Critical analysis of research Evidence Free Essay Example, 1250 words

Validity: What has been found to be the major strength of this study was that it made use of five research tools in an effort to gather the data needed. The tools were composed of observation, surveys, and health assessments (Abbott et al. , 2006). Even if three among the five research tools were made by VAP group created, they can be considered valid as it went through face validity when it was administered to a pilot group. Unfortunately the reliability score of the instruments were not revealed. Statistical Analysis: The statistical tools used included a t-test and a multivariate analysis of covariance. Applicability to the Setting: As a whole, this study has not really established whether the adoption of the clinical practice guidelines can make a significant impact in reducing the incidence of VAP. Research Study Title 2: Supine Body Position As A Risk Factor For Nosocomial Pneumonia In Mechanically Ventilated Patients: A Randomised Trial. Summary: This study was made to find ou t if a semi-recumbent position can help decrease the frequency of nosocomial pneumonia in patients (Drakulovic et al. ,1999). The subjects were divided into two groups with one group having a semi-recumbent body position and the other a supine stance. It was found that the group positioned in a semi-recumbent way had less tendency to develop nosocomial pneumonia in comparison to those positioned in a supine set up. Problem Statement and Research Question: This study was very focused on only one question and that was to find out how frequent nosocomial pneumonia develops when patients have either a supine or semi-recumbent body position (Drakulovic et al. ,1999). We will write a custom essay sample on Critical analysis of research Evidence or any topic specifically for you Only $17.96 $11.86/pageorder now Supporting Literature: There is not much of a review of the literature in this study. There were only four researches incorporated in the study and one is not directly related to the case of nosocomial pneumonia. Validity: The patients were given equal and regular amounts of treatment to ensure that the likelihood of developing the pneumonia can be prevented (Drakulovic et al. ,1999). The subjects were randomly assigned to the two groups by means of a computer generated list. These efforts could decrease the possibility of intervening factors from affecting study results. No reliability measure was mentioned. Statistical Analysis: The tools used in the study included an interim analysis, a univariate analyses, Fihser’s exact test, and Student’s t test (Drakulovic et al. ,1999). In answer to the research question, the interim analysis showed that there is a significant decrease in the development of pneumonia in the semi-recumbent group at p=0.003.

Alzheimer’s Disease Essay - 2544 Words

Alzheimer’s disease defined: Alzheimer’s disease (AD) is a progressive, terminal, degenerative brain disease. It is the fourth leading cause of death in adults and currently affects over four million people in the United States. This number is expected to increase over the next several years as the baby boomers age, until it reaches fourteen million by the year 2025. Alzheimer disease generally occurs in people over seventy five years of age; however it does strike people in their forties, fifties, and sixties, but this is rare. When Alzheimer’s disease occurs prior to the age of sixty five, it is referred to as early onset Alzheimer’s. The major symptoms of Alzheimer’s disease are: Forgetfulness Confusion Dementia in the later†¦show more content†¦Alzheimer’s Disease and Dementia The term Alzheimer’s disease is often used interchangeably with the term dementia. In actually , these terms are not interchangeable. Dementia is only a symptom of Alzheimer’s disease, and it occurs only in the mid to late stages of the disease process. Approximately seventy other diseases also have dementia as a symptom. Delirium and depression can co-exist with Alzheimer’s disease, and can be treated, but often overlooked in the person with Alzheimer’s disease. Delirium: Delirium produces confusion and disorientation, but in contrast to the dementia seen in Alzheimer’s disease, it produces a clouding of consciousness. It has a rapid onset, and is of limited duration. It is caused by a medical condition such as infection. Delirium requires prompt medical evaluation and treatment of the medical cause. Depression: Depression can also produce symptoms common to alzheimer’s disease such as: forgetfulness, difficulty making decisions, withdrawal, poor judgment and irritable mood. A person with Alzheimer’s disease with and identified and treated depression can show a rapid and marked improvement in their level of functioning. It is a double burden for the person with Alzheimer’s disease and untreated depression. Dementia : Dementia is the major symptom as Alzheimer’s disease progresses through stages 5-7. Dementia involves multiple cognitive thinking impairement. The primary loss is beingShow MoreRelatedAlzheimers Disease945 Words   |  4 PagesAlzheimer’s Disease Alzheimer’s Disease is a progressive neurological disease; it often attacks the brain tissues causing memory loss of one’s identity and regular behaviors. Statistics indicates that the rate of predicted people to get Alzheimer’s will increase briskly as time goes on. There are currently no cures for such disastrous disease, but there are