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General Motors 2013 – 2014 Recall Crisis Communication Analysis

In 2013 and 2014, General Motors was engulfed in varied recall issues. It recalled many vehicles some of its vehicles were blamed for many deaths and injuries. The recalls had the potential of impacting on General Motors for many years according to Flashman (2014). The recalls made by the company injured own reputation markedly. After each of the recalls, the customers left comments expressing their disaffection with the company’s crisis communication approaches. Even though its representatives gave out many reassuring messages on varied media platforms, its reputation suffered marked challenge (Liker & Franz, 2011)Hemus, 2010). This paper explores the effectiveness of how General Motors communicated during the crisis typified by the recalls.

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Overview of the General Motors 2013 – 2014 Recall Crisis

Soon after Mary Barra had been appointed to be the General Motors CEO, it became apparent that the company had been concealing information for many years that a defect on the automobiles it produced. The defect was blamed for 13 deaths. The company had to recall many units already sold to clients. The CEO came off as unprepared or even incompetent in communicating during crises but she charged several representatives of the company with the role of communicating about the crisis. The representatives were effective in that role by and large. Notably, the CEO is now highly regarded for having been quick to admit responsibility for the defect publicly. The admission helped build marked goodwill towards the company in the public opinion court.

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The communications sent out by General Motors during the recall crisis had varied ethical implications. The communications projected the company as accepting responsibility for the defective automobiles promptly. In crisis communication, taking responsibility and accountability are critical elements. General Motors took responsibility for the defect in the recalled vehicles promptly, helping it build marked goodwill towards the company in the public opinion court as noted earlier. Company’s that accept responsibility for their defective products promptly establish procedures for assisting those making requests, complaints or claims. As well, they ensure that their stakeholders have easy access to relevant information. General Motors established an autonomous claim site for its clients keen on making related claims (Flashman, 2014).

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All in all, the crisis situation projected General Motors’ products as being of wanting quality and its practices as opaque. General Motors incurred considerable losses from the recalls, and its competitors were keen on capitalizing on its misfortune by wooing away its customers (Dietz & Gillespie, 2012). General Motors was afraid that its reputation would have been further eroded by potential class-action suits against it from discontented business analysts and investors. Like other automobile producers, traditionally, General Motors emphasizes on effectiveness. General Motors’ keenness on effectiveness has made it renowned for its efficient production systems for many years. General Motors has embraced effectiveness as its elementary management objective for long. General Motors projects itself as engaging every employee in persistent improvement. Even then, the crisis projected General Motors as having some inefficient systems and not being on staff engagement. The crisis projected it as having ineffective safety and quality systems and procedures (Colby, 2015).

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Regarding culture, the crisis situation was blamed on General Motors’ hierarchical management and bureaucratic approach. The approach was seen as impeding junior staff members from communicating the flaws that they noticed promptly. Consequently, numerous problems in the company went unnoticed and unresolved until the crisis situation. As well, regarding culture, General Motors’ representatives who issued communications regarding the crisis appeared to lack evidence to support own rhetoric at times. They appeared to have lack facts as to why the defect had remained undetected for many years. As well, they appeared to lack well-thought out information on what General Motors was set to do to eliminate the possibility of the defect in future.

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Effectiveness of General Motors’ Crisis Communication

When the crisis situation was underway, General Motors established many open communication lines for use especially by its clients. Even then, there were no such lines for its junior staff members owing to the company’s hierarchical management approach. As noted earlier, the approach and related traditions impede junior staff members from communicating the flaws that they notice promptly. The company received millions of comments from its clients and other people especially via Facebook. Most of the comments were negative but the representatives kept direct and clear lines and responded to the comments rather humanely according to Flashman (2014). In addition to its Facebook messaging platform, General Motors put in place an independent recall site to further facilitate the conveying of offline information regarding the crisis.

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General Motors accepted responsibility for the defect promptly as well as authentically. It was quick in making out of the situation initially, projecting the company as having been quick to address situation devoid of being compelled to act on it. The quick admission of the responsibility projects it as having been averse to engaging in corporate denial, it projected its organizational culture as having been defined by adequate vigilance for possible crises (Colby, 2015).

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The General Motors’ representatives expressed candor, or forthrightness, in their communication during the crisis situation. By and large, they responded directly and clearly. They were clear that the company’s reputation was not dependent on the recalls themselves but by how they addressed the situation in the succeeding days. The candor projected the company as swift to explain and respond. They communicated to their audiences directly, especially through video recordings, using a direct, simple, and personal language. Their tone was rather direct, moving the related discussions offline smoothly (Flashman, 2014). Even then, the CEO was reluctant to do interviews regarding the crisis, thus the company’s overall communication appeared to lack a leader’s voice.

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General Motors’ leaders came off as having been in control of the events and having been inclined towards taking decisive action in addressing the situation in a coordinated way. The actuality that the company recalled automobiles only once meant that the leaders were forthright in how they acted on the recall. They gave out infographics that showed that it knew how to go about fixing the defect simply and clearly (Flashman, 2014).

General Motors did not utilize the media adequately, as well as effectively, in delivering its principal messages during the crisis situation. Its executives were not readily available to the media most of the time. Even then, the representatives shared the related bad news and good news whenever they communicated through the media. The expressed considerably consistent, as well as believable, communication whenever the media engaged them and whenever they gave out communications via YouTube, Facebook, and varied blogs (Flashman, 2014).

The CEO and the representatives did not involve customers and employees in the company’s crisis situation-related communication effort. That possibly stemmed from the company’s hierarchical management approach. The approach impedes customers and employees from communicating the flaws that they notice promptly. As noted earlier, the approach meant that the defect went unnoticed and unresolved for many years.

The communication-related actions related to the crisis situation were not in agreement with its mission as well as values. Traditionally, General Motors emphasizes on effectiveness, which has made it renowned for efficient systems for many years. Even then, from the foregoing, it is clear that the company was devoid of efficient communication teams and strategies during the crisis situation. As noted earlier, the crisis projected it as having some inefficient systems. Even then, the actions projected the company as true to the value it attaches to responsibility. Especially, as noted earlier, the actions projected the company as quick in accepting responsibility for the faulty automobiles (Colby, 2015).

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Crisis Communication Recommendations

  1. General Motors should put in place measures to enable it to communicate effectively in crises before they happen. Particularly, the company should:
    1. Anticipate crises
    2. Carry out regular vulnerability audits
    3. Create communications and operational plans for responding to possible crises
    4. Make out its crisis communication officers or teams
    5. Make out, as well as train, crisis spokespersons
  2. Whenever a crisis happens, General Motors should gather the relevant facts promptly and communication them aggressively and promptly to avoid possible uncertainties.

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Mending the Wall Vs The Road not Taken

Introduction

Critical reading of poetry and prose enhances the analysis instrumental in establishing how different pieces of literal work differ in terms of structure, purpose, theme, language and form. It involves assessing the literary techniques, the language choice, imagery, structure and evaluates how such tools have been utilized to achieve different effects in prose.  This paper compares and contrasts two of Robert Frost’s literary pieces, Mending the Wall [1914] and The Road not Taken [1916] in terms of structure and thematic composition. It examines closely Frost’s writing style and the manner of language application.

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An Abridgment of Two Literal Works

Mending the Wall 1914 by Robert Frost is a piece of literary work that revolves around a stone wall that separates the persona’s property from that of his neighbor. While both meet to walk the wall and make repairs every spring, the speaker does not see the rationale to keep the wall since there are’ no cows to contain, just pine trees and apples. His neighbor, contrariwise, emphasizes that it is crucial to maintain the wall in a bid to preserve their relationship. The neighbor holds that the wall should remain with the belief that good walls make good neighbors.   During the fixing of the wall, the speaker endeavors to persuade his neighbor otherwise. In addition, he indicts him of embracing firmly the antiquated tradition. Regardless of what the narrator articulates, however, the neighbor is not willing to change his position reiterating that only: “Good fences make good neighbors.”

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The character encapsulated in the Robert Frost’s 1916 The Road Not Taken, finds himself standing in the woods in deliberation of a divide in the road. Concluding that each one is equally well-trekked and alluring, the persona decides to take one of the ways, although acknowledging that both are similarly worn and likewise draped. The speaker admits that someday in the future he will recreate the scene with the claim that he took the less-trodden path with a minor twist with the knowledge that he might not have an occasion to do so.  The speaker culminates on a wistful feeling, speculating how things might have been different if he had chosen the first route.

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Evaluating the Structural Disparities

The poem The Road Not Taken, is constitutes of four couplets of each made up of five lines, all forming an ABAAB rhyme scheme. However, there is an outstanding exclusion of the last line. Each line has four stressed syllables that fluctuate on an iambic tetrameter base.  The poem can be considered as a nostalgic observation on choices of life. The narrator highlights his decision to choose the road that is less travelled and points out that his life would have been necessarily dissimilar if he had made the other choice. Making a choice of taking one of the two roads short of having any awareness regarding where each lead demonstrates the courage of the persona in taking ‘the less travelled road’ as opposed to taking the seemingly bland path traveled by others. It should be noted that the speaker only makes a discrimination of the two roads the paths subsequent to his selection of one. At the start, the paths are characterized as being primarily undistinguishable. With respect to exquisiteness, both routes are equally “fair,” and the overall “…passing there / Had worn them really about the same.”[Frost, 1916].

