Monday, January 27, 2020

Expatriation

Expatriation Introduction: Expatriation is a very significant characteristic of International Human Resource Management (IHRM), which is a result of the developments made in global business environment. For instance, such as Asia Pacific Region came up as world economic centre becoming the rivals of existing centres of Europe and North America. Moreover, the extended role World Trade Organization in dispute settlement and facilitating international trade flows and emergence of international economic forums such as North American Free Trade Association, European Union, Asia Pacific Economic Conference, European Union and expansion of the membership and status of A.S.E.A.N., have significantly changed the platform on which the international business used to operate. It was concurred through the basis earlier studies, that expatriates were home country employees. And these expatriates were assigned to the foreign or overseas location of the organization for relatively long periods of time. If we try to understand the trends in context to industrialization, it can be figured out that during initial stages of internationalisation, major industry restructuring was driven by advancements in communication and information technologies, whereas, the new global context is witnessing alteration in the structure of international operations with the availability of labour markets and staff requirements. Remuneration policies form a very integral part in the implementation of business strategies and change initiatives for an organization. For the employees its a substance of motivation and mobilization to achieve the valued corporate goals. Most of the companies today are committed in providing competitive salaries and benefits. Culpepper and Associates carried out the compensation and benefits survey in 2008, which showed that base salaries are growing in Asia Pacific at much faster rate as compared to other regions of the world, followed by Latin America and Europe. Changes in remuneration practices are inevitable worldwide with surge of globalisation and the increasing demand of skilled labour. More companies nowadays are following a trend of reinforcing pay and performance relationship through variable pay plans (Hewitt Associates, 2007). Especially, expatriate workers are appreciated and rewarded for their performance through variable pay plan, a share program and other benefits , not just through base pay. Multi-national companies that maintain effective remuneration policies tend to have sustainable competitive advantage as they effectively lock their key employees into their careers and keep minimal employment cost. Thus, these remuneration practices for expatriates and every other employee will continue evolve and expand as it plays a very important role in these multi-national organizations. As per the International Human Resource Management theory underpinning, the relationship between expatriation and seemingly inequitable salaries on the basis of hardship experienced give rise to many arguments. Remuneration systems for expatriates range from simple systems based on base country net salaries plus various allowances to ones of eye-watering complexity operated by large multinationals for hundreds of nationalities with thousands of permutations. (http://www.exfin.com/) To understand the remuneration policies for expatriates and its effectiveness in the multi-national organization, the researcher has developed a case-study on Satyam InfoTech, an Indian based I.T. company. Satyam has a big infrastructure which has around 100,000 people working under it in India and abroad, with expatriation as a common practice in the organization. Aims Objectives: Research Question: What is expatriate remuneration in a multi-national organization and how effective is this practice to Satyam InfoTech? The key aim of the study was to establish if the expatriate remuneration policies in this sample multi-national company are effective and are aligned with global practices. The main objective of this research is to understand the current trend in remuneration practices for the expatriates in multi-national organization. Also, the objective is to understand its effectiveness in the context to the Human Resource perspective and the Organizations perspective. Hypothesis: H1: Expatriate Remuneration has positive effectiveness in Satyam InfoTech. H2: Expatriate Remuneration has negative effectiveness in Satyam InfoTech. H0: Null hypothesis. Literature Review: International assignments are important investments for MNCs. Besides the direct costs of employee salaries, taxes, housing, shipment of household goods, education assistance for dependants, spouse support, cross-cultural training, goods and services allowances, repatriation logistics and reassignment costs, the administrative costs of running an international assignment program should not be neglected. These include home based HR support (assignment planning, selection and compensation management), assignment location or host based HR support, post assignment placement costs as well as post assignment career tracking costs. Furthermore, adjustments costs of expatriates have to be taken into account. While many of these figures are highly quantifiable, it is even more difficult to assess the return on investment of international assignments. In a study conducted by Cranfield School of Management and PrincewaterhouseCoopers (Dickmann et al. 2006: 18-19) it was reported that the averag e costs per annum for expatriate are amounted to US$311,000. This includes the direct compensation costs and the costs to the organizations of managing their international assignments program. At US$22,378 the latter accounted for 7% of the total assignment costs. While more and more firms are interested in measuring a return on investment in international assignment, to date only 14% are addressing this complex task mainly looking at the definition and respective fulfilment of assignment objectives. Having summarised the expatriate remuneration practice, now some theoretical perspectives related to the various levels have to be looked upon. In this a scene can be set for addressing a question of how expatriate remuneration outcomes may be influenced by a series of independent variables, in dynamic interaction with the environmental context in which international employee mobilization occur. Human Resource Perspective: Two aspects in particular may influence the H.R. perspective on expatriate reward determination. First, the ideas of ‘best practice and related commentary on policies and practices that MNCs should adopt a ‘functional lens focusing the H.R. view point. Secondly, the role and interests of the H.R. function likely to affect H.R. specialists interpretations of alternative approaches to expatriate remuneration determination, a ‘political orientation. Administering the remuneration of expatriates employees has been an important concern for H.R. specialists, accounting for over 50% of their time (Perkins and Hendry 2001). Changes in the nature and duration of international employee mobility, not necessarily of HRs making but which need an H.R. response, condition the context for H.R. strategies to address the attendant compensation policy and practice implications.

