-- i will send it as file -- Essay Example | Topics and Well Written Essays - 1000 words

-- i will send it as file -- - Essay Example Cultural practices play a crucial role in differentiating given groups of people. Evidently, social structures of a given community greatly depend on the type of culture put into practice by that given community or society to a larger extent. Additionally, different communities cultivate their cultural symbols and values. Cases of communities practicing other communities’ cultural practices keep on surfacing. The underlying reason for the inter-cultural practices is due to the intermarriages and several other interactions. Cultural practices form a basis of each and every community around the world. Different ethnic groups encompass of different ethnic cultures that guide the structural survival of that given society or ethnic group through the years. Many ethnic groups identify those people outside their community as cultural practitioners but only under certain set circumstances. In this content, circumcision among the male child tends to be the cultural practice of choice. In as much as many ethnic groups around the world practice circumcision, various groups perform the practice to meet different goals. Circumcision is essential in ensuring that a given individual moves from one stage of growth to the other. Moreover, once a person undergoes circumcision rights, the person is considered an adult, ready to handle any challenges that arise in the world. The practice remains as one of the most ancient cultural practice in the community. People in the society view circumcision as one of the most crucial cultural practices in the ethnic group. According to the community, circumcision instills discipline into the youth and makes them act in a more mature way compared to when they had not undergone the cut. A circumcised member of the community should be able to handle any challenges or risks and uncertainty arising in the world. Members of the community additionally, view circumcision as one of those cultural

Dosing of cephalosporines in renal failure pateints Research Proposal

Dosing of cephalosporines in renal failure pateints - Research Proposal Example Aim- To understand the dosing of Cephalosporin in Renal failure patients. Method and Design Physical examination- should be performed for edema, ascites, dehydration. Measurement of body weight and height is performed. In obese patients the ideal body weight should be calculated and dose of drug should be planned consequently. Renal function- Estimation of creatine clearance (the volume of blood plasma that is cleared of creatinine in a unit time). Elimination of drugs is directly proportional to GFR (drugs excreted by kidneys). The Cockroft- Gault equation to estimate Clcr for age between 40- 80 years. Clcr (mL/min) = (140-age)x weight in kgs / 72 x serum creatinine (in mg/ dL) x (0.85 for women). Assessment of GFR from serum creatinine level presumes the stability of renal function and also formulate that serum creatinine measurement is constant. If there is alteration in renal function, the creatinine level does not indicate the true clearance. In case of oliguria, Clcr is approxi mated as 10mL/min. In cases with acute renal failure, the non-renal clearance of medicines diminishes by means of time window of renal failure. In the initial course of the therapy, personalized pharmacokinetic dose for patients with severe renal impairment is vital.

Effects of Clear Vision on Organizational Performance Research Paper

Effects of Clear Vision on Organizational Performance - Research Paper Example lay out clear objectives that clearly define the role and function of each individual employee, collective departments, and the future vision for the organization. Employees need to know that what they are doing has value in the overall scheme of things. A clearly defined vision can certainly go a long way towards making that happen, leading to increased staff morale and a purpose and direction in work related endeavors. As this study reflects, it behooves the modern organization to make certain the any such vision is clearly communicated to all stakeholders, and that everyone is one the same page moving forward. Vision is essential to the success of a business. Without vision, there is no direction. With no direction, there is little sense of where an organization is heading, and even less of an idea as to how it is going to get there. Setting forth a clear vision enables members of an organization to understand what their individuals and collective roles are, and it time a clear vision statement will pay dividends in terms of enhance organizational performance. Even given these indicators, however, it is a bit shocking to discover how many organizations lack this sense of clear vision. Few, it seems, take the time to set out clear objectives and performance targets for all to see. This sense of top down leadership might have executives understanding where they want the organization to go, but the very people charged with the task of actually getting it there are all too often left in the dark. With this reality in mind, it is important to study the role that a clear vision has on the perfo rmance of an organization in today’s increasingly global and competitive marketplace. The purpose of this study is to establish the relationship between a clearly established vision statement and the overall performance level of an organization. This will be primarily accomplished by looking at real life examples of companies with and without clear vision, and how