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The baseline meter of poem Mending the Wall is blank verse, although some of the lines fit alongside the blank verse’s distinctive lock-step iambs, five abreast. The author does not structure the literary piece with stanzas, and instead maintains forty-five lines of narration in the first person. The poet preserves a number of five stressed syllables for every line. However, the feet vary broadly hence maintaining the normal speech-like eminence of the poetry. Frost offers no stanza breaks blended with noticeable end-rhymes. Nonetheless, most of the end-words are analogous in assonance such as wall, hill, balls, wall. Another set of assonance is in sun, thing, stone, mean, line, and again.  Additionally, game, them, and him presents another set of shared assonance. There are two Internal rhymes which can be taken as restrained, imbalanced, and this is indicative that they are plausibly spontaneous. The poet makes use of no fancy words making his vocabulary one of all of a piece and conversational except for only the word another, that has three syllables. It ensues therefore that the words reverberate so exceptionally together both in sound and feel.

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Thematic Contrast of the Two Literal Works by Robert Frost

Evaluating the theme in The Road Not taken, it is apparent that the two presented roads are not only passing through the woods, but they are instead leading down two diverse routes in life. This can therefore justify the thoughtfulness displayed by the narrator. Although at the outset, the two roads appear to be the similar; one can appreciate the differences that will certainly result in different outcomes, following further scrutiny. [Frost, 1916], in line seven divulges that the path embraces only “perhaps the better claim,” since the dissimilarities between the two roads is so little. This informs the difficulty in the speaker to be absolutely certain in his decision. Throughout the entire poem, the road symbolism illuminates on the nature of individual’s social thought and indecision. It illustrates the difficulty experienced in making a choice whose outcome affects an individual’s life while accentuating the essence of human curiosity.

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It is only later in life that the narrator suggests to gaze back on his life and decides to place such importance on this particular decision in his life. In the course of the leading three verses, the narrator displays no sense of compunction subsequent to his resolution. Similarly he does not concede that such a judgment might be imperative to his life. Hitherto, in old age, the narrator stabs to offer logic of order to the decisions of his past. In so doing he attempts to illuminate the reason why particular occurrences might have transpired in his life. Certainly, the justification that he opted for the “less traveled road” seems deceitful.  Nevertheless, the speaker firmly holds to his resolution, implying it to be a crucial instant in his life.

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In Mending the Wall, Frost produces two discrete characters whose ideas contrast about what unerringly constitutes good neighborhood. The speaker censures the neighbor’s fixation with renovating the wall and underlines the view that this is in essence old-fashioned and antiquated. All together, he retorts that his apples will not occupy the pinecones on neighbor’s property.  Additionally, the speaker asks whether ‘within a land of such of such freedom and discovery, are such borders necessary to maintain relationships between people?’ Notwithstanding the speaker’s incredulous opinion of the wall his neighbor holds to his apparently “outdated” attitude. This is accentuated in his reactions to each of the speaker’s discontented requests and reasoning with nothing else but the maxim: “Good fences make good neighbors.” The speaker highlights that the action of fixing the wall is in contravention to nature. This is indicated by the fact that year in, year out stones are extricated and cavities abruptly appear all short of reason. Subsequently the two neighbors seal the gaps and supplant the fallen boulders, just to witness the parts of the wall fall over again in the coming days. It looks as if nature is struggling to abolish the barricades that men have produced on the land.

Gen Robert E. Lee Mission Command For Battle Of Chancellorsville

Introduction

The Battle of Chancellorsville took place between April 30 and May 6, 1863, in the county of Spotsylvania in Virginia during the period that witnessed the American Civil War.  The Battle of Chancellorsville also referred as Chancellorsville campaign marked the most important encounter between opposing camps.  The battle brought General Robert E. Lee’s Confederate Army of Northern Virginia (ANV) up against Major General Joseph Hooker leading the Union Army of the Potomac (UOAP).  The battle resulted from one among reasons of the Federal objective attempt to recapture the confederate capital Richmond in Virginia.  Over the past two years, the Unions’ army had faced several defeats over similar objective.  The Battle of Chancellorsville started when the Union of Virginia soldiers crossed River Rappahannock in an effort to surround the Confederate Army of Northern Virginia under General Lee from the rear and the front.  The Union stationed the remaining of its forces near Fredericksburg. General Lee split his army enabling him to hold off the Union soldiers near Rappahannock. What began as an effort to reclaim Richmond became a battle against Lee’s army. By dividing his army, General Lee was able to contain the Union forces registering great success; however, the Confederate Army of Northern Virginia Stonewall Jackson a brilliant and tacticalgeneral was wounded due to friendly fire. This research paper will provide an analysis of the commander’s performance in operations process that includes understanding, Visualizing, Describing, directing, Leading and assessing.

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Confederate Army of Northern Virginia Operation Process

General Lee and Stonewall Jackson leadingConfederate Army of Northern Virginia were very significant participants during the Battle of Chancellorsville operation process. General Lee drove the operation process during The Battle of Chancellorsville by visualizing, understanding, directing, describing, leading, and assessing operations. GeneralLee strategy to divide his small army and face the Union army from different fronts was a great managerial tool that enabled him to drive the operations process. General Lee with the support of his staff, utilized operations process to detail and drive the conceptual planning significant to visualize, understand, as well as describe operational environment and  arrive at articulate decisions that enabled Lee to lead,  direct and assess military operations during the Battle of Chancellorsville. Activities involved in the operations process during a battle recur and overlap as conditions demand.

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During the Battle of Chancellorsville, GeneralLee divided the confederate army into groups in order to face the union armyeffectively since his army was outnumbered.  The planning process started as soon as the Union army crossed River Rappahannock with an objective of taking Richmond. General Lee planned and executed his plan of action through applying combat power to retain and exploit weaknessesof the Union army in order to gain advantage during the war. General Lee staff including Stonewall Jackson role was to assist Lee in understanding circumstances, making and executing decisions, control operations and evaluate progress of the confederates’ army during the battle.  The success registered by the Confederate army during the Chancellorsville campaign resulted from effective planning, execution and assessment of the progress of the battle. This section will analyze how General Lee understood, visualized, described, directed, led and assessed operations process during the Battle of Chancellorsville.

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Understanding

During military activities, understanding is a very essential component since it enables the commanders to establish the context of a situation. Understanding allows commanders to make effective decisions on planning and execution. The commanders obtain essential information utilized to develop and understand the operation through analyzing the mission and operational variables. Detailed and conceptual planning enables the commanders to develop an initial understanding of the problem and operational environment. In order to develop a full understanding of the problem and operational environment the commanders circulates within the operational area as much as possible with an aim of improving collaboration with lower ranking commanders and the force. Throughout the operational process, the commander use inputs from the staff and his own personal observations to improve the understanding of the operational environment.

With only roughly over 60, 000 soldiers Lee fought against the union soldiers who numbered more than 130, 000. Understanding the problem and the environment of operation provided Lee and his men with advantage over the Union soldiers. Lee knew that he was outnumbered, and as a result, Lee went against military principles by dividing his soldiers twice and attacked the Union soldiers. Faced with the need to protect Richmond from the Union forces, and the challenge of inadequate food supplies for his army, Lee detached half of Gen JamesLongstreet first corps to the south. Operating in North Carolina and southern Virginia, General Longstreet soldiers provided the much-needed food to soldiers in Fredericksburg.

Visualization

The commander’s continuous understanding of the problem and operational process provides them with an understanding that enables them to visualize the desired goal and possible solution to the problem. Visualization is the process that involves developing an understanding on the situation, establish the desired end goal, and come up with an operation strategy that will enable the army to realize the desired end.  A mission’s assignment provides the basis that enables the commanders to visualize the operational environment, which as a result, act as a framework for planning and execution.  Visualization enables the commanders to make decisions according to new challenges. During the Battle of Chancellorsville, General Lee’svisualization of the problem, that is, attack from the Union forces and the desire to protect Richmond enabled him and his support commanders such as Stonewall Jackson to come up with suitable strategy to fight with the Union army that was twice the number of the Confederate soldiers. Lee with the help of support staff developed a strategy aimed at keeping of the looming threat posed by the Union soldiers by dividing his army. This risky military adventure enabled Lee to fight off and defeat the Union forces underMajor General Joseph Hooker who was overconfident and failed to acknowledge the military wit that General Lee possessed.

