Tuesday, December 31, 2019

20 Ethics Term Paper Topics That Will Land You the Best Grade

When it comes to writing a term paper, many students have issues setting on a topic. The range is vast – especially on ethical matters and it can often be challenging to make a choice. However, with our selection of 20 ethics term paper topics, writing a qualitative term paper should be incredibly easy. Make your pick and decide on the topic that piques your interest most. Smoking and the Effects of Smoking on People’s General Health The Negative Effects of Alcohol Consumption for the Skin Debate on the Pros and Cons of Assisted Suicide: Is It Moral or Immoral? Cybersecurity and the Effects It Has on People’s Privacy Online Do Men and Women Have Equal Right in Today’s Modern Society? Organic Foods and the Unprecedented Benefits They Have on Our Lifestyles How ADD (Attention Deficit Disorder) Is Affecting the Way Students Learn How Plagiarism is Hindering a Student’s Academic Success The Detrimental Effects of Air Pollution in Major Cities Worldwide How to Combat Discrimination Among People with AIDS/HIV Erasing the Dietary Supplements Stigma How to Include Supplements into Your Diet without Jeopardizing Your Health Strategies to Combat or Prevent Obesity in Youngsters: How Junk Food Can Destroy Your Body In the Long-Term Controversial Aspects of Advanced Technology on Today’s Young Generation Is Depression an Actual Disease or Just a Mood Disorder? Debunking the Myths that Depression Is Not an Illness A Comprehensive Analysis of Damaging UV Rays for the Skin Common Myths and Facts about the Internet of Things (IoT) Should Animals Be Tested to Make Hair and Skin Products Safer? Is Massive Immigration to Blame for Today’s Most Violent Terrorist Attacks? How Social Media Can Affect Teenagers’ Self Esteem Governmental Corruption and The Unethical Behavior of People in Power – Increased Power Comes with Great Responsibility Landing a nice grade on an ethical term paper is a lot easier than most students think. The secret ingredient is to choose an interesting topic and make sure that all the claims that you make are backed by solid proof. The 20 ethics term paper topics we’ve presented should definitely pique your interest. Choose the one that’s the most attention-grabbing and you’ll definitely manage to wow your professors. Focus on facts and don’t beat around the bush. The more accurate you can be the higher the chances you have to set yourself apart from your colleagues.

Monday, December 23, 2019

Environmental Risk Factors And Obesity - 969 Words

Environmental Risk Factors Environmental risk factors such as poverty, lack of access to healthy foods, and crime in low-income communities can significantly contribute to obesity. Analyzing the effects of neighborhood environments is significant since it represents a broader social and community background that clarifies children’s behaviors towards physical activity and poor nutrition. Moreover, neighborhood environment aspects such as poor housing, crime, lack of sidewalks, grocery stores, and recreational areas have the ability to be improved through public policy (Mantziki, 2015). Some of the recent studies examining neighborhood effects and obesity have found strong associations between factors such as income inequality, housing insecurities, and obesity. Children living in unfavorable communities were 50 percent more likely to be physically inactive, 52 percent more likely to watch television more than two hours per day, and 65 percent more likely to engage in recreational computer use of more t han two hours per day than children living in most favorable social conditions (Singh and Kogan, 2010). Low-income children s environments are saturated by the presence of media continuously exposing them to obesity-promoting products that encourage the consumption of unhealthful foods and discouraging physical activity(Interventions to prevent childhood obesity n.d.). Such disproportionately marketing and advertising have an unusually strong influences on theShow MoreRelatedThe Prevalence Of Obesity And Obesity1196 Words   |  5 PagesThe prevalence of obesity has increased significantly in populations worldwide. The World Health Organization (WHO) (2015) estimated that 400 million adults were considered obese worldwide and is projected to double by the year 2015. Traditionally, obesity is associated with high caloric intake and lower levels of physical activity in high income Western countries. However, low and middle income countries are increasingly becoming obese and becoming a major public health concern in regards to qualityRead MoreChildhood Obesity : Obesity And Obesity1505 Words   |  7 PagesChildhood Obesity Introduction Childhood Obesity has become more critical public health issue worldwide. However, obesity ratio varies from country to country. In addition, up to a quarter of Australian children are suffering from childhood obesity and obese children are at higher risk to become obese adult. For this reason, child’s weight always matters because it can impact on their health in future. There may be many reasons which affect childhood obesity including sedentary life style, lack ofRead MoreFactors Contributing Factors That Causes Obesity Among Children Essay1369 Words   |  6 PagesChildhood obesity is a major health issue that takes place when a child is beyond the average weight for his or her age and height (Mayo Clinic, 2014). According to Sameera and Amar childhood obesity is a major public health crisis nationally and internationally, which arises because of the differences in lifestyle consequences among different cultural people in New Zealand (2012). This abnormality can cause var ious health risks such as diabetes and heart disease (World Health Organisation, 2014)Read MoreFactors Contributing Factors That Causes Obesity Among Children Essay1364 Words   |  6 Pagescauses of obesity among children in New Zealand? Introduction Childhood obesity is a serious medical condition that occurs when a child is well above the normal weight for his or her age and height (Mayo Clinic, 2014). According to Sameera and Amar childhood obesity is a major public health crisis nationally and internationally, which arises because of the differences in lifestyle consequences among different cultural people in New Zealand (2012). This abnormality can cause various health risks such asRead MoreChildhood Obesity Among Hispanic Children1729 Words   |  7 Pages Obesity among Hispanic Children Childhood obesity has increased dramatically during the past decade (U.S. Department of Health and Human Services, 2011). Although the rise in obesity cuts across all of age groups, both genders, and all cultural and racial groups; statistics have demonstrated that Hispanic children are more likely to become obese than White or Black children in the United States. According to the United States Department of Agriculture (2011), childhood obesity is more prevalentRead MoreEnvironmental Issues Of Obesity And Obesity1022 Words   |  5 PagesEnvironmental issues Abstract Obesity is a medical condition in which the person has excess body fat. Obesity affects over one-third people around the world; this includes children under the age of five. Obesity can be defined by body mass index or BMI. The BMI is the percentage body fat and total body fat. A BMI in the range of 18.5 – 24.9 is considered a healthy weight. A BMI that is above 25.0 – 29.9 is considered overweight. A BMI of 30 or higher is considered obese. Children’s healthy weightRead MoreChildren And Type 2 Diabetes1533 Words   |  7 Pagesissues that play a role in onset of insulin resistant diabetes in children. These issues regardless if they are environmental, behavioral, or physiological are all contributing factors of the root causes and health declines with the end result being the increased rate of new T2DM cases in youth. Contributing behavioral issues manifest as poor lifestyle decisions that result in obesity and other health issues that support insulin resistance development in youth. Additionally emotional problems suchRead MoreIs Obesity Predominantly An Individual Problem?. The Rate1089 Words   |  5 PagesIs obesity predominantly an individual problem? The rate of obesity is increasing globally and is a serious public health issue. It no longer only affects developed countries but is also having implications on developing countries. Often the focus is placed on individual choices and behaviours, this does not take into account the research and evidence that clearly shows that obesity is a multifaceted issue. To improve the level of obesity the broader determinants needs consideration. This essayRead MoreObesity : Obesity And Genetics1267 Words   |  6 Pagesample statistics of obesity in the past decades has motivated researchers to conduct more studies to find out if obesity is genetic or if it is a learned behavior. Obesity has always existed in our population, but recent studies have taken an increment to make comparative data between obesity and genetics. Moreover, studies are trying to find strategies for the prevention of weight gain to help public health and avoid the rising of obesity. As consequences, childhood ob esity has developed an epidemicRead MoreThe Effects Of Obesity On The Health1393 Words   |  6 Pageshealth is defined as obesity (Royal College of Physicians, 1998). Obesity is a developing condition within the population that already affects 1 in 4 adults in England (NICE, 2006). Internationally, being overweight is linked to a range of harmful health problems such as diabetes and heart disease. Obesity can be explained through the use of the nature-nurture debate, as it can be caused by both elements. In this essay, examples and facts will be discussed which show that obesity is a result of heredity

Sunday, December 15, 2019

Practical Assignment Introduction to Information Technology Free Essays

Objective This coursework aims to provide students an opportunity to explore the use of Microsoft Word and Microsoft Powering to enhance their understanding of the application software features in word document and power-point slides presentation. Grouping This Is a group-based assignment. Student must form a group with minimum 4 members and maximum 5 members. We will write a custom essay sample on Practical Assignment: Introduction to Information Technology or any similar topic only for you Order Now Note: same group members of theory assignment. Plagiarism All work is to be the result of the student’s own individual and group effort. Students found to have copied others’ work will be penalized for plagiarism. A student who plagiarisms will receive zero point credit on the assignment. Late Policy The assignment should be submitted on the due date stated below unless there are legitimate reasons as to why a student can not complete the assignment by due date. As a general rule, no extension of time will be granted. Assignment received after the due date without legitimate reason will be penalized. Submission date: 22/07/2014 (Tuesday, week 1 1) Assignment return week: Week 14 To begin†¦ Find an article from newspapers, internet, magazines etc. And you have to make sure the article is able to match the features checklist [PART 2 FILE]. The article that you have selected must get the approval from your tutor. Take note: the article length must be at least a full page long of AAA paper size and/or at least 400 words. You can refer an article sample In Attachment 1 on Cell. Task 1: Based on the article that approved by your tutor, you need to design that article into organized. Task 2: Retained the contents of the article you designed in task 1 you need to create a retrieve and great-looking Power-point presentation slides show. Note: The power- point slides length must be between 10- 15 slides long. Assessment This assignment contributes 70% of the overall practical course assessment. Submission Details and Report Sequence Assignment report must properly staple with suitable labels. Use AAA sized paper with printing on one side only. Arrange the assignment report follow the sequence below: 1 . Submission form (is a cover page, you can download from. Plagiarism statement (you can download from Cell- PART 3 FILE) 3. Plagiarism statement form (you can download from Cell Features Checklists (you can download from Cell – PART 2 FILE) 5. Acknowledgement 6. Table of Contents 7. Word report 8. Powering presentation slides Note: Printed in Landscape Orientation with 4 slides in a sheet 9. References (follow Harvard Referencing System) Note: Inappropriate referencing style will cause marks deduction Save a softly of Powering presentation in a CD for Submission. (One tutorial class submit one CD ONLY which contains all different groups Powering slides show) How to cite Practical Assignment: Introduction to Information Technology, Papers

