Thursday, October 3, 2019

The Relationship Between Tourism And Terrorism Tourism Essay

The Relationship Between Tourism And Terrorism Tourism Essay The words tourism and terrorism exist at either end of a continuum of quality of life. The word tourism means living happily, enjoyment, and relaxation, while terrorism means feeling of death, destruction, fears and panics every where. According to Beirman (2003), tourists are primary concerned with travelling to the destination satisfying their desires with minimum complications, threats to their safety and wellbeing , while on the other hand Gilham (2001) said, physical threat or serious disturbances to ones plans are suffer to reduce the prospects of a tourist destination or tourist firm. In past decade terrorism has very severe impacts on the travel and tourism industry than any other industry. The main reason of this may be because the basic objectives of the terrorist groups are to spread fear, as a result the basic safety and security of people threatened. According to Abraham Maslow (1943) the Hierarchy of needs, he said that human nature never satisfied when they have met th eir basic needs for safety and security. When they are able to satisfy their basic needs, then they attempt to satisfy their self actualisation needs such as better life, travel and tourism. According to Essner 2003), the psychological impacts are enough to have severe impacts on tourism. The fear of terrorism is irrational, because in terrorist attack chances of being killed are very little and security environment has demonstrated its negative impacts on tourism in many top destinations around the world. Three industries are dominated in 21st century, telecommunications, Information technology and tourism. According to World Tourism Organization 2008 report, tourism provides employment over 100 millions around the world. Tourism is an important economic sector for UK economy and according to BBC 2010 report; domestic and overseas visitors put an  £115 billions a year in UK economy. The direct contribution in the UK economy was  £52 billion in term of GDP which represent 4% of UK economy. Tourism also provides 1.36 million jobs in 2009 to UK workforce which is 4.4% of total work force. UK is the worlds sixth largest international tourism destination in term on number of tourists, but after September 11, 2001 and July 7, 2005 incidents this industry was badly affected. According to the LCCI (2005) report, it has been estimated that the fall in tourism could cost UK tourism industry over  £300 millions. In this competitive age, the business environment is changing dramatically. Terrorism is the biggest threat to tourism industry because travel is susceptible to the incidents of terrorism. When people travel they always avoid hazards, so for tourists safety is the major concern. During the past decade especially after September 11 2001, there are number of events which have had significant negative impacts on UK tourism. The correlation between terrorism and tourism is undeniable in the era due to industry strength and tourist places are the ideal target for terrorist to create large amount of economic and social disruption in the country. In UK terrorism can be seen in substantial part, as a result of this backlash to the tourism industry. There are number of definitions of terrorism, in the world of Alexander et al (1979) terrorism is a threat or use of enforcement and inclemency to achieve a political goal by means of intimidation fear, and coercion. In the present world context, the European Union (2001) define the terrorism relevant to international business in the following words. Terrorist offences are certain criminal offences set out in a list comprised largely of serious offences against persons and property which, given their nature or context, may seriously damage a country or an international organisation where committed with the aim of: seriously intimidating a population; or unduly compelling a Government or international organisation to perform or abstain from performing any act; or seriously destabilizing or destroying the fundamental political, constitutional, economic or social structures of a country or an international organisation. According to U.S Department of state (2002), terrorist select businesses (e.g. tourism places) for attack compare to other targets. The most kind of attack is bomb blast, although armed attacks and kidnapping are also some kinds of terrorist attacks. According to Council of Foreign Relations (2002) reported the majority of victims in terrorist attack are civilians. The relatively large number of tourists may not prepare to face these kinds of terrorist attacks. However the scenario has changed as it was at the time of terrorist attack in 9/11. Kunreuther et al (2003) cited that during the days of terrorist attacks in 9/11 a common feeling came into mind of people that it could be me. But with the passage of time this may give way to may be it will not me next time. This kind of behaviour is more common now a day in south Asia. But