Knowledge Management and High Performance Organizations Essay

Knowledge Management and High Performance Organizations - Essay Example As the essay stresses human knowledge may be an organization’s most valuable asset, much of this knowledge is never shared. Harnessing critical knowledge and using it to create a common vision and objectives can move a company closer to making an HPO. KM supports the notion of HPO through â€Å"†¦organizational values, culture, processes and tools that stimulate and support the organization's employees, partners and customers to create, capture, organize, access, and properly use the organization’s knowledge that enables people to personally and collectively become more productive, collaborative and innovative†. According to the paper findings the trend toward serious management changes made by large companies on the way toward making high-performance organizations is stressed in numerous theoretical and empirical studies. These changes revolve around one of the four commonly recognized approaches to organizational performance, namely employee involvement, total quality management, re-engineering, and knowledge management. Although neither of these categories can be addressed as simple knowledge management is â€Å"...the least well-defined and articulated of the four organizational improvement concepts†. Knowledge Management (KM) is a very broad discipline that integrates a number of organisational endeavours and practices used by different organisations in a variety of ways in order to identify, create, represent, and distribute knowledge and thus ensure competitive advantage of the company. KM represents one of the most recent developments in the long line of organisational tools a nd techniques such as 'the scientific management', X and Y' theory', 'T-groups', 'total quality management', 'organizational learning' 'systems thinking', 'benchmarking', 'business process re-engineering' and other methods meant to create economic value and competitive advantage. After becoming an independent established discipline in the middle of 1990s, KM is perceived as an essential aspect of HRM and information technology in modern organisations (Davenport & Prusak, 1998). The integrative and rather broad nature of KM contributes to the difficulties associated with defining this paradigm. Generally, KM is viewed as a new form of management which facilitates organizational adaptation, survival and competence in face of increasingly dynamic environmental changes. This broader perspective incorporates the processes of knowledge use, knowledge creation, knowledge sharing, knowledge transfer and knowledge renewal with each of these concepts being defined independently (Malhotra 2000). Therefore, Skyrme (2002) suggests defining KM as "the explicit and systematic management of vital knowledge and its associated processes of creating, gathering, organizing, diffusion, use and exploitation, in pursuit of organizational objectives" (p. 4). However, this definition of KM is far from being unanimous: the views vary substantially by representatives of different theories and approaches. Traditionally, two major views have been presented in the scholarly literature on KM, namely: the informational resources management (or management of explicit knowledge) and management, which creates the environment in which people could easily develop and share the knowledge while the increasingly serious

Aortic Valve Replacement Essay Example | Topics and Well Written Essays - 3250 words

