Allowing Teenage Driving before the Age of Eighteen Essay

Allowing Teenage Driving before the Age of Eighteen - Essay Example Accidents due to teenage driving in this group are more in comparison to accidents from other age groups. III. Teenage drivers below the age of eighteen years have very poor driving skills, which disregard all the rules. A. Drunk driving is a major issue associated with teenagers below the age of eighteen years. It is crucial to note that alcohol impairs once mind affecting their coordination and thinking. B. Parents’ failure to be strict on the rules made teenagers below the age of eighteen years fail to observe even the most of basic rules like using the seatbelts. IV. Most teenagers in this age group do not understand the complexity involved in driving. A. Teenagers’ social and emotional development of their minds is immature in comparison with that of an adult. B. They are vulnerable to distraction and peer influence. V. Teenagers below the age of eighteen years should drive. A. Some members of this group are mature, responsible, and dependable. In effect, locking p rohibiting them from driving is discriminatory. VI. No teenager should drive. B. The dependable and responsible teenagers in this group are a minority. In effect, none should drive. VII. In conclusion, accidents resulting from teenage driving result to half of the causes of the deaths in this group. In effect, none should drive since allowing them to drive puts them at a risk of vulnerabilities. Allowing Teenage Driving before the Age of Eighteen Years In the current world, characterized by the information and the knowledge economy, the debate about the right age to drive has remained in the public domain for a period. In fact, different countries have enacted different legislation regarding the right, or rather the legal, age for driving. Indeed, most people agree that the art of driving does not require the skills learned in a driving school only. Rather, one of the most important requirements of a skilled driver is good decision-making at all times, and in other cases within a sp lit of a second. However, good decision-making skills are not skills that an individual learns in a driving school. In fact, good decision-making skills are inherent in an individual with the maturity level being a significant determinant. While some people argue that teenagers below the age of eighteen years should drive since some are mature, this essay posits that teenagers below eighteen years should not drive since they are vulnerable to risks associated with driving. A 1983 study by Karpf and Williams observed, â€Å"Nearly half the deaths of male and female 16–18 year olds in the United States resulted from motor vehicle use† (as cited in William & Lund, 1986). However, recent research by Chen, Baker, Braver, and Li (2000), noted that the deaths of this age group due to accidents stood at 36% towards the end of the last century. Nevertheless, this percentage is a manifestation of a grim scenario concerning licensing of teenage driving below the age of eighteen y ears. Therefore, prohibiting driving amongst this group would help reduce the number of deaths by a big percentage in this vital group. While observing that the statistics were from a developed country and their application to other countries may differ, it is essential to note that these dynamics may apply to any nation regardless of its development. In this regard, teenagers' dynamics are common or

Intercultural communication in the film Hotel Rwanda Essay

Intercultural communication in the film Hotel Rwanda - Essay Example The film stages the relationship between the protagonist of the movie, Paul, the manager of the local hotel and Colonel Oliver, the peace keeper of the United Nations. The character of the colonel is portrayed as the character that had to bear the shame of the failure of the international agency to intervene peace in the locality of Rwanda. Paul is portrayed as a personal with exceptional leadership quality thathas the ability to make significant decisions at crucial times. Paul is found to deliver a speech in the movie at a time where the conflict has reached its height. In the speech he urges the victims to seek for help from any source they have to save their extinction. He also continues with the speech and let the refugees know that his hotel can no longer provide shelter to them. Throughout the scene in which Paul delivers his speech he depicts a strong body language and the voice of tone suggests the concern he has for the victims. His posture reflected the confidence which he wanted to spread among the people over there. Paul exhibits partial open and closed form of communication throughout his speech delivery. Paul’s performance was quite symbolic in the scenes where he shivers during driving over dead bodies in the city. The movie successfully depicts the relationship which was there in the period of crisis between the Rwandans and the white Americans. In the movie Paul was portrayed as a character that had strong qualities of interpersonal communication.

Islamic Banking Essay Example | Topics and Well Written Essays - 1500 words

Islamic Banking - Essay Example Islamic Banking is a type of banking that is constantly based on the Islamic or Shariah law and its implementation is through the growth of Islamic economics. This type of banking system prohibits the fixed payment interest on loaned money and it also shuns the investment in the business that cater goods and services that are considered unlawful in Islam. Today more than 200 Islamic financial institutions exist around the world (Iqbal and Llewellyn, 2002). Ahmad El Najjar pioneered the first Islamic bank that came into existence in Egypt, in 1963. Thus, when 1976 ended, there were nine banks in the country that were established on the same concept; however, previously in 1974 the Organization of Islamic Countries had established a bank called Islamic Development Bank that purely ran on the principles of Islam. Although the bank was not a commercial one, it did provide funds for the businesses in order to encourage economic growth. After recognizing the Islamic banking system, several banks came into existence, such as Dubai Islamic Bank, Faisal Islamic Bank of Sudan, and the Bahrain Islamic Bank (Shariah-Fortune, 2012). Despite the growing trend in the Islamic banking system, unfortunately the inception of Islamic Banking in Pakistan did not survive. ... The banks previously were more focused on interest free banking; however in 1985, the Organization of Islamic Conference affirmed takaful, or Islamic insurance, as Shariah compliant. Thus, this gave the Islamic banking sector a wider tangent that now covered capital markets, capital formation, and varied financial instruments and intermediaries (Shariah-Fortune, 2012). The development and growth of Islamic Banking has always been experimental. The pioneers of the Islamic Banking have faltered, failed, and learnt through mistakes over time. However, the system has been prolific to the economies. Several empirical studies entail that the performance and efficiency of Islamic banking are significantly good. One of the studies conducted by Iqbal in 2001 drew a sample from countries that had Islamic and conventional banking; he took 12 Islamic banks and 12 conventional banks from 10 countries in order to find out the productivity of the banks using a comparative framework. His study concl uded that the Islamic banking displayed higher rates of growth in key variables in comparison to the conventional banking system. It also highlighted that the Islamic banks apparently performed well and generally they yielded good profits and well capitalized; another factor that surfaced was that Islamic banks used resources more effectively, which were available to them. Moreover, when the conventional banks were studied alongside Islamic banks as a group, it turned out that they outperformed the conventional system in all areas. However, there were certain variations among the Islamic banks that surfaced during the studies in terms of growth and performance (Iqbal, 2011). Nevertheless, Samad in 1999 compared

Porter s 5 forces analysis for luxury good industry Assignment

Porter s 5 forces analysis for luxury good industry - Assignment Example They usually have brand loyalty and may not want to switch because the brand defines them. However, their preferences can shift very often, making it hard for the firm to meet their needs continually. As a result, firms in this industry have to work harder to be able to continually impress the customers with the latest innovations. This costs the firm very much, but they can get their investment back because the customers are willing to pay more dollars for the products, as long as they are happy with the product. The threat of substitutes is high for this sector because they are readily available. Furthermore, the luxury goods are not a necessity and so the buyers can easily survive without them. As a result, when the economy is not doing well, the luxury market is likely to suffer first and the most. In such a case, the buyers can easily switch to substitutes because the switching cost is very low, or no switching cost at all. This makes it hard for the firms in this sector to have a strategic advantage over its customers. Firms in this industry are therefore hard pressed to make sure that the customer will not have the need to switch to an alternative because if they do not do that, they will easily lose their customers. One of the factors identified by Porter (1998) with regard to the strategic position of a business is the supplier bargaining power. For the luxury products sector, the suppliers do not have much bargaining power. This is because they can easily switch to other suppliers in an easy and efficient way without any significant cost. This means that the bargaining of suppliers is moderate, or even very weak in some instances. The firms can easily get the items being supplied by one supplier from almost any other supplier in the market. If the firm is able to buy in bulk, they even have an even bigger advantage. Usually, the number of suppliers is very high ad this gives more bargaining power to the buyers and less power to the suppliers.