currently approved treatments available that can help people within the early stages of Alzheimer’s. Once the disease is too far alongRead MoreAlzheimers Disease3170 Words   |  13 PagesThe Role of Caregiving to Patients with Alzheimer’s Disease Megan Zann April 27, 2012 Health Psychology Dr. Ackerman Introduction It is normal to periodically forget your keys or a homework assignment, because you generally remember these things later. However, individuals who suffer from Alzheimer’s disease may forget things more often, but they do not remember them again. The incidence of Alzheimer’s disease has dramatically increased because people are living longer. This is a result ofRead MoreEssay on Alzheimers Disease1503 Words   |  7 Pagesâ€Å"Alzheimer’s disease is a form of dementia that gets worse over time. It leads to nerve cell death, and tissue loss throughout the brain. Over time, the brain shrinks dramatically, affecting nearly all its functions. It gradually destroys a persons memory and ability to learn and carry out daily activities such as talking, eating, and going to the bathroom† (What Is Alzheimer’s). Early symptoms include personality changes, memory impairment, problems with language, decision-making ability, judgmentRead MoreAlzheimers Dis ease Essay2414 Words   |  10 PagesAlzheimers Disease Alzheimer’s disease is the disease of the century. This disease is affecting many lives, families, and caregivers. This research presented is to help educate on the topic of Alzheimer’s disease, which many people aren’t aware enough about. Statistics are given to show how extreme this disease is, and how many people it’s affecting in society. Also statistics are presented that give the amount of money being spent relating to Alzheimer’s disease. This research explainsRead MoreEssay on Alzheimers Disease2405 Words   |  10 PagesAlzheimers Disease is a condition that affects 50% of the population over the age of eighty five, which equals four million Americans each year. It is becoming an important and high-profile issue in todays society for everyone. There are rapid advancements being made in the fight against this disease now more than ever, and the purpose of this essay is to educate the public on the background as well as the new discove ries. There are many new drugs that are being tested and studied every day whichRead MoreEssay on Alzheimers Disease813 Words   |  4 Pagesï » ¿Topic: Alzheimer’s Disease Specific Purpose: To help my audience understand what Alzheimer’s Disease is. Thesis Statement: The need to educate people on Alzheimer’s Disease for family members or friends in-case a loved one is diagnosed. Introduction: A. What would one do if their family member or friend knew of someone who was diagnosed with Alzheimer’s Disease? What would they do to help or take care of this family member? Well, I work in a nursing home with the elderly with this diseaseRead MoreAlzheimers Disease Essay2168 Words   |  9 PagesAlzheimer’s disease or AD is an incurable disorder of the brain that results in loss of normal brain structure and function. In an AD brain, normal brain tissue is slowly replaced by structures called plaques and neurofibrillary tangles. The plaques represent a naturally occurring sticky protein called beta amyloid and in an Alzheimer’s brain, sufferer’s tend to accumulate too much of this protein. Neurofibrillary tangles represent collapsed tau proteins which, in a normal brain along with microtubulesRead MoreEssay on Alzheimers Disease 512 Words   |  3 Pagesmajor medical advancements like the world has never seen before, some diseases still continue t o plague the human race and confuse even some of the brightest scientists today. Unfortunately, Alzheimer Disease (AD) is one of them and it affects between 2.4 and 4.5 million people in America. Alzheimer’s is usually diagnosed in people over the age of 65, but in rarer cases people as young as 16 have it. Since it is a degenerative disease, patients develop it with few symptoms at an earlier stage, but thenRead More Alzheimer’s Disease Essay1176 Words   |  5 PagesAlzheimer’s Disease Alzheimer’s Disease is a disease of the future. With the growing aged population, this disease, which affects primarily the elderly, will become of increasing relevance to the medical profession. Also, the high frequency of Alzheimer’s, and the high cost in labor, money, and material of caring for its victims shall put considerable burden on the society as a whole. Here, however, these issues are not going to be debated. Instead the pathology of Alzheimer’s will be reviewedRead More Alzheimers Disease Essay1235 Words   |  5 PagesAlzheimer’s Disease is an irreversible, genetically linked illness. This disease was chosen for the topic of this essay under the consideration that in many families the illness can be incredibly tragic, passing down for generations without mercy. It is not rare to encounter families in which each member is afflicted with a form, mild or severe, of Alzheimer’s. The disease is a progressive brain disease which comes in t wo separate types: Early-Onset Alzheimer’s Disease and Late-Onset Alzheimer’s

Procurement And Resource Based View free essay sample

