5 Nursing Leadership Styles You Need to Utilize as a Nurse

5 Nursing Leadership Styles You Need to Utilize as a Nurse If you work in the healthcare field, especially in nursing, your focus might (understandably) be on direct patient care and teamwork with other medical professionals to make sure that patients are getting that best care. But as a nurse, you’ve also got career goals for yourself, which likely include advancement and moving up the ranks through promotions and job changes. Whether you’re just starting out as a nurse of want to level up, it’s time to figure out what kind of nursing leadership style works for you as you get ready to take on more managerial roles throughout your career.According to the American Association of Nurse Assessment Coordination (AANAC), there are five main leadership categories into which nurses tend to fall. Let’s look at each one.1. Autocratic LeadershipAn autocratic nurse is The Boss, full stop. A nurse who leads using this management style makes all decisions and gives specific orders and directions to subordinates, and tends to d iscourage questions or dissent. There’s also a low tolerance for mistakes and the people who make them.When this style works best: For simple or straightforward tasks, or making sure that strict legal or medical guidelines are adhered to. It can also help in emergency situations, when there needs to be a strong voice giving direction.When this style doesn’t work so well: When a nurse manager wants to build trust and teamwork among other team members, or encourage creative problem solving.2. Laissez-Faire LeadershipThe laissez-faire nurse is the opposite of the autocratic nurse. In this style, the nurse provides no specific direction for team members, and adopts more of a hands-off approach to managing.When this style works best: When the nurse’s team is already experienced and self-directed, and doesn’t necessarily need a general giving orders.When this style doesn’t work so well: When specific decisions need to be made and implemented, or team mem bers are inexperienced.3. Democratic LeadershipThe democratic nurse manager takes input from subordinates, and encourages open communication. The decisionmaking ultimately with the manager, but stakeholders and team members are asked for honest feedback, and given feedback in return.When this style works best: When the nurse wants to build relationships with staff members based on trust and accountability, or when improving systems and processes is a priority.When this style doesn’t work so well: When a concrete decision needs to be made quickly, gathering feedback and testing the waters with team members isn’t necessarily helpful or feasible.4. Transformational LeadershipThe transformational (sometimes also called visionary) nurse manager is focused on the big picture (improved patient care, better systems and processes), and how to get there.When this style works best: When the workplace (in this case, a hospital, clinic, or other healthcare facility) is in need of b ig changes and improvements.When this style doesn’t work so well: When day-to-day decision making is required on small or specific issues.5. Servant LeadershipThe servant nurse leader focuses on team success via individual team members. Despite the meek-sounding name, this management style has been gaining popularity over the past few years. This leader targets team members’ needs, ensuring that they have the skills, relationships, and tools to achieve individual and group goals.When this style works best: When a team has diverse members with different tasks and responsibilities.When this style doesn’t work so well: When top-down decisions need to be made, or a group needs to follow collective directions.So which type of nurse leader are you, and what kind of leadership style works best for your job and your career goals? We’d love to hear how these management styles work for you.

