Form and Structure Essay Example for Free

Form and Structure Essay As an AS drama group, we carried out certain exercises on narrative structure, to identify ourselves with that used in the play. For instance, we each acted out a scene, illustrating an everyday activity such as waking and getting up. We then narrated these scenes first in the first person narrative, then in the third. This enabled us to identify with how Brecht wished his actors to perform, as by narrating our own actions in the third person narrative, we were detaching ourselves from the parts we were playing, and so were not thinking emotionally what should this character think and feel now, but rather thought, how should this character appear. This also enabled us to understand how the process of taking photographs of scenes and trying to identify what was occurring within that scene, helped Brecht decide if his actors were performing correctly. The Verfremdungseffekte were designed to expose the familiar; Brechts actors were to present things in their concrete reality so that the audience would be encouraged to think about what had given rise to situation depicted, in this case Hitlers, or Uis rise to power, and therefore consider ways to change those conditions in the future. * The Resistible Rise of Arturo Ui is divided into 15 scenes, some of which are subdivided into several sections identified by letters. These 15 scenes are then divided almost equally into 2 acts. This symmetry gives the play a degree of continuity, enabling it to flow smoothly. Scene 8 displays a structure unique from that of other scenes throughout the play. It is the scene in which the innocent fish is on trial for potentially burning down Hooks warehouse. He is being tried before a corrupt judge caused by the manipulation of the judicial system by Ui and his underlings. This scene is divided into seven parts, a to g. Each of these parts is shorter in length than that preceding it, hence quickening the pace of the play and building tension within the scene. The shortening sections also highlight Fishs plunge into a prison sentence, that which he is undeserving of.

Emotional climax Essay Example for Free

Emotional climax Essay Continuing the theme of humanity and its behaviour, I believe the following events to be true to that. It is strange that in a play that revolves around its religious puritan upbringing, it also lacks a certain amount of Christian/Satanic or general imagery or symbolism. I would say that in comparison to a play such as Macbeth which relies on its disturbing imagery to convey the involvement of dark forces with the plot, The Crucible uses the reactions and actions of human beings to essentially shock the audience with as opposed to bold and obvious imagery. The preceding actions of the girls is but a taste of the weak human nature that will to some degree be the ruination of the innocents of Salem: the inert readiness to speak out against those who will miss use power and authority to a larger agenda, is the collective attitude that will allow silence to manipulate the villages fate. The tension is released as the anger and madness dies, but the atmosphere is left with a slight air of detectable pessimism as the girls (including Mercy,) leave with no attempt to rectify with Proctor anything he may have heard or stay for Abigails sake- (Id best be off, I have Ruth to watch.) Instead they leave apologetically and sheepishly, I quote- [Mercy sidles out.] Now that the stage is rid of the bulk, only the strong figure of Proctor, a slightly hidden Abigail and mute Betty remain. The scope is quiet, the audience surges with anxiety, as we are now fully aware of the extent of Abigails character and her master schemes for both characters on stage. The stage directions quote- [Abigail has stood as though on tiptoe, absorbing his presence, wide-eyed. He glances at Betty on the bed.] The scene is perfectly set, almost waiting for Abigail to pounce. The remainder of the scene has only dramatic effect in the two characters direct speech and actions. It is the dramatic effect of the language in the dialogue that develops the characters for the benefit of the audience as history repeats- Youre surely sportin with me. The flirtatious attempts of Abigail do nothing but reveal the nature of their relationship. Proctors character is used in the first act and indeed second as a pawn, a strong male presence that conjures up history, friction and feelings between a variety of characters. In this quote, Proctors reply demonstrates their current familiarity, as he obviously feels his would be rude answer appropriate in her case, which suggests history and the blunt coldness of his words suggests a tainted one- You know me better, This is used to great dramatic effect as this quote is an example of what classes this scene a complication. The revelations between the two characters and the audience displays I theorize that in this epitome, a play like The Crucible has numerous complications, which take the severity of the actual complication (the witch hunts,) to a higher level. For example the threat of being accused by one villager is but trivial when the accusation of attempted murder through witchcraft of which Elizabeth and Proctor are fully aware leads to trial, is brought to their knowledge. This accusation of attempted murder is one complication that mounts to a highly climatic and tragic demise. The heated and often dark references that Abigail uses are incredibly direct and delivered with a force that might suggest these are situations that are in need of persuasion. Not only the dramatic tension created by her choice of tactics, but the very level of desperation and inner naivety of the character that results