Salesforce Essay Example

Salesforce Essay Name: Instructor: Course: Date: We will compose a custom exposition test on Salesforce explicitly for you for just $16.38 $13.9/page Request now We will compose a custom article test on Salesforce explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer We will compose a custom article test on Salesforce explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer Salesforce For this task, I saw the necessary least four recordings on salesforce.com demos. These recordings incorporate Cloud Computing at salesforce, about salesforce, what is distributed computing, and Get started-Sales power. From each of the four recordings, I had the option to get familiar with a few things about deals power. I had the option to discover that business power is an overall programming organization that has practical experience in client relationship the executives (CRM).The Customer Relationship Management work is additionally isolated into more extensive classifications. These incorporate joint effort cloud, administration cloud, deals cloud, and custom cloud. All the above capacities are summed up in the video what is distributed computing. As the name recommends, these capacities run in the mists. This infers the client of these applications can get to them as long as they are associated with the web either through the web or through a cell phone with web capacities. The salesforce capacities incorporate Chatter, a deals shared instrument. This instrument gives a client profile and record profile for agents. This permits the client to control their spending on showcasing efforts through a solitary application. This application is equipped for finding various open door related data, for example, leaders, achievements, and some other information noteworthy to a business’s deals process. Also, the application capacities work as an utility. This implies the client just pays for what they have requested. Overhauls of these applications, assuming any, are programmed and simple to scale here and there. Notwithstanding, I had the option to learn one impediment related with salesforce application capacities. They are not dependable as far as criticalness. For this situation, having cloud based application fully operational is a long procedure that can take a few days to weeks. Nonetheless, it is judicious to comprehend that the way toward making a record isn't muddled. LinkedIn LinkedIn is a site for long range informal communication that is intended to suit individuals in proficient occupations. To be sure, the site can be viewed as like other informal communities like facebook and twitter, however it fundamentally centers around proficient systems administration. The site serves to be all inclusive as it offers its administrations in an assortment of dialects including Polish, Japanese, Russian, Turkish, English, German, and French among others. This quality permits the clients assorted variety in calling and culture as far as how they relate. Placing this into thought, a client of this site has a decent chance of procuring important data on their expert field in different nations. For instance, they may get the opportunity to learn of work openings or business openings and get the chance to follow up on them. The site likewise effectively allows its enlisted clients the chance of keeping up a rundown of the individuals they identify with alluded to as â€Å"connections†. Individuals utilizing this interpersonal organization can send a solicitation to anybody in any case whether they are enlisted to the site or not. Notwithstanding, the individual welcomed isn't committed to acknowledge. They have a decision of tolerating or dismissing the greeting. The wide arrangements of associations in this informal community can be either second degree (direct associations) or third degree (associations with direct associations). Despite the association, they all offer the advantage of acquainting a client with an individual they wish to be associated with. An expert may get a few different advantages from this informal community. For instance, they can structure their own profile to show their locale and work involvement with expansion to transferring their resumes. This site can be utilized as a methods for securing positions, business openings and get learn on new patterns on their specific calling as featured by another client. Managers additionally have a chance of scanning for expected contender for their calling by posting business openings in the site.

Experience & self awareness Essay

Notwithstanding my work understanding, I have solid correspondence, client support, office, and regulatory abilities and comprehend with the training hypothesis from a portion of my modules I finished and have such a great amount of energy for the neighborliness/the travel industry field. I am glad to learn new abilities as this will assist me with picking up understanding for my future vocation and would be excited to work for a fruitful firm like Holiday Inn. Moreover I can guarantee you my administration will be of advantage ,I absolutely anticipate hearing back from you soon. 1. Kathy needed adequate passionate insight to be powerful in her new venture supervisor task without anyone else mindfulness: Kathy had a profound comprehension of her quality not her shortcoming to have the opportunity to converse with her staff. There was additionally absence of compassion as she neglected to have the â€Å"ability to perceive the emotions and desires for other people and bring them into consideration† as they were likewise nearby inhabitants. Poor relationship with the staff came about to â€Å"a crusade of inactive protection from her leadership†. 2. The component she display effectively were: †¢Motivation: despite the fact that the venture turned out to be immediately hindered because of horrible showing she despite everything figured out how to propel herself and â€Å"pushed her group hard†. Likewise by settling objectives for staff and senior individuals from the undertaking to â€Å"work long hours† to achieve significant achievements so as to finish the task. B. Fundamental strategies for correspondence include: Verbal correspondence either through sound, work or addressing different individuals from the venture or recorded clasps of the senior individuals. Additionally Written correspondence either messaging or letters with the utilization of PCs and web for messages. Moreover visual correspondence through charts from exceed expectations or video cuts on YouTube or TV in this way adding to the IT and applications. C. 5 Traits of passionate knowledge me: Self mindfulness: In secondary school was given an introduction on Kidneys, a touchy theme figured out how to trust my intuition& assumed responsibility for my feelings as that was my shortcoming. Self guideline: one of my cousins utilized my pack without soliciting, I needed to consider how I was going to converse with them as opposed to battling. Inspiration: When given at least 2 assignments during school treated myself on the off chance that I completed a day prior to the deadline& the days expanded as the year advanced. Compassion: when my companion lost her job& I had quite recently found a new line of work I helped her with a portion of her bills as I had been in a comparable circumstance previously. Social abilities: I figured out how to assemble a decent connection with my new coworkers just as keeping up one with my loved ones.

