Problem, search and selection Evidence based practice-NURSING Research Paper

Problem, search and selection Evidence based practice-NURSING - Research Paper Example Caring and treating diabetic patients is a major burden on health care resources of any nation, because of the costs involved in care and treatment of the complications associated with diabetes (Ray et al, 2005). Problems arising from diabetic foot constitute the most common reason for diabetics being hospitalized. Efficient management of diabetic foot still remains a major area of concern, which is a reflection of the requirement for enhanced knowledge and practical skills among both medical and nursing professionals in the care of diabetic foot (Leese, 2009). Caring for diabetic foot ulcers to prevent progress of the infection to the point of amputation becoming necessary is a challenge for nursing care, especially with multi-drug resistant Gram-negative bacteria (MDRGNB) being a frequent cause of the diabetic foot ulcer (Shakil & Khan, 2010). Treatment costs of ulcer in Australia are among the highest among many of the developed countries, where an infected ulcer treatment cost on an average is 2,433 Euros, while it is 1,999 Euros in France, 1,783 Euros in Germany and 1,521 Euros in Canada (Ray et al, 2005). Reducing amputation outcomes in diabetic patients with diabetic foot ulcers has become an important issue for the nursing staff in my ward. The exercise for gathering evidence to be used in the ward towards this end is the nurse leader of the ward. Nurses maintain notes on the treatment and care provided for the patients and the outcomes to add to the evidence received through published papers. I am a part of this exercise. Treatment and care policies handed over for the care of these patients are derived from evidence of studies, but need to be fine tuned for better standards and efficient nursing care for these patients. The nursing manager and the administration cooperate for in these efforts, which enable monthly meetings to review the success of efforts and the new and emerging evidence on

Suggested Central Bank for Gulf Cooperation Council (GCC) Assignment

Suggested Central Bank for Gulf Cooperation Council (GCC) - Assignment Example The similar nature of their economic structure implies that they have common sources of strengths and weakness in their financial systems. They are heavily dependent on their natural resources which are in the process of being depleted. Hence the GCC nations have made diversification of their economic activities as a long-term policy objective. Their financial sector has a central role to play in this strategy of economic diversification. The financial sector is like an intermediary contributing to the economic development of the GCC countries through creation of profits and employment. It also helps in efficient allocation of the financial resources. Hence to tap this potential, the GCC countries have decided to develop a central bank known as Central Bank for Gulf Cooperation Council to help in the domestic regulatory and supervisory framework by participating in the financial institutions and through grants and subsidies. The GCC economies are facing a lot of political turmoil and this can have negative consequences in the financial markets and in the foreign direct investment in these countries. In this report we will analyses the role to be played by the proposed Central Bank for Gulf Cooperation Council towards the economy in these countries. Discussion The real GDP of the economies of GCC grew at a yearly average rate of 4.7% between 2000 and 2010. Compare to this the OECD have only attained an annual growth rate of 1.5%. But it is less than the average growth rate of the BRIC countries which is 8% year-on-year. Figure 1: Real GDP Growth Rate Source: World Bank WDI, IMF projection The Central Bank of GCC has to protect their financial structure form global financial crisis. The Central Bank needs to capitalize their banks so that they can meet the minimum capital adequacy ratio and a comfortable leverage ratio as per the international standard. Still there exists a risk of a possible worsening of the asset quality of the banks due to a worsening of balan ce sheets. Such risk gets increased for economies which have high credit growth rates just prior to any crisis (Strom, Rasmussen and Robinson, 2011). The GCC banks have indicated some weakness in regard with the operational aspects of the GCC banks and hence the Central bank needs to frame policy which removes this weakness. It was seen that a few GCC countries have witnessed a rapid growth in the credit during the oil boom period just prior to the financial crisis. This showed that this rise in the available bank liquidity and increase in the lending rates was associated with higher oil prices (Accenture, 2011). This gave rise to the risk and high liquidity volatility in their banks. It has been seen in the international market that the rapid growth in credit in times of high growth rate results in degrading the asset quality as the situation worsens. Here it was seen that with sharp fall in the oil prices have led to slowdown in the growth rate and also have degraded the asset qua lity of the banks and in turn puts a strain in the liquidity position of the banks. Hence the Central bank of GCC needs to evaluate their policy measures so that the effect of oil prices doesn’t have significant impact on their financial sector. The Central Bank of GCC also needs to take into account the bank’