Describing

Describing is the process by which the commanders provide a description to their subordinate commanders and staff after visualizing an operation with an aim of creating a shared purpose and understanding.  The commanders, during the planning process ensure that the staff has a clear understanding of their visualization before embarking on the course of action. The commanders may make modifications to their visualization during execution in updated directives and guidance that result in fragmented orders adjusting the initial orders. Describing enables the commanders to express their visualization in relations to: their intention, planning guidance such as operational approach, critical information that the commander requires and important friendly information elements. General Lee visualization was to defend Richmond from the Union forces. Underscoring the fact that his low number of soldiers as compared to the Union soldiers under Major General Hooker, General Lee decided to split his forces twice and created a shared purpose and understanding among his staff. This enabled General Lee to realize immense success during the Battle of Chancellorsville.  Lee’s visualization included the decision to send General Jackson to flank the enemy from the right side in a risky and surprising but very effective attack. Due to inadequate food supplies, General Lee divided General Longstreet soldiers and sent half to Northern Carolina and Southern Virginia to provide food supplies to Lee’s men near Fredericksburg.

Directing

The commanders direct all elements of the operations through directing their intent, setting objectives, and providing clear instructions to support staff.   The commander directs soldiers throughout the entire operation process through: preparation and approval of plans and orders, establish support and command relationship,  assign and adjust responsibilities, control measures and responsibility organization; position force units to maximize battle power; position key leaders at critical times and place to ensure effective supervision; and allocate resources to counter threats and exploit opportunities. General Lee with the help of Lieutenant General Jackson directed all the elements of operation for the confederate army during the Battle of Chancellorsville. General Lee directed his forces through the entire battle by establishing different command under General Jackson and General Longstreet; assigning responsibility to soldiers and positioning General Longstreet soldiers to North Carolina and South Virginia in order to provide adequate food supply to combat. On May 2, 1863, General Lee met lieutenant General Jackson to adjust operation plan since they felt that a desperate plan was necessary. The plan called for Lieutenant General Jackson to lead 28,000 soldiers to attack the Union soldiers on a wide flank march. Lee commanded the remaining soldiers totally up to 12, 000 in an effort to stall Major General Hooker until Jackson executes their plan.

Leading

The commander provides direction, motivation, and purpose to support commanders, staff, and combat personnel through leadership. Leadership works effectively in the presence of the commander during the actual operations. The location of the commander during the operation process is a significant area of operations. The commander ensure that they achieve a balanced operation by providing leadership to the support staff as well as providing direction, motivation and purpose to support commanders and combat personnel locate away from the command post. General Lee was present in the actual battlefield during the Battle of Chancellorsville. Lee provided leadership to 12, 000 soldiers who together they contained major General Hooker with his soldiers, and at the same time provided leadership to 28,000 men under the command of Lieutenant General Jackson who aimed at attacking the Union soldiers from the right. General Lee advanced a leadership plan that aimed at containing Sedgwick troops at Fredericksburg. Effective leadership during the battle enabled General Lee to subdue the Union forces.

Assessing

Commanders assess the situation continually in order to understand current operational conditions as well as determine the progress of the operation. Continuous evaluation enables commanders to adapt or anticipate the force to changing situations.  The commander incorporates the evaluation of the subordinate commanders, staff and their personal evaluation of the operational situation. Depending on this evaluation, the commanders can modify plans or orders in order to suitchanging situations within the force. By assessing the situation, Lee adjusted his plans in order to ensure that he keeps the Union soldiers from advancing to Richmond. Lee utilized this advantage to move the Confederate forces into positions that are more suitable. Mission control and command offer the flexibility to handle changing circumstance and exploit opportunities. As Hooker and his men attempted to advance from Fredericksburg, Lee organized his men to attack the Union soldiers leading to their defeat. Lee assessed situations and provided adjusted plans and orders in order to keep the Union soldiers from reaching Richmond.

Conclusion

The Battle of Chancellorsville is one a very significant event that modern times military professionals analyze to understand the art of warfare. The battle experienced massive courage, suffering and chaos on an expansive scale. The battle resulted in the Confederate casualties totaling to approximately 13, 000 constituting approximately 9,000 wounded soldiers, 1,700 killed, and 2, 200 imprisoned. The Union, on the other hand, also had close to 16, 500 casualties. General Lee decision to go against military strategy by dividing his army twice was a risky adventure but proved to be very effective in holding the Union soldiers. Lee managed to protect Richmond from the Union as well as the independence of Virginia. The Battle at Chancellorsville was well organized and executed effectively.  The command of general Lee and his subordinate generals including General Jackson understood, visualized, described, directed, led and assessed operational process leading to the immense success that the confederate soldiers registered in spite of having less soldiers as compared to those of the Union. Lee’s military wit played an essential role towards the victory.

Developing A Personal Vision Statement Using Vision as Story-Telling Technique

The purpose of this paper is to elaborate on the development of a personal vision statement. A vision is to some degree invisible and it entails a progression that one goes through personally. It entails creating an image about a person and forming a story through the image. It can show a belief, passion or a feeling about a definite manner of observing and interpreting the world. Vision statement is the affirmation of a person’s goals to be achieved in a given period of time (Rosenfield, 2012). It should be remembered without difficulty, clear, motivating, thought-provoking and future oriented.

In five years’ time, the most desired goal is achievement of self-actualization, according to Maslow’s hierarchy of needs. This will of course come after the achievement of physiological needs which include the basic needs, followed by safety needs, including individual and financial security, and good health. The next level in the hierarchy is the state of affection and belonging, it is important to have a family at this stage, many friends and good social life. This is followed by achievement of self-esteem in the society, feeling of being respected for being a good person and respecting others as well (Beck, 2013). Finally, achievement of self-actualization, which is attaining the desired potentials in live, one that is value and moral based, just and fair to everyone and everything in the environment. This does not include human life only, but also taking good care of available resources and conserving the environment we live in.

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The core beliefs that are desirable in a person can be inborn or instilled to a person by the parents or guardians. People have different believes because they constitute a person’s vision, which are invisible and can only be seen by the person. Belief in God is one of my best values that determine the way of living and making decisions. It is the duty of any Christian to guard and respect the doctrines and regulations as per the Ten Commandments in the Bible, with the rules in mind; one will find it difficult to break any other law in society. To add on that is the belief that having a family is necessary for a person to be able to interact well with other people, it is important to have good relationships with one’s family members, making it easy for one to relate with different people and personalities in a given setting (Kawasaki, 2012). The other one is a belief that honesty is the greatest guiding principle that leads to trust, which are essential in any type of relationship in society.

The other point is belief in upholding good work lifecycle balance; this means that working the whole day without having enough time to rest and socialize with other people is considered as a vice, rather than a virtue. Finally, belief in being educated, it is important for people to yearn for acquiring more knowledge more so in matters that directly impact their lives, a more value educated society  means a healthier, safer and secure livelihood. However, despite of having good values and morals, some changes would have to be made (Rosenfield, 2012). For example, being too optimistic, something that makes one to stop viewing life in a reality point of view. The other desired change is on how to make good use of available resources. The desired virtue is that of having good stewardship of assets and exercise prudence.

In order for one to make the desired vision a reality, goals that add value to the vision have to be made. In this scenario, one of them is having quality education in all aspects of life to help in discovering the needs, abilities and challenges that have to be considered to improve the individual conditions and also that of other people in the society (Kawasaki, 2012). Quality education has to be more than just acquiring knowledge and skills, but also morals and values on how to handle complex situations in the society. The other one is coming up with innovative ideas or projects that solve existing problems in the surrounding environment. With the major problem being unemployment, the major goal is starting a restaurant with the idea of generating more profits and creating employment to the people in the state.

Adding on that, it is paramount to take part in charity events so as to help the less fortunate in the society, as well as the sick patients suffering from chronic ailments like cancer. This will be done during the weekends and public holidays as a way of relaxing from work and socializing with other people. The other goal entails identifying and resolving any fault that might have been encountered in the previous years (Kawasaki, 2012). This means making peace with God at all times by repenting on the mistakes done, having clear conscience with all people in the society, and making sure that nobody is offended by ones deeds and actions. The final goal is living a healthy life by eating healthy food, maintaining good work life, and taking enough exercises.

Identifying one’s vision and goals will assist in making them happen because of many reasons. First is the fact one will be able to know what is required of the person in the society, and will always be guided by the goals (Beck, 2013). This happens only if one is committed in achieving the goals, which demands for self-regulation and discipline. Secondly, the vision contains a message of what is seen in a person, which can only be seen by its initiator. Therefore, with a vision in mind, the probability of implementing what is contained in it is high compared to when one has no vision at all.

Despite having good visions and goals, there are stumbling blocks that may impede the progress towards the vision. One of them is lack of adequate funds to access quality education, this might result in one seeking for knowledge from unreliable sources which are not value and moral based negating the whole process of seeking quality education. The other one is lack of good health, from this perspective, health is seen as a state of having good physical, social and mental well-being and not simply the lack of sickness or disability (Rosenfield, 2012). In the event that one develops a state of poor health, which is not predestined by anyone, it would be very difficult to efficiently accomplish the desired visions. Tagging on that is the fact without good health; it is very difficult to make ethical and moral decisions in a given set up.

Relationship Between Political Parties and the Electoral Process

Assignment Instructions

Write a three (3) page paper on the relationship between political parties and the electoral process in which you:

  1. Identify three to four (3-4) ideological differences between America’s two (2) major political parties.
  2. Analyze key reasons why third parties have never been successful at the presidential level.
  3. Determine the role of the campaign process in maintaining the two-party system. Use examples to support
  4. your response.
  5. Use at least four (4) quality academic resources in this assignment.