it is a common thinking that it is extremely easy for terrorist that to attack any where in the world. Even in low cost and low tech attacks, terrorists ac hieve to disrupt the tourism industry. Terrorism has deep history science the cold war but this issue become most salient after terrorist attacks in September 11 2001. This incident affected the UK and international tourism industry in various ways. On one hand the world tourism industry was affected financially, the other hand it suffers due to legal and security issues. The international tourism industry between countries was most seriously affected due to security and safety concerns and legal issue. Especially UK, US and other developed countries were compulsion to protect their territory and people at any cost. Tourism industry in UK and USA found themselves floundering financially in the months after the terrorist attack on world Trade Centre, while rest of the world tourism industry also lost millions of dollars. According to U.S department of state (2002) more than 3000 people of different nationalities were killed in the terrorist attacks only in the United States in September 11, 2001. The attacks were the consp icuous example of terrorism on global level. According to the overview of European commission (2001) this was the one of the major event in the past decades which diversifies the viewpoint and outlook of people around the world. Terrorism affects both the long term and short term perspectives of the businesses around the world. Czinkota (2002) cited that terrorism influenced long term karma of entire industries, for example tourism, retailing and manufacturing industries. After the September 11 terrorist attacks many international tourist destinations have badly affected legally because countries have introduced new laws for foreigner tourists e.g. strict visas requirements, security check and criminal record check etc. UK government also introduced strict immigration law for every one who wishes to come UK for tourism in the effort to prevent further terrorist attacks. The new terrorist laws restricted the tourists for freely travel across the UK borders and require by security department to keep proper track of their activities. The anti terrorist laws have made very complicated for tourism industry to conduct its business activities across the international borders as a result many countries tourism industries have financially struggled. Another major issue that affect the international tourism industry is security and government have to invest huge amount of money to improve both internal and external security. The security is most important becau se terrorist target hot spots to achieve their targets. There is not a vast existing literature which shows the relationship between terrorism and tourism management theories, and the lack of presence of research literature is absolutely visible on the relationship between terrorism and tourism management, which elaborates constructive techniques for tourism industry in the presence of phenomena of terrorism. Terrorism has capacity to create atmosphere of fear and can be intimidate industry in number of ways. This threat of terrorism attacks poses a continuous atmosphere of risk for the tourism around the world. This risk itself creates extension for treatment of risk in management theories. The majority of management literature theories adopt term uncertainty as a factor of unpredictable environment which may influence the performance of firms in certain ways. The environment effected by terrorism also has a factor of unpredictability in it. This study is another attempt to research and investigates impacts of terrorism on the tourism in dustry in UK and we will also discuss different approaches for reducing and handling the terrorism threats. Research aim and objective: Research Aim: This aim of this research is to analyse and explore the effects of terrorism on tourism industry in the United Kingdom after September 11 2001. The second part of my research is to critically analyse and recommend the most appropriate strategies for tourism industry to deal with the terrorist threats or scrutinize the different strategic views to avoid and minimise the impact of terrorism on industry. Research Objectives: This research has the following individual objectives: Critically analyse the impact of terrorism on individual organization and the whole market. Evaluate the managerial performance in organizations, before, during and after the happening of the terrorist attacks and in uncertain environment. Research Questions: What is terrorism and why terrorist target business? What are the effects of terrorism on business? How to development strategy for managers or adopt a better approaches to deal with above mentioned issues? Abbreviation and terminology: Uncertainty: specifically mean the unpredictable environment; it is unpredictable when next terrorist attack will occur. Risk: mean threat; internal and external threat in business environment which may affect the productivity of organisation.

