Reflective Nursing Essay | Leadership in AE

Reflective Nursing Essay | Leadership in AE For the purpose of this assignment I will explore my personal and professional development in my third year and throughout the entire course. In this assignment I will reflect on an episode of practice that happened in the accident and emergency department during my placement there. I will discuss my leadership role, supervision and delegation to others whilst I managed the minors area on a morning shift. I have chosen to reflect on this episode of practice as this is one of the first times I was truly allowed to manage an area during this time I was able to delegate to others, question my leadership style and make clinical decisions. I will use reflective practice to critically analyse my delegation and supervision of others and analyse my own professional development. Throughout this reflection I will also look into the theory that underpins the following areas, Clinical Decision Making; Leadership, Management and Teamwork; Delegation and Supervision of others and Continuing Professional Development. The main focus of this assignment will be my delegation and supervision of others as this is a very important part of being a nurse as the NMC (2008) says You must establish that anyone you delegate to is able to carry out your instructions and that You must make sure that everyone you are responsible for is supervised and supported. To critically analyse this I will use a recognised model of reflection, I have researched a number of different models of reflection to find one that is suitable for this and that Im comfortable using. Some of the models I have looked at include Johns model of reflection as cited in Siviter (2008) But I found that this to be to rigid and does not help me discuss my own development as well , and also requires the reflector to work under constant supervision and keep a diary. Another model I considered was Rolfe et al (2001) framework for reflective practice, but I found this not to be structured enough to adequately explore my development and create future action plans. The final model I looked at is the Gibbs (1988) model of reflection as cited in (Siviter, 2008). The Gibbs model is well structured and easily guides the reflector through the process allowing them to explore the reflection in depth and allow action plans to be created. I have chosen this model as I have used this mode l in the past and feel comfortable using it and I feel it is well suited to this episode of practice. During this assignment I will use a pseudonym for any patients I discuss to maintain confidentially in line with the NMC (2008) on confidentiality. Desciption I was working on a morning shift in the Minors area of the Accident and Emergency department with my mentor and her other third year student. The nurse in charge asked us if we wanted to take it in turns the run the minors depart for half the shift each. I was given the task of running the area for the morning half the shift. In addition to my mentor and the other student there was a HCA also assigned to the area. The minors area was not particularly busy this morning there was 3 patients in the area with another 2 or 3 waiting to be seen. One of the Doctors working with is in the area asked if I could do an ECG on one of the patients then refer them up to the cardiology ward as they needed to be admitted. I decided that I would hand the patient over to the ward as I had the patients full history and I would delegate the task of the ECG to the other student as I knew she needed to do this for her skills, my mentor went with her as she needed to be supervised to complete this skill. O n my way to make the phone call, a paramedic crew brought a child in the paediatric area of the minors bay. When a patient is brought into the area there paperwork has to be completed including observations. I decided to delegate this to the HCA as the other patient urgently needed to go to the ward. I asked the HCA to do a complete set of observation on the child who responded when I get round to it I explained to her that the observations were more important at that time than stocking a cupboard. After making the phone call I returned to the child and the HCA to ensure the observations where completed correctly and noted the Childs observations were not normal and may indicate acute appendicitis as I had seen this on a previous shift, at this point I took the results to the doctor and explained what I felt the doctor agreed and moved the child up in the waiting list to be seen next. Thoughts and Feelings When I was asked to run the minors area initially I felt very excited about this as I have not had many management opportunities during my course and I was getting to manage an area I have always been interested in and hope to eventually work in. When I started to get into the management role I started to find myself getting more and more anxious as I have never really worked in this environment before and that previous experience had been limited to wards which had more set routines. I felt comfortable being able to delegate to the third year student as I knew she would be competent to do the task I asked her I also felt confident in asking the HCA to complete observations as I knew they had training to work in this area. I feel that I could have asked the HCA in a different way to complete the observations as I felt the way I handled it was wrong and it led her to resent me for the rest of the shift because I was short with her. Overall I enjoyed the experience and felt a great dea l of satisfaction when I was able to identify a potentially critically ill patient and make the appropriate referral using my clinical judgement. Evaluation What I feel that was positive about this situation is I was able to practice my leadership and delegation skills which previously I have not had the opportunity to do. It has also given me a good insight into the importance of time management and prioritising tasks. This episode has given me a small insight into the importance of quality assurance because I had to check the observations and also allowed me to recognise my own limitation as I knew there was nothing I could have done for the child without referring to a doctor. What was negative about the situation I feel was my team working and management style could have been better as I could have explained to the HCA in more positive way. I feel I may not have needed to delegate the task of observations as I could have made the call and managed to complete the observations in a timely and safe manner. Analysis Delegation and supervision of others is an integral part of being a registered nurse. Delegation is defined as the process of transferring a task to a competent individual and giving them to authority to complete a selected nursing task in a selected situation Hanston Jackson(2004).

