Consultation Skills In Relation To Non Medical Prescribing Nursing Essay

Consultation Skills In Relation To Non Medical Prescribing Nursing Essay To illustrate this I will utilise the model of reflection adapted from (Boud, Keogh and Walker 1985) as to focus on influences on prescribing, psychology of prescribing working through the consultation, decision-making and therapy, and referral. Being present in the consultation as a non-medical prescriber challenged me to ask questions about my own practice and the consultant psychiatrist, focussing on how we arrived at our decisions and occasionally resulting in contrasting views. According to (Butler et al 1998) many authorities advise that the prime skills associated with the prescribing process are: Adequate exploration of the patients worries Adequate provision of information to the patient regarding the natural processes of the disease being treated The advisability of self-medication in trivial illness The issue pertaining to poor communication has a negative impact with patient-practitioner relationship and was acknowledged in an informative paper by (Britten et al 2000). Ultimately, all of the failures of communication were linked with an absence of the patients involvement during the consultation process. There is evidence that failure to actively engage in, or even consider, the patients perspective is a common failing amongst prescribers. (Britten et al 2000). Very often there is a focus on the term compliance and it is only recently that nurses are focussing on the more apt term of concordance. The term compliance was viewed as being authority laden (Marinker 1997) where it was expected that patients complied implicitly and without question when a prescription was given. There was little acceptance that patients would actively participate in the decision making process that surrounded the generation of the prescription. (Cox et al. 2002) Objective recognition of the patients perspectives, requirements and beliefs need to be acknowledged and then the recognition of any major differences between these and the prescribers needs could be perceived when providing nursing care. It is not just the act of writing out the prescription that is important, but it is the understanding of the processes and dynamics of the interactions that are taking place between prescriber and patient that are the fundamental key to good prescribing practice (Kuhse et al 2001). The consultation I chose to focus on was carried out by a consultant psychiatrist who for the purposes of this work shall be known as DR S, with myself as an observer of the consultation. The patient to be seen was a 45 year old gentleman who will be known for the purposes of this work as Mr A, who had been referred by dermatology to the mental health out-patients clinic as a new patient. Dermatology had referred this gentleman after a 12 month history of attending their department where Mr A had complained of persistent generalised skin irritation, and despite receiving treatment with them it appeared he may have an underlying mental health issue. Dr S began the interview by thoroughly reading the referral from dermatology and establishing what had been the concern from their point of view. The patient was then seen and before Dr S had chance to ask the patient anything Mr A expressed that he was confused as to why he had been referred to the mental health department, and not dermatology, which he perceived his medical complaint to be related to. The British Medical Journal (2000) has recognised a common theme amongst studies of patients in that they have a tendency to prefer prescribers (doctors or nurses) who listen and provide time for the individual to express their concerns without feeling hurried Dr S asked Mr A why he had been attending Dermatology to which Mr A detailed a 12 month history of describing an itchy scalp, generalised skin irritation and said no treatment had so far helped him. Mr A then went on to express that he felt all of these symptoms may be due to a parasite, or a bug which was doing something to him, and described a feeling of the bug weaving something on his face which enveloped his eyes. Other symptoms he described was that this bug or parasite was all the time making him feel thirsty and taking moisture from his body, and could somehow transpose itself to other people, including his own GP and friends describing like a magnetic type effect. From this initial information it was evident that Mr A was suffering from a delusional disorder which was quite systemised and concrete and Mr A appeared not to display any other symptoms of mental health. A diagnosis of parasitosis delusional disorder was made. It was clear Mr A needed treatment but the main factor to consider was that Mr A did not believe he any form of mental disorder and therefore there was a real issue surrounding concordance with proposed treatment. Usually, it is difficult to obtain informed consent to treat patients with delusional parasitosis with antipsychotics. Therefore experienced clinicians tell their patients that the antipsychotics are effective `against the itch or the `problems with the pests in order not to have to lie. (Musalek, 1991; Driscoll et al, 1993; Winsten, 1997; Freudenmann, 2002). This is due to the patients level of insight hindering their decision to accept treatment, because they hold a non-reality based idea that it is a somatic illness. It is therefore found that the patient will normally have sought help from their G.P., dermatologists and will often be adverse to the idea of seeing a mental health professional A full medical history was taken, looking at any familial medical problems, family composition and looking at the social aspects of MR A to include areas of employment, relationships, and any drug/alcohol usage. There have been some criticisms of the education of nurse prescribing in relation to the communication skills of nurses, where it is felt that historically there has been too much of a focus on taking a history and coming to a diagnosis. It was apparent to me that Dr S had to use his skill as an experienced mental health clinician to challenge Mr As concept of his illness not being related to a problem with his mental health Dr A approached the issue of explaining Mr A symptoms, not referring to mental health or delusions, but explaining Mr As perceived   symptoms by informing him that although he believed that these experiences were real to MR A , that his brain was interpreting false signals resulting in these unusual thoughts. Dr A went on to use the analogy of an amputee who perceives that he can still feel is amputated leg, through false interpretations of the brain. Drew et al. (2001). found that prescribers would emphasise the positive benefits of the medication far more frequently than they would discuss the risks and precautions, despite the fact that the patients perception was that such a discussion is seen as essential. Therefore looking at this, this could lead to patient confusion, with patient anxieties, and a degree of ambivalence to medication being offered to them. It is transparent that if there is a degree of empathic display between that of the patient and the prescriber, there is a greater chance of concordance. This will hopefully lead to an increased level of compliance/concordance and patient satisfaction resulting in desired clinical results Here we face the issue surrounding honesty, integrity, consent and acting in the best interest of the patients in focussing on treatment The issue of treatment was then discussed by Dr A, who said to Mr S that he believed he could help him by prescribing some medication for him that would help relive the distressing symptoms he was experiencing. Mr A initially expressed some confusion once more why he was not seeing dermatology as he perceived the problem needed treating by them This indicates that Mr S was still not displaying any insight and the questions of concordance issues were reconsidered. The National Institute for Clinical Excellence (NICE 2002) recommends that a risk assessment should be performed by the mental health clinician responsible for treatment and the multidisciplinary team regarding concordance with medication, and depot preparations should be prescribed when appropriate. Mr A questioned the proposed medication and it was explained to him that he would be given a course of Neuroleptic medication of a new medication called Aripiprazole. Dr A said that although the medication leaflet would mention the medication was used for Schizophrenia, that Mr A should not be too worried about that as that was not the reason why he would be taking it. Dr A then went on to say that the leaflet would also explain possible side-effects and that although it listed quite a few they were quite rare. The paper by (Cox et al.2000) found that it was common practice for prescribers to initiate the discussions about just what medication they were going to prescribe, rarely refer to the medicine by name and equally rarely refer to how a newly prescribed medication is perceived to differ in either action or purpose, to those previously prescribed. Patient understanding is rarely checked as it is usually assumed after the prescriber has given the prescription. Even when invited to do so, patients seldom take the opportunity to ask questions. (Cox et al 2000) I felt it was the right thing to initiate pharmacological treatment, although on reading further research surrounding the best treatment for Parisitosis I would question the choice of medication Mr A was commenced on However, after spending many clinical hours with this particular Consultant Psychiatrist, I am aware that he has high tendency of prescribing Aripiprazole for the majority of his clients. On questioning Dr A about his decision for choice of medication, Dr A commented that it is the newest and most effective of the atypical medications with lesser incidence of side effect relative to other medications in its group.   