Nursing Essay Example | Topics and Well Written Essays - 1000 words - 3

Nursing - Essay Example It is necessary that every member of an organization must be involved in dealing with the problem of absenteeism. Nyathi and , Jooste ( 2008) point out that, if absenteeism among nursing staff occurs, this puts a greater workload on the staff who do turn up, and so this leads to a downward spiral of stress on staff, and eventually even more absenteeism. The authors mention factors such as† work attitudes (job satisfaction, organizational commitment and work/job involvement) and retention factors,† but admit that in many cases reasons behind absenteeism are poorly understood. Managers, especially those who see staff every day such as ward managers, should know their staff so well that they are aware when any members of staff feel themselves to be under stress at work, as this which is identified as being a major factor in absenteeism. . Communication is important. Staff need to hear and understand the organization’s plans, goals, and objectives in order that they can uphold and protect them. The executive team is charged with the mandate of ensuring that when a new employee is hired, they are taken through the organization’s corporate vision. This will ensure that that person understands what the institution is like and its ethos. If everyone is told and understands fully what is expected of him or her, it is easier in the course of business to remind them of what is expected of them, whether with regard to being available when required, or with regard to some other matter. Slater and William (1996) describe how letting staff have a greater larger degree of control of rotas led to better communications between management and staff. It was also discovered that many nurses had not realized the impact their negative behavior was having both on the organization and their colleagues. It was also felt that if mention was made of absenteeism staff might feel that they

