Pre-determined programme Essay Example for Free

Pre-determined programme Essay The relationship formed by nursing professionals with those who utilized healthcare services goes a long way in determining how satisfactory the users are. The nurses are in direct contact with patients and users of healthcare services, more often than the doctors are. They carry out the administration of drugs prescribed by doctors and go the whole length of checking the condition of the patients and acting as an intermediary between the doctor and the patients. Thus, this prominent role goes a long way to determine the level of satisfaction that is derived by users of healthcare services. It is argued that it is nature that cure not the administration of medicine; medicine gives relief and leaves the curative process for nature to handle. Nurses tend to handle patients and be close to them to help the curative process through nature to take place. According to Mckenna (1997), â€Å"Nurses could be actively involved in this process of putting the patients in the best condition for nature to act upon him if given appropriate training†. With the aid of the service users, nurses would be able to perform more effectively in the professional duties of assisting patients to be in the right condition for the curative process to take place through nature. Effective participation in healthcare service requires looking beyond national institutions to enhancing the capacities of citizens to influence supranational, as well as national policy on health. Croft Beresford (1996), point out a more radical version of people’s participation, one that would go beyond the more paternalistic versions of welfare state and the narrow consumerist approaches to users involvement. â€Å"Growing from the struggles of the disability rights movement and others, this approach began to talk about participation not only in terms of having a say and being involved in the delivery of existing programmes, but also about more active participation in provisioning and in policy formulation. This approach sees the users as having fundamental claims to civil rights rather than being subjected to the discretion of the social service producer. In recent times, there has been a convergence of concern with citizen engagement in policy formulation and implementation and with good governance, broadening political participation to include a search for new, more direct, ways through which citizens may influence governments and hold them accountable (Gaventa Valderama, 1999). During the late 1960s, and the 1970s, there was a growing demand in many parts of the world for citizens to be involve in decision-making processes which affected their lives, including in the social policy arena. The form of participation that emerged focused largely on establishing, consultative mechanisms, often in the form of user committees. The spread of this new approach was rapid and far-reaching. Citizens became involve in thousands of community health councils, parents committees in schools, tenant councils, and countless other beneficiary committees. (Cornwall Gaventa, 1999:5) By participating in decision, making pertaining to the provision of social services citizens uses this medium as an avenue to seek accountability from those representing them in a democratic government. By seeing themselves as actors rather than simply passive beneficiaries, user group may be more able to assist their citizenship in a third sense through seeking greater accountability from service providers. One form of greater accountability is through increased dialogue and consultation of its leaders with forum of user involvement. In this avenue, questions can be raised to the extent to which any group is being marginalized and ways to articulate their concerns and this will determine the form that the dialogue takes (ibid: 10). According to Gaventa Valderama (1999), increasingly discussion of governance and accountability focus on forms of broader interaction of public and private social actors, especially at the local level. Citizen participation in this sense involves direct ways in which citizens influence and exercise control in governance, not only through the more traditional forms of indirect representation Citizen participation in service delivery in healthcare has increasingly been used to enable citizens to express their concerns more directly to those with the power to influence the policy process. â€Å"While a number of participatory methods focus on enhancing direct participation of citizens in the governance process, others are focusing on maintaining accountability of elected officials and government agencies to the citizenry, through new forms of citizen monitoring and evaluating† (Cornwall Gaventa, 1999) Citizenship participation in decision of healthcare service avail them the opportunity in demanding and negotiating directly with government for greater performance and accountability other than they relying on self-provisioning through civil society. â€Å"Through such participation, users of services can potentially shape social policy not only as beneficiaries or consumers in pre-determined programmes, but as citizens exercising rights of agency, voice and participation (ibid: 18).

The Progressive Era?s influence on the New Deal Essay example -- essay

The accomplishments taken place upon the onset of the many New Deal legislations owe much to the seeds implanted and unknowingly disseminated by the pre-WWI Progressive movement. Sparked by the new image as a world power, industrialization, and immigration at the dawn of the new century, a new found reform movement gripped the nation. With the new found image of the nation and world as a whole, the reforms advanced the position of the previously ignored people of the nation, as did its reincarnation and rebirth apparent in the New Deal. Although the first signs of this pristine Progressive movement shone since the mid-1800s, no one had cleared the way for its momentous effect upon the nation in the same degree as Theodore Roosevelt. Although at times hot-tempered and brash, his charismatic attitude pushed forward many of the original progressive legislations. For example, his Sherman Anti-Trust Act proposed the life of a trust should be based on its history and actions, since he believed â€Å"good† trusts existed along with â€Å"bad† ones. Next, the Elkins Act proposed railroads and shippers to offer rebates illegal. They also had to have fixed rates, and couldn’t change without notice. Also, the Hepburn Act gave ICC the power to set maximum railroad rates. Next, of course because of the impetus for reform provided by the many socialist writers, such as Upton Sinclair, was the landmark Pure Food and Drug Act and the Meat Inspection Act, protecting the health and safety of consumable products a nd establishing the Food and Drug Administration. He also wished to preserve the untainted countryside, and established the National Forest Service and also strengthened the Forest Bureau. He also passed the Newlands Act which helped to create subsidies for irrigation in 16 western states. The actions taken by Theodore Roosevelt proved to throw the Progressive movement into the mainstream of the nation, showing its true, ingenuous face. When Theodore Roosevelt’s successor, William Howard Taft, failed to continue Roosevelt’s ongoing charismatic progressivism, both were bested by the newcomer, Woodrow Wilson. Although not receiving a majority in the vote, he, nonetheless, knew the country still ached for the progressivism it jubilantly basked in for so many years, which he called his "New Freedom." Immediately, Wilson went to work on what ... ...r labor issues of all ages, all fronts were attacked with full pride and confidence. Abandoned or diverted projects in the Progressive movement included many other reform issues that were reinstated during the New Deal. During the New Deal, legislations passed greatly improved the stature of many people who suffered great injustice prior to the Depression and especially during. The Progressive movement, at one time led by Woodrow Wilson and his crusade â€Å"triple wall of privilege,† compares directly to Roosevelt and his â€Å"three R’s,† both crusading for justice against the ignorance and deception taking place against the ordinary man. These everlasting accomplishments to improve the nation were all completed by the determination and perseverance of the reform groups of the Progressive era, which lay the groundwork for the New Deal, and Franklin Roosevelt, providing a resurgence for what the Progressive movement couldn’t accomplish. Resources: 1. http://www.geocities.com/dave_enrich/ctd/3p.roosevelt.html 2. http://www.socialstudieshelp.com/USRA_Progressive_Presidents.htm 3. American Pageant text