I had to question myself that there may be other factors influencing in the prescribing decision which were not based on any of the NICE guidance or that of the British Journal of Psychiatry. In fact, Dr A replied to me with medical jargon relating to molecular structures of both the brain and chemical make-up of Aripiprazole which was hard to follow due to its complexity. I was conscious that as a consultant psychiatrist of many years experience, I was not sure of the honesty or consequences if I had challenged Dr A about his continued choice of Aripiprazole against other choices of medication any further. After researching treatment for this disorder, I felt that the initiation of a typical antipsychotic should have seriously been considered due to its proven faster working efficacy. However, it is known that typical antipsychotics have an increased prevalence of side-effects. Therefore I had considered the preliminary use of typical antipsychotics to establish a degree of insight into the beneficence of taking medication, and if it was felt that further pharmacological treatment is required then switch to a typical antipsychotic as recommended by the NICE guidelines. An article in the British Journal of Psychiatry (2007) highlighted that delusional parasitosis has shown significant treatment results with the use of typical antipsychotics. (Traberts 1995) found that the introduction of typical antipsychotics has substantially improved remission rates (Frithz 1979) described another important treatment in delusional parasitosis is to consider typical anti-psychotic depot medication. This was suggested, as was earlier highlighted that one of the main stumbling blocks is a lack of insight that causes patients t be reluctant to accept oral medication. However, the administration of medication in injection form might be viewed by the patient as the answer to their somatic perception of their illness. It would be hoped that the injection would lead to a degree of insight where the patient may be more open to accept regular medication At the end of the consultation the patient Mr A agreed to take the medication as prescribed and was offered a further out-patients appointment in 2 weeks time. Ultimately, I accept a clear indication for medication, and in conjunction with this at a later stage this could be combined with some cognitive behavioural therapy should symptoms persist. Clinical Governance plays an important part in relation to prescribing., and in particular for non-medical prescribers role .(Bradley E and Nolan P 2005) state that training courses must remain up-to-date and flexible and must change in response to changes in government policy on non-medical prescribing, with nurse prescribing leads being involved in any discussion about course development.

Ethical Dilemma in Hrm

A business can only be sustainable for long term, if it’s practicing ethically. Sustainable businesses are those businesses which are able to make profit for its share holder and provide good employment opportunities for its staff. Similarly sustainable businesses are ones which pay taxes to governments of countries in which it exist. Beside this sustainable businesses are also responsible to contribute to community in which operate. In a perfect world, businesses and their employees would always do the right thing. Unfortunately, in the real world, ethical dilemmas are a common occurrence in the workplace.According to the Merriam Webster Dictionary, dilemmas are situations or problems where a person has to make a difficult choice; an ethical dilemma is a problem where a person has to choose between a moral and an immoral act. Employees must deal with pressures to perform and help the company succeed as well as personal temptations to take the easy way out. In the end, workers will likely face many dilemmas in their careers; companies should provide training and information to assist them in making the right decision. Nike  has been accused of using  child labor  in the production of its soccer balls in  Pakistan. Read also â€Å"Glengarry Glen Ross†Ã‚   by David MametThis case study will examine the claims and describe the industry and its impact on laborers and their working conditions. While Pakistan has laws against child labor and slavery, the government has taken very little action to combat it. Only a boycott by the United States and other nations will have any impact on slavery and child-based industries. Futhermore the U. S constitution states that child labor is an illegal and inhumane practice and any U. S. company found guilty practicing and encouraging it will be prosecuted.GATT and WTO prohibits member nations, like the United States, from discriminating against the importation of goods made by children. Are dolphins becoming more important than children? A question making WTO to reconsider the children's appeal of the third world. akistan has a per-capita income of $1,900 per year -meaning that a typical person survives barely on $5 per day. And that's nonot all, Pakistan has a traditional culture where earning of one person goes on feeding 10 mouths; and with the high rate of inflation it becomes difficult for a low income population to survive.Child labor is spread all over Pakistan but has the greatest impact in the north-west of punjab province, that is Sialkot. Pakistan   has a population of approximately 1 million and is an important centre for the production of goods for export to international markets, particularly sporting goods. In 1994,   exports from Sialkot brought income of almost US$ 385 million into the Pakistan economy. Sialkot is thus one of the world’s most important centres for production of sporting goods. Child labor exists in Sialkot both in the export sector and the domestic sector.This fact has been well documented and reported by the international media for several years but nothing has been done about it. In Pakistan it is clearly documented that child labor is against the law, but the government carries lack of willingness to do anything about it. Provision for education is very limited, due to the fact that very low priority is given to education in the national budgets. Education receives around 3% of the total gross domestic product when compared to over ten times of this amount spent on military.Gender and other forms of discrmination plus adding to the lack of political will, gives the clear picture of the existence of child labor in Pakistan. ecently if you go to a shop to buy your child a new soccer ball. There is a good possibility that the ball has been made by someone your child's age or even younger. About half of the world's soccer ball are made in Pakistan, and each one of them passes through a process of production where child labor is involved. This problem not only pertains to Pakistan but is worldwide. More than 200 children, some as young as 4 and 5 years of age, are involved in the production line.Majority of these children work in Asia, e. g in the nations of India, Pa kistan, Bangladesh and Indonesia. Nike is characterized of making its equipments   in countries which are in the developing phase, having very cheap labor, authoritarian government and lack of human rights appeal and union movement. In doing this it has made greater margins on the cost of mere cents to its workers. So Nike success story is not based on good name and advertising alone but also attached to it is the tears of tortured workers and child labor.A columnist ‘Stephen Chapman'   from Libertarian newspaper argues that â€Å"But why is it unconscionable for a poor country to allow child labor? Pakistan has a per-capita income of $1,900 per year – meaning that the typical person subsists on barely $5 per day. Is it a a revelation – or a crime – that some parents willingly send their children off to work in a factory to survive? Is it cruel for Nike to give them the chance? †Ã‚   (source: http://www. raincity. com/~williamf/words96. html) St ephen argues that the best way to end child-labor is to buy more of the products that children produce.This would increase their demand, and as they will produce more, they will earn more, hence giving themselves chane to rise above poverty level and thus also benefiting the families of the children and as well as the nation. However, the issue is not that simple. Increasing the demand of the products produced by child labor means encouraging more child labor, encouraging more birth rates, more slavery, increasing sweatshops and discouraging education – as parents of the children working in factories would want them to work more and earn more.If this happened to be the case, then more and more children will be bought and sold on the black market, leading no end to this problem. By encouraging more child labor, you are not only taking away those innocent years from them but also the right to be educated and the right to be free. Nike – a good chess player As a good ches s player Nike always thinks ahead of its movement. It does not launch its production directly in to the developing country, such as Pakistan, but instead it subcontracts it to them by selecting a local firm.When doing this, the local firm, in this case SAGA sports,   has to abide by the Nike's international rules and regulations when producing its goods. And it is the duty of the international firm (NIKE) to monitor its subcontracted production units and hold   it to tight scrutuny. But this is not what really happens. Both Nike and the local production company aims to minimize cost and earn the highest amounts of profit   thus involving themselves in illegal practices, such as child labor, a practice which is not so highlighted by the government of the host developing country.So what happens when you question Nike about its labor practices? An answer comes that it is not they who are involved in this illegal labor practices but   it is the local subcontracter who is doing s o. This is wrong to say as Nike and SAGA sports both benefits with access to cheap child labor in Pakistan. And if Nike cannot control its subcontracted plants, it means they have not implemented their rules and regulations effectively and is not abiding by the international standards which they have set for themselves. Nike's entrance in to the Pakistani markets was the part of its long term strategic planning.It is false to explain that Nike didn't knew that child labor is an ages-old practice in Pakistan. Nike went into Pakistan, having full knowledge of the favorable conditions prevailing in terms of child labor and has taken no precautions whatsoever to prevent the use of child labor in the production of its soccer balls. Instead Nike has made a profit from its Pakistani contractors who inturn has used bonded child labor in the production process. Critically analyzing the situation, â€Å"Why Nike always land up in places having cheap or bonded labors or in places where it can easily get away with illegal labor practices? Examples incude: Vietnam, China, Indonesia, Pakistan, Bangladesh and India. Nike simply bases its operations on finding the lowest-cost labor to make its products. Twelve-year-old girls work in Indonesian sweatshops 70 hours a week making Nike shoes in unhealthy plants. According to a Foulball campaign report, Nike has refused twice to have a check in their Saga-managed center in Pakistan while on the other hand Nike's rival Reebok readily granted access to its Moltex-managed center in Pakistan. Nike has the habit of hiding behind its good public image and its effective means of promotions and advertising.Nike attempts to create a good public image by offering charity, donating equipments and never passing an opportunity to remind the public that it has set up stitching centers in places such as Sialkot, Pakistan. How it all started – Consumer awareness 1996 When the June, 1996 issue of Life magazine carried an article about chil d labor in Pakistan, Nike knew that it was   in trouble. The article's lead photograph showed 12-year-old Tariq surrounded by the pieces of a Nike soccer ball   which he would spend most of a day stitching together for the grand sum of 60 cents.In a matter of weeks, activists all across   Canada and the United States were standing in front of Nike outlets, holding up Tariq's photo. And yet, Nike has not done an especially good job of scrutinizing the subcontractors with which it's working. Nor has it been open about its labor practices in the way public companies should be expected to be. Cameramen have been pushed out of factory floors. Supervisors at a plant in Vietnam apparently beat workers being paid 20 cents an hour and refused to allow them to leave their work posts. Indonesian labor organizers has been put behind bars.And, most troubling, nearly all the soccer balls made in Pakistan have been revealed to be made by young children getting paid just cents a day. Nike cha irman Phil Knight also acknowledged that a shipment of soccer balls Nike purchased in Pakistan in the year 1996 was made by a subcontractor using child labor in â€Å"horrible conditions. † Although 1996 was the first year in which real public attention was focused on Nike's labor practices abroad, it's important to recognize that manufacturing shoes in low-wage countries was, from the start, a crucial part of Phil Knight's plan for his company.In other words,   American jobs have not been shipped abroad. On the contrary, Nike has never made shoes in the United States. Its first factories, built in the 1960s, were in Japan, when that country was still a part of the Third World. And since thirty years Nike have migrating from nation to nation, arriving as countries install the necessary mechanisms for orderly business operations and leaving as living standards become too high to make manufacturing profitable. Nike â€Å"not  Just do it  but  Do it right. â€Å"This i s the first time that Nike has had to face real questions about its labor practices abroad, the first time that it has felt a public-relations impact. At this point, that impact does not seem at all devastating. While in the short run Americans are generally horrified by the issue of child labor and has expressed concern over the working conditions in foreign factories, Nike should take immediate actions in order to provide remedy to all the activism it faces, otherwise it can prove devastating for the company's image in the long run. The basic truth about Nike is that its only real strength is its good name.Nike rules because of all the good things people associate with the company: sharp ads, Michael Jordan, Tiger Woods, little Penny, and Michael Jordan again. If â€Å"beaten workers† and â€Å"child labor† get added to that list, then Nike's greatest asset will be lost. Now the burden is on the company both to do a better job of   implementing company-wide global standards of conduct and also to improve its openness to the media. The more you hide, after all, the more people think you have something to hide. Every hand that goes up, hurts Nike in the public eye. And when you're a consumer company, that's the only eye that matters.Consumers — â€Å"Just don't do it. † dership by example: The CEO of Nike and the senior managers of the company need to be openly and strong committed to the social responsibility and ethical conduct. They must give constant leadership in renewing the ethical values and the social responsibility of the company. The management must be active in communicating about the company’s commitment in the speeches, directives, company publications and especially in actions too. The CEO along with the company’s managers is the ones that set the tone of the organization most clearly by their behavior.Code of ethics: Code of ethics state that the values or behaviors that are expected and those that wi ll not be tolerated backed up by management’s actions. (Schuler & Jackson,   2007)       Ethical structures: ethical structure actually represents the various systems, positions and programs that a company can undertake to implement a social effort and ethical behavior. An ethics committee is a group of executives under the CEO to oversee the company’s ethics and CSR efforts, for example, the Nike committee that conducts corporate social responsibility efforts.Whistle blowing: employee disclosure of illegal, immoral or illegitimate practices on the employer’s part is called whistle blowing. No organization like Nike can rely only on codes of conduct to prevent such kinds of behavior. When there are no effective protective measures, whistle blowers suffer and the company may continue its unethical or illegal activities. The CEO and the management of Nike should make sure that the managers are trained well so that they view whistle blowing as a benefit and n ot a threat. (Schuler & Jackson,   2007)

Imprisoned by Society in The Yellow Wallpaper by...