Friday, December 6, 2019

The Change Management Using Transformational Leadership Theory

Question: Discuss about the Change Management using Transformational Leadership and Lewin's Change Theory. Answer: Introduction Change in any organization is inevitable for efficient service delivery and profitability to be achieved. With every change comes resistance and overcoming the resistance is one step to successful implementation of a proposed change. Involving all stakeholders in every phase of a change process is another critical step to a successful change implementation(Gilbert, 2009). In this paper, the implementation of a Bar Code medication system is proposed as the ideal solution to minimizing medical errors and improving patient service delivery. The paper discuses two different leadership styles: transactional and transformational- and concludes that the transformational coaching leadership style will be most effective in realizing the proposed change. The role of nurses as change agents is also discussed with practicality of the coaching leadership style acting as a link between effecting change among the nurses and between the nurses and patients. The proposed change management theory to be used is the Kurt Lewin theory. The implementation of the Bar Code system will require that nurses are weaned off the current methodology of medication delivery and administration (unfreezing), educated on the new Bar Code system (freezing), and evaluated on their use of the same in the final stage of refreezing. The Role of Leadership Formal leaders in an organization that command the faith of their employees tend to have the subordinates look up to them for several things. During times of necessary and drastic changes, employees will often expect sensible and effective planning decision-making, that is effective, confident, and complete as well as regular communication that is made in a timely manner. In addition, during these times when there is change being effected, employees will view the leadership as being committed, concerned, and supportive of their welfare, while simultaneously recognising that there is need for tough decisions to be made. In summary, a climate of trust should exist between the employees and the leaders which in turn brings hope for the future and which make coping with the change easier (Kellerman, 2007). In organizations that have poor leadership, there are no positive expectations by the employees. Where there is distrust, employees perceive that leaders' actions will be indecipherable and in ways that have no-one's interest at heart. Poor leadership results in a lack of hope, which in the long haul results in a non-functioning organization. The organization ought to handle the unpleasant change practical impact and more so, must do it under the weight of employees that have no hope in the leaders' ability or the entire system altogether. The key to a successful change is the involvement of leadership prior to, during, and after the implementation of the change. The leadership therefore needs to have laid a foundation of trust prior to embarking on any changes (Llopis, 2013) Leadership styles The manner in which a leader provides direction, plan implementation, and people motivation, is referred to as leadership style. Leadership styles need to be adopted with regard to a specific situation , the specific needs of the people, and the particular challenges that the origination is facing (Martindale, 2011, p. 32). This paper will look at two leadership styles,: transformational leadership and transactional leadership and then determine the most suitable leadership style for the proposed change. Transformational leadership A transformational leader does not work under the confines of his/her employees' perceptions. The main goal that such a leader has is to transform or change the needs of the employees and re-direct the way that they think. A transformational leader inspires and challenges the employees with a sense of excitement and purpose(Schultz Schultz, 2010, p. 201). Transformational leaders have a vision which points at what they are aspiring to become and communicates this vision to the employees. There are three characteristics of a transformational leader and these include: charismatic leadership posses a wide knowledge field, has an energy level that is high, a personality that is self promoting, and is a risk taker who uses irregular strategies that aim at stimulating the followers to be independent thinkers; intellectual stimulation; and individualized consideration (Schultz et al., 2010,p.201) Transactional leadership A transactional leader focuses on motivating employees through a punishment and rewards system. The two foundational basis for this type of leadership include: management-by- exception and contingent reward. The leader maintains a status quo by using management-by-exception and intervenes when there is failure of employees to meet set goals and proceeds to initiate corrective action that aims at improving performance. This helps in reducing the manager's workload as they only step in to deal with a deviant employee. Contingent reward on the other hand, offers psychological and materialistic rewards for employee effort and also recognizes their good performance (Liu, Liu, Zeng, 2011, p. 282). A transactional leader will identify the needs of the employees and offer rewards in response to meeting those needs in exchange for a specific performance level. A transactional leader will focus on enhancing efficiency of already established procedures and routines. Such a leader is more concerned with abiding by existing organizational rules as opposed to making changes within the organization. The transactional leader will standardize and establish practices that aim at driving the organization to achieve maturity, operations efficiency, productivity increase, and operations efficiency (Liu et al., 2011, p. 282). Based on the proposed change, transformational leadership will be the most appropriate . The current leadership at my place of work is both transactional and transformational. There are leaders that are transformational and those that are transactional. However, in this particular proposed change, transformational leadership will be most effective. Transformational leadership in Nursing Evidence-based research shows that in healthcare, transformational leadership increases nurse satisfaction, reduces turnover of staff, and promotes an environment for positive work environment (Lin, McLennan, Hunt et al., 2015). Transformational leadership forms a critical element in the implementation of change or toward the achievement of work environments that increase the safety of patients. There are four sub styles that are encased within transformational leadership: coaching, affiliative, democratic, and authoritative (Benincasa, 2012). Authoritative leaders will steer people toward a vision and are the most effective leaders (Benincasa, 2012). The leader communicates the vision in a vivid manner to employees and motivates them by demonstrating the individual employee's work role in the bigger vision. Latitude is offered to the employees on achievement of the vision. The authoritative leader is most effective in nursing practice when a clear turnaround and direction is needed (Benincasa, 2012). Democratic leaders will always encourage the employees to give their input and hence, build a consensus when all persons are involved. It is also referred to as participative leadership as all persons, excluding the leader, have a final say on the final decision. In nursing practice, this kind of leadership style is useful when the leader is uncertain about the right steps to take and therefore, seeks ideas from others. It allows nurses to feel that they have a voice when it comes to decision-making; builds nurses' morale; and reduces disruptive behaviour and workplace bullying (Benincasa, 2012). Affiliative leaders create emotional bonds with employees through creation of a sense of belonging and offering feedback that is positive. This style is ideal for the building of team harmony, repairing broken trust, or increasing morale. In nursing practice, this leadership style allows for improvement of communication. For affiliative communication to be more effective, it is combined with authoritative leadership (Benincasa, 2012). Coaching leaders aim at developing future leaders. These leaders identify the employees' weaknesses and strengths, set goals for development, and assist employees in achieving them. A coaching leader is interested in the employees' career and personal aspirations as well as in achievement of personal growth. According to King (n.d.), nursing practice should revolve around setting of goals by nurses together with the patients rather than planning care without involving the patient Innovation in healthcare The proposed change will use Kurt Lewins theory of change management and apply it to the introduction of Bar Codes technology of medication delivery and administration at the hospital facility. By using Lewin's theory, a better understanding will be gained in the change effect on the organization, identification of successful implementation barriers, as well as identification of actions of human behaviour opposing forces. SWOT Analysis ASWOT analysisis used in providing prompts to nurse tutors, clinical leaders managers, staff, and nurse mentors involved in analyzing what clinical procedures are effective and which ones are not, in preparation of a particular plan (such as quality checks, assessments, CQC) (Morrison, 2011).A SWOT analysis is used in planning or analyzing activities that have a potential impact on the management, planning, and financial decision. It enables the clinical staff and management to do a comprehensive analysis. Strengths these are the factors that potentially have a positive effect or can enable the achievement of the hospital's objectives Weaknesses these are the factors that potentially have a negative effect or can be a barrier to the achievement of the hospital's objectives Opportunitiesthese are the external factors that can potentially have a positive effect on the achievement or surpassing of the goals or objectives of the hospital which had not been considered previously. Threats these are the external factors that can potentially have a negative impact on the achievement of the hospital's goals or objectives, or making them unachievable or redundant. Strengths Outstanding nursing staff Highly committed to hospital mission Excellent facilities Healthcare quality is outstanding High level of efficiency at the hospital and ward Utilization of state-of-the-art technology Hospital has invested in healthcare informatics Focused improvement of community healthcare Personnel are highly committed Employees have a clear understanding of the hospital's goals Hospital is focused on improvement of quality. Weaknesses Inadequate resources Clinical staff shortage Clinical processes lack continuity leading to effort duplication Poor communication resulting in disrupted patient care Utilization of health informatics is poor Insufficient training of management management training Patient data lacks relevance and is untimely Opportunities Growing urban community Increased business in managed care Growing numbers of programs in community healthcare Introduction of protocols to improve efficiency and quality at the hospital Threats Government reimbursement has reduced Speciality physicians as a competition Provider networks in the healthcare industry offering increased competition Increasing deficits in the federal and state budgets Uninsured population is growing Change and change management Kotters 8 Step Change Model The 8 step model transforms a change to a campaign where the employer pitches the change to the employees who are expected to eventually buy into the need for it. The 8 steps involved include: Increasing the change urgency; building a dedicated team that spearheads the change; creating a vision for the change; communicating the need for the change to take place; empowering the employees with the ability to embrace the change; creating short term goals; staying persistent; solidifying the change (Kotter International, 2017). The process is a simple step by step that focuses on preparation for accepting the change. Transition to a change is simplified in this model. However, the proposed change for the hospital in question will not use this model because the process takes a relatively long time and no one step can be skipped. The McKinsey 7S Model The McKinsey 7-S model is one that offers and approach that is holistic with regard to organizational change. The collective change agents in this model: skills, staff, style, systems, structure, strategy, and shared values. The model offers an effective diagnostic method that illuminated the organization; offers guidance in change; combines emotional and rational components; and requires all parts to be addressed in unison. However, the main downside of this model is that it is complex, differences are overlooked, all parts are interrelated hence one change cause change in all others (Mindtools, 2016). This makes the Mckinsey 7S model unsuitable in implementing change in the hospital. Kurt Lewin's Change Theory Many organizations have used the Lewin's change theory in understanding human behaviour in relation to change and resistance to it (Houson, 2015, p.55; Hoogendoorn, 2007, p.147). The theory is also known as the Force Field analysis(Lewin, 1947) and encompasses three phases namely: unfreezing, freezing and refreezing. The model's intention is the identification of factors that can hinder the occurrence of the change; opposing forces referred to as static or restraining forces, and forces which drive or promote change known as the driving forces. When a healthcare organization has a complete understanding of what behaviours oppose or drive change, they are better able to strengthen the forces that drive the change for the successful implementation of the expected change. In the first stage of unfreezing, there needs to be an understanding of the challenges in relation to the problem that has been identified and subsequent strategies developed for enhancing the driving forces while simultaneously weakening or reducing the restraining forces. Unfreezing involves the identification of the major players that will be most impacted by the change and then summoning them in one common ground and communicating the ideas to them. The static and driving forces are listed down during the common ground meeting. The second stage -Moving- is when the change is put into practice after the opposing forces have been equalized which in turn allows the support for the change by the driving forces. In the moving stage, the project implementation results in the desired change therefore, it is critical that communication lines are kept open between the management and the nursing staff. Finally, once the expected change is achieved, the refreezing takes place where the cha nge stability is evaluated as well as its overall effectiveness in the healthcare practice. Application of Lewin's Theory of Change Unfreezing Stage Identification of the focus of change is the first step of the Kurt Lewin analysis and more specifically implementation of the scanning system that uses Bar Codes, for the delivery of medication in the healthcare facility. The main component in this stage is communicating the proposed change with all the stakeholders including administration, managers, and frontline nurses. It is critical that all lines of communication between stakeholders remain honest and more importantly open, as this will create a sense of trust and security among all that are involved in the change process (Gilley, Gilley, McMillan, 2009, p. 75). By including front line nurses in the key decision making and planning groups, a feeling of being empowered will be promoted . This empowerment helps in overcoming change resistance and enables the frontline nurses to understand the project's importance and its potential benefits with regard to client care. During this stage of unfreezing, identification of restraining and driving forces can be listed down during discussions held in informal, open, roundtable meeting, which will enable identification of barriers that may need to be worked out. In the healthcare facility in question, some perceived restraining forces include: staff resisting utilization of computer based devices; inexperience with computers, distrust within the organization, and user aversion to new systems. The driving forces will be those that help in propelling the project toward completion such as upper management level support, adequate financial resources, potential improved time management, and ease of use. The key point is that the exercise will engage all stakeholders in an active way to work toward enhancing the positive drivers while minimizing the restraining forces so that the Bar Code system is adopted successfully while eliminating the dangerous workarounds, and enhancing full investment of the nurses in t he long haul. Moving Stage This is the stage when the actual change is taking place and includes planning and implementing project stages. Implementation of the Bar Code system in the healthcare system requires sustained team effort which will include: clinical information services, pharmacy, information technology (IT), clinical nursing educators, program managers, nursing, and administrators. This project is sizeable and will affect all the aforementioned departments in diverse ways hence, a roll out that is effective needs to be planned with the inclusion and assistance of all stakeholders being critical. Actively involving frontline nurses creates a sense of ownership which contributes to the success of the project. At the healthcare in question, some of the areas that need consideration include timeline on implementation, equipment reliability, educational training requirements, impact on workflow, and organizational leadership and culture (Spetz, Burgess Phibbs, 2012, p.157). It will also be critical fo r a project leader to be appointed who will monitor and oversee all the phases of the project. The main challenge that may be experienced in this stage may be the discovery of the utilization of workarounds which can be resolved with additional training.. Refreezing stage This last step requires the refreezing or freezing the desired change and leads to evaluation and stability of the practice. Frontline nurses are accorded ongoing support and the stakeholders are accorded technological support in a continuous flow, to a point when the change is completed and all users are able to use the technology comfortably. Once the technology is completed and is live, a summary and evaluation of the challenges encountered, the successes encountered, and the different problems faced through the entire duration of the project, should be done as a source of reference in the future. The inclusion of frontline nurses in all phases of the project is necessary as the nurses' major function is being change agents. Nurses have close contact with patients and are able to see the effects of the healthcare system and medicine on the patient (Keyes, 2014). In this project, the coaching leadership style will come into play where the real objective will be to help the already competent nurses to become even more successful. The nurses will be expected to be mentors to those that will find challenges in understanding and utilizing the Bar Code system. By coaching them, the final result will be that all nurses being capable of using the system effectively, reduced turnaround time, reduction of medication errors, and precise patient care. The nurses will also be responsible for patients' uptake of the new system; they will be open to the patients with regard to the change and encourage them to embrace it. The coaching leadership will improve the bottom line. Why the change is needed Medication safety is an issue of concern and a priority in long term care and hospital facilities as medication errors pose a serious threat to the safety of patients. Several studies have shown that fatality rates linked to medication errors in the US exceeded 7000 deaths per annum and affects 3-5% of hospital in-patients ( Dennison, 2007, p. 176; DeYoung, Vanderkooi, Barletta, 2009, p. 1110). Medication errors' ramification affect all healthcare units, result in mistrust by consumers, increased costs of healthcare, and patient death or injury(Andel, Davidow, Hollander et al., 2012, p.2) . Occurrence of medication errors can be at any administration and dispensing process stage however, only approximately 5% are recorded in nursing documentation, which is suggestive that there are many errors that have not been catastrophic and which have gone unreported (Wilkins Shields, 2008). Medication errors can be defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labelling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use(NCCMERP, 2016). These are common in healthcare facilities across the world with serious consequences resulting in patient harm or death, prolonged stay of patients in the hospital, trust erosion between healthcare organization and the consumer, and elevated economic expenditure (Dennison, 2007, p. 176). The estimated economic impact that is as a result of medication errors is approximately 5,000 dollars for every error, and when litigation is involved, this amount can escalate to millions of dollars (Dennison, 2007, p.176). Besides the harm done to the patient, nurses too face harm in their morale after involvement in a medication error which can lead to potential work time lost (Dennison, 2007, p.176). Although medication errors can happen at any point of the patient care process, the nurse is most times the final defence line for capturing errors as he/she administers medication at the patients' bedside. This can be translated as the nurse having responsibility of ensuring that the right medication is administered to the patient and when drug errors occur, the nurse should be held liable (Wilkins Shields, 2008). There have been several strategies introduced in an effort to reduce occurrence of errors in the process of administration and dispensing of medication and these include electronic medication records and patient identification, among others. One such tool is the proposed Bar Coded medication system that can potentially reduce errors in a significant way, when correctly used (Dennison, 2007, p. 176). One of the top priorities of healthcare facilities is patient safety and delivery of safe medication, which are a critical aspect of complete patient care. The current system of administration and delivery of medication at the healthcare facility in question involves dilapidated medication carts and is reliant on manual checks to ensure correct drug administration at the right dosage, site, route, and time by the nurse. The healthcare facility in question should embark on a complete pharmacy system overhaul and incorporate automated dispensing machines, together with medications bar coding, and electronic medication records, to improve and modernize patient safety and care. The frontline nurses will feel the greatest impact despite the possibility of some feeling sceptical or lacking confidence in the change and their ability to embrace the new technology, hence, careful implementation will be critical. Conclusion Change is inevitable yet any change often meets resistance. Careful planning and inclusion of key stakeholders throughout the entire change process is critical for the successful implementation of any change. In this paper, the introduction of a Bar Code medication system has been discussed as a necessary change that can potentially reduce medication errors. The inclusion of frontline nurses as the agents of change is necessary as they act as the point of contact between the patient and the healthcare facility as a whole. By empowering nurses through transformational coaching leadership, nurses can effect change in the medication delivery and administration in the healthcare facility by first assisting each other in gaining an understanding in the workings of the system; and secondly, through education of patients on the new changes which will in turn increase acceptability of the system among the patients. It is clear that transformational leadership is key in implementing change and the Lewin's theory of change management is the ideal way of ensuring the change is successful. By keeping communication lines between all stakeholders open and honest, and from the freezing stage to the final unfreezing change, resistance is minimized and adaptation potential is enhanced manifold times. References Andel,C., Davidow, S., Hollander,M., et al.,( 2012). The Economics of Health Care Quality and Medical Errors. Journal of Health Care Finance 39(1) (Retrieved on 17th April 2017) from https://www.wolterskluwerlb.com/health/resource-center/articles/2012/10/economics-health-care-quality-and-medical-errors Benincasa, R. (2012). 6 Leadership styles and when you should use them. (Retrieved on 16th April, 2017) from Fast Company. https://www.fastcompany.com/1838481/6-leadership-styles-and-when-you-should-use-them Dennison, R. (2007). A medication safety education program to reduce the risk of harm caused by medication errors.Journal Of Continuing Education In Nursing, 38(4), 176-184. DeYoung, J., Vanderkooi, M., Barletta, J. (2009). Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. American Journal of Health-System Pharmacy, 66(12), 1110-1115. doi:10.2146/ajhp080355 Gilbert, J., (2009). 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Nurses as change agents. (Retrieved on 16th April, 2017). Mastersinnursing.com. https://www.mastersinnursing.com/nurses-as-change-agents/ Kotter International(2017). 8 step process for leading change. (Retrieved on 17th April, 2017). www.kotterinternational.com/8-steps-process-for-leading-change/ Lewin, K. (1947). Frontiers in group dynamics. In Cartwright, D. (Ed.), Field Theory in Social Science. London: Harper and Row. Lin, P.-Y., MacLennan, S., Hunt, N., Cox, T. (2015). The influences of nursing transformational leadership style on the quality of nurses working lives in Taiwan: a cross-sectional quantitative study.BMC Nursing,14, 33. https://doi.org/10.1186/s12912-015-0082-x Liu, J.; Liu, X.; Zeng, X. (2011). Does transactional leadership count for team innovativeness?.Journal of Organizational Change Management.24(3): 282298.doi:10.1108/09534811111132695. Llopis, G (2013). 5 Ways leaders earn respect from their employees.(Retrieved on 16th April, 2016). 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Friday, November 29, 2019

