Monday, December 30, 2019

Nelson Mandela and The Afrikan Languages - 1041 Words

â€Å"If you talk to a man in a language he understands, that goes to his head. If you talk to him in his own language, that goes to his heart.† This quote was once said by the late, great South African leader, Nelson Mandela. He learned the Afrikaans language while he was in prison in order to communicate with the white Afrikaner guards. Mandela was imprisoned for standing up against the apartheid government that was committing human rights violations against black South Africans. Fellow prisoners were deeply offended when they heard Mandela speaking the language of their oppressors, but in Mandelas mind, Afrikaners are still Africans, he believes that they are still people of his country, and he really wanted to understand them. Learning†¦show more content†¦Even though he was a big supporter of the bilingual program, he had some doubts. In an article he wrote titled â€Å" English Immersion Has Led to Higher Test Scores†, he states, â€Å"As a former bili ngual teacher, administrator, and co-founder of the California Association of Bilingual Educators, I had come to believe that many students remained too long in classes conducted in Spanish, and that, as a result, they lost ground in the development of their English language skills. I believe that this creates a learning gap that is seldom closed† (Noonan). A students English development is delayed when little to no English is used in class, this is the problem of having to use the native language primarily. A year after Proposition 227 was passed, brought dramatic academic gains. Students in the English Immersion programs learned to read, speak, and write English much faster. Scores on state tests, which were administered in English were higher, compared to the scores back when they were still taught using their first language. All of these results happened in just a short span of time. These results solidified the authors stand that English immersion is better than the Bil ingual program. Linda Chavez, the President of the Center for Equality, also believes that the Bilingual program is not an effective way of teaching English learners. She also said that, based on studies and conductedShow MoreRelatedThe Issue Of South Africa1714 Words   |  7 Pagescame from labor . The Land Act of 1913, was believed to be the initial beginning of the apartheid laws. This act initiated by white supremacists marked the first major downfall of segregation for the colored and Indian peoples of South Africa. The Afrikans were essentially â€Å"divided into nine nations† and approximately 93% of the land was reserved for the white people. 2/3 of the population of South Africa at the time was considered African, or native people, and these people were all banned from â€Å"freely

Sunday, December 22, 2019

The Physics Of A Physics Class For Four Years Now - 895 Words

1) I was taught early on by Dr. Jacobson in PHYS 109 to employ a common five step process that I always use in physics (every physics class for four years now). The steps are: 1) Identify the givens (draw/label), 2) Identify what it takes to be solved (or what specific quantity the question asks for), 3) Write down all useful relations involving both the givens and what is needed to solve, 4) Attempt to solve, 5) Reflect on the feasibility of solution or correctness. This process is good and does not fail me; however, I always use it no matter if a problem is trivial or not. My consistent leaning on this process has a downside. It not only restricts me to a sequential form of thinking about solutions (possibly masking alternative approaches), but I often take much longer on physics problems than most. I am the type of student with good to high grades on homework assignments, but poor- passing, but poor performance on tests. I don’t believe this category of student is uncommon. As a student, I feel that I have comparably infinite time to work on a tough homework problem than the blip of time allotted to a problem on a test. I think other students share that outlook. To elaborate more on the downside of my loyal use of the above process I note that there are many problems in physics with different approaches to solutions (it’s one of the things I love about physics). By sticking hard to the above process, I often grab the first approach that pops out of relations in stepShow MoreRelatedMy Favorite Weekend Activities At Cal Poly Pomona986 Words   |  4 Pagesprogramming class, my application was the most impressive. At that time I was going to school at Cal Poly Pomona, studying to be an aerospace engineer. I could not get a deferment of two years for a mission, so when I got back in 2011 I had to find a new place to study. Deciding to go to BYU-Idaho was a lot easier than deciding what to study. 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In addition, one student, Po-Yao Chang, has just graduated, and moved to the Rutgers University for his new postdoctoral job. These students listed above finished and published a few research papers with me or are preparing for a paper. Four students (Olabode Sule, Xueda Wen, Chang-TseRead MoreAnalysis : Falling Celestial Bodies : Asteroid Trajectory And Impact Duration 4 Weeks1480 Words   |  6 PagesDETAILS SUBJECT Physics Year 2015 TEACHER Term 2 UNIT TITLE â€Å"Falling† Celestial Bodies: Asteroid Trajectory and Impact Duration 4 weeks General Assessment Information This is an individual, non-experimental research based assessment item. Students may however, work collaboratively in class during the first week to develop an understanding of the topic and collate data and references. The remainder of the task must be done individually. This task is to be done in both your time and class time. 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Saturday, December 14, 2019