Impact of communities of value on growth of information technology

Communities of value may be defined as huge networks between individuals bearing similar interest in value. It is often used about and within groupings in which customers, consumers, and concerned stakeholders are dynamically networking with each other about a given product, service, or brand. Organizations which still adore ancient ways of doing business loathe hearing that individuals are sharing information within themselves. Such firms prefer ‘talking’ more than online communication.Basically, organizations that enjoy fooling consumers will attempt to sabotage and drain any attempt of sharing information within a given socio-economic community of value. It is certain that such companies have to change and embrace information technology fully otherwise they have no option other than to close doors. There are various communities of value. Examples of these communities include; eBay, Napster, Linux, PHP, MySQL, Amazon, Double-Click, Akamai among others. Such communities form by themselves and are found all over the world, wherever online forums are available and regardless of whether concerned companies participate or not.Impact on growth of information technology Communities of value rely on advanced technology. This calls for overhaul of entire information technology. As the communities of value grow both in nature and complexity IT capability is also stretched. Thus need for growth in this industry. Various communities of value need diverse IT options. To tap the collective knowledge of entire network and address common interest of members of these communities calls for innovation in the IT industry. For example, just the other day Web 2. 0 technology developed options that allowed members to connect in ways that were not possible before.Various groups with common interest and value are able to join networks and get involved depending on favored interest. Through advanced IT organizations are able to harness collective value of consumers thus e nhancing customer relationship. In conclusion, communities of value keep on increasing and extending across socio-economic boundaries. Growth of these communities brings in technological demands which can only be addressed through reengineering IT industry. Pressure from communities of value leaves the IT field with one option-dynamic growth.

Essay about Jack - Dynamic Character in Lord of the Flies

Lord of the Flies, written by William Golding, has four very important dynamic characters. A dynamic character is a character that develops and grows during the course of the story. Ralph, Jack, Piggy, and Simon are four dynamic characters in Lord of the Flies that adapt to their new lifestyles in different ways. Jack is a very important dynamic character in Lord of the Flies because he goes through the most changes during the novel. While on the island, Jack has many life experiences that change him forever. Jack never thought he would live his life the way he is living his life in the island. Jack’s authoritative figure, savage-like/instinctual behavior, and violence are three qualities that make Jack a dynamic character. Jack’s†¦show more content†¦Jack says they will hunt it. This is how Jack’s authoritative figure shows he is a dynamic character in the beginning of the novel. In the middle of Lord of the Flies, Jack’s savage-like/insti nctual behavior is another example of how he is a dynamic character. Jack is savage-like because, at first, Jack thinks everything is fun, but soon realizes it is not fun anymore and wants to leave the island. Jack’s main goal throughout most of the novel is to kill a pig. Jack is put in charge of maintaining the signal fire. After a while, Jack becomes distracted and goes off hunting where he forgets about the signal fire and lets it go out. Soon after, Ralph sees the fire has gone out and is very angry with Jack because there was a ship that passed them that could have rescued them if there was a fire. Also, after Jack forms his tribe, they also need to build a fire, so they steal wood from Ralph’s fire. The second time Jack goes hunting, he kills a sow, which is a female pig. Next, Jack and his tribe cook the pig and hang the pigs head on a stick for the beast. The pig’s head on a stick is a symbol of evil among the boys. This is how Jack’s s avage-like/instinctual behavior shows he is a dynamic character in the beginning of the novel. Violence begins to emerge in Jack at the end of the novel. This is the last quality that shows Jack is a dynamic character. By the end of the book, Jack has become a murderer. Not onlyShow MoreRelatedLord Of The Flies : Representation Of Violence And War1611 Words   |  7 PagesLord Of The Flies: Representation Of Violence and War Dietrich Bonhoeffer, a German theologian, states that â€Å" The ultimate test of a moral society is the kind of world that it leaves to its children.† In William Golding’s Lord Of The Flies, societal topics run rampant throughout the text with Golding’s use of individuals to represent different aspects of society. Many writers view the Lord Of The Flies as an allegory, as societal topics such as politics make appearances throughout the text. InRead MoreTheme Of Lord Of The Flies And The Guide Essay1407 Words   |  6 PagesMD. 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