Wednesday, October 2, 2019

defamation Essay examples -- essays research papers

By definition defamation is the act of injuring someone’s character or reputation by false statements. Cases of defamation are only considered attacks on if they are made in a vindictive or malicious manner. The person’s name is considered not only personal but proprietary right of reputation. Defamation is synonymous with the words libel and slander in terms of law. Defamation is a term that encompasses both libel and slander. Libel is a term used to describe visual defamation; as in newspaper articles or misleading pictures. Slander describes defamation that you can hear, not see. It is mostly oral statements that tarnish someone’s reputation. Defamation is used mainly in politically based arenas; corporate workplace, entertainment, and definitely in politics. It can be traced back to as far as governments have been established. Different countries have various roots of laws dealing with defamation and its consequences. In pre- Roman time’s crimes dealing with slanderous and libel offences were punishable by death by law of the Twelve Tables. In Roman jurisprudence the offences were dealt with in a ways similar to modern law. Statements made in public were considered an offence, yet those made in private were not. The truth was a sufficient defense. Many libel and slander laws descend from the English law of defamation. The first documented case of libel was tried by the Star Chamber in the reign of James I. American laws regulating slander and libel began previous to the American Revolution. In one of the more significant cases New York publisher John Peter Zenger was accused and brought to trial on charges of libel. In 1734 the German immigrant published an article â€Å"attacking† Governor Cosby of the New York Colony. His case was won and the trial aquitted. This case showed the oppsite side of the spectrum, on how to fight aginst defamatory charges. Another important case occurred in 1964 in New York Times v. Sullivan. This case set a preesident for libel cases. It stated that officials could only win a suit if they demonstrated actual malice, knowledge that the information was false, and reckless disregard of whether it was false or not. In 1974 Gertz v. Robert Welch, Inc. the supremecourt ruled that plaintiff could not win if the statements were oppionion rather than fact. These cases helped protect the first ammendment of... ...any claimed to have fired him for â€Å"cause† which means he had been convicted or entered a no-contest plea to a felony or had been found guilty of fraud or embezzlement. The suit seeks damages and a retraction of company statements that said Orlick was fired for "cause." This cases outcome has not yet been published. Another controvercial case of defamation includes now Governer of California Arnold Schwarzenegger. A Hollywood stuntwoman alleged that she was sexually harassed by Schwarzenegger. She claimed that she was touched during two of the films. When she spoke out aginst Mr. Schwarzenegger his campaign staff told reporters she was a felon with a long criminal record. After this she filed a defamation suit against him for ruining her good name in the public eye. Defamation laws along with those of privacy matters are among the most controvercial. In many cases it is hard to meet the criteria of what is actually concidered a libel and slander offence. As far back as governments can reach defamation has always been a problem and always will be. Defamation is very common and is easily found in things like propaganda, politics, magiznes, newspapers, and the television. defamation Essay examples -- essays research papers By definition defamation is the act of injuring someone’s character or reputation by false statements. Cases of defamation are only considered attacks on if they are made in a vindictive or malicious manner. The person’s name is considered not only personal but proprietary right of reputation. Defamation is synonymous with the words libel and slander in terms of law. Defamation is a term that encompasses both libel and slander. Libel is a term used to describe visual defamation; as in newspaper articles or misleading pictures. Slander describes defamation that you can hear, not see. It is mostly oral statements that tarnish someone’s reputation. Defamation is used mainly in politically based arenas; corporate workplace, entertainment, and definitely in politics. It can be traced back to as far as governments have been established. Different countries have various roots of laws dealing with defamation and its consequences. In pre- Roman time’s crimes dealing with slanderous and libel offences were punishable by death by law of the Twelve Tables. In Roman jurisprudence the offences were dealt with in a ways similar to modern law. Statements made in public were considered an offence, yet those made in private were not. The truth was a sufficient defense. Many libel and slander laws descend from the English law of defamation. The first documented case of libel was tried by the Star Chamber in the reign of James I. American laws regulating slander and libel began previous to the American Revolution. In one of the more significant cases New York publisher John Peter Zenger was accused and brought to trial on charges of libel. In 1734 the German immigrant published an article â€Å"attacking† Governor Cosby of the New York Colony. His case was won and the trial aquitted. This case showed the oppsite side of the spectrum, on how to fight aginst defamatory charges. Another important case occurred in 1964 in New York Times v. Sullivan. This case set a preesident for libel cases. It stated that officials could only win a suit if they demonstrated actual malice, knowledge that the information was false, and reckless disregard of whether it was false or not. In 1974 Gertz v. Robert Welch, Inc. the supremecourt ruled that plaintiff could not win if the statements were oppionion rather than fact. These cases helped protect the first ammendment of... ...any claimed to have fired him for â€Å"cause† which means he had been convicted or entered a no-contest plea to a felony or had been found guilty of fraud or embezzlement. The suit seeks damages and a retraction of company statements that said Orlick was fired for "cause." This cases outcome has not yet been published. Another controvercial case of defamation includes now Governer of California Arnold Schwarzenegger. A Hollywood stuntwoman alleged that she was sexually harassed by Schwarzenegger. She claimed that she was touched during two of the films. When she spoke out aginst Mr. Schwarzenegger his campaign staff told reporters she was a felon with a long criminal record. After this she filed a defamation suit against him for ruining her good name in the public eye. Defamation laws along with those of privacy matters are among the most controvercial. In many cases it is hard to meet the criteria of what is actually concidered a libel and slander offence. As far back as governments can reach defamation has always been a problem and always will be. Defamation is very common and is easily found in things like propaganda, politics, magiznes, newspapers, and the television.