Health in Comminities Free Essays

# 2008 University of South Africa All rights reserved Printed and published by the University of South Africa Muckleneuk, Pretoria CMH2602/1/2009 ±2011 98316532 (iii) __________________________________ __________________________________ Contents WELCOME AND INTRODUCTION (vii) PART 1: THEORETICAL FOUNDATIONS IN COMMUNITY HEALTH 1 LEARNING UNIT 1: 2 1. 1 1. 2 1. We will write a custom essay sample on Health in Comminities or any similar topic only for you Order Now 3 1. 4 1. 5 1. 6 1. 7 1. 8 1. 9 CONCEPTS AND THEORIES/MODELS IN COMMUNITY HEALTH Introduction Theoretical thinking as a language Choosing a theory/model to apply to community health The dimensions model of community health nursing Orem’s self-care deficit theory of nursing Neuman’s systems model/theory Pender’s health promotion model Gordon’s functional health pattern framework Conclusion 2 2 3 4 5 8 9 10 11 PART 2: THE INDIVIDUAL AND FAMILY AS CLIENT 13 LEARNING UNIT 2: 14 2. 1 2. 2 2. 3 2. 4 2. 5 2. 6 2. 7 2. 8 2. 9 2. 10 Introduction Defining the concept of family Structure of the family Types of families Stages of family development The family as social system Cultural values in the family Family functions Roles of the family Conclusion LEARNING UNIT 3: 3. 1 3. 2 3. 3 3. 4 3. 5 3. 6 3. 7 3. 8 3. 9 3. 10 3. 11 THE FAMILY AS CLIENT ASSESSING FAMILY HEALTH Introduction Assessment of the family The biophysical dimension The psychological considerations The physical environmental considerations The socio-cultural dimension The behavioural considerations The health system considerations Diagnostic reasoning and the family as a client Planning, implementation and evaluation Conclusion 14 14 15 16 17 19 20 21 21 21 23 23 23 25 25 27 28 30 31 31 31 32 (iv) LEARNING UNIT 4: INFANTS FROM BIRTH TO 18 MONTHS 4. 1 Introduction 4. 2 Definition of child health 4. 3 Growth and development during infancy 4. 4 Developmental tasks 4. 5 Infant nutrition 4. 6 Cognitive-perceptual patterns . 7 Child abuse 4. 8 Stress in infancy 4. 9 Pathological processes 4. 10 Immunisation 4. 11 Conclusion 34 34 34 34 35 36 37 37 38 38 38 41 LEARNING UNIT 5: THE TODDLER (18 ±36 MONTHS) 5. 1 Introduction 5. 2 Age and physical changes 5. 3 Nutrition in toddlers 5. 4 Elimination and exercise patterns 5. 5 Sleep and rest pattern 5. 6 Cognitive-perceptual pattern 5. 7 Self-perception-se lf-concept pattern, roles-relationships pattern, child abuse, sexuality-reproductive pattern, coping with stress, and values and beliefs 5. 8 Pathological processes 5. 9 Social processes 5. 10 Conclusion 43 43 43 44 44 44 45 LEARNING UNIT 6: THE PRE-SCHOOL CHILD 6. 1 Introduction 6. 2 Age and physical changes 6. 3 Cognitive-perceptual patterns 6. 4 Self-perception-self-concept pattern, roles-relationships pattern, sexuality-reproductive pattern, coping-stress pattern and values-beliefs pattern 6. 5 Pathological processes 6. 6 Social processes 6. 7 Conclusion 48 48 48 49 LEARNING UNIT 7: THE SCHOOL-AGE CHILD 7. 1 Introduction 7. 2 Age and physical changes 7. 3 Cognitive-perceptual pattern 7. 4 Self-perception-self-concept pattern, roles-relationships pattern, sexuality-reproductive pattern, coping-stress pattern and values-beliefs pattern 7. Pathological processes and social processes 7. 6 Conclusion 52 52 52 53 LEARNING UNIT 8: THE ADOLESCENT 8. 1 Introduction 8. 2 Age and physical changes: Gordon’s functional health patterns 8. 3 Gordon’s functional health patterns in adolescents 8. 4 Pathological processes in the adolescent 8. 5 Social processes 8. 6 Conclusion 56 56 56 57 58 59 59 45 46 46 46 49 50 50 51 54 55 55 (v) LEARNING UNIT 9: GENDER HEALTH 9. 1 9. 2 9. 3 9. 4 9. 5 9. 6 9. 7 Introduction The status of women Women’s health status The lesbian/gay, bisexual and transgender (LGBT) client Men’s health status The epidemiology of health for gay, bisexual and transgender men Conclusion LEARNING UNIT 10: CARE OF THE CLIENT IN THE WORK SETTING 10. 1 10. 2 10. 3 10. 4 10. 5 Introduction The objectives of occupational health The occupational health nurse’s scope of practice Nursing care of working populations Conclusion LEARNING UNIT 11: THE OLDER ADULT 11. 1 11. 2 11. 3 11. 4 11. 5 11. 6 11. 7 11. 8 11. 9 11. 10 11. 11 11. 12 11. 13 11. 14 11. 15 11. 16 Introduction Age and physical changes Goals of health promotion Pattern of health perception-health management Nutritional metabolic pattern Elimination pattern Activity-exercise pattern Sleep-rest pattern Cognitive-perceptual pattern Self-perception-self-concept pattern Roles-relationships pattern Sexuality-reproductive pattern Coping-stress tolerance pattern and values-beliefs pattern Pathological processes Social processes Conclusion 60 60 61 62 63 63 64 64 65 65 66 66 66 67 68 68 69 70 70 70 70 70 70 71 71 71 71 71 71 72 72 PART 3: THE COMMUNITY AS CLIENT 75 LEARNING UNIT 12: HEALTH PROMOTION IN THE COMMUNITY 76 12. 1 12. 2 12. 3 12. 4 12. 5 12. 6 12. 7 12. 8 12. 9 12. 10 12. 11 12. 12 Introduction Definition of a community Defining the term community health The community as a client Goals of community-oriented practice Strategies for improving community health Community partnerships Community-focused nursing process Planning Implementation Evaluation Conclusion 76 76 77 77 77 79 79 79 80 81 83 83 (vi) LEARNING UNIT 13: INTERVENTIONS FOR HEALTH PROMOTION IN THE FAMILY 13. 1 13. 2 13. 3 13. 4 13. 5 13. 6 13. 7 13. 8 13. 9 Introduction Definitions of health promotion Interventions for health promotion The purpose of health education The health educator Principles for health education Implementation of the educational plan Evaluation of the educational process Conclusion LEARNING UNIT 14: ISSUES IN COMMUNITY HEALTH 14. 1 14. 2 14. 3 14. 4 14. 5 14. 6 14. 7 14. 8 Introduction Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (Aids) Tuberculosis (TB) Poverty Homelessness Violence Community resources Conclusion 84 84 84 85 85 86 88 89 89 90 92 92 92 93 94 94 95 95 97 BIBLIOGRAPHY 98 ANNEXURE A: FEEDBACK FOR SCENARIO IN LEARNING UNIT 3 ? LEARNING UNITS 4 ±12 99 ANNEXURE B: FACTS ABOUT IMMUNISATION 106 ANNEXURE C: THE REVISED EXPANDED PROGRAMME ON IMMUNISATION IN SOUTH AFRICA (EPI-SA) SCHEDULE 08 ANNEXURE D: PLANS TO ADD TWO NEW VACCINES TO PREVENT PNEUMONIA AND DIARRHOEA IN BABIES 110 ANNEXURE E: PRIVATE VACCINES SCHEDULE 111 (vii) Welcome and ____________________________ introduction ____________________________ Welcome to this second-level module on health in communities. You will learn about the concepts and theories/models involved in community health to equip you with a theoretic al foundation for this module. The aim of this module is to equip you with knowledge about the life span of the individual in order to give you skills to work with families in the community. You will also gain a holistic approach towards critical issues in the community. You should grow and develop into a competent and skilful practitioner who can identify needs and problems relating to family health and respond to them in an innovative way. Working through this module will enrich your life not only professionally, but also personally. The nature of this study guide This study guide has been designed in an interactive way with the aim of guiding you through two prescribed books. As you work through this study guide you should integrate the information in the study guide with the information in your prescribed books. The Internet has a wealth of information and you are advised to use the Internet as often as possible to broaden your knowledge on certain topics. Prescribed books You are expected to purchase the following prescribed books for this module: Clark, MJ. 2008. Community health nursing: advocacy for population health. 5th edition. Englewood Cliffs, NJ: Prentice-Hall. Edelman, CL Mandle, CL. 2006. Health promotion through the lifespan. 5th edition. St Louis: Mosby. Edelman and Mandle (2006) has very valuable information on health promotion and covers the entire life span, from birth to death. In addition to your study guide, this book is very important: you will find a wealth of information. Clark (2008) is a book on community health nursing that emphasises the dimensions model of community health nursing right through. This is a very valuable model which will help you to gain a holistic and systematic approach towards the individual, family and community. (viii) The information in these two books is complementary. Together with the study guide it will help you to gain the knowledge and skills you will need to supply health care to individuals, families and communities. Activities The activities are planned to either reinforce content, to guide you to tackle upcoming content, or to motivate you to think about issues. You will note that in part 2 of the study guide there is only one activity at the end of each learning unit: here we want you to apply the dimensions model of community health to a member of the family. Feedback on all these activities will be given in annexure A. This CMH2602 module runs parallel with the practice module for Community Health, CMH2126. The theory cannot be separated from the practice. Icons You will find a series of icons in the text to guide you as you progress with your studies. Activity When you see this icon, you will know that you must complete an activity. We may ask you to read a specific section in the prescribed literature, apply given information, think about topics that have not been introduced, find your own information or ask other people for information. Please read the instructions carefully. Assessment criteria This icon indicates the questions that you can use to assess your own understanding of the work. These questions are adapted from the outcomes. You are told what you should do to prove that you have met the learning outcomes. Prescribed reading When you see this icon, study or read the prescribed book as indicated, before continuing with the next section. Learning outcome This icon tells you how you will benefit in the field of practice if you know the content of the specific learning unit. The outcomes tell you what you will be able to do after you have studied the work. h Feedback This icon tells you what was expected from you when you did the activity. It will not necessarily give you all the facts but will give you guidelines on how to answer the question. Not all of the activities will have feedback because many of the answers are given in your prescribed books. (ix) Conclusion This module is designed to enable you to work with families in the community. It is based on the needs and problems of the family. It covers individuals who are part of the family and the family as part of the community. After completion of this module, together with the practice module, you will be able to take responsibility for practising as an independent community nurse in any community setting. PART 1 THEORETICAL FOUNDATIONS IN COMMUNITY HEALTH 2 Learning unit 1 Concepts and theories/ models in community health Outcomes Since theories/models provide you with the knowledge you need to practise community health in a scientific way, it is essential for you to be familiar with the various theories/models in the field to be able to apply them to community health. When you have worked through this learning unit you will be able to: * * * * 1. 1 describe various concepts in theoretical thinking explain selected theories/models in detail describe the key concepts and themes of the selected theories/models apply the theories/models to community health Introduction While we will discuss theories/models in general in this learning unit, we will also deal with several selected theories in more depth in order to indicate how they can be applied to community health. It is currently accepted that theories form the basis of community health. Since theories provide us with the knowledge we need to practise community health in a scientific way, it is essential for the community nurse to be familiar with the various theories/models in the field and to be able to apply them to community health. 1. 2 Theoretical thinking as a language The terms theory, model, conceptual framework, conceptual model are often used synonymously in literature. The literature reflects various conflicting opinions about the terms, their usage and meaning. According to Polit and Beck (2008:141) a conceptual model or a conceptual framework represents a more informal mechanism for organising and discussing phenomena or concepts, while theories are more formal in nature. Conceptual theories, frameworks and models are composed of concepts or constructs. These concepts or constructs are interdependent because they systematically demonstrate the relationship between variables. A model is a symbolic representation of concepts or variables with an interrelationship. A phenomenon is the abstract concept under study, often 3 used by qualitative researchers, while a concept is a description of the objects or events that form the basis of a theory. Both models and theories can describe and predict the relationship between phenomena. Models and theories are terms that are often used interchangeably in literature. The term theory is often used to refer to the subject content that student nurses must be taught in the lecture room to acquire the information they need to perform the nursing tasks in practice. Researchers such as Polit and Beck (2008:768) define theory as â€Å"an abstract generalisation that presents a systematic explanation about the relationships among phenomena†. Theories include principles for explaining, predicting and controlling phenomena. In all disciplines theories serve the same purpose. This purpose is to make scientific findings meaningful, and to make it possible to generalise. A theory is composed of concepts and constructs that are systematically related and that are also goal-oriented (Stanhope Lancaster 2006:196). Types of traditional theories include grand theories and middle-range theories. Grand theories describe and explain large segments of the human experience which are very broad. Middle-range theories explain more specific phenomena such as stress, self-care, health promotion and infant attachment. Metatheory is a term used to label theory about the theoretical process and theory development (Polit Beck 2008:141). Metaparadigm refers to the main concepts that identify the phenomena or ideas of interest to a discipline, in this case the discipline of nursing. They provide the boundaries for the subject matter of the discipline. The metaparadigm concepts for nursing include person, environment, health and nursing (Clark 2008:67). However, current literature suggests that a four-concept metaparadigm for the discipline of nursing is too limited and suggests additional concepts such as transitions, interaction, nursing process, nursing therapeutics, self-care, adaptation, interpersonal relationships, goal attainment, caring, energy fields, human becoming and other concepts. The best-known and most used concepts are however the first four: person, environment, health and nursing. 1. 3 Choosing a theory/model to apply to community ealth Choosing a suitable theory or model is not always an easy task ? especially when most theories are geared towards the care of individuals and were never designed to apply to groups or communities. The theory or model that is chosen must be flexible enough to be adapted to the community health situation and its aim must be to provide guidance for those who practise community health . The importance of the family or community network and the social network must both be clearly reflected, and the theory or model must be realistic and simple enough to understand and apply. In addition, the theory/model should harmonise with the community nurse’s views about the individual, the environment, personal health and community health. You may find that the theory that is chosen may not always fulfil all your expectations and that it may also not be applicable to all circumstances. You may often be required to make adjustments or to develop your own personal model on the basis of existing theories. 4 Activity Explain why community health nursing should be based on a model or theory. h Feedback You should have considered the following points: * * * * * 1. 