4 Things to Send with Every Scholarship Application

Filling out scholarships is a long and laborious process. As a senior, I cannot express how many days I have spent trying to perfect essays, transcripts, and more. Each scholarship will ask for different things, but there are five topics I send with every scholarship, no matter what. 1. A Professional Resume At the beginning of the year, I put together a list of all of the things I had been involved in up to that point: honors, awards, extracurricular activities, service projects, leadership positions, work experience, etc. This served as a reference for filling out online scholarships, a senior brag sheet, and a convenient reference sheet to send to all other scholarship committees. I highly recommend putting together a similar reference sheet for yourself. 2. A High School Transcript Many scholarship committees will ask for an official high school transcript, which mean you must request a specific copy from your counselor. However, you can often receive an official copy of your transcript to keep on file and copy to distribute to scholarship committees. Even if they do not request this resource, it gives them an idea of how you have challenged yourself through your high school career. 3. Letters of Recommendation Again, this is something that many scholarship committees will ask for, but it is a good idea to add one or two into an application even if it is not requested. Additionally, if you have an interview for a scholarship, it is often beneficial to take any additional letters of recommendation you may have. 4. ACT Scores Now, thanks to this lovely little thing called the internet, you can save your ACT scores as a PDF and make as many copies as you want. If you have decent or high ACT scores, sending a copy with your scholarship applications can never hurt. Once again, it is an additional resource that will help a scholarship committee discover who you are. Please remember: a scholarship committee is judging you—your ability, talents, personality, character, and potential—by a looking pieces of paper. Anything you can do to help them develop an image of who you are makes all of the difference. Written by an intern, who is now attending Marshall University in Huntington, WV. Whether youre a high school or college student, share your experience and application advice with us. We welcome guest blog post. For more information, please email info@.

Monday, November 25, 2019

Operating Systems and Software All Wrapped Up Essays - Free Essays

Operating Systems and Software All Wrapped Up Essays - Free Essays Operating Systems and Software All Wrapped Up April Page, Ian Keane, Nathan Cook, Alma Molina, Luis Wiley and Christine Lehman BIS 320 Business Information Systems July 27, 2015 Klckner Pentaplast Europe GmbH This company uses a wide range of operating systems and software applications that allow them to communicate effectively all over the globe. Klckner Pentaplast is a global company with a worldwide supply chain, supplying a wide range of products such as food packaging, films use in the medical field, for labeling and printing. Operating Systems are unique to a companys way of doing things. An operating system can be addressed as hard and soft systems including: technology, financial, marketing, operations and people. A hard system is the payroll and human resources system, where as soft systems include performance management, selection, and compensation and development systems. (Colan. 2015) Operating systems help the business by accomplishing the following, such as device management. Most computers have additional hardware, such as printers and scanners, connected to them. These devices require drivers, or special programs that translate the electrical signals sent from the operating system or application program to the hardware device. The operating system manages the input to and output from the computer. The Lync p hone system is a platform that has grown significantly through businesses; Lync is a collaboration that incorporates well designed user interface that moves and transitions easily from a chat session, to a video or audio business conferencing. When choosing an operating system for a business, the primary considerations should be the hardware platform used, the number of users and attendant system security requirements and the ease of administration. The objectives of every department in every organization at every level are to make owners and stockholders money. Therefore, the more efficient an organization is, the more can be completed while acquiring fewer liabilities. In this case liability would be in the form of more workers on the payroll. Have the operating systems that track and account for massive amounts of information enables the company to hire 50 employees to conduct payroll activities. Whereas if the company did not have the information systems in place they may need to have 100 employees simply dedicated to the payroll. By having the operating systems in place to make 50 workers as efficient as 150, the money saved can now be invested into the company to expand or create other operating systems to improve systems already in place. All systems in the organization work toward the same goal, regardless of what department or the specifics, the goal is efficiency, which increases the bottom line. All systems have a wea r out date and money saved by using the system should be used to upgrade them. The hardware requirements for these programs mirror that of most computers in use today. There must be keyboard, mouse devices, and document scanners for input. Major companies have large storage units otherwise known as servers that contain the massive data that goes through the entire company system. On a small level data is enter through to the system with flash or thumb drives. Companies such as KP want to ensure that employees who work out in the field are able to input data in to their systems immediately. An example would be they go out to the operation plant of a major client; the Manager of the plants asks if they have 1000 cases of packaging film available. The sales rep looks up the inventory and realizes that there is 1050 in stock. The sales rep uses their tablet to put a hold on those 1000 cases to ensure no other sales rep sells them cutting his order short. This also lets the manufacturing manager that there is a priority to get more made and in stock so that other re ps can offer it to their customers as well. This is how having efficient input hardware can improve sales at KP with high efficiency. A

Thursday, November 21, 2019

The Soft-Beverage Industry Essay Example | Topics and Well Written Essays - 2000 words

The Soft-Beverage Industry - Essay Example From this essay it is clear that  soft drink industries as have been noted are those firms that develop, manufacture, and market the carbonated and non-carbonated beverages. The main industries in the current market are the Coca-Cola Company and PepsiCo (Hooley and Saunders. These two occupies the largest share of the market then they are followed by Dr. Pepper, who holds a moderate amount of market share.   These companies operate on a global scale and have markets in more than 200 countries globally. The soft-beverage has a very wide scope of operation and in the United States; the industry generates revenue amounting to approximately $28 billion annually according to the report by IBIS World.This study discusses that  despite the continued success in the soft drink industries, the companies is also being faced with challenges that have led to a heavy decline in their sales, especially among the United States consumers. It is noted that the volumes of soft drinks being sold i n the United States markets have been on the decline since 1998 due to the fall in its consumption in the country. The fall has been from its peak in 1998 at 864 eight-ounce servings to 675 servings in the year 2013, and this represented a general drop in the sales volume of about 22%. Crowther notes that the huge drop has been attributed by the sudden change in the consumer tastes and preferences in the country.  

Wednesday, November 20, 2019

Huffman Trucking Knowledge Worker- Terence Essay

Huffman Trucking Knowledge Worker- Terence - Essay Example Its mission clearly states the business’ strategic plans to survive in the logistics market. It motivates employees from every department by reminding them that profit making and competitiveness are the core principles of the firm’s success. Huffman’s facilities have been strategically located to ensure that both services and corporate support have been tactically diversified. Thesis statement: Huffman has outsourced its infrastructure and networks. A knowledge worker through analyzing the systems will come up with different ideas to support the firm and vice versa (Davenport 2013). Huffman has an information system that helps it in running operations between the four branches. The network has ensured the California, New Jersey, Missouri and Ohio facility are connected together. A remote backup site has also been set up to ensure communications between the four stations possible. Huffman offers logistical services meaning the need for constant communication with the fleet due to customer preferences. The information systems structure has made it possible for clients and staff to access information instantly when needed (Peterson and Davie 2012). Corporate communications from the corporate headquarters in Ohio are facilitated by the information systems infrastructure. It connects each and every department that include executive offices, marketing, sales, accounting and human resource. The administration at the corporate office has been provided with high-speed computers and printers depending on the number of employees in each department. The marketing department issues employees with mac-book computers, unlike others with HP to ensure class and a close connection to the public. Huffman’s computers have internal memories of one terabyte to ensure that vast information and data can be stored based on the size of the fleet. Other high-speed specs such as RAM and internal speeds have been emphasized ensuring