Abrams Company Essay Essay Example

Abrams Company Essay Essay Example Abrams Company Essay Paper Abrams Company Essay Paper MANAGEMENT CONTROL SYSTEMS Lecturer : Supriyadi, Ph. D. Nama : Handy nugroho - No: 1157021 Case : Abrams Company Abrams’Company manufactured a wide variety of parts for use in automobiles, trucks, buses, and farm equipment. Abrams sold their product both to the OEMs and the wholesalers. top management is satisfied with their management systems and performance measurement scheme but they are three areas of concern that need to be discussed. * First, the transfer prices disagreements of parts sold by the product divisions to the AM division. Second, is in the product divisions too often tended to treat the AM division as a captive customer and in the performance measurement system. * Third, the excessive yearly inventory carried by both the AM division and the three product divisions. Strength The company has a clear management structure. The company has employed a bonus plan for employees. The AM Marketing division will input products form the other three divisions, and sell it to domestic and foreign market, it helps the company save cost when it input internal. Weaknesses Abrams’ business model weakness is that its divisions operate as independent companies. Furthermore, all of these profit centers, participate in an incentive compensation plan that the higher the participant is in the organizational hierarchy, the more â€Å"incentive points† he or she will receive based on division profit variance. The Abrams Company has three totally independent divisions, and the three divisions are lack of connection. The transactions between the three divisions dispute the transfer pricing. Case Analysis and Recommendation The Abrams case is about using profitability measures to evaluate profit centers. In EU companies it is more common to evaluate PCs with Income measures like RI and EVA. It is very difficult to find a relevant and fair capital base for the ROI measure. Abrams use book value for fixed assets which inflate the ROI measure as the assets age. The age and mix of assets also differs among divisions which give unfair measures. It is also easy for the divisions to manipulate the capital base at the end of the year. ROI based bonus may rob the future, who want to invest in assets if that reduce the bonus. Recommendation to this company was to use RI or EVA instead of ROI and to control the investments separately using NPV and capital turnover measures. The bonus should be based on the budgeted income level, the RI target. The current transfer price system seems to work well with few disputes. Market prices are more used as a top-level for the TP. An advantage with cost base TP is that it will give all internal partners full information about the cost structure and you will avoid â€Å"upstream fixed costs† The problem with the inventory level cannot be controlled with ROI management. If the company change to RI/EVA it will be possible to to negotiate relevant inventory levels in the budget process. High inventory levels can also be managed with differentiated capital charges that will create high interest costs. The best way to control operational tasks is to use nonfinancial measures such as inventory turnover. Use nonfinancial measures to control the inventory levels. If it is an strategic issue you can connect this measure to the bonus system. In general, Abrams Company adopts the lowest cost, differentiation, market focus and ROI strategies to accomplish the organization’s goal. Furthermore, In order to implement the strategies the firm establishes its own management control systems. Suggestions  to  performance measurement  system: 1) ROI can be used combination with other performance measures to avoid the limitations of ROI. The company can establish a non-financial performance measurement system such as the balanced scorecard . With a good performance measurement system, the incentive compensation plan will be improved. 2) EVA ( Economic value added) can be used instead of ROI Suggestions to transfer pricing : a transfer price fixed by the top management in compliance with the AM division and the other divisions involved which could be revised when it is out of date. This fixed price could be adjusted due to inflation. There should be an internal policy on it. Therefore, top management should implement a c ost-based transfer prices because when competitive prices are not available, transfer prices may be set on the basis of cost plus a profit markup.

Creative piece of writing and rationale Essay Example | Topics and Well Written Essays - 2000 words

Creative piece of writing and rationale - Essay Example Thus, realities of life give birth to the formation of literature. Looking into the history of the world at large, it becomes obvious that all human societies have worked for the preservation of their culture in the form of poetry, art, sculpture, drama, paintings and other forms of creativity. It is therefore ancient Greek philosophers and thinkers have discussed literature in their lectures and writings. Plato has also analysed literature critically with special focus on poesy. He has declared poetry as mere imitation of life, and a true literary genre presents the actual picture of patterns of life without concealing the bitter facts it maintains. Aristotle, in his renowned Poetics, views men mere objects of imitation. â€Å"Since the objects of imitation are men in action, he argues, and these men must be either of a higher or a lower type, it follows that we must represent men either as better than in real life, or as worse, or as they are. It is the same in painting.† (A ristotle: Poetics, Chapter 2) Poetry, drama, novel, fiction, prose, essay, short story and sonnets are the main literary genres, among which romance maintains the most significant place that has captured the attention of the readers especially during the modern and post modern times. Different scholars have defined the term romance differently. Usually romance is attributed to those pieces where both the theme and the events present the story in comparatively more glamorous and adventurous way. â€Å"Something grander†, Peck & Coyle view, â€Å"than the novel’s familiar concern with social issues is involved in the romance, because it suggest a search for some truth beyond that which we might encounter in ordinary experience.† (1989, p 118) Romance is especially attributed to English and American literatures, from where it has successfully completed its long excursion in a systematic and persistent way. â€Å"A romantic novel†, Wikipaedia

Discussion Questions Essay Example | Topics and Well Written Essays - 500 words - 5

Discussion Questions - Essay Example Money Eddie is a great performer in the team and is not required to be pushed or made to sit for performance review meetings often. A bonus pay- check in the middle of the month and an incentive plan in addition to tickets to watch a racing sport when he achieves something way above his team mates will go a long way in keeping Money Eddie motivated. Always Andrea - Her personality type according to 'Six Degrees' is a Careerist and a Lifestyler. Mainly because her personality reflects reliability and loyalty which are traits of an employee looking to get ahead in the corporate ladder. She is also a Lifestyler as she keeps to herself may be due to her commitment to family and wanting to spend more time personally or for herself. A good rating at the performance appraisal and a promotion that she can look at, down the line in the company along with an incentive pay structure can be a powerful way of motivating her. She is profile who can be counted upon and can rise to the occasion to help the team in crisis. Lovely Lupita - This employee conforms to the type of a 'Collegiality Seeker' her characteristics of being social and talking about her family.