My Counseling Style Essay Example for Free

My Counseling Style Essay When I first read the explanation of the assignment, I immediately thought of what my parents had instilled into me at a very early age. They would always say that God put us here on this earth to do a job and that was to help others and love each other. That really never made a lot of sense to me until I started working in the non-profit world over twenty seven years ago. I realized then that my parents had taught me to believe that every human being on this earth deserves to be loved and to be happy in their lives. I believe every person should be treated with dignity and respect no matter what their situation is. I believe that your family should come first in all aspects of your life and that each of us make conscious decisions everyday that mold our lives into what they are. I also believe that there is good in everyone, sometimes they just don’t know it. The values I live by go along a lot with my beliefs in that by putting my family first and having that closeness with people I love and care about, makes me the person I am today. This started with my parents and my grandparents that are now deceased to my husband, children and grandchildren that make up my life now. My values were planted at a very early age and have grown and matured as I have. My grandmother and mother were instrumental in teaching me and showing me that every person we meet has value and should not be dismissed. From a very early age I learned that helping others was expected of me and not just something that I could do if I wanted to do. I attended Sunday School and Church with my family on a regular basis and the Christian values and principles that I was taught parallel with what I was learning at home. These things have always been a part of my life and I hope I have instilled them into my children and can be that inspiration to my grandchildren that my grandmother was to me. I believe that every person you meet has love and goodness within them but events in their lives may have tarnished their outlooks. As a counselor I hope that when those people come to me that I can help them find their way back to loving themselves again. My grandmother always said that your character speaks volumes about you. Also my mother’s special saying to all of us was, â€Å"The Golden Rule†. If everyone followed that one thing, Do unto others as you would have them do to you, this world would be a much better space. It sounds so simple but many find it very difficult to abide by. I find myself sometimes having a hard time following this but have found that when I do let myself I am usually blessed by the outcome. I see my character as a reflection of my beliefs and values that I have learned and nurtured from my family and church as I grew up. This along with following my mother’s advice and using the Golden Rule are the basis for most of my decisions and have become a valuable resource to me throughout my life. These beliefs along with the values that my family taught me that were i mportant, integrity, honesty and respect for others, have brought me to where I am today. They are the roots to my tree of life. I recall a book that my mother would read to me as a child, â€Å"The Engine That Could†. She would always tell me after reading it that I could do or be anything I wanted if I would just believe that I could. Just like that little engine, I find myself repeating the saying, I think I can, I think I can, I think I can, whenever I let doubt come into my mind that something cannot be accomplished. I use this in all aspects of my life. I also read that story to my children and my children. I truly hope and pray that they will use that thinking in the decisions they make throughout their lives. It has worked for me! I tell them the same thing that was told to me, that anything is possible, you just have to work hard at it and believe that you can do it. My father also had a huge impact on what my values and beliefs are as an adult. My dad worked many hours at two jobs so that my mom could stay home with us kids, which meant he was not around a lot. The time he did spend with us was very special. I remember a time in Jr. High when I was struggling with my weight and how people perceived me. He would tell me, â€Å"You are what you believe†. If I believed what people were saying about me then I would become that person and if I believed I could do something then I would accomplish it. You cannot just let life happen. You have to know what you want and believe that you can have it. Then you set goals and work hard to get there. By doing all these things I have mentioned you form your own unique and special personality that shines because of your values and beliefs. My philosophy of counseling is that when working with a client you need to think of them as a whole person and that to help them in any area you need to include what they need for mind, body and spirit. All three of these are important areas to explore because you never know where the problem stems from that they are coming to you for. You must integrate life meaning into your counseling. You have to work within the beliefs of the client and respect where they are coming from. You treat each client as though they were your only one. As my mom would say, treat them like you would want to be treated. Be willing to listen and change whatever methods you are using to meet the needs of the client. There are many reasons that a client comes to you hurt and broken. It is up to me as a counselor to find out where that hurt is coming from and help the client figure out how to fix or change that area of their life. I think I would draw techniques from many models of therapy. I think that the most important thing is to develop a good relationship with the client. Then let the client choose how their own values will guide their behavior. I see myself as being flexible, versatile and having a genuine interest in helping the client. This is all based on how I was raised and truly believing that everyone has good within themselve s and really want to be happy. You just have to be willing to understand the world of the client and respect where they come from. The theory of counseling that comes closest to my way of thin king and my philosophy would be a combination of the Adlerian Theory and the Cognitive Behavior Therapy. The Cognitive Behavior Theory deals a lot with a person’s belief system and hands on types of therapy. This fits well with what my style of counseling would be because of my belief that what you learn early in life effects everything you do unless you choose to change it. I like this theory a lot because it is an active, structured therapy. Therapy is a learning process, acquiring new skills and maybe a new way of thinking. At the same time this therapy is also very present-centered. Everyone has a past but there is nothing you can do to change those things that happened throughout the year. I believe that this therapy allows the client to gain insight and actively practice changing their lifestyles if needed. The Adlerian Theory leans towards the importance of life goals. It challenges the client to make goals and accomplish them in a variety of ways. One of the key values that I had growing up was that you decide what you want, set goals on getting there and then work hard to make it happen. Anyone can do this if they really believe they want to change. This therapy stresses that all humans are motivated by social interest and one must deal with what life deals you. The difference is in how each person deals with this. This therapy uses the techniques of gathering family history and looking at the life experiences of the client. I believe that you are shaped and made up of those experiences. They are important to who you are. I also like that this therapy is one built on joint responsibility, mutual trust and respect between the therapist and the client. There is a true emphasis on equality and not one where the therapist is better than the client. This works very well with the collaboration idea of the Cognitive Behavior Therapy. I think that you need both the past and what is happening in the present to be able to look at what your problems are and figure out how to deal with them. I am sure that I would probably pull other techniques out of other types of therapy but I see myself staying true to the two above and using them in some type of combination. They seem to work best with my way of thinking and my personality. If I am comfortable with the style of counseling that I am using then my client will be the one to benefit in the long run.