Monday, November 18, 2019

Research &Evaluation of a service Initiative Essay

Research &Evaluation of a service Initiative - Essay Example en has become a serious concern and needs to be studied at primary healthcare setting, using wider platform of service initiatives (O’Hara et al., 1984; Whitton, Warner & Appleby, 1996). The study would be making efforts to identify the needs of the mothers and critically evaluate the support and proactive participation of peer support groups for women with PND in St. Albans. I am a student healthcare visitors and the student would greatly facilitate in exploring the various facets of timely interventions to reduce pnd. There is considerable evidence to show that PND has a substantial impact on the mother, her partner and baby (Linnet et al, 2003; Brown, Bacigalupo, 2006; Hall & Elliman, 2008). Evidence suggests that mothers’ psychosocial and mental health can have a significant effect on the mother and baby relationship and that PND can result in both emotional and cognitive disorders in the infant (Bee & Boyd, 2008; Stein et al.,1991; Murray & Cooper, 1991). All of which have significant health impacts on individuals and society, signifying a major public health issue (Hearn et al., 1998; Briscoe, 1986). Motherhood is one of the most important and challenging role of women. It becomes a lifelong learning process and is hugely facilitated by emotional support of the family (Scrandis, 2005). But often, the changing role of single women into mother is accompanied by socio psychological adjustments which are hugely facilitated by the husband, support family and peer groups (Rodrigues et al., 2000; Oats et al., 2004). The social expectations become highly stressful because of the various factors like lack of knowledge, conflicting views and differences about childcare between the expectant mothers and peer group. Very often this adversely impacts the self confidence and promotes doubts about one’s competency level of being a good mother thereby creating stress and pnd amongst the women (Dressel & Clark, 1990; Beck, 2002). Thus, encouraging family support