Aortic Valve Replacement - Essay Example A., Sauaia, A., Moore, E. E., Haenel, J. B., Burch, J. M., and Lezotte, D. C., 1996) involving multiprofessional medical- nursing work of care (Lederer, J. A., Rodrick, M. L., Mannick, J. A., 1999). As I reflect, I can now arrange the events that were relevant to this patient. On the first admission of the patient from theater to intensive therapy unit, the patient was placed on pressure-control ventilation with 100% oxygen with a PEEP of 10, rate of 12, tidal volume 500, and pressure support of 10. On estimation at that time, arterial blood gas was initially on pH 7.13, pCO2 of 7.0, pO2 of 21.4 with a base excess of -10. SpO2 was 99.8 and bicarbonate 16.9. Lactate was18. The patients in the intensive therapy unit constitute an extremely heterogeneous population in terms of admission diagnosis, co-morbidities, age, race, sex, and socioeconomic conditions, but one feature is common to almost all of them, cardiopulmonary dysfunction (Kelly, J. L. et al., 1997). During my shift hours, I could easily sense that the environment of ITU. It provided highly integrated and coordinated care with many novel machines and minute-to-minute therapy and observation. This posting in the ITU could improve my understanding of the physiology of such patients in that, I could observe the changes in the patient's parameters in real time. I could see the changes in central venous pressure with a change in rate of fluid therapy (Stone, P.W, and Gershon, R.R.M., 2006). I observed changes in blood gases when the oxygen concentration and ventilation settings were changed. I could detect when pharmacotherapeutic interventions would fail to produce intended changes in the cardiac output studies. In short, this...Journal of Trauma; 42: pp. 532-536. Fan, J., Marshall, J. C., Jimenez, M., Shek, P. N., Zagorski, J., and Rotstein, O. D., (1998). Hemorrhagic Shock Primes For Increased Expression Of Cytokine-Induced Neutrophil Chemoattractant In The Lung: Role In Pulmonary Inflammation Following Lipopolysaccharide. Journal of Immunology; 161, pp. 440-447. Gadek, J.E., DeMichele, S.J., Karlstad, M.D., et al., (1999). Effect of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in patients with acute respiratory distress syndrome. Enteral Nutrition in ARDS Study Group. Critical Care Medicine; 27: pp. 1409-1420. Gibbs, C.R., Davies, M.K., and Lip, G.Y.H., (2000). ABC Of Heart Failure: Management: Digoxin And Other Inotropes, Blockers, And Antiarrhythmic And Antithrombotic Treatment. British Medical Journal; 320: 495. Inman, K.J., Sibbald,W.J., Rutledge,F.S., Speechley,M., Martin,C.M., and Clark, B.J., (1993). Does Implementing Pulse Oximetry In A Critical Care Unit Result In Substantial Arterial Blood Gas Savings Chest; 104: 542. Kelly, J. L., O'Sullivan, C., O'Riordain, M., O'Riordain, D., Lyons, A., Doherty, J., Mannick, J. A., and Rodrick, M. L., (1997). Is Circulating Endotoxin The Trigger For The Systemic Inflammatory Response Syndrome Seen After Injury Annals of Surgery; 225, pp. 530-541. Lu, Z.

Equity and Trusts Essay Example | Topics and Well Written Essays - 2250 words

Equity and Trusts - Essay Example Because of the implementation of the principles of equity, the concept of Trust was invented. Trust is said to apply in circumstances in which an individual places his/her trust in another person to run his/her affairs2. Such relationships based on trust are fully governed by the principles of Equity. The concept and principles of trust have since been used in the legal system to handle a number of situations particularly those dealing with pension funds, charities and family relationships among others. There are certain technical terms that one must be conversant with for the best understanding of the concepts of Equity and Trust. Among these terms are proprietary estoppels, secret trust and fiduciary, purpose trust, fixed trust, discretionary trust, resulting trust charitable trusts, personal remedies and constructive trusts. Similarly, it is vital that all the elements of cases related to trust and equity such as proprietary estoppel should be clearly understood and determined. Among the cases that have emphasized the relevance and applications of Equity and Trust in the legal system is Thorner versus Major [2009] UKHL 18, [2009] 1 WLR 776 which this paper explores among other related cases decided earlier. There are certain elements that must be addressed, understood and proved for a proprietary estoppel claim to be successful. First, proprietary estoppel refers to legal claims built on the basis of any rights to possess, inherit or use a property such as land and house3. These claims are mostly caused by disputed transfers upon the death of the owner of the property in question. There are numerous steps or stages into which proprietary estoppel may be divided, more so regarding the causes of these estoppels. Foremost, a party or an individual may represent or assure the other that he/she intends to transfer the ownership of a property without any legal effects or