4 A systematic approach is needed. Theories/models assist community nurses to evaluate health status and to plan, implement and evaluate effective nursing care. The model/theory used directs attention to relevant aspects of the client situation and to appropriate interventions. Epidemiologic models help in examining factors that influence health and illness. Nursing models suggest interventions to protect, improve and restore health. The dimensions model of community health nursing Clark’s (2008:69) dimensions model of community health nursing is one of the few models designed for community health. This model is described in detail in your prescribed book (Clark 2008) and will therefore only be summarised here. This model is a revision of the previously titled Epidemiologic Prevention Process Model. The dimensions model incorporates the nursing process and the levels of prevention as well as an epidemiologic perspective on the factors influencing health and illness. The dimensions model consists of three elements: the dimensions of health, the dimensions of health care and the dimensions of nursing. The dimensions of health include: * * * * * * the the the the the he biophysical dimension psychological dimension physical environmental dimension socio-cultural dimension behavioural dimension health system dimension The dimensions of health care include: * * * primary prevention secondary prevention tertiary prevention The dimensions of nursing include: * * * * cognitive dimension interpersonal dimension ethical dimension skills dimension 5 * * process dimension reflective dimens ion You should study this model to enable you to assess the health status of individuals, families or communities and to guide your nursing interventions. Prescribed book Study chapter 4 in Clark (2008, or later editions), on the dimensions model of community health nursing. Activity (1) Name the three elements of the dimensions model of community health nursing. (2) List the dimensions included in each element. (3) Give an example related to the dimensions in each element that addresses the health of a population group. 1. 5 Orem’s self-care deficit theory of nursing Orem proposes a general theory of nursing which she calls the theory of self-care deficit. Orem’s theory focuses on people’s ability to practise self-care. The dominant theme of her philosophy of health is that people should be empowered and encouraged to practise their own self-care by means of their own efforts or with the help of significant others. Orem’s self-care deficit theory of nursing consists of three interrelated theories: the theory of selfcare, the theory of self-care deficit and the theory of nursing systems. This theory is consistent with community health, based on the following premises: * * * Individuals and groups must accept responsibility for their own health and consequently care for themselves. The community nurse should provide the necessary training and support that will enable individuals or communities to do this. The community nurse should intervene only when a deficit or need arises in the selfcare framework. The World Health Organization (WHO) also strongly emphasises that self-care and selfresponsibility play an important role in achieving the goal of optimal health. 1. 5. 1 Theory of self-care In order to understand the theory of self-care, one must first understand the concepts of self-care, self-care agency, basic conditioning factors and therapeutic self-care demand. Self-care include those activities and decisions which a person undertakes in order to maintain life, health and well-being. These activities are acquired by learning, and they contribute to the maintenance of human development and functioning. 6 Self-care agency refers to the ability of a person to exercise self-care in daily life. The ability to care for oneself is affected by basic conditioning factors: age, gender, developmental state, health state, socio-cultural factors, health care system factors, family system factors, patterns of living, environmental factors and resource adequacy and availability. Therapeutic self-care demand is the sum total of the measures which are called for at a particular time for the promotion and maintenance of health, development and general well-being. In the case of self-care, purposeful actions and steps are taken. Although selfcare should benefit an individual’s health, his or her perception of self-care may not always promote good health, as is the case with a person who smokes in the belief that it reduces his or her stress levels. Self-care requisites refer to the reasons for which self-care is undertaken. The three categories of self-care requisites include universal, developmental, and health deviation. Universal self-care requirements include those processes which are essential for the normal functioning and maintenance of health and life, such as the following processes: * * * * * * having and maintaining sufficient fresh air/oxygen, water and food intake finding the balance between exercise and rest, and having social interaction avoiding dangers and obstacles that can compromise human functioning and well-being promoting human functioning and development in a group roviding care associated with elimination processes and personal hygiene keeping a balance between being alone and social interaction Developmental self-care requisites are divided into two categories: * * The first concerns the maintenance of those conditions which are favourable to a person’s normal growth and development. The second is concerned with the prevention of those negative conditions, forces, influe nces and factors which can hinder and obstruct normal development. Awareness of such requirements reflects a person’s level of development and his or her general capacity for self-care. Health deviation self-care is necessary for preventing illness, injury and retardation. It involves taking whatever steps are necessary for preventing or treating illness or disability effectively. The requisites for health deviation self-care include: * * * * * * seeking and securing appropriate medical assistance being conscious of and attending to the effects and results of pathologic conditions conducting medically prescribed diagnostic, therapeutic and rehabilitative measures attending to or controlling the negative effects of prescribed medical treatment effectively ccepting oneself as being in a specific state of health and in need of particular forms of health care developing and sustaining health-optimising lifestyles 1. 5. 2 Theory of self-care deficit The theory of self-care deficit forms the core of Orem’s general theory of nursing. According to this theory, an adult who is unable to practise self-care requires dependent care; this refers to an adult who does not h ave the ability to meet his or her own needs or 7 only has partial ability to take care of himself or herself. This may happen or example when a person falls ill and this illness generates new demands, requiring the implementation of complex measures and specialised knowledge. Orem cites the following examples of support or help which can be offered in such circumstances: * * * * * acting on behalf of a person or undertaking certain activities for this person until he or she can once again care for himself or herself more independently providing guidance and direction in the new situation providing physical and psychological support creating and maintaining a new environment which supports personal development providing appropriate relevant instructions A self-care deficit occurs where there is a discrepancy between the need for self-care and the ability to manage this self-care. In such circumstances the individual needs to be assisted and educated to administer whatever self-care he or she may need. In short, a self-care deficit occurs when a person is unable to practise appropriate self-care on his or her own or without external assistance. 1. 5. 3 Theory of nursing systems The theory of nursing systems consists of two components: the nursing agency, and nursing systems. The nursing agency refers to the characteristics of people who are trained as nurses that enable them to act, to know and to help others meet their therapeutic self-care demands by developing their own self-care agency. Nursing systems are created when nurses use their knowledge and skills to plan and implement nursing care where there are deficiencies in self-care. The aim of intervention by the nurse is to compensate for the self-care activities which the individual, family or community cannot maintain at an optimal level. These compensatory activities are classified into: * * * The wholly compensatory system where the community nurse becomes the self-care agent to compensate for the client’s inability to maintain his or her own self-care. The community nurse cares for and supports the client wholly. For example, this would happen where a person is in a coma and cannot consciously look after himself or herself. The partly compensatory system where the client is capable of certain self-care measures but only to a limited degree. The aim of health care intervention is to lend support and carry out certain activities on behalf of the client until he or she is able to resume them again. The supportive/educational system where the client can manage self-care but needs the support and guidance of the community nurse. The community nurse regulates the selfcare agent’s performance and development so that he or she can function more independently (George 2002:126). Activity (1) Describe the different components of the self-care deficit theory of nursing. 8 (2) Explain what is meant by a self-care deficit. (3) A mother and her two-month-old baby visit your clinic. The baby is not gaining sufficient weight and the mother appears tired and stressed. Identify the self-care deficit in this particular case. h Feedback You should have covered the following points in your answer: (1) The mother is not able to care for herself with the demands of a new baby. (2) She therefore needs health education and advice on how to handle the situation. 1. 6 Neuman’s systems model/theory According to Neuman, her personal philosophy of helping each other live contributed to development of the holistic systems perspective of the her systems model. Neuman’s theory is based on: * * the two main components of stress and the individual or his or her body’s reaction to that stress the community’s reaction to certain stress factors (stressors) in the environment Neuman based her systems model on a general systems theory and regards the client as an open system which reacts to stressors in the environment. Stressors may be intra-personal, inter-personal or extra-personal. Intra-personal stressors occur within the client system boundary and correlate with the internal environment (eg feelings such as anxiety or anger within a person). Inter-personal stressors occur outside the client system boundary and have an impact on the system (eg stimuli between people such as role expectations). Extrapersonal stressors also occur outside the ystem boundaries, but are further away from the system than the inter-personal stressors (eg work or finances). Environment includes all the external and internal influences that surround the client system. The external environment exists outside the client system and the internal environment exists within the client system: * * * * The client system contains a basic structure or core construct (individual, family c ommunity) which is protected by lines of resistance. The basic structure includes system variables such as physiological, psychological, socio-cultural, developmental and spiritual variables. Penetration of the basic structure results in death. The normal level of health is identified as the normal line of defence which refers to the client’s usual state of wellness and represents stability over time. When the normal line of defence is invaded or penetrated, the client system reacts, for example with symptoms of illness. The flexible line of defence prevents stressors from invading the system and is a dynamic state of wellness that changes over time. It can for example be altered in a relatively short period of time by factors such as inadequate sleep or food. The lines of resistance protect the basic structure and become activated when the normal line of defence is penetrated by environmental stressors. If sufficient energy is 9 * available, the normal line of defence is restored; but if the lines of resistance are not effective, death may follow. Reconstitution involves stabilisation of the system and movement backwards to the normal line of defence. Health care intervention takes place in the prevention modalities, that is the primary, secondary and tertiary levels of prevention. (Clark (2008:67)) Prescribed reading Study Neuman’s model in Clark (2008, or later editions). Activity (1) (2) (3) (4) Explain what Neuman means by client variables. Describe the concepts of line of resistance and normal line of defence. Describe Neuman’s view on health. Define the term stressor. This theory/model can also be applied to community health because a preventive approach is followed and because of its flexibility. 1. 7 Pender’s health promotion model Pender described a model which is applicable to community health in particular. This model is based on principles of health promotion and, to a certain extent, corresponds with the Health Belief Model. Pender’s health promotion model comprises three basic concepts, namely individual perceptions, variables which can influence healthy behaviour and the probability that actions will be taken to promote health: * * * Individual perceptions include factors such as how important health is seen to be, perceptions on control and effectiveness, the definition of health, the state of health, the advantages inherent in preventive measures, and possible obstacles. Variables include factors such as demography, income, literacy, culture and family health patterns. The probability that action will take place includes matters such as ? ? ? ? how highly the person rates or values action any previous experience with health personnel the availability and affordability of preventive services the threat that the condition holds for the individual or family Prescribed reading Study Clark (2008, or later editions), the section on Pender’s health promotion model. 10 Activity (1) Name the variables which can affect the preventive actions that a family and a community may take. (2) Write short notes on individual perceptions and indicate how they can influence health-promoting actions. Pender’s model is applicable to community health because the promotion of health is taken as the starting point and factors which influence the measures for promoting health are defined and emphasised. The model can guide and lead the community health nurse in promoting health. On the grounds of the variables and perceptions that are identified, she/he can make decisions on the degree of intervention that is necessary. For example a degree of knowledge and motivation may seem necessary to allow the community to take certain promotive actions, or to decide whether or not the available options are acceptable. The community health nurse’s task could then be to give the community the necessary information or to influence them to modify perceptions that are detrimental to their health. Depending on the specific problems or behaviour that deviates from a healthy living pattern, the culture of the community, the level of literacy and so on, the community health nurse can plan a programme or develop his or her own model based on Pender’s promotive model. (Clark 2008:257) 1. 8 Gordon’s functional health pattern framework Historically, conceptual models in nursing have employed Gordon’s health-related behaviours and developed them into an assessment model with 11 functional health patterns. Your prescribed book (Edelman Mandle 2006) uses this framework throughout in the assessment of each developmental stage. The 11 functional health patterns include: * * * * * * * * * * * pattern of health perception-health management nutritional-metabolic pattern elimination pattern activity-exercise pattern sleep-rest pattern cognitive-perceptual pattern self-perception-self-concept pattern roles-relationships pattern sexuality-reproductive pattern oping-stress tolerance pattern values-beliefs pattern (Edelman Mandle 2006:131) Read Edelman and Mandle (2006 or later edition), the section on functional health patterns: assessment of the individual. 