Saturday, January 18, 2020

Free States V Slave States Essay

There have always been events in American history that increased tensions between free states and slave states. In the following essay I will go over three events that has caused problems between one other. The Compromise of 1850, Uncle Toms Cabin, and John Brown’s Raid at Harper’s Ferry I have chosen these events because these are the events that stand out to me when tensions between free states and slave states come to mind. The Compromise of 1850 included four laws. California entered the union as a free state. A stricter Fugitive Slave Law requires that escaped slaves be returned. Slave trade prohibited in Washington D. C. Popular Sovereignty vote of the people living in the territory. Uncle Tom’s Cabin by Harriet Beecher Stowe was the best selling book of the nineteenth century. This book caused many to oppose slavery. This showed Americans what slavery has done and this book opened up northern eyes against slavery. This caused the Southern to be outraged because now they have to deal with all the negative northern remarks. The last event is John Brown’s Raid at Harper’s Ferry. In 1859 John Brown led a small group against a federal arsenal. His plan was to seize the weapons and lead a slave uprising. Even though he was unsuccessful and was also executed he became a Northern hero. This incident increased the distrust that was already between the Southern and the North. In conclusion The Compromise of 1850, Uncle Tom’s Cabin, and John Brown’s Raid at Harper’s Ferry are events that rose tensions between free states and slave states. The compromise of 1850 pleased no one. It cause northern in civil disobedience against the Fugitive Slave Law by protesting and helping slaves to reach the safety of Canada. Uncles Tom’s cabin single handedly opened up peoples mind against slavery. This made people realize how horrible it is to take another mans freedom this caused problems for the slave states because now the free states wanted to get rid of slavery once and for all. John browns attack proved to the northerners anyone can make a difference if they believe slavery is wrong. This also increased Southern distrust of the North. These are the three events that stood out to me there are a lot more but these are the greatest disputes that effected North and South.