The Industrial And Commercial Bank Of China

The Industrial And Commercial Bank Of China The main aspect which has been taken into account in this report addresses the understanding of various global business strategies and organisation form and structure of the Industrial and Commercial Bank of China (ICBC) locally and globally to earn its competetive advantage. The relevant theories were taken into consideration and the in-depth analysis of global business strategy which were used by ICBC was undertaken. This report contains background informatin of the bank. The Chineses banking enviornment was taken into consideration as well as the internal enviornment of the company was analysed with the help of SWOT, PESTEL and Porter 5 forces frameworks. To illustrate the performance of the ICBC a resource audit, which includes assets, resources and core competencies was presented. This report is focuses on the identification of companys local and global corporate strategy . This report concludes with the strategic implementation of its policies, challenges which are being faced by ICBC and reccomendation to deal with those challenges. Introduction: ICBC offers its customers various financial services. ICBC operates all across the globe. According to Forbes (2011) ICBC is the seventh largest publich company. History of ICBC: ICBC started with registered capital of 20.8 billion Yuan and the capital and assets added up-to 333.3 billion Yuan. In the late eighties ICBC became the formal member of International Saving Banks Institute. In October 1989 ICBC introduced the Peony Quasi Credit Card for the first time. The ICBC network in 91 cities got connected with a nationwide computer network system in October 1990. In the early nineties the bank was according to the Euromoney Journal was ranked number 8 in terms of capital share. ICBC went global in March 1992 and its first overseas subsidiary was set up in Singapore. In November 1995 ICBC expanded out of Asia and their first office in Europe was in London. ICBC went online in December 1997 and their official website was launched. ICBC jointly with Hong Kong Bank of East Asia acquired ICBC-BEA Finance Shareholding Co. Ltd with a 75% of shareholding in February 1998. In September 1999 ICBC launched 95588 its telephone banking services nationwide and in February and August 2000 respectively, ICBC began its Corporate Internet Banking and Personal Internet Banking services. In May of 2002 Peony Card Centre was established and it became the first professional bankcard business organization in China Peony Card became a sought after brand. Furthermore, in 2003 ICBC signed Agreement with Microsoft (China) in Beijing for the co-operation of Personal Internet Bankings security. The same year on December 18, ICBC launched its new personal Internet banking product [emailprotected]. In February 2004 PricewaterhouseCoopers designed ICBCs 8 year plan for corporate governance system and over-all risk management reform system and ICBC put it in practice in April 2005 under the State Councils Approval. Moreover on October 27, 2009, with 236 billion restricted shares released to the market ICBC becomes the No.1 A-share quoted company and the largest bank in the world by market capitalization. In the last quarter of 2009 the ICBC has expanded itself as it h ad received the business licence to operate in ICBC Malaysia Company Limited from Bank Negara Malaysia and ICBC Hanoi Branch, the first license issued to a foreign bank this year. December 16, 2009, The Central Bank of United Arab Emirates (UAE) officially approved and issued a wholesale banking license to ICBC to set up a branch in Abu Dhabi, a new ICBC branch in the Middle East for ICBC to spread its wings in the region. Organisational structure of ICBC: Organisational structure can be considered as a pyramid shaped system that positions the relations between the entities within an organisation vertically. Authority, power and responsibility are focused at the top and the decisions are made here and are implemented by the rest of the organisation. (Daft, Murphy, Willmott, 2010) The structure of ICBC is a hybrid structure, a combination of characteristics of various approaches tailored to specific strategic needs (Daft,2007). Functional and divisional structures combined create the organisational strucutre of ICBC. The organisation structure of ICBC consists of series of supportive departments expert in functional duties, containing Comprehensive Administration Departments, supervisory Supporting Departments and Affiliated Institutions. In the functions economy of scale is encourged due to functional structure. A management model of centralized legal person authorization and controlling one level down and supervising two levels lower is implemented by ICBC. The banking system of ICBC is centeralised in one location. (ICBC, 2009) The strategic business unit refers to the divisional structure. ICBC contains a number of Business Development Departments: Corporate Banking, personal banking, investment banking and e-banking, etc. which can fullfil individual needs and satisfactions of clients. A hybrid structure proposes greater flexibility for organisation (Daft, 2007) that aligns with the current corporate