Sports Mascots Honor the Native American Indian Essay example -- Native

  Ã‚  Ã‚  Ã‚   The year is 1991.   The Atlanta Braves had just completed their first trip to the Fall Classic in four decades, and the Washington Redskins were undefeated, well on their way to their third Super Bowl title.   All across the eastern seaboard, sports fans were tasting success - while American Indians were in an uproar.   This year witnessed the peak of the protests over the use of mascots with American Indian themes.   With two of the major professional sports teams in question making front-page news across the country, many of us heard American Indians' complaints for the first time.   Suddenly, thanks to the cries of thousands of demonstrators, the names of many Americans' favorite teams had become synonymous with "nigger."   American Indians believe that the use of these mascots presents a slanderous stereotype of their society, and they demand immediate cessation of such usage.   Are these demonstrators justified?   According to the or ganizations in question, the choice of mascots based on American Indian themes was not intended to be derogatory and in most cases was instead intended to honor certain American Indian tribes or individuals.   In stark contrast, "nigger" was intended from its inception as a derogatory term for African-Americans; it is purposefully used to belittle its victims.   American Indians have made themselves victims here, choosing to be insulted where no insult was intended.   Because the intentions behind them are not slanderous, the use of mascots with American Indian themes should be continued.      Ã‚  Ã‚  Ã‚  Ã‚   Since its birth, "Indian's" definition has never been derogatory.   It dates back to the 15th century, when Christopher Columbus mistakenly applied the label to the natives of the ... ... - Heroic Symbol at Florida State." Seminoles Official   Ã‚  Ã‚  Ã‚  Ã‚   Athletic Site.   18 May 1993. Online. Available:   Ã‚  Ã‚  Ã‚  Ã‚   http://www.fansonly.com/schools/fsu/trads/fsu-trads-seminoles.html. 28 February   Ã‚  Ã‚  Ã‚  Ã‚   1999. "Louis Sockalexis: The Cleveland Indian (1871-1913)." The Official Cleveland Indians   Ã‚  Ã‚  Ã‚  Ã‚   Baseball Club Homepage. Online. Available:   Ã‚  Ã‚  Ã‚  Ã‚   http://www.indians.com/history/sockalexis.html. 25 February 1999. Munson, Barbara. "Common Themes and Questions about the Use of 'Indian' Logos."   Ã‚  Ã‚  Ã‚  Ã‚   American Comments: A Web Magazine.   1997.   Online.   Available:   Ã‚  Ã‚  Ã‚  Ã‚   http://www.iwchildren.org/barb.htm. 25 February 1999. "Native Americans." Microsoft Encarta 96 Encyclopedia. 1996 ed. CD-ROM. Microsoft Corporation, 1995. "Seminole Wars." Microsoft Encarta 96 Encyclopedia. 1996 ed. CD-ROM. Microsoft Corporation, 1995.   

Tuesday, October 1, 2019

Shutter Island Scene Reviews and Diagnosis

Psychological disorder: Grandiose and Persecutory Delusional Disorder Movie title: Shutter Island Movie rating: 3. 5/5 Character name: Teddy Daniels (Aka. Andrew Laeddis) Actor’s name: Leonardo DiCaprio Andrew Laeddis’ wife went insane and drowned their children, so he murdered her.He feels guilty about neglecting to get his wife help, which could have saved their children, and guilty about killing her as well; the two of these add up heavily on his conscience, so much so that he creates an alternate personality (Teddy Daniels) to get away from the terrible reality that is his life. I will refer to him as Teddy throughout my character diagnosis. Scene one: Teddy experiences a nightmare about his wife. The fire symbolizes not only how she first tried to commit suicide, but also the death of his sanity.The nightmare begins with his wife scolding him about his drinking problem, which is a repressed regret that only comes out in his dreams where he is vulnerable. She says s he never left, and she walks to the window where you can see the lake; the one where she drowned her children and was murdered (by Teddy) at. She tells him he needs to wake up, but she really means he needs to see reality, she says she’s not really there, and that he needs to face that. She says â€Å"Laeddis† is still there, which is who he was before he invented the Teddy persona to avoid feeling the guilt, since he would inevitably blame himself for their deaths.Scene two: Teddy has a flashback about his traumatic experience in Germany during World War II. He has post-traumatic stress disorder from his time spent there and his repressed memories span from killing guards to seeing thousands of innocent people turn to frozen corpses. He has guilt, shame and self-hatred induced psychosis from his involvement in the war. He sees his nurse (he replaces the image of his wife with the image of his nurse because it’s easier to handle) and his deceased daughter, she i s a symbol of his guilt for neglecting his wife’s mental problems.If he had have done something about his wife, his children would not have died. Scene three: Again Teddy replaces his wife with his nurse to avoid further pain and she asks him to help her. He picks up his daughter and she once again is a symbol of guilt as she asks him why he didn’t save her. He said it was too late by the time he got there, meaning physically to the scene where his children were murdered as well as meaning that he was too late in getting help for his wife who was visibly losing touch with reality.Scene four: Teddy talks to his old friend, who he remembers, but he does not understand still that he was a patient at Shutter Island along with his friend. He does not remember beating up his friend, even when his friend says he looks so bad because of him. Teddy stays stuck in his other personality, which is a common trait of borderline personality disorder. When he is in one identity, he sh ows a complete amnesia for his other identity. He created a fictional life for himself, with fictional characters to go along with the story.He tells himself his wife died in a fire, when he really murdered her. He blames â€Å"Andrew Laeddis† (who is himself) for being the one who lit the match that killed his wife, which is a metaphor for him being at fault for her death, and the children’s deaths. He is in a constant search for Andrew Laeddis, saying he’s the secret patient at Shutter Island, and his imagined wife tells him to kill Andrew. He wants so badly to get rid of his past self, because he would rather live without feeling the guilt.His friend says he can’t deal with the truth and kill his old self at the same time, he makes the point that he’s fighting against himself. When his friend mentions his deceased wife, and repeats saying â€Å"let her go†, Teddy hallucinates that she is present in the room. His friend knows he’s s eeing her, and is clearly distressed, he knows his delusions will be the death of him. He snaps out of his alternate personality for a moment and says that he can’t let her go. Knowing that Teddy was and still is technically a patient of Shutter Island, he warns that Teddy will never leave the island.