Texas - Water Riparian Rights (years 1836-1986) Essay

Texas - Water Riparian Rights (years 1836-1986) - Essay Example The fragmented institutional structure of riparian water rights constituted obstacles to achieving an efficient and comprehensive water-resource management system, thus the development of a surface water permit system. A riparian area refers to an area that acts as an interface between land, and a stream or river; consequently, riparian water rights refers to the system of allocating water on the basis of riparian land ownership. The Riparian doctrine was introduce in Texas over 200 years ago by Hispanic settlers in San Antonio, Texas; the Hispanic practices and legal principles became the blue print from which land title was granted. During this time, and through the 19th Century, riparian land was granted and the benefits included the right of riparian land owners to take water from the streams and rivers for purposes of irrigation. This can be best demonstrated in the case of Motl v Boyd (1926); the case was about the rights of Hispanics to take water from streams for irrigation (Rio Grande). In this case, the Supreme Court of Texas decided that the owner of riparian land had the right to use riparian waters not only for household and domestic purposes, but for irrigation purposes as well (Hutc hins 517). Riparian rights were affected by a couple of artificial and natural challenges; first there was the question of what constituted a river bed, a section of the riparian zone that would be owned by the state. Secondly, there was the question of defining the rivers banks since the boundary was ever changing due to manmade or natural reasons. Effects such as erosion, accretion, avulsion, subsidence and dereliction resulted in the shifting of boundaries, reducing or increasing the state owned river bed and the private owned riparian land (Powell 7). In 1840, the state of Texas abolished the Spanish riparian doctrine and embraced the English riparian common law with a few exceptions from the doctrine; this was later