Contact Lens Case Reports (Optometry And Vision Science) Assignment

Contact Lens Case Reports (Optometry And Vision Science) Assignment Contact Lens Case Reports (Optometry And Vision Science) â€" Assignment Example > CONTACT LENS CASE REPORTS (OPTOMETRY AND VISION SCIENCE)30th October, 2008Executive SummaryThe following discussion aims to pick up few selected case studies dealing with specialty contact lens patients for analyzing and interpreting the specific problems and apt solutions for cure of the complexities and difficulties faced in putting up contact lens. Care and management required is also studied in detail for each case. Case 1Case summaryThe case deals with the patient suffering from keratoconus with progressive corneal thinning leading to vision problems and haziness. The patient was using KBA lenses and developed problems of dimple veiling and corneal scarring, however timely modifications in the parameters of the lens fitted helped in the removal of staining and fogging in the eye. Patient’s HistoryThe very first case under observation to deal with the problems of contact lenses was taken to be of a 32 years old male who was diagnosed with binocular keratoconus which causes pr ogressive deterioration in vision and leads to further thinning and distortion of the cornea which causes reduced vision, blurred distance vision, glare and disturbed night vision as well, however use of proper contact lenses can help in maintaining good functional vision (Kymes S, Walline J , Zadnik K , Gordon M. viewed on 30th October, 2008). The patient suffered with the problem in 2004 with measurements of visual acuity in the right eye as 6/60 ¯ and in the left eye as 6/60 ¯. Past research have supported the fact that binocular entrance visual acuity worse than 20/40, is generally linked with a lower quality of life scores except in maintaining general health and ocular pain (Kymes S, Walline J , Zadnik K , Gordon M. viewed on 30th October, 2008). Contact Lens DetailsThe past history of the patient revealed that he was wearing KBA contact lenses since 22nd November, 2006 with parameters in the right eye measuring eccentricity as 1.15, base curve 6.44 mm, diameter 10.2 mm, pow er -12.25D, periphery BOSTON XO, marked “R”, tint blue and the Left eye measurement showed an eccentricity 0.96, base curve 6.96 mm, diameter 10.2 mm, power -8.00D, periphery BOSTON XO, marked “L”, tint blue. The Visual acuity with his lenses in the right eye was 6/7.5 and in the left eye were 6/9+3. The patient did complain about fogging in his left eye and at the same time the right eye was found with proper functioning and absence of any sort of aliment or discomfort. The patient was wearing these lenses on an extended wear basis and was able to manage comfortably wearing the lens in his right eye for longer period in comparison to his left eye. The cleaning solution used by the patient was Simplus Multi Action Solution from Bausch and Lomb which is safe an effective as it helps in removal of accumulated proteins and is easy to use as well. Its cleaning System helps in the removal of dirt and deposits from the contact lenses destroying the micro organisms and aiding a we tting and a cushioning system. .Clinical Findings and ObservationsOn 10the Jan, 2007, it was advised to change some of the left lens parameters such as the eccentricity to 1.17 from 0.96, base curve 6.7 mm, power -9.25. But the results were not very promising as the new left lens was causing much more fogging and the patient preferred to use his old left eye lens instead of the new changes recommended. On 14th June, 2007, under the slit lamp examinations, it was found that there were staining in the right eye and the lens was with good pooling, and the left eye was with dimple veiling and the pooling was toward the edge. Further on 2nd September, 2008 the right eye of the patient had developed an inferior corneal scarring and staining which might be caused due to an improper contact lens design or due to anatomical factors linked with specific patients however proper follow up may prevent such conditions as in the current case (Buch R J, Fogt N, Barr T J, 1996) but at the same the fitting was good and the left eye was with central touch with very wide edge and bubbles. After studying the patient it what advised to change the left lens to the eccentricity 1.12, base curve 6.48 mm, power -11.00D, diameter 10.2 mm with optic diameter of 6.0 mm and with 10.5 EDGE. The Keratoconic Bi-Aspheric Design lenses are large in size, as in the case the posterior surface eccentricity of the lens is flattened to 1.12, the base curve radius needs to be steepened to maintain the desired sagittal depth across the apex that is why it is decreased to 6.48 mm. The KBA software is beneficial under such circumstances as it helps the practitioner to make simple calculations necessary to maintain and sustain the desired sagittal depth (Patrick J, Caroline F, Mark P, Andre F, 2003)

Vygotsky’s views on cognitive development complements...

