The impact of short staffing on qualityof care and safety of the patients Free Essay Example, 3000 words

Short staffing of the nurses occurs because of various factors (Rcn. org. uk, 2015). First, shortage of nursing graduates from various schools in the country leads to the shortfall of nurse personnel in various healthcare facilities. Increased investment in the healthcare sector by private and public organisation contributes to enhancing the scarcity of nurses in a country. The demand for nurses in United Kingdom supersedes the rate at which the learning institutions are producing nursing graduates (Rcn. org. uk, 2015). There is a significant rate of nurse care shortfall in various hospitals in the country. Secondly, brain drain contributes to the shortage of nurses in the United Kingdom. Most of the nurses acquire training in the country and move their practices to other countries such as United States, Canada and Australia (Waterson, 2014.). The level of staffing in different hospitals across the country is influenced by the government policies regarding the operations of the healthcare facilities. However, the organisational structures of various hospitals determ ine the level of staffing of the caregiver nurses (Bullock, Clark and Rycroft-Malone, 2012). Thirdly, the cost of hiring adequate nurses in a particular hospital influences the patient to nurse ratio. We will write a custom essay sample on The impact of short staffing on qualityof care and safety of the patients or any topic specifically for you Only $17.96 $11.86/pageorder now Most administrators evaluate the budgetary factors before implementing various initiatives of acquiring additional caregiver nurses at the hospital. Nursing staffing depends on the effectiveness of the administration in providing reliable and safe healthcare to the patient. The management of different hospital aspire to provide the public with appropriate care in order to promote the health of the society (Yarbro, Wujcik and Gobel, 2011). The direct correlation between nurses staffing and safety of the patients is an essential consideration of the majority of the managers in different healthcare facilities. Adequate staffing of the nurses in hospitals promotes the welfare and safety of the patients. Various patients’ care and treatment aspects are affected by inadequate staffing of the nurses. First, the safety of the nurses regarding their prescription is influenced by the absence of adequate nurses in a healthcare facility (Tingle and Bark, 2011). Nurses are responsible for ensuring the patients adhere to the prescription schedule provided by the doctors. In this case, inadequate caregiver nurses personnel might lead to skipping of medication by the patient, which risks their life (Nice. org. uk, 2014).

Juliets Evolvement Throughout William Shakespeares Romeo...

Juliets Evolvement Throughout William Shakespeares Romeo and Juliet Romeo and Juliet is one of Shakespeares earliest tragedies. The character in question, Juliet Capulet, is arguably the most intriguing character in the play. The daughter of Lord and Lady Capulet, one of the richest families in the setting of Verona, her life should have been one of comfort and pleasure, but this is not to be, as the introductory prologue tells us. Amid the tale of fierce family feuds and star-crossd lovers, she develops from an immature and compliant girl, naive even for her young age of thirteen, to a defiant and resolute young woman, passionately in love with the husband she married without her familys†¦show more content†¦As we enter Act I Scene V, Juliet is still the meek and quiet girl we saw in the first scene, but as the act finishes, she has changed and appears cunning and devious. When a mystery young man, Romeo, approaches her, she does not stop his advances; she participates with the flirtation, continuing with Romeos religious speech. By doing this, Juliet is accentuating her innocence for the first time in the tragedy. She pretends to object to Romeo kissing her, Lips that they must use in prayer She noticeably changes once the couple have kissed. Instead of the juvenile submissive daughter, she transforms into an ardent young woman. The wish to please her parents and her nurse has been overtaken by her desire of Romeo. Juliets priories have changed. When Juliet wants to find the identity of her mystery admirer, she does so in such a way that does not reveal her newfound love. She enquires to Nurse first of yond gentleman and then of another man before asking about Romeo. This shows that instead of bursting to tell her confidante about her experience, she displays a manipulative restraint. She is deceitful, a trait unseen in the Juliet of Act I Scene III. Terri Milburn Whereas Juliets new love had made her devious and practical in Act I Scene III,