Entering the soft drinks industry in india Essay

India is an enormous and diverse country with a population of over 1 billion people, making it difficult to make any generalisations about what Indians like and want from a soft drink (Background to Business in India, 2011). The soft drink industry in India has been growing rapidly since 2006 and in 2010 generated a profit of $3. 8 billion and although the market is set to decelerate, by 2015 he market value will be $5. 9 billion (Soft Drinks Industry Profile: India, 2011). From this, India is an attractive marketplace with many opportunities for a soft drinks manufacturer to want to expand in to. Porter’s National Diamond: Factor Conditions India has a very young population with over half being under the age of 25 (BSCAA , 2009) This is an advantage to the MNC wanting to expand their business in to India as research by Euromonitor (2011) suggests that young people aged 16-25 are more likely to purchase bottled soft drinks. Conversely, the diversity of the population in India must be stressed as it is such a large country, with a huge divide between rich and poor. Also with regards to human resources, the MNC could benefit from the profusion of low-cost labour in India (Maan, M et al, 2011), meaning the MNC could move its manufacturing to India to reduce its operating costs whilst targeting the young population with their soft drink product. When assessing the physical resources in India, the MNC needs to consider the poor infrastructure in the country and how rural some of the areas are. It would not be advised to enter the market in east/northeast India unless selling cheap bottled water because the area is very rural and poor and there is only really a market for selling healthy, clean and sanitised water (Soft Drinks in India, 2011). However, south India would be a much more promising area to invest in to and the MNC would have better business opportunities here. Southern India benefits from a much more affluent population of young, employed people, who in recent years have become much more health-conscious, which has led to an increase of 24% in market sales (Soft Drinks in India, 2011). If the MNC were to invest in India, concentrating on one area to ensure they reach the correct target audience, Southern India would be ideal to bring out a range of waters and juices to attract the young, health-conscious population there. Carbonated drinks should not be considered at research by Euromonitor (2011) stress the saturation of the market by megabrands such as Coca Cola and the need for â€Å"healthier† bottled, soft drinks. These also relate to the social and environmental sectors of the PESTLE model. Porter’s National Diamond: Demand Conditions In India, there is an increasing demand for healthy and hygienic soft drinks but sports drinks will remain to be the most rapidly growing sector due to the popularity of sports with young Indians (Soft Drinks in India, 2011). The research from Euromonitor (2011) states that Indians have moved away from carbonated drinks due to the rising health awareness, and have started to purchase more water and fruit and vegetable juices. For the MNC to compete against the increasing international competition, they would need to think â€Å"glocally†. Glocalisation entails local and global activities acting simultaneously, where they would â€Å"think globally and act locally† (Glocalisation, no date). By adapting to the local environment, the MNC could gain a competitive advantage as an international brand as they would appear to take in to account the local surroundings of their brand and they are more likely to be successful as they would be selling a product that the local Indians would want. The MNC should internationalise to respond to the megatrend of competitors, which is a deterministic force, and then compete through adaptation of their product to suit the local surroundings in India. The strategy the MNC should consider after analysing the demand conditions is to consider both price and value together. They should differentiate themselves from other soft drink suppliers by offering a strong brand that young Indians are conscious of (Soft Drinks in India, 2011) but also an acceptable price. Although there is a huge poor population in India, if the MNC were to target Southern India as suggested after looking at the factor conditions, research by the Bureau of South and Central Asian Affairs (2011) depict a large and growing middle-class population of India that have a disposable income of between $4,166-$20,833 per year; this suggests that they could price their product in correspondence with the other brands as there is a growing population of richer Indians. Also by offering benefits of a brand and a health-conscious drink that is in high demand at the moment, they can concentrate on focussing on that one area of India where they could possibly dominate the market in a smaller area. Porter’s National Diamond: Firm Strategy, Structure and Rivalry With regards to structure of firms, the MNC will have to consider how different India is in terms of how they do business compared to Europe. In India, the majority of organisations have a strong hierarchical structure, with one authoritarian leader at the top (World Business Culture, 2011). When investing in to the Indian market it is recommended to approach business in the same hierarchical structure that India have as it is indisputably acknowledged. If they were to enter the market dealing with business in a more democratic, flat manner, how Europe would normally deal with business, they are unlikely to thrive. In terms of rivalry, there appears to be a lot of competition from other brands of soft drinks. Bisleri holds the largest amount of market share with 23. 