Tuesday, September 10, 2019
Nike-CEO Mark Parker Essay Example | Topics and Well Written Essays - 250 words
Nike-CEO Mark Parker - Essay Example This led to resistance to change and the creation of a gap between the firm and the CEO. Parker inherited this problem because he had to gain their confidence to implement the changes he perceived worth. Parker has proved to be a strategist through his changes on the operations of the company. He shifted the brand away from the original products based and sub-brand structure to a structure that is customer driven. He divided the company into various categories such as womenââ¬â¢s fitness, running and basketball. He also initiated an innovation process by creating an innovation group that would come up with different brands as a strategy to command large market share. Considering the concept of impact of environmental sustainability, Nike has ââ¬Å"Nike Sustainable Business + Innovationâ⬠program. This program is used to power the companies brand, the employee efforts, and passions to ensure that changes that are brought in the brand are environmental friendly (Lussier, & Achua, 2013). This program ensures that any opportunity that the organization gets is utilized in a manner, which it creates a positive social and environmental impact in the world. This product has seen its customers accept its products in the market easily because of the additional cooperate social responsibility. Parker pursues the strategy of enhancing value to its customers by acknowledging that the customer is their main asset and thus all employees work to cater for the needs and wants of customers because they are their boss. In creating new opportunities, he has a partnered the company with key organizations such Steve Job and Apple. Apple Company has created an opportunity by allowing Nike + footwear to talk with the customerââ¬â¢s iPod as they are running or carrying out workout experience. This creates an opportunity for customers to long for Nike brands to get this service by Apple known as Nike Plus program (Lussier, & Achua,
Monday, September 9, 2019
Psychology (mental illnesses) Essay Example | Topics and Well Written Essays - 250 words
Psychology (mental illnesses) - Essay Example In the process of analyzing the obscure emotions of the patient, the therapist can link them to the actual relationships that they cause, for example one's animosity to food or alcohol. The other technique is introduced by Carl Rogers. He is the founding father of the Person-centered approach, the most widely used technique in modern clinical psychology. This concept explores the healing of the psyche through empathy, active listening, and "mirroring" of the patient. This therapeutic intervention is focused on the immediate conscious experience rather than attempting to solve the unconscious. The transformative impact of Roger's therapy is that there is an unconditional positive attitude to the client "not as a scientist to an object, but as a person to a person (Rogers 22)". The theory of person-centered therapy suggests that the resources for someone to heal himself lie inside them. In today's global world where our daily activities mix with the technologies, telephone or internet therapy is something acceptable and understandable. The mental health programs where the treatment is conducted via internet or phone provide instant support and availability to patients in emergencies. However, the quick access advantage adds to other disadvantages.
Sunday, September 8, 2019
Traditional vs modern makes the diffrences Essay
Traditional vs modern makes the diffrences - Essay Example The import of this is that while the traditional forms of advertising were more localized, because of the use of then conventional forms media, the latter become more global in scope and approach, because of the use of the World Wide Web. An example of traditional form of advertisement for Burger King Products is Have It Your Way: Make It a Whopper, dated in 1976. The picture is attached here below, and can be traced back to http://www.grayflannelsuit.net/blog/retrotisements-burger-king-76 An example of modern form of advertisement for Burger King Products is, It Just Tastes Better, Itââ¬â¢ll Blow Your Mind Away: BK Super Seven Incher, dated in 2009. The picture is attached here below, and can be traced back to http://www.examiner.com/article/burger-king-oral-sex-ad One can clearly see that there is a world of difference between traditional and modern form of advertising. The difference between the two is underpinned by a radical shift in social values, not just in America, but throughout the entire globe also. The shift in social values involves a departure from conventional and familial values to values that are more liberal. With the embracing of liberal values, there is the use of raunchy culture and individualism as a way of appealing to the market [through advertising]. This is in diametrical opposition to the traditional form of advertising which appealed more to family and social values than parochialism and hedonism. It is noteworthy that the radical shift in values is also evident in the pieces of advertisement that have been availed above. In the first case (Have It Your Way: Make It a Whopper), there is an appeal to more collective values than individual interests. Burger King managed to do this by portraying its products [burgers, beverage and fries] as things to be enjoyed by the entire family. The family is portrayed as joyous when taking Burger King food, in the comfort of its