Methods and approaches to teaching have been greatly influenced by the research of Jean Piaget and Lev Vygotsky. Both have contributed to the field of education by offering explanations for childrens cognitive learning styles and abilities. This essay will discuss how rather than being an alternative, Vygotsky’s views on cognitive development complements Piaget’s. Initially, the term cognitive will be defined before having a look at Piaget’s stages of cognitive development and subsequently analyzing how Vygotsky’s views complement Piaget’s. Flanagan (1996:72) states that, ‘Cognitive development is the acquisition of mental process involved in thinking and mental activity, such as attention, memory and problem solving.’ It is therefore a†¦show more content†¦Finally, in the formal operational stage, age twelve to fifteen, the child has become more adult-like in their thought structures and processes. They begin to reason logically, systematically and hypothetically. (Jarvis, Chandler 2001 P.139). In other words, they can imagine things that do not exist or that they have never experienced. This stage is generally like the preceding stage but at a more advanced level. The formal operational person is capable of meta-cognition, that is, thinking about thinking. Piaget also theorized on Adaptation, and Development. The adaptation theory (also known as the Constructivist theory) involved three fundamental processes, which contributed to the child’s cognitive development. These are assimilation, accommodation, and equilibrium. Assimilation involved the incorporation of new events into pre-existing cognitive structures. Accommodation is the adjustment involved in the formation of new mental structures needed to accommodate new information. Equilibration involved the person striking a balance between him and the environment, between assimilation and accommodation. When a child experienced a new event, disequilibrium set in until he was able to assimilate and accommodate the new information and thus attain equilibrium. There were many different types of equilibrium between assimilation and accommodation, which varied with the levels of development and the problems, which needed to be solved.Show MoreRelatedTheories of Teaching and Learning Essay1791 Words   |  8 Pagessingular theory or theorist that encompasses everything that is required in a modern classroom. Some of the most important theories of learning are motivation, constructivism and behaviourism. Teachers choose their teaching style and strategy to complement their students, to arrive at their own personal version of the most effective teacher they can be. Eggen Kauchak (2010, p. 390) state, a teacher â€Å"maximises student learning† and this is what all teachers should strive to achieve. In looking atRead MoreLink Between Education And Psychology Essay2175 Words   |  9 Pagesinformation for analysing behaviour and personality so that the roles of behaviour management and emotional intelligence in providing for better teaching and learning environment have become very evident in educational practice. Education and Psychology complement each other. While education is concerned with aims, ideals and standards of life, psychology determines whether these aims are attainable or not. †¢ Psychology is the study of human behaviour while Education is the process of amending humanRead MoreRelationship Between Education And Psychology Essay2172 Words   |  9 Pageshas made a distinct contribution to education through its analysis of pupils’ potentialities and differences.† According to Skinner, â€Å"The entire range of behaviour and personality is related to educational psychology.† Education and Psychology complement each other. While education is concerned with aims, ideals and standards of life, psychology determines whether these aims are attainable or not. †¢ Psychology is the study of human behaviour while Education is the process of amending human

Essay about James Baldwin’s Sonny’s Blues - 1028 Words

In the world of Harlem, New York the cruelties of the world become incandescently prominent. James Baldwin’s â€Å"Sonny’s Blues† addresses the foreboding power of pain in a world where someone’s coping skills dictate the course of their life. The story depicts a person’s options to ignore pain, create a reason for pain, or accept pain and live within it. Baldwin explains the theme of pervasive pain and parent’s attempt to shield children from it through the characters. Their reaction to pain constructs a motif of pain management. For the sake of letting children stay innocent from the harsh treatments of the world for as long as possible, adults don’t speak of theses realities in the presence of children. Baldwin constructs a†¦show more content†¦The character of the mother executes the tell-tale signs of counterfeit happiness when she tells the murderous story of the narrator’s father’s brother. â€Å"‘Oh honey,’ she said, ‘there’s a lot that you don’t know. But you are going to find out’† (36). If pain is inevitable then maybe the best course of action would be to have a reason