The element copper

The element copper Introduction Copper, elemental symbol Cu, is a transition d-block metal, and is the least reactive of the first row metals. Copper can have the oxidation states +1 and +2 and can form many complexes with various ligands. The Cu 2+ ion, at low concentrations, is an essential element to plant and animal life, and a human adult has a required daily intake of 3-5mg. [1] The richest nutritional sources of copper are; animal livers, shellfish, dried fruit, nuts and chocolate. [2] A human who lacks copper can develop a deficiency and in some cases this can result in anaemia, and Wilsons disease (copper accumulates in tissues which leads to neurological symptoms and liver disease). [1] A human adult contains roughly 100mg of copper, [1] most of which are attached to proteins and found in tissues, with high concentrations found in the liver and muscles. Eventhough copper is very useful, and required for a variety of process, for example; formation of haemocyanin (oxygen carrying proteins in molluscs), at high concentrations copper ions can be toxic and harmful. To avoid copper-induced toxicity most organisms use a combination of copper-regulated import inhibition and extraction of copper through specific export mechanisms. In mammals, copper is partially detoxified by sequestration in the metal- binding metallothioneins or export via the copper-translocating ATPases. [3] Use of copper in the human body and cells Copper has many roles in the human body and it plays a vital role in a range of chemical reactions that are essential to human health and development. Copper is distributed to several areas in the body so it can be used in various ways. Copper plays a major part in the conversion of iron to its useable Fe (III) form and also helps transport iron around the body. Copper is needed for the synthesis of collagen, a protein found in human skin, which maintains elasticity. [4] As a cofactor for the enzyme tyrosinase; copper is involved in the synthesis of the skin pigment melanin. Copper is also key for the development of the brain and nervous system as it plays a role in the production and maintenance of myelin, which insulates nerve cells thus ensuring the transmission of nerve impulses. Copper is also involved in the synthesis of neurotransmitters, chemicals that allow communication between nerve cells. [5] Within cells the generation of energy (ATP), inside the mitochondria, depends on the involvement of a copper-containing enzyme. [4] Another vital function for the copper as a cofactor is the neutralisation of free radicals that would otherwise oxidise and destroy healthy cells. [6] More specific examples; Cytochrome c oxidase The enzyme cytochrome c oxidase, a large transmembrane protein complex found in the mitochondrion, is the last enzyme in the respiratory electron transport chain. It contains two heme centres called cytochromes a and a3, as well as two copper atoms. The copper sites, CuA and CuB, are associated with cytochromes a and a3, respectively. CuA is liganded by two cysteines and two histidines (Fig 1.0). The heme of cytochrome a is liganded by imidazole rings of histidine residues. CuB and the iron atom of cytochrome a3 are located close to each other and this closely coupled pair of metal ions is referred to as a binuclear centre (Fig 1.1). [7] [8] The copper sites play a part in electron transfer by switching between the Cu- state and the Cu2+ state. Reduction of one oxygen molecule requires passage of four electrons through carriers. Electrons from cytochrome c are transferred to CuA sites and then passed to the heme iron of cytochrome a. The electron pathway continues as CuB accepts a single electron from cytochrome a. A second electron then reduces the iron centre to Fe2+, leading to the binding of O2 and the formation of a peroxy bridge between heme a3 and CuB. This amounts to the transfer of two electrons from the binuclear centre to the bound O2. The next step involves uptake of two H+ and a third electron, which leads to cleavage of the O-O bond and generation of Fe4+ at the heme. Uptake of a fourth e- facilitates formation of ferric hydroxide at the heme centre. In the final step of the cycle, protons from the mitochondrial matrix are accepted by the coordinated hydroxyl groups, and the resulting water molecules dissoc iate from the binuclear centre. [9] Summary reaction: 4 Fe2+ -cytochrome c + 8 H+ + O2 ? 4 Fe3+ -cytochrome c + 2 H2O + 4 H+ [7] Haemocyanin Hemocyanins are a type of respiratory protein in the form of metalloproteins containing two copper atoms. The deoxy-form of a haemocynin is colourless and contains Cu (I), while O2 binding results in the blue Cu (II) form. [10] Hemocyanins carry oxygen in the blood of some molluscs (e.g. snails, whelks) and some arthropods including crabs and lobsters. They are second only to haemoglobin in biological popularity of use in oxygen transport. Hemocyanins are found suspended in the hemolymph, and arent bound to blood cells like haemoglobin. [11] Contained within the metalloprotein are two neighbouring non-bonded Cu (I) centres, each of which is bound by three histidine residues. [11] Fig 1.2 shows the binding of oxygen in relation to the copper sites. Tyrosinase Tyrosinase is an enzyme, which contains copper, and is present in plant and animal tissues that catalyzes the production of melanin and other pigments from tyrosine. [12] The reaction includes the reduction of the copper by an o-dipfenol. This reaction is followed by reaction of the intermediate with dioxygen to yield a highly reactive intermediate complex that is broken down by the substrate to form water and the required product. [2] Catechol oxidase Catechol oxidase is a copper-containing enzyme whose activity is like that of tyrosinase. Catechol oxidase carries out the oxidation of phenols such as catechol, using dioxygen. In the presence of catechol, benzoquinone is formed (reaction below). [14] In this reaction hydrogens are removed from catechol and combine with oxygen to form a molecule of water. Superoxide Dismutase One of the most important enzymes involved in removing free radicals from the human body is superoxide dismutase (SOD). Its function is to defend and protect cells against molecular damage from oxygen. SOD is located in two places within the cells, the mitochondria and the cytoplasm. The SOD that is found in the mitochondria contains manganese, and the SOD found in the cytoplasm contains copper and zinc. [15] This enzyme catalyzes the dismutation, (a reaction involving a single substance but producing two products), [16] of superoxide into oxygen and hydrogen peroxide. For each two superoxides that are encountered by the SOD, one hydrogen peroxide is formed. One molecule of super oxide has their extra electron removed by SOD, and places it on the other super oxide molecule. [17] Therefore one ends up with one less electron, forming normal oxygen, and the other ends up with an extra