanding of why chronic loneliness and mental illness have become so prevalent in today’s society. - Kate, Marketing Coordinator Where’d You Go, Bernadette By Marie Semple Page count: 330 Genre: Fiction Publish date: 2012 After reading Democracy Hacked: Political Turmoil and Information Warfare in the Digital Age and Smoke Gets in Your Eyes: And Other Lessons from the Crematory, I needed something a bit light(er) and not non-fiction, as you can image. So, I decided to pick up Whered You Go, Bernadette  by Marie Semple after seeing it on the Local Authors shelf at our friendly local bookstore  The Elliott Bay Book Company. Whered You Go, Bernadette  is a comedy novel set in Seattle and published in 2012, about Bernadette Fox, a witty and slightly agoraphobic architect, who goes missing after her husband tries to get her committed to a facility. It is narrated by Bernadettes 15-year-old daughter, Bee, as she tries to cobble together the moving parts that lead up to Bernadettes disappearance. I realize this summary sounds a bit bleaker than the actual plot- but this book is equal parts sweet and amusing. Semple, who is a Seattle resident and was a writer for Arrested Development, perfectly captures the laugh-out-loud (and deserved) snark toward Seattle drivers, mega-tech corporations like Microsoft, and PTA parents with maybe a little too much time on their hands. It was an enjoyable read and I really look forward to the movie coming out later this year, starring Cate Blanchett(!) as Bernadette. - Samantha, Head of Marketing The Prince and the Dressmaker by Jen Wang Page count: 288 Genre: Graphic Novel, YA Publish date: 2018 The Prince and the Dressmaker is a coming-of-age story about identity, friendship, hard work, and beautiful dresses. It’s also possibly the sweetest love story I’ve ever read- I was reaching for the tissues by the end of Frances and Prince Sebastian’s tale. Not to mention that Jen Wang’s art is some of the most sumptuous I’ve ever seen in a graphic novel: you can almost feel the fabric of Lady Crystallia’s gowns and taste the French pastries. Grab a copy of this book, cozy up with a cup of tea, and prepare to feel your feelings. - Jules, Editor

Nursing Care Reflexive Practice Personal Statement

Nursing Care Reflexive Practice - Personal Statement Example Sometimes we just need somebody to talk to so that we can unload what has been bothering us. Once, I have gained her trust then she can tell me more personal things -- things that may have a direct or indirect relation to what caused or is causing her illness. It is an established fact that cases of abuse in the home, school or workplace has been discovered due to the incident reports, record keeping, and even private journals of nurses. The primary requisite to become a confidant is to win the patients trust. FHCHS has observed that "for a patient to disclose private or embarrassing details about their physical or mental condition, they need to first trust that their nurse will treat them with dignity and respect." Knowing my role and what I have to achieve, I had to act within the indeterminate time that I have been given. There is no certainty how long Ms. Smith will be staying in the hospital so I had to act immediately. The first task is to break the ice between us. This proved to be quite difficult because of her unresponsiveness. I tried to spend more time in her room to check on her, straighten her beddings, move the curtains to allow a patch of sunlight in the mornings, at times just to say "hi!" or to ask if she needed anything. I had even gotten into the habit of passing by the minute I started my rounds and even at the end of my shift. I had hoped that this would break the ice. But nothing happened. I tried to make a connection through the visitors that came. But even when she saw that her family and I were in good terms, she still remained unresponsive. Her family welcomed my sincerity and advice. They would even call or pass by during my break hours to just talk. For me, these talks gave me a deeper understanding of Jane. I felt relieved to find out from her relatives that she was just reserved because she was the cautious type and not because she was judgmental of other persons. I also found out that we shared certain commonalities that I know co uld be points of conversation that can make our friendship work if she just reaches out. She made the first move today. Today she smiled as I entered her room. I smiled back and instantly knew that things were going to be different. As I straightened the covers of her bed, she asked that I sit next to her. I cracked a joke to keep the happy atmosphere afloat. Perhaps she just wanted to say farewell since the Consultant has given approval for her to go home. I was surprised that she suddenly opened up. She had started to tell me of her situation at home. But as sudden as she started she also suddenly clammed up when the ward nurse asked for my assistance. I excused myself for I had to first see to the task at hand. I tried to finish fixing the beddings in the ward as fast as I could so that I can continue with my conversation with Jane. I was excited to go see her again hoping that I have finally gained her trust. But when I came into the room, she was again reserved. I tried to coax a conversation out of her by again starting a joke but she did not respond to that. It appears I have lost the momentum. I lost the opportunity to be a friend, to be a confidant and to help her emotionally. I felt so sad because I know that I could have helped her. My feeling