Clueless is the latest cinematic adaptation Essay

Clueless is the latest cinematic adaptation - Essay Example Director Amy Heckerling presents a sequence of events parallel to the novel that indicates to the viewer that her work is a modern cinematic portrayal of the original classic. The movie Clueless features all of the underlying themes seen in the novel, including, as Denise Kohn points out, â€Å"the fallibility of matchmaking and flirtation; the danger, in the words of the novel, of a girl ‘having rather too much her own way’ and thinking ‘too well of herself† (Kohn, 1997). Interestingly though, the new version portrays its modern women characters as less emancipated and conservative than what is found in Emma. Consistent with the modern times, the story of the lead protagonist Cher is also suitably modified. The director has paid attention to detail in making analogous connections between the Victorian era and the modern era. For example, the art of photography replaces the more painstaking art of portraiture; fashionable convertible cars serve as apt substi tutes for horse-driven carriages; the traditional British fancy dress balls were replaced by high school partying. Even such aspects of the book as Mr. Woodhouse’ problems with his digestion and Emma’s concern for his well-being were transfigured into Chers imposition of a low-cholesterol diet on her father. The references to the original work do not stop there. The sport-car owning high school student represents the new American aristocracy, as depicted by the character of ‘Frank Churchill’.

An introduction to search engines and web navigation Essay Example for Free

An introduction to search engines and web navigation Essay To entirely understand the importance, size and the impact that Google to the lives of many people across the world is not an easy task. To come up with a search engine found its way into the lives of millions and even and it has become part of our speech. Most people in the modern days use the term Google as verb which to make a search on the Internet. Google as matter of fact represent the biggest internet search engine in the whole world. It gives to the end user the most relevant and useful information from web pages which are over eight billion. It gets its revenue through online business advertisements. Google has launched many new products and services such as Google earth, android and Gmail. Although Google has grown rapidly and is currently dominating in the industry, it has problems too. It cannot seem to retain it staffs despite all the benefits that Google employees receive such us enjoying five star food and also the best insurance covers. The search engine giant which has held about 90 percent of the total market share for many years is known to have the highest turnover rate, with young staffs leaving for look new opportunities in other companies such as face book as they walk through the door or after spending some time. Google’s successes are not random. They are traced back to many factors which have been cautiously manipulated and managed. The management greatly fosters creativity and innovation .management has been very crucial to the success of the company despite the recent drawback of the senior employees’ turnover. Most of the senior employees have found what they are calling greener pasture such as face book. Just like the rest of the businesses Google has experienced several challenges which are related to management specifically in the human resource department. Face book has been a key poacher of employees who feel the need to shift from Google. Google is not only losing mere junior level employees, but also highly ranked innovative executives. They either go to other technology companies or start up their own companies. ( mark levene ,2013) Despite the fact that face book is far much smaller than Google as far as the employees population is concerned, Google is a giant company compared to Face book. The population factor is favorable as making an impact at Face book would be easier than at Google. It is difficult to work at a company the size of Google and make an impact. It is very hard for Google to maintain the kind of organizational culture and energy they had when they started up. It is also very difficult for Google to maintain all the employees and people they have hired since they started up. It is very important for organizations to develop a learning culture in their undertaking which allow a clear generation and exchange of ideas. It is evident that no company can manage to keep all employees with them forever. They have to move on at some point. However, in a learning organization where ideas are exchanged freely, even if one leaves, those who are left behind could grow his ideas and make it their corporate asset. The best managerial trick in the book is to keep knowledge going round the organization so that it does not leave when the owner At Google, the way of employee ranking is different .Traditionally, the product manager is usually above everyone else including the engineers. The engineers there have the final say on everything and their word is taken into account more than that of anyone else. Designers, operatives and other functions are taken to be inferior. Some move away to companies where they get big job titles that come with the expected regard. For some, they move on after spending quite a considerable amount of time at Google. After spending several years there, they feel the urge to move on and take on new adventures and challenges. Description of the company                  Google Company was founded in the year 1998, and it has developed into a big company since its formation, serving billions of people all over the world. The main headquarters of the company are located in Mountain View, California with the name GooglePlex but it has more than seventy offices in more than forty different countries. Although there are no dual offices which are similar, the visitors expect a few common characteristics (Hamen ,2011). Google company was founded by two fellows; Larry Page and Sergey Brin who met in 1995 at Stanford University, in the USA. By 1996, they had built a search engine that was originally called ‘Back Rub’ that applied links to determine the importance of individual web pages. The company was amalgamated on September 4, 1998 and had its Initial public offering (IPO) in August 19, 2004. Main success for the company has been mainly been led by the organizational culture in hiring practices. They recruit smar t and intelligent employees and mostly favor ability from experience one may have. Google Company offer products that make it rather simple for people to research for things and access them easily, as well as providing web packages for businesses and for the entire web business as well (Scott, 2008). The mission statement of the company is to organize the world’s data and facts and make it universally useful and accessible to everybody. Currently, research has shown that the company’s search engine is used by millions of people worldwide every day. Its vision entails organizing all the data in the world and creating it available and beneficial to everybody (Girard, 2008). This makes it probable for speedy searches and message winding via its mail package by the name Gmail. Their Google Chrome web is also part of the vision as it enables web browser add-ons thus opening up to fresh markets. However, despite all their technological advances and capability, the company is more ’people-centered’, for it recognizes the importance of the human resource in the accomplishment of its dream as well as long and short term aims and objectives in line with its mission. This is marked right from the commencement in the employment phase, where the company depends more on capability and shared aims and vision than experience (Scott, 2008). Employee participation and contribution is the involvement of employees in making of crucial decisions such as those as relating policy, aims or even quality and up to now there is no company could have done it better than Google. The company has taken employee involvement a mark higher by embracing the objectives and key results model in order to develop and prioritize objectives and goals. However, this model greatly involves every employee in key decision