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The specific course learning outcomes associated with this assignment are to:

  • Infer a theory why the U.S. has only two major political parties.
  • Develop reasoned written and spoken presentations on issues and questions involving the U.S. government and national political processes using information in the course.
  • Use technology and information resources to research issues in the field of U.S. government and politics.

Relationship Between Political Parties and the Electoral Process

Ideological Differences Between America’s Two (2) Major Political Parties.

The United States of America is founded on the foundation that each and every citizen is entitled to a voice in the government’s decisions that our government makes. The two main political parties used by American Citizens as a way to voice their apprehensions as well as cast their votes include the Republicans and the Democrats. There are other third parties in America that citizens can become members of, however, these parties are yet to succeed at the presidential level. The process of campaigning is a major influencing force in the succession of politicians and the success of their political parties on a presidential level (Hibbing, John, & Elizabeth, 2002).

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The Republicans and the Democrats have a number of ideological dissimilarities between them. The first ideological distinction lies in their fundamental core beliefs. Republicans deem that each person is liable for his or her personal place in the society. At the center of the Republican ideologies is the principle of limiting the interference of government as a way of individual success and that the government should only interfere on a very controlled capacity (Hibbing, John, & Elizabeth, 2002). Democrats on the other hand believe that it is the government’s responsibility to take care of majority of its citizens even if it has to give up some individuals’ rights while doing it. Democrats favor monopolization of power in Washington D.C. and they also favor interventions at federal level that would substitute community centered solutions.
A second major ideological dissimilarity between the Republicans and the Democrats lies in their views regarding the economy. Republicans suppose that free enterprise is the most ideal course of action. Democrats on the other hand suppose that the government should guide business resolutions and they are also in support of labor unions.

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The third difference in the philosophical beliefs of Republicans and Democrats is in regards to taxes and government spending. Republicans advocate for cuts in government spending and they also deem that every individual should be in control of his/her own individual finances. Democrats on the other hand believe that the federal government rather than specific citizens should be in charge of spending. Another difference in their ideological beliefs lies in the Education sector. Republicans believe that all students in America, regardless of their race or socio-economic background should be capable of reading and math and thus schools ought to be accountable for students’ progress through testing (Hibbing, John, & Elizabeth, 2002). Democrats on the other hand believe that tests are not the solution and that they largely waste the educators’ time. In line with this principle, Democrats believe that students should remain in their respective schools, even when the school is under performing and not teaching as it should.

Reasons Why Third Parties have Never been Successful at the Presidential Level

While numerous people may comment that a third political party is the remedy to most of the political dilemmas being faced in this country, their are a number of reasons why such third parties remain unsuccessful (John, et. al., 2012). One reason for this lack of success is that most third political parties have traditionally arose from radical thinkers as a result of frustration instead of the ideal reasonable middle of the road thinkers.

Read also Political Reasons Why a Third Party Candidate Has Never Won Presidential Election

Another reason for this absence of success of third parties is because their initial leaders did not successfully create strong lasting leaders that would head the party for a lengthy period of time (Zak, 2003). Lack or limited resources such as money and a lack of powerful and influential sponsors is also another reason for lack of success of the third political parties at the presidential level. Money, powerful leaders, and business relationships are all indispensable factors for a political party’s success at the presidential level.

Role of the Campaign Process in Maintaining the Two-party System

The campaign activity has an important role in preserving a two-party system. The key fundamentals for a current day campaigns include money, plan, and promotion, usually in the form of media publicity. Since the United States of America has two key political parties, each one pursues to expand its support as their petitions are designed to earn the support of an assorted electorate (Zak, 2003).

Read also U.S. Presidential Elections 2016

Even though there are substantial differences between Republicans and Democrats campaigns the two overlap on several key issues. The campaign process permits each of the main political parties’ candidates to voice their views and for those views to be heard in different forums, national debates, televised interviews, and visits to cities throughout the country. The campaign process not only allows the two-party system to function properly, but it also offers rules and guidelines for the party to adhere to. Additionally, the campaign process also allows for the dualism of political subjects. Generally, every issue has two sides and the campaign process allows for candidates to express their opinions.

Read also Critical Analysis of a Political Campaign – Donald Trump’s 2016 Presidential Campaigns

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The American electoral process is successful since it observes to the fundamental principle that every citizen has voice and that voice should be heard. There are areas that still need improvement but the two key political parties allow majority of Americans to voice their views and concerns and be heard.

Coaching Model For Frito Lay Company

The purpose of this paper is to evaluate the coaching model embraced in Frito Lay Company. Frito Lay was founded way back in 1961 through a merging process between the Frito Company by C.E. Doolin and H.W. Lay & Company by Herman W. Lay, which resulted in Frito Lay (Rogers, 2012). It is best known in the United States for making savory dishes like Fritos, smart food popcorn, Grandma’s cookies, Cracker Jack candy-coated popcorn, Funyuns onion flavored rings and various chips prepared with the composition of Olestra, a fat substitute. Frito-Lay America is owned by the popular company PepsiCo, and its operations in the U.S as well as Canada account for more than 20 percent of the sales of soda manufacturers. The company’s success lies in its commitments to make available quality products under some of the world’s best brand names and alongside that is performance with purpose.

Managing Coaching Approach

In any given organization, irrespective of the kind of work done, it must have a managerial team or department, starting from front line managers, to the middle level and the top level management. A manager may not directly generate whatever it is an organization makes but may facilitate and organize team productivity, paving way for others to succeed with minimum obstacles. Among the many responsibilities given to a manager is coaching which involves laying out the general strategies of the company to the employees who will run the business while the coach steps out of the way (Rogers, 2012). Coaching can be defined as a way of creating and maintaining a partnership between the manager and employees in to sustain a shared understanding regarding the issues that need to be achieved in the company and the manner in which both the company and the employees will benefit from the method used. Frito Lay Company uses the managing coaching approach in its human resource department. This model identifies situations when managing is required and when coaching is necessary. It is the responsibility of the manager to coach and manage when needed. The model has a seven step process which must be followed by the coaching manager for it to be effective.

The first step is tracking down the team’s productivity using the staff portal in the company. This will help in knowing the strengths and weaknesses of individual employee and where to put more emphasis while passing information. One will be able to know who is performing best and who needs more help (Crane & Patrick, 2012). The second step is ensuring that all members of the team have a good productive working environment. This is done by avoiding micromanaging while having open discussions or sharing resources. There should be equal distribution of company resources to all members and fair remunerations. The employees should be given chances to show how they can improve their productivity which gives them a sense of belonging in the company.

The third step is providing consequential feedback that has suggestions on how to improve (Brannon & Mickolus, 2013). While coaching, it is beneficial to provide growth ideas to the employees. This includes provision of on-job training opportunities and the company paying employees who opt to further their studies. The fourth step is setting reasonable goals for the team. This should be arrived at after accessing the individual performance of each member. The goals should be realistic and benefits both the employee and the company. The next step creating a positive bond with each employee, this can be achieved by respecting their decisions and contributions towards the growth of the company. The coach should act as a mentor who is aiding them to achieve their goals in manner positive to both parties (Rogers, 2012).

This is followed by supporting the group when they need any help. This is done by helping them maintain a reasonable work-life balance without feeling being used by the company in negative way. There should a sign of loyalty between the employer and the employee. The final step in the model is praising the employees liberally. Since employees want to feel respected part of the company, it is nice to appreciate them regularly, even when there is need to correct an individual, it is better to start by discussing the positive aspects of their performance before embarking on the negative side.

Read also Models For Behavior Change In Motivational Coaching

The identified coaching model has improved performance management activities in Frito Lay Company. It has provided a sense of direction to both the human resource department and the employee. It has expressed the departments’ goals and values which facilitates the planning stage of the performance management. It also ensures that the employees remain focused and understand their priorities enabling them to see the link between their performance and the departments overall achievements. This model has led to improved performance of the company since the coach is tasked with the responsibility of creating learning environment where employees are supported in their efforts to improve their productivity. With continuous individual improvement, it adds up general improvement to the company at large (Wilson, 2011).

Coaching has led to the opening of new possibilities in the company. Miller (2013) argues that through coaching, employees are encouraged to solve problems and be good decision makers, these eventually leads to innovativeness and creation of new ideas that open new possibilities. The model has served as a resource for removing obstacles in the company since through the coaching, employees are encouraged to think of ways they can improve their performance. This strategy worked well with most of them hence reducing the employee turnover in the company.

Read also Motivational Coaching And Motivational Coaching Process

Best practices are intended to craft a standard method for achieving an objective or realizing a particular result. Couching best practices are the methods and techniques established and modeled by an organization or institution that have been proofed to be effective and practical when applied to a given coaching activities and contexts. While coaching, the managers should ensure that they are guiding by the best practices to achieve the expected results. One of the recommended best practices to Frito Lay Company is that of the coach-centered relationship. In this practice, there is a close relationship between the coach and the employee which ensures positive interaction and influence on the person to improve one’s performance (Wilson, 2011). This practice needs the coach to remain focused on the employees’ needs and goals which requires measurable objectives and action steps to be built in the coaching process. Helping an employee achieve the desired goals will lead to overall improvements in the company as well.