Demographic of Essex County Essay Example for Free

Demographic of Essex County Essay Essex County is located in the North eastern part of new jersey. The history of Essex county dates back to 1666 when 30 families from Connecticut established settlement along the banks of Passaic river. Essex County was officially established in 1682 by east jersey legislature. Essex County is 129.631 square miles. The Geopolitical communities are designed by natural or human made boundaries (Maurer and Smith, 2009). It holds community safer for the residents and the governing body. Essex County is bordered by human made boundaries. The weather of the community fluctuates according to the seasons. The usual temperature throughout winter stays within 24 to 42 degrees Fahrenheit. In the summer, it hikes up, and ranges between at 68 to 85 Fahrenheit. Natural disasters like flood, blizzards, snowstorms, heavy rains hurricanes, power outrage, water shortage common here. Essex county is the second most densely populated county in new jersey As of 2010 census population was 783969. The county is made up of 22 municipalities which are widely diverse encompassing large inner-city communities. Essex’s county’s economic wealth is not distributed uniformly across all residents, with large urban areas that include a large number of poor and minority populations with 11.7% county families had income below the poverty level. As of 2011, 10.8% residents were unemployed. Essex County is the first county in United States to create county wide park system. As of now 5,745 acres of green space which includes vast reservations developed parks 21 one of them. The community has big golf courses and tennis courts In addition to this, there are seasonal community fairs and other community events that provide an occasion for community interaction. And there is provision for bike lanes. Fire department and police  department renders excellent service. The waste disposal and pest control department maintains healthy and hygienic environment. There are community parks, swimming pools, sports clubs, and many other establishments providing amenities to support the physical and leisure activities of the residents. The community has a big golf clubs. In addition to this, there are seasonal community fairs and other community events that provide an occasion for community interaction. Interview with the Community health Nurse Melissa Garfield RN, BSN (telephone Interview) Conducted on 10/23/2014. Melissa works for Barnabas Health System at present she is a clinical supervisor who in charge of approximately 100 employees which includes registered nurses, respiratory therapist, occupational and physical therapist. They work very closely with the state and they are Medicare certified. What is your role in disease prevention, surveillance and health Promotion? What steps are you taking to alert the community to educate them? The role of community health has changed greatly over the years. We play a very important role in the community for prevention of disease and promotion of health. They help in preventing disease by community teaching and help early detection of a problem. The greatest challenges we face has nothing to do with the season of the year, it is with hospitals discharging patients more quickly to shorten the length of stay and the acuity of the patients in the community are much higher which necessitates the clinicians that are more skilled than ever. As of now they have to take care of patients with tracheostomy, peg tube feeding, long term chest tubes, nephrostomy tubes and ventilators and administer antibiotics. The job of the community health nurse is educate the family members how to take care of their loved one at home, and what to do when there is emergency there is always redundancy what to do when there is emergency. She gave the example of Hurricane sandy when they had to go visiting homes of patients who were oxygen dependent, ventilator patients and patients with special electronic beds and make sure they had electricity and if not they had to be moved to acute care center. For me that was the most  challenging thing I faced in the community. This transcends any season. At the moment it is season change and we have to make sure our homebound citizens and senior citizens for getting flu vaccines and get them ready for winter making sure they have access to heat and hot water. Now we are also educating the community about Ebola. What ethnic groups do you deal with? Essex County is made up of very diverse race and culture. There is no single dominant culture or race. We have African- American, White-Americans, Hispanic, and Asians. They visit all communities in the county; they have escorts who are from the community who helps her when she goes home visiting. The only home they are not allowed to go is if they see anyone actively doing drugs, or drinking for safety reasons. What spiritual resources are available? The community health nurse has to respect every religion, culture and their way of life and traditions as long it doesn’t cause any harm to the individual. Essex County has churches of every denomination, temples, synagogues and mosques which are easily accessible. What are the five biggest health issues pertaining to Essex County? What is being done to educate the community for its prevention? Heart Disease including congestive heart disease. Cancer Stroke Septicemia Diabetes There are non-health related issues like homicide, violent crimes deaths injuries and mortality rates related to this are high in the community. The community health nurses organize community teaching in churches, senior citizen homes and in adult day care center and churches where they teach about diet, exercise, compliance with medication and follow up with the physicians. They also check blood pressure and sugars during this  time. Making sure people in the community follow healthy diet is challenge as this county has very high rate of fast food joints. Are you adequately funded? What would you like to see more funding for? We are insurance and Medicare dependent and if the patient doesn’t have insurance then it is charity care. They organize fund raisers for cancer prevention. Every program is important to the community but more funding is needed for preventive care which in turn will promote health. What are some of the preventive programs organized Barnabas health comm unity services? The role of community health nurse involves educating the community in prevention of disease which in turn promotes health. Tobacco free living Preventing drug abuse and excessive alcohol use Healthy eating Injury and violence free living Reproductive and sexual health Mental and emotional well-being. They also have program called† what’s in your bag† where they collaborate with the pharmacist in the community check the prescription medications the patients are taking and make sure there is no duplications for example Norvasc and Amlodipine. They update the list of the medication they are taking which helps when they go to the doctors or hospital. They also assist in the community in proper disposable of unused and expired medicine. The nurse also teaches how to store medications especially narcotics. They also help in the immunizations of seniors especially flu and pneumonia and preschool children. The school nurse is in charge of making sure the school age kids are up-to-date with immunization. Are the health resources