Research project part 4 Essay Example | Topics and Well Written Essays - 1000 words

Research project part 4 - Essay Example However, the challenges facing the implementation of the program included that nurses saw the program as an imposed program and the documentation required as a burden. Due to the difficulties facing the implementation of hourly rounding programs, this paper will explore the different variables that need to be checked, towards ensuring that hourly rounding offers solutions to the problem of patient falls. The processes and the structures used during the implementation of hourly rounding affect the success of the program. Unlike the traditional approach used, when implementing an hourly rounding program, the current one will engage and consult medical staffs and patients, who will offer their feedback regarding the impact of the program and the areas to be reviewed, so as to maximize the benefits of the program (Rondinelli et al. 326). The major indicators to be reviewed, in determining the effectiveness of the program, include increasing patient satisfaction, where patients feel that they are well cared for and the second major indicator will be the reduction in patient falls. More importantly, the feedback collected from patients and medical staffs will be used for the review and the repositioning of the structure, processes and the administration of the program, towards realizing the desired outcomes (Rondinelli et al. 326). The main difference of this hourly rounding program from others will be that the routinized approach will be abandoned, and flexibility will be maintained at all stages of program implementation. The implementation of the program will employ a person-centered approach to realize the anticipated changes; the person-centered approach will be instrumental in changing the cultural values of the care facility, so as to ensure the effectiveness of the program. The hourly rounding program will involve the medical personnel and also the leaders of the facility, where the cooperative effort of the two groups will be instrumental in

WASHINGTON CONSENSUS Essay Example | Topics and Well Written Essays - 1500 words

WASHINGTON CONSENSUS - Essay Example Only the annual budget of Nestle grew more than any African country under this globalisation of economy (Robert N. Gwynne and Cristbal Kay 1999). So the launch of these reforms in the name of structural adjusment programmes on the advice of IMF and world Bank there has attracted a lot of criticism in the thirld world countries. The policies that were originally formed to give a boost to the GNPs and GDPs of the least developed and developing countries in the world.But on the contrary in most of the economies these policy presciptions have played havoc with the unemployement and poverty due to the capitalism's tantacles wide spread from the first world in the poor countries. The major criticism has come from latin american and ex-soviet republics . They majorly see the capitalism as the main monster creeping in the world on the wheels of the multinalnal companies.Ultimately the buzzwords of globalization, capitalism, neo-liberal agenda and Washington Consensus became familiar and syno nymous to each other. People in the third world have been debating these terms ever since early 1950s. Most of them argue that there is an important sense in which disagreements on the character and consequences of capitalist ways of organizing economic life actually triggered the nineteenth century emergence of modern social science. This disagreement in the ex socialist and some Latin states stands at the center of the twentieth century political debate on how best to organize advanced industrial societies; and they remain main elements dividing capitalist societies, in former communist societies, and in whole of the under-developed... There is no denying the fact that the policy prescriptions under the Washington Consensus have widely been criticized from all around the world. This situation has basically arisen from immediate debacle of soviet republics and the transitional economies were not ready for reforms immediately. The Latin America, south Asia and Africa were not ready as yet. Those countries that blindly adopted these policies did not have a better taste of these policies. People reacted badly and results were not favorable politically. The economic reforms have to be adopted very prudently, slowly and gradually in all political wisdom by the leaders. But this is also a fact that free market economies are the order of the day. The WTO has at least now been setting favorable incentives for the least developed and underdeveloped world. The international competition cannot be beaten by mere agitation from the third world. The reform in the production process and compliance with the ISO certifications and i ntellectual property rights has to be complied with all the countries in the world equally. However the safety nets for the protection of poorest of the poor people have to be provided by the respective governments. It is still widely believed that growth in GDPs is not vastly trickling down to the poor segments of society. Corruption in the developing countries is rampant and rich elite is taking the advantages of new reforms. Poor have to be defended any way.