6% in 2010; however this is the main seller of clean, hygienic water in India (Soft Drinks in India, 2011). After this, Coca Cola and Pepsi with all their sub-brands hold high shares in the market in India. If the MNC were to invest in to the Indian market, the strategy they would have to take would be to introduce a new soft drink that promotes sustainable benefits of being a healthy, branded, bottled soft drink that is different from the standard carbonates that the international, well-known brands offer. By differentiating their product and adapting it to the local environment in India, the MNC will gain competitive advantage. Porter’s National Diamond: Related and Supporting Industries Soft drinks are sweetened with sugar (Beverage Health, 2010) and India is the second largest producer of this commodity in the world (Sugar: Supply and Demand, 2010). This would be a benefit to the MNC as a main ingredient to soft drinks is readily available and will be cheaper rather than importing it from other countries. Plastic is also heavily involved when packaging soft drinks, through a third party factory. Luckily for the MNC, India has had a high development of their machinery which can create high-quality plastic products, including bottles (Indian Plastic Portal: 2009). By having plastic bottlers locally available, the MNC will have an advantage on being able to easily be supplied the service; however the price at which they purchase the plastic bottles for their soft drink product could be expensive due to the competition of other, more established brands such as Coca Cola. Porter’s National Diamond: Role of Chance The role of chance could invalidate the advantages of investing in the market in India at any time. Chance events that could affect the MNC introducing a new soft drink in India could include: well-established brands like Coca Cola or Pepsi creating a new product which young Indian’s are more likely to be swayed towards due to brand loyalty; another chance event could be new health awareness campaigns that may affect a young individual’s view on bottled soft drinks. There are constantly rising issues concerning health and the amount of sugar young people consume which could seriously harm the reputation and also the sales that the MNC could potentially make when entering the Indian Market. Also factors such as soaring prices in sugar or limited water supply could dramatically affect the manufacture and production of soft drinks. Porter’s National Diamond: Role of Government Currently, India is considered at a low-cost option for organisations to invest in to with its strong domestic market, high savings rates and positive demographic trend (World Business Culture: 2011), however, this could quickly change as India’s government could, at any time, implement new tax laws, quality standard laws or changes in antitrust laws which could alter the ease of entering in to the Indian marketplace for soft drinks. The MNC must take in to account and assess all the different policies and laws for foreign markets to invest to ensure they can operate their business properly. Issues that may arise in this determinant will also occur in the PESTLE model if the MNC were to undertake this from of country analysis. Porter’s Five Forces Buyer Power: Research by Datamonitor (2010) suggests that buyer power is temperate within the current soft drink suppliers in India as they sell not only to independent retailers but they sell their concentrates to bottling companies. However, the buyer power for a new brand of soft drink in India could affect the MNC profusely; this is due to the fact that the consumers will already have brand loyalty to the well-known and well established soft drink brands in India. The buyers would have to have an incentive to purchase the new product over something they are already used to and like; therefore having a relatively strong power over the new entrant. Supplier Power: Due to the fact that most ingredients of soft drink products are commodities means that supplier power is reasonably low and these commodities are readily available, for example: sugar (Datamonitor: 2010). Water, which is also a main component needed for the manufacture of a soft drink product, could be a problem in India as the sanitation of the water can be a problem and the supply is not always constant (India: Development Policy Review, 2007). Finally, supplier power from plastic packaging companies is growing due to the rise in awareness of environmentally friendly packaging (Datamonitor, 2010). New Entrants: If the MNC were to invest in to India, to ensure they were successful, they will need to ensure that they concentrate on differentiating and adapting their product to the area and from other brands (Datamonitor, 2010). Research by Euromonitor (2011) also suggest that by having a strong brand name and by using national figures to advertise the brand, a new entrant to the soft drinks market in India will thrive. From this, it suggests that there is a market for new entrants