adequate in Essex County? She believes there are enough health providers; there are many hospitals, emergent day care centers and nurse practitioners all are very easily accessible. The problem is not enough resources  she believes people not making use of these resources. There are many individuals with no insurance but they are never denied care. Essex County also has discount prescription card which gives 20% on prescription medication. What is the role of a community health in regarding to mental health? She is not specialized in this field but they do have separate division who takes care of these individual this team consists of behavioral health nurses and therapist. They do assess the patients if they need these services and refer them accordingly. Essex County has a big psychiatry hospital whose mission is to provide evidence-based care to promote patient recovery and return to community. Diet and Exercise Obesity rates have doubled among children and tripled in adolescents and adults. Also our community has very high rate of fast food restaurant. The main of community health nurse is educating the community on healthy diet and the importance of exercise. Our community has lots of parks and open spaces, sports center which are well equipped but under used. There also community swimming pools. The community health nurses do not organize any activities in regarding to exercise, but the county has many such program which begin in spring with cherry blossom festival, they conduct marathons, bike riding competitions’ and hikes and camp outs during summer of which Barnabas health is a big sponsor. Are they any nutrition deficiency in the community? Does the community provide safe drinking water? Most common problem are Vitamin D deficiency. There are many communities which live below poverty and many are homeless. But there are many organizations which help them like soup kitchens, food stamps, meals on wheels for home bound citizens, churches and many communities. Schools provide subsidized rate or free in some cases breakfast and lunches to the children. Farmers markets and community garden where one can grow fresh vegetables and fruits in summer. Tap water is safe for  drinking which checked periodically and report of which is sent to all residents. 11. What is the role of a Community health nurse in relation to environmental issues such as heat assistance, cooling stations, pest control, waste disposal, and common air contaminants? Essex County has an environmental nurse that follows the Human Health Hazard Ordinance. This ordinance is for dealing with health hazards that are occurring on the outside of the home and could potentially affect other members of the community. They work closely with town and municipality workers. They inspect the homes for rats or any insect’s bed bugs. They also observe how the garbage is being disposed. Overall the nurse’s job is to see if the resident is safe in their home. She also checks if the patient is oxygen dependent there is nobody in the house smoking, from individual perspective she also checks if they have working fire alarms. They check to see if they have provision for heat in winter. There is very good waste management system in the county. They have garbage and recycle bins in all public spaces. The environments hazardous waste and electronic waste is being collected by the county once in three months from the community or it can be taken to the disposable center by the resident. The community nurse plays no role in this. 12. What kind of sexuality programs are available e.g. growth and development, STD and AIDS education, contraception options. Is there sufficient access to birth control, support groups for pregnant women and new parents? What are the statistics for birth rates, abortion and miscarriage? Essex County works with Planned Parenthood, the pregnancy crisis hot-line, the Family Resource Center and Early Head Start programs. There is disparity among child birth and teen pregnancy. Low and low birth weight among African-American babies born is higher than other racial/ ethnic group. Teen pregnancy is more in lower socio-economic groups. The school nurses provide sex education to the kids from  elementary. There are many programs for maternal and child health. They support them and get necessary help needed in caring the baby and themselves. 13. How do you assist in disaster management planning? Are there other agencies you work with? Essex County nurses work with police, fire and EMS from all the cities and towns in the county. The nurses participate in disaster management drill a few times a year. Our other role in disaster management is to keep a list of personnel that may be needed to help when a disaster occurs. The list is reviewed and updated yearly. This list includes: Long-term care facilities Veterinarian Clinics and hospital Schools Churches Summer camps Parish nurses Home care agencies Water and energy facilities such a Alliant Energy Power Station† 14. What are the Cognitive/ perceptual level of the community? The Essex County is home to large ethnic/ racial group. The main language is English but there is large number of residents about 20% of who don’t speak English. The community nurses use language line to communicate with the patient or somebody from the family who knows the language acts as the translator. Essex County is home to five public and five private colleges. There is a great push to change the education system and get the children back to school. The graduate rate is 64% for the county which is low comparing to other counties in the state. 15. What is the self-perception / self- concept in the community? Are the residents happy? I don’t know how to answer that. You know we both live in the same county there is big disparities how the economic wealth is distributed. There are large urban areas with poor and minority population, a nd some below poverty level. The county is doing a lot to make sure all  residents have equal opportunities. Like in the library they have activities for senior citizens; they also have activities for school age and preschoolers. They play a big role ]in summer reading program. The county also has free coaching in summer for sports activities like tennis and football. Each community in summer organizes movie night. There are equal opportunities for all. In certain communities in the county the violent crime rate and homicide rate is high compared to other counties in the state. There is also big problem with substance abuse. Due to which emergency room visits for substance abuse are high in the county. The families living in these areas face dangers which causes stress. Role and relationship The people of the community continue to maintain respectful and healthy relationships with neighbors. The children are cooperative with one another and maintain respect towards elders and higher authorities, such as teachers. Local residents aid the older residents, especially during snow storm. The local police and firefighters offer innumerable services for the community. We ended our interview by her saying there are many services available in the community which the residents are not aware of. They also need more skilled nursing staff as the acuity of patients in the community is high. References: The county of Essex New jersey. www. Essex-county nj.org Essex county quick facts from U S census bureau. Retrieved from quickfacts.census.gov/qfd/states/†¦/34013.