in juvenile actions is incomprehensible! The confusion behind the seemingly innocent Abigail is astounding and her unpredictability creates tension as the audience realises the precarious nature of the play when Abigail is involved. The next scene I will analyse simply overflows with emotion, brought out through the characters ordeals. Elizabeth is featured here, wife of Proctor and the other half of an unhappy marriage. Their struggles seemed to begin and end with that harlot, once again Abigail is at the centre of insular turmoil. Leading up to this scene, we have seen a troubled and excluded couple; as Goody Proctor kisses him with suspicion and keeps their future happiness with it at the root of their marriage, Proctor bites his tongue with his sins past sins upon his shoulders. This scene is one of revelation and the audience sits enthralled as even tension created for the ultimate end disappears, as the couple who obviously still have love for one another quash their insecurities and make their peace. The scene begins with this fluctuation of feelings toward one another still in tact. The atmosphere is one of grief and almost acceptance, as these accusations, deaths and confessions have continued over the past few months (since the previous scene,) and the two characters have bared gruelling witness to it all. Once again, this final appearance of Elizabeth to Proctor needs a more detailed explanation, as the stage directions take the audience through every one of their actions and therefore magnifying the importance of the revelation of this scene, [Alone. Proctor walks to her, halts] The gentle nature of Elizabeth has been taken advantage of, in order to coax proctor into a confession. Elizabeth has taken the opposite course of action and frees him from her suspicious grasp.  Elizabeths query, though perhaps comical when an attempt is made to read it seriously, shows her utter lack of compassion and hope through the injustices of their predicament. Lack of compassion even for her own husband, though her enquiry made is meant in a considerate context- You have been tortured? Elizabeth continues to answer his questions in a cold and blunt manner, (their inhibitions still remain, anticipating the arrival of the emotional climax.) Extending the theme of revelation, this is probed unintentionally by Elizabeth and her remarks, for example she says about the death of Giles Corey, They press him John, more weight he says. Proctors reply is influenced by this, the courage of Corey is taken by Proctor and used to state, I have been thinking I would confess to them Elizabeth. In addition, the quote of Elizabeths instigates she wishes him to form a course of action, which he does in the previous quote. However, her reply is not one of looming suspicion or ruled by mistrust, it overcomes those petit consciences and the character finds the will to say, I cannot judge you John. No matter how Proctor begs for an order, a course of action or reassurance, Elizabeth stands strong and helps him to lose his inhibitions by making his own choice. The scene finally reaches a heart-wrenching climax as Elizabeth delivers the line Only be sure of this, for I know it now: Whatever you will do, it is a good man does it. Whatever the finale, this is a satisfying resolution because the characters have admitted exactly what the audience almost begs them to say, the actors deliver a service of satisfaction. Perhaps the only the example of dramatic imagery is the recurring theme of winter inside the Proctor house, as opposed to the summer and heat in the midst of the Abigail/Proctor love affair. Elizabeth now admits that is was a cold attitude she had towards her husband; a shrivelled marriage that she kept, a cold house. Her admittance of this symbolises the last string of the old relationship broken. The dramatic effective adds to the release of tension between the characters as the entire situation diffuses. Both of the characters fronts falter as they indulge in insular peace, paving the way for the final resolution: the turmoil between husband and wife is finally resolved, Proctor has everything to live for and the strength to do what is need to remain with family and friends- or is it? Unfortunately, the phrase too good to be true springs to mind, and also to the audience. The scene I analysed is in theory the penultimate resolution. It fits this description perfectly, as although it is misleading -because Proctor decides not to have his life and confess, but die with sanctity of name- it is satisfying. Dramatic tension is built extremely subtly behind the contagious joy of peace between the Proctors, foreseeing the ultimate loss of inhibitions for John. True, the character has lost the stubbornness that kept his wife from him, but it is also true to Elizabeths statement that John has not forgiven himself: self confessed sinner he may be, but a proud man is John Proctor. The truth may be that even in death, let alone life would the character not forgive himself for his sins with Abigail. His martyrdom was the release of self-hatred through a noble stand; he held onto the only thing that in his opinion was not tainted, his name. The Crucible recurs the theme of boundaries and limits, with such things as physical limits including the obsession with land, exclusive living (within colonies,) and with names. Proctors boundary was infact the preservation of his name, that is the only earthly piece of self he would not let go of- the only piece of self he realistically had left. This is a truly effective resolution, as the main character is finally at rest: Miller is no hero for surviving the courts, but his duty to society is done, his warning and message still survives fifty years on.