. . There is something strange about the house-I can feel it; she also relates how everything she does exhausts her.nbsp; These symptoms, as well as the numerous referrals by the narrator to the baby, indicate post-partum depression.nbsp; When speaking of the baby the narrator says, for example, I cannot be with him, it makes me so nervous. nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; In order to treat this temporary nervous depression, John isolates her from society and orders her to do nothing but rest.nbsp; He even becomes upset when she wishes to write, causing this story to be composed of writings she manages to do in secret.nbsp; John places her in the attic of the mansion, like a dirty secret, in what she believes to be a former nursery.nbsp; There is, however, strong evidence that the narrator is not the first mental patient to occupy the room.nbsp; There are bars on the windows, gouges in the floor and walls, and rings fastened to the walls; the bed is bolted down and has been gnawed on, and the wallpaper has been torn off in patches.Show MoreRelated Essay on The Yellow Wallpaper: Imprisoned785 Words   |  4 PagesImprisoned in  The Yellow Wallpaper    As man developed more complex social systems, society placed more emphasis of childbearing. Over time, motherhood was raised to the status of â€Å"saintly†. This was certainly true in western cultures during the late 19th/early 20th century.   Charlotte Perkins Gilman did not agree with the image of motherhood that society proposed to its members at the time. â€Å"Arguably ‘The Yellow Wallpaper’ reveals women’s frustration in a culture that seemingly glorifies motherhoodRead MoreThe Way of Women‚Äà ´s Resistances to Patriarchy in ‚Äà ºthe Yellow Wallpaper‚Äà ¹1669 Words   |  7 PagesThe way of women’s resistances to patriarchy in â€Å"The Yellow Wallpaper† Charlotte Perkins Gilman’s â€Å"The Yellow Wallpaper† is on the surface a mysterious story about a woman suffering from depression to mad, but actually, it reveals the oppression of women from their patriarchal families. In the late 19th century, women couldn’t enjoy the freedom they do today, and most of them suffered from hysteria. The narrator of â€Å"The Yellow Wallpaper† is a typical example of those women who live with low socialRead MoreThe Yellow Wallpaper By Charlotte Perkins Gilman999 Words   |  4 Pages â€Å"The Yellow Wallpaper† is a story of a woman s psychological breakdown, which is shown through an imaginative conversation with the wallpaper. The relationship between the female narrator and the wallpaper reveals the inner condition of the narrator and also symbolically shows how women are oppressed in society. The story, read through a feminist lens, reflects a woman s struggle against the patriarchal power structure. In the â€Å"The Yellow Wallpaper†, Charlotte Perkins Gilman uses the wallpaperRead MoreThe Yellow Wallpaper By Charlotte Perkins Gilman846 Words   |  4 PagesThe dignified journey of the admirable story â€Å"The Yellow Wallpaper† created by Charlotte Perkins Gilman’s, gave the thought whether or not the outcome was influenced by female oppression and feminism. Female oppression and feminist encouraged a series of women to have the freedom to oppose for their equal rights. Signified events in the story â€Å"The Yellow Wallpaper † resulted of inequality justice for women. Charlotte Perkins Gilman gave the reader different literary analysis to join the unjustifiableRead More A Woman Indefinitely Plagued: The Truth Behind The Yellow Wallpaper1318 Words   |  6 Pages A Woman Indefinitely Plagued: The Truth Behind The Yellow Wallpaper In The Yellow Wallpaper, a young woman and her husband rent out a country house so the woman can get over her â€Å"temporary nervous depression.† She ends up staying in a large upstairs room, once used as a â€Å"playroom and gymnasium, [†¦] for the windows are barred for little children, and there are rings and things in the walls.† A â€Å"smoldering unclean yellow† wallpaper, â€Å"strangely faded by the slow-turning sunlight,† lines the walls,Read More Madness in The Yellow Wallpaper and The Tell-Tale Heart1679 Words   |  7 PagesMadness in The Yellow Wallpaper and The Tell-Tale Heart Compare the portrayal and use of madness in The Yellow Wallpaper by Charlotte Perkins Gilman and The Tell-Tale Heart by Edgar Allan Poe. Which story did you prefer and why? The Yellow Wallpaper by Charlotte Perkins Gilman and the Tell-Tale Heart by Edgar Allen Poe both describe characters who in the opinion of other people are insane. The characters hysterical behaviour due to their insanity is depicted as the stories progress. TheRead MoreSymbolism of the Setting of The Yellow Wallpaper1198 Words   |  5 PagesVolpe 1 Marissa Volpe Prof. Baker ENC 1102 4/10/14 Symbolism In The Gothic Setting of â€Å"The Yellow Wallpaper† Gothic literature is incredibly distinct. There is a sort of formula involved with writing in the Gothic style, and one of the most important aspects of this is the setting, which can include anything from the architecture of the buildings to the color of the leaves on the trees. The setting of a story is a vital element, as it would seem to be that the most effective way of drawing Read MoreThe Yellow Wallpaper By Charlotte Perkins Gilman Essay1208 Words   |  5 Pagesthat wallpaper as I did?† the woman behind the pattern was an image of herself. She has been the one â€Å"stooping and creeping.† The Yellow Wallpaper was written by Charlotte Perkins Gilman. In the story, three characters are introduced, Jane (the narrator), John, and Jennie. The Yellow Wallpaper is an ironic story that takes us inside the mind and emotions of a woman suffering a slow mental breakdown. The narrator begins to think that another woman is creeping around the room behind the wallpaper, attemptingRead MoreThemes, Symbols, and Feelings in The Yellow Wallpaper by Charlotte Perkins Gilman763 Words   |  4 PagesIn The Yellow Wallpaper, by Charlotte Perkins Gilman, the protagonist symbolizes the effect of the oppression of women in society in the Nineteenth Century. In The Yello w Wallpaper, the author reveals the narrator is torn between hate and love, but emotion is difficult to determine. The effects are produced by the use of complex themes used in the story, which assisted her oppression and reflected on her self-expression. The yellow wallpaper is a symbol of oppression in a woman who felt herRead More Comparing Charlotte Perkins Gilmans The Yellow Wallpaper; and Kate Chopins The Story of an Hour1097 Words   |  5 PagesComparing Charlotte Perkins Gilmans The Yellow Wallpaper and Kate Chopins The Story of an Hour The Yellow Wallpaper;, by Charlotte Perkins Gilman, and The Story of an Hour;, by Kate Chopin, are alike in that both of the women in the stories were controlled by their husbands which caused them to feel an intense desire for freedom. Both stories were also written from a feminist point of view. However, the women in the stories had different life changes and different responses to their

Childhood Reflection - 735 Words

Reflection Hello, my name is Christina and I’m glad you can make it out today. Many of you are new parents that are trying to learn more about their child so, this why I am here. In this one-hour class I will be discussing the stages in early development and the key points of each early development stage. If you have any questions, please feel free to raise your hand during or after the lecture. During this time I want to make sure new parents gain understanding of the content and walk away knowing more than you did when you walked in. Content The stages of early development start with infancy, toddler period, preschool period, school years, adolescence and transitioning to adulthood (Parritz, R. H. Troy, M. F. 2017). In this first†¦show more content†¦H. Troy, M. F. 2017). This content is important because as new parents you want to know the importance of early development. Most people in this class are new parents of a newborn and I hope I was able to provide you with key points of each stage physical, social and emotional that will affect overall development with a young children and adults. If you have further questions on the stages that I talked about please feel free to email or meet with me after this class. I will be more than happy to answer your questions or concerns. If you know of any family members or friends that are new parents or expecting a newborn please feel free to tell them about this class and what you learned from this class so, they can be educated or encourage them to sign- up for a cla ss about the stages in early development and the key points of each early development stage. Biblical Worldview I want to express how the class is consistent with a biblical worldview. Proverbs 22:6 says, â€Å"Direct your children onto the right path, and when they are older, they will not leave it.