Saturday, September 7, 2019
The Probable Effects of Globalization On Union Membership Essay
The Probable Effects of Globalization On Union Membership - Essay Example This essay stresses that the development of the debate took a dichotomous institutional perspective. One group consisted of researchers who supported the international financial institutionsââ¬â¢ view that market forces give superior employment results. This group called for non-intervention in the labor market. The other group consisted of researchers sensitive to the UNICEF Report who supported the International Labor Organizationââ¬â¢s view that given the existence of market failures in resource markets, including the labor market, government intervention is necessary to establish minimum conditions for employment. This paper makes a conclusion that the Bankââ¬â¢s ââ¬Ëdistortionââ¬â¢ view claims that interventions result in employment failing to adjust to economic shocks. It argues that economic policies that protect employment in the face of economic decline result in more pain to enterprises, and worsens the recession, but says nothing about the pain to workers. Thus asserting that employment protection has efficiency costs is in a way selective and incomplete use economic theory. Nevertheless, Fallon and Lucas found the impact of labor market interventions to be perverse in India and Zimbabwe. They observed that strict employment protection significantly reduced the level of employment growth. The strength of unions is also viewed as a source of labor market inflexibility. Advocates of non-intervention therefore call for the weakening of unions to facilitate flexibility.
Friday, September 6, 2019
Psychology Notes Essay Example for Free
Psychology Notes Essay 1) Four big ideas in psychology: a. Critical thinking is smart thinking b. Behavior is a bio psychosocial event c. We operate with a two-track mind (Dual processing) d. Psychology explores human strengths as well as challenges 2) Why do psychology? e. The limits of intuition and common sense i. Enough to bring forth answers regarding human nature. ii. May aid queries, but are not free of error. iii. Hindsight Bias: the ââ¬Å"I-knew-it-all-alongâ⬠phenomenon. 1. After learning the outcome of an event, many people believe they could have predicted that very outcome. iv. Overconfidence: thinking you know more than what you actually know. f. The scientific attitude v. Composed of curiosity, skepticism, and humility. vi. Curiosity: passion for exploration. vii. Skepticism: doubting and questioning. viii. Humility: ability to accept responsibility when wrong. g. The science of psychology helps make these examined conclusions, which leads to our understanding of how people feel, think, and act as they do. 3) How do psychologists ask and answer questions? h. The scientific method ix. Construct theories that organize, summarize and simplify observations. x. Theory: an explanation that integrates principles and organizes and predicts behavior or events. (Example: low self-esteem contributes to depression). xi. Hypothesis: a testable prediction, often promoted by a theory, to enable us to accept, reject or revise the theory. (Example: people with low self-esteem are apt to feel more depressed). xii. Research: to administer tests of self-esteem and depression. (Example: people who score low on a self-esteem test and high on a depression test would confirm the hypothesis). i. Description xiii. Basic purpose: to observe and record behavior. xiv. How conducted: do case studies, surveys, or naturalistic observations. xv. Weaknesses: No control of variables; single cases may be misleading. xvi. Case Study: a technique in which one person is studied in depth to reveal underlying behavioral principles. xvii. Survey: a technique for ascertaining the self-reported attitudes, opinions or behaviors of people usually done by questioning a representative, random sample of people. xviii. Wording can change the results of a survey xix. Random Sampling: when each member of a population has an equal chance of inclusions into a sample (unbiased). 2. If the survey sample is biased, its results are not valid. xx. Naturalistic Observation: observing and recording the behavior of animals in the wild and recording self-seating patterns in a multiracial school lunchroom constitute naturalistic observation. j. Correlation xxi. Basic purpose: to detect naturally occurring relationships; to assess how well one variable predicts another. xxii. How conducted: compute statistical association, sometimes among survey responses. xxiii. Weaknesses: does not specify cause and effect. xxiv. When one trait or behavior accompanies another. xxv. Correlation Coefficient: a statistical measure of the relationship between two variables. 