Leadership And Management Are Complex Nursing Essay

Leadership And Management Are Complex Nursing Essay Introduction Leadership and management are complex, inter-related concepts, and are essential for health services delivery, reform and administration. Both can be viewed as activities within organisation rather than as functions of specific job roles (Story, 2004; Mullins, 2007). A manager is a member of a specific professional group who manages resources and activities, establishing rules and procedures; and usually has clearly defined subordinates (Northhouse, 2010). A leader is someone, irrespective of professional background and level within an organisation, who build teams and coalitions, and has influence over other people (Rocchiccoli and Tilbury, 1998; Northhouse, 2010). Within the National Health Service (NHS) management require influence rather than giving orders, hence there is a need for effective leaders (Bristol Royal Infirmary Inquiry,1991; IIes and Sutherland, 2001; Jones, 2007) ). Effective leaders are those who possess the ability to influence motivate and enable others to contr ibute toward the effectiveness and success of the organisation of which they are members (Mullins, 2007; Chism, 2010; Northhouse, 2010). The role of leaders in the NHS is to improve patients care, treatment and experience; promote a healthier population; and enhance the NHSs reputation as a well-managed and accountable organisation as well as motivate and develop staff (Hartley and Benington, 2010). Poor leadership styles, with an increased pressure at work, and enforced change, creates dissatisfaction and low morale among staff, which may lead to crisis (Reed, 1995; Oliver, 2007; Mullins, 2007). It is the intention of this essay to highlight the importance of leadership and change management theories to understand and solve contemporary management issues. It will present and critically analysing in the light of theory the management crisis that stroke Mid Staffordshire Foundation Trust between 2005 and 2008, as reported by Alberti (2009) and Thomà © (2009). The Mid Staffordshire Foundation Trust Case The Mid Staffordshire Foundation Trust (MSFT) is a small to medium-sized trust that serves a semi-rural population (Alberti, 2009). During the summer and autumn of 2007, while analysing mortality in England, the Healthcare Commission became aware of consistently higher rates of mortality for specific conditions at the Trust (Healthcare Commission, 2009). When carrying out detailed examination, the Commission found that, mortality appeared to be concentrated on those admitted as emergencies. The reasons for the failing at the Trust, as explained by the Commission are the existences of deficiencies at virtually every stage of the pathway of emergency care (Healthcare Commission, 2009). The overall mortality rate had indeed been comparatively high for several years as shown by Dr Fosters Hospital Guide (Alberti, 2009). As a result, the government appointed Professor Sir George Albert and Doctor David Colin Thomà ©, to investigate the problem and suggest solutions. It can be said that, the MSFT has suffered from many leadership and management issues, which eventually affect the quality of care provided to patients. The reports by Alberti (2009) and Thomà © (2009) identified many issues that escalate the situation at MSFT and offer recommendations on how to manage them. These include the lack of effective clinical leadership; poor use of data and information evident in the lack of action from the concerned Strategic Health Authority (SHA) and Primary Care Trust (PCT) in relation to the increased mortality rate at the hospital, as reported during 2007 by the Hospital Standardized Mortality Rate (HSMR) data; and poor governance and clarity of accountability of all the different organisation in the system. The MSFT crisis is used here as a case study, because I have no work based experience; and for the purpose of this analysis, the above mentioned issues will be examined in relation to leadership and change management theories, with brief highlight of inter-organisa tion collaboration approach.. Leadership and change management theories Hellriegel et al. (1998) suggest that behaviour within an organization may be explained by viewing the organization as an iceberg. Their assumption is What sinks ships isnt always what sailors can see but what they cant see. Similarly, what cause problem for organizations is not what managers can see, but what they cannot see. The organisation Iceberg is based on the assumption that most of the internal factors affecting an organization are invisible, refer to as (covert) but affect the behavioural of individuals involved, such as attitudes, communication patterns, informal team processes, personality, conflict and political behaviour. While formal aspects refers to as (Overt) can be observed from all level, that include physical facilities, rules and regulations, customers and organisation designs The iceberg model relates directly to Paton (2000) who describe organisations are made of complex components that all influence the overall system. In relation to MSFT this model describe the relationship between the PCTs, SHAs and MSFT and how they work together. The Organisation Iceberg highlights that there are many factors within an organisation service that cannot always be seen and cause many problems in reality, which in the case of MSFT could be the shortage of staff, which affects the communication between employees; and lack of time to complete routine duties effectively. Change is inevitable in both organisational and social life, it is a pervasive influence and everyone is subject to continual change in one form or another (Mullins, 2007). Within organisations change is seen as a constant feature, and the ability to manage it, is seen as a core competence of successful organisations (Burnes, 2004). Paton and McCalman (2000) describes an organisation as a system of organised assembly of components, which