electron. [15] The superoxide molecule, with the extra electron, then quickly picks up two hydrogen ion s to form hydrogen peroxide. Hydrogen peroxide is a dangerous compound, as it transforms easily into the reactive hydroxyl radical, so the cell uses the enzyme catalase to detoxify it, producing water and oxygen. [15] An example of a reaction of an SOD protein containing copper; Cu2 + SOD- + O2- Ã   Cu1 + SOD- +O2 Cu1 + SOD- +O2- +2H+ Ã   Cu2 + SOD + H202. In this reaction the oxidation state of the copper changes between +1 and +2. [15] Toxicity of copper At high concentrations copper can be toxic to the human body and to cells. Problems can also develop if the body doesnt have enough copper or the copper cant be efficiently used within the human body. [18] People can have three different copper imbalances, which can make a person; copper-toxic, copper-deficient, or develop a condition called biounavailable copper. People who are fast oxidisers need more copper in theirs bodies. Slow oxidisers often have excessive copper in their bodies, therefore more prone to copper imbalance. [18] Biounavailable copper refers to when copper is in excess in the body, but it cannot be utilized well. Biounavailability often occurs due to a deficiency of the copper-binding proteins, metallothionein. Without sufficient binding proteins, copper ions may flow around the body, where it may gather in the liver and brain. [18] Copper has certain places where it accumulates in the body referred to as target organs, these are, the liver first, then the brain. Copper may affect any organ or system of the body. However, it usually affects major systems and organs like; the nervous system, connective tissues such as hair, skin and nails and organs like the liver. [18] How do cells protect themselves against copper toxicity? Metallothioneins Figure 1Cells control the movement of copper across its membranes, maintaining the amount needed for biological functions while avoiding excess toxic levels. [19] Among the many factors required to achieve this equilibrium of highly toxic levels and the amount needed, are the metallochaperones, a family of proteins that transfers metal ions to specific intracellular locations where metalloenzymes bind to the metal ions and use them as cofactors to carry out essential biochemical reactions. [9] Knowledge of the transportation of copper to its final destination has increased with the identification of two proteins involved in Cu trafficking in yeast: Atx1 and Cox17. [20] The uptake of Cu in yeast starts with reduction by a plasma membrane reductase. The reduced copper is then transported across the membrane by the Cu transporter Ctrl. Three different proteins transport Cu from Ctrl to three different locations within the cell: Cox17, takes Cu to the mitochondria for incorporation into the cytochrome c oxidase (Sco); Ccs targets Cu to CuZnSOD, a primary antioxidant enzyme; and Atx1 directs Cu to a post-Golgi compartment, by way of Ccc2, a P-type ATPase transmembrane Cu transporter, for final insertion into Fet3, a multicopper oxidase. [20] The Cu transport mechanisms described, in figure 1.4, are active when concentrations of copper are low, and some arent used/ needed when the concentration of copper is very high in the medium. Therefore, yeast strains missing the gene for C ox17 cannot respire in normal growth media because CCO is Cu deficient, but are rescued when the medium is made 0.4% CuSO4. [20] Increasing the Cu concentration in the medium means Cu can be delivered to the Fet3 oxidase in yeast strains missing the gene for Atx1. These results show that Cox17 or Atx1 is required for proper Cu trafficking when Cu levels are high and that their presence is not required to detoxify Cu. [9] Cu-ATPases ATPase pumps are involved in the movement and translocation of ions (Na+, K+), and a variety of metal ions such as copper. The pumps that translocate metal ions are referred to as P-type ATPases. These Ptype ATPases, including the copper ATPases, are highly conserved from bacteria to humans. The Menkes ATPase translocase (MNK) is largely involved in the transfer and detoxification, of copper ions. Defects in this P-type pump lead to a fatal copper-deficiency disease in humans called Menkes syndrome. MNKs activity appears to be regulated by the metal it exports, copper. The composition and sequence of the metal binding domain of the Menkes ATPase (MNKr) is distinct from metallothioneins, which have major folds organized or stabilized by Cu (I) ions. The Menkes protein functions to export excess copper and is reversibly metalloregulated through the specialized copper-binding sites in the amino end of the protein. The metalloregulation couples the cellular export of copper to the intrac ellular concentration of copper ions. [3] Conclusion As seen in this report copper is very useful and needed in the body for a variety of different reactions and functions. Its a key part of many enzymes such as; cytochrome c oxidase, Tyrosinase, Catechol oxidase and superoxide dismutase. Therefore copper is a key role in the formation of cellular energy (ATP), using cytochrome c oxidase in the electron transport chain. Copper also plays a key role in the production of myelin and neurotransmitters and therefore is essential in the development of the nervous system. Another way in which copper has been proven to be important in the human body is in the production of melanin and collagen, essential proteins in the skin. However this report has shown that at high levels copper can be toxic and can cause problems within the human body. Copper can accumulate within vital organs and affect and damage major systems. To tackle this problem of accumulation cells contain unique proteins within their membranes that help regulate and remove copper, from inside the cell, if the levels are becoming excessive. These proteins are called metallothioneins and have specific binding sites for copper atoms (and other mineral/metals) to attach to. The mechanism, of the uptake and removal, is complicated and involves the transfer of copper ions between certain proteins along three different pathways. These methods are outlined in this report. References Chemistry of the Elements 2nd Edition, N N Greenwood and A Earnshaw, Butterworth Heinemann Biological Roles of Copper, Ciba Foundation Symposium 79 (new series) 1980 www.ajcn.org http://resources.schoolscience.co.uk www.anyvitamins.com/copper www.vitamins-nutrution.org http://en.wikipedia.org/wiki/Cytochrome_c_oxidase http://metallo.scripps.edu www.jbc.org www.hull.ac.uk/chemistry/bioinorganic http://en.wikipedia.org/wiki/Hemocyanin http://en.wikipedia.org/wiki/Tyrosinase www.science-projects.com/Tyrosinase.htm http://en.wikipedia.org/wiki/Catechol_oxidase www.whyweage.com www.mondofacto.com www.rcsb.org www.drlwilson.com/articles/copper_toxicity_syndrome.htm Science Magazine 1999, Volume 284, pages 748-749 Science Magazine 1997, volume 278, pages 817-818