to suffer. Baldwin’s character Sonny effectively portrays this mindset. In a conversation with his older brother Sonny asks, â€Å"‘why do people suffer? Maybe it’s better to do something to give it a reason, any reason’† (44). Sonny’s reason to suffer is from his heroin addiction. He is a musician with an acute sensitivity to the dark environment around him. He feels a deeper, harsher connection to the human’s fate to suffer. â€Å"‘I’ve been something I didn’t recognize, didn’t know I could be. Didn’t know anybody could be,’ [Sonny says] ‘Sometimes, you know, and it was actually when I was most out of the world that I felt that I was in it, that I was with it, really, and I could play, it just came out of me, it was there’† (45). By creating a reason for suffering, Sonny seems to su ffer more. He reaches a dark, low level and alters who he was, loses his identity. Suffering is what he channeled through his music, because of suffering being everywhere. â€Å"It filled everything, the people, the music, the dark, quicksilver barmaid, with menace: and this menaceShow MoreRelatedJames BaldwinS Sonnys Blues713 Words   |  3 Pagesï » ¿Harrisons Blues There can be little doubt that the characters who are the most similar in James Baldwins short story Sonnys Blues, and in Kurt Vonnegut Jr.s short story Harrison Bergeron, are the title characters of each respective work. They both embody conceptions of youth within each story Sonny as the younger brother of the nameless narrator in Baldwins tale, and Bergeron as the son of the George and Hazel Bergeron. In their own way, each is antisocial and engage in practices thatRead MoreJames Baldwins Sonnys Blues1418 Words   |  6 Pages A common idea of James Baldwin is that he happens to write more significant essays rather than fictions or dramatic pieces. However, his most common theme of choice, ones discovery of self-identity- is elaborately broadcasted and exhibited greatly in his short story â€Å"Sonny’s Blues†. First circulated in the late fifties and then again in the mid-sixties, Sonnys Blues explains Baldwin’s reasons for his famous arguments in the arena of Black freedom, while also providing a visual bonding ofRead MoreJames Baldwins Sonnys Blues859 Words   |  4 Pagesï » ¿An Analysis of James Baldwin s Sonny s Blues In James Baldwin s short story Sonny s Blues a young man questions his brotherly obligations after finding that his younger brother has been arrested for using drugs. In the attempt to rectify his younger brother s behavior and life, the young man faces his own feelings for his brother and comes to terms with the life his brother Sonny lives. The developments of certain elements-plot, character, point of view, setting, symbolism-in the storyRead MoreThe Concept of Family in James Baldwins Sonnys Blues1017 Words   |  4 Pagesï » ¿Family is one of the primary concepts in James Baldwins short story Sonnys Blues, considering that the connection between the narrator and his brother, Sonny, echoes throughout the text. The writer intended the audience to feel the relationship between the two characters and he initially induced confusion in individuals by hiding the fact that the narrator is Sonnys brother. Most of the story deals with the narrator acknowledging the roles that each of h is family members had in shaping hisRead More The Inevitability of Suffering in James Baldwins Sonnys Blues876 Words   |  4 PagesThe Inevitability of Suffering in James Baldwins Sonnys Blues Everyone likes to feel safe. We try to protect ourselves and those we love, to make them feel safe as well. The idea conveyed about safety in James Baldwins Sonnys Blues is that there is no such thing. The narrator of this story had thought that his brother Sonny was safe. Or at least, that was what he had made himself believe. I told myself that Sonny was wild, but he wasnt crazy. And hed always been a good boy, heRead More James Baldwins Story Sonnys Blues Essay1261 Words   |  6 PagesJames Baldwins Story Sonnys Blues James Baldwin?s story ?Sonny?s Blues? is a deep and reflexive composition. Baldwin uses the life of two brothers to establish parallelism of personal struggle with society, and at the same time implies a psychological process of one brother leaving his socially ingrained prejudices to understand and accept the others flaws. The story is narrated by Sonny?s older brother whom remained unnamed the entire story. Sonnys brother is a pragmatic person, a teacherRead More Symbolism in James Baldwins Sonnys Blues Essay1242 Words   |  5 PagesSymbolism in James Baldwins Sonnys Blues Missing Works Cited Several passages found throughout Sonnys Blues indicate that as a whole, the neighborhood of Harlem is in the turmoil of a battle between good and evil. The narrator describes Sonnys close encounters with the evil manifested in drugs and crime, as well as his assertive attempts at distancing himself from the darker side. The streets and communities of Harlem are described as being a harsh environment which claims the lives ofRead MoreEssay on Literary Analysis of James Baldwin’s Sonny’s Blues2323 Words   |  