Procurement has become an increasingly widespread practice among organizations and is today of strategic importance that attract great interest from scholars in the literature. The primary purpose of the paper is to contribute with a review of leading studies that analyze procurement from the resource- ­? based view of the organization. The paper begins by setting out the business environment of procurement and then presents the development and propensity of procurement. This is followed by a review of principal works and differences of perspectives of resource- ­? based view. The next section contains an analysis of the relationship between procurement and resource- ­? based theory and discusses empirical works on outsourcing that address outsourcing from the resource- ­? based view. The studies are classified into two categories: those studying the propensity to procure and those studying the relationship between procurement decision and firm’s performance. Finally, some insights are put together to assess the outsourcing decision influenced by resource- ­? based view with the im of contributing to a better understanding of outsourcing and its role from the perspective of resource- ­? based view of an organization. We will write a custom essay sample on Procurement And Resource Based View or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 1. Procurement and the propensity to procure in modern business context Procurement, or in other words, â€Å"sourcing†, for years has become â€Å"a financial material, but strategically peripheral, corporate function† of an organization (Gottfredson et al. , 2005). In the literature, procurement becomes a key component and is of major strategic importance to many organizations (Humphreys et al. , 1998, Paulraj et al. , 2006). Recent decades have witnessed significant changes in acro- ­? economic trends that direct business environment. These changes have been driven by increased globalization, technology innovation, changing consumer behaviours, and consequently, a shift toward procurement and outsourcing (Giunipero et al. , 2005, Giunipero et al. , 2006, Zheng et al. , 2007). Gottfredson et al. (2005) argued that globalization, accompanied by technological advances, is causing the core of competition to change. These days, the ownership of capabilities of an organization is not as important as its ability to govern and take advantage of critical capabilities, whether or not they are he organization’s assets. Procurement is developing so sophisticatedly that even core functions such as engineering, RD, manufacturing and marketing can be outsourced. That, according to Gottfredson et al. (2005), in turn, is changing the way the firms think about their organizations, their core values and their competitive abilities. The author also revealed that an emphasis on capability sourcing could result in an organization’s better strategic position by reducing costs, streamlining the company, and enhancing quality. Critical functions provided by more qualified partners usually allow organizations to mprove their core capabilities that help them take the lead in their industries. With the business world changing everyday, the propensity to procure becomes prominent than ever. Nowadays procurement is not only practiced by companies in the technology industries but also spread to multiple businesses such as supply chain, manufacturing, services and so forth. It is recognized that not passive cost - ­? focused, but proactive value- ­? focused procurement strategies are a means of achieving competitive advantage and integral to long- ­? term organizational strategy (Leseure et al. , 2005, Mehra and Inman, 2004, Noonan and Wallace, 2004). In a study of the impact of procurement or purchasing on supply integration and performance, Paulraj et al. (2006) also concluded that: (1) a more strategic purchasing function leads to better supply integration; (2) managers must comprehend the importance of purchasing in incorporating buyer- ­? supplier by focusing on â€Å"process, relational, information, and cross- ­? organisational teams†; (3) strategic procurement can create a win- ­? win situation for both buyer and supplier. Taking these into account, it is undeniable that there is a tendency to procure or outsource among organizations. To assist with procurement decision making, Gottfredson et al. (2005) developed a sourcing opportunities map like Figure 1 to help companies judge the relative merits of their outsourcing possibilities. The vertical dimension of the exhibit â€Å"measures how proprietary a process or function is† while the horizontal axis indicates the degree of commonality, both within and outside the company’s industry. The author found that capabilities locating in the upper right portion of the map are potential candidates for procurement. Once capabilities promising strong candidates for alternative sourcing are discovered, the ompany needs to figure out how to source them. In this stage, cost and quality requirements should be taken into account to detect key capability gaps to be filled and top- ­? performing competitors or suppliers to partner with. To address these issues, another assessment map has been introduced, again by Gottfredson et al. (2005) as described in the Figur e 2 below. Figure 1 What should you outsource? Source: Adapted from (Gottfredson et al. , 2005). Figure 2 How strong are your capabilities? Source: Adapted from (Gottfredson et al. , 2005) The author explained that the position of capabilities on this grid eterminates suitable goals for an outsourcing relationship. Specifically, functions that fall in the upper left should be outsourced to low- ­? cost providers regardless of reduction in quality, while those falling in the lower left require outsourcing partners that can both reduce costs and improve quality. 