Jesus Role as Reigning King :: essays research papers

Emphasizing Jesus Role as Reigning King page 277 3 & 4 In ANCIENT TIMES . . . must ACTIVIETY AND FAN FAIR was done in the CARINATION of kings, and they were given GREAT HONOR AND LOYALTY by the people Why because a KING of a nation had ultimate POWER AND RULERSHIP. What a KING said or WANTED done . . there were NO questions asked. The MORE LOYALTY that the people had for their KING the greater his kingdom would become. And If the KING also had Jehovah’s DIVINE BACKING, there was nothing he could NOT ACCOMPLISH. Although EARTHLY KINGS . . . lived and died . . . they were also IMPERFECT and MADE MISTAKES. But, . . . Jehovah God . . . would though . . . .ESTABLISH a RULERSHIP with a PERFECT KING who would live forever AND NEVER DIE. This INFORMATION was revived to Mary the EARTHLY MOTHER of the future king. Open your bible to Luke 1: 30 – 33. and Lets see how this was told to her. Even BEFORE this conversation between the angel and Mary took place it had be PROPHECY years ago about this KINGSHIP. Opens bibles to Daniel 7: 13, & 14. When Jesus was on EARTH and BEFORE his death . . . it was FIRMLY established by his disciples that he was the Son of God . . . and would be the KING of God’s kingdom. That is why the people said . . at Luke 19: 38 â€Å" BLESSED IS THE ONE COMING AS THE KING . . .IN JEHOVAH’S NAME. â€Å" Jehovah has GREAT LOVE for his son, who OFFERED HIMSELF up to die a PAINFUL AND SHAMEFUL death, on a torture stake. This was NOT . . . JUST ANOTHER DEATH. . . . . God Son DIED in behalf of mankind. So ACTIVE FAITH and BELIEF in the LIFE AND DEATH of God’s Son would divide those whose would RECEIVE everlasting LIFE and those who would not. As PREACHERS AND TEACHERS of God’s word . . .it IMPORTANT That we BUILD appreciation TO THOSE WE TALK TO. . . for what Jesus’ LIFE AND RULERSHIP truly means for mankind. And it will REFLECT in the way a person lives their lives. To BEGIN with . . . OUR OWN WAY OF LIFE . . . shows whether we REALLY BELIEVE that Jesus Christ is King and we are WILLINGLY submit to his rulership.