11 1. 9 Conclusion Various theories/models applicable to community health were discussed in this learning unit. It is very important that you as a community healt h nurse have an understanding of these theories/models and how they could be applied to community health. Assessment criteria (1) Define the following terms: ? ? ? ? ? theory model conceptual framework phenomenon concept (2) (3) (4) (5) 6) Define the different constructs of Orem’s theory. Explain the defence mechanism in Neuman’s theory. Describe the principles on which Pender’s promotion of health model are based. Name the three elements of the dimensions model of community health nursing. Name the dimensions of the dimension of health in the dimensions model of community health nursing. (7) List the functional health patterns in Gordon’s functional health pattern framework. Note: Application of selected models/theories will be assessed in part 2 of the study guide. 12 PART 2 THE INDIVIDUAL AND FAMILY AS CLIENT 14 Learning unit 2 The family as client Outcomes When you have worked through this learning unit you will be able to: * * * * * * * 2. 1 describe the concept of family describe the structure of the family describe different family types and their characteristic features describe the stages of family development discuss family functions describe the family as a social system discuss cultural values in the family Introduction The family is the basic social unit in any community. Family members usually share living arrangements, responsibilities, goals, the continuity of generations, and a sense of belonging and affection. How well a family works together and meets any crisis depends on the composition of the family (the structure), the activities or roles performed by family members (the functioning) and how well the family is able to organise itself against potential threats. 2. 2 Describing the concept of family Clark (2008:318) states: â€Å"A family is a composed of two or more persons who are joined by bonds of sharing and emotional closeness and who identify themselves as being part of the family. Unlike those of other social systems, family relationships are characterized by intimacy, emotional intensity, and persistence over time. ‘ Santrock (2006:216) states: â€Å"[The family is] a social system, a constellation of subsystems defined in terms of generation, gender and role. Divisions of labour among family members define particular sub-units, and attachments define others. Each family member is a participant in several subsystems. Some are dyadic (involving two people) some polyadic (involving more than two people). † Stanhope and Lancaster (2006:322) refer to the following definition: â€Å"A family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support. The members of the family are self-defined. † 15 Activity Ask different members of the multi-disciplinary health team to define family. Analyse the responses for similarities and differences. 2. 3 Structure of the family Family structure is the organised pattern or hierarchy of members that determines how they interact. Components of a family structure include the role of each family member and how they complement each other, the family’s value system, communication patterns and power hierarchy. The family structure influences the way that a family functions. Allender Spradley 2005:526) The genogram shows family information graphically in order to view complex family patterns over a period of time, usually three generations or more. d. 1956 Heart Peg 71 Housewife Al 72 Grocer Sue Housewife John Steelworker d. 1982 Cancer Mark 37 Engineer Jan 36 Housewife Jim 9 Jack 46 Mechanic Mary 16 Pat 41 Waitress Married 1979 Steve 18 Clerk Earl 17 Student Detroit Fig 2. 1 Genogram Source: Allender Spradley (2005:528) Nan 4 Married 1977 Divorced 1979 Joe 45 Teacher Sam 20 Student Lou 13 Los Angeles Married 1983 Ann 39 Nurse Pam 11 16 Activity Draw a genogram of your own family. 2. 4 Types of families There are many family types and a family type may change over time as it is affected by birth, work, death, divorce and the growth of family members. * * * * * * * The nuclear conjugal family. The traditional nuclear family structure consists of a husband, wife and children. Most young people move away from their parents when they marry and form nuclear families (no grandparents, aunts or uncles live in the home). The nuclear family is found in all ethnic and socio-economic groups, and is accepted by most religions. Today the number of nuclear families is declining as a result of the increase in divorce, single parenthood and remarriage, the acceptance of alternative lifestyles, and greater disparity. The extended (multi-generational) family. The extended family includes the nuclear family as well as other family members such as grandmothers, grandfathers, aunts, uncles, cousins and grandchildren. The advantage of such a family is that it means more people may serve as resources during crises and also provides more role models for behaviour and learning values. The single parent family. Single parent families consist of an adult woman or man and a child or children. Single parent families result from divorce, out-of-wedlock pregnancies, absence or death of a spouse, or adoption by a single person. A health problem in a single parent family is almost always a serious matter, because there is no backup person for childcare when the parent is ill. The blended family. The term blended family refers to a remarriage or a reconstituted family, where a divorced or widowed person with children marries someone who also has children of his or her own. Children of blended families are exposed to different ways of living and also have increased security and resources. They may become more adaptable to new situations. However, rivalry may arise among the children for the attention of a parent or there may be competition with the step-parent for the love of the biological parent. The communal family. The communal family is made up of groups of people who have chosen to live together as an extended family group. Their relationships with each other are motivated by social values or interests rather than by kinship. Because of the number of people present, members may have few set traditional family roles. The values of commune members are often religiously or spiritually based and may be more oriented to freedom and free choice than those of a traditional family structure. The cohabitation family. The cohabiting family consists of two persons who are living together, but remain unmarried. They may be heterosexual or homosexual. Some such relationships are temporary but others are long-lasting. Reasons for cohabitation include the desire for a trial marriage, the increased safety that results from living together and financial factors. The single alliance family. Many single young adults live together in shared apartments, dormitories or homes for companionship and financial security. Although these relationships are often temporary, they have the same characteristics as cohabitation families. 17 * * The homosexual family. The homosexual family is a form of cohabitation where a same sex couple live together and share a sexual relationship. Such a relationship offers support in times of crisis that is comparable with that offered by a traditional nuclear or cohabitation family. The foster family. Children whose parents are unable to care for them are laced in a foster home by a child protection agency. Foster parents usually receive remuneration for their care. Foster families may also include the parents’ own biological or adopted children. Foster care is theoretically temporary until children can be returned to their own parents (Clark 2008:318). Prescribed reading Read Clark (2008, or later edition), types of families. 2. 5 Stages of family development Stage 1: Beginning family During this first stage of family development, members work to accomplish three specific tasks: * * * to establish a mutually satisfying relationship to learn to relate well to their families of origin f applicable, to engage in reproductive life planning The first stage of family life is a tenuous one, as evidenced by the high rate of divorce or separation of partners at this stage. The time frame for this stage extends from marriage to the birth of the first child. Stage 2: The early child-bearing family The birth or adoption of a first child is usually an exciting yet stressful event in a family. It requires economic and social role changes. The duration of this stage is from the birth or adoption of the first child to 30 months after this date. The following developmental tasks are usually accomplished during this stage: * * * he establishment of a stable family unit the reconciliation of conflict regardin g developmental tasks facilitating developmental tasks of family members Stage 3: The family with pre-school children A family with pre-school children is a busy family as children at this age demand a great deal of time related to growth and developmental needs and safety: accidents are a major health concern at this stage. The time frame for this stage is when the oldest child is two to five years of age. Developmental tasks during this stage include: * * * integration of second or third child socialisation of children beginning of separation from children 18 Stage 4: The family with school-age children Parents of school-age children have the major responsibility of preparing their children to be able to function in a complex world. At the same time they have to maintain their own satisfying marriage relationship ? this can be a difficult time for a family. Many families need the support of tertiary services such as friends, church organisations or counselling. The time frame for the family with school-age children is when the oldest child is 6 to 13 years old. Developmental tasks during this stage include: * * * separation from children to a greater degree fostering education and socialisation aintenance of marriage Stage 5: The family with teenage/adolescent children The primary goal for parents with teenagers differs considerably from that of the previous developmental stages. Family ties must now be loosened to allow adolescents more freedom and prepare them for life on their own. Rapid technological advances have increased the gap be tween generations ? this can make stage 5 a trying time for both parents and children. Violence, accidents, homicide and suicide are the major causes of death in adolescents ? and death rates from HIV are growing. This places a still greater responsibility on the family. The time frame for this stage is when the eldest child is 13 to 20 years of age. Developmental tasks of this stage include the following: * * * maintenance of marriage development of new communication channels maintenance of standards Stage 6: The launching centre family For many parents this stage when children leave to establish their own households is the most difficult. It appears as though the family is breaking up and parental roles change from those of mother and father to guideposts. The parents may experience a loss of self-esteem as they feel themselves replaced by other people. For the first time they may start feeling old and less able to cope with responsibilities. The time frame for this stage is from the time the first child leaves home to the time the last child leaves home. The following developmental tasks should be accomplished during stage 6: * * * * * promotion of independence integration of in-law children restoring of marital relationship developing of outside interests assisting own aging parents Stage 7: The family of middle years At this stage a family returns to a two-partner nuclear family, as before childbearing. Some partners see this stage as the prime time of their lives with the opportunity to do things they never had time or finances for, such as travelling and hobbies. Others may experience this time as a period of gradual decline without the constant activity and stimulation of children in the home and may experience the â€Å"empty nest† syndrome. Support people may 19 also not be as plentiful as earlier in the parents’ lives. The time frame for this stage is from the time the last child leaves to retirement. Developmental tasks for this stage include: * * * developing leisure activities provision of a healthy environment ustaining a satisfying relationship with children and grandchildren Stage 8: The family in retirement or older age The number of families of retirement age is increasing rapidly, with people living longer as a result of advanced technology, medical research and increasing health consciousness. Family members of this group are, however, more apt to suffe r from chronic and disabling conditions than people in the younger age groups. The time frame for this stage lasts from retirement to death. Developmental tasks include the following (Clark 2008:323): * * * maintaining satisfying living arrangements adjusting to reduced income djusting to loss of spouse Prescribed reading Study Duvall’s and Carter and McGoldrick’s stages of family development in Clark (2008, or later editions). 2. 6 The family as social system All families share certain characteristics. Every family is a social system with its own cultural values, specific roles, functions and structure and each family moves through recognisable developmental stages. A social system consists of a group of people who share common characteristics and who are mutually dependent. What affects one member affects the whole family, and vice versa. Families have certain features that differ from other social systems: * * * Families last longer than many other social systems. F amilies are inter-generational social systems consisting of three or sometimes four generations. Family systems include both biological and affinal relationships (relationships created by law or interest). Biological aspects of family relationships create links to a larger kin group that are not found in other social systems. A social network support map gives a detailed display of the quality and quantity of social connections. The community nurse can use this to help the family understand its support systems and to form a basis for nursing interventions. 20 Fig 2. Social network support map Source: Allender Spradley (2005:528) 2. 7 Cultural values in the family The cultural values in a family can have a major influence on how a family views health and health care systems. Each new generation takes on the values of the previous generation, passing traditions and cultures from generation to generation. A family’s cultural values and behaviours can either facilitate or impede the promotion of health and prevention of disease. Prescribed reading Read Clark (2008, or later editions), the chapter on the cultural context. Activity (1) Apply the four principles of cultural assessment to the family. 2) Discuss culturally competent care. h Feedback Note the following points: 21 (1) You needed to view the culture in the context in which it developed, examine the underlying premise of culturally determined behaviour and the meaning of behaviour in the cultural context. There is a need to recognise intercultural variation. (2) You needed to define cultural competence, consider the characteristics and challenges of cultural competence and the modes of culturally competent care. 2. 8 Family functions Family functions are the activities that a family performs to meet the needs of its members. These needs include basic needs such as food, clothes, housing, emotional support and guidance. All families ? regardless of the type of family ? have in common these basic needs that require a family to function in certain ways to ensure family survival. As the social system changes, the family system has to adapt if it is to meet individual needs and equip its members to participate in the social system. The family is a hierarchical system which is usually built on kinship, power, status and privileged relationships that may be related to age, gender, personality and health. All family functions can be reduced to two basic ones: * * How to cite Health in Comminities, Essay examples