The next best practice is effective approaches to coaching. Couches have different ways of approaching the employees, but the best effective method in Frito Lay is approaching couching with a focus on personal growth and leadership (Miller, 2013). With these, the employees will be able to realize their areas of weaknesses and come up with ways of solving the problem. These will lead to increase in their performance since they will be able to correct positively what was causing the low performances.

The other best practice is the contextual issues at hand. It is very clear that a couch can’t couch an empty space or a classroom without students, there must be a specific reason for the coaching. Considering Frito Lay, the couch must survey the rising issues and demands about the company, the organizational cultures, the general performances of each member in the team and direct insights from the employees (Brannon & Mickolus, 2013). With these inquiries, it will be very easy to handle the couching process. These will create a link between the employees’ goals and demands with that of those of the company, optimizing the performances of both parties since the employees will know what is required of them by the company.

Team work in an organization ensures sharing of ideas and knowledge hence making work easier and improved performances. There are many best practices that would maximize team based performances in Frito Lay. The first one is the models, tools and the techniques used in the company, and not necessarily for coaching purposes only but for the general uses in the company (Miller, 2013). For example, the use of the portal for knowledge management, which so far is the single point of access to multiple information sources and offers personalized access in the company. This portal serves as the central location for the sales department for all the corporate information as well as sales-related clients and reduces the time taken for finding and sharing research; it also contains the profiles of all the members in the corporation. The main goals for the portal are to share knowledge, to utilize customer specific information and to promote team collaboration. This practice enables the sales department to work as a team and at the same get to know how to handle their customers better hence making the company always marketable and competitive.

Getting the support of other employees as part of a coaching initiative promotes team based performances in the company. For example, involving the corporate executives, who know that the best practices and corporate information would offer employees ideas to improve their skills and performances in the couching programs. This not only promotes interactions between the management and non-management team, but also facilitates sharing of ideas and knowledge (Rogers, 2012). This shows a quantifiable perspective to the employee and gets the opportunity to gauge if the company is developing, especially in the eyes of the corporate executives.

Relationship building is a practice that must be present for a company to achieve its desired goals. Coaching must promote good relationships between the management and the non-management team and all the departments must be able to communicate with a common language. The language is the goal and visions of the company. This practice can be promoted by organizing frequent meetings between the relevant parties, or company social gatherings or parties where employees are able to interact with each other and learn about the developments in different departments (Crane & Patrick, 2012). It promotes the company’s performance in a manner that the interdepartmental interactions will open a room for internal competition since each department would want to perform best than the other leading to improved productivity in the company.

Practices that are results oriented would have challenges in a company but the benefits are more than the negative effects. Apart from encouraging individual performances, couching should emphasize on overall positive results (Miller, 2013). For example, few lazy individuals in the sales department might show a negative image to the corporate team about the department. Couching practices that are results oriented ensures that all members in the team work towards a common goal, which promotes team work and at the same time achieving the desired goals.

The final practice is creativity and innovativeness. This comes into practice after evaluating the company’s and the employees’ needs, and finding solutions for the problem by being creative. Using the innovation of the Customer Community Portal at Frito Lay Company as an example, it was invented after the company experienced many challenges that affected its operations (Rogers, 2012). It has helped promote a sense of solidarity and relationship building, for example staff can share best practices concerning their areas of expertise. People in the sales department can access the latest news regarding their customers and make any necessary changes or implementations. It has also helped the managers know the skills of their subordinates since everyone is required to catalogue their skills strengths and weaknesses. The portal has helped boost employee retention since most of the employees especially the sales team, felt pressurized when trying to access information about their clients or even communicating with the rest of the team.

In conclusion, this paper evaluated the coaching model embraced in Frito Lay Company.  Coaching is considered an important tool in a company’s performance management practice. In any given organization, irrespective of the kind of work done, there must be a managerial team or department, starting from front line managers, to the middle level and the top level management. It should be guided by the coaching best practices in order to attain maximum results.

Is The Self Existent? David Hume Vs Immanuel Kant

Immanuel Kant and David Hume are renowned psychology philosophers. Hume has a materialism-based perspective on all metaphysical deliberations, natural law, matter, soul, and God. He views all metaphysical deliberations, natural law, matter, soul, and God as mere outcomes, or products, of imagination (Pojman, 2002; Solomon, Higgins & Martin, 2016). He links all self-reference perceptions to external contingencies. He holds that every mind is subject to perception, meaning that the self is not detached from perception as well. On the other hand, Kant (1787) defines the self’s model that acknowledges math and physics and insulates faith and God concurrently. He employs physics principles in ascertaining what is characterized as the self according to Boeree (1999). This essay explores why Hume (1789) is convinced that the self is non-existent and Kant’s response to him.

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Hume (1789) is convinced that the contents in a person’s mind stem from his or her experiences exclusively, with the trigger being internal or even external. In that nexus, he defines what he refers to as impressions, which he projects as different from ideas. According to him, an impression is a clear perception, is lively, and is strong. For him, the self and the mind are non-existent since any perception held by a person only becomes active when he or she is conscious. He comes off as reducing cognition, as well as personality, to a typical device that is put on or off accordingly according to Boeree (1999). Death brings to an end every perception that a person bears.

Read also Avocado Vs Artichoke Views Of Self – Compare And Contrast Essay

The inquiry method adopted by Hume (1789) commences with his supposition that experiences that are in themselves impressions are incapable of occasioning a self that is constant: a self that would constantly offer reference to every prospective experience. The notion, or idea, of self comprises of a number of impressions and ideas. One does not have the same impression for all the time he or she is conscious according to Boeree (1999). Diverse sensations, including cold, pleasure, heat, and pain are in an invariable, as opposed to constant, continuum according to Hume (1789). That means that the notion is derived from any impression. He concludes that from the foregoing, it is clear that such notion is non-existent

Read also How John Locke Views Personal Identity – Sample Essay

Additionally, Hume (1789) reflects on the place value, or position, of the identity of the existence that is uninterrupted as well as invariable. He establishes that there is no any primal, or primordial, material or substance pointing out where every secondary continuation of every given individual existence continues living, or exists. According to him, all what is in a person’s conscious state is a derivative of impression. The items in the external environment exist as discrete species, which are detachable from every secondary attribute in the conscious thought. For the purpose of negating every demonstration, or expression, of substance, he presents an analogy according to Boeree (1999). The analogy is that if one’s life is reduced to levels that are lower than that of an oyster’s life, he or she would be devoid of perception, including perception of hunger and thirst. Only the perception would continue existing.

The addition of more complicated perception would be incapable of yielding any idea of substance that can give rise to constant, as well as autonomous, self according to Hume (1789). The mind model developed by Hume (1789) merely documents data when the mind is distinctly conscious. Notably, the model isolates, as well as abstracts, the secondary attributes, or qualities, and objects devoid of metaphysics. The model does not define unity of experience according to Boeree (1999).

The notion that Kant (1787) holds of the self is elementarily a reaction to the model developed by Hume (1789). Kant (1787) comes off as keen on justifying his thinking that physics comprises of universal truths. He comes off as keen on insulating religion, particularly regarding beliefs in free will and immortality. In addition, he comes off as keen on correcting the earlier challenges, or problems, of a soul that is non-material and that is localized within space according to Boeree (1999). He employs inner sense in defending the body’s heterogeneity and the soul’s heterogeneity, projecting the body as an item of external sense and the soul as an item of internal sense. He holds that the self comprises of two elements: the outer-self along with the inner-self.

Kant (1787) employs the term empirical self-consciousness in describing the latter, the inner-self. Kant (1787) employs the term transcendental apperception to pass two messages. First, he uses term to mean a faculty that is of a synthetic nature. Second, he used the term to refer to the subject “I”. Logically, the function would happen in the inner sense. Kant (1787) holds that every representational state, including every outer object that is spatially localized, is in the sense. A person’s source of own representations belongs to the sense regardless of whether or not the source is a priori product or an external object as his or her mind’s modification according to Kant (1787). Kant (1787) views transcendental apperception as a pathway, or means, towards a person’s awareness, or consciousness, of own self. Even then, the sense does not denote pure apperception according to Boeree (1999).Rather, it is the consciousness, or awareness, of what one is experiencing as he or she is impacted on by thought.

Unlike Hume (1789), Kant (1787) holds that consciousness and unity of experience are critical to the self idea. Transcendental apperception brings together or unites every appearance into a single experience according to Kant (1787). That means that the unity is hinged on specific causal laws. There are syntheses, which are in line with given concepts, whose effect is the subordination of all to what Kant (1787) characterizes as transcendental unity. Kant (1787) holds that the consciousness’ contents can only be unified if they are defined by causal linkages. Kant (1787), unlike Hume (1789), opines that there are manifold representations that occasion the common understanding of the self as being a line shared subject. According to Kant (1787), the self concept necessitates a continuous undivided self. The concept is projected by Kant (1787) as an extension of universal unity, which spans numerous representations according to Boeree (1999).