10 Pagesauthors create stories with a singular point of view, while others introduce more complex plots and storylines. When it comes to author James Baldwin’s short story Sonny’s Blues, there is much depth given to the storyline and the characters. Sonny’s Blues has been analyzed by many different people throughout time because the story has many elements. From Baldwin’s skillful use of metaphors and similes to his incorporation of re ligious references, this story is insightfully and complexly written. ARead More The Presence of Darkness in James Baldwins Sonnys Blues Essays809 Words   |  4 PagesThe Presence of Darkness in James Baldwins Sonnys Blues In the story Sonnys Blues the author, James Baldwin, uses the image of darkness quite frequently. He uses it first when the older brother (main character) talks about his younger brother Sonny. He says that when Sonny was younger his face was bright and open. He said that he didnt want to believe that he would ever see his brother going down, coming to nothing, all that light in his face gone out. Meaning he had gone from good (cleanRead More The Power of Music in James Baldwins Sonnys Blues Essay1544 Words   |  7 PagesThe Power of Music in James Baldwins Sonnys Blues At first glance, Sonnys Blues seems ambiguous about the relationship between music and drugs. After all, the worlds of jazz and drug addiction are historically intertwined; it could be possible that Sonnys passion for jazz is merely an excuse for his lifestyle and addiction, as the narrator believes for a time. Or perhaps the world that Sonny has entered by becoming involved in jazz is the danger- if he had not encountered jazz

AirAsia Free Essays

Cold Storage mission statement is, â€Å"not only do we strive to provide the freshest food produce, the most extensive range of products and wines from all over the world, we also take great effort in making shopping at Cold Storage and Market Place stores exciting, fun and easy! † It promises customers a wide range of products and great shopping experience. Mission statement states the company’s direction and goals, and what the company wants. It defines the product or service the company provides and what makes it unique. We will write a custom essay sample on AirAsia or any similar topic only for you Order Now Most importantly, it lets employees now the purpose of the organization and guide them to achieve the company’s objectives. By understanding company’s mission statement, employees will know what is expected from them and helps them to be dedicated on their Jobs. Having employees who are committed to the company’s mission will certainly have an impact on the service delivery. Process Layout and Service Blueprint Process layout is used at Cold Storage supermarket. The layout aims to improve efficiency by grouping work stations and equipment according to its function and varied processing requirements, and strategically positioned to create a continuous low when customer enters the supermarket. It is flexible and capable of handling a wide variety of products. Products are grouped and displayed according to categories. Causeway Point supermarket outlet has two separate areas in their layout. Entering the supermarket, customers will see the first area with stations displaying only fruits and vegetables. The layout somewhat guide customer to the next area where rows of shelves, freezers and chillers are positioned to display other products. The checkout counters are positioned in one row and located near the exit. The frontline of the supermarket are the checkout counters. Possible risk exists here because this is where customers have direct contact with the employees. A possible risk is the quality of service provided by the employee performing the cashier duty may not meet company or/and customer expectations. Different employees have different behavior and skills and so the service delivery may vary too. There is also the risk of customers being frustrated when the queue is long and not moving as quickly as they want. Although the layout is well organized with spacious aisles for customers to move easily, the space between the checkout counter and the nearest helves is not big enough which result in congested queue during peak hours. However, preventive measures have been taken. Dedicated counters were setup strategically to prevent long queue formation. With a dedicated express counter for few items purchase and two other counters proportioning customers with small children and customers who are either elderly, pregnant or have disability. In addition, during peak hours additional employee is assigned at each counter to assist in packing the purchased items while the cashier focuses in entering/scanning the prices and handle cash or credit card transactions. This speed up the process while ensuring customers from feeling frustrated. Although there may be a possibility of long queue, with additional staffs and counters, the checkout will be fast and customers will appreciate the store’s effort. Cold Storage has achieved efficiency of operation. The spacious