2. Resource- ­based view In the opinion of Mol (2003), resource- ­? based view has today become the domineering perspective of analyzing corporation strategy. However, this concept has been perceived and developed by different scholars in the literature. Porter (1985) suggested a firm’s competitive position an be analyzed by looking at industry structure and the role of internal decision making was overlooked. This theory contradicts itself with earlier strategic management arguments which highlighted both internal and external factors (Skinner, 1969, Ansoff, 1965) and therefore several scholars such as Barney (1991), Amit and Schoemaker (2006), and Peteraf (2006) felt a different perspective and went on developing the resource- ­? based view based on the researches of Coase (1937) and Wernerfelt (1984). In an effort to stress the significance of managerial choice and internal factors, Barney (1991) concluded that he resource- ­? based view â€Å"examines the link between a firm’s characteristics and performance† by investigating varied resources within the firm. By the nature of its activities, procurement management is subject to obtaining inputs from outside partners in the organization’s environment (Mol, 2003). According to Wernerfelt (1984), resource- ­? based approach â€Å"views the firm as a historically determined collection of assets or resources which are tied semi- ­? permanently to the firm’s management†. Lockett and Thompson (2001) criticized that resource- ­? based view is sometimes used to distinguish â€Å"appropriate esources, such as physical capital or brand names, from less tangible assets, such as organizational routines and capabilities†. Appropriate resources can be seen as assets utilized as appropriate over a specific period, while dynamic resources may lie in capabilities that form additional opportunities over time. The crucial requirements of resource- ­? based view are that relevant resources, regardless of their nature, are specific to the firm and not easy to be imitated by rivals (Barney, 1991). It was noted by Lockett and Thompson (2001) that resource- ­? based view is implied in the sense that each firm’s pportunity set is exclusive and a product of the resources is obtained from its past experience. â€Å"Therefore, it follows that decisions about the appropriate boundaries of a firm’s activities should reflect its existing resource bundle. If firms face a similar external environment, in the sense of similar product and factor markets, the resource- ­? based view suggests that those firms with a similar initial resource endowment should display similar ceteris paribus patterns of behavior and performance†. 3. Procurement is an integral part of resource–based view of an organization Procurement and resource- ­based iew Procurement, or in many context, usually referred to as â€Å"outsourcing†, is defined as â€Å" astrategic decision that entails the external contracting of determined non- ­? strategic activities or business processes necessary for the manufacture of goods or the provision of services by means of agreements or contracts with higher capability firms to undertake those activities or business processes, with the aim of improving c ompetitive advantage† (Espino Rodriguez and Padron Robaina, 2006). According to resource- ­? based view, resources can be exploited by means of contracts (Barney, 1999, Gainey and Klaas, 2003, Grant, 1991) and this perspective can be used as a framework to help organizations decide which activities should be outsourced and which to perform in- ­? house. In this regard, one of the dominant frameworks that explain the propensity of procurement is core competences approach (Gilley and Rasheed, 2000, Teng et al. , 2007). Based on this approach, a firm should invest in activities generating core capabilities and outsource the rest (Prahalad, 1990, Hilmer and Quinn, 1994), regarding that the former activities are those providing the firm’s growth and development (Peteraf, 2006). It is pointed out by Prahalad 1990) that a firm can perform better by focusing on those resources generating the core competences. According to the author, short- ­? term success results from the price and the attributes of the products, while long- ­? term competitive advantages lie on the core capabilities, which derives from the firm’s collective learning. Strategic outsourcing, ba sed on resources and capabilities, signifies a deep understanding of the core competences, which assist organizations to build their long- ­? term competitiveness (Bettis et al. , 1992). Espino Rodriguez and Padron Robaina (2006) concluded that the resource ased view helps to distinguish the core competences and provides knowledge (Hilmer and Quinn, 1994) about which activities to perform with internal resources and which to procure, â€Å"determining that the possession of some resources and capabilities is what defines what the firm itself will do and what it will obtain from third parties†. In order to explain the integral part that procurement plays from resource- ­? based view, it is important to look into the framework developed by Grant (1991), in which a firm’s resources and capabilities are the main considerations in formulating strategies. In this framework or strategy formulation, five stages were established to associate strategy, competitive advantage and resources and capabilities.