3. Example: R = + 0.37 a. R is the correlation coefficient b. + is the direction of relationship (either + or ) c. 0.37 indicates the strength of relationship xxvi. Correlation DOES NOT mean causation. 4. Examples: d. Low self-esteem could cause depression e. Depression could cause low self-esteem f. Distressing events or biological predisposition could cause low self-esteem and depression. xxvii. Illusory Correlation: the perception of a relationship where no relationship actually exists. (Example: parents conceive children after adoption). xxviii. Order in Random Events: 5. Given random data, we look for order and meaningful patterns. 6. Given large numbers of random outcomes, a few are likely to express order. k. Experimentation xxix. Basic purpose: to explore cause and effect. xxx. How conducted: manipulate one or more factors; use random assignment. xxxi. What is manipulated: the independent variable(s). xxxii. Weaknesses: sometimes not feasible; results may not generalize to other contexts; not ethical to manipulate certain variables. xxxiii. The backbone of psychological research 7. Effects generated by manipulated factors isolate cause and effect relationships. xxxiv. Double-blind Procedure: in evaluating drug therapies, patients and experimenterââ¬â¢s assistants should remain unaware of which patients had the real treatment and which patients had the placebo treatment. xxxv. Random Assignment: assigning participants to experimental and control conditions, by random assignment, minimizes pre-existing differences between the two groups. xxxvi. Independent Variable: a factor manipulated by the experimenter. 8. The effect of the independent variable is the focus of the study 9. Example: when examining the effects of breast-feeding upon intelligence, breast-feeding is the independent variable. xxxvii. Dependent Variable: a factor that may change in response to an independent variable. 10. Usually a behavior or a mental process. 11. Example: in the study of the effect of breast-feeding upon intelligence, intelligence is the dependent variable. 4) Aristotle l. 384-322 B.C. m. Naturalist and philosopher n. Theorized about psychologyââ¬â¢s concepts o. Suggested that the soul and body are not separate and that knowledge grows from experience. p. ââ¬Å"The soul is not separable from the body, and the same holds good of particular parts of the soul.â⬠-Aristotle 5) Wundt q. 1832-1920 r. Studied the ââ¬Å"atoms of the mindâ⬠s. Experiments at Leipzig, Germany, in 1879, which is considered the birth of psychology. 6) William James t. 1842-1910 u. American philosopher v. Wrote psychology textbook in 1890 w. Jamesââ¬â¢s student, Mary Calkins, became the APAââ¬â¢s first female president xxxviii. She was not able to attain her PhD from Harvard. 7) Sigmund Freud x. 1856-1939 y. Austrian physician z. Emphasized the importance of the unconscious mind and its effects on human behavior. 8) Psychology {. Originated in many disciplines and countries |. Defined as the science of mental life until the 1920s. }. 1920-1960: psychology was heavily oriented towards behaviorism. ~. Psychology: the scientific study of behavior and mental processes. 9) Pavlov, Watson and Skinner . Watson: 1878-1958 . Skinner: 1904-1990 . Emphasized the study of overt behavior as the subject matter of scientific psychology instead of mind or mental thoughts. . ââ¬Å"Anything seems commonplace, once explained.â⬠-Watson 10) Maslow and Rogers . Maslow: 1908-1970 . Rogers: 1902-1987 . Emphasized current environmental influences on our growth potential and our need for love and acceptance. 11) The American Psychological Association (APA) . The largest organization of psychology . 160,000 members world-wide . Followed by the British Psychological Society with 34,000 members. 12) Current perspectives . Neuroscience: how the body and brain enables emotions xxxix. How are messages transmitted in the body? How is blood chemistry linked with moods and motives? . Evolutionary: how the natural selection of traits promotes the perpetuation on oneââ¬â¢s genes. xl. How does evolution influence behavior tendencies? . Behavior genetics: how much our genes and our environments influence our individual differences xli. To what extent are psychological traits such as intelligence, personality, sexual orientation, and vulnerability to depression attributable to our genes? To our environment? . Psychodynamic: how behavior springs from unconscious drives and conflicts. xlii. How can someoneââ¬â¢s personality traits and disorders be explained in terms of sexual and aggressive drives or as disguised effects of unfulfilled wishes and childhood traumas? . Behavioral: how we learn observable responses. xliii. How do we learn to fear particular objects or situations? What is the most effective way to alter our behavior, say to lose weight or quit smoking? . Cognitive: how we encode, process, store and retrieve information xliv. How do we use information in remembering? Reasoning? Problem solving? . Social-cultural: how behavior and thinking vary across situations and cultures. xlv. How are we- as Africans, Asians, Australians or north Americans- alike as members of human family? As products of different environmental contexts, how do we differ? 