A Event That Changed My Life Free Essays

BRAINSTORMING: 1. )Moving away to a different state. Positives: a. We will write a custom essay sample on A Event That Changed My Life or any similar topic only for you Order Now )started college b. )stayed out of trouble Negatives: a. )had no family to turn to b. )had a lot of trouble finding a place to stay 2. )Being a troubled teen. Positives: a. )learned from experiences I had Negatives: a. )had a lot of trouble with the police b. )didn’t go to school c. )ran away Final Draft: OK so basically I have decided to tell you about me being a troubled teen. Everybody I am sure has either had some kind of trouble as a teen or been in some kind of trouble as a teen. Well some has been worse than others right. Well mine started off when I was 14. I thought I could do what I wanted to do when I wanted to do it and knew everything. Needless to say it didn’t happen that way. When I was 14 I got into a lot of trouble. I didn’t listen to my mom, I would sneak out the house, and I got into a lot of trouble with the police for fighting a lot, and always skipped school. I never hung out with people that did anything good. The people I hung out with where negative. Well one day I went to school and got into a really bad fight and ended up in a juvenile facility over it. I was there for about a month went to court and the judge put me on probation for 3 years. Well I still thought I could do what I wanted to do. So I still kept doing the same behavior I was doing before then. Needless to say I ended up violating probation when I was 15 and they locked me up. I was in a juvenile facility for 3 months then went to court and they put me in a program for 1 year. Well when I got to the program I thought it was going to be easy. But I ended up finding it was actually very difficult. Well after I got out of my program I decided that was something I had never wanted to experience again. So still to this day, and am 21 now, I have not been back in jail or nothing. I have been abiding by the laws and actually I am doing really well for myself. But before I could realize that’s not the life I wanted to live anymore I had to make a change, and not for anybody but myself. Narrative essay: How to cite A Event That Changed My Life, Papers