† In the process of helping our children choose the right path, we must use discernment to find different paths for each child. It is natural to want to bring up all our children alike or train the same way but, thisShow MoreRelated Middle Childhood Reflection Essay1989 Words   |  8 PagesMiddle childhood Reflection My son BOB BOB is currently experiencing his middle childhood. He is smart, funny, competitive, full of energy, and independent. I have observed him trying out new things, He has become Mr. Social with peers and he appears to value their relationships. My wife recently got him a cell phone and his texts message his friends constantly, which speak to his enhanced fine motor skills. He also appears to take seriously his academic studies. He has participatedRead MoreReflections on Childhood Development Essay1924 Words   |  8 Pageswhen reunited with the caregiver, the infant deliberately looks away and appears emotionless and depressed. In early and middle childhood development, children develop and master spoken and written language, along with many other important developmental processes such as emotional, social, cognitive, and physical development. In language development during early childhood, infants begin cooing in their second and third months of age and by the time they reach six months, infants begin babbling, theRead MoreReflection On Early Childhood Education1198 Words   |  5 Pageson the past eight weeks, my insights on Early Childhood Education have given me a better understanding of issues and trends in Early Childhood Education. As I mastered this course, I have also become more knowledgeable and understanding of the needs of children and families in my community. Another way that I have been strengthened was through discussions and sharing blogs with my colleagues. On the other hand, researching professional early childhood education topics and viewing multimedia presentationsRead MoreEarly Ch ildhood Education: Kindergarten Reflection Essay1530 Words   |  7 PagesKindergarten Reflection Entering my kindergarten teaching experience in the last quarter of school year I had to quickly become familiar with kindergarten content standards and the school’s curriculum. To do this I observed my mentor teachers instructional time with the children and gained as much information as I could about the children’s educational standing by developing a professional relationship with the my mentor teacher and the children. I learned that the majority of my kindergarten childrenRead MoreChildhood Reflection Paper1067 Words   |  5 PagesI wish I was told what I was going through physically and emotionally throughout my childhood. This is a paper about my life and I will incorporate the course material throughout this assignment. I remember when I was around 5 years old when my brother accidentally cut off his finger with a small saw. We were doing yard work and were all helping and I turn around to see my little brother with a small saw. He pressed the button which tur ned on the machine and there his finger was on the grass. I wasRead MoreReflection Paper On Childhood748 Words   |  3 PagesChildhood Memory Everyone in their lives has learned something from their childhood that stayed with them until adulthood. It could be a good experience or not that great experience. Personally my lesson wasn’t so great and has caused me to get in trouble with my parents. In first grade at Anthony Elementary School, I was compelled by a friend to steal. Because of this experience, I learned to listen to what my â€Å"gut† tells me about people, that some people might not be good to have as a friendRead More Discuss the poems Death of a Naturalist and Personal Helicon by1249 Words   |  5 Pagespoems the reader is told about Heaneys memories as a child and his progressing memories as he grows up and understands his surroundings more from an adults perspective. This essay will look at and evaluate how the adult has been moulded from his childhood experiences, Discuss and explain Seamus Heaneys use of language and tone to portray his personal feelings, as well as events that led him to the stage of life he was at and foreseeing from his child perspective and at the stage he was at whenRead MoreThe Importance Of Lifelong Learning ( Lll ) And Continuing Professional Development2000 Words   |  8 Pagesit is participated throughout life. It is important to discuss LLL, as it has many benefits within the healthcare system, as well as everyday life. This essay will explore reflection as a skill important to adult nurses, as this is vital in order to evaluate their own learning, which can encourage improvement of LLL. Reflection in action and on action can also influence the successful outcome of LLL. The attribute chosen to discuss will be self-motivation, due to the fact that this can lead to moreRead MorePersonal Reflection In Early Childhood Education1907 Words   |  8 PagesAlthough I have worked with children for the past six years in a childcare setting and gained a diploma in early childhood education and care, I learnt so much from being in a school based environment. I feel though that my previous experience did aid me in this practicum howe ver. I already knew that play is an integral part of a young child’s learning and how those children need to feel safe, secure, and cared for as well as being educated. Knowing that the bond between a teacher and child is aRead MoreMy Reflection Of A Personal Early Childhood Education Philosophy878 Words   |  4 PagesIn this paper, I have developed a personal early childhood education philosophy statement. I will reflect and discuss my personal learning philosophy through topics such as: the purpose of education, how children learn best, what should be included in the curriculum, what environment children learn best in, what needs must be met for children to grow and learn, and how I can meet those needs. Every interaction with a child is important, and helps them to grow and develop. I want to create positive

HIV TB Essay - 5081 Words

Human Immunodeficiency Virus (HIV) and Tuberculosis (TB) Instructions Meet the Client: Jeff Smith Thirty-two-year-old Jeff Smith is admitted from his healthcare providers office to the acute care facility. Jeff was diagnosed HIV positive 2 years ago. His history includes fatigue, a productive cough, and weight loss. A tuberculosis (TB) skin test was administered in the healthcare providers office. Admission prescriptions include isolation precautions for possible tuberculosis. Admission Procedure The nurse welcomes Jeff to a private room at the end of the hall. According to hospital protocol, the nurse puts on a mask before starting the admission process. Jeff tells the nurse that his partner is downstairs and that he would like his†¦show more content†¦A) A mask is required for healthcare workers entering the room of someone suspected of having active TB. CORRECT TB is spread by airborne transmission of droplet nuclei. A well fitting, high-efficiency particulate air (HEPA) mask is necessary to filter the mycobacterium tuberculosis bacillus. B) Wearing a mask, gown, and gloves is required for healthcare workers entering Jeff’s room for any reason. INCORRECT The only protective apparel required when entering the room is a HEPA mask. C) The UAP will only be in the room for a brief moment to deliver the tray, so no intervention is needed by the nurse. INCORRECT Since TB is spread by airborne transmission of droplet nuclei, a HEPA mask is necessary for the UAP to wear. The nurse needs to inform the UAP of this and ensure that appropriate PPE is worn in Jeff’s room. D) Non-sterile gloves are necessary to deliver the meal and prevent the spread of TB. INCORRECT Gloves do not prevent the transmission of an airborne organism. Specimen Collection An acid-fast bacilli (AFB) stain is part of the initial admission prescriptions. Early morning sputum specimens will be collected for 3 consecutive days and sent to the lab. 5. Which task(s) may the nurse delegate to the UAP? (Select all that apply.) A) Tell Jeff that the specimen must be collected in the early morning. CORRECT This task may be delegated. B) Provide