are related in a way that the behaviour of any individual component will influence the overall status of the system. Organisational change can be initiated deliberately by managers or it can be evolve slowly (Mullins, 2007). In both situation, change can occur because of many reasons, sometimes refers to as triggers, which can be internal or external. Triggers can be due to an increased patient and public expectations, changing technologies, government legislation, competitor, supply change activities, an acquisition or merger (Paton and McCalman, 20 00). In the case of the MSFT, the triggers have been external, and involve the need to response to government legislation, social pressure and the inquiry. Nevertheless, change can be planned, implemented and seen; approaches to change management include: Lewins Force Field Model, Group Dynamic, Action Research and Three-Step model The Force Field Model (Lewin, 1951 cited by Iles and Sutherland, 2001), describe factors that can encourage change and the forces that can create resistance, during the transition state. Lewins theory can be related the MSFT as there were driven forces such as economic reasons and the need to increase customer care that lead to the establishment of the PCT and SHA. Yet there are resisting forces such as poor communication during the transition periods of PCT and SHA, and the lack of professional responsibility from the clinicians and other members of the hospitals staff. Alberti (2009) illustrated in his report that, the trust application for Foundation Trust status led to major saving being required. This financial savings was one of the driving forces that encouraged change. This in turn led to a major fall in clinical staffing, which suggested to be a resisting forces that lead to the deterioration of patient care. As suggested by Lucas and Lloyd (2005) change may bring the about resistance, even though the change can be positive. Change is not a straight forward process, whenever an organisation imposes new things on people, there will be difficulties. Thus, participation involvement and open, early, full communication are essential factors (www.bussinessballs.com). Lewin described an organisation as systems that are held in a steady state or equilibrium by equal forces (King and Anderson, 2002). These forces are the driving forces and the resisting force. When change is proposed it is important to minimise those resisting force first; any premature increase in driving forces for a change will be met with an equal opposite increase in resisting forces (King and Anderson, 2002). It is therefore necessary to reduce the resisting forces through consultation and participation in the change process. Once the resisting forces have been minimised the driving forces can be increased, shifting the equilibrium to the desire state .Within the MSFT, tackling resistanc e to change should have been a priority, given the circumstances and events that occurred. Resistance to change can be in many forms, these can be at an individual level or organisational level, and often difficult to pinpoint the causes. Mullins (2007) suggested that individual resistance may be due to habit, inconvenient or loss of freedom, security in the past and economic implication. Similarly, King and Anderson (2002) argued that individuals may resist simply because change represents a more move into the unknown. Examples of security in the past causing resistance can be seen at MSFT and the surgical words, in the past surgical patients were admitted to the emergency accident unit (EAU), this was found to be of unsatisfactory level leading to opening of a temporary small surgical assessment unit. This unit was found to be successful; however has no been closed, despite its success. Resistance to change and the feeling of security in the past admission procedures allowed a suc cessful change to be closed. Group Dynamic is another a approach to change, Lewin was the first psychologist to write about group Group Dynamic and the importance of the group in shaping the behaviour of its all members (Burnes, 2009). Lewin developed of this concept by addressing two questions. First, what is about the nature and characteristics of particular group that cause it to respond, as it does to the forces which trench on it? Second, how these forces be changed in order to elicit a more desirable form of behaviour? Group Dynamic stresses that, group behaviour, rather than that of individuals, should be the main focus of change (Hayes, 2007; Burnes, 2009). Lewin maintain that it is fruitless to concentrate on changing the behaviour of individuals because the individual in isolation is constrained by group pressure to conform. Consequently the focus of change, must be at the group level and should concentrate on factors such as group norms, roles, interactions and socialization processes to create diseq uilibrium and change (Hayes, 2007) Lewin recognized that, there is need to study and understanding the internal dynamics of groups, such as the different roles people play and how groups need to change over time. However, for him this understanding was not sufficient by itself to bring about change (Burnes, 2009). Lewin also recognized the need to provide a process whereby group members could be engaged in and committed to changing their behaviour. This led Lewin to develop Action Research and the Three-Step model. Action Research Lewin conceived of Action Research as a two-pronged process which would allow groups to address these three questions. Firstly, it emphasizes that change require actions, and is directed at achieving this. Secondly, it recognizes that successful action is based on analyzing the situation correctly, identifying all the possible alternative solutions and choosing the one most appropriate to the situation at hand ( Hayes, 2007). To be successful, though, there has also to be a felt-need. Felt need is an individuals inner realization that change is necessary. If felt-need is low in the