13) Psychologyââ¬â¢s subfields . Biological: explore the links between brain and mind. . Developmental: study-changing abilities from womb to tomb. . Cognitive: study how we perceive, think, and solve problems. . Personality: investigate our persistent traits. . Social: explore how we view and affect one another . Clinical: studies, assesses, and treats people with psychological disorders. . Counseling: helps people cope with academic, vocational, and marital challenges. . Educational: studies and helps individuals in school and educational settings. . Industrial/Organizational: studies and advises on behavior in the workplace. 14) Clinical vs. Psychiatry . Clinical Psychologist: (Ph.D.) studies, assesses, and treats troubled people with psychotherapy. . Psychiatrists: (M.D.) medical professionals who use treatments like drugs and psychotherapy to treat psychologically diseased patients. 15) Three main levels of analysis
Thursday, September 5, 2019
Struggle For Human Rights And International Law Human Rights Essay
Struggle For Human Rights And International Law Human Rights Essay In this essay, I seek to provide a deeper understanding about the constant struggle for human rights and international law, In first instant, I am going to make a small review about the meaning of human rights and international law, basing on general context, secondly, I will introduce us the capabilities approach of human rights in a framework for understand the universal declaration of human rights (UDHR) and finally, I am going to illustrate how the main elements affect the relationship between countries in the international system. For start with the development of the essay, it is important to have full knowledge about the main topic that I am going to develop during the course of the document, I mean, the human rights and the international law. So, we cam say that the human rights are rights to which everyone human being is entitled simply for because he or she is a human being. These rights do not necessarily have to be linked to a legal system and must not be protected by law, because as everybody knows, there are some of them that exist do not matter how, equally, it is very relevant to note that when these rights are stipulated within the legislation, the enforcing human rights is much easier. Also, due to the fact that most countries in the world agree that human rights are fundamental for living in a more harmonize international community, I mean, this is, shared by all people regardless of age, race, sex, religion, etc., so, if most of the people are agree with this, it tend to be classify as universal rights, and in order that these rights are taken into account in a global level, it was necessary the creation of a document in which is stipulated all the human rights, This document accepted as the foundation of international human rights law is the universal declaration of human rights passed by the United Nations (UN) in 1948, and which is use until today Within this document, there are include some of the rights that probably could be the most important ones in international terms; these human rights are linked with the ideas of justice, respect and equality. And as I said before, this rights are global, and as universal rights means that they are not necessarily conferred on anyone, but are simply inherent and due to all human beings. En plus, the thought of some countries are different with respect to the other, which may make different laws regarding these rights and some of them may not have any laws regarding them, some of the most frequent ones, are: the right to life the right to freedom of religion, the right to education and work, etc, later, we will see that this fundamental rights in many parts of the world are too often violated To deepen understanding of the struggle for global justice, it is important to appreciate the concept of international law, which is a complex process of authoritative and controlling decision operating across national and equivalent boundaries, at a minimum, to maintain world order. To this end, by way of an interpenetrating mix of command and enforcement structures both internal and external to states, this includes a variety of doctrines, principles and rules. We can said, that the field of international human rights has achieved the comprehensive and elevated global status of preferred world public policy. It supplies a framework for a world order of human dignity To begin, I want to give a clear explanation about the meaning of gender, because this is a very important issue when we want to talk about human rights, moreover, it is vital to identify that gender Is not only associated with the women, it also is related with men, because, this concept must be understood as a social and cultural construction which is based on biological differences that probably can cause inequalities in the international system; also, the gender contributes to an important analysis about the real situation of human rights, because, in the case of human rights violation, the gender analysis, could help us in