Saturday, November 16, 2019

Global Financial Crisis: Aviation Industry Impact

Global Financial Crisis: Aviation Industry Impact Abstract The basic aim behind to conduct a research analysis on the affects of the global financial crisis with specific to the aviation industry. The research will help to actually analyze the after affects of the financial crisis. As we all know that aviation is one of the most important pillars of the global economy of the world. And also this sector provides millions of jobs globally and contributed heavily in the global GDP. This sector is also the most important and the most efficient mode of transportation. It provides the transportation services all over the world. So as the global financial crisis which was born due to the failure of the major financial institutions caused the drastic impacts on the world economy. And as the aviation is the important part it also got affected heavily by the crisis. Due to which this aviation sector which is one the fastest growing industry has to face negative growth rate. Also the aviation sector has to face huge losses. Some aviation companies was able to bare such huge losses but there is a big number of those aviation companies who do have capacity to bare such huge losses so they go bankrupt after the global financial crisis. CHAPTER 1: Introduction Introduction 1.1 Overview The global financial crisis was triggered in 2007 8 mainly in developed countries like United States of America. After that the crisis entered in the European countries and after a few days the crisis just take the whole of the world under its impact. Almost all of the countries in the world got affected by this financial crisis directly or indirectly. This financial crisis was born due to the failure of the major financial institution of these developed countries. These financial institutions include banks like Lehman Brothers, Bear Steams and etc. These main financial institutions of the United States are the main reason behind the financial crisis. Te global financial crisis caused impacts on almost each and every industry of the world. The key businesses which were showing good positions and were experiencing good growth experienced negative growth because of the financial crisis. Also the consumer wealth faces the billions of dollars loss due to the financial crisis. That is wh y this global Financial Crisis is thought to be the worst financial crisis after the great Depression of twentieth century. The main reason behind the failure of the financial institutions was the artificial bubble of the housing sector of U.S.A. This artificial bubble got height in 2006 and suddenly it burst in year 2007 8 and caused the values of the securities which were tied to the Americas real estate to massive decline. This caused the miss balance in the financial institutions of U.S.A as around 50% of their advances were given on the housing sector. As the value of the real estate falls and so do the financial institutions. And as result of which these financial institutions has bare losses of around $2.3 trillion. This is also the main reason that the most strongest financial institutions go bankrupt after baring such huge losses. As aviation is one of the most important pillars of the global economy of the world. And also this sector provides millions of jobs globally and contributed heavily in the global GDP. This sector is also the most important and the most efficient mode of transportation. It provides the transportation services all over the world. So as the global financial crisis which was born due to the failure of the major financial institutions caused the drastic impacts on the world economy. And as the aviation is the important part it also got affected heavily by the crisis. Due to which this aviation sector which is one the fastest growing industry has to face negative growth rate. . Also the aviation sector has to face huge losses. Some aviation companies was able to bare such huge losses but there is a big number of those aviation companies who do have capacity to bare such huge losses so they go bankrupt after the global financial crisis. 1.2 Background Information The global financial crisis hit the world economy in 2008 and left drastic affects on the world economy, especially the growing industries. The crisis arose first in U.S.A and Europe due to the failures of the main financial institutions. This failure of some financial institutions, lead to the biggest financial crisis after the great depression. The main reason behind the failure of the financial institutions was the artificial bubble of the housing sector of U.S.A. This artificial bubble got height in 2006 and suddenly it burst in year 2007 8 and caused the values of the securities which were tied to the Americas real estate to massive decline. This caused the miss balance in the financial institutions of U.S.A as around 50% of their advances were given on the housing sector. As the value of the real estate falls and so do the financial institutions. And as result of which these financial institutions has bare losses of around $2.3 trillion. This is also the main reason that the m ost strongest financial institutions go bankrupt after baring such huge losses. Impact on Aviation sector As the global economy was disturbed due to this financial crisis of 2008 so Aviation being as one of the main pillars of global economy, it also got affected. As aviation is the main source of transportation throughout the world. The crisis had deeply struck this growing industry. Due to global financial crisis the aviation industry had experienced the negative growth. The impact of the crisis was so huge that a big number of airline companies go bankrupt and those who survived still had to face huge losses. Importance With Respect To The World The global financial crisis is of great importance to the global economy as it has caused drastic impacts on the global economy. Most of the economies of the developed nations are heavily affected by the crisis. It causes the negative impact on almost all of the global businesses. The global financial crisis, brewing for a while, really started to show its effects in the middle of 2007 and into 2008. Around the world stock markets have fallen, large financial institutions have collapsed or been bought out, and governments in even the wealthiest nations have had to come up with rescue packages to bail out their financial system The aviation throughout the world faces the losses in their revenue because of the increasing oil prices and the global financial crisis. Many of the small airlines as well as some big airlines companies go bankrupt. Importance With Respect To Pakistan The Pakistani economy is not as badly affected as that of other countries by the global recession of 2007-2008. The global financial crisis that hit the world very severely has not left many impacts on the economy of Pakistan. Just as the economy has remained safe from getting adverse impacts, the Pakistan International Airline has not been affected that badly either. However, the year 2008 failed to bring any crucial improvements in the overall and financial performance of Pakistan International Airlines. The conundrums, the issues and the problems of the previous years remained and hindered the progress. These similar problems led to further loss and at the end, the company had to bear a higher net loss than the previous year. A short study of the year 2007 shows that during that year, the company went through several unpleasant experiences. It had to face a number of financial, marketing and operational problems. Operating restrictions which were imposed by the European Union duri ng the first few months of the year, led to great disruption in the Pakistan International Airlines schedules and also caused great curtailment in the capacity. During all this, the Pakistan International Airline lost market share. This made the conditions even more difficult for the Pakistan International Airlines. The tremendous increase in the oil prices, which had never been seen before, put adverse effects on the PIAs bottom line. PIA was left with no other choice but to bear the load and burden of paying for the expensive fuel. Moreover, the increase in the salaries if certain categories of personnel and depreciation of the rupee towards the end of the year, both aggravated the situation. 1.4 Research Question There are many reasons that I have chosen this topic of Impact assessment of global financial crisi on the aviation industry. First of all since child the air planes really used to fascinate. It was my dream to become a pilot but I couldnt make to that. But I want to join aviation sector after my studies as I am trying to get admission in Emirates School of Aviation to do MBA in aviation management. That is why I have chosen this specific topic to do research. I think that I have find and learn a lot of new things, facts and figures about aviation industry. So I really want to know about the ups and down in aviation sector. The scope of the research is basically to focus on how the global financial crisis has cause impacts on aviation industry or how GFC has affected the aviation sector specifically. And also to analyze different factors involve in affecting this fastest growing sector of the world. Bay basic Research Question is How the global financial crisis has cause impact on AVIATION INDUSTRY. CHAPTER 2: Literature Review Literature Review The literature review will focus on the issues and the reasons that how the Global financial Crisis has affected the Aviation Industry as a whole, it will mainly be focusing on the different factors involved that affect the aviation. 1 Peter Morrell in his articles Can long haul low cost Airlines be successful talks about low cost airlines. Author says an important task is to determine if LCC business model which is largely short haul can work over long haul sectors or not. This paper examines the advantages of LCCs including the cost and it also appraises how far they can be applied to long haul sectors. The author says that it is seen that the cost advantages might be much lower than approximately 50-60% on short hauls. He also says that the factors such as the implementation and acceptance of some LCC features by network airlines and their anticipated response, the limited potential for market stimulation, the need for dense markets and feed traffic all cast doubt on the prevailing establishment of the business model for long-haul fights. 2 Jacob Denaro in his article Aviation says that due to the worlds energy crisis, there has been as increase in the cost of fuel which has affected U.S. international air carriers adversely. According to the author, the cost of fuel on international air routes increased up to three times than that of domestic jet fuel because it was not under the influence of federal price controls. This aroused the need for subsidies to cover these high fuel bills since Nov,1973. The airlines position was approved by the Chairman of the Civil Aeronautics Board. While the issue stayed unsettled, Pan Am asked the Board for the right to arbitrate the consolidation of trans-Atlantic services on the basis that the rapidly increasing fuel prices had plunged it into a financial crisis. Pan Am also asked for the permission to discuss with TWA the possible consolidation of operations, coordinated services and sharing of revenues on trans-Atlantic routes. TWA approved of his position before the Board and filed a petition of its own. The Justice Department stated that the proposition would decrease competition and would prove to be detrimental to the public. The Departments Anti-Trust Division mentioned that pooling would not make the financial impact of the fuel situation any less acute, international air travelers are provided better sevice because of the system of competition which is there, and that the pooling arrangements decrease the incentives to provide both economical and efficient services. These and some other reasons were behind the opposition to the airlines request. 3 Dr. Geraint Harvey Professor Turnbull in their report The Impact of the Financial Crisis on Labor of the Civil Aviation Industry say that civil Aviation is an important and indispensable part of the world economy. It affects activities from every sphere of life and provides employment to a great number of people. This industry provides 31.9 million jobs all around the world. At first, the industry suffered greatly at the hands of the attacks of Sept11,2001 and is now adversely affected because of the global financial crisis. The financial crisis hit the employment in the airline industry as many people have lost their jobs. Managerial authorities believe that it may take years to restore the industry to its normal condition. The study discusses the ways in which the job losses have been taken care of or dealt with. 4 Novie John Prof. Peter Jones in their article The Impact of Economic Downturn in the Flight Catering Industry say that the number of air passengers has greatly decreased which has led to different flights being cancelled. Customers have turned to more economical and cheaper alternatives. So, different companies are compelled to lessen the fares while providing the same standard services. Buying approach has changed. People now try to find cheaper alternatives and solutions. Some people say that all the sectors are equally affected by the present recession. The number of the business class passengers has reduced which has left a great impact on the scheduled airlines. Effects are felt differently of the current recession in the different parts of the world. American economy and the European economy have suffered the most in the recent crisis. Many people believe that the impact of the crisis will only remain for a short time whereas some believe that it may take as long as 5 years. 