making together with implementation, and that what had led to success in recent years up to date. This model comprises: Every employee sets objectives and key results which requires all employees to come up with at least five aims and at least four outcomes from each aim for every three months, Managers and employees then have to commonly reach agreement on the set objectives and key outcomes before any step can be taken further, Evaluation of goals to employee and the management sets an achievement target of between sixty to seventy percent .The last that the model have is Decision on results whereby the management together with these employees, on evaluating the results, agree whether to proceed with these objectives for the unrealized key outcomes, or t o just establish fresh objectives. If those key outcomes are of great significance to the organization, then employees are permitted to continue with them (Girard, 2008, Scott, 2008). This model performs as a roadmap which is very essential in the logic that it keeps workers and everybody otherwise focused and working to attain what they have set out to. This keenly shifts the reliance of achieving the goals of the organization on just the other resources available to the employees, who are the active doers, not forgetting the professional employees that Google has employed. Google not only actively involves employees at the office atmosphere, but also in other leisure activities and interests. This boosts cohesion among groups and all employees as well as enhances team-building and these activities and prototypes are of great significance when it comes to applying their core business tactic (Girard, 2008). Google’s core business involves working on universal and cross-functional schemes at the heart of what they do. The cross-functional teams help to deliver perceptions to top management and managers hence controlling crucial decision-making, and undertaking and reserves on some of the serious investments of Google. This technique is however guided by ten views that the company upholds: Focus on the customer is the primary key and comes before anything else, so it is mainly considered. Google Company focus on offering the best internet search through laborious research and development. The search engine provide fast and effective access to the Internet sources thus being reliable (Frazel, 2009). Creating a web search engine that enables many people to post web links, and the objective is to bring what is of worth and helpful to the users. Not demanding to access information from your desk through developing mobile services to access information from anywhere on any type of device. Another view of the company is to show that you can make money without doing any evil deed. Ensuring that there is always more information out there meaning that Google strives to store more information for the users ( Frazel, 2009). By having many offices all over the world, it ensures that services are offered efficiently and continuously. Guaranteeing that you can be serious even without wearing suit and Google company do so allowing employees to work without having to wear suits. Stretching goals beyond the possible to ensure they get to the even higher levels by stating good is not good enough. Google Company gives a range of outfits that enables businesses of all types to work efficiently and prosper while on and off the web. These plans are the main principles that form the pillar of our own organization and have also empowered entrepreneurs and those who publish all over the world to grow their own business. The marketing and promoting programs, which assort from modest text advertisements to rich media advertisements, aid businesses discover customers, and help those who publish to create cash from their content. Google afford cloud computing products which can help organizations and businesses that save and invest money to be more fruitful (Girard, 2008). For example Google My Business is one of the services which enable customers to reach socialize with other customers across the world Google maps, Google search, and Google maps on their mobile devices without any payment. The company build products that they expect will make the web better and therefore the experience of the customers on the web improved. With merchandises such as Android and Chrome, Google Company want to create it faster and simpler for everyone to do what they want while online. Google Company is also devoted to the open web which will enable people to be involved in numerous projects in order to make it easier for web designers to participate to the online network and move the web onward. However, working hard to generate a web that is well and healthier for the surrounding by applying resources professionally and supporting renewable power. The internet network has advanced extremely since Google Company first appeared on the sight, but single entity that has n ot changed is the confidence in the infinite options of the Internet currently (Frazel, 2009). The management of Google Company is well organized in all terms and this have steadily assisted in its expansion and growth globally. Beginning with the executive officer who is the most crucial person in the company, he has contributed a lot in terms of advising his employees and managing the company. The direct communication system to the employees is done using direct mails to any of the Google Company’s front-runner and facilitated by use of Google Moderator, an invention of employee’s organization tool designed by the engineers in the company (Girard, 2008). The clue behind this innovation was that, when its employees have direct communication to make to the rest of employees in the company, or there are company-wide meetings of Google Company, any question can be answered to the employee. Through Moderator, employees can realize on hand company ideas, proposals, see the collective votes to date, create a new sequence asking for ideas that either come from their th oughts or other users they interact with in the work in an organized   topic, and during Google events or meeting. Through this system, Google company has being able to tap into the many talents of its employees and customers as possible. Company has faced a major problem with employees leaving the company for other companies like Facebook: which has been a key poacher of employees who feel the need to shift from Google. Google is not only losing mere junior level employees, but also highly ranked innovative executives. They either go to other technology companies or start up their own companies. However, top executives leaving Google and joining Facebook has become more like a trend nowadays. One of the key men at Google to leave for Facebook in recent times is Lars Rasmussen, who is the co-founder of Google maps and the Google branch in Sydney. Rasmussen left Google just two months after they had rejected his toy project, an innovation he was keen on introducing, called ‘Google Wave’. Google wave was intended to be a new technology that would boost online and social interactions via the web as well as enhance coordination (Girard 2008). Facebook is far much smaller than Google. In terms of employee population, google is a giant compared to Facebook. Google has25000 employees whereas Facebook 2000 employees. This population factor as noted by Rasmussen was favorable as making an impact at Facebook would be easier than at Google. He notes that it is difficult to work at a company the size of Google and make an impact. The energy and spirit with the Facebook workforce, as he noted, was high. Rasmussen is one of the many senior creative executives to leave Google for greener pastures where their opinions and ideas are taken seriously. Key members of the team that worked with him in the implementation of Google maps, Bret Taylor and Jim Norris, also left the company to join another known as ‘Benchmark Capitals’, where they were given better job titles. At around the same time the two left, another important executive and a third product manager to leave for Facebook Paul Kedrosky was quoted in an email liken ing his new employers to the â€Å"Google of yesterday and the Microsoft of many years ago†. He seemed content at his new workplace especially because the company executives would meet up every