group or organisation, introducing change becomes a problematic (Burnes, 2009) Three-Step model is programme of planned change and improved performance, this model is developed by Lewin, to assist with change. It involves the management of a three-stage process of behavior modification: unfreezing, movement and refreezing (Mullins, 2007). Unfreezing by reduce those forces which keep behavior in its current form, recognition of the need for change and improvement to take place. Lewin believed that the stability of human behaviour was based on a quasi-stationary equilibrium supported by a complex field of driving and resisting forces, thus the equilibrium needs to be destabilized before old behaviour can be discarded and new behaviour successfully adopted (Burnes, 2009). Movement, this step shifts the behavior of organisation to a new level; it involves the development of new attitudes or behavior and the implementation of change, Lewin recognized that, without reinforcement, change could be short-lift (Hayes, 2007; Burnes, 2009). Refreezing, this step stabilizi ng the organisation at new state of equilibrium, it is frequently accomplish through the use of supporting mechanism, for examples polices, structure or norms (Mullins, 2007). The main point about refreezing is that new behaviour must be, to some degree, congruent with the rest of the behaviour, personality and environment of the learner or it will simply lead to a new round of disconfirmation (Burnes, 2009). Clinical Leadership Effective, accountable clinical leadership at all levels of the NHS from where patients are treated and cared for right up to the board of an organisation, is another essential pre-requisite of a safe, high quality and effective service (IIes and Sutherland, 2001). In Mid Staffordshire hospital trust, this was lacking. It could also have been more effective in the PCTs and SHAs. Thomà © (2009) suggested that clinical leadership had a major role in the deterioration of patient care at MSFT. He described the visible clinical leadership as lacking in MSFT as well as in SHA and PCT. The poor leadership was observed at all levels, with clinicians failing to raise concerns about patients quality of care, and management failing to improve staff level that would have a big impact on patient quality of care. Clinical leadership may be defined as an expert clinician involved in providing direct clinical care, which influences others to improve the care they provide continuously (Cook, 1999, p. 306). Cook and Leatherhard (2004) describe five characteristics of an effective leader that can be adopted into the clinical environment to produce the best care for the patients. These include creativity by understand the situation and seeking new possibilities; highlighting through identifying new ways of care delivery; influencing by help others see and understand situations from different perspectives; respecting through well develop perceptual ability of others; and finally supporting by supporting others through change. The effective leader characteristics are link to the Trait Theory (Lord et al, 1986) which suggests that leaders have physical traits and abilities that are individual and distinguish them from others. The Trait Theory based on early studies which claim that leaders are born not made, and key characteristics and skills are inherited (Mullins, 2007). The benefit of trait approach is the ability to focus on the individual who is the leader, rather than the task of leading. This allows for analysis of the leader and their individual leadership traits, in term of effectiveness and efficiency and highlights their strength and weakness, which in turn can lead to the improvement of leadership capabilities. Being an ineffective leader in NHS can have severe consequences on the staff in the workplace, as well as patient by having psychologica l impacts that cause deterioration in patient acre and result in stressed staff. Alberti (2009) and Thomà © (2009) . It is clear that there was a distinct lack of Cook and Leathards (2004) five characteristics, that need to influence staff, implement change and be creative. According to Alberti (2009) and Thomà © (2009) reports, leaders of MSFT were very focused on a financial change and lacked creativity in many other aspects of the organisation, such as implementing change management at an individual care staff level. They show disrespect for their staff, by failing to support them and provide adequate training. Alberti (2009) and Thomà © (2009) suggest that they could provided training that would enable staff to adapt to changes in the organisation. Also, there could have been changes to the staff levels, to provide departments with the sufficient staffing, to maintain appropriate care levels. This in turn inhibit the introduction of any new care plans that could potentially i mproved the care. There was also a lack of influential staff; Thomà © (2009) commented on the lack of responsibility shown by general parishioners in the hospital, who fail to report poor quality of care , that they often observed in the clinical settings. According to Palfrey (2000) within the NHS management decisions often relate to resources or the allocation of resources, and that managing budgets and managing people require two very different functions. It is clear that the financial component of MSFT system was a priority, and the leaders in charge missed the opportunity to manage their staff and individuals well, by focusing too much on the budgets and resources (Alberti, 2009; and Thomà ©,2009). Inter -organisational collaboration Alberti (2009) review of MSFT, found that there are highly committed, acute surgeons working at the Trust but too few in each of the surgical specialties. He therefore recommended that a system of networking with neighbouring trusts to be created. Similarly, a network or board should be established for urgent and emergency care including all partners, such as the PCT, the ambulance trust, social services, the