Monday, September 30, 2019

Delta Airlines Essay

Delta Air Lines is one of the top five domestic airlines in the United States, and amongst the top 20 in the world today. The key to Delta being so successful today is their focus on human relations (Anthony, Kacmar, & Parrewà ©, 2010). An agricultural extension agent by the name of C.E. Woolman founded Delta. Mr. Woolman was not a financier, so Delta has not historically relied on financial strategies to create competitive advantage (Anthony, Kacmar, & Parrewà ©, 2010). Delta has had the fewest number of customer complaints of any major carrier for 20 years straight. This excellent customer service could be partial due to the fact that Delta was strongly committed to its employees. With loyal employees and excellent customer service Delta was able to be very competitive in the airline industry and still is today. One of Delta greatest challenge today is differentiating itself from its competitors while cutting cost, but through their continual strong focus on human relations and s uperior customer service Delta will continue to be amongst the top in the airline industry. External Environment General. Economic factors: Inflation has increased and the world economy has dealt  with financial issues. There is a lot of potential growth in the emerging economies. Airlines merging not only affect those involved in the merger, but also the other airlines that stand to lose market share. Socio-culture: Factor varies among societies. The airline industry serves all kinds of customers. There have been issues with obesity and airlines because of having to purchase an additional seat for being larger. Political-Regulatory factors: Airlines have to consider are security issues because of terrorist attacks and deregulation of airlines. Also, there are fuel regulations to consider (Anthony, Kacmar & Perrewe, 2010). Technological factors: Technology has changed the industry drastically. Travel agencies are completely obsolete because of websites like hotwire, Orbitz and Priceline. Airlines have mobile applications for phones and ipads that allow you to check-in and get flight updates. You do no t even need a paper-boarding pass; there are electronic boarding passes. Demographic factors: The airline industry serves customers all over the world. Typically serving adults, even though children fly. Shares of the market are customers traveling for business purposes. Industry Airline Industry. The airline industry is a major economic and social force. The impact air travel has had on related industries, manufacturing, and tourism is on a global scale. Few industries have created the amount of technological advancement or gained such attention from federal governments. The industry has high and low cycles largely dependent on time of year and socioeconomic factors. The industry is fairly concentrated with only a small handful of majors competitors in North America, but each competitor has attached themselves to joint ventures with numerous global corporations, such as Sky Team, which contains Delta Air Lines. Airlines compete on a global scale, offering flights from Washington D.C to South Africa to Tokyo, Japan. Companies that limit themselves to a certain region struggle maintain a large portion of the market share. The airline industry is somewhat difficult to break into due to a high learning curve and the number of major competitors already establishe d in the field. The industry is in a mature phase, which means it is a well-established commodity that has seen little growth into untapped markets. Technology is rapidly growing to make planes larger, more efficient, quieter, and easier to manage. Technology has  allowed air travel to become safer and more cost effective than driving. The use of the internet has enabled consumers to purchase seats easier than ever. The capital requirements of an airline are very large. Planes, hangars, hubs, and a massive support staff are always needed to maintain even a small operation of flights. The industry can be very profitable as long as competition is maintained and people have a need for more rapid transportation. 5 – Force Analysis New Entrants. The significant start-up costs and capital requirements make entering the airline industry difficult. Government regulations also make a new or unknown company struggle internationally, as many governments strictly control who has authority to land within the country. Foreign competitors are more of a threat than new competitors. Foreign competitors are always looking to increase their market share in the U.S. and North America. Suppliers. Suppliers have a large amount of power within the industry. Boeing and Airbus dominate the manufacturing industry related to the airlines, which limits competition and rivalry. There is a lack of intensity within the industry due to this lack of competition. The other high priced commodity for airlines is fuel. The Organization of Petroleum Exporting Countries is very strong and can easily influence the price of fuel. These suppliers can demand the prices they want because the airline industry has limited options otherwise. Buyers. Buyers have relatively low bargaining power within the airline industry. This is in part due to the high costs of switching airlines and the fact that airlines have the ability to set their own prices without fear of taking losses. Buyer power has recently grown with the use of travel/booking websites such as Travelocity, Kayak, and Hotwire. These sites enable buyers to instantaneously peruse numerous airline ticketing costs. The consumer then has the option to select the airline with the lowest offered price. Delta has introduced a way to lower ticket costs and maintain a loyal customer base. They offer lowered prices to consumers who buy directly from the Delta website. Substitutes. The increased efficiency of other travel modes do offer some threats of substitutes and also forces the airline industry to remain vigilant about having constant technological upgrades of their own. The threats offered from other services, such as motor vehicle, train, and boat,  have been dec lining since the rise of air travel, but they remain as a constant within the tourism and travel industries. Increased costs of fuel/oil prices have decreased the number of consumers who travel for pleasure, which has increased the percentage of those who travel for business needs. Airlines remain the favorite for international or transoceanic traveling due to the speed of transportation. Existing Rivalry. Rivals have created increased intensity within the market and the need for joint ventures and new business contracts on a regular basis. The most profitable hubs are ones setup within major traffic cities with a high demand for air travel. This means that the major airlines have to compete with one another to seize the larger markets. The larger markets typically cost more to get into, but yield a higher return on investments, so it is beneficial to become involved. Companies need to offer more flights and more time flexibility through these larger markets to keep up with the demand of their rival companies. Fixed costs from suppliers, low differentiation of services, and price wars contribute to rivalry as well. Net profits are lower overall due to this competition, but it ensures that one company is unable to seize a monopoly of the market share. Offering â€Å"frequent flyer miles† is one way to differentiate from the competition and increase a loyal customer base.