occasionally and accord everyone the opportunity to feed on each other’s genius. He applauded at Facebook for achieving better results with just sixty results what others elsewhere could not achieve with six hundred (Girard 2008). It is critical to recognize the fact that it is very hard for Google to maintain the kind of organizational culture and energy they had when they started up. It is also very difficult for Google to maintain all the employees and people they have hired since they started up. This is due to the many factors as well as availability of a wide range of options from other silicon entities like them, which their employees are seizing. This shifting of key important creative talent could be attributed to the changing concepts on how the new generation employees are perceiving work. The 21st generation workforce needs to feel like they ‘work with’ rather than the traditional notion of ‘working for’. The need to be involved in critical decision-making and get their opinions heard and considered is why they might tend to leave companies where employees are given responsibilities rather than taking them up. Collaborating with employees in idea generation and decision ma king processes will make them own up responsibilities and that is enough drive and motivation to work (Snell Bohlander 2013). The employee’s knowledge is no longer the management’s prerogative nor the organization’s but that of the individual employees. It is important for organizations to develop a learning culture in their organizations. This will ensure that ideas are generated and exchanged: from the original conceiver of the thought to the rest of the organization. Rasmussen left at a time when he was working on a new project that would have re-defined online interactions. He walk right out the Google door along with is idea. It is evident that no company can manage to keep all employees with them forever. They have to move on at some point. However, in a learning organization where ideas are exchanged freely, even if one leaves, those who are left behind could grow his ideas and make it their corporate asset. The best managerial trick in the book is to keep knowledge going round the organization so that it does not leave when the owner leaves. It is therefore important to forge co operation with employees so that ideas are generated, nurtured as well as grown (Snell Bohlander 2013). Many employee and top executives have left Google over the years. Below are some pf the reasons as to why they have left: Being anything else other than an engineer meant you were below everyone else. Traditionally, the product manager is usually above everyone else including the engineers. At Google, the case is different. The engineers there have the final say on everything and their word is taken into account more than that of anyone else. Designers, operatives and other functions are taken to be inferior. Some move away to companies where they get big job titles that come with the expected regard. For some, they move on after spending quite a considerable amount of time at Google. After spending several years there, they feel the urge to move on and take on new adventures and challenges. Another factor that made people leave is the feeling of disconnection especially for those in satellite offices. People like Lars Rasmussen and part of the Google wave team located in Australia left because they felt that their views and ideas were not being put into consideration by the head office at Mountain view , California, in the USA. Making a point at Google needed one to make a trip to Mountain View, which is ironical considering the massive technology they are dealing with meant to transmit information. This disconnect made them leave to places where audience is accorded. Others leave Google to go for better offers. With names like Google, Facebook and Microsoft one one’s resume is something incredible. Some will move to places like Facebook, where most of Google’s ex-employees go, because the offer is better plus the boost in resume and credentials for future employment. Lastly, some top executives will leave Google because they feel the entrepreneurial itch. The urge to start up their own enterprises acts as a drive to move away and start their own thing. Good examples are; Ev Williams who founded the social network Twitter, Dennis Crowley who founded Foursquare, Kevin Systrom the founder of Instagram and Ben Silbermann who is the founder of Pintrest. Anna Patterson, a former employee, left to even create a rival business by crating her own search engine(Girard 2013). However, this rate at which employees are defecting to rival companies can be delt with by use of the necessary theories and applying them in operations. The motivation theory of management by objectives (MBO’S) would work at Google. This means that, instead of receiving orders from above, employees will be involved in strategic decision-making especially on operations affecting their daily work. This ensures they are part of formulating goals and objectives, which will in turn drive them towards working to achieve. More innovative employees have a high likelihood of leaving jobs that do not offer them opportunity for strategic input.Employees expect growth and future promotions as well as pay hikes for doing their jobs diligently. Google should provide opportunity for growth and not ignore some ideas, as this is what will make the employee successful in his /her field. Strategic talent management is an important principle to be able to cater for the needs of the available ski llful workforce so that they can be as productive as possible (Beck, 2004). Lastly, organizational learning should be encouraged and practiced. This not only gives the employees a learning opportunity from the environment, but also from each other. Through this, employees are able to lift and better each other’s ideas with the market in mind hence there will be increased quality of products offered as well as better market reception due to the good reputation of the organization all round. A learning organization will see employees involve themselves in process improvement, setting of objectives and developing a self drive to work towards achieving the set goals and with minimum supervision. Employee turnover will thus reduce due to increased satisfaction (Argyris, 1999). Conclusion                  The culture in an organization is very crucial since it plays a huge role in whether it is healthy and happy environment to work in .In promoting and communicating the organizational culture, their acceptance and acknowledgement, can greatly motivate the work behavior and also the attitudes. For the case of Google, when the interaction of senior and junior employees is good, there will be greater contribution toward the team collaboration and communication and there is encouragement to accomplish the mission or achieve their set objective given by the organization hence enhancing job satisfaction. Despite its unbelievable employee’s turnover rate, Google continue to dominate search. The company, nevertheless, may need to take keen look at its lucrative profit and consider whether they are actually having that a great deal of an effect on employee maintenance. The outstanding adaptation that Google have has made it further ahead of its competitor. G oogle has been able to overcome many challenges which have made it to reign in the broad search kingdom. Its mission statement of is to organize the world’s data and facts and make it universally useful and accessible to everybody. Several researches are underway to determine how it is being used in the whole world daily, these researches are very crucial since they help to improve the quality of their products and service. Recommendation                  Google should encourage employee education. This not only gives the employees a learning opportunity from the environment, but also from each other. Through this, employees are able to lift and better each other’s ideas with the market in mind hence there will be increased quality of products offered as well as better market reception due to the good reputation of the organization all round. A learning organization will see employees involve themselves in process improvement, setting of objectives and developing a self drive to work towards