By and large, the model developed by Kant responds to the inductive self model that Hume proposes. The model that Hume proposes is exclusively material-based. Hume projects the self as a passive spectator comparable to one who is watching own life go past him or her as on a television screen. Hume comes off as stringent determinist in his appreciation of the self: he contends that the self concept is merely memory along with imagination.

Use Of Indwelling Urinary Catheters – Translational Research

Indwelling urinary catheters are extensively utilized in hospitalized patients and can be suitable ways for therapeutic management under particular situations. Nevertheless, a number of indwelling urinary catheters are utilized with no clear indications, therefore subjecting patients at an unnecessary complications risk in their hospitalization. Among the catheter associated complications include psychological and physical discomfort to the patient, renal inflammation, bladder calculi, and catheter-related urinary tract infections (CAUTI). Catheter-related urinary tract infections development in older adults can yield into immobility, fall and delirium (Bernard et al., 2012). Most healthcare organizations are experiencing increased in the rate of mortality and morbidity as a result of CAUTI. In this regard, more and more research are being carried out to establish evidence based practices that would reduce the risk of Catheter-related urinary tract infections among hospitalized individuals, particularly elderly and those in the intensive care unit.

Current Nursing Practice

Nurses in our healthcare organization have been using indwelling urinary catheters to assist critically ill patients to remove urine from their body. This practice has for long been recognized as the best practice to assist elderly and critically ill patients who cannot manage to toilet. Normally, patients with indwelling urinary catheter are normally bathed by nurses. The healthcare has been experiencing increase in cases of CAUTI since 2010. This has highly been associated with poor insertion and position of the indwelling urinary catheters causing the tube blockage. This makes the urine accumulation in the bladder and thus, increasing risks for urinary tract infections and thus, the development of catheter-related urinary tract infections condition. CAUTI condition is a preventable condition. It can easily be prevented by employment of evidence based practices in insertion of the tube and in management of the patients working with indwelling urinary catheter.

Why the Current Nursing Practice Need to be changed

The current indwelling urinary catheters practice need to be changed for a number of reason. One of the main reasons is that the current technique used in the administration of the catheter is the increase in the rate of CAUTI infection. The hospital is experiencing 36% increase in the rate of CAUTI currently as compared to the rate in the last five years. CAUTI has been recognized as a hospital acquired infection as a result of poor nursing practices (Strouse, 2015). In this regard, it is evident that this condition can highly be prevented. The healthcare organization has realized that this can be prevented by employing various evidence based practices during the insertion of the tube and during the nursing management practice for patients inserted with catheter. The employment of evidence based practice is anticipated to reduce the rate of CAUTI infection by 80%. In this regard, the healthcare organization plans on implementing evidence based practice to reduce the rate of CAUTI among the elderly and critically ill patients in the organization.

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Identifying the Key Stakeholders in the Health Setting

The impact of the current indwelling urinary catheter practice affect a number of individuals in this healthcare organization. This include the patients, nurses, the management, family members, surrounding community, and physicians, among other individuals. Therefore, all these stakeholders, together with the informatics nurses will be involved in the current change.

Role of the Identified Stakeholders

Patients

Patients will play a major role in the initiation of change and its implementation. Since patients are directly affected by the situation, they have a duty to report their new symptoms and anticipate assistance from the nurses in charge. This continuous and sincere reporting of the symptoms will create a concern among the physicians, nurses and the healthcare management and thus, pushing them into defining a solution. The similarity in the symptoms and extensive reporting will be of great importance in pushing the concerned individuals into developing a viable solution for the problem.

Families and the surrounding Community

The family and the community will play a great role of pressuring the healthcare organization into speeding up the process of change. Normally, families bring their loved ones into a healthcare facility with the hope that they will regain their health and quality of life. In case an organization fails in doing this, the family members may consider transferring their patient to another healthcare organization. This increases the rate of competition and high need to offer quality care to retain its customers. The spread of the word regarding high rate of infection in the healthcare to the community results to loss of customers as patients consider visiting other healthcare organizations. This pressure from the community and families push the healthcare organization into employing immediate measures to harness the situation.

Nurses

Nurses have a duty to evaluate the symptoms, to identify the trend and similar characteristics among the affected individuals and to report the situation to the nursing leaders. Nurses will also be involved in researching on the practices or procedures that result to CAUTI condition and those that do not result to the situation for patients with similar conditions. This will assist in identifying the main cause or the actual practice that result to this condition. Therefore, nurses will have a great responsibility in collecting the actual statistics regarding the number of impacted individuals, the procedures that initiates the infection, the level of severity and proposing need for immediate attention. Nursing leaders will play a major role in ensuring that the right solution is found and effectively employed.

Healthcare Management

The healthcare management will play a major role in assisting the nursing department in the implementation of the identified changes. This include financing the research and the implementation processes, setting new healthcare organization goals

Informatics Nurses

Informatics nurses will play a major role in research more about the condition and its evidence based prevention or intervention practice from the published literature. This include various online databases, online medical sites, conference materials, and any other medical research work regarding catheter-related urinary tract infections. The collected materials will be provided to the nurses and physicians to assist in identifying the best evidence based practices that can be employed to reduce the rate of infection in the healthcare center.

Physicians

Physicians will play a major role in defining the best viable solution for the identified problem. In this regard, they will be involved in making informed judgment with regard to the best measures to take. They will also assist in monitoring the viability of the employed solution based on the intervention outcome.

Evidence Summary

Catheter-related urinary tract infections is one of the hospitalized infection that can be prevented. It accounts for 80% of the total number of hospitalized infection. In this regard different researches have been employed to prevent these infections. The center for disease control and prevention (CDC) developed a guideline to assist in prevention of CAUTI. These guidelines contain three important components that include suitable utilization of indwelling urinary catheters, use of suitable methods for insertion of indwelling catheter, and the use of suitable methods for maintenance of the indwelling urinary catheter (Hus et al., 2012). There are a number of defined good practices that reduces the rate of infection. Method of bathing patients is one of them. Basin bathing and chlorhexidine wipes are known to increase the rate of infection among critical and elderly patients. The best recommended practice for cleaning patients with indwelling urinary catheters to prevent the rate of infection is by use of non-medicated cleansing wipes (Strouse, 2015).

Other recommended best practices include catheterizing patients just when it is very necessary, emphasizing on the significance of effective hand washing for all nurses and use of gloves for the insertion process (Pratt & Pellowe, 2010). Others include the use of sterile equipment to insert catheters, employment of suitable daily perineal care and after each bowel movement. Urine clarity should also be noted. The main noted mistakes in the insertion process is the use of aseptic insertion technique. This increases the contamination risks from the multiuse tube (Carter et al., 2014). Most nurses use multiuse lubricant for catheter tube insertion instead of a single-use packet. Lubricants reduces friction and other discomforts during the insertion process, however single-use packet is highly recommended to reduce contamination (Pratt & Pellowe, 2010). Another best practice recommended for reducing the rate of infection is reducing the length of catheterization. The use of catheters for a long duration increases the chances of developing infections and thus, they should be removed as soon as possible (Bernard et al., 2012).

In a research Meddings et al. (2015), established that Foley catheter is commonly used and it also possess the greatest risk developing catheter-related urinary tract infections. To reduce the rate of infection, nurses should consider using any other catheter rather than Foley catheter. In case the use of Foley is unavoidable, close monitoring is needed to notice any changes that would demonstrate onset of infection among patients (Meddings et al., 2015). It is also important for nurses to identify urinary retention risk factors, and enhancing proper management of these patients. This should be enhanced by clearly documenting on the patient urinary retention condition to enhance proper management all through (Johansson et al., 2013).

Best Recommended Practice

The best practice that should be recommended to our healthcare organization is the use of the best insertion procedures as well as the best patient management or maintenance procedures. The insertion procedures should ensure the use of single-packet lubricant to reduce the rate of contamination. Nurses should ensure thorough wash of hands before and after insertion or maintenance process. Gloves should be worn during the process. Sterile equipment will be used in all insertion process while aseptic insertion technique will be highly avoided. The healthcare will avoid the use of Foley which is said to have a high rate of infection. The recommended maintenance practice include reducing the catheterization days, cleaning patients with non-medicated wipe and also close monitoring of the patient urine to not any change of color.

Best Practice Change Model

The main issue in this healthcare organization is the lack of information regarding evidence practice in catering for indwelling urinary catheter. In this regard the best change model to employ is ACE Star knowledge transformation model. This model is employed since it enhances evidence translation into practice. The model assist in making the best decision regarding the best practice to implement. The model has five stages. These stages include discovery, evidence topic summary, action translation, integration of practice and finally evaluation stage. The model assist in the collection of all possible information regarding the topic of change (Stevens, 2013). This information is obtained in the first stage through research. The integrative review is conducted and the summary on the best practices identified. The identified practices are then translated into action. Best evidence is then is then obtained through practice integration. The organization is then involved in evaluation process to establish the effectiveness of the employed process.