Sunday, September 29, 2019

Nurse shoratges Essay

Conferences Webinars Popular Topics Media Relations Career Link Contact Sitemap Top of Form SEARCH AACN Bottom of Form About AACN Mission and Values Strategic Plan Staff Directory Department Directory Bylaws Committees & Task Force Board of Directors Member Schools Affiliated Sites Leading Initiatives Education Resources Publications Research and Data Academic-practice Partnerships Joining Forces Clinical Nurse Leader Doctor of Nursing Practice Public Health Nursing Diversity in Nursing NursingCAS CCNE Accreditation About CCNE Find Accredited Programs Find New Applicant Programs Board Actions & Current Reviews Standards, Procedures, & Resources New Applicant Process On-site Evaluators CCNE webinars Government Affairs About Government Affairs AACN Grassroots Federal Policy Agenda Appropriations Advocacy APRN Advocacy State Advocacy Supported Legislation Policy Briefs Resources Funding Opportunities Archives Membership Members Only How to Join Member Benefits Leadership Development Leadership Networks Leadership Opportunities New Dean Mentoring Program Awards Mailing List Rental Nursing Program Search Faculty Faculty Link Faculty Tool Kits Faculty Webinars Curriculum Guidelines Leadership for Academic Nursing Education Scholar ELNEC Geriatric Nursing Students Your Nursing Career Graduate Nursing Student Academy Scholarships Financial Aid Accelerated Nursing Programs Career Resource Center Home / Media Relations / Nursing Shortage Resources / Impact of the Nursing Shortage on Patient Care News Releases Spokesperson Bios AACN News Watch Position Statements White Papers Fact Sheets Talking Points Nursing Shortage Resources About the Nursing Shortage Impact of the Nursing Shortage on Patient Care Strategies to Resolve the Shortage Legislation to Address the Shortage Snapshot of Today’s Nursing Workforce Report Archives State Work Force Reports Newsletter Subscriptions More Sharing ServicesShare I Share on facebook Share on twitter Share on email Share on print Recent Reports Hospital Nurse Practice Environments and Outcomes for Surgical Oncology Patients In an article published in Health Services Research in August 2008, Dr. Christopher Friese and colleagues found that nursing education level was significantly associated with patient outcomes. Nurses prepared at the baccalaureate-level were linked with lower mortality and failure-to-rescue rates. The authors conclude that â€Å"moving to a nurse workforce in which a higher proportion of staff nurses have at least a baccalaureate-level education would result in substantially fewer adverse outcomes for patients. † Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes In a study published May 2008 in the Journal of Nursing Administration, (see below) which show a strong link between RN education level and patient outcomes. Titled â€Å"Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes,† these leading nurse researchers found that every 10% increase in he proportion of BSN nurses on the hospital staff was associated with a 4% decrease in the risk of death. Impact of Hospital Nursing Care on 30-day Mortality for Acute Medical Patients In the January 2007 issue of the Journal of Advanced Nursing, a new study validates the findings of Dr. Linda Aiken and others that baccalaureate- prepared nurses have a positive impact on lowering mortality rates. A research team led by Dr. Ann E. Tourangeau from the University of Toronto and the Institute for Clinical Evaluative Sciences in Ontario, Canada, studied 46,993 patients admitted to ospital with heart attacks, stroke, pneumonia and blood poisoning. The authors found that: â€Å"Hospitals with higher proportions of baccalaureate-prepared nurses tended to have lower 30-day mortality rates. Our findings indicated that a 10% increase in the proportion of baccalaureate prepared nurses was associated with 9 fewer deaths for every 1,000 discharged patients. Is the Shortage of Hospital Registered Nurses Getting Better of Worse? In the March-April 2005 issue of Nursing Economics, Dr. Peter Buerhaus and colleagues found that more than 75% of RNs believe the nursing shortage presents a major problem for the quality of their work ife, the quality