order to know which are the action that the country have to apply. It is important to remember, that within the document there are included the rights of equal gender and the rights of non sex discrimination, so, the state have the obligation to protect in the same level both sexes. At this point I would like to make a lot of emphasis in the challenges that Colombia has with respect to the rights of women: One of the biggest challenges is related with the promotion of true culture of human rights in Colombia. Because the equality between men and women, and the realization of greater efforts in implementation and effectiveness of the policy to allow women to achieve true gender equality and contribute to the creation of the culture human rights; Also, the State must adopt measures to modify stereotypes and cultural patterns that cause discrimination against women, this will also help to achieve this purpose. The active role of civil society to complement efforts state is crucial, because as the recent Report of the High Commissioner recommends, the Government and the defenders of human rights have to develop and institutionalize a stable dialogue, both nationally and regionally, to achieve greater degree of understanding, and improve the promotion and protection of human rights throughout the country. Finally, I want to talk about the challenges of the state in relation to the internal armed conflict in Colombia. In this topic is important to remember the recommendation of the High Commissioner to the Government, to the illegal armed groups and civil society to no spare efforts to establish contacts dialogue and negotiation in order to resolve the armed conflict and achieving peace (). Also, the High Commissioner added in its recommendation that dialogue and negotiations should take into account, from the beginning, the human rights and international humanitarian law. One of the most famous example of violation of human rights is closed related with religious traditions, because the international law of human rights poses considerable challenges for religious traditions, here, I consider some of this challenges, particularly that raised by the idea of womans human rights. The international law of human rights has not been largely detached from religious world view, because a human rights law does not ignore religion as an aspect of peoples lives. International human rights law recognizes a right to freedom of religion and discrimination on the basis of religion is prohibited at international law. Historically, the UN general assembly adopted a declaration on the elimination of all forms of intolerances based on religion or belief, but the UN commission appointed a special reporter on religion intolerance, but the engagement of human rights law and religion has been by and large at a procedural level, concern with freedom of religion as an aspect of controversial, because some religious traditions cannot accept the idea of freedom to chose a religion. So, if human rights law has not engaged explicitly with religious traditions what have religious tradition made of human rights? In one hand, human rights and religious are intimately, if ambivalently, re lated in that religions provide a transient perspective by revealing a dimension of human life over and above the social and political order. Religions set a limit to the power pretend to be the unitary source of all authority. The tension between the region and the state is obviously in almost all the cases. In the case of Catholic Church this lack of engagement on the international level did not mean lack of interest in human rights issues. In wake of Vatican II, the church endorsed many human rights notions; the ideal of equality and human dignity is part of the catholic culture. Other think that is important, is that religious tradition are the idea of sanctity which supports humans rights, it also has been very active in the grassroots of human rights struggles in many parts of the world. Both leaderships from Rome and the work of local churches have supported and guided human rights movement in central and Latin America. The relation of Islam to human rights is more complex. Islamic religious law, developed in the second and third centuries of Islam. It is not a formally enacted code, but a vast body of jurisprudence in which jurists holy scriptures of Islam. It is a body of religious and moral directives and principles. It affects the thinking and behavior of Muslims the worlds over and it is the foundation of the institutions and customs of most Muslim societies. Because of the deep significance of the Islamic society belief that t should take precedence over any other legal system. The basis of international human rights law, the idea that a person has rights by virtue of being human, is foreign to Islamic jurisprudence. Indeed, many Islamic precepts are based on distinctions between humans- Muslims and non-Muslims, men and women, for example: the Islamic makes repudiation of Islam or, as we know from the salman Rushdie case, the expression of views contrary to Islam punishable by death. Recently, the Islamic world has made an attempt