The Language Of Cather In The Rye Essays - Literary Realism

The Language of Cather in the Rye Catcher in the Rye The Language of Cather in the Rye The passage of adolescence has served as the central theme for many novels, but J.D. Salinger's The Catcher in the Rye, long a staple in academic lesson plans, has captured the spirit of this stage of life in hyper-sensitive form, dramatizing Holden Caulfield's vulgar language and melodramatic reactions. Written as the autobiographical account of a fictional teenage prep school student Holden Caulfield, The Catcher in the Rye deals with material that is socially scandalous for the times (Gwynn, 1958). As an emotional, intelligent, inquisitive, and painfully sensitive young man, Holden puts his inner world to the test through the sexual mores of his peers and elders, the teachings of his education, and his own emerging sense of self. Throughout the years, the language of the story has startled some readers. Salinger's control of Holden's easy, conversational manner makes the introduction of these larger themes appear natural and believable. (Bloom, 1990). At the time of the novel through today, Holden's speech rings true to the colloquial speech of teenagers. Holden, according to many reviews in the Chicago Tribune, the New Yorker, and the New York Times, accurately captures the informal speech of an average intelligent, educated, northeastern American adolescent (Costello, 1990). Such speech includes both simple description and cursing. For example, Holden says, "They're nice and all", as well as "I'm not going to tell you my whole goddam autobiography or anything." In the first instance, he uses the term "nice" which oversimplifies his parents' character, implying he does not wish to disrespect them, yet at the same time he does not praise them. At best he deems them as "nice and all." Holden further cuts short his description, but in a more curt manner, when he states he will not tell his "whole goddam autobiography or anything." From the start the reader picks up Holden's hostility and unwillingness to share his views strictly by his use of language (Salzman, 1991). From the last two examples, another colloquialism can be seen. Holden has a habit of ending his descriptions with tag phrases such as "and all" or "or anything." (Salzman, 1991). Not only does Holden speak like this in the beginning of the novel, but throughout the book, making this pattern a part of his character. One could imagine Holden frequently ending his sentences with "and all," realizing it is a character trait since not all teenagers used that phrase. So the "and all" tag to Holden's speech served to make his speech authentic and individual. (Salzman, 1991). Salinger intentionally used such speech patterns to help individualize Holden, yet to also make him a believable teenager of the early 1950's. Another example of how Holden's speech helped define his character is how he constantly had to confirm any affirmation he made, as if even he did not quite believe himself. Such reconfirmations include phrases such as "...if you want to know the truth," or "...it really does." Holden says the first phrase several times. "I have no wind, if you want to know the truth," "I'm pacifist, if you want to know the truth," and a variation: "She had a lot of sex appeal, too, if you really want to know." In each of the above instances, Holden makes a statement then feels compelled to clarify that is he is not making it up but is, in fact, telling the truth. These mannerisms may point to several aspects of his character. For example, Holden is on the verge of failing out of preparatory school and fears telling his parents. Because he did not do well in school, Holden may have felt as though no one ever took him seriously and realized his actions left him with no solid academic standing. Since Holden is essentially a failure at school with no serious friendships, he attempts to solidify some communication in asking for approval by stating "if you want to know the truth." Holden wants people to believe him so he speeks to seek approval (Costello, 1990). Again, Salinger creates this speech pattern as believable for a common teenager, yet it also seems to belong individually to Holden. The Catcher in the Rye gained much of its notoriety for the