achieving the set goals and with minimum supervision. Employee turnover will thus reduce due to increased satisfaction The motivation theory of management by objectives would work at Google. This means that, instead of receiving orders from above, employees will be involved in strategic decision-making especially on operations affecting their daily work. This ensures they are part of formulating goals and objectives, which will in turn drive them towards working to achieve. Google should offer opportunity for expansion and not disregard some ideas, since this is what will allow the employees to be victorious in their fields. Planned talent management happens to be important standard to have the ability to provide for the requirements of the available competent workforce so as they can be productive Google should create environment which encourage retention via creating more chances for professional development, involvement in decision making. It should forge cooperation with its employees so that ideas are generated, nurtured and some time grown. References Argyris, C. (1999). On organizational learning. Malden, Mass: Blackwell Business. Beck, R. C. R. C. (2004). Motivation: Theories and principles. Upper Saddle River, N.J: Pearson Education. Girard, B. (2008). The Google way: 12 management strategies to revolutionize your business. San Francisco, Calif: No Starch. Snell, S., Bohlander, G. W. (2013). Managing human resources. Mason, Ohio: South-Western. Girard, B. (2008). The Google way: 12 management strategies to revolutionize your business. San Francisco, Calif: No Starch. Frazel, M. (2009). Using Google and Google Tools in the classroom: Grades 5 up. Westminster, CA: Teacher Created Resources. Scott, V. A. (2008). Google. Westport, Conn: Greenwood Press. Levene, M. (2013). An introduction to search engines and web navigation. Hoboken, N.J: Wiley. Source document

Introduction To Dual Diagnosis Health And Social Care Essay

Introduction To Dual Diagnosis Health And Social Care Essay Over the last ten years in mental health, there has been a significant change and considerable debate about the definition of dual diagnosis, this terminology refers to a mental health disorder combined with substance misuse (Department of Health, 2002). This can cover a broad range of disorders from learning disabilities and substance abuse of legal or illegal drugs to severe mental illness such as schizophrenia and substance misuse of cannabis or alcohol (Department of Health, 2002). However in medicine dual diagnosis is an umbrella term, for a primary and secondary disorder for example diabetes and hypertension (Sowers Epstein, 1995) This research proposal will focus on the client group duality of psychosis and substance misuse of cannabis or alcohol. Psychosis can be defined as a severe mental health disorder in which thought and emotions are significantly impaired, whereby people can lose contact with reality. However the symptoms can vary between negative and positive, the negative symptoms can cause apathy, a reduction or absence of social skills, resulting in confused thoughts which impair their ability to concentrate or complete instructions. The positive symptoms can be defined as either visual or auditory hallucinations or delusional thoughts, where a person may have an undeniable belief in something false (National Institute for Clinical Excellence (NICE), 2011). However substance abuse can aggravate psychosis leading to further hallucinations, which is associated with a wide range of negative outcomes, such as higher rates of relapse, increased hospitalisation (revolving door clients), suicide, housing issues and poorer levels of social functioning, such as poverty, violence, criminality and social exclusion, less compliance with treatment, greater service costs to National Health Service (NHS) or the criminal justice system and government services (Department of Health, 2007). More significantly The World Health Organization (WHO) reported 51,353 admissions of drug-related mental health disorders in 2010/11. These admissions have increased year on year and are now nearly twice as high as they were ten years ago, therefore families are at greater risk of having a family member diagnosed with dual diagnosis (The World Health Organization , 2012). Significantly the impact of the dually diagnosed within families is drastic, family dynamics are altered by challenging and difficult situations within the home, by displaying disruptive and aggressive behaviours (Biegel et al, 2007). Clearly people with dual disorders have strained interactions with their families. However when relationships are strained families might be less willing to help, the relative with dual diagnosis which could contribute to higher rates of homelessness and social problems (Clarke, R E; Drake, R E, 1994). Yet family members may have differing amounts of contact and distancing, because of the negative impacts of their behaviour. However someone in the family takes the role of main caregiver, being the person most directly linked to the caring of the dually diagnosed whilst care giving not only affects their QOL, it also impacts on possible depressive symptoms and research has indicated that care giving burden has a risk factor for early mortality (Biegel et al, 2007), (Marcon et al, 2012) (Walton-Moss et al, 2005) Yet a lack of social support, and informal and formal care, has been found to be the most important source that predicts the burden of family caregivers (Biegel et al, 2007) although informal caring occurs naturally within family relationships, which is typically unpaid, this goes beyond the caring expected of these relationships in contrast to a paid formal carer (Chaffey Fossey, 2004) additionally being a carer can raise difficult personal issues about duty, responsibility, adequacy and guilt (Shah et al, 2010). Research into the impact of care giving shows that carers suffer significant psychological distress and experience higher rates of mental ill health than the general population, the triggers for distress are as follows; worry, anger, guilt, and shame; financial and emotional strain; marital dissatisfaction, physical effects of the stress of living with a substance abuser (Biegel, et al 2007). However without the contribution of the UKs 6.4 million unpaid carers health and social care services would collapse. In 2037 its anticipated that the number of carers will increase to 9 million (Carers UK, 2012). Worldwide several authors have argued for service systems to acknowledge and address family members need to ensure their own well-being, as well as to ensure effective community support for people living with mental illness (Chaffey Fossey, 2004) (Igberase et al 2012) (Carey Leggatt, 1987). The last ten years have seen major reform of the law as it relates to carers; consequently families have been forced to give up work to care for their relatives. Family carers need assistance to prevent becoming unwell themselves (Carers UK, 2012). Therefore supporting carers must be a central part of government reform, which acknowledges the family as associated clients who desperately need support. This is paramount because relatives often know little about how the interactions between mental illness and substance misuse are interchangeable. Therefore families need practical information about dual disorders, to help recognise the signs of substance abuse, and strategies for its management for example medication adherence and recognising relapse triggers. Addressing these factors would enable the improvement in the dually diagnosed directly related to greater outcomes in the well-being of the family (Mueser Fox, 2002). Overview, context and background information relevant to topic It costs the UK Â £1.3 billion a year in carers benefits and lost taxes whereby family members are becoming increasingly responsible for providing support, although in 2012 the British government submitted the Care and Support Bill which will guide future services for caregivers. Families will no longer be treated as an extension of the person they are caring for, they will have a right to an assessment, this will give carers much better access to support them balance their caring roles and responsibilities (Carers UK, 2012). Yet informal carers may experience less choice about the