as long as the product is differentiated and well distinguished from the other products that already exist. Datamonitor also recommend that a new entrant should stress the health benefits of their product to attract more consumers. Substitutes: There is a reasonable threat from substitute products in the soft drink market in India. Research by Datamonitor (2010) depicts the larger brands like Parle Bisleri to be a higher threat as they offer other kinds of confectionary products as well as a wide range of soft drinks and the substitutes are able to stored differently (on shelves at room temperature). Datamonitor recommends that leading brands, as they have a diverse range of products, can reduce the risk of the substitutes on their performance. Rivalry: Research by Datamonitor (2010) gives evidence that the marketplace for soft drinks in India is concentrated with the top three players (Parle Bisleri, Coca Cola and Pepsi) holding 74. 1% of the market volume. These brands not only offer standard carbonated soft drinks and bottled water but speciality bottled teas and coffees. Therefore, if the MNC were to enter in to the Indian soft drink market, to remain a competitive brand, they would need to offer an adapted product to attract new consumers and draw them away from the well-established brands they know well. The Diffusion Curve. (Pearce, 2011) India as a whole would be placed in sector â€Å"late majority† due to the whole population of India being respectively poor with a GDP of only $1190 (World Business Culture, 2010). This means that they would purchase the product but maybe not straight away, when it is released, they will start to consume when the soft drink has become much cheaper. However, in a much more affluent area like South India where there is a population of young professionals with brand consciousness (Euromonitor, 2011) the population would be within the â€Å"early majority† sector. This is due to the fact that younger, wealthier people are more likely to want to try out new products when they see others consuming them and also feel the need to try out new products if the benefits and brands are well advertised to them (Euromonitor, 2011). Recommendations After assessing the market for soft drinks in India, it would be recommended for the MNC to invest in to this attractive marketplace. It is important for the MNC to internationalise its operations to diversify themselves, to respond to foreign competition and to take advantage from lower costs and increased technological expertise. However, there are many factors to consider when entering the market in India: firstly, the MNC must take in to account how diverse the nation is. As mentioned before, the population is huge and it would be ignorant to make any generalisations; therefore it would be a sensible idea for the MNC to only enter the market in one area of the country, for example southern India. It has been discussed that southern India is a much more affluent area of India, in which are many young, employed Indians who should be the target audience for the MNC as they are accessible and sustainable. Secondly, the competitors in this area must be considered. In order to be successful in investing in to India, it would be sensible for the MNC to create a product that is not standardised but adapted to the needs and likes of the population in this area. The MNC should conduct some research in to what kinds of flavours and tastes that are preferred in order to create a product that would thrive in Southern India. It is also very important for the MNC to create a product in which the health benefits are a main factor of their soft drink. Throughout the research in this feasibility study, it has been stressed that there is a need from consumers for a soft drink where the health benefits are highlighted as although the carbonated soft drink market is booming (Euromonitor, 2011) it is saturated with other competitors; therefore, the MNC should compete through differentiation and offering benefits of their â€Å"healthier† soft drink product. Overall, the MNC has the chance of being successful when investing in to Indian soft drink market. They need to be careful when dealing with business with them, ensuring they have conducted enough research in to how they do business as it is very different to Europe, as said before, they deal with business in a hierarchical and authoritarian way. However the foreign environment is uncontrollable and the MNC has no control over the macro environment, so they must ensure to fully understand the marketplace and how India operates with foreign investors. Critical Evaluation of Porter’s National Diamond Porter’s National Diamond is described as a â€Å"methodological approach to analyse the most current industry occurrences and competitive status, and to identify emerging issues and opportunities for successful market development† (Batra, M et al, 2009). The diamond is used to investigate an organisation’s ability to compete in international markets by looking at four different components: factor conditions, demand conditions, related and supporting industries and strategy, structure and rivalry. Secondary to these four determinants, porter stresses the need for considering the role of chance and the role of the government in order to have a sound analysis of the competitive advantage of nations. Porter’s national competitive