to come to grips with international human rights law. The declaration refers in its preamble to the charter of the UN and the international bill of rights, but does not endorse those instruments acceptance of a right to be free from slavery and the right to change ones religion. Many of international human rights guarantees are weakened considerably in the Arab charter. While the Catholic Church and the Islamic can claim an engagement with international human rights issues on some issues, they have played a negative and problematic role in other human rights context. The issue that has most often provoked this reaction is that of womans rights and it has fostered a striking and incongruous alliance between the 2 religions traditions. A coalition of the Islamic countries, the Holy See and some catholic countries has been most prominent at united nation conference The catholic and the Islamic religious traditions strenuously opposed placing womens health, reproduction and sexuality within a human rights framework, because the UN conferences work on a consensus principle, the coalition resisted a definition of the notion of reproductive health to include sexual health, the purpose of which is the enhancement of life and personal relations, and not merely counseling and car related to reproduction and sexually transmitted disease
Wednesday, September 4, 2019
Clinical Governance overview
Clinical Governance overview A framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care can flourish (1) The term Clinical Governance (CG) was first introduced by the Labour government and underpinned by a statutory duty of quality set out in the Health Act 1999.The new government established for the first time a national framework, within which the NHS at a local level, can work towards realising consistent and systematic improvements in the quality of patient of care. Clinical Governance places a clear responsibility upon NHS organisations for the delivery and continuous improvement of patient care. In practice this means implementing principles that will result in a high quality of care for patients by a highly motivated and qualified workforce. The introduction of the contractual framework of community pharmacy in April 2005 laid out specific requirements for CG consisting of principles which were to be integrated into each pharmacy by a nominated clinical governance lead.(2) The contractual framework makes clear the role of community pharmacy and its contribution to the achievement of the targets for the health sector. Primary Care Trusts will support pharmacy contractors in implementing the new framework and monitoring compliance was only to begin in October 2005. For the introduction of CG to be successful it is essential that there is of mutual benefit to community pharmacy and the rest of the local NHS, while improving quality service to patients. Clinical Governance is composed of seven principle elements, Education, Clinical audit, Clinical Effectiveness, Risk Management, Research and Development, and Openness. The principles above are all extremely important in their contribution to clinical governance and I will discuss in detail some of the above in this essay. As part of the CG requirements, pharmacies have to participate in a clinical audit of their services and have the necessary arrangements in place to verify the quality of advice given to patients. Clinical audit involves the pharmacist and their staff participating in one practice based audit and one PCO determined multidisciplinary audit each year. Patient involvement entails the public to complete Community Pharmacy Patient Questionnaire to express their level of satisfaction at the services provided by their local community pharmacy. The pharmacies should review the surveys and consider changes to improve their services. Risk management ensures pharmacists provide sufficient evidence of recording, reporting, monitoring, analysing and learning from patient safety incidents. Clinical effectiveness programmes ensure the correct operating procedures are in place for the management of repeat NHS prescriptions, medicines use reviews and standard operating procedures. Staffing and staff management ensure that the people operating within the pharmacy have all the necessary training skills related to their role in the pharmacy and up to date with the legality issues surrounding confidentiality procedures, health and safety issues etc. Pharmacy operators must also ensure that there is an induction and written operating procedures for locums, who will be undertake the role of responsible pharmacist at different pharmacy premises. Pharmacists must also demonstrate their commitment to continuing professional development (CPD) through a CPD record, acquire information via up to date reference sources and comply with regulations. (3) Pharmacists have been implementing many of the aspects of CG in their roles as front line carers for patients on a day to day basis for many years. The structures put in place for the development of a CG framework; build upon the existing strengths possessed by pharmacys and highlights areas where improvements can be