discontinuation of care in comparison to volunteer or paid carers, possibly due to love of the family member and a sense of duty, it is essential that the family understand the facts about dual diagnosis, to have every hope for recovery of the family (Department of Health, 2007) Additionally health services should acknowledge the families by assessing them as associated clients so that carers can learn to recognise the triggers of caregiver burden and moreover be given general education and health promotion (Rethink, 2007). However in 2006, the College of Occupational Therapists (COT) announced a 10 year vision for occupational therapy in mental health which included by 2013 for practitioners to have extended their scope of practice across a range of agencies to meet the occupational needs of mental health services (COT, 2006) Statement of the problem proposed to be investigated The proposed research intends to investigate, what are the experiences of people who are carers for people with dual diagnosis? General aim(s) of the proposed research To find out how families cope living with someone with dual diagnosis? What are their biggest challenges? To identify the current experiences from the perspective of the carer regarding the impact of dual diagnosis, the burden; grief and the loss of their relative. Relevance, significance or need for the study The relevance to occupational therapy and the health service; carers are associated clients and therefore need to be taken into consideration when assessing this client group. Furthermore the lacking of occupational therapy literature in this area makes a clear case for the proposed research. Chapter 2: Literature Review Introduction to the chapter Literatures in dual diagnosis are largely separate, mainly based in substance abuse or mental health fields. However over the past decade, family work in dual diagnosis has been mainly focused on client outcomes and not the families well-being or quality of life QOL. However occupational therapy literature is also limited, lacking investigation of occupational needs identified from the families perspective. However a considerable amount of literature has been published on descriptions of occupational therapists roles by defining and establishing what an occupational therapist does within the multi-disciplinary team in mental health services, but not specifically to dual diagnosis (Brown, 2011) (Hyde, 2001)(Lloyd et al, 2008). Therefore it is beneficial for occupational therapists to have a better understanding of the families perspectives, as associated clients to enable additional support for the caregiver thus improving outcomes for the whole family. There is a plethora of literatures, on outcomes associated with family support for the dually diagnosed, the majority of studies examined the relationship between family involvement and client outcomes such as reduction in mental health symptoms, engagement in treatment services, lower hospitalisation rates, improved decrease in substance abuse, sustained remission (Clark, 2001) (Mueser Fox, 2002) (Biegel et al, 2007). Although the high service costs of treating the substance abuser and the frequent involvement of relatives in the lives of dually diagnosed clients, there are few resources to help clinicians engage and collaborate with families (Mueser Fox, 2002). This implies that families or informal carers can easily become the main source of care when treatment fails, the family being the last resort (Clark 2001). On the other hand, some research has shown that individuals with dual diagnosis are less satisfied with their family relationships than those with a severe mental illn ess alone (Kashner et al. 1991) and that receiving family support may exacerbate difficulties by increasing conflict (e.g. supply of additional money may be used for drugs, existing poor family dynamics worsen carer-client relationship). Conversely research is lacking in the support of families caring for the dually diagnosed (Biegel, et al, 2007) (Townsend, et al, 2006). In contrast families are often the most significant people in the dually diagnosed life, this unique relationship puts families in the central position of being able to encourage the dually diagnosed to take the necessary steps towards recovery by providing direct care such as practical help, personal care, emotional support as well as financial support (Clarke, R E; Drake, R E, 1994) (Shah et al, 2010) (Mueser Fox, 2002). The impact of mental illness on families is usually conceived in terms of caregiver burden, this experience may help determine the quality of life QOL for family members, the most significant being, isolation, coping with behavioural problems, and relationship problems between family members (Clark, 2001). Mueser et al, (2009) study of 108 families conducted a randomised control trial utilising Lehmans QOL interview instrument with satisfactory reliability and validity (Lehman, 1998) for the diagnosed, the caregiver was assessed using the family experiences interview schedule (FEIS) with established reliability and validity which did not incorporate the QOL for the family this was not addressed. The findings from this study found that motivating relatives, to participate in family intervention can address the disruptive effects. These stressors that affect quality of life include; worry, anger, guilt, and shame; financial and emotional strain; marital dissatisfaction, physical effects of stress of living with a substance abuser (Biegel et al, 2007). Additionally Biegel et al (2007) exploratory, non-experimental cross-sectional survey design conducted interviews / surveys with 82 females with dual diagnosis and 82 family members and considered the caregivers experience as moderate, and found that behavioural problems contribute to the burden affecting their quality of life, the strength of this study is acknowledging how substance abuse impacts on the role of care giving which was also tested by applying FEIS. Many studies of family carers of persons with mental health and or substance abuse issues consider how families quality of life is affected, the main themes highlighted that emerges throughout the reviewed literatures are caregiver burden which is documented as worry, anger, guilt, isolation, stress which results in a diminishment of QOL of family members (Biegel et al, 2007) (Chaffey Fossey, 2004) (Shah, Wadoo, Latoo, 2010) (Chan, 2010). Behavioural problems have been found to be the strongest predictor of caregiver burden across chronic illnesses (Biegel et al, 2007). In contrast Jokinen Brown, (2005) conducted a focus group study which included 15 subjects would argue that there are positive aspects of lifelong care giving and quality of family life, the study acknowledged the concerns for the health of all family members (Jokinen Brown, 2005). Research in the QOL of care giving highlights that carers suffer significant psychological, distress and experience higher rates of mental ill health than the general population. Therefore by improving the QOL of carers will likely to reduce caregiver burden that requires further research to explore the lived experiences of families living with the dually diagnosed (Shah et al, 2010). However, literatures addressing the family as a collective unit and the impact of care giving on each family members role is lacking therefore this literature reviews the research. The majority of family caregivers, mostly women report experiencing moderate to high levels of depression as well as stress, this type of informal care giving is taken on in addition to existing roles and responsibilities (Chaffey Fossey, 2004) (Biegel et al, 2007) (St-Onge Lavoie, 1997). Traditionally, informal care was supplied by women but nowadays women are not only more likely to work, but also likely to be significant contributors to family finances. For women, this implies that earnings will be lost due to informal care increasing. However women play a central role in care-giving which may impact on their well-being more than other members of the family (St-Onge Lavoie, 1997). Although according to shah et al (2010) women have higher rates of depression than men in the care-giving role (Shah et al, 2010). However male carers tend to have more of a managerial style that allows them to distance themselves from the stressful