5 Markus Franke and Florian John in their article What Comes Next After Recession? Airline Industry Scenarios and Potential End Games say that the economic crisis of 2008 has proved to be more severe than that of 2001/2003. Airlines tried their best to minimize their operating costs and operating expenses but still they failed to bypass the effects of the global recession. Also, the process of recovery in profits has been very slow in various airlines. Although a decrease in demand was expected, the crisis caused many other effects that were not expected by any of the experts. During the recession of 2008, the fuel prices rose dramatically which reduced the profits extensively. This recession led to a huge decline in the demand for air travel. Most airlines around the world reacted immediately in 2008 as they reduced their capacity in the short run. And also many of the small airlines have to close down their operations and also go bankrupt as well. 6 Muhammad Usman in his article Global Financial Crisis: Its Impact On Developing Countries And Lessons For Pakistan says that the recession of 2008 was the worst financial crisis ever experienced after the Great Depression of 1930s. This financial crisis arose due to the failure of the major financial institutions of the United States of America including the leading banks like Lehman Brothers. The impact of this financial crisis also caused drastic impacts on the European economy resulting in the downward trends in the stock exchange and also a significant impact on the value of different subprime mortgages at the same time. The recent financial crisis also caused negative impacts on the world economy as a whole. Almost each and every aspect of the global economy got affected by the financial crisis. Economy of Pakistan being part of the global economy also got affected by the global financial crisis. But as Pakistani economy is already facing so many problems do get that much affect ed by the financial crisis. 7 A Google Book Aviation Industry Performance says that the aviation industry had to face many challenges during the year 2008. Many passengers even changed their preferences and demands which worsened the condition. Operating costs also increased due to increase in the fuel prices. Both , the increase in oil prices and the recession led to service terminations and many bankruptcies. After the recession of 2008, different companies took steps to cope with the situation. They achieved the target of improving the economic conditions by cutting costs and increasing the fares. The number of domestic scheduled flights was reduced. The airlines that used small air crafts were forced to eradicate them or minimize their number. Soon, reduction in the number of scheduled flights was seen and the companies reduced the fares to increase the demand until new capacity cuts were introduced. (Elizabeth Tinoco director ILO Sectoral Activities Department) Aviation industry supports 31.9 million jobs globally. Markus Frank and Florian John (2010). Before financial crisis Aviation industry had an annual growth rate of 7 % to 9%. Markus Frank and Florian John (2010). In Oil Crisis of 1979-80 and Asian Financial Crisis the Aviation industry grew at least 2% annually. Markus Frank and Florian John (2010). Only three times the Aviation industry have seen the negative growth. Neil Dias Karunaratne (2009) Global financial Crisis deeply effect the Aviation Industry. Markus Frank and Florian John (2010). Drop of 6.1%of overall air traffic was recorded in 2009 CHAPTER 3: Methodology Methodology The topic of my research is Impact Assessment Of Global Financial Crisis On Aviation Industry. The methodology will tell us as to what models to apply and on the basis of that results will be formulated and interpreted and the most affecting variable will be verified. Research Type: The type of research which I will be conducting is quantitative in nature. As the data of my research is mainly secondary and mostly its in numbers so qualitative does not suite my research topic. As there are lots of numeric data involved in my research so I have to run different statistical models which are only possible in quantitative type of research. Data Type and Research Period: Data used in my research will be secondary in nature. The data could in form of time series data gathered from various databases. The reference period of data used in my research is of five years ranging from 2005 to 2009. Sources of Data: Data for my research will be most likely taken from several databases and related websites. The major sources of data collection are the reports, working papers and actual facts of Air Carrier Traffic Statistics, IATA, WDI, ILO, JSTOR etc. data of oil prices will be taken from OPEC web site. Data on tourism will be taken from WDI and data on GDP will also be taken from WDI and different economic surveys. Data on unemployment, less travel demand and couriers will also be gathered. Theoretical Framework Operational Definitions: Aviation: means science and technology of flight through air i.e. airlines 9/11: attack on the world trade centre. GFC: Global Financial Crisis. SARS: Severe Acute Respiratory Syndrome. GDP: Gross Domestic Product. Financial Markets: is a mechanism that allows people to buy and sell (trade) financial securities (stocks and bonds), commodities (precious metals) and other fungible items of value at low transaction cost. Asian financial crisis: The Asian Financial Crisis was a period of financial crisis that gripped much of Asia beginning in July 1997, and raised fears of a worldwide economic meltdown due to financial contagion. RPK: Revenue Passenger kilometer (RPK) is a measure of a passenger traffic for an airline flight, bus, or train calculated by multiplying the total number of revenue-paying passengers aboard the vehicle by the distance traveled measured in miles Techniques: The technique to be carried out for research will be Regression analysis. Regression analysis is a statistical technique which is used to determine the relationships between variables. It involves modeling and analyzing variables relationships between one dependent variable and several independent variables. Data Analysis: The statistical softwares to be employed for research purpose are Minitab, Statgraphics and EViews. Regression for each variable will be run. The research will also use graphs and tables for illustration. RESEARCH HYPOTHESIS H0: Global Financial Crisis has not cause significant impacts on Aviation Industry. HA: Global Financial Crisis cause significant impacts on Aviation Industry. H0: Crude Oil Prices has not significant effect on Aviation Industry. HA: Crude Oil Prices have significant effect on Aviation Industry. H0: GDP growth has not significant effect on Aviation Industry. HA: GDP growth has any significant effect on Aviation Industry. H0: Inflation rate has not significant effect on Aviation Industry. HA: Inflation rate have any significant effect on Aviation Industry. H0: Unemployment rate has not significant effect on Aviation Industry. HA: Unemployment rate have any significant effect on Aviation Industry. CHAPTER 4: Results and Analysis Results and Analysis RESULTS Multiple Regression Analysis Dependent variable: Registered Carrier Departures Standard T Parameter Estimate Error Statistic P-Value CONSTANT 1.17957E7 1.17689E6 10.0227 0.0000 Crude Oil Prices 36212.5 6652.45 5.44348 0.0001 GDP Growth % -50451.8 93127.7 -0.541749 0.5959 Inflation annual % -541064.0 104745.0 -5.16555 0.0001 Unemployment % -547932.0 133271.0 -4.11141 0.0009 - Analysis of Variance Source Sum of Squares Df Mean Square F-Ratio P-Value Model 2.10578E13 4 5.26444E12 22.98 0.000 Residual 3.4357E12 15 2.29047E11 Total (Corr.) 2.44935E13 19 R-squared = 85.973 percent R-squared (adjusted for d.f.) = 82.2325 percent Standard Error of Est. = 478588.0 Mean absolute error = 323221.0 Durbin-Watson statistic = 1.67531 The StatAdvisor The output shows the results of fitting a multiple linear regression model to describe the relationship between Registered Carrier Departures and 4 independent variables. The equation of the fitted model is Registered Carrier Departures = 1.17957E7 50451.8*GDP Growth % -541064.0*Inflation 36212.5*Oil Prices 547932.0*Unemployment % Since the P-value in the ANOVA table is less than 0.01, there is a statistically significant relationship between the variables at the 99% confidence level. The R-Squared statistic indicates that the model as fitted explains 85.973% of the variability in Registered Carrier Departures. The adjusted R-squared statistic, which is more suitable for comparing models with different numbers of independent variables, is 82.2325%. The standard error of the estimate shows the standard deviation of the residuals to be 478588.0. This value can be used to construct prediction limits for new observations by selecting the Reports option from the text menu. The mean absolute error (MAE) of 323221.0 is the average value of the residuals. The Durbin-Watson (DW) statistic tests the residuals to determine if there is any significant correlation based on the order in which they occur in your data file. Since the DW value is greater than 1.4, there is probably not any serious autocorrelation in the residuals. In determining whether the model can be simplified, notice that the highest P-value on the independent variables is 0.5959, belonging to unemployment. Since the P-value is greater or equal to 0.10, that term is not statistically significant at the 90% or higher confidence level. Consequently, you should consider removing GDP Growth % from the model. Regression Analysis Crude Oil Prices: H0: ÃŽÂ ² à ¢Ã¢â‚¬ °Ã‚ ¥ 0 HA: ÃŽÂ ² à ¢Ã¢â‚¬ °Ã‚ ¤ 0 ÃŽÂ ± =0.01, Çâ‚ ¬test statÇâ‚ ¬ > tc tc = 2.539 t-stat=5.4438 >2.539 Sign of t-stat is not the same as expected. We do not reject Ho as the coefficient of the crude oil prices is not coming out to be significant at 1% level of significance. GDP Growth %: H0: ÃŽÂ ² à ¢Ã¢â‚¬ °Ã‚ ¤ 0 HA: ÃŽÂ ² à ¢Ã¢â‚¬ °Ã‚ ¥ 0 ÃŽÂ ± =0.01 tc = 2.539 Çâ‚ ¬test statÇâ‚ ¬ Çâ‚ ¬o.541749Çâ‚ ¬ Sign of GDP Growth % is not the same as expected. We do not reject H0, as the GDP Growth is not coming out to be significant at 1% level of significance. Inflation % H0: ÃŽÂ ² à ¢Ã¢â‚¬ °Ã‚ ¥ 0 HA: ÃŽÂ ² à ¢Ã¢â‚¬ °Ã‚ ¤ 0 ÃŽÂ ± =0.01 tc = 2.539 Çâ‚ ¬test statÇâ‚ ¬ > tc Çâ‚ ¬-5.16555Çâ‚ ¬ > 2.539 Sign of tstat is the same as the expected sign of HA We reject H0, as annual inflation is coming out to be significant at 1 % level of signifance. Unemployment H0: ÃŽÂ ² à ¢Ã¢â‚¬ °Ã‚ ¥ 0 HA: ÃŽÂ ² à ¢Ã¢â‚¬ °Ã‚ ¤ 0 ÃŽÂ ± =0.01 tc = 2.539 Çâ‚ ¬test statÇâ‚ ¬ > tc Çâ‚ ¬-4.11141Çâ‚ ¬ > 2.539 Sign of tstat is the same as the expected sign of HA We reject H0 as unemployment rate % is coming out to be significant at 1 % level. Interpretation of the Variables: The no of registered carrier departure will be equal to 11795000, if all other independent variables are equal to zero. The Coefficient of the crude oil prices is coming to be positive, which is not true. This could be because of some unobserved factors that are causing positive biasness in crude oil prices variable. Crude Oil If crude oil prices will increase by $1 then the number registered carrier departures will increase by 36212.5, keeping all other variables constant. GDP growth % If GDP growth will go up by 1%, the no. of registered carrier departure will decrease by 504.518 departures, keeping all other variables constant. Inflation % If the inflation in the US economy will increase by 1%, then the number of registered carrier departures will decrease by 5410.64 number of flights, keeping all other variables constant. Unemployment rate % If the unemployment rate in the us economy will increase by 1 % the registered carrier will decrease by 5479.32 number of flights, keeping all other variables constant. R square The simpler commonly used measure of fit is the coefficient of determination, R2. The coefficient of determination is explained sum of squares to the total sum of squares. R2= The higher the R2, the closer the closer the estimated regression equation fits the sample data. Measures of this type are called goodness of fit measures. The goodness of fit explains the variation of Y around Ã…Â ¶. R-squared = 85.973 percent R-squared (adjusted for d.f.) = 82.2325 percent The R-squares of this regression is 85.973 percent which is really good. Conclusion The global financial crisis was triggered in 2007 8 mainly in developed countries like United States of America. After that the crisis entered in the European countries and after a few days the crisis just take the whole of the world under its impact. Almost all of the countries in the world got affected by this financial crisis directly or indirectly. This financial crisis was born due to the failure of the major financial institution of these developed countries. These financial institutions include banks like Lehman Brothers, Bear Steams and etc. These main financial institutions of the United States are the main reason behind the financial crisis. Te global financial crisis caused impacts on almost each and every industry of the world. The key businesses which were showing good positions and were experiencing good growth experienced negative growth because of the financial crisis. Also the consumer wealth faces the billions of dollars loss due to the financial crisis. That is wh y this global Financial Crisis is thought to be the worst financial crisis after the great Depression of twentieth century. As aviation is one of the most important pillars of the global economy of the world. And also this sector provides millions of jobs globally and contributed heavily in the global GDP. This sector is also the most important and the most efficient mode of transportation. It provides the transportation services all over the world. So as