layout allows easy mobility for customers in getting the products they want and the average queue turnaround time during peak hours are successfully reduced by its preventive measure at the checkout counters. The company also achieved quality service as per observation. The cashier exudes armor personality when communicating with customers. By providing temporary assistance to the cashier during peak period, it reduces the employee’s stress level by providing a conducive environment for staff to achieve the service standard requirement. Quantitative and Qualitative Performance Measures One quantitative performance measure that is relevant for Cold Storage would be calculating its growth rate in sales. By calculating the sales growth rate profitability, it tells if they meet their sales level target. It is one way to gauge how well a company is doing as well as knowing its potential for future sales growth. Another quantitative performance measure is finding the percentage of sales obtained from new products. This performance measure will indicate whether customers engage in browsing the store and if they manage to attract customer to the new products in the store. If the percentage is found to be low, then the company can take appropriate measures to increase customer’s engagement or implement ways to attract customers to buy the new products, for example, by offering special offer promotions and better display of signage, etc. One qualitative performance measure is by looking at the number of customer complaints. Monitoring the number of customer complaints will provide an indication on the service level, ability to identify the problems that lead to the complaints and to find a resolution. Customer’s complaints and feedback are a good source of information that identifies problem and appropriate steps to solve or eliminate the issues. Another qualitative performance measure is computing the average output per employee. This measures each employee’s productivity and thus, the company will be able to identify which employee has difficulty in his work or if he has behavioral issues. Then a resolution an be implemented through various methods such as rewards for the most productive employee, retraining employee who lacks the required skills and disciplining of employees if required. SERVICEABLE Serviceable are the physical factors of the store that can be controlled by the firm to enhance (or constraint) employees and customers’ activities. It influences customers’ perception of the quality of the service experience. Its supermarkets’ entrances have big â€Å"Cold Storage† signage with the slogan â€Å"The fresh food people†. The store is well lighted with its white walls and floors. The store’s layout is big and spacious and signed in such a way that it guides customers throughout the store with ease. Several large signage are displayed at all counters. The store is well ventilated and air-conditioned at a Just nice temperature. The signage at the entrance acts as a stimulus that communicates non-verbally to customers about the company and its expected outcome. Serviceable influences the perception and customers will distinguish companies by the way it is categorized. In this case, customers can identify that Cold Storage is the place for fresh food purchases. Serviceable can evoke emotional response. Environmental factors such as colors, lighting and dcord may have an influence on customer’s mood. Places that cause pleasurable experience tend to make people spend more time and money while unpleasant environments are usually avoided. Cold Storage serviceable evokes a welcoming feeling with its white color, good lighting and spacious layout. Serviceable can also evoke physiological responses. Low lighting might decrease ability to see products and may cause the eyes to strain. â€Å"Inhospitable† temperature and a crowded layout will cause discomfort or/and stress to customers which may lead to them to hasten their hopping experience. Whereas a well-designed spacious layout with the right temperature and lighting will make customers feel more comfortable. Cold Storage well designed serviceable makes customers feel comfortable and encourages engagement in more browsing which may lead to more purchases. Serviceable may influence social interaction between the customers and employees too. Customer’s response to the serviceable can influence the quality of interaction. The physical set up of Cold Storage check-out counter facilitate positive employee-customer interaction as it encourages customers to approach its employees if they assistance. Storage can redesign their website and app so customers can suggest particular products they would like the store to carry. Using such information, the company will know its customers’ wants and needs by evaluating the suggested products for quality and salability before stocking them. Another recommendation would be providing kid-friendly carts that are video-equipped to entertain the children while parents can shop at ease. This aligns to the company’s mission in making shopping at Cold Storage exciting, fun and easy. However, both recommendations require some investment from the company. (1455 words) How to cite AirAsia, Papers