advantage theory suggests that a country’s competiveness within a certain industry will depend on the whether or not the industry has the room to innovate and advance (Wild, 2011, p177). Porter’s diamond is mainly concerned with how and why certain countries are more competitive in different industries. His theory amalgamates the two different denominations of international trade theory from country based theories such as mercantilism and comparative advantage, and also firm based theories such as product life cycle and national competitive advantage (Griffin, 2007, p164) There are many advantages of using Porter’s National Diamond: it allows an organisation to asses and analyse a country, covering all necessary areas to think about, ensuring that it would be a successful country to invest in to. It ensures that the organisation takes in to account everything they need to when considering investing in another country. Although it is only a forecast, if the organisations thinks about all possible occurrences and fully assesses all the components, it should give them an extensive knowledge and assertion that they are making a prosperous investment. Another advantage is that it is academically renowned and used by many organisations and governments across the world. However, Porter’s National Diamond has been criticised for many reasons: firstly it suggests that any role of government is negative, where it could be positive and encourage foreign investments and make domestic industries less competitive (Hadjidakis, 2007, p88). The role of chance is also too difficult to predict as any environment can change very rapidly and unexpectedly. According to Dickens (2007, p187) the diamond compresses too much complex and intricate information in to a â€Å"four-pointed diamond model† and this is not enough to be able to measure the national competitiveness of a country adequately. It has also been argued that porter’s model lacks any distinct definition of the four determinants which in turn, will reduce the predictive power and accuracy of the diamond model (Grant, 1991). Within international business management, when applying Porter’s national diamond, it should be ensured to consider every single aspect that Porter recommends in to major detail to ensure a forecast for investment is as accurate as possible. The different aspects of the diamond should be developed as much as possible so that international competitiveness is driven to thrive and succeed. Reference List Background to Business in India (2011) Available at: http://www. worldbusinessculture. com/Indian-Business-Style. html (Accessed: 10 January 2012). Batra, M. , Niehm, L. (2009), â€Å"An opportunity analysis framework for apparel retailing in India: economic, social, and cultural considerations for international retail firms†, Clothing and Textiles Research Journal, Vol. 24 No. 4, pp. 287-300 Beverage Health (2010) Available at: http://www. beveragehealth. org. au/scripts/cgiip. exe/WService=ASP0017/ccms. r? PageId=10053 (Accessed: 12 January 2012) BSCAA (2009), â€Å"Background note: India†, Bureau of South and Central Asian Affairs, Available at: www. state. gov/r/pa/ei/bgn/3454. htm (Accessed: 10 January 2012) Bureau of South and Central Asian Affairs (2011) Background Note: India. Available at: http://www. state. gov/r/pa/ei/bgn/3454. htm#econ (Accessed: 10 January 2012) Dickens, P. (2007) Global Shift: Mapping the challenging contours of the world economy. 5th edn. Sage Publications: London. Grant, R. M. (1991), â€Å"Porter’s ‘competitive advantage of nations’: an assessment†, Strategic Management Journal, Vol. 12 No. 7, pp. 535-48. Griffin, R. (2007) International Business: A Managerial Perspective. 5th edn. Pearson: Upper Saddle River. Glocalisation (no date) Available at: http://rija-rasoava. weebly. com/glocalisation. html (Accessed: 10 January 2012) Hadjidakis, S. Katsioloudes, M. (2007) International Business: A Global Perspective. Elsevier. India: Development Policy Review (2007) Available at: http://web. worldbank. org/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/0,,contentMDK:20980493~pagePK:146736~piPK:146830~theSitePK:223547,00. html (Accessed: 12 January 2012) Indian Plastic Portal (2009) Available at: http://www. indianplasticportal.com/plastic-industry-overview/ (Accessed: 12 January 2012) Mann, M. Byun, S. (2011). Accessing opportunities in apparel retail sectors in India: Porter’s diamond approach. Journal of Fashion Marketing and Management, 15, 2. Available at: http://www. emeraldinsight. com/journals. htm? articleid=1926550&show=html#b7 (Accessed: 10 January 2012) Pearce, A. (2011) ‘Week 9: Production Strategy and International Value Chain’. The diffusion curve [Online]. Available at: https://elp. northumbria. ac. uk/webapps/portal/frameset. jsp?tab_id=_2_1&url=%2fwebapps%2fblackboard%2fexecute%2flauncher%3ftype%3dCourse%26id%3d_223681_1%26url%3d (Accessed: 14 January 2012) Soft Drinks Industry Profile: India (2011) Available at: http://web. ebscohost. com/ehost/pdfviewer/pdfviewer? vid=5&hid=24&sid=89a8abec-1124-46fa-8180-57eef84e8a7d%40sessionmgr4 (Accessed: 10 January 2012). Soft Drinks in India (2011) Available at: http://www. portal. euromonitor. com/Portal/Pages/Search/SearchResultsList. aspx (Accessed 10 January 2012) Sugar: Supply and Demand (2010) Available at: http://www. spectrumcommodities. com/education/commodity/statistics/sugar. html.