Thursday, December 5, 2019

phenomonon Essay Example For Students

phenomonon Essay The Wrestling Phenomenon I would just like to start out and say that I dont think that watching wrestling on television is worth while. I cant understand how millions of people sit around their living rooms watching a bunch of muscle-bound wanna be jocks play fight and talk *censored*. ITS NOT REAL! What else do I have to say? The wrestlers and the officials admit it. The couch potatoes that watch this garbage are drawn in by the story of all things. You see, there is an ongoing saga behind every pseudo-body slam. None of it is real though, none of the trash talking, partnerships, or the fighting is real. Even so, people still are addicted to it. Wrestling today is bigger than it has ever been before. It is constantly ranked first on the Neilson Ratings (along with 2nd, 3rd, and so on until 7th).So, my question is, why is this phony wrestling so popular? Professional wrestling is one of the many worthless products of the 1980s. It had its time in the spotlight in the mid to late 80s with super-stars like Hulk Hogan and Andr The Giant. Then faded along with eight tracks and wine coolers. The difference, wrestlers along with the officials swore that every move was real. Every time Hulk Hogan fake-punched his opponent while simotaniously stomping his foot on the floor to create the illusion that he actually hit him, was supposed to be real. As the 90s rolled in wrestling took a bout of silence. For an instant I thought that people had found the same thing that I had, a remote control, and changed the channel. We arent that lucky though because it is back, WWF and WCW are more popular than ever. The WCW and the WWF are not offiliated though. The WCW consists of has been super stars like Hulk Hogan, now known as Hollywood Hogan, and Rick Flair. On the other hand the WWF hasa new fresh redneck blood like Stone Cold Steve Austin and his archival Kane. Only the WWF gives drug tests to its participants, which is funny because all the old has beens have had a history of steroid use then quit, but now they are as ripped as they have ever been hmmm sounds fishy. Most of the wrestling fan base watches the WWF, the fans say that it has a better story line and more appealing characters. While the WCW just has old burnouts who are hooked on steroids and cant write a simple script. At a time when Jerry Springers ratings are at an all time high, it does not surprise me that people may occasionally tune into something like pro-wrestling, but week after week just seems like too much. According to Time.com, about 34 million people watch wrestling every week.(Time, 1999) People who watch television these days want to see violence, they want to see controversy and conflict. The ironic thing is that the WWF and the WCW boast about themselves being non-violent and a family oriented program because all the wrestling is staged. However, according to Entertainment Weekly, in 50 episodes of WWF RAW is War on the USA network featured 42 instances of simulated drug or alcohol use or possession; 1,658 instances of wrestlers grabbing or pointing to their crotches (EW, 1999) now, how family oriented is talking about drugs while grabbing your crotch?They buy into this nighttime soap opera of a sport, knowing that it is actually just like any other action-adventure with little plot of conflict and resolution. Of a two hour program, only about a half an hour is devoted to actual wrestling matches. You must wade through the countless trash talking, advertisements, and amateur fights before you finally get to a main event which will, of course have the outcome predetermined by the participants. Now the WWF and the WCW are everywhere, there is tons of merchandise from shirts to video games, and they are all over the Internet.The official sight of the WWF (WWF.com) has had a traffic increase of 300 percent just since April 1998.(cnn.com) Each sight is about the same, they give the latest news and profile a select few wrestlers. .ua05a11714333a39e5fead102086405bd , .ua05a11714333a39e5fead102086405bd .postImageUrl , .ua05a11714333a39e5fead102086405bd .centered-text-area { min-height: 80px; position: relative; } .ua05a11714333a39e5fead102086405bd , .ua05a11714333a39e5fead102086405bd:hover , .ua05a11714333a39e5fead102086405bd:visited , .ua05a11714333a39e5fead102086405bd:active { border:0!important; } .ua05a11714333a39e5fead102086405bd .clearfix:after { content: ""; display: table; clear: both; } .ua05a11714333a39e5fead102086405bd { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ua05a11714333a39e5fead102086405bd:active , .ua05a11714333a39e5fead102086405bd:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ua05a11714333a39e5fead102086405bd .centered-text-area { width: 100%; position: relative ; } .ua05a11714333a39e5fead102086405bd .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ua05a11714333a39e5fead102086405bd .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ua05a11714333a39e5fead102086405bd .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ua05a11714333a39e5fead102086405bd:hover .ctaButton { background-color: #34495E!important; } .ua05a11714333a39e5fead102086405bd .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ua05a11714333a39e5fead102086405bd .ua05a11714333a39e5fead102086405bd-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ua05a11714333a39e5fead102086405bd:after { content: ""; display: block; clear: both; } READ: Time's Oldest Debate Essay