Euthanasia Essay Example | Topics and Well Written Essays - 500 words

Euthanasia - Essay Example In the two scenarios, the doctors argue that the actions were in the best interests of the patient. Legalizing involuntary euthanasia is likely to be opposed by law enforcers for many reasons. One of the reasons as explained by Lafollette is that people may shy away from hospitals and trained medical experts for fear of being killed against their wishes. Another reason for denial of legalizing it is the fear that unconscious persons will be terrified to be taken into hospitals and be killed against their will. These reasons have made it hard for euthanasia to be legalized because of the possibility that people may avoid hospitals whenever they get life threatening ailments. Based on a poll conducted on April 8th to 11th in 2005 by the Polling Company, 15% of interviewed persons agreed that doctors should be allowed to withhold life support machine, 77% said patients should be able to get the life support machine while the remaining 8% are undecided. With these results, it only shows how difficult it will be when it comes to legalizing euthanasia because it is clear that many people are opposed to its legalization. Many people believe that life is sacred and the strong argument that is favored, in my opinion, is that life is inviolable and it is wrong to take it away from someone without his or her consent. The suffering of one person does not give the other the right to help him or her die. I believe nature should be left to take its course. The responses are shown in the table below.

Business Assignment Example | Topics and Well Written Essays - 750 words

Business - Assignment Example In the model, when the expected returns do not meet the expected returns, then the investment should not be undertaken. For this reason, Capital Asset Price Model focuses on price and investment. Arbitrage Pricing Theory is a model that bases its idea that returns of an asset can be predicted using the relationship that exist between the asset and the common risk factors. This theory also defines the price where an asset that is not well priced is likely to be. The model is always viewed as a substitute to the capital asset pricing classical. For this reason, Arbitrage Pricing Theory is a model that has more elastic assumption requirement (Hodrick, Ng and Song Mueller, 76). Multi-Factor Model of Risk and Return is a financial model based on multiple factors. The multiple factors occur during its computation when explaining the market phenomenon and equilibrium’s asset prices. The factor can be used in explaining either an individual securities or a portfolio of securities. The model achieves such objective by comparing two or more factors in analyzing relationship between variables and the resulting performance of the securities. Capital Asset Price Model is a model that describes the relationship that occurs between the expected returns and the risks that are involved. On the other hand, Arbitrage Pricing Theory is a model that which is based on the idea that returns of an asset can be predicted using the relationship that exist between the asset and the common risk factors. The multi-factor model is based on multiple factors during its computation when explaining market phenomenon and equilibrium asset prices. This is an international bond that is issued in a foreign country whose value is stated in their respective currency. Eurobonds are issued by international organization and categories according to the currency in

Executive Compensation Plan Term Paper Example | Topics and Well Written Essays - 1000 words