situation to some degree by delegating tasks (Shah et al, 2010). Significantly (Mays Holden Lund, 1999) Interviewed 10 male caregivers and the findings, men expressed their means of coping by being realistic and action-oriented in response to their feelings. However the effect of care giving on children can be considered by the physical changes to normal growth, for example migraines, inflammation of the lining of the colon, and ulcers (Biegel et al, 2007) (Townsend et al, 2006). Tracy Martin, (2006) examined the effects of dual diagnosis via cross-sectional survey design which examined the types of support provided by minor children and the differences in support perceived by the child versus the support perceived by the adult. The findings that the role of children is often ignored or neglected, the effects are referred to as a role reversal parental child or parentification thus resulting in negative developmental outcomes for the child, although a weakness with this study is the support perceived by the child is not the views of the children but by the mothers reporting on both, these findings represent a design bias (Tracy Martin, 2006). Significantly Rupert et al (2012) aim to identify the issues when engaging children whose parents have a dual diagnosis explored the perspectives of 12 children via semi-structured interviews. A strength with this study is that the authors were able to elicit the sensitive data ethically by gathering information about secrecy issues around their parents substance abuse and remaining loyal to their parents, children experience negative times spent with their parents, with family arguments and the knowledge of when the parent abuses substances these findings represent the need to acknowledge childrens perspectives as associated clients (Reuper et al, 2012). The authors acknowledge that the study does not recognise the other family members within the household that could provide an exploratory view of their perspective. Although the effect of care giving on siblings is lacking, Sin et al (2012) studied the phenomena of understanding the experiences of siblings of individuals with first episode psychosis. Qualitative semi-structured interviews with 31 sibling participants researched that they had somehow lost their brother or sister as his or her character had changed since the onset of their diagnosis (Sin et al, 2012) Younger siblings were much more likely to cope by withdrawing and not getting involved, they often reported that they were not made aware of information and resources available to help with the situation and were also less likely to want to know about the illness (Sin et al, 2012). Strength of this study is the qualitative exploratory semi-structured interviews, and the themes that emerged although this study does not address the issues of substance abuse or the quality of life of the other family members. The gap in the literature is that quality of life does not consider the affects of mental health and substance abuse on the family. This paper has not been able to locate any studies that consider the qualitative exploratory lived perspectives of all family members living with the dually diagnosed, and the impact on their quality of life, therefore due to the lack of research on families living with the dually diagnosed this research seeks to explore their perspectives. To conclude Health professionals should focus on the familys environmental context, and their perceptions of their relative with mental illness, thus by assuming that each family is different, clinicians should evaluate how family dynamics can affect the families quality of life and how theses interactions impact in their plan of care (Walton-Moss et al, 2005). However, numerous studies have looked at the effects of family involvement on the outcomes of the dually diagnosed, current literatures are lacking on the quality of life of family members, and does not consider the effects of mental health and substance abuse on the family, this provided the focus for the present research. The relevance to occupational therapy The relevance to occupational therapy services is to lessen the burden on the carers so that they can continue in their caring role, being fully informed of diagnosis, relapse triggers, substance abuse, and the available services so that they can continue their caring role. Statement of aims To explore the perspectives of carers of clients with dual diagnosis To explore the perspectives of the carers regarding substance misuse To find out how carers cope, living with someone with dual diagnosis, what are their biggest challenges? Research question proposed to be investigated To explore the lived experiences of a family that lives with the dually diagnosed client. Chapter 3: Methodology Description and justification of research Design A qualitative semi-structured interview which utilises open ended questions, has been chosen because these methods lend themselves to exploring the familys perspective and meanings of living with the dually diagnosed, this will permit individual members of the family narrative to be acknowledged. Moreover the researcher will ask questions in similar ways to all participants, which will attempt to maximise the confidence in the research reliability and validity (Hicks, 2009). This method will attempt to understand a complex novel phenomenon, whereby the researcher needs to understand that the concepts and variables that emerge may be different from the aims, sought by the study (Pope Mays, 2006). In contrast focus groups were not chosen due to the consensus of a group of people rather than the individual perspectives from the family (Pope Mays, 2006). The research will be conducted in the participants home, due to purposive sampling methods in which sites are selected on the basis that they are typical of the phenomenon being investigated (Pope Mays, 2006: 115). This will attempt to justify the rationale for the research taking place in the home in environment (Pope Mays, 2006). Moreover purposeful sampling techniques will be used to obtain participants whereby the researcher identifies specific people to take part (Hicks, 2004). However an aspect which illustrates rigour can be identified through member checking, whereby cross-checking findings with participants, can help to refine explanations, and aims to reduce subjectivity in processing of data analysis (Pope Mays, 2006). Therefore Living with dual diagnosis through the families eyes, can be addressed by using semi-structured interviews whereby rigor can be associated with this type of approach, due to data collected from as many appropriate sources to provide in-depth information (Pope Mays, 2006). Indication and justification of required number of Participants The participants will be family members of the dually diagnosed client, that attend a community mental health daycentre. However this study acknowledges the stigma attached to mental health services, as recent studies have shown that public education campaigns on mental illness and the integration have done little to alter the stigma associated with mental health (Schulze Angermeyer, 2003). Conversely the recruitment of participants may rely upon their visit to the day centre or if not appropriate for them then the dually diagnosed participation at the centre and the passing on of the flyer or information about the study, requiring no attendance at the day centre is necessary, due to the research being conducted in the participants family home. However It is argued by Crouch McKenzie (2006) that for in-depth qualitative studies small numbers of cases facilitates the researchers association with the participants, and enhances the validity therefore a maximum of 20 participants in total will be recruited to allow sufficient time to analyse the collected data (Crouch McKenzie, 2006). However snowballing sampling, was not the chosen method of recruitment because recruited participants in the study, would refer and reccommend future participants (Patton, 2002). Organisation of access to and recruitment of possible participants Participants for this study will be obtained through voluntary participation advertised via flyers and posters at a community mental health daycentre (Appendix 7), the flyers will provide instructions for participants to contact the