Thursday, November 28, 2019

The Corporate Brand Help or Hindrance (HBR Case Study and Commentary) Essay Example

The Corporate Brand: Help or Hindrance? (HBR Case Study and Commentary) Essay The Corporate Brand: Help or Hindrance? (HBR Case Study and Commentary) BY nthn0210 Each of Lilypads boutique hotels has its own sense of place and definition of customer experience. Though loyal to their favorites, guests dont visit other luxury properties in the collection or even realize theyre affiliated. To boost the lifetime value of existing customers and reach new ones, CEO Andre Cleary is thinking about positioning the hotels more directly under the corporate umbrella. The company could gain scale efficiencies and possibly increase visits†but does one brand really fit all? Four experts comment on this fictional case study. Horst Schulze, the CEO and president of the West Paces Hotel Group, says that Lilypad must build up its corporate brand to create long-term value. This would also help the company become more efficient at cross-promoting properties, offering services, and buying supplies in bulk. Jill Granoff, the executive vice president of direct brands at Liz Claiborne, says that the financial risks of putting the Lilypad name front and center may outweigh the potential rewards. The company should instead market its hotels more aggressively to travel agents and selectively acquire new properties to propel further growth. Kevin Lane Keller of Dartmouth argues that Lilypad must clarify what its brand represents before giving it any more emphasis. Rather than making significant changes in the rooms themselves, which could weaken the individual brands, management should coordinate behind the scenes to improve cross-sell numbers. Jez Frampton, the global CEO of the consultancy Interbrand, thinks Andre should systematically examine the brand in terms of Lilypads customers and culture. That means conducting market research and moving away from the current warlord approach of managing each property as a separate fiefdom. We will write a custom essay sample on The Corporate Brand: Help or Hindrance? (HBR Case Study and Commentary) specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Corporate Brand: Help or Hindrance? (HBR Case Study and Commentary) specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Corporate Brand: Help or Hindrance? (HBR Case Study and Commentary) specifically for you FOR ONLY $16.38 $13.9/page Hire Writer

Monday, November 25, 2019

Robert Lynds Essay on the Pleasures of Ignorance

Robert Lynds Essay on the Pleasures of Ignorance Born in Belfast, Robert Lynd moved to London when he was 22 and soon  became a popular and prolific essayist, critic, columnist, and poet. His essays are characterized by humor, precise  observations, and a lively, engaging style. From Ignorance To Discovery Writing under the pseudonym of Y.Y., Lynd contributed a weekly literary essay to the New Statesman magazine from 1913 to 1945. The Pleasures of Ignorance is one of those many essays. Here he offers examples from nature to demonstrate his thesis that out of ignorance we get the constant  pleasure of discovery. The Pleasures of Ignorance by Robert Lynd (1879-1949) 1 It is impossible to take a walk in the country with an average townsman- especially, perhaps, in April or May- without being amazed at the vast continent of his ignorance. It is impossible to take a walk in the country oneself without being amazed at the vast continent of ones own ignorance. Thousands of men and women live and die without knowing the difference between a beech and an elm, between the song of a thrush and the song of a blackbird. Probably in a modern city the man who can distinguish between a thrushs and a blackbirds song is the exception. It is not that we have not seen the birds. It is simply that we have not noticed them. We have been surrounded by birds all our lives, yet so feeble is our observation that many of us could not tell whether or not the chaffinch sings, or the colour of the cuckoo. We argue like small boys as to whether the cuckoo always sings as he flies or sometimes in the branches of a tree- whether [George] Chapman drew on his fancy or his knowl edge of nature in the lines: When in the oaks green arms the cuckoo sings,And first delights men in the lovely springs. Ignorance And Discovery This ignorance, however, is not altogether miserable. Out of it we get the constant pleasure of discovery. Every fact of nature comes to us each spring, if only we are sufficiently ignorant, with the dew still on it. If we have lived half a lifetime without having ever even seen a cuckoo, and know it only as a wandering voice, we are all the more delighted at the spectacle of its runaway flight as it hurries from wood to wood conscious of its crimes, and at the way in which it halts hawk-like in the wind, its long tail quivering, before it dares descend on a hill-side of fir-trees where avenging presences may lurk. It would be absurd to pretend that the naturalist does not also find pleasure in observing the life of the birds, but his is a steady pleasure, almost a sober and plodding occupation, compared to the morning enthusiasm of the man who sees a cuckoo for the first time, and, behold, the world is made new.2  And, as to that, the happiness even of the naturalist depends in so me measure upon his ignorance, which still leaves him new worlds of this kind to conquer. He may have reached the very Z of knowledge in the books, but he still feels half ignorant until he has confirmed each bright particular with his eyes. He wishes with his own eyes to see the female cuckoo- rare spectacle!- as she lays her egg on the ground and takes it in her bill to the nest in which it is destined to breed infanticide. He would sit day after day with a field-glass against his eyes in order personally to endorse or refute the evidence suggesting that the cuckoo does lay on the ground and not in a nest. And, if he is so far fortunate as to discover this most secretive of birds in the very act of laying, there still remain for him other fields to conquer in a multitude of such disputed questions as whether the cuckoos egg is always of the same colour as the other eggs in the nest in which she abandons it. Assuredly the men of science have no reason as yet to weep over their lost ignorance. If they seem to know everything, it is only because you and I know almost nothing. There will always be a fortune of ignorance waiting for them under every fact they turn up. They will never know what song the Sirens sang to Ulysses any more than Sir Thomas Browne did. The Cuckoo Illustration 3  If I have called in the cuckoo to illustrate the ordinary mans ignorance, it is not because I can speak with authority on that bird. It is simply because, passing the spring in a parish that seemed to have been invaded by all the cuckoos of Africa, I realised how exceedingly little I, or anybody else I met, knew about them. But your and my ignorance is not confined to cuckoos. It dabbles in all created things, from the sun and moon down to the names of the flowers. I once heard a clever lady asking whether the new moon always appears on the same day of the week. She added that perhaps it is better not to know, because, if one does not know when or in what part of the sky to expect it, its appearance is always a pleasant surprise. I fancy, however, the new moon always comes as a surprise even to those who are familiar with her time-tables. And it is the same with the coming in of spring and the waves of the flowers. We are not the less delighted to find an early primrose because we are sufficiently learned in the services of the year to look for it in March or April rather than in October. We know, again, that the blossom precedes and not succeeds the fruit of the apple tree, but this does not lessen our amazement at the beautiful holiday of a May orchard. The Pleasure Of Learning 4At the same time there is, perhaps, a special pleasure in re-learning the names of many of the flowers every spring. It is like re-reading a book that one has almost forgotten. Montaigne tells us that he had so bad a memory that he could always read an old book as though he had never read it before. I have myself a capricious and leaking memory. I can read Hamlet itself and The Pickwick Papers as though they were the work of new authors and had come wet from the press, so much of them fades between one reading and another. There are occasions on which a memory of this kind is an affliction, especially if one has a passion for accuracy. But this is only when life has an object beyond entertainment. In respect of mere luxury, it may be doubted whether there is not as much to be said for a bad memory as for a good one. With a bad memory one can go on reading Plutarch and The Arabian Nights all ones life. Little shreds and tags, it is probable, will stick even in the worst memory, just as a succession of sheep cannot leap through a gap in a hedge without leaving a few wisps of wool on the thorns. But the sheep themselves escape, and the great authors leap in the same way out of an idle memory and leave little enough behind. The Pleasure Of Asking Questions 5And, if we can forget books, it is as easy to forget the months and what they showed us, when once they are gone. Just for the moment I tell myself that I know May like the multiplication table and could pass an examination on its flowers, their appearance and their order. Today I can affirm confidently that the buttercup has five petals. (Or is it six? I knew for certain last week.) But next year I shall probably have forgotten my arithmetic, and may have to learn once more not to confuse the buttercup with the celandine. Once more I shall see the world as a garden through the eyes of a stranger, my breath taken away with surprise by the painted fields. I shall find myself wondering whether it is science or ignorance which affirms that the swift (that black exaggeration of the swallow and yet a kinsman of the humming-bird) never settles even on a nest, but disappears at night into the heights of the air. I shall learn with fresh astonishment that it is the male, and not the female, cuckoo that sings. I may have to learn again not to call the campion a wild geranium, and to rediscover whether the ash comes early or late in the etiquette of the trees. A contemporary English novelist was once asked by a foreigner what was the most important crop in England. He answered without a moments hesitation: Rye. Ignorance so complete as this seems to me to be touched with magnificence; but the ignorance even of illiterate persons is enormous. The average man who uses a telephone could not explain how a telephone works. He takes for granted the telephone, the railway train, the linotype, the aeroplane, as our grandfathers took for granted the miracles of the gospels. He neither questions nor understands them. It is as though each of us investigated and made his own only a tiny circle of facts. Knowledge outside the days work is regarded by most men as a gewgaw. Still we are constantly in reaction against our ignorance. We rouse ourselves at intervals and speculate. We rev el in speculations about anything at all- about life after death or about such questions as that which is said to have puzzled Aristotle, why sneezing from noon to midnight was good, but from night to noon unlucky. One of the greatest joys known to man is to take such a flight into ignorance in search of knowledge. The great pleasure of ignorance is, after all, the pleasure of asking questions. The man who has lost this pleasure or exchanged it for the pleasure of dogma, which is the pleasure of answering, is already beginning to stiffen. One envies so inquisitive a man as [Benjamin] Jowett, who sat down to the study of physiology in his sixties. Most of us have lost the sense of our ignorance long before that age. We even become vain of our squirrels hoard of knowledge and regard increasing age itself as a school of omniscience. We forget that Socrates was famed for wisdom not because he was omniscient but because he realised at the age of seventy that he still knew nothing. * Originally appearing in  The New Statesman, The Pleasures of Ignorance by Robert Lynd served as the lead essay in his collection  The Pleasures of Ignorance  (Riverside Press and Charles Scribners Sons, 1921)