Executive Compensation Plan - Term Paper Example According to the principal-agent theory, there is a difference of interest between shareholders as principals and senior managers as agents. The best way to optimize performance of senior managers is to link their pay to the performance of the firm (McKnight & Tomkins, 1999). At McDonald's, the members of the top management are paid according to a reasonable salary, performance-based annual bonus, cash incentives, stock options and other perquisites or fringe benefits. Annual base salary takes into account the competitive market of managerial talents, individual performance, tenure in position and internal equity. The annual bonus is designed to reward growth in operating income as well as individual performance, which is measured against qualitative performance goals. The cash incentives focus on the company's performance measures that are important for success. Stock options and restricted stock units (RSUs) are given either at initial employment, during promotion, renewal or fully vested. (McDonald's Corporation, 2010) The table below summarizes the executive compensation program at McDonald's as well as the corresponding financial performance measure where such compensations were based. ... Growth in operating income Determined primarily on annual growth in operating income that focuses on revenue growth, recurring strong profit margins and high level of cash flow Annual Bonus Cash Incentives Return on total assets Operating income divided by average assets. Designed to measure the overall health of the business and measures the success of strategic decisions Cash Incentives Earnings per Share Compound annual growth indicates the effectiveness of strategic growth RSUs Share price Aligns the incentives of executives with the interest of the shareholder in increasing their investment value Stock Options RSUs Total Shareholder Return Ties the payouts to the overall shareholder return an investor would have received from investing in the company's stock. It rewards above-market performance and holds top executives accountable for below-market performance Cash Incentives Recommendations for Effective Strategy Implementation On business growth The success of implementing the strategy depends on the company's ability to anticipate and respond effectively to the global trends in the fast-food industry such as consumer spending patterns, demographic changes, consumer tastes and preferences. It is recommended that McDonald's regularly evaluate their menu choices, physical restaurant atmosphere and activity, and nutritional awareness programs in order to effectively communicate the values that the company promotes as well as inspire trust and confidence from the consumers. It is also recommended that the company improve its existing products and to promote new product lines in order to attain sustainable growth and system-wide sales. On operational excellence The strategies are designed and developed in order to make McDonald's

Financial accounting Essay Example | Topics and Well Written Essays - 1500 words - 2

Financial accounting - Essay Example Another reason in support of recognizing the goodwill intangible assets is that decision to acquire assets from others reflects there is intangible asset value of the asset acquired. The extent of a business acquiring another business entity facility or brand name instead of developing its own demonstrates that an external value of intangible asset exist in the market transaction. Consequently, business organizations should recognize the external value triggering acquisition of external market value attached to the assets to reflect the real value of the business entity in the balance sheet statement. However, there has been argument against recognition of the various intangible assets in the balance sheet financial statement. One of the arguments against recognition of intangible assets in the balance sheet is that it enhances the earnings information since the balance sheet financial statement will be cleansed from soft assets that have no physical substance. In addition, balance sheet information quality is improved since the cost of managing earnings is relatively reduced (Wahlen, Bradshaw, Baginski, & Stickney, 2010). Another reason against recognizing intangible assets in the balance is the uncertainty and difficult to ascertain the ability of asset recognized will generate revenue in future. Consequently, recognition of goodwill, market-related assets and contract related assets has the potential of causing material bias on the value of the business entity according to arguments against recognition of intangible assets in the balance sheet statement. Amortization of intangible assets faces both support and disapproval due to the potential material effect it causes in the balance sheet statement. One of the reasons in support of amortization of intangible asset is that the ability of a business to generate revenue in different financial is influenced by the market reputation of it brand name.

Personal Stat Statement Example | Topics and Well Written Essays - 750 words

Stat - Personal Statement Example ed knowledge in this particular endeavor poses continued learning opportunities and the chance to influence a positive change in contemporary societies. I am keen on pursuing the Doctoral program in Mass Communications to further enhance the theoretical frameworks and skills gained as well as developed from past academic levels. Likewise, I am immensely enthusiastic in the area of new media due to the continuing evolution of the digital and online realm. I have been in the United States since 2009 and realized the fast pace of life brought about by advances in telecommunication. The role of practitioners in mass communications becomes increasingly relevant in the dissemination of information in the digital field. The greater challenges faced by mass communication graduates are confirmed to be sourced from the forces driving globalization. As such, one needs to be adept, not only in social theories, but more so, in cultural theories. Both courses are to be expounded in the Doctoral Program, in conjunction with course modules focusing on developing teaching skills, as well as research. My personal and professional goals are to return to my home land in Dubai and to be an active practitioner of mass communications: either as an academician or an entrepreneur. Actually, I already own a couple successful small businesses in Mississippi. From the experience, I realized the importance of having graduated with a degree in advertising. The theoretical frameworks learned assisted in the design of strategies which assisted in promoting the products and services offered. Yet, I realized that advanced knowledge in mass communications would offer greater opportunities to widen my professional perspectives. The digital sphere continues to evolve and I strongly believe that it would continue to influence the development and sustained success of contemporary organizations. I intend to venture in the international market in the future. As such, advanced knowledge through the