The change process in this case will involve researching for the best practice to cater for patients using indwelling urinary catheter. The research will be conducted extensively and the research outcome summarized. The research process will involve informatics nurses. The best practices will be selected by the nursing leaders and the physicians involved in the management of these patients. The integration of the new intervention measures to the current process and implementation of change will involve the involved nurses and the nursing leaders. The poor practices in this process will be eliminated and only the best recommended practices will be utilized. The integration process will involve training and supervision to ensure that the recommended practices are employed effectively. The monitoring process will involves nurses, physicians and the nursing leaders who will be keen to check on the rate of infection within a certain period of time as compared to the rate at the moment. Effective integration of change will be noticed by the decrease in the rate of infection (Stevens, 2013).

Barrier to the Successful Implementation

The successful implementation of this process can be obstructed by a number of issues. Some of these issues include need for training nurses on slight changes in their usual procedures. This may create confusion since the change is slight and thus making it easier to be forgotten. Another major challenge is that the new changes may experience resistance from the nurses. Many nurses may still fail to see the importance of slight change of the procedures and thus, refusing to implement these changes. This may demand more supervision and make it hard for the management to implement these changes. Close supervision ay demand increase in the number of nurses in the department since it demand a reduction in the nurse to patient ratio. This may be expensive to the organization. The organization may also be required to use more in purchase of more protective gears for the job, and any other required facility to enhance the new changes. This may make it hard for the management to accept all the recommended changes.

Possible Ethical Implication Arising

Nurses have an ethical obligation to cater for its patients and ensure their wellbeing. They are required to ensure good care that will ensure the wellbeing of the organization. In this regard, nurses and the entire change team should ensure that the employed measures do not results to more complications but they improve the patient’s wellbeing. The possible ethical issue that can occur in this case include making no change or worsening the patient situation with the current changes. This can be taken as a failed experimental process which directly involved human sample unethically. Thus, mistakes should be avoided and only the evidently identified measure employed as required to avoid more complications that would initiate ethical issues.

FIN 504- Adeptus Health Future Financial Health

Introduction

Adeptus Health is a holding firm that operates and own emergency rooms of first choice. The firm owns a network of freestanding independent emergency rooms in the US.  The firm offers emergency care via its freestanding emergency rooms. It offers patients with admittance to on-site treatments, registered emergency trained nurses, and wide-certified physicians. The facilities of the firm are armed with radiology suite, which include ultrasound, digital x-ray, onsite laboratories, and computerized tomography (CT) scanners. The company contains over 55 facilities situated in different parts of the US which include Texas Arizona, Phoenix, Colorado, Denver and Colorado Springs. Adeptus was established in 2002, in Lewisville, Texas in the US. Adeptus is for-profit health organization, however it highly benefit many especially in emergency cases were all patients are taken in despite the financial situation.  The company was publically listed in 2004 June (The New York Times, 2016). This paper focuses on analyzing the financial health of Adeptus Health Inc.

Adeptus Health Fundamentals Analysis

Adeptus Health is currently dealing with freestanding emergency facilities. The facility is expanded in various parts of Texas among other area. The company’s main goal is to expand its coverage area as a way of increasing its market share and hence its revenue. However, the company is currently experiencing great challenges while pursuing its goal. One of the main challenge is that the current business model; freestanding emergency business model is unproven.  In this regard, most stakeholders particularly insiders have lost faith with it and thus, they are selling most of their shares. This pushes the company into considering changing the organization model. Although the company is currently working to expand sources of revenue, the company is also experiencing another challenge. Many patients consider freestanding emergency facilities as urgent lower cost care facilities and thus, the company has never managed to grow financially as anticipated. Thus, the company is currently facing a number of challenges while trying to accomplish its goals (Adeptus Health, 2016).

The company’s main strategy used to accomplish its main goal is to expand its facilities in different parts of Texas and other parts of the US. The company currently has about 55 facilities in the US, with most of its facilities being located in Texas. This is highly facilitated by the capital collected from selling shares. The establishment of hospitals in partnership is also adding to the company strategies to accomplish its goals. Hospitals create a better chance for the company to offer more services to patients and thus increasing their customers’ satisfaction. In this regard, more expansion of the emergency facilities into hospital in partnership will reduce the company establishment cost and increase the rate of receiving patients and thus, increasing its ability to increase its revenue.

The company targets US market and more it has focused on the Texas market. The company has managed to dominate the Texas market by establishing a huge number of freestanding emergency facilities in the state. The company targets individuals with medical condition that would require immediate attention for instance asthma, heart attacks, and accidents among others in the region. The company has managed to equip all its facilities with the right medical personnel as well as the most significant medical personnel that would easily offer the required facilities. The facilities contains radiology suite, which include ultrasound, digital x-ray, onsite laboratories, and computerized tomography (CT) scanners. This has increased their competitive advantage since the company is able to provide the best care for any patient reporting in their emergency facility without main need of a supportive hospital. The company also has registered emergency trained nurses, and wide-certified physicians who offer on-site treatment to patients involved in any kind of urgent medical need. This increases the company’s competitiveness in the market. The company also offers its services on 24 hours bases and thus, they are always available for their customers of any patient at all time, especially when a patient needs it. This increases the company’s competitiveness since their facilities are readily available and at the same time, they are always ready to assist the community 24 hours a week. This ensures a high patient satisfaction which ranges above 95%.

The company facilities are highly based on the medical regelation provided to other healthcare facilities in the United States. Patient privacy is highly employed to ensure that no personal medical information get to a third party without the patient consent, especially if information sharing is nod based on enhancing the patient’s health. Despite being a for-profit organization, the company puts the patient’s health in front of money. Thus, the facilities handle the emergency cases first and consider the payment aspect later (Adeptus Health, 2016).

Adeptus Health Revenue Outlook

The company demonstrates a positive growth in its revenue for the last four years. The revenue has grown from 72.6 million dollars in 2012 to 364.69 million dollars in 2015. This is a magnificent trend where the company demonstrates over 100 million dollar growth from 2013 to 2014 and also over 150 million dollar growth from 2014 to 2015. This demonstrates that the company has been growing in popularity for the last three years and thus, it may be able to break even in the near future. The only major problem with the company at the moment is that it has not managed to cater for its expenses using the current revenue and thus, the company has always recorded a negative net income value since in 2013. It was only in 2012 that the company managed to record a net income of 3.2 million dollars. Since then, the company has constantly recorded loss due to high operation cost. The company is also experiencing huge non-operational cost expenses which are highly increasing is expenses and eventually lowering its net income. Thus, despite the increase in its revenues, the company financial situation is still at the edge (Market Watch, 2016).

The current situation of having more expenses than the revenue gathered has been highly affecting the company’s operations. However, the company has managed to identify a new source of income from equity after it was declared public. This has given the company a considerable boost in 2015 operations. Moreover, the company seems to be overcoming the initial set-up cost which could have contributed to high non-operational expenses recorded in the past three years since the amount seems to have gone down in 2015. Although the company net income in 2015 is not declared yet, the situation seems more promising in 2015, were it not for the previous debts that the company has incurred as a result of negative earnings in the previous years.

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Investments to Support Adeptus Health Business Units Strategies

The company invests heavily in the healthcare machinery or equipment and also in the employment of well-trained healthcare personnel. Adeptus Health deals with freestanding emergency facilities which focus on offering complete emergency services provided to all patients in hospitals emergency rooms. In this regard, the company has employed its best effort to ensure that each of their 55 facilities contains the most essential medical facilities to aid in the first care services provided in an emergency room. Some of the facilities found in each healthcare facility include radiology suite, which include ultrasound, digital x-ray, onsite laboratories, and computerized tomography (CT) scanners. This means the company focus on handling some very essential urgent health condition. However, the facilities have not managed to invest in surgical rooms and equipment and thus, they may still not able to handle critical accident based emergency cases. In this regard, the company is currently focusing on making allies with different hospitals to complete their services, particularly in critical situations where more facilities and knowledge is needed. One of such alliances include the facility partnership with Digital Health in Francisco to create the Laveen based Dignity Health Ariozona General Hospital. Nevertheless, most of its 55 facilities offer standalone services that are independent of any other healthcare facility.

Adeptus Health Future Profitability and Competitive Performance

The exponential revenue growth of the company is a clear indication that the company has a good market and its situation will change soon. The company has managed to increase its number of sales or revenue year after year. A continues in this positive trend definitely shows that the company will soon breakeven. Nevertheless, the company’s profitability level is also threatened by a number of factors. One of the major factors is that the current business model employed by the standalone emergency facilities is not proven. In this regard, most investors are avoiding making investment with the company since they do not trust the business model. This has also increased the rate in which internal investors are selling their shares to move out of their initial investment. This may affect the company’s reliability on investment to advance their growth and hence their level of revenue, which determines the company’s profitability (Yahoo Finance, 2016).