Nursing Quality Assurance free essay sample

Reducing the Risk of Transmission of Methicillin-Resistant Staphylococcus Aureus (MRSA) in Healthcare Facilities Infection control is one of the things we as nurses and nursing students have a commitment to take every possible step to ensure. Infection control includes all things that are avoidable and by practicing by the ANA Code of Ethics and QSEN Competencies we can ensure that patients get best possible care they deserve. It is important that all people involved in the care of patients in a health-care facility take all the necessary steps and precautions to avoid spreading germs that can cause infections. It is essential that the policies put in place to control these problems are followed by every member of the collaborative team. According to the QSEN Competencies every person involved in the care of a patient should â€Å"Function competently within own scope of practice as a member of the health care team†. (QSEN, 2010) This includes nurses, doctors, social workers, janitorial services and dietary aids, to name a few. Each person working in a health-care facility plays an important particular role in the care of the patients. It is necessary to explore this issue because patient safety is a priority. It is important that everyone abide by the facility policies to decrease risk of transmission of infectious organism to patients, increase awareness to risk of transmission of MRSA and keep the patients and healthcare workers safe. One thing that has been difficult to control in hospitals is the spread of MRSA. MRSA (Methicillin-Resistant Staphylococcus Aureus) is a bacterial infection which is easily spread that can be highly resistant to antibiotics. There are two ways that one could acquire a MRSA infection. Community-associated MRSA infections can occur in healthy people living in the community who have not recently been in the hospital. MRSA is spread through direct contact with the infected person or items used by that person. People in close proximity or who share personal items or athletic equipment are at an increased risk of acquiring a MRSA infection. Another way that MRSA can be spread which is much more prevalent is through a hospital. Healthcare-associated MRSA infections occur in people who have recently been admitted to the hospital or other health-care facility. People who have been hospitalized or had surgery at an increased risk of contracting a MRSA infection. According to Fairclough (2006), â€Å"MRSA accounts for one-fifth of hospital acquired infections†(p. 73 ). The incidence of contracting a MRSA infection can be fairly minor to very serious. The prognosis of a patient who acquires a MRSA infection depends solely on the severity of the infection and the person’s overall health. Reducing risk of MRSA transmission can be extremely effective if all members of the collaborative team follow all necessary measures to eradicate MRSA. Attempts to control the spread of MRSA rely on several factors: detecting and isolating infected or colonized patients, rational antibiotic prescribing, hand hygiene and cleanliness. † (Fairclough, 2006) â€Å"Infection control is at the heart of quality clinical care. Clinical governance provides the framework to demonstrate the value of infection control to all healthcare workers. † (Bissett, 2005, p. 386) Of the many steps necessary to reduce the risk of spreading MRSA infections the first step is screening of all patients to be admitted to the facility. This has become controversial as it is costly to test all patients for possible MRSA infections but it is necessary if the goal is to eliminate transmission of MRSA from patient to patient. â€Å"Nosacomial transmission of MRSA is so widespread that screening programmes have been implemented to control the spread of MRSA in the hospital environment. † (Banning, 2005, p. 548) If healthcare facilities are able to properly identify the patients whom are infected with MRSA then they will be able to successfully carry out policies to protect others, especially those who are at high risk for infection. Once the patients with MRSA have been identified then the precautions protocols can be determined. According to Bissett (2005) the most effective type of precaution for MRSA patients is isolation of the source. (p. 389) Patients should be placed in single rooms and have certain medical equipment dedicated to them. Healthcare workers should use contact precautions and person protective equipment. All persons entering the room of a patient with MRSA should be wearing gloves and a gown. It is important that are healthcare workers understand and are in compliance with infection control measures. Bissett (2005) stated the following: Although MRSA can be transferred by patient to patient contact and air-borne transmission, it usually occurs via the hands of healthcare workers. It should not be forgotten that the need for environmental cleanliness. compliance