voluntary sector, pharmacies, patients and the public as well as the MSFT. In his view this could and should greatly facilitate delivery of care by the most appropriate person in the most appropriate setting in timely fashion. Partnership means learning together and works together; it is a good way of making things happen (Davies and Foley, 2007).The need to bring together, different inter-linked professionals skills has increasingly arisen in response to the complexity of health and welfare services; the expansion of knowledge and the subsequent increase in specialisation resou rces; for lessening duplication and provide a more effective, integrated and supportive services for both users and professionals (Naidoo and Wills, 2001). According to Leathard (1994) one striking feature about inter-professional work in Britain is that there has been a generally held belief that collaboration is good thing and inter-professionals teams have increasingly gained favour in recent years. However, threes has been little evidence to substantiate the view that collaboration leads to an increase in the quality of care. Similarly, Hudson et al (1999) have argued that interagency collaboration in the public sector remains very difficult, yet governments committed to it. Adams (2007) mentioned that partnership have number of strengths. First, they reassure people that cooperation and collaboration between diverse groups and organisations are possible. Second, they enable people as individuals and in groups to join forces to achieve shared goals. Finally, they are means by which agencies can work together to solve problems they cold not tackle alone. McGrath (1991) noted three advantages of inter-professionals teams working in th e field of community mental handicap. Firstly, more efficient use of staff, for example enabling specialist staff to concentrate on specialist skills and maximising the potential of a qualified staff. Secondly, effective service provision, for instance, encouraging overall service planning and goal orientation. Thirdly, creating a more satisfying, work environment, again by promoting a more relevant and supportive services. Inter-agency and inter-professionals coordination and collaboration, are not however, readily in practice (Sands et al, 1990). Inter-professionals pitfalls included conflicting professional and organisational boundaries, inequality in status and pay, and time consuming consultation (McGrath, 1991). Sweeney et al (2000) concluded that, the three reasons for failures in collaboration drawn from research are cited as being differing professional perspectives on problems; different occupational cultures and confusions over professional roles. Confidentiality and sharing information within and between agencies are other issues. It is clear that PCT, SHA and Monitor at MSFT were unsure about their involvement and responsibilities once the hospital has been awarded the Foundation Trust status, which result in neglecting patient care (Alberti, 2009; Thomà ©, 2009). Adams (2007) pointed out that it is difficult for organisation with diverse cultures and ways of working to work together. Succ essful partnerships and effective joint work between different agencies and professionals, depend on a number of conditions being fulfilled These include a willingness to share tasks, high trust between different professionals and openness and good communication. Likewise Hudson et al (1999) have developed a conceptual framework setting out some main issues that need to be considered when planning collaborative services. These include assessment of collaborative capacity, identification of a legitimate basis for collaboration, ensuring wide organisational ownership and nurturing fragile relationship. Close culture and lack of data sharing, were among the issues that caused the situation to deteriorate at MSFT; a Good understanding of multi-organisational networking, alliance and partnership principles, would have improve the communication at the trust. This in turn can improve patient flow through the hospital and ensure greater networking with neighbouring trusts. Conclusion Within the NHS management systems, a manager requires need to influence other rather than giving orders, thus they need to be an effective leaders. The Mid Staffordshire Foundation Trust (MSFT) crisis was a result of poor leadership and management of staff and services (Alberti, 2009; Thomà ©, 2009). The lack of smooth organisational change management, as described by the Organisational Iceberg, affected many components of the trust. The reconfiguration of PCT and SHA was to improve the quality of care at the trust. However unstable transition and transformation of change that was caused mainly by inadequate leadership capabilities prevent a successful case of change management in this organisation. As a result the poor standard of care continued to be performed in the hospital, without any attention or plan to change. Change is a common feature s in both organisation and social life, and can be planned, implemented and seen. Lewins Force Field Model, Group Dynamic, Action Research and Three-Step models of change forming un integrated approach to analyzing, understanding and brining about change at group, organisational and societal level (Burnes, 2009). Clinical leadership in particular played important in the deterioration of patient care at the MSFT. Effective clinical leadership required creativity, highlighting, influencing, respecting and supporting (Cook and Leatherhard, 2004). Inter-professionals and partnership approach in public sectors aims to enable people to work together to achieve shared gaols. However, these approach, hindered by problems such as the conflicting professional and organisational boundaries and loyalties. Successful partnerships depend on a number of conditions being fulfilled these include a willingness to share tasks, high trust between different professionals and openness and good communication (Adams, 2007).