Bio-ethics and Cloning :: Biology Science Genetics Essays

Bio-ethics and Cloning The idea that humans might someday be cloned-created from a single somatic cell without sexual reproduction-moved further away from science fiction and closer to a genuine scientific possibility on February 23, 1997. On that date, The Observer broke the news that Ian Wilmut and his colleagues at the Roslin Institute announced the successful cloning of a sheep by a new technique that had never before been fully successful in mammals. The scientists from Roslin Institute of Edinburgh isolated differentiated somatic cells of Finn Dorset sheep and fused them with unfertilized enucleated eggs. The "fertilized" eggs soon developed into embryos which were in turn transplanted into female sheep, where the lambs are born naturally.1 The resulting birth of the sheep, named Dolly, on July 5, 1996 appears to mark yet another milestone in our ability to control, refine, and amplify the forces of nature. Yet, the fact that Dolly's paper just scrapes into the top 10 scientific papers published in 19972, showed that cloning was not a much credited technology in science. So why was there so much limelight on Dolly? If it were possible to clone a mammal, would the cloning of human's be next? Dolly's arrival opened debate in fields where ethicist dreaded to go. Some scientists - including Ian Wilmut - don't support human cloning. Those in favor see it as another method in the growing pantheon of human reproductive technologies3. One unique prospect, vividly raised by Dolly, is the creation of a new individual genetically identical to an existing (or previously existing) person - a "delayed" genetic twin. This prospect has been the source of the overwhelming public concern about such cloning. People have frequently expressed fears that the widespread practice of somatic cell nuclear transfer cloning would undermine social values by opening the door to a form of eugenics or by tempting to manipulate others as if they were objects instead of persons4. Ethicists and governments have thus far reach a consensus on a ban on all types of cloning of human beings. However, with leading Italian embryologist Severino Antinori researching intensely on human cloning5, and Richard Seed's expansion into Japan with future plans of human cloning6, should we wonder about the inevitable cloning of human beings? At present, companies are set up to embrace this new cloning technology. While "Genetic Savings and Clone" in Texas intends to clone pets and opens its doors for