Thursday, November 21, 2019

Conflict resolution Essay Example | Topics and Well Written Essays - 1250 words - 1

Conflict resolution - Essay Example Conflict resolution Being involved in a conflict can result from lack of option thus in most circumstances, people will be unaware that they are part of a conflict. In most circumstances, people who are part of a social unit like the family, workmates and company members get themselves involved in a conflict owing to the social relationship they have with the conflicting individuals. The resultant instigator of a conflict is the response of people to a perceived threat rather than the true threat facing them. In this manner, when the perception of a threat does not become a reality, people modify their behavior by evolving the sà ©ance of threat, but when the perception to threat becomes a real threat, conflict occurs. In the United States, in particular, the racial factor is among the major causes of the threat. Predominantly, a conflict between the white and the black races have in some instances resulted in armed conflict along the streets in the major cities in the United States as well as in the residential areas. Conflicts of this magnitude fuel an increment in the crime rate. One critical factor in the conflict that involves races is that it does not discriminate class or education level of people, but blanket cover all individuals with the traits instigating conflict. In an attempt to understand conflict and the nature of conflict, thus paper will analyze a case study of Officer Schwapp who was a victim of conflict in his workplace and attempt to provide mitigation measures to bring understanding in the event of such a conflict.

Wednesday, November 20, 2019

Review of a Christian-themed film Essay Example | Topics and Well Written Essays - 1500 words

Review of a Christian-themed film - Essay Example Amenabar managed to represent the very essence of that terrible era, which we consider the golden age of patristic. His scenes and characters are relevant and at the same time they are clearly correlated with the era, and their historically obvious naivety for us is blown with romantic languishing. The action takes place In Alexandria, Egypt, in the end of IV-V century, when paganism was retreating under the pressure of young and uncompromising Christianity. IV century is the century of triumph of Christianity in the Roman Empire. During this century Christians have moved from defense to attack, and from the oppressed religious minority they became a powerful government agency which was imposing its will to the rulers of destroying empire. In 391 in Alexandria religious clashes began, during which was destroyed the Library of Alexandria - one of the richest libraries in the world at that time. A former slave of Hypatia Davus who was secretly in love with her, becomes a Christian too and joined the rioters. Over time, the Christian church is becoming more powerful, and soon Bishop Cyril of Alexandria demanded Orestes and others to renounced Hypatia and forbid her to teach and do science. Hypatia was not able to deal with it and accept Christianity, so she was declared to be a witch, a prostitute and soon was killed. Hypatia is the embodiment of the ideas of modernity, science, secularism and feminism. We can say that she is the progress of the fifth century. But, as is in case with any genius, or with the person, going one step ahead of his time, her history is full of obstacles and difficulties. And the problem here is not only that the filmmakers made Hypatia an incarnation of the virtues, but also (what is more important) because they were trying to oppose the viewer to the heroine, in every respect alien or "otherness" towards us. We have to see her as a woman of her own time. Hypatia, the

Monday, November 18, 2019

Discuss the major problem involoved in the develpoment of anticancer Essay

Discuss the major problem involoved in the develpoment of anticancer agents today include in ur answer some discussion what step might be taken to get around so - Essay Example Surgical treatment involves surgical excision of a tumor or an entire organ but the propensity of cancer cells to microscopically metastases makes it effective only in localized small cancers such as breast and prostate tumors. Radiation therapy can come in the form of radiotherapy, X-ray therapy and irradiation and uses ionizing radiation to kill cancer cells. Chemotherapy involves the treatment of cancer with cytotoxic drugs that can have many effects specifically geared towards the elimination of cancer cells. One of the effects of the drugs is to interfere with cell division by hindering the duplication of DNA and the separation of chromosomes. The anticancer drugs travel through the bloodstream making it useful for cancers that have spread. Monoclonal antibody therapy involves the administration of antibodies that bind to a protein on the surface of the cancer cells. Cancer treatment depends on factors such as location, degree of severity, grade of tumor and the general state of the patient. In essence, the goal of cancer treatment is to remove or destroy the malignant cells without excessive damage to the body. This is easier said than done. Indeed, the treatments mentioned are far from being the panacea for cancer as they are severely limited not only by financial challenges but also of scientific obstacles that makes it very hard for scientists to make a breakthrough in the field of cancer research. The aim of this paper is to determine the challenges facing the development of a cure of cancer. While a discussion on financial constraints would be provided, I will be focusing more on the theoretical and scientific aspects that inhibit the development of cancer cure. Possible solutions for overcoming developing cancer cure that are based on studies will then be discussed and explored to determine the principles of how it would work. 2.0 The Current State of Cancer Research 2.1 Development Processes in Clinical Studies Developing a new drug is an expensive, time-consuming process that usually takes ten years to push through. Development and determination of effectiveness of possible cancer treatment usually comes in the form clinical trials. Clinicaltrials areresearch studies wherein the treatment is applied to human patients to determine if it is effective. Regulating bodies such as the Food and Drug Administration (FDA) oversee medical and ethical panels that review the research methods and ethics of the clinical trial to be undertaken and monitor the trial phases. The standard phases are the following (Coleman, 1998): Synthesis and Purification (1st and 2nd year) - researchers identify a substance that may be useful as a drug. Animal Testing (1st and 2nd year) - the substance is tested on animals to obtain preliminary information on whether the drug is safe and how it is metabolized in the body. Phase 1 Clinical trials (3rd year) - patients who have advanced cancer and are not helped by any other known treatments are recruited for the trial. They would be subjected to an analysis for the best dosage and delivery method of a new drug treatment. Phase 2 Clinical trials (4th and 5th year) - the drug is tested with groups of patients each having a different type of cancer. This is done to determine what types of cancer can the

Friday, November 15, 2019

Relationship Between Total Quality Management And Business Performance Management Essay