the global financial crisis which was born due to the failure of the major financial institutions caused the drastic impacts on the world economy. And as the aviation is the important part it also got affected heavily by the crisis. Due to which this aviation sector which is one the fastest growing industry has to face negative growth rate. . Also the aviation sector has to face huge losses. Some aviation companies was able to bare such huge losses but there is a big number of those aviation companies who do have capacity to bare such huge losses so they go bankrupt after the global financial crisis. Ethical Issue: Refusal of Treatment Ethical Issue: Refusal of Treatment Introduction The broad scope of nursing practice demands familiarity with the all of the ethical, professional and legal issues relating to clinical practice. The Nursing and Midwifery Council standards of conduct, performance and ethics require that nurses provide high standards of practice and have a duty of care to all patients (NMC 2007). This paper discusses the case of Alastair and explores the ethical, professional and legal issues which are of relevance to clinical nursing practice in this particular case. Ethical, professional and legal issues Autonomy is defined as the right to determine what happens to one’s own body. As stated by Mill (1982): â€Å"the only purpose for which power can be rightfully exercised over any member of a civilised community, against his will, is to prevent harm to others. His own good, either physical or moral, is not a sufficient warrant. He cannot rightfully be compelled to do or forbear because it will be better for him to do so, because it will make him happier, because, in the opinion of others to do so would be wise, or even right†. Every individual has a right to self-determination and patient autonomy forms part of that right and is protected by law (Hyland 2002). The principle of respect for autonomy forms a key component of nursing ethics (van Thiel and van Delden 2001). The nurse has an obligation to promote autonomy in the patient and work to empower the patient to make autonomous decisions where possible (Hewitt 2002). The Human Rights Act (1988) enables individuals to take action against a health authority that has failed to uphold their right to respect (OPSI 1998). Proot et al. (2002) described a study conducted in 27 health care providers from three different nursing homes, who were interviewed about autonomy issues relating to stroke patients in rehabilitation and nurses’ perceptions of patient autonomy. Study findings showed that self determination, independence and self care were all associated with the process of patients regaining their autonomy. In Alastair’s case, he was no longer independent and able to care for himself following his stroke, and had to rely on others for help with everyday activities. The nurse must therefore decide whether Alastair is capable of making a fully autonomous decision. If they believe this is not the case, they may be able to work with other members of the multidisciplinary care team to increase Alistair’s autonomy and empower him to make the best choices regarding his care. Advocacy forms an integral part of a nurse’s role and is a mandatory activity within the ethical code of all professional nurses. Advocacy involves a professional responsibility to support the patient’s needs and wishes through active involvement in a process of analysis, counselling, responding, shielding and whistle blowing (Hyland 2002; Vaartio et al. 2006). There is a therefore a relationship between nurse advocacy and patient autonomy (Hyland 2002). If nurses are to demonstrate paternalism and/or empower patients to make decisions regarding their care, they themselves must be empowered, particularly as nurses have increasingly greater accountability for their actions (Hewitt 2002; Christensen and Hewitt-Taylor 2006). The United Kingdom Central Council for Nursing Midwifery and Health Visiting states that â€Å"If the nurse does not feel that sufficient information has been given in terms readily understandable to the patient so as to enable him to make a truly informed decision, it is for her to state this opinion and seek to have the situation remedied † (UKCC 1989). It is also suggested that advocacy may place the nurse in situations of conflict, since there may be differences between nurse’s and doctor’s perceptions of autonomy at times (Mallik 2007). Supporting Alastair’s wishes and his decisions regarding his care requires the nurse to possess knowledge of his condition and the likely consequence s of discontinuing treatment. Through this empowerment, the nurse is ideally placed to educate and support Alistair in their role as advocate. Beneficence (doing good) is central to nursing philosophy, but achieving a balance between this and non-maleficence (avoiding harm) can present a challenge for nurses and the two principles may be viewed as separate ends of one continuum (Bartter 2001). In Alistair’s case, the nurse must consider the benefits and risks associated with treatment and with discontinuing treatment, and explain these to Alistair, thereby allowing him to make informed decisions. In situations where the patient is unable to make an autonomous decision, the nurse has a duty of beneficence to act in the patient’s best interests, while also respecting the patient as an individual. This would apply if Alistair was deemed not to be of sound mind and decisions regarding his treatment had to made by his care team. Veracity, or truth telling, is closely associated with informed decision making and is an important component of a trusting nurse-patient relationship. Veracity may present a dilemma for the nurse since there are times when telling the truth may cause harm to an individual (non-maleficence). Conversely there may be situations where telling a lie may actually do good (beneficence), although this goes against the principle of veracity (Ellis and Hartley 2003). The nurse has a duty to tell Alistair the truth about his condition and treatment to ensure that he is fully informed when making decisions regarding whether or not to continue with treatment/rehabilitation. Justice as fairness in nursing refers to the need for nurses to treat people equally, although this does not necessarily mean treating them in the same way (Staunton and Chiarella 2005). Nurses must acknowledge cultural, social and educational diversity and adopt appropriate strategies to achieve equal treatment for all patients. Clinical governance demands the provision of high-quality, patient-centred care and Alistair’s individual situation and specific health needs must be taken into account by the nurse during his care. All nurses, including those practicing within the community, have a duty to maintain confidentiality, although it should be acknowledged that there may be certain situations where confidentiality may be breached (Dimond 2000). Confidentiality is regarded as a critical component of good nursing care and reflects the professional responsibility of the nurse to respect a patient’s rights. The Data Protection Act 1998 also governs the protection of patients’ information (OPSI 1998). The nurse should therefore maintain Alistair’s confidentiality unless there is good reason not to do so. Consent to treatment is central to the nurse-patient relationship and it is the patient’s decision alone as to whether they accept or reject treatment. As nurses broaden their scope of practice, issues surrounding patient consent to treatment are becoming increasingly important (Anon 1997). It is a principle of UK law that a competent adult who has passes the Re C test may refuse treatment even if his life depends on it (Dimond 2004). The Court of Appeal has stated that provided the patient has the necessary mental capacity (assessed in relation to the decision that has to me made), they can refuse to give consent with or without a reason for doing so. In UK law, the court protects the right of the individual in this regard. This was illustrated in a case where the court ruled that â€Å"It is established that the principle of self-determination requires that respect must be given to the wishes of the patient, so that, if an adult patient of sound mind refuses, however unreasonably, to consent to treatment or care by which his life would or might be prolonged, the doctors responsible for his care must give effect to his wishes, eventhough they do not consider it to be in his best interests to do so† (Airedale NHS Trust v Bland [1993] AC 789). More recently was a case in which a woman paralysed from the neck down refused treatment in order to end her life. The woman was assessed to be of sound mind. The Court of Appeal ruling allowed a ventilator keeping the woman alive to be switched off, re-enforcing the duty of the healthcare professional to respect the wishes of a competed patient (Re B v NHS Trust [2002]). [Client: this case is similar to that of Alistair in that the patient was of sound mind and refused treatment. I was unable to find any cases relating to refusal of medical treatment in older adults of sound mind following stroke] In the case of Alistair, he initially was receiving medical treatment but took a subsequent decision to refuse further treatment. An assessment should be made to determine whether Alistair is of sound mind and is capable of making informed decisions regarding his care. If he is indeed competent, the nurse should work to promote Alistair’s autonomy through education and other methods, taking into account the ethical principles of beneficence and non-maleficence, veracity and justice, to ensure that he possesses adequate knowledge to make the best decisions on his care. At present, Alistair’s health is reasonably good; however, his decision not to continue with treatment and rehabilitation is likely to have a negative impact on his health and well-being in the longer term. Both of the case laws described above are applicable to the case of Alistair, since, should this case reach the Court of Appeal and he is assessed as competent, the judge is likely to rule that Alistair ’s wishes must be respected and his can continue to refuse treatment (based on the patient information provided in the scenario alone). Conclusions This paper has discussed the ethical, professional and legal issues relating to a specific patient case. It can be seen that these issues are inextricably linked and should all be taken into account in the provision of high-quality, patient-centred nursing care. In this case, self-determination, respecting the patient’s right to autonomy, and nurse advocacy are of particular importance, given that the patient is competent and capable of making informed decisions regarding his care. Other ethical principles including beneficence, non-maleficence, veracity and justice also play a key role in nurses’ ethical decision-making. References Anon 1997, ‘The legal and ethical implication of consent to nursing procedure’, British Journal of Nursing, vol. 6., no. 15, pp. 885–8. Airedale NHS Trust v Bland [1993] AC 789. Retrieved 30th November 2008 from:  http://www.bailii.org/uk/cases/UKHL/1992/5.html Bartter, K. 2001, Ethical issues in advanced nursing practice, Butterworth – Heinemann, Oxford. Christensen, M. Hewitt-Taylor, J. 2006, ‘Empowerment in nursing: paternalism or maternalism?’, British Journal of Nursing, vol. 15, no. 13, pp. 695–9. Dimond, B. 2000, ‘Legal issues arising in the community nursing 9: confidentiality’, British Journal of Community Nursing, vol. 5, no. 8, pp. 401–3. Dimond, B. 2004, Legal aspects of nursing, Longman, UK. Ellis, J. R. Hartley C. L. 2003, Nursing in today’s world: challenges, issues and trends, Lippincott, New York. Hewitt, J. 2002, ‘A critical review of the arguments debating the role of the nurse advocate’, Journal of Advanced Nursing, vol. 37, no. 5, pp. 439–45. Hyland, D. 2002, ‘An exploration of the relationship between patient autonomy and patient advocacy: implications for nursing practice’, Nursing Ethics, vol. 9, no. 5, pp. 472–82. Mill, J. S. 1982, On Liberty, Penguin, Harmondsworth, Nursing and Midwifery Council (NMC), The Code – standards of conduct, performance and ethics for nurses and midwives. Retrieved 30th November 2008 from:  http://www.nmc-uk.org/aFrameDisplay.aspx?DocumentID=3954 Mallik, M. 2007, ‘Advocacy in nursing – perceptions of practicing nurses’, Journal of Clinical Nursing, vol. 6, no. 4, pp. 303–13. Proot, I. M., Abu-Saad, H. H., van Oorsouw, G. G., Stevens, J. J. 2002, ‘Autonomy in stroke rehabilitation: the perceptions of care providers in nursing homes’, Nursing Ethics, vol. 9, no. 1, pp. 36–50. Office of Public Sector Information (OPSI) 1998, Human Rights Act 1988. Retrieved 30th November 2008 from:  http://www.opsi.gov.uk/ACTS/acts1998/ukpga_19980042_en_1 Office of Public Sector Information (OPSI) 1998. Data Protection Act 1998. Retrieved 30th November 2008 from:  1998  http://www.opsi.gov.uk/Acts/Acts1998/ukpga_19980029_en_1 Re B v NHS Trust 2002. Retrieved 30th November 2008 from:  http://www.ipsofactoj.com/international/2003/Part05/int2003(5)-005.htm Staunton, P. Chiarella, M. 2005, Nursing and the law, Elsevier Publishers, USA. Vaartio, H., Leino-Kilpi, H., Salantera, S., Suominen, T. 2006, ‘Nursing advocacy: how is it defined by patients and nurses, what does it involve and how is it experienced?’, Scandinavian Journal of Caring Sciences, vol. 20, no. 3, pp. 181–92. van Thiel, G. J. van Delden, J. J. 2001, ‘The principle of respect for autonomy in the case of nursing home residents’, Nursing Ethics, vol. 8, no. 5, pp. 419–31. UKCC 1989, Exercising accountability – a framework to assist nurses, midwives and health visitors to consider ethical aspects of professional practice. Retrieved 30th November from:  http://www.bristol-inquiry.org.uk/final_report/annex_a/chapter_17_7.htm#1029984