Jeff with 3 sterile specimen cups at his bedside. CORRECT This task may be delegated. C) TeachShow MoreRelatedTuberculosis : Hiv And Tb1301 Words   |  6 Pageswith HIV. A report by CDC (2015) states that in 2014 a third of the world was infected by the disease, 9.6 million people around the world were diagnosed with TB disease with 1.5 million deaths worldwide. Definition TB is a contagious and often severe airborne disease caused by infection with  Mycobacterium tuberculosis  (Mtb) bacteria. TB typically affects the lungs, but it also can affect any other organ of the body, (tuberculosis,2015). Tb can be classified as either latent or active. Tb is calledRead MoreThe Health Care Provider Ordered An Hiv Test Based On The Patient s Narrative And His Positive Tb Status812 Words   |  4 PagesThe health care provider ordered an HIV test based on the patient’s narrative and his positive TB status. Tuberculosis infection is frequently an initial indication of HIV infection. Therefore, it is routine to test patients with TB for HIV. Also, the patient complains of being run-down and sick all of the time, which could be a sign that his immune system is impaired. The presence of any other opportunistic infections or malignancies may also be indicative of HIV. Opportunistic infections occur whenRead MoreNotes On Hiv And Tb Newtb1288 Words   |  6 Pagesint lines; }_textbuffer; typedef struct textNode{ link next; char *string; }_textNode; static link newNode(char *array); /* Allocate a new textbuffer whose contents is initialised with the text given * in the array. */ TB newTB (char text[]) { TB newBuffer = malloc(sizeof(struct textbuffer)); newBuffer-first = NULL; newBuffer-lines = 0; link curr = newBuffer-first; link new = NULL; char *temp = malloc(sizeof(char)*(1+strlen(text))); char *newLine =Read MoreChief Of The National Center For Hiv, Std, And Tb Prevention1097 Words   |  5 Pagesto just viewing officials in higher positions as leaders, in the case of Dr. Helen Gayle, who was the director of the National Center for HIV, STD, and TB Prevention (NCHSTP) at the U.S. Center of Disease Control and Prevention (CDC) (Managing across boundaries). In her recent assignment she was credited with innumerable accomplishments in the battle against HIV/AIDS and other contagious diseases not only in the United States but globally as well (Managing across boundaries). In the case of Dr.Read MoreHealth Issues in Africa1611 Words   |  7 Pagespublic concerns are HIV/AIDS, malaria, smoking related disease, and tuberculosis, just to name a few of them but all of which affect the non-white population more than the white; apart form these. HIV/AIDS in Africa The rise of sickness in Africa today is mainly caused by HIV (Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immunodeficiency Syndrome). AIDS is the number one killer in African society today. As many as 5.7 million people were living with HIV and AIDS in SouthRead MoreTuberculosis Is The Most Common Opportunistic Infection And Cause Of Death Among People Living With Human Immunodeficiency Virus1685 Words   |  7 PagesTuberculosis (TB) is the most common opportunistic infection and cause of death among people living with Human immunodeficiency virus (HIV) (Olaniran, Hassan-Olajokun, Oyovwevotu Agunlejika, 2011). HIV-positive patients have about a 20-37 folds higher chance of developing Tuberculosis than their HIV-negative counterparts (Kamath, Sharma, Pattanshetty, Hegde Chandrasekaran, 2013) The interaction between these two diseases has synergistic effect leading to excessive burden on the patient, theirRead MoreA Public Health Successes From Any Country983 Words   |  4 Pageswas Revised National TB Control Programme (RNTCP) in 1993. They used five basic drugs, which called first line TB drug. It was Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, and Streptomycin. By using these drugs, RNTCP achieved 88% of success rate in 2010. Indian government also provide all TB drugs in free of coast. http://www.tbfacts.org/tb-india.html http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3125027/ Topic 2: Prevention and control of HIV in India. The first HIV case was diagnosed inRead MoreTreatment of Human Immunodeficiency Virus (HIV) Essay1113 Words   |  5 Pagesâ€Å"Human immunodeficiency virus (HIV) is a blood-borne virus typically transmitted via sexual intercourse, shared intravenous drug paraphernalia, and mother-to-child transmission (MTCT), which can occur during the birth processor during breastfeeding.† There is no cure for HIV or AIDS but over time different types of medications have been developed that slows down the advancement of the disease. AIDS is a lethal disease that is caused by HIV. HIV destroys the immune system and causes the body to notRead MoreThe Fight Against Non Communicable Diseases1221 Words   |  5 Pagescauses death and to be spread from state to state. Transnational diseases are life threatening and can cause a person to become ill for a very long time. Although, there are several types of diseases that complex the world, none stick out more than HIV/AIDS, tuberculosis, Ebola, and animal diseases. All of these take a major toll on the world with them passed from one person to another. With people visiting different countries day in and day out making it harder to control the infectious diseasesRead MoreThe Epidemic Of Eastern Europe And Central Asia1200 Words   |  5 PagesTHE HIV EPIDEMIC IN EASTERN EUROPE AND CENTRAL ASIA I. Introduction: While there is increasing evidence that HIV incidence is in decline among general populations worldwide Eastern Europe and Central Asia are notable exceptions For example HIV infections have increased 13% in the region since 2006 [2] . A several factors contribute to these rising rates. [3]. First, the political transition in the early 1990s led to substantial economic dislocations as well as an expansion of informal and

Family Assessment and Intervention Free Essays

Family Intervention Movie Assignment â€Å"Meet the Parents† One of our main objectives as future counselors is to understand individual clients is to first gain an understanding of family background. Working with family from a systems perspective, the counselor is able to gain an understanding to the ways in which family members interact, what the family norms and expectations are, how effectively members communicate, who makes decisions, and how the family deals with needs and expectations (Edleman Mandle, 2002). In the concept of systems theory, a family can exist within a community (suprasystem) and at the same time have smaller relationships within that family (subsystems). We will write a custom essay sample on Family Assessment and Intervention or any similar topic only for you Order Now By composing genograms, or family tree, one can see information on family relationships, health patterns, occupations, and religion. By composing an ecomap one can see information on how a family and its members interact with larger systems or smaller subsystems. The term family can be defined as â€Å"a group of individuals who are bound by strong emotional ties, a sense of belonging, and a passion for being involved in one another’s lives (Wright Leahey, 2000). After watching the movie, â€Å"Meet the Parents† I decided to watch the whole movie to see where it would be that the intervention would start. The scene where â€Å"Greg† tries to get the cat off the roof and ultimately to please Jack his girlfriend’s father he goes to a local animal shelter to purchase a look alike cat for the family cat that ran away, named Jinx (Which I thought in hindsight the cat’s name is the complete situation Greg finds himself in†¦jinxed). Once the family gets home and finds ‘Jinx’ has destroyed the dress and the house before his youngest daughter’s wedding everything hits the fan†¦emotions rage and Jack and Greg are starting to really express themselves. I think Greg does this because he feels he has nothing to lose. The interesting part is how this whole fiasco sort of brings the family and friends together†¦here is where I would begin my interview. The family members that I chose to conduct my interview and research on are the Burns and Greg (Gaylord Focker). By using the concepts of systems theory, genograms, and, I will be giving you an analysis of her amily and its relationships, health patterns, habits, customs, traditions, and how the members of the family interact with one another and also the outside community. People Characters Nurse Teacher Family Functioning