aims and strategy with divisional goals, functional expertise and productivity. Source: ICBC Annual Report 2005 The latest chart of organisation is attached in the appendix. The distribution of power: The distribution of power has been more decentralised and flexible after ICBC turned into a public corporation as compare to early times when it was not listed. Now every hierarchical level has a decent chance to take their decision on their own. Hence, the working attitudes of its employees might increase. Now they will be more motivated as they are part of decision making process and will share the success as well as the losses of the company. The biggest drawback of this managemnt style will be communication network. With decentralising, it will be difficult to communicate with other hierachical levels because of their interest conflicts. (ICBC, 2009) Enviornmental Scanning: To analyse the strategic position of any company there are several frameworks, techniques, and methods such as SWOT analysis, PESTEL and Porters 5 forces available. SWOT-Analysis: SWOT is an abbreviation for Strengths, Weaknesses, Opportunities and Threats. SWOT analysis is used to identify the internal and external factors which can be used to achieve a certain goal or improve the performance of any business. Strengths and Weaknesses are the internal factors of an organisation and Opportunities and Threats are the external factors to that organisation. The internal factors relate to any company and the external factors relate to the external environment of the organisation. (What is SWOT Analysis, 2011) Strengths: With a market value of $239,5 billion, ICBC is worlds leading bank in the world by market capitalization and it is also one of the Big Four in the domestic Chinese banking industry and has a leading marketing share in China. Due to a strong distribution of network which consist of 18,000 domestic institutions, 203 overseas institutions and over 1,440 correspondent banks worldwide, as well as 7,085 self-service banking centres and 28,656 automated teller machines ICBC has been providing its financial services to (3.10 million corporate banking, 190 million personal banking ) customers. ICBC also developed further the cash management as it got the Best RMB Cash Management Services (China) Award by the magazines The Asset and FinanceAsia. in 2008 with the score of 96.23 ICBC topped the list of 50 Most Honoured Listed Companies of China as well as was awarded the best custodian bank by The Asset, Global Custodian, Global Finance and Securities Times. Source: own presentation With 240 million issued bank cards in 2008 ICBC was the largest credit card issuing bank in China, an increase of 28.20 million over the end of 2007. Therefore, Visa and MasterCard had awarded ICBC with Award for Leading Technology of Credit Card and Best Product Innovation of the Year respectively. ICBC is into investment banking, wealth management, insurance and asset management which lead it to the universal banking model alongside the traditional banking which helped them to diversify their revenue flow. In FY2008 and FY2009, the bank generated around 52% of total revenues from corporate banking, personal banking generates 32% of revenues, treasury and other operations contribute 16% of the total revenues. Diverse sources of revenue such as settlement, clearing and cash management, investment banking, corporate wealth management, asset fiduciary, guarantee and commitment were the main causes for non-interest income. Weaknesses: ICBCs allowance in financial year (FY) 2008 and FY2009 amounted to 130.15% and 164.41% of total non-performing loans which was higher than the impairment losses on loans in absolute terms of last two years. This increase in allowances was on account of both external and internal factors. Hence, the profitability of the bank was affected by the increased allowances for impairments. Opportunities: At the end of 2010, ICBC had 203 branches in 18 overseas countries and regions and established correspondent bank relationships with 1,358 overseas banks in 122 countries and regions all across the globe. According to Swiss Re, Total takaful premiums written in 2007 was about US$1.7 billion, and it is expected to propagate to US$7 billion by 2015. ICBC can secure the benefits of being the first Chinese player venturing into Islamic banking. Several products and new services has been introduced by the ICBC after the financial crisis as well as facilitating the foreign trade companies to conduct export and import business. Chinas insurance market is growing rapidly. . In 2013, the Chinese insurance market is forecast to have a gross premium income of $353.4 billion, an increase of over 100% since 2008. Threats: After enjoying the double digit growth for last several years, and the banking industry was benefited most of it but late Chinese economy is having a slight decline. In second quarter of 2010, Chinas economy grew by 10.3%, down from 11.9% in the first quarter of 2010 and it might remain the same for the last 2 quarters as well. With emerging China several foreign banks are interested in or already started to undertake a number of businesses, including custodian services investors, insurance agency