Service and Relationship Marketing

Question: Discuss about the Service and Relationship Marketing. Answer: Introduction The service consumption industry is usually full of personal interaction of the service employees and the consumer. According to Giannakis, et al. (2015), there has been a lot of focus on the behaviour or the service employees and does not look so much in to the roles of the consumer during the process of the service relationship. Even when the interaction might consist of the receptionist brief greeting to the visitor or entails the personalized attention of the manager during the signing of a booking contract, the moment the exchange of words between the two parties begins, they automatically become involved in the consumption of service and becomes a very important part of the service process(Cateora, et al., 2012). According to Gummesson, et al. (2014), personal interaction between the consumer and the provider of the service is usually termed as the service encounter in the service and relationship marketing. Such factor should be able to address how the customer expects to be t reated and also looks at how employees should behave while creating relationships. Significance of service encounters and managerial implications In the hotel industry, whenever a consumer requests for any kind of service, be it booking a room of ordering for a meal; they would like to do this freely and make their own judgment. They will also avoid interacting with a sales marketing person. Another customer may welcome a marketing person advance toward him or her and allow them to take an active part in helping them to decide(Feinberg, et al., 2012). The service and relationship marketing research has most of the time focused so much on the market of the sales person(Gummesson, et al., 2014). In this regard, the experience of the customer, including encountering with the staff, is usually not viewed as in social and interactive relationship process. It is thus important to understand the significance of service encounters and the managerial implications it has in the service industry such as the hotel business. High Context Communication and Low Context Communication As businesses continue to become global, communication plays a very high role in relationships that the hotel business will create with their customers. The model which was first used by Edward Hall (Giannakis, et al., 2015), are important in discussing different cultures between societies that also play a big part in the service and relationship marketing. It looks at how much the sales person or the employee will rely on things than words to convey meaning. For example, the communication between the customer and the employee might face many sensory cues which may not all be processed(Hawkins Mothersbaugh, 2012). In this process, the customer will only focus on what his culture may deem important and ignore other factors. For example, in the hotel business, the customer might be much more concerned about the warmth of the hotel rooms more than the comfort of the bed if one comes from a hot climate(Churchill Iacobucci, 2004). However, those culture that favour low context communication, will be much more concerned with what the marketer is offering than what they can see or feel physically. It is thus important for a marketer to understand different culture so as to know the kind of relationship marketing strategy to use. Sales Theory According to Underhill (2008), sales theory and practice are all but one thing. According to the theory, ideas and transactions in the relationship marketing should be able to grow in to lasting relationship(Levy, et al., 2013). In this regard, the employee needs to consider the customer as being part of the company and the management of the hotel should be seen to put this in to practices. The sales theory argues that in service and relationship marketing, the focus is not only in selling the product and making profits. It is also about building a lasting relationship that is based on loyalty, integrity, trust and mutual benefit. There should therefore be a connection between sales theory and implementation so as to building a relationship of mutual gain(Macarthy, 2013). Quality When it comes to quality in service and relationship marketing, it is important for the hotel management to realize the importance of the customer. It is also import to know how much he is the determinant of the type of product and quality of service in offer(Giannakis, et al., 2015). In addition, modern companies are made of huge networks, some of which are multinationals. This means that the quality of one branch of the company is bound to affect all the other departments, and not just the spotted department or the consumer of the service. For this reason, the company will have to invest much on marketing research so as to discover what customer desire and ways to introduce to the list of services(Underhill, 2008). Standardization vs. customization For any service industry, standardization and customization is important. This is because people expect the same level of quality of a particular product wherever they go around the world. According to Gummesson, et al. (2014), standardization will provide a positive perception of consumers toward the product. If the hotel will enjoy strong identity of their brand with regard to its reputation, a standardized approach will be beneficial to the company. If the hotel has created a good relationship with its employees, then a positive word of mouth will increase its sales around the world(Feinberg, et al., 2012). There will also be reduction of costs of marketing which gives the industry economies of scale. By having a large number of visitors in the hotel, will reduce the cost of amenities. The other advantages are also in the economies of scales with regard to the operational costs, marketing research and development and the reduced cost of investment. Standardization is also a great strategy when it comes to trade barriers, it also helps companies focus on a unique marketing mix of a particular product; this is important for improvement of quality. Fail / Wait It is only the consumer who determines whether the business is bound to fail, or more efforts should be put to improve services. Consumers are the ones who will evaluate the overall quality with regard to tangibles, responsiveness, reliability, empathy and assurance. Most service and relationship marketing fail because the management focus most on customer approach tactics than strategies(Hawkins Mothersbaugh, 2012). This makes positive outcomes difficult to achieve since tactics do not look at the long term impression of the customer and employee or hotel relationship. Strategies to improve quality The first place to begin is to choose a different relationship marketing strategy from other competitors. According to Levy, et al. (2013), marketers set themselves to fail when they rely on strategies that are the same as everyone elses. It is important to make the customer see something different in your approach from the other businesses. It is also important to differentiate the marketing team from the corporate team. In most cases, companies would rather give orders to the marketing team instead of looking at them as a singular most important department in the organization(Giannakis, et al., 2015). Strategies used in the corporate department should be differentiated from those used in the marketing department. Thirdly, the management needs to realize the role of the customer in building relationships, they need to treat the customer as part of the team and not merely someone seeking their service. The basic reason for this is to create a lasting relationship between the business and the customer. All the above are vital in improving quality since they will improve responsiveness, assurance and empathy that are important in marketing relationship. Physical Services When it comes to physical services, it will entail the customers presence; this will help them evaluate the services before they agree to consume. Services escapes and physical evidence With regard to physical evidence, it is important for the marketer to develop physical evidence and be able to implement the said evidence. This is because physical evidence is a material part of the service. The physical environment will look at the space the customer is surrounded when consuming the service. For the hotel industry, this will be the restaurant or the room(Cateora, et al., 2012). The evidence should be made up of all the things that a customer would desire to see or experience while at the hotel. Conclusion In conclusion there is needs to be a clear understanding of the roles that the marketer and the customer perform in service and relationship marketing. This is because it is not only about consumers expect from marketers, but also expectations that these consumers have for themselves during the service delivery process. This means that consumers are an active part of service experience. References Burns, A. C. Bush, R. F., 2013. Marketing Research (7th Edition). In: s.l.:Prentice Hall; 7 edition, pp. 76-108. Cateora, P., Graham, J. Gilly, M., 2012. International Marketing. In: s.l.:McGraw-Hill/Irwin; 16 edition, pp. 12-18. Churchill, G. A. Iacobucci, D., 2004. Marketing Research: Methodological Foundations (with InfoTrac). In: s.l.:South-Western College Pub; 9 edition, pp. 22-45. Feinberg, F. M., Kinnear, T. Taylor, J. R., 2012. Modern Marketing Research: Concepts, Methods, and Cases (with Qualtrics Printed Access Card). In: s.l.:Cengage Learning; 2 edition, pp. 12-47. Giannakis, D., Harker, M. T.Baum, 2015. Human resource management, services and relationship marketing: the potential for cross-fertilisation. Journal of Strategic Marketing, 23(6), pp. 526-17. Gummesson, E., Fretagsekonomiska, i., universitet, S. fakulteten, S., 2014. "Productivity, quality and relationship marketing in service operations: A revisit in a new service paradigm. International Journal of Contemporary Hospitality Management, 26(5), pp. 656-662. Hawkins, D. Mothersbaugh, D., 2012. Consumer Behavior: Building Marketing Strategy, 12th Edition. In: s.l.:McGraw-Hill/Irwin; 12th edition, pp. 55-61. Levy, M., Weitz, B. Grewal, D., 2013. Retailing Management, 9th Edition. In: s.l.:McGraw-Hill/Irwin; 9th edition, pp. 76-123. Macarthy, A., 2013. 500 Social Media Marketing Tips: Essential Advice, Hints and Strategy for Business: Facebook, Twitter, Pinterest, Google+, YouTube, Instagram, LinkedIn, and More!. In: s.l.:CreateSpace Independent Publishing Platform, pp. 33-76. Underhill, P., 2008. Why We Buy: The Science of Shopping. In: s.l.:Simon Schuster; Upd Rev edition, pp. 45-123.