Another major aspect that may impact the company profitability is the fact is that it is more expensive to run a standalone emergency facility as compared to running emergency rooms in a big hospital. This makes cost of the Adeptus services much higher as compared to urgent care services provided by hospitals in the region. As a result, most patients are reluctant to pay for the entire amount charged in Adeptus facilities and consider them expensive. In this regard, the company is facing stiff competition from hospitals in the region which offer similar or even more advanced emergency room services. To be able to attract more customers and to remain competitive, the company may consider lowering their service charges and increasing the extensibility of their operations in the emergency room. As a matter of fact, the company cannot manage to provide the full emergency care services as they could be provided in large healthcare facilities such as hospital due to limitation in the machinery, and personnel. In addition, this is a new business model that has not been used by many and thus, patients or relatives may take long to trust it. Nevertheless, based on the nature of emergency health needs, the company still stands a high chance of obtaining a huge number of customers due to its high accessibility in different parts of Taxes. Emergency pushes individuals to take the most accessible measures, and the company has ensured its accessibility. This gives it a higher competitive advantage over large hospitals, which are normally scattered and may require a longer waiting time as compared to Adeptus.

Future External financing Needs

The company wishes to keep on expanding its facilities, targeting US as its main market. However, it has only managed to maximize on Texas State. In this regard, the company will still need to finance its expansion in the future. Moreover, the company seems to be adopting a new more appreciated business model by making alliance with other healthcare facilities to make a complete hospital as in Laveen. In this regard, the company will still need more financing to grow and to realize its dreams. Based on its current financial situation, the company cannot manage to fund any of its development projects with its earnings at the moment. In this regard, the company may require more equity, loan or both to be able to fund its future investments before it can stand on its own.

Access to Target Sources of External Finance

The company was publically traded in 2014 and since then, the company has been hoping to acquire more finances from equity. Although the company has not managed to secure as much as it could have expected, this has highly boosted the company’s operations and increased its sources of funding. The company is anticipated to demonstrate a positive growth in the future which will better its financial health and thus attract more investors into the company. If this happens, the company will have a better chance of obtaining more finances from equity. However, this will only happen if the company will manage to demonstrate its abilities to the investors in the competitive market. The company also depends on loans while making its investment. The company recorded long-term debt of 19.85 million dollars in 2012, 78.85 million dollars in 2013, 109.04 million dollars in 2014 and 121.2 million dollars in 2015. This demonstrates that its reliability on debts is quite high. The company debt to equity ratio for the last three years is 0.24 in 2012, 4.23 in 2013 and 2.27 in 2014. This is a clear indication that the company debts more on debts as a source of its capital compared to equity. However, the situation may change with time bearing in mind that the company only entered into the public stock market recently; 2014. The company also has invested more on assets and thus, it is much easier to acquire loans due to availability of security as compared to acquiring financing from equity which is currently less reliable due to the current company’s financial situation (Financial Morningstar, 2016).

Visibility of 3-5 Year Plan

Adeptus Health main focus is to continue growing in the US market. The company has currently managed to venture into three main markets which include Colorado, Arizona, and Texas. However, the company hopes to venture into other US states and establish themselves in more promising markets. This is based on the accessibility of the emergency health services from other healthcare facilities. The future anticipated growth may highly be enhanced by the new strategy of making partnerships with other existing healthcare facilities. This may increase its rate of growth in the country. However, with the current company’s financial state, the company may be unable to expand at the anticipated rate. At the moment the company targets a total of 15-25 standalone facilities per year. However, its visibility will highly depend on the company’s ability to generate more income to pay for its previous loan and interests and also to attract more equity from investors.

Stress Test under Scenarios of Adversity

The company has already been extensively expanded in Texas and two other regions. However, the company situation may get worse if the company’s financial situation fails to improve in the future. For instance, in case the company remains with negative net income, the company will still need external sources of funding to operate effectively. This will mean that the company will have to pay for more loans interest in the future and thus, it may take quite a long time to breakeven. This may result to its death. This scenario may also mean that more and more investors will shy away from investing with the company since it will fail to prove its ability to offer investment returns. As a result, the company financial situation may get worse. In case the company fails to get more customers as anticipated in the future, the company revenues will go down and thus, the company will completely be unable to meet its future expenses. This will result to more loans and hence risking more of its assets to lenders. This will also impact equity negatively and thus, the company may be left without any reliable source of income.

Adeptus Health Current Financing Plan

The company currently depends on a mix capital financing. It uses both equity and loan. The loan is in both short-term and long-term, though the company depends more on long-term loans. The company managed the first positive equity in 2015 where it recorded the equity of about 8.92 million dollars. Nevertheless, the company has huge amount of long-term debts which keeps on increasing year after year as illustrated above. The company is anticipated to continue depending on mix financing plan for a while before it could manage to make profit from its investments.

Descartes’ Argument on God’s Existence and Perfection

Over the past centuries, several philosophers have tried to argue out that God’s existence is in some way necessary. For that reason, Descartes, who was one of the philosophers held a priori argument which up to this date may be one of the most fascinating yet poorly understood aspects of his philosophical argument (Pearl, 1977). Descartes tried to prove God’s existence from simple yet powerful premises. According to his line of reasoning, it is from the clear and distinct idea of a supremely perfect being that existence gets derived from. Incongruously, the simplicity that exists in his argument has led to several misreading since Descartes himself formulates the contentions in different ways. In this paper, I will discuss the ways in which existence might be perfection and the reasons behind the general idea. I will also discuss why such perfection might prove God’s existence.

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Descartes’ Ontological Argument

Firstly, we can unpack Descartes argument as- the idea of God is held in the idea of existence. This means that God must exist. However, it does not lead to a conclusion that God does exist. Rather, it tries to end to the deduction that God cannot not exist, meaning that the existence of God is necessary (Solomon, 2005, p.55-57). According to this supposition, Descartes could only mean that existence might truly be a perfection. So, in what way might existence be perfection?

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In what way might existence be a perfection?

Existence may be a perfection in that; it is contained in the characteristics of divine nature. Nevertheless, something cannot have a characteristic unless it initially exists. It is not possible to possess a thought of a perfect being if that very being lacks the most important attribute of existence (Voss, 1993). Existence is unavoidably predicated of God since existence fits as a component of the true essence of any perfect being. Therefore, it is not possible for anyone to hold the idea of a perfect being/thing if that particular perfect being lacks the most crucial characteristic of existence.

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In basic terms, Descartes’ argument lies in the difference between two sorts of reality. The first one is formal reality and in this one, anything is considered to have a virtue of existing. Formal reality further comes in three types which include finite, mode and infinite. Here, we can argue out that God is he only existing being/thing with infinite formal reality. Other ting/substances have finite formal reality. Lastly, modes possess formal modal reality. An idea, however, has another type of reality that is exclusive to them. When one considers an idea with respect to the object it represents, then we can conclude that it as possessing objective reality. Just like formal reality, objective reality is of three types, and these mirror the three aforementioned grades of formal reality. The amount of objective reality in ideas is based on the amount of formal reality that the object represented contains.

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Following this line of thought, Descartes makes a controversial claim that everyone has an idea of God as an infinite being. According to him, we cannot fail to possess this idea because it is entirely innate. Breaking down his thoughts, we can conclude that since the idea of God is that of an infinite being, then the idea must be accompanied by infinite objective reality. If we appeal to an innate logical principle, it is true to say that something cannot come from anything. Consequently, there must be as much as reality contained in a cause as that contained in an effect. Also, there must be an equal formal reality in the specific cause of an idea to that in objective reality in the idea. The idea of God is an idea with infinite objective reality. Therefore, there must be a being with an infinite formal reality that brought about the idea. Then, we can conclude that God exists.

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Analyzing this, we can find that Descartes used distinct and clear perceptions to prove the existence of God and also used God to prove the truth of distinct and clear perceptions. In mush as it may sound circular reasoning, Descartes made sure that it would not sound unclear by pointing out that God’s existence does not in any way prove that distinct and clear perfections are true. It does not require any proof that distinct and clear perfections are true. In fact, for something to be distinct and clear, then we must be doing it and by this, we cannot doubt the truth that exists in it. In the argument, God is needed to delete the doubt that would otherwise creep in after we stopped attending to the perceptions. We can, therefore, legitimately use distinct and clear perfections to establish the existence of God.

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The whole idea of supremely perfect being is one that is found within a person, just like the idea of a shape or a number. It belongs to this nature that he always exists is no less distinct and clear than when one tries to prove that a number or a shape and some property belongs to its nature (Descartes & Moriarty2008). The truth is reached through operations of the mind. Sense data here is dismissed and considered as flawed and limited. God is described as a principle of supreme perfection which is undeniable as a mathematical truth. However, it cannot be touched, and it is just a necessary feature of comprehension that makes our judgment possible.

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To sum it all up, we can deduce that people have an idea of a supremely perfect being, existence is perfection, and therefore, a supreme being exists.

Summary

This paper briefly explains Descartes’ ontological argument (textbook, pp. 55-57), In what way might existence be a perfection? Are there good reasons to believe that existence is a perfection, and that such perfection proves God’s existence?

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