Friday, January 10, 2020

Acute Care Assignment Essay

1. Identify and discuss 8 aspects of Mrs. Lee pre-operative nursing care? It is an important role of a nurse to ensure that patients are prepared for surgery not only in a physical way but also in a psychological way so they have informed consent of the procedure being undertaken, have psychosocial support and are educated on the expected and unexpected outcomes. For Mrs. Lee, these 8 aspects of pre-operative nursing care may include: Providing psychological support: Because it is already stated that Mrs. Lee’s family is quite anxious, it may very well be also making her anxious about her surgery. Catering to the psychological support needs of a surgical patient will include being there for the patient and answering any questions relating to their fears and concerns regarding the surgery and the post operative period. The answers to these questions need to be honest and factual. If necessary, it may be arranged for Mrs. Lee’s spiritual adviser to come and speak with her also. Providing pain management information: Following on from the psychosocial support needs, one of the reasons that Mrs. Lee may be anxious could be due to the amount of pain she thinks she will be in post surgery or she may be even scared of developing a drug addiction to analgesics. Educating the patient on the types of analgesics they may be given is important, as is how the medication may be administered. Mrs. Lee could be provided with pain management brochures if they are available. Teaching techniques for preventing respiratory complications: As Mrs. Lee is having surgery and more than likely will be going under general anesthesia it is important to reduce any risk of potential respiratory complications by the use of deep breathing techniques, incentive spirometry and pursed lip breathing to assist and maintain an open clear airway. The patient should practice deep breathing exercises hourly with encouragement from the nurse for the first 2-3 days post surgery. Coughing exercises should also be done frequently to ensure the airways are free of secretions. Promoting activity and exercise: It is important to promote exercise and activity as inactivity may cause thrombi and emboli’s as well as respiratory complications which will lead to a delayed recovery time post op. As a nurse, we need to ensure our patients are well informed on activity and exercise post surgery because we do not want a potential DVT. Mrs. Lee will need to be informed that she may be required and encouraged to be out of bed and walking at 8 to 12 hours post op and that the time out of bed will increase daily, and that she will be given analgesia if she requires it. Preparing the surgical site: The nurse will be required to prepare the surgical site whether that be by shaving the area if the patient is rather hairy, washing the skin with antimicrobial soap, swabbing with antimicrobial solutions and wrapping the area in a sterile drape to protect from bacteria. Povidone-iodine is what is mostly used as an antimicrobial solution. The site for the surgery will be identified and marked with a texta (marker pen) which is usually done by the surgeon and verified by other staff e.g., the nurse and written in the documentation. It is important to identify right patient, right procedure and right site. Carry out the pre-operative routine: The pre-operative routine involves: identifying the patient and procedure with the use of arm and leg bands as well as documentation; fasting for 6+ hours ensures that the GI tract will be empty and non active preventing the risk of aspirating on undigested food; elimination of the bowel will reduce the risk of constipation and distention post surgery; consent signature is extremely important as your patient is signing a legal document agreeing to the surgery and it means that they understand the procedure at full; valuables are to be taken from the patient and placed in a secure place which is generally a locker that is locked or a safe. Often wedding rings that are left on the finger will be taped with hypo allergenic tape however they must be removed if there is a risk of oedema in the hands post surgery; allergies must be identified prior to the surgery, generally this would be done in the pre-admission clinic. Allergies must be written in red and the patient must have a red armband on them identifying what the allergy is if it is related to the surgery, dressings, treatment or medications; personal hygiene care involves  showering/bathing/mouth care including dental work and prosthesis which are removed because they may be a choking risk, cosmetics and nail polish; ted stockings may need to be applied and worn throughout the surgery to reduce the risk of a DVT. As a nurse we cannot put ted stockings on without a doctors order. Administer the pre-operative medication: Medications may be ordered as per the medication chart and need to be given to a patient pre surgery must be ready in time and when it is needed. If the patient is on medications prior to surgery, they must be withheld the morning of the surgery if it is elective surgery. There are some exemptions however that may include routine medications, which may be given with minimal water at least 2 hours before the scheduled surgery. Documentation: Is required before and after the patient is wheeled into theatre and to the recovery area. The documentation must be accurate, timely, correct and signed with your designation as it is a legal document. Observation and medication charts must be filled in and signed. The patient is unable to give the healthcare team any information therefore it is extremely important for the charts to be complete. (24 marks) 2. Identify and discuss the initial postoperative assessment and care required in this postoperative phase.  Mrs. Lee has just returned to the ward from the operating theatre and recovery. As she has just returned to the ward, it is essential to do a full set of observations on her (vital signs, neurovascular and neurological). To get a clear understanding of the normal baseline results for this patient, checking the observations chart would be very helpful with identifying and preventing possible issues and complications relating to Mrs. Lee’s surgery. The initial perioperative assessment includes the level of consciousness (GCS), respiratory rate (depth, sounds, chest movement), blood pressure, pulse rate, temperature, oxygen saturation level, pain assessment, condition and colour of the skin, circulation (peripheral pulses and sensation), condition and location of dressings, condition of suture line, condition of  drain tubes/catheters, muscle strength and response, pup il response (PEARL), level of comfort, level of activity and exercise and any postoperative instructions. If there were any abnormalities from the nursing assessment, interventions would be made. These observations will be taken every 15 minutes for the first hour then every half an hour for 2 hours, following once every 2 hours ultimately resulting in 4 times daily if there are no problems post op. Relating to the nursing care of Mrs. Lee, she has had a hip replacement so for her to achieve her normal level of ADL’s while she is in hospital will not be to the level that she is used to prior to her surgery. Mrs. Lee will be requiring assistance with personal hygiene including showering and toileting (both voiding and elimination). Encouragement for postoperative activity and exercise along with instruction from the physiotherapist may be needed as her surgery has affected the way she ambulates. Mrs. Lee may need to be positioned and turned every 3 to 4 hourly post surgery, as she may not feel up to getting out