of patient care, and the amount of time nurses can spend with patients. Looking forward, almost all surveyed nurses see the shortage in the future as a catalyst for increasing stress on nurses (98%), lowering patient care quality (93%) and causing nurses to leave the profession (93%). National Survey on Consumers’ Experiences with Patient Safety and Quality Information In November 2004, results from this national survey found that 40% of Americans think the quality of health care has worsened in the last five years. Consumers reported that the most mportant issues affecting medical error rates are workload, stress or fatigue among health professionals (74%); too little time spent with patients (70%); and too few nurses (69%). This survey was sponsored by the Kaiser Family Foundation, the Agency for Healthcare Research and Quality and the Harvard School of Public Health. Research in Action: Hospital Nurse Staffing and Availability of Care In March 2004, the Agency for Healthcare Research and Quality (AHRQ) issued a synthesis of nursing research studies that details the impact that staffing levels, staff mix, and education levels have on patient outcomes. The report cites studies showing that hospitals with lower nurse staffing levels and fewer registered nurses compared with licensed practical nurses or nurses’ aides tend to have higher rates of poor patient outcomes. Keeping Patients Safe: Transforming the Work Environment Publishing in November 2003, this Institute of Medicine calls for substantial changes in the work environment of nurses in order to protect patients, including changes in how nurse staffing levels are established and mandatory limits on nurses’ work hours. Despite the growing body of evidence that better nurse staff levels result in afer patient care, nurses in some health care facilities may be overburdened with up to 12 patients to care for per shift. Long work hours pose one of the most serious threats to patient safety, because fatigue slows reaction time, diminishes attention to detail, and contributes to errors. Educational Levels of Hospital Nurses and Surgical prepared at the baccalaureate and higher degree level is endangering patients. In an article in the September 24, 2003 issue of the Journal of the American Medical Association, Dr. Linda Aiken and her colleagues at the University of Pennsylvania ound that patients experience significantly lower mortality and failure to rescue rates in hospitals where more baccalaureate-prepared nurses provide direct patient care. At least 1,700 preventable deaths could have been realized in Pennsylvania hospitals alone if baccalaureate-prepared nurses had comprised 60% of the nursing staff and the nurse-to-patient ratios had been set at 1 to 4. Unfortunately, only of PA hospitals have more than 50% of the nursing staff prepared at the baccalaureate level. Views of Practicing Physicians and the Public on Medical Errors A survey eported in the December 12, 2002 issue of the New England Journal of Medicine found that 53% of physicians and 65% of the public cited the shortage of nurses as a leading cause of medical errors. Overall, 42% of the public and more than a third of U. S. doctors reported that they or their family members have experienced medical errors in the course of receiving medical care. The survey was conducted by the Harvard School of Public Health and the Henry J. Kaiser Family Foundation. Hospital Nurse Staffing and Patient Mortality, Nurse Burnout and Job Dissatisfaction According o a study published in the October 23/30, 2002 issue of the Journal of the American Medical Association, more nurses at the bedside could save thousands of patient lives each year. Nurse researchers at the University of Pennsylvania determined that patients who have common surgeries in hospitals with low nurse-to-patient ratios have an up to 31% increased chance of dying. Funded by the National Institute for Nursing Research, the study found that every additional patient in an average hospital nurse’s workload increased the risk of death in surgical patients by 7%. Having too few nurses may actually cost more money given the high costs of replacing burnt-out nurses and caring for patients with poor outcomes.