Relationship Between Total Quality Management And Business Performance Management Essay For many years, it has been discussed that Total Quality Management enhances the performance of business organizations. In latest studies, Total Quality Management established substantial notice and has also been proposed to augment the business performance. This research has been carried out to find the relationship between Total Quality Management and business performance. This research scrutinizes empirically the scope of Total Quality Management and business performance as well as the degree to which both of them are linked. This study will also enable to carry how Total Quality Management influences on several levels of business performance. Organizations are surviving in difficult situations except they create the complete competitive lead over their challengers and this is the result of such competitive environment which is taken out from liberalization and globalization (Adam et al., 2001; Samson Terziovski, 1999). By means of rising competitive environment with business pressures as well as the self-motivated verified customer-oriented environment, Total Quality Management is considered a most imperative and key issue which may create a considerable interest of managers and researchers towards it (Ahire et al. 1995; Benson et al. 1991; Flynn et al., 1995; Powell, 1995; Sousa and Voss, 2002). In 1980s, considering Total Quality Management as one of the successful mode of improving the competitive leads of any firm or organization (Keiu et al, 2001). It is also declared by the primary initiates of quality working in this area, for example Deming (1986) and Juran (1993) that competitive lead may be obtained through the provision of quality goods or services. Moreover, now days global marketplace demands high quality as an imperative competitive lead is considered by holding quality in such competitive global environment and market place (Eng Yusof, 2003). Additionally, Total Quality Management is measured as an effectual management gear which is used to provide businesses by means of development, stability and prosperity (Issac et al, 2004). The main advantages of quality development may not only be a sign of lessening costs but also to maximize business profit ratio. According to Freiesleben (2005), it is emphasized on maximize the profits and revenue generation in terms of reducing costs as well as enhancing quality but it should be influenced on quality and superiority to generate profit. Hence, this research on relationship between quality management and organizational performance is critically assessed for companies as well as to get the better understanding the effects of quality management on various dissimilar levels of firms business performances. So as to attain the entire requirements of quality, business organizations must have to spend time in addition to the efforts to execute Total Quality Management. Organizations will commence true quality management practices though communicating Total Quality Management principle or philosophy successfully. Additionally Total Quality Management and its applications might be implemented in order to enhance the association between organizations and their suppliers. Furthermore, the execution of Total Quality Management may also improve customer satisfaction by means of giving most excellent goods or services. By the stand spoint of CEO of Intel about quality that is displayed at Intels website and that is quality is considered as top six companys key values in fact. Additionally, Intel is determined for convincing the worlds top class quality by adopting or put one of its quality systems into practice. According to Otellini (2006), with this effort, Intel is dedicating itself to retain the superior quality, highest standards and distribute goods which fulfill the specified objectives of Intel. Preceding studies (for example AlKhafaji et al, 1998; Mandal et al, 1999) stated that philosophy of Total Quality Management is applicable for any organization, firm or company that involves service, manufacturing or information related organizations. Take the example of Taiwan and the mature growth of information technology businesses in Taiwan that has prepared it possible intended for stabilized world wide economy (Einhom et al, 2005). It has proved to be valuable to consider how Total Quality Management might be influenced on business performance, so as to make the information related business in Taiwan more competitive and flourishing. Aims and objectives Subsequent study is to find out the association between Total Quality Management and business performances of organizations. Based on this study, basic aim of this research is to gauge how Total Quality Management and business performance are interlinked and how different altitudes business performances are influenced by Total Quality Management. The key objectives of this study are To understand the concept of total quality management To investigate the total quality management models and theories from existing literature To study the total quality management approaches applied in Tesco To determine the effects of TQM implementation on the performance of Tesco To explore the challenges in the implementation of TQM practices at Tesco Research Question What are the influences of winning accomplishment of Total Quality Management on the performance of Tesco? Literature Review Advantages of Total Quality Management and its effective implementation may be studied along with three dissimilar angles. On the top, Total Quality Management practice is one of the emergent and hot subjects commencing the operational approach, and it may be used to apply enhanced performance and world wide competitiveness for both academia and business industry (Flynn et al, 1995; Samson Terziovski, 1999). The organization which applied successful implementation of Total Quality Management practices may be able to achieve internal advantages for example quality enhancement, improved productivity, or apprehending improved operating income (Corbett et al, 2005; Hendricks Singhal, 1997). According to Corbett et al, (2005) the second reason is from financial performance approach, vigilant design or execution of dependable, reliable and recognized Quality Management systems that can add value to high class performance of businesses imperatively. Moreover, at last b using the approach of knowledge management (KM), Total Quality Management practices and its implementation may also enable to improve and enlarge organizational knowledge that turns to facilitate supplementary consideration of how Quality Management practices can influence on organizational performances (Linderman et al, 2004). Both of management philosophies have various similarities when Total Quality Management and knowledge Management. According to Hsu Shen, (2005) Total Quality Management and knowledge Management can compliment each other in case of planning both of them properly. Latest researches have been able to found the association between Total Quality management practices and several levels of business performance (Das et al, 2000; Kaynak, 2003; Mohrman et al, 1995). However several preceding researches have been resulted and hold up the positive influences of Total Quality Management on firms business performance (Hendricks Singhal, 1997; Kaynak, 2003; Madu et al, 1995; Sun 2000; Samson Terziovski, 1999). According to Choi Eboch, (1998) different researchers have made their researches to found the execution of Total Quality Management that may escort to the ineptness of organizational performance. The cause to which outcomes of these researches have dissimilar most likely resulted from the temperament of research design for example utilizing Total Quality Management practices or organizational business performances as an individual entity. Through this research, the researcher will investigates the relationship between major seven attributes of Total Quality Management and several levels of organizational performance as well as how each of Total Quality Management attribute influences on other attribute and by the literature these attributes are Customer focuses Management leadership Design Management Process Management Data quality and Reporting Suppliers Management Human resource Management These are the main constructs on which this study is based. Hypotheses Development Depended on the outcomes of theoretical framework of this research, the seven above discussed elements are concluded to be the most driving strength intended for an effectual execution of Total Quality Management. These seven attributes are focus of the customer, management leadership, human resource management, supplier management, data quality and reporting, design management, and process management as well (Flynn et al, 1994; Samson Terziovski, 1999; Sousa voss, 2002; Kaynak, 2003). According to Samson Terziovski, (1999) for the execution of Total Quality Management practices customer focus is the groundwork theory for any organization. Since complete execution of Total Quality Management practices are highly influenced and authorized by top management. Thus devoted obligations from senior managemt regarding the completion of Total Quality Management practices are surely a necessity. Hence this study firstly proposed hypothesis that is Hypothesis One Customer Focus is absolutely correlated to the Management Leadership. Hypothesis Two Management Leadership is completely correlated to Human Resource Management, Supplier Management and Design Management. Hypothesis Three Human Resource Management is absolutely linked with Data quality Reporting. Hypothesis Four Quality Data reporting is absolutely correlated with Suppliers management, design Management as well as Process Management. Hypothesis Five Suppliers Management is directly and positively associated with Process Management, Design Management as well as Operating Business Performance. Hypothesis Six Design Management is optimistically relevant to operating business performance and Process Management. Hypothesis Seven - Process Management is correlated with Operating Performance Hypothesis Eight Customer Satisfaction is linked with Operating Performance as well as Financial Performance Methodology The proposed research will be a case study based on Tesco. Triangulation methodology will be adopted in the proposed research. Qualitative and quantitative research methods will be used to find the relationship between TQM and Business performance. Subsequent research is basically used quantitative approach. Likewise it a structured approach by using Quantitative method since the researcher will find out the concrete results from the opinion of several participants. Primary and secondary data will be incorporated in the research. It also low cost and provides quick responses from the respondents. Survey tool is used in this research to find the link between TQM and business performance. In this research, Tesco Retail Company is targeted to explore the effects of TQM execution. Outlets are specified to get the results of research questionnaire because of financial limitations and time minimization, all outlets are hard to visit and collect data from there. Questionnaire will be presented by considering seven above discussed attributes and hypotheses. These seven attributes are supposed to be more important for successful execution of Total Quality Management and thus recommended to form a survey Performa. Questionnaire is formed into three main sections that involves Background of organization Execution of Total Quality Management Particular questions designed regarding Total Quality Management practices Total Quality Management attributes will develop through suggested (proposed) research model. Judgment sampling method is used in subsequent study because this study requires those participants who have excellent prospect intended for accurate information. Close ended questionnaire tool is used in this study. Majorly two basic categories of data collection sources are utilized so as to access relevant data required for this study as in the view of fact that gathering data and all relevant information is a broad practice from all accessible sources. This study access insufficient primary data that is necessitate for research because of financial as well as time limitations but in this study secondary data sources are used widely. According to Dawson, Catherine, (2002); Kathori, C.R., (1985); Kumar Ranjit, (2005), primary data sources are considered as initial stage of data collection where secondary data sources are served together data and information in combining and interpreting data that is evaluated before. Scope of the research The outcomes of this research may be functional for the researchers well as practitioners in the field of Quality Management zone. This research enlarges the scope of Total Quality Management applicability athwart wide-ranging cultural as well as industrial environments for attaining higher customer demands and focus with improved customer satisfaction that leads to enhanced business performance. It also pressurizes the want intended for more logical researches on this topic. Factors of Total Quality Management for example philosophy of management, dimension and / or open organization all have imperative bonding with business competitive lead and hence impact on its overall performance. Limitations of the study Based on secondary data sources, this study has the main limitation of using the secondary data such as secondary data sources and evaluation of secondary data may imitate the queries as well as point of views of innovative researcher that can not accurately deal with the interest and queries by other researchers. It is most difficult part of the research to access all data that is useful and require for the research about organizations. So limitation of accessing the required information is a critical step as well as a biggest challenge for a researcher to conduct investigation. Limited financial sourcing and time limitation is considerably significant. Because of financial limitation, it is quite hard for the researcher to gain access to all paid journals and paid sources of books etc. so for this purpose e- libraries and internet references are used. Definitions used in this study Total Quality Management According to Hellsten Klefsjo (2000), total quality management is a system of management which consists of uninterrupted change and consistent values, tools methodologies that purpose is to enhance internal as well as external customer satisfaction within reduced quantity of resources. Performance By EFQM (1999), performance is a gauge of achievement which is attained by any individual, group, any procedure or any organization. Thesis structure Subsequent chart present the chapters of this dissertation and the study material with in these chapters individually. Apart of these chapters, dissertation also contains appendix or appendices which are presented at the end of thesis. Chapter one: this chapter entails introduction, study background, aims and objectives, purpose, research questions of respective study, definitions of vitals, limitation and structure of thesis basically. Chapter two: this chapter contains the theoretical framework of the study, like preceding research references on Total Quality Management and business performance, and their association as well. Chapter three: it will comprise of methodology of thesis. The research and its methodology, and research design, research approach, along with data validity reliability. Chapter four: data analysis will be presented in chapter four which will then show the procedure and results of data analysis. Discussions will also be a part of this chapter. Chapter five: this chapter will present the conclusion which will be taken out from entire research and suitable recommendations will be suggested for further betterment. Chapter One Introduction Chapter Two Literature Review Chapter Three Methodology Chapter Four Data Analysis Chapter Five Conclusion Figure 1 Thesis structure Summary From the entire discussion, it is stated that this research is proposed to investigate the relationship between Total Quality Management practices and business performance. It also explores several levels of business performance. Core objective of this research is to provide experiential evidences on the factor either implementation of Total Quality Management practices are influenced on several levels of business organizations performance. This research further contributed to suggest a model that may study Total Quality Management influences in more successful way and consequently, implement Total Quality Management in an effective approach.