Soviet Industrialization :: essays research papers fc

When one looks at the history of the USSR, one of the most important aspects to look at is the massive industrialization that took place under the Soviet regime. This industrialization, like so many other things, is a complicated issue, with many arguments circling around it. The process was marked both by tremendous progress and expansion, as well as gross inefficiency and waste.   Ã‚  Ã‚  Ã‚  Ã‚  To better understand the Soviet industrialization, it is necessary for us to briefly look at the history that preceded it. When the Bolsheviks came to power, they inherited a country with economic conditions that were far from favorable. It was a country devastated by World War I as well as the civil war that followed it. For all intents and purposes, one can say that the economy of the country was in ruins, and drastic steps were necessary in order to feed the hungry population, and for the country to survive.   Ã‚  Ã‚  Ã‚  Ã‚  To answer this problem, a New Economic Policy (NEP) was implemented. In essence, this policy went away from communist ideology to a large degree. It allowed farmers to go out and sell what they have produced, and brought in many elements of the free market. At the same time, the Soviet regime restored the industry which existed but was devastated by war.   Ã‚  Ã‚  Ã‚  Ã‚  To a large degree, this policy was successful. By 1920s, the USSR managed to reach industrial production levels of roughly 1913. (Suny 233) Furthermore, the population was no longer starving, and living conditions improved throughout the country. However, NEP also brought in several problems. One of them, in the eyes of the Soviet leadership, was that it naturally brought polarization into society, producing some rich and some poor peasants, whereas ideologically there were supposed to be no classes in the new society (Suny 171)   Ã‚  Ã‚  Ã‚  Ã‚  A more serious problem, however, was the fact that rapid industrial advance was incompatible with NEP. It was necessary to shift country’s resources from agriculture towards the production of heavy industry. Instead of producing consumption goods, it was necessary to produce capital goods. (Suny 234)   Ã‚  Ã‚  Ã‚  Ã‚  The peasants, however, had little incentive to sell their product, since there were few things of use that they could get in return (since the economy concentrated on production of capital goods instead of consumption goods). This, naturally, brought tension between the city which had to be fed, and the peasants who would not give up or sell their product, unless compelled to do so by the state.

Thoreau and Transcendentalism Essay -- Civil Disobedience, Transcenden

Followers of the Transcendentalist movement stressed the religious, philosophical and ideological importance of life. Henry David Thoreau was a staunch supporter of the movement. Thoreau felt that a person lived a good life by following his conscience and instincts. He also felt that materialism was a sure way to distract a person from leading a good and moral life. Thoreau proposed for the government to be involved in as little of a citizen's life as possible; he felt too much government control just complicated a person's life. Like most Transcendentalists, Thoreau believed there was a direct connection to God through nature. If a person appreciated nature he would gain a higher understanding of God. Finally, Thoreau encouraged individuality versus conformity to the status quo. Thoreau challenged his readers to experience nature first hand; he felt to truly experience nature was a way of experiencing God and marveled at the happiness it can bring. In his novel Walden he writes of the happiness and contentment he feels while listening to the birds in the chapter titled "Sounds." His happiness is short-lived when it is interrupted by the sound of a train driving through the countryside. The reader gathers that, like many Transcendentalists, Thoreau is against the Industrial Revolution taking place in America. He felt this industrialization would poison nature and complicate life even more than it already was. The poisoning of nature would effect the connection a person could have with God as well. Thoreau wrote about living a simple and uncomplicated life in Walden. He argues against the things that mark status in American society, owning land, dressing in fashion, and earning a high pay. Thoreau reasoned th... ...be content with just being average. He states that each person who explores themselves will be individual from one another. Each person should be concerned with only his business and motivations. Individuality was important to Thoreau. He had no concerns of what other people thought about his actions or ways of living and felt this made his life less complicated and simpler to concentrate on more important things. Thoreau was truly a Transcendentalist. He focused on the individual and the relationship he has with himself, nature, and God. He felt living simply and plainly would free him to gain a greater understanding of the world around him. Understanding of the world around you could only come after gaining a greater understanding of yourself. Once a person let get of the constraints of society were they free to begin to explore themselves and the world.

The Impact of Technology on Education Essay -- Teaching Education Essa

The Impact of Technology on Education Technology affects every aspect of our lives. From romance to business, it has shown its presence everywhere. But technology has had a huge impact on education that cannot be denied, and has done nothing but improve the quality and quantity of education. Today, schools are being pressured more and more to improve the technology they use and teach in the classrooms. Parents are placing this pressure on schools so that their students have the skills needed to compete in the real world job market. Students are placing pressure on the schools to improve technology by having more knowledge of current technology than the school’s staff. Teachers in turn are placing emphasis on the schools to improve technology they want to increase efficiency of information sharing, grading, and communication in the classroom. Businesses place an emphasis on technology in schools so that the schools adequately prepare their future employees, the students. The government is also placing pressure on schools to improve technology in the classrooms so that Americans can compete, along with helping prepare successful employees to help improve the economy in the future. These pressures are welcomed however, as schools are eager to improve their current use of technology in the classroom. But why are schools so eager to improve their use technology? And why is there so much importance placed on educating today's students with modern technology? The answer is simple: because technology has such a positive impact on education, and in so many ways. In regards to Language Arts education, the prominence of word processors has helped to ease the work of editing and rewriting. Built in spelling ... ...mpus isthe use of WebCT. This web site allows professors to create a source for the course syllabus, lecture notes and course calendar’s to be posted, along with public forums and public chat rooms. WebCT keeps track of what students are enrolled in what courses and when the student logs in, it brings up the information available for that student’s courses, along with notes if anything has been updated since the student’s last visit. All of this is available forLSSU students at their web page. These are examples of how exactly technology has affected education at Lake Superior State University. Technology has had a huge impact on education. It continues to shape the way we learn and what we learn today and in the future. As technology advances, so does the quality of education and that is nothing but good news for the students of today and of the future.