Saturday, September 28, 2019

Dependency Theory

What is Dependence Theory? Dependency theory is a theory of how developing and developed nations interact. It can be seen as an opposition theory to the popular free market theory of interaction. Dependency theory was first formulated in the 1950s, drawing on a Marxian analysis of the global economy, and as a direct challenge to the free market economic policies of the post-War era. The free market ideology holds, at its most basic, that open markets and free trade benefit developing nations, helping them eventually to join the global economy as equal players. The belief is that although some of the methods of market liberalization and opening may be painful for a time, in the long run they help to firmly establish the economy and make the nation Dependency theory, in contrast, holds that there are a small number of established nations that are continually fed by developing nations; at the expense of the developing nations’ own health. These developing nations are essentially acting as colonial dependencies, sending their wealth to the developed nations with minimal compensation. In dependency theory, the developed nations actively keep developing nations in a subservient position, often through economic force by instituting sanctions, or by proscribing free trade policies attached to loans granted by the World Bank or International Monetary Fund. The critiques of dependency theory can be leveled within a nation as well as internationally. In fact, dependency theory tends to trace its roots to back before the emergence of modern post-colonialism. On an internal level, dependency theory can be seen applying to regions within a country. In the United States, for example, historically the industrial Northeast can be seen drawing wealth from the agricultural south in a pattern reflected in the modern world by the industrial northern hemisphere and the productive southern hemisphere. Dependency theory also posits that the degree of dependency increases as time goes on. Wealthy countries are able to use their wealth to further influence developing nations into adopting policies that increase the wealth of the wealthy nations, even at their own expense. At the same time, they are able to protect themselves from being turned on by the developing nations, making their system more and more secure as time passes. Capital continues to migrate from the developing nations to the developed nations, causing the developing nations to experience a lack of wealth, which forces them to take out larger loans from the developed nations, further indebting them. The Relevance of Dependency Theory in the Caribbean Dependency Theory is relevant to the Caribbean region because it act as a helping hand, which aid with the Caribbean being developed. It encourages trade, exports and tourism, which is a major form of economic growth. The Caribbean can only produce so much for itself; we have to be dependent on other countries to get resources that are absent from within the Caribbean region. The product varies, as sugar from Cuba and Guyana, bauxite in Jamaica and Guyana, petroleum in Trinidad and Tobago and in the Netherlands Antilles, bananas in St. Lucia, Dominica, Grenada, St. Vincent, Guadeloupe and Martinique and coffee in Haiti. Dependency Theory in the Caribbean region has prospered by means of export of the resource-based products. The Caribbean regions are at a disadvantage but given this, one can seek maximum advantage. Nevertheless given the bad experience of the colonial period most countries turned to some kind of planning, involving and export substitution and export diversification. Assets were created from as early as the colonial period. Tourism is one of the main foreign exchange earners for most of the regions economies. Some implications on how developing countries can alleviate the effects of the world system are by: OPromotion of domestic industry and manufactured goods. By imposing subsidies to protect domestic industries, poor countries can be enabled to sell their own products rather than simply exporting raw materials. OImport limitations, by limiting the importation of luxury goods and manufactured goods that can be produced within the country, the country can reduce its loss of capital and resources. OForbidding foreign investment, some governments took steps to keep foreign companies and individuals from owing or operating property that draws on the resources of the country. ONationalization, some governments have forcibly taken over foreign-owned companies on behalf of the state, in order to keep profits within the country. Dependency Theory and its place in the Global Economy Dependency Theory sees the global economy as characterized by a structured relationship between the cores states which, using political military and economic power to extract a surplus from the peripheral countries. Any attempt by the dependent nations to resist the influences of dependency often result in economic sanctions. Dependency Theory in its various forms has advanced the proposition that development and underdevelopment are opposite faces of the same coin, â€Å"or reciprocal conditions of a global system of capital accumulation. Economic vulnerability and dependency are other dimensions that are derived from the relatively high degree of financial dependency of most government in the region. The Caribbean countries face several challenges arising out of structural shifts in the world economy. The main disadvantages are represented by certain primary products exports, preferential arrangements and environmental vulnerability. Dependency Theory Bedouins and the Dependency Theory. Theories of globalization fall into three categories; Modernization, dependency and the world systems theory. These theories each sprout out into more categories and they distinguish what or how a country or society has developed into. The modernization theory focuses on the culture and belief systems that are powered by globalization. This theory then takes off into five more stages known as the traditional stage, culture-change stage, take-off stage, self-sustained stage, and high economy stage.These stages mainly focus on a few things such as tradition, culture, economy, advancement of education and technology, and also ones that produce the exported goods for other countries to import. Although some theories are open to change that is done gradually, some refuse to change and just stay the same without and further advancement. Although these theories are what distinguish a country and where it lays on the scale, it still does not mean it cannot further itself into something better throughout the world.Anthropologist Donald Cole researched on the Bedouins who are groups of nomadic pastoralists. Al Murrah is the people Cole focused on, they are a small society that resided in the heart of the desert in the country of Saudi Arabia. They were based on caravan trade with relied on the care of camels and other animals. The Al Murrah society was a society based off itself, and other small societies around the desert. They relied on the commodities with oasis centres for dates, rice and bread. They had a military force and also raided others and committed warfare.The rich and powerful Saudi government then recruited Al Murrah males into the national guards work and then the leader of the Al Murrah, as known as the Emir, was recognized as the commander in chief of the small tribes for the national guards. The Saudis would then pay these commanders salary wages which they then would distribute to other tribes people. This then left the Al Murrah people dependent on the Saudi government. This type of works would be considered under the dependency theory. The modern state of Saudi Arabia has token its time by exploiting the small tribe of the Al Murrah by having them work for the National Guard for wages.Saudi government took control over these people by having them always wanting more money and so they would recruit more and more emirs into the National Guard which thus left the Bedouins to be integrated into the nation states throughout the Arabian Peninsula. The dependency theory applies to the Bedouins because it is a larger group exploiting the smaller group into helping them. Although their lifestyles are different, they still accepted the change and still went on with it and now have discontinued existing in the deserts of Saudi Arabia.