researcher, the purpose of the study; requirements to be a volunteer, and the time commitment of the volunteers will be listed on the flyer, once families (maximum total of 20 people) are recruited for the study, the researcher will remove the flyers and posters. When volunteers respond, a telephone screening interview, approximately 5 minutes per person, will be conducted to determine if the individual family members meet the inclusion criteria. Families that respond and meet the inclusion criteria will be consented and assented (if appropriate) and recruited to participate in the study. The researcher will speak with the families, and communicate with each family member to set up a meeting time and place that is convenient for all members (Pope Mays, 2006). Inclusion/exclusion criteria of participants The validation for the inclusion and exclusion criteria relies on the family homogeneity that they are composed of being related and living together, therefore similar participants may enable a more in-depth enquiry into their shared and distinctive experiences (Hicks, 2004) The inclusion criteria eligibility: a) Family member is living with the person diagnosed with dual diagnosis. b) Family member is capable of engaging in verbal communication pertaining to semi-structured interviews. c) Family member is above 16 d) A family consisting of two or more members (max 4) not including the dually diagnosed client. e) English speaking and capacity to reflect participate. The exclusion criteria: a) Family member is below the age of 16. b) The diagnosed family member with dual diagnosis. c) No mental disorders or substance misuse disorders. d) Non-English speaking or with a cognitive deficit disorder. The semi-structured interviews may discuss topics or issues which are sensitive to the participants, these difficulties can be averted by a procedure of gaining on-going consent and assent for the 16-18 year olds (appendix 2) (Wiles et al, 2007). If distress occurs then the researcher can either stop the activity or will move on to the next area. It will be made clear to participants that they can decline to answer any particular questions or discuss topics that they feel uncomfortable with and can leave the research at any time, additional support and information will be available (Wiles et al, 2007). Indication of Ethical issue relevant to the proposal The researcher should at all times respect the autonomy of the individual by allowing the participant the freedom from control or influence of the study. Additionally the researcher has a duty to uphold beneficence which is the obligation to maximise benefits and minimise harm (Domholdt, 2000). Justice should be maintained throughout which is the obligation to treat each person in accordance with what is morally right and proper, therefore informed consent and ascent will be obtained via the Participant Information Sheet (approximately 30 min) (Appendix 1). Once the inclusion criteria has been met and each of the participants agree to join the study, a meeting time and place for informed consent, form review and data collection can be scheduled. The researcher will review (1) the purpose of the study, (2) an explanation of the procedures including the interviews, and the interview process, (3) an explanation of possible benefits and/or risks or discomforts (4) Consent to audiotape semi-structured interview (amended consent form), and an explanation of the subjects rights and confidentiality, the subjects will be asked to repeat their understanding of the study and procedures in their own words. Once full understanding has been demonstrated of the purpose and procedures of the study, the researcher will ask the participants to sign the consent form. Research approval General approval to be sought from Brunel University Research Ethics committees. Ethical approval for the research study is to be obtained from Brunel University, additional permission to be sought from the community mental health day centre (gatekeepers) to recruit participants via flyers and posters (Brunel University West London, 2010). Discussion of ethical considerations related to participation and consent Due to possibility of participants being aged from 16-18 assent will be required which is a term for participants too young to give informed consent but who are old enough to understand the proposed research, including the expected risks and possible benefits, and the activities expected of them as subjects. Assent by itself is not adequate, however. If assent is given, informed consent must still be obtained from the subjects parents or guardian (Domholdt, 2000). Ethical issues will arise throughout the research process, from initial planning to writing up and data analysis, due to interviews concerning private experience (Kvale, 2007). The researchers will respect the privacy of the participants by making it clear to them that they are free to decide what information they wish to share with the researcher and that they should feel under no pressure or obligation to discuss matters that they do not wish too. Data regarding the patient, family or the community, which will have the potential to identify them, will be omitted, Indication of any risks and benefits to participants and/or researcher The possible risk to the participant is the discussion of sensitive issues, due to the nature of the research and the psychological aspect of discussing experiences. If distress occurs then the researcher can either stop the activity or will move on to the next area. It will be made clear to participants that they can decline to answer particular questions or discuss particular topics (Wiles et al, 2007). Moreover the non-therapeutic approach, whilst designed to advance knowledge and therefore be of collective benefit, it is not expected to give a direct benefit to the research subject (Wiles, Crow, Charles, Heath, 2007). The risk to the researcher is conducting the study in the participants home, the researcher will have to abide by the Suzy Lamplugh Trust lone worker policy (Suzy Lamplugh Trust, 2012) (appendix 4 ) therefore a full risk assessment will need to be completed. Additionally the researcher will indemnifying against risk, to either the researcher or to participants, by taking out insurance for a period of time limited to the research process. Consideration of issues of confidentiality and data security In order to protect confidentiality, the researcher will identify the subjects for this study by the role that the participants fulfil in the family for example mother, son or daughter. Once all data is collected and analysed the interviews will be transcribed, and the audio tapes will be stored in a locked, secure location until the study is completed, after completion, the primary data will be destroyed and all other data will be destroyed and discarded according to data protocol up to two years (Brunel University West London, 2010). Materials or equipment The interviewer is the instrument in this type of evaluation; the instrument can be affected by factors like fatigue, personality, and knowledge, as well as levels of skill, training, and experience. According to (McNamara, 2009), the strength of the general interview guide approach is the ability of the researcher to ensure that the same general areas of information are collected from each interviewee. The equipment required to analyse the data is software for qualitative data analysis which is ATLAS.ti 7, as a tool for enhancing rigour this software is available at Brunel University (Atlas.ti Qualitative Data Analysis, 2012). The training implications required is a one hour training session. Additionally an audio tape recorder is required for the semi-structured interview; a limitation is that the interviewees may be unable to put their thoughts into words and difficulties of analysing data from semi-structured interviews (Atlas.ti Qualitative Data Analysis, 2012). Comprehensive description of Procedures The study will consist of 45 weeks part-time work (appendix 9) the research will be advertised through flyers and posters at the mental health day centre after seeking approval from the day centre (gatekeepers), The recruitment drive will be for two months via dually diagnosed participation at mental health day centre which the researchers have no affiliation too