Female Education Essay

Intrcduction: Education means mental and moral training. It is the light that clears off the darkness of ignorance from our mental horizon. It open wide to our vision the vastness of God’s creation and enables us to think about the merciful creator of this universe. It is a blessing. It ensures a perfect and harmonious development of our innate qualities and makes us worthy of the name `Ashraful Makhlukat’ Education should be universal: Education is a light to which everybody has the equal right. When God created man and woman, he drew no hard and fast line of distinction between them. He endowed them all equally with the bright and noble faculties. So education cannot be an exclusive possession of any class or sect or sex. So God made the pursuit of knowledge compulsory for every man and woman. So education should be universal. It should be imparted to both man and woman, Who form one-half of the population. They should not be refused the benefits of education. View against female education: There are, however, some people who are strongly opposed to the female education. They say that it is useless to impart education to women, whose duties are confined to household affairs, rearing of children and ministering to the comforts of their male parents. Reasons for educating women: It is true that women have many special tasks in life and there sphere of duties are different from those of men. But we should that these tasks also need training and education. Unless women get proper education, all their prospective faculties get crippled. It is only by imparting proper education to them that we can expect them to discharge the duties nicely and decently. Secondly, education of children depends a great deal upon mothers. Childhood is the most impressionable stage and anything good or bad, taught to child makes an indelible mark on his mind. Can we have educated and ideal citizens when the mothers themselves are foolish and ignorant ? No, we can not. Thirdly, every woman is a potential mother. The future of a child greatly depends on how it is brought up and educated in childhood. An educated mother is naturally expected to bring up and educate her children better than an uneducated mother. Fourthly, social responsibilities should also be shared by men and women. In domestic life a woman can lend a helping hand to her husband. when a husband returns home extremely tired after the day’s hard toil in the outside world, it is for her to cheer him up and to make his life easy and comfortable. She serves as the best and truest friend and her words go a long way towards influencing her husband for what is good and noble. these are the strongest points in favour of female education. However, opinions may differ in respect of the nature of education to be imparted to woman. Traditional system of education for girls to be changed: Our main object is to educate our women systematically and carefully. By education we do not mean the winning of different Degrees of the university. The traditional system of education for girls should be changed. Cooking, Sewing, Child rearing, Home Economics and Nursing should be introduced in the curriculum of their studies. studies. Some are under the impression that education makes woman foppish, weak and quite incapable of discharging their domestic duties. But they must know what makes them so is not education at all. Early marriage should be abolished : Early marriage is one of the hindrances to female education in our country. It is a custom among the muslims to get their daughters and sisters married before they attain puberty. they are married before they understand well their duties as wives and often they become mothers before they pass their girlhood. so the system by all means be abolished from our society. Conclusion: All steps necessary should be taken to encourage universal female education for the survival of our nation. It is heartening to note that the Government has recently declared free and compulsory education for rural girls upto class [pic].

M Hill

The† Hard Choices† essay had a better outline and gave a more interesting dead than â€Å"Initiation into Adulthood† â€Å"Initiation into Adulthood† is a very basic essay and gave the impression that is was written by a less experienced writer. I felt the paper was boring and did not keep my attention while reading each short story. The most noticeable mistake was that the paper did a plot summary for each story and never provided a conclusion or a position in any of the stories. The checklist says to use present tense verbs and this story used mostly past tense.The â€Å"Hard Choices† essay gives an analysis of each short story and provides direct quotes from the short stories. â€Å"Initiation into Adulthood† did not do a imperative analysis of the short stories. There were no literary terms used in this essay and there were no works cited. The writer did not list the authors names in the essay to give credit for their work. This essay was b oring and did not really give the viewer cohesive account of what the writer was trying to convey. Hard Choices† on the other end was a good read! It was exciting it kept my attention and made me want to continue to read more. This essay followed most of the literary rules of writing, Although, I found the plot summaries for this essay to be boring as well. I really liked reading the comparative analysis ND the writer's position for each of the short stories. The writer gave us their view of why they felt each character made the decisions that were made for each story from their point of view.Unlike â€Å"Initiation into Adulthood† the writer for â€Å"Hard Choices† uses present tense verbs when writing about the short stories. The writer used the necessary resources to support their view of the stories which made the writer seem reliable. The conclusion for this essay was dead on and summarizes the short stories completely and was cohesive with the rest of the e ssay. Am not really into literature and I don't think I am a very good writer. Hopefully, that will change after this semester.I think something that would make both essays easier to read would be eliminating the plot summaries. Like novels and in most movies the reader/viewer does not want to have the plot given to them in the beginning. I think both essays would be a better read if their plots were a buildup and the reader was given the opportunity to read and draw their own conclusion.