Latinos in America

What is an American? This is a difficult question to address, especially concerning Latinos who only speak English. Many Latinos in the United States, consider language a point of high controversy. Some consider speaking spanish an essential part of being Latino , while others consider it a barrier that will prevent the assimilation into the American culture. Tanya Barrientos, like many other Latinos, wrestled with this very issue her entire life. Growing up as a Latina came with many stereotypes, speaking Spanish being one of the most negative characteristics for Barrientos. As society changed its views and learned to accept this diversity in language, Barrientos learned to embrace her heritage. The true question lies within her reasoning for this change in her perception, but was it for the right reasons? What makes this country great is that you can be both: A Spanish speaking latino that is fully emerged in American society. Being American is not about the language you speak but about your ideals and how they fit in the American way of life. Many Americans don’t realize that the choice in language is not determined by the individual but lies in the choice parents or caregivers. This choice is one that will haunt individuals for the rest of their lives. In Barrientos’ case, her parents decided it would be best for her to only speak English. As Barrientos grew up, she embraced her parents choice, saw this as a positive trait, one that differentiated her from most Latinas. She enjoyed defying expectations. Since childhood, she felt that speaking Spanish translated to been poor, holding less desirable jobs and discrimination towards the Latino community. It is because of this that she enjoyed attending a public school that attracted few Latinos, she wanted to distance herself from the rest. In her opinion, not speaking Spanish gave her an edge over other Latinos and allowed her to successfully fit into the American Anglo society. In her own words, it made her feel superior and American. Society pushed her to want to stay away from her heritage and embrace the melting pot as a full fledge citizen. Prejudice or stereotypes should not affect the way you feel about your ulture or background. If society is going to view you in a negative way because the way you look or where you come from, they will do so regardless of what you do. This should make you embrace your heritage and take pride in what makes you unique. This is especially true when it pertains to language, which is something that cannot be perceive by looking at a person. In Barrientos’ case it did not make sense to refuse a language when society would already perceive t he stereotype due to ethnicity. In her situation, not speaking Spanish made her feel like as if society did not view her as a Latina, when clearly by the comments from school staff and most likely other untold accounts, it didn't make a difference. To others who did not know her, she was still a Latina, no different than the rest who were Spanish speaking. She had very little sympathy or affection for other latinos and held many negative views of her own culture. She tried to differentiate herself from the Latino community as much as possible, and succeeded. In a way she had become what she was avoiding, holding prejudice and acquired a feeling of superiority towards Spanish speaking Latinos. Barrientos was concerned about blending in with society, this meant being seen as â€Å"white†. In her mind white meant American, you could not be American if you spoke Spanish. As she puts it Spanish associated you with the radical thinking of Mexican-Americans or Afro-Americans. While emerging yourself in the society you live in is positive, refusing/denying your culture is not the best way to do it. She pushed her culture away because it did not have anything positive to give her, it would only bring her problems and misfortune. Barrientos did not care to even be considered Latina. That is what a selfish, insecure individual would do. It wasn't until society view about Latinos and Spanish changed, that she started relating her culture to something positive. Once the realization that being Latino and speaking Spanish was not a negative but a positive, she began to change. In her own words it was time to take pride, but as she puts it, it felt fake, because in a way it was. It wasn't until she had something to gain, that she wanted to fit in. It seems that is the overall theme of her life, always trying to fit in, but only when its most convenient for her. This attitude will never truly allow her to belong. Even after trying to learn Spanish, other Latinos notice that she was different. Her entire life she worked on putting up walls between her and the Latino community. She outcasted herself for so long and then found it very difficult to connect with her own community. I suspect it was not just the language but her attitude and demeanor as well. In a society as complex as the one in the United States, it is important to realize that you can never fit in with the entire population. If you try to conform to what others want, you lose a part of your individualism. It is also important that in the process of assimilating you do not end up alienating others in your same situation. At the end of the day, you can not change the preconceived notions that come with belonging to a specific ethnic group, but you can choose to embrace your culture and enjoy that part of your life while still emerging in the American way of life.