Analyze, assess and suggest intervention Assessment of individuals Assessment of individual and Family dynamics and patt erns Behavioral issues and problems Family background Ask the fathers permission to marry the sister Teacher is motivated by what her dad thinks (smoking as a sign of weakness) Family values†¦compromised†¦living together Very pretentious Father is sarcastic and lacks sense of humor Parents still think their daughter as their little girl Mother is in denial and acts as if everything is wonderful Greg is Jewish not much of a family background for meals and family interactions and has problems with saying grace. Father has a lot of secretive ways—CIA psychological profiler Lie detector scene Burns family circle of trust†¦a tool of manipulation Son sneaks around and has limited freedom Everyone seems to want to please Jack Jack has at traditional mindset of a man’s role and a woman’s role Jack is controlling†¦. ven to training the cat how to use the bathroom Other son in law bought acceptance Jack’s friend the surgeon play’s into Jack’s machoism Wife was a voice of reason after the cat incident Address the following: What would a counselor look for or need to find out about this family? What would be essential or important How would the therapist go about doing this? Wh at is my assessment of family functioning What are unique things pertaining to this family to be aware of outside or developmental influences on the family (race, culture, stress, family development, remarriage, divorce, etc. What do I think the focus of the intervention should be? What are some treatment goals? What are some type of interventions or therapist interactions that would make a difference? Based on what I know about the family what strategies could be employed? If the family members were making their own changes or interventions, are they effective? Why or why not? If not changes or intervention is seen what do I feel is needed What dynamics need to change What would assessment, goals and intervention look like for this family/ How to cite Family Assessment and Intervention, Essays

Organizational Parameters Influence Employee Satisfaction and Commitme

Question: What is the Organizational Parameters Influence Employee Satisfaction and Commitment in the Hospitality Industry. Answer: Introduction: There has been a drastic change in the structure of the industry; the value of output of the service industry is 70% of that of the GDP in the advanced countries. The economic development is greatly dependent upon the service sector. The tsunami in the year 2008 in Asia has dropped the demand for the hospitality services and the government was involved so that they are able to provide resources to the service sector so that they are able to revive economic development (Tavakoli, Tavakoli, and Pouresmaeil, 2013). The service sector is critical sector in the country Taiwan. There has been an increase in the scale of the hospitality industry year after year (Zopiatis, Constanti, and Theocharous 2014). Management of the employees is very important in the service industry. There is a greater degree of linkages with the factors like the satisfaction of the employees, value of the services, internal service quality, productivity and customer satisfaction (Domnguez-Falcn, Martn-Santana and D e Sa-Prez 2016). This clearly identifies with the improvement of the internal services there will be increased employee satisfaction which would increase the productivity and this would lead to external services value. Significance of the study: There is a significant impact of the job satisfaction and commitment as this is the reason why they have received attention of the practitioners and the academicians. The attitude of the employees towards the level of satisfaction and commitment are the indicators for solidarity between the members of the organization and the team members (Tan, Hussain and Murali 2014). Through organizational commitment, the employees they would be able to derive satisfaction (Kanyurhi and Bugandwa Mugu Akonkwa 2016). It is very important for the hospitality sector to realise what is the emotional connect of the employee towards the organization. This would help in knowing how longer they are able to serve the industry they are working for diligently. The relationship is a important factor for the employers of the organization. Problem Statement: In the research paper, the main problem involves the searching of the factors that tend to influence the satisfaction and commitment of the employees of the hospitality industry in Taiwan (Kara, Uysal, Sirgy and Lee 2013). The relationship will checked whether there is a positive relationship of the organizational commitment and Job satisfaction. There are a number of things, which influence organizational commitment and job satisfaction (Tsui, Lin, and Yu 2013). When the employees they are performing well then they can be awarded rewards ot monetary benefits so that they are committed towards the organization. It has been also seen that people tend to perform better when there is guidance by a leader (Zhao and Mattila 2013). This paper will help in understanding the is the strongest factor affecting satisfaction and commitment Research Objective: The following are the objectives of the research study: To identify the factors that would create an impact on the job satisfaction of the in the satisfaction and retention of the employees in the hospitality industry To determine the preferred dimension for the satisfaction of job in the scenario of an organization To identify the emotional commitment on the job satisfaction of the employees To identify the relationship of organizational commitment and job performance Research Questions: What are the factors that tend to effect the satisfaction of the job and retention of the employees in service sector? What is the preferred direction for job satisfaction in an organization? What is a relationship of emotional commitment on the job satisfaction of the employees? What is the relationship of organizational commitment and job performance employees? Methodology: The researcher for the research will undergo some set of methodology so that he is able to complete the research. The research methods will help in linking the data collections with the secondary sources of data i.e. the literature review. Research Design: The research design is mainly divided into exploratory, explanatory and the descriptive design. This a type of framework within which the research is going to be performed. In case of an exploratory research, there are new opportunities that are availed and there are no structured hypotheses. The researcher researches the hypothesis. The explanatory research is something that is repetitive in nature and this might occur at any time (6 and Bellamy 2012). In case of a descriptive research the researcher, take a hypothesis as given and then performs a detailed analysis. The researchers in this research will be using the descriptive approach that will help in understanding of employee job satisfaction and commitment in a hospitality industry. This will help in the examination of the relationship of job satisfaction and competitive advantage. Sample: The researcher uses the sample for conducting the research, as the entire population use will make the research difficult and time consuming. There are 7 employees chosen from the hospitality organization of Taiwan and 2 HR manager of the hospitality industry. Thus, the total sample size is 8. Population: The population size of the number employees of the hospitality organization is 50 while the population size of the manager is 4. The total population size is 204 Sampling Method: The main reason for using the sampling methods is that there is difficulty in the time and the budget constraints about the large population (Carey 2012). With the accurate population, there will be higher reliability and accuracy. In this particular research, there are non-probability methods of sampling. This means that there will not be any type of probability used in the sampling. The types of sampling under non-probability sampling are: Convenience sampling: This is a procedure were the samples or the units of the people who are quite conveniently available Judgement sampling: This is a type of the sampling procedure where the experienced research they are able to select the sample based on the type of the feature of the sample members (Creswell and Creswell 2013). Quota Sampling: The Quota sampling is