business etc. Foreign banks in China are allowed to offer over 100 types of products and services under 12 broad categories of business activity. According to the China Banking Regulatory Commission (CBRC), within the five years since Chinas WTO accession in early 2002, operational entities opened by foreign banks increased from 190 to 312. Since foreign institutional investors were first allowed to invest in Chinese banks starting in 1996, 35 overseas banks have acquired stakes in 23 Chinese banks by 2008. As competition was continued to intensify in 2009. Hence, this could affect the revenues and profits of the bank. PESTEL Analysis: PESTEL is not just the internal environment but also the macro-economic factors affecting the external environment of a company affect the way it conducts business. These factors need to be kept in mind while formulating strategies and making decisions for the future. Demand and supply may fluctuate due to a number of vital variables that may not be in the control of the management. PEST-EL analysis is a framework used for categorizing Political, Economic, Social, Technological, Environmental and Legal issues influencing the operating environment of the organization (Johnson and Scholes 2008). Political: In 1976 China made a huge breakthrough when it abandoned its old autocratic socialist system and turned into to modern Socialism which was more focused on Market-oriented economy. China has intensified its involvement to international organization since 1990s. After becoming the member of World Trade Organisation (WTO) China has opened the doors for the foreign banks to enter the Chinese banking industry. Economic: China besides India is one of the emerging giants and it has already occupied the second place as worlds biggest economy after USA. Therefore, China is a very attractive destination for all the foreign companies especially in the manufacturing sector. There is a slight decline in the Chinese Economy due to the financial crisis but the forecast for the coming years is much brighter. In comparison to planned economy before 1976, China is reforming its economy now for a more open market and free trade with other countries. Social: China ranks at the top in terms of population which is 1,331,460,000 till 2009. China lacks the high potential individuals and has the insufficient leadership which can follow the rapid economic growth. To control the population the policy of one child is not seen everywhere with the correct frame of mind. The biggest hurdle for all the foreign companies is the language. Chinese people are tied strongly with their culture therefore local language is the only way to conduct the business. Technological: Since the introduction and popularity of Internet online shopping is more into practice now in China According to CNNIC the number of online purchasers is 420 million. Internet Banking and Telebanking is becoming more common now. In 2006 China had approximately 400 million mobile phone users and 6.1 million of them are connected online. Environmental: The natural resources such as land water and air and the environment of China has been damaged seriously by its rapid economic progression. A large amount of usage of polluted energy such as Coal and oil. China is the third largest coal and oil consumer in the world. Human right Issue (500,000 individuals are in custody without any charge and trial and 1 million cannot access to Legal system. (Amnesty International) Legal: A set of policies has been established by the Bank of China to fight against white colour crimes. More than 200 administrative rules and regularity documents has been implemented by China Banking Regularity Commission to control the financial crimes. China offers a open market to the foreign banks. Porters 5 Forces Framework: According to Porter there are 5 main forces which can shape every market and industry. These five main forces assist to figure out the intensity of competition to the profitability and attractiveness of an industry. Porters 5 forces framework on banking industry in China will provide us a sutiable tool to depict ICBCs position in the chinese banking sector. Being a leader in the banking industry ICBC has to deal with all these forces to sustain its top ranked position. These five forces are: risk of new entrants, rivalry, bargaining powes of buyers, bargaining power of suppliers and threat of subtitute prodcut. Porters 5 forces framework for ICBC as follows: Risk of new entrants: The enty barrier for foreign banks has disappeared when China Joined the WTO in 2002. Many foreign banks consider China a profitable destination for banking industry. Several finanacial and non financial companies can easily come to China and start operating their business. Rivalry: Besides the Big Four banks in China several other foreign banks have started their operation in China which has intensified the rivalry which has been there forever. Now ICBC has to compete not only with the Big Four sondern with big foreign banks such as HSBC. Bargaining power of buyers: Banking industry is a high buyer concentration industry. China is the largest country in terms of its population. A significant number of people use bank service, such as deposit