with standard infection control precautions, including risk assessment of tasks to ensure the appropriate use of gloves and efficient hand hygiene, are of equal importance as isolation and cohort nursing. It is, therefore, important that all staff are updated annually on standard infection control precautions and that hand hygiene is kept high on the agenda of all staff members. p. 389) This is a clear explanation of the QSEN Competency â€Å"Value the need for continuous improvement in clinical practice based on new knowledge†. (QSEN, 2010) All healthcare professionals should be updated on current infection protocols and should use evidence-based practices to develop their scope of practice. â€Å"Healthcare providers and patients need to be educated about MRSA skin infections and preventative measures. Standard precautions should always be utilized: hand washing, using gloves, and decontaminating linens and surfaces. † (Romero, Treston, O’Sullivan, 2006, p. 22. The final and arguably most important step healthcare professionals need to take to reduce the risk of MRSA transmission is proper hand hygiene. Hand washing should be done before and after coming in contact with all patients. An antimicrobial hand wash should be used when coming in contact with a patient with MRSA. Proper hand hygiene is the most effective way to reduce the risk of transmission of any type of infection to patients or the healthcare workers themselves. Although the main goal is to keep patients safe and free of hospital acquired infections, the hospital can also be held accountable for improper infection control. Reimbursement for treating nonsurgical hospital-acquired infections is being eliminated because it is believed that the use of evidence-based practice can reduce these infections. Hospitals are also required to report any incidences of hospital-acquired infections. â€Å"At present if a patient contracts MRSA, the hospital has a mandatory requirement to notify the HPA (by recording it on a website) and the incident will be recorded on the statistics. The idea, of course, is for the statistics to reflect any increase or decrease in the incidence of these superbugs. The HPA figures have been referred to extensively in the press, sometimes with rejoicing in the decrease in MRSA. † (Rawson, 2008, p. 72)If the infection control protocols at the facility are followed properly, the risk of transmitting MRSA from patient to patient can be drastically reduced. â€Å"The decrease in MRSA does, however, suggest that obliging hospitals to report cases of MRSA to the HPA plays a role in reducing the incidence. † (Rawson, 2008, p. 73) As for continued research on MRSA prevention, it is important to focus on effectiveness of interventions already in place and readjustment as necessary. Using gowns and gloves for all MRSA contact precaution rooms may be the protocol, but protocols are not always followed. More research needs to be conducted on the compliance of these standard precautions. Decreasing the risk of infection transmission is only effective if all members of the healthcare system collaborate and follow the protocol together. Infection control and patient safety are primary goals for each patient in a healthcare facility. It should be acknowledged that acquiring a healthcare-associated infection such as MRSA can be regarded as an indicator of the quality of care at that facility. That is a chance any patient should not have to take. Research Log Duncan, C. P. , Dealey, C. , (2007) Hand hygiene. Patient’s feelings about hand washing, MRSA status and patient information. British Journal of Nursing, 16(1), 34-38 I did not use this article, although it was very interesting, it wasn’t as closely related to my topic as the others. Leifer, D. , (2005) MRSA hotspots. Nursing Standard. 19(52) 7-13. This was an interesting article on regions which have a higher prevalence of MRSA. It was shocking, but I decided not to use the article because the statistics on areas with high MRSA incidence were Europe based. Thomas, R. P. , Raymond, M. K. , (2009) Dishing the dirt on MRSA. RN 72(6) 16-23 This was a good article but seemed to focus more on patient education, information and signs and symptoms rather than a focus on the healthcare system. References Banning, M. , (2005) Infection control nursing. Transmission and epidemiology of MRSA: current perspectives. British Journal of Nursing, 14(10), 548-551. Bissett, L. , (2005) Infection control. Controlling the risk of MRSA infection: screening and isolating patients. British Journal of Nursing, 14(7), 386-390. Fairclough, S. J. , (2006) Infection control. Why tackling MRSA needs a comprehensive approach. British Journal of Nursing, 15(2), 72-75. Rawson, E. , (2008) The tip of the superbug iceberg. Clinical Risk. 14(2), 72-76. Romero, D. V. , Treston, J. , O’Sullivan, A. L. , (2006) Hand to hand combat: Preventing MRSA†¦methicillin-resistant staphylococcus aureus. Nurse Practitioner. 31(3) 16-18, 21-25. QSEN. Quality and Safety Education for Nurses. (2010) Retrieved from: http://www. qsen. org/competencies. php