a type of sampling technique that helps in ensuring that a certain type of the sample will be represented to the extent to which the investigator likes. Snowball sampling: The Snowball sampling is a sampling technique where the initial respondent as chosen by the methods of probability or non-probability methods. The initial respondents provide the additional responses Justification for the use of convenience method of sampling: The researcher due to its numerous advantages quite conveniently uses the use of the convenience sampling. This method is fast and this has attracted every researcher. When there is methods limited availability of time, then researcher they are able use this data collection. The method is swift and calculation can be done conveniently. There is a very little amount of preparation is required for the use of convenience sampling. With a large number of people, the researcher is able to reach the desired audience quickly. This type of sampling can be done easily through the framing of the questionnaires and then distributing it to the target group. The researcher will be able finish the collection of the data in a few hours without any worry about the population representation. This would help in easing the research and the researcher will be focusing on the analysis of the data rather than the collection of the data (Denzin and Lincoln 2013). This type of sample is easily available from the population and there is no need for the researcher top travel. Under the strict deadlines, the researcher employs this form of sampling rather than the other modes of sampling. The overheads are minimal, there are no more steps involved, and the researcher can take the sample from the local population group. This will help the researcher to fund in other aspects of the research project. Sample Size: There are 7 employees chosen from the hospitality organization of Taiwan and 2 HR manager of the hospitality industry. Thus, the total sample size is 8 Data Collection Tool: The collection of the data in a qualitative research can be done through choosing any of the observation, focus group and the interview. The researcher for this research will be using focus groups for the collection of the data. The focus group will be helpful in the in getting a detailed information and the insight. Focus group helps in creating an accepting environment and the participants they are able to provide responses of the questions with ease. The surveys will help in the collection of the information regarding the attitudes and the attributes of the people. The focus group is mainly small group where there is open discussion with that of the skilled moderator (Dicks 2012). The questions that are asked to the investors are not shown to the participants. There is homogeneity across the focus group of the participants. When the interest and availability is confirmed then there is a need for signing a confirmation. Analytical method and procedure: In case of data analysis, there are mainly three types of qualitative methods. The main qualitative methods are Ethnography, Grounded theory and Phenomenology. The researcher for this research will be using the grounded theory for analysing. The main intention for the use of the ground theory is the way of going beyond the description so that it helps in generating and the discovery of the theory, an abstract analytical schema of the process or interaction and action. The idea of the development of the theory is based on grounded in data from the participants who have experienced the process (Hammersley 2013). There is a general expression provided by the inquirer on the actions, process and interaction, which is shaped through the large number of participants. Coding is used for the grounded theory. The researcher will be developing and carefully using and updating the code list as which is the codebook. The codebook is the way of developing the theory from data. The researcher will be providing meaningful explanation through coding. Expected Contribution: The expected contribution involves either the use of contextual, theoretical or the practical research. The researcher will be using the contextual and the practical contribution. The context involves the use of the interview in the workplace of the users. The researcher will be getting detailed retellings of the research. The researcher will be able to get a practical knowledge on the research topic as the data is collected is from a real organization. Limitation and Challenges: When performing a qualitative analysis there is a lot of limitation that is faced by the researcher. The findings that are generated might be unique but there is involvement of less number of people in the research study. The qualitative research does not help the researcher to make quantitative prediction (Myers 2013). When there are a large number of participants so there is difficulty in the testing of the hypothesis. The collection of the data can be time consuming in the qualitative research (Supino and Borer 2012). The analysis of the data can be time consuming. The results of the research can be influenced by the personal biases of the researcher. Conclusion: Thus, it can be concluded that the service industry employees performance has an impact on the satisfaction of the customers and the performance of the corporate. The enhancement of the employees satisfaction, the organizational commitment and performance in the job is a critical issue in case of hospitality management industry. The hospitality sector is characterised by the labour services and heavily realise on the labor for the services in the restaurants and product delivery. In the research, it is expected that satisfaction of the employees be affected by the job stress. The proper external job stress will help in enhancing the employees performance in a job. In the service industry, the service sector plays a very important role. In the model that is proposed for hospitality industry, there exogenous variables that are taken are job stress, empowerment, leadership and internal marketing. The impact of the exogenous variables on the endogenous variable is highly positive. References: 6, P. and Bellamy, C. (2012).Principles of methodology. London: SAGE. Carey, M. (2012).Qualitative Research Skills for Social Work. Farnham: Ashgate Publishing Ltd. Creswell, J. and Creswell, J. (2013).Qualitative inquiry and research design. Los Angeles: SAGE Publications. Denzin, N. and Lincoln, Y. (2013).The landscape of qualitative research. Dicks, B. (2012).Digital qualitative research methods. London: SAGE Publications. Domnguez-Falcn, C., Martn-Santana, J.D. and De Sa-Prez, P., 2016. Human resources management and performance in the hotel industry: the role of the commitment and satisfaction of managers versus supervisors.International Journal of Contemporary Hospitality Management,28(3). Hammersley, M. (2013).What is qualitative research?. London: Bloomsbury Academic. Kanyurhi, E.B. and BUGANDWA Mugu Akonkwa, D., 2016. Internal marketing, employee job satisfaction, and perceived organizational performance in microfinance institutions.International Journal of Bank Marketing,34(5). Kara, D., Uysal, M., Sirgy, M.J. and Lee, G., 2013. The effects of leadership style on employee well-being in hospitality.International Journal of Hospitality Management,34, pp.9-18. Myers, M. (2013).Qualitative research in business management. Supino, P. and Borer, J. (2012).Principles of research methodology. New York, NY: Springer. Tan, A.L., Hussain, K. and Murali, S., 2014. Antecedents affecting employee service recovery performance in five star hotel. Tavakoli, H.M., Tavakoli, A.M. and Pouresmaeil, L., 2013. A Study of the Relationship between Time Management and Job Satisfaction.International Journal of Research in Organizational Behaviour and Human Resource Management,1(3), p.66. Tsui, P.L., Lin, Y.S. and Yu, T.H., 2013. The influence of psychological contract and organizational commitment on hospitality employee performance.Social Behavior and Personality: an international journal,41(3), pp.443-452. Zhao, X.R. and Mattila, A.S., 2013. Examining the spillover effect of frontline employees workfamily conflict on their affective work attitudes and customer satisfaction.International Journal of Hospitality Management,33, pp.310-315. Zopiatis, A., Constanti, P. and Theocharous, A.L., 2014. Job involvement, commitment, satisfaction and turnover: Evidence from hotel employees in Cyprus.Tourism Management,41, pp.129-140.