of bed yet due to her hip replacement. Positioning of Mrs. Lee may be painful for analgesia may be required when it comes to changing her position. Again, everything a nurse would be doing for Mrs. Lee requires documentation, whether that is in the nursing notes or the drug charts. Every nurse intervention needs to be documented signed and designated for legal purpo ses. (16 marks) 3. Identify and discuss the emergency management of this patient. First and foremost in an emergency situation I would go back to what I have learnt in first aid regarding DRSABCD as well as a primary and secondary survey. Since I have found Mrs. Lee unconscious, I would send for help automatically by pressing the emergency button above the bed and then call a MET call. There are no dangers and I have no response from Mrs. Lee as she is unconscious and I have already sent for help by pressing the emergency button and calling a MET Call. Mrs. Lee has a very low respiratory rate and is breathing very shallow so automatically I would put her on oxygen with a free flow mask with 8-15L of oxygen. Next I will assess her capillary refill, skin colour, blood pressure and pulse, which are also both on the low side. Mrs. Lee is unconscious so that brings her GCS from 15 down to  11; she is also febrile and has a high temperature. The secondary survey will look at the head, neck, chest, abdom en back and limbs. There has been no evidence of a fall in hospital and the head and neck don’t appear to be lacerated, fractured or bleeding. There is a small hematoma on the left frontal region of the head due to a fall prior to admission. The chest is normal, breathing is shallow and there are no abnormal breathing sounds. There is oedema in the abdominal cavity, possibly related to the hip replacement surgery. It is tender. All the abdominal organs felt normal with palpation, no abnormalities found. There is bright red blood coming from the redivac drain from the hip joint, which has soaked through x2 combine, and there is blood on the patient’s bluey, which has leaked from the wound site. The limbs appear to be slightly cyanosed possibly relating to the blood loss and capillary refill is slow. Peripheral pulses are weak. As Mrs. Lee has suffered from blood loss, it will be essential for the doctor to order a blood transfusion as well as fluids to bring the patient back to a level of stability. Management of what appears to be Hypovolemic Shock will be to keep the patient warm to lower the risk of hypothermia. Me dications such as dopamine may be given to increase blood pressure and cardiac output. An ECG will be given for cardiac monitoring due to the blood loss. Mrs. Lee will then be sent off for the following tests: FBE (full blood exam), LFT (liver function test), CRP (C-reactive protein test), chest x-ray, ABG (arterial blood gas test). 4. A) Discuss the nursing care of a patient on a blood transfusion with rationales to support your answers. Mrs. Lee had a FBE (full blood exam) and the results have come back indicating that she has a hemoglobin level of 50, which is extremely low so the doctor has ordered a blood transfusion. First and foremost for the blood transfusion to go ahead, we need patient consent, identification and cross matching. Prior to collecting the blood from the blood bank, Mrs. Lee would already need IV access set up as the blood can only be out of the fridge for 30 minutes. Before the transfusion is set up, checks must be made at the bedside in the presence of another nurse. These checks include right patient identification on the patient tag,  blood pack and documentation; blood product identification; and right blood group. It is also necessary to check the blood pack for any leakage, clots or abnormal colour. Before starting the transfusion you will need to do a full set of observations on Mrs. Lee to get a baseline incase there are any adverse reactions. Then you will need to prime the line with normal saline at 0.9% before you start with the blood transfusion. Once this is done and all documentation and checks are in place, you may start the blood transfusion. The nurse will start the transfusion off slowly and they will need to sit with Mrs. Lee for the first 15 minutes as that is when most adverse reactions occur and if everything is running smoothly and her vital signs are within her normal ranges, the nurse will be able to speed up the transfusion which generally will run over 2 to 3 hours. Observations will need to be done every 15 minutes for the first hour. B) Identify 2 complications that can arise from a blood transfusion. Two complications, which can arise from a blood transfusion, may be a febrile reaction (fever) or a severe allergic reaction (anaphylaxis). 5. Discuss the aspects relevant to Mrs. Lee’s discharge and provide rationales to support your response. Aspects that would be relevant to Mrs. Lee’s discharge are a continuity of care not only for Mrs. Lee herself but for her husband also since she is his primary career. To ensure the best care for Mrs. Lee, discharge planning would include Mrs. Lee herself, her family, doctor, nurses, physiotherapist as well as an occupational therapist. In order for Mrs. Lee to be discharged home, I would have an occupational therapist go out to her home and see if there were any necessary changes there would need to be made to ensure Mrs. Lee would have a lower risk of falling and be able to ambulate within her own home with the use of mobility aids. Help in the home could be contacted to come into Mrs. Lee’s home 3 times a week to help with ADL’s while also encouraging Mrs. Lee to be independent. If it were also possible, the daughter could temporarily stay at her parent’s home for a few weeks to assist with shopping, cooking, cleaning and making sure her mother was taking her  medications as well as her father. If her daughter were unavailable to do this, help in the home would be able to look after the cleaning side of things and meals on wheels may be able to be arranged for Mrs. Lee and her husband. The physiotherapist could make home visits in order to help Mrs. Lee with her exercises and to ensure her range of motion is getting stronger so she can ambulate, as she would have post hip replacement surgery. The royal district nursing service could be contacted to change the dressings on Mrs. Lee’s incision post discharge which would be more convenient to her as well as her family as they wouldn’t be having to arrange transport to go to the GP or clinic every few days to get the dressing checked and changed if need be. Prior to discharge from hospital , Mrs. Lee would need to be educated on the exercises she would need to do to regain strength in her hip, which the physiotherapist would explain and show to her. References: Books – Tollefson, J, 2012. Clinical Psychomotor Skills: Assessment tools for nursing students. 5th ed. Australia: Cengage Learning Australia Pty Limited. – Kozier and Erbs ‘ Fundamentals of Nursing’. (2012). 2nd edition. Pearson Internet – Hypovolemic Shock: An Overview, Dorothy M. Kelley https://elibrary.utas.edu.au/utas/file/05409184-2b96-23be-1aff-43a5cf934b31/1/15826962.pdf [Accessed 21st April 2014] – Hypovolemic Shock http://www.nlm.nih.gov/medlineplus/ency/article/000167.htm [Accessed 18th April 2014] – Principles of monitoring postoperative patients http://www.nursingtimes.net/nursing-practice/clinical-zones/critical-care/principles-of-monitoring-postoperative-patients/5059272.article [Accessed 18th April 2014] Journals – Paul Froom, Tayser Mahameed, Rosa Havis, Mira Barak. 2001. Effect of Urgent Clinician Notification of Low Haemoglobin Values. [ONLINE] Available at: http://www.clinchem.org/content/47/1/63.full. [Accessed 18 April 14].

Thursday, January 2, 2020

Literary Analysis Of After Apple-Picking By Robert Frost

From â€Å"After Apple-Picking† by Robert Frost Lines 1-8 â€Å"My long two-pointed ladder’s sticking through a tree Toward heaven still, And there’s a barrel that I didn’t fill Beside it, and there may be two or three Apples I didn’t pick upon some bough. But I am done with apple-picking now. Essence of winter sleep is on the night, The scent of apples: I am drowsing off.† In the selected lines from Robert Frost’s â€Å"After Apple-Picking,† Frost creates the setting for the poem through time indicators, while also relaying the idea that this is not simply a poem about only apple picking, but it is metaphor about life and death where â€Å"apple picking† means collecting and life experiences. Line one states â€Å"My long two-pointed ladder’s sticking through†¦show more content†¦The barrel that is not filled represents the capacity to do things before an end of some kind, and the space that could occupy the barrel is empty. In other words, the empty barrel represents missed opportunity: in the case of apple picking, it could be filled with apples, but is not at the end of the day. When this concept is related the life itself, it means that ones life could be filled with memories or life experiences, but at the end, they have not occurred. Then Frost tells us, â€Å"B eside it, and there may be two or three- Apples I didn’t pick upon some bough†(4-5). With these lines we get more information relating to the â€Å"barrel that is not filled,† which says that there is apples to be picked to fill the barrel but the narrator does not pick them. With the analogy relating the missed apple to missed life experiences, it can be inferred that there are two or three life experiences that have or will be missed. The word â€Å"bough†(5) literally means the main branch of a tree. The missed apples while apple picking were not missed because they were on a small limb; they were missed seemingly on purpose, because if they were on a small hidden limb it would be understandable if they were missed on accident. This tells us that the theoretical life experiences, represented as apples, were not small in nature but large. This is a representation of Frost’s feelings toward the ending of life before one is done experiencing normal life steps.Show MoreRelatedAfter Apple Picking, by Robert Frost1043 Words   |  5 Pagespaper is about â€Å"After Apple Picking,† by Robert Frost, from the perspectives of Carl Phillips and Priscilla Paton. I would like to focus more on Carl Phillips discussion of â€Å"After Apple Picking† as his article has more focus on an actual argument on what â€Å"After Apple Picking† is about compared to Paton’s article which is more about how Frost went about writing his poems though his usage of metaphors and vague colloquialisms . 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