Wednesday, November 13, 2019

The Renaissance :: essays research papers

The Renaissance   Ã‚  Ã‚  Ã‚  Ã‚  The literal meaning of the word Renaissance is â€Å"rebirth.† This idea of rebirth definitely applies to the music of this period. The Renaissance followed the Middle Ages and spanned from 1400 to 1600. A central characteristic was the rebirth of humanism, which is a way of looking at our world, emphasizing the importance of human beings, their nature, and their place in the universe. One main purpose of the humanistic view was to educate pupils to be the â€Å"ideal gentleman† or â€Å"universal man† that was reminiscent of the Greco-Roman ideal.   Ã‚  Ã‚  Ã‚  Ã‚  During the Renaissance vocal music was more important than instrumental music, and composers during that period wrote music to enhance the meaning and emotion of the text. (Source: www.thinkquest.org) Renaissance composers often used word painting, a musical representation of specific human emotions. Word painting was used in the madrigal, which is a piece that matches the word of the song with a musical setting. For example if the text had words like â€Å"rising,† â€Å"flying,† or â€Å"soaring† then the music would be fast upward scales. (Source: Jeremy Yudkin â€Å"Understanding Music†) The most famous composer that wrote such madrigals was Giovanni Pierluigi da Palestrina.   Ã‚  Ã‚  Ã‚  Ã‚  Palestrina, according to most Renaissance scholars, was a master composer. He started out in 1554 performing Masses and sang in the Cappella Sistina. (Source: w3.rz-berlin.mpg) He was so famous that he was actually asked to rewrite the church’s main plainchant books, but had to follow the Council of Trent’s guidelines. His most famous Mass, Missa Papae Marcelli, was in fact in line with the Counter Reformation, which he always was. His conservative attitude towards making the Catholic polyphonic music helped composers down the line to create new music for the church. Even though the polyphonic texts invaded the church, most of the Ordinary of the Mass, which is the Kyrie eleison, Gloria, Credo, Sanctus, and Andus Dei stayed mostly in plainchant for at least some parts.   Ã‚  Ã‚  Ã‚  Ã‚  The Protestant Reformation actually helped the Catholic Church come to let the Mass become more active with polyphonic hymns. The musical boundaries were expanded because the invention of printing which led to a larger circulation of text. Even though the church grew towards easier hymns music still gradually move to a secular way of creating music. The whole Protestant Reformation started because the king of England and Martin Luther, the king wanted to divorce his first wife and the pope would not recognize this break of the marriage vow.