Characteristics of Rousseau Confessions Essay Topics

Characteristics of Rousseau Confessions Essay Topics The Little-Known Secrets to Rousseau Confessions Essay Topics So, the best method to compose an excellent persuasive essay is to discover a theme you're familiarized with and wish to share your experience with the reader. At the exact same time, it's an amazing persuasive essay idea. It's important to understand that essay topics are just basic ideas that leave you pondering an idea that might be a huge deal to somebody else. You may trust us to offer expert assistance for many of your academic writing needs. Persuasive essays are a really good means to encourage the reader to check at a particular topic in a different light. Always bear in mind a great persuasive essay ought to be persuasive. Selecting a persuasive essay topic may take plenty of time without ending up with the excellent solution. Deciding upon the correct topic for a persuasive speech may be not such an easy issue to do as it might appear. Gossip, Deception and Rousseau Confessions Essay Topics Try to remember, persuasive essay topics don't need to be politically correct all the moment, they are sometimes controversial. In general, you can observe that writing a persuasive essay isn't a brain surgery. The simplest way to decide on a persuasive essay topic is to talk about a present issue. Good persuasive essay topics need to be persuasive. If you would like to purchase a research paper, online writing service like ours is precisely what you demand. Don't neglect to bring a strong hook at the beginning (introduction paragraph) and wind up with an impressive conclusion to earn the reader want to talk about the interesting persuasive essay topics of your selection. You may continue to keep your argumentative essays for your upcoming job portfolio in case they're highly graded. Just comply with the guidelines stated above, and you will be well on your way to writing a great persuasive essay. Perform extensive research on the subject of your choice and make an impressive persuasive speech that individuals will remember for long. When it has to do with writing an argumentative essay, the most essential point to do is to select a topic and an argument which you can really get behind. Some people today live their lives depending on their religion while some don't think you should factor that into decision making in regards to determining rules for everybody. Many people wind up covering the identical tired topics they see in the media daily, just because they can't produce a better idea. You have to know all facets of financial topics when you choose them. If it's a college essay, it is essential to consider what aspects of it is going to be evaluated. The main target of brainstorming is to generate an assortment of special ideas everyone is able to utilize. One other important issue when picking a persuasive speech topic is to select a topic that could provoke your audience a little. What to Do About Rousseau Confessions Essay Topics Before You Miss Your Chance Even if you think in a specific argument very strongly, if you lack the evidence to demonstrate your point, then your argument might just be as great as lost. As any guide on how best to compose a persuasive essay will inform you, your essay has to be organized in paragraphs with a logical progression from 1 paragraph to the next. Persuasive essays share a good deal of resemblance with argumentative essays. All persuasive essays are like argumentative essays. The sole all-natural type of authority is the authority a father has over a youngster, which exists just for the preservation of the kid. Use what you read to assist you create some search terms, and to assist you choose your own position. Take notes concerning all prospective topics you'll be able to consider. The goal of brainstorming is to help you receive ideas. The Hidden Truth About Rousseau Confessions Essay Topics A persuasive speech resembles a difficult challenge for many students. Then you're interested in figuring out how to compose persuasive paper. Possessing excellent research abilities and selecting an excellent topic is essential. Argue that public higher education has to be free for everybody. Children ought to be able to use cellphones in school. Parents should speak to their children about drugs at a youthful age. They should talk to kids about drugs at a young age. They must be responsible for providing a healthy diet.

General Braxton Bragg in the Civil War