made. For CG to be successful and for processes to become embedded in pharmacies, pharmacists must be able to recognise the compelling nature of it outcomes. They should be clear on the intended benefits and understand that CG is an opportunity for them as individuals to adapt to change, generate new knowledge and continue to improve in their professional performance. (4) Clinical Governance activities can raise awareness of learning needs for example through audit and also for the continuing development of the services they provide within their organisation to provide the best form of patient care possible. Adverse incident reporting is an important element of CG but in general incident reporting to external bodies is at an early stage in community pharmacy and will require considerable culture change. The development of the No blame culture is essential and is important for pharmacists to realise that incidents and mistakes do occur but as long as the necessary procedures are taken to prevent dispensing errors and near misses through examination of these errors in an objective way to prevent the same problems happening over and over again. (5) Clinical effectiveness is made up of a range of quality improvement activities and initiatives including evidence, guidelines and standards to identify and implement best practice. Clinical Governance invites pharmacists and their working team to perform at very high professional level, which improves the quality of patient care and helps improve patient trust. This generates a feel good factor for the pharmacist and his team, in the services they are providing to the public and gives them the confidence and makes them better equipped for issues which present themselves in their pharmacies. Risk management is key part in CG, as the safety of patients is the main priority for all the healthcare team. The reporting of dispensing errors to an external board could minimize the risks of potential hazardous situations caused by dispensing errors, by effectively setting motions in place to reduce or remove risks. The principles of CG applies to all practitioners, including community pharmac ists, who have an important contribution to make to the development of a coherent strategy for assuring and improving the service provision across the local health community. (6) This involves working and communicating as a multi-disciplined team across primary care but also between primary and secondary care, to improve the overall quality of patient care. Clinical Governance also has systems in place to identify poorly performing pharmacists and provides retraining and other support at an early stage for pharmacists but the onus is on them to acquire the necessary skills to act as professional pharmacists and build on their existing knowledge. There is no doubt that Clinical Governance is a positive driving force behind improving patient care but there are questions of how practical it can be in the day to day running of busy pharmacies. Many pharmacists especially the older generation have found it particularly difficult to come to terms with the massive impact of paperwork associated with clinical governance and finding time to implement everything is a problem and many feel that time filling out forms would be better fulfilled advising patients. Cost is another problem, training staff to be effective in CG and employing locums, buying CG packs and having to close the pharmacy to attend PCT meetings are certainly not cheap. There are numerous other problems which could be mentioned which pharmacists find challenging and wrong with CG. In conclusion, the concept behind Clinical Governance has been put forward to undoubtedly benefit the entire health system. It is therefore important that systems are in place to maintain a high standard of clinical care. Pharmacists have been at the forefront of patient care and have been providing dependable services to the community for many years. The system of CG brings together all the elements which seek to promote quality care and the challenge of it shouldnt be underestimated. The cultures involved will need to be understood and greater sensitivity shown to pharmacists to help them review and justify their performance. Many pharmacists are apprehensive about CG and feel the changes involved could be an unnecessary intrusion and many will only be won over when they can see that its in their interest and that of their patients. (Word Count 1196) Clinical Governance; Quality in the new NHS (HSC 1999/065) Department of Health, London, 1999 Department of health, 28/4/05 Implementing the new Community Pharmacy Contractual Framework www.psnc.org.uk/pages/essential_service_clinical_governance.html PSNC, Essential service 8- Clinical Governance Requirements in the New Community Pharmacy Contractual Framework Continuing Professional Development: Quality in the new NHS. (HSC 1999/154) Department of Health, London, 1999. Doing Less Harm. Department of Health 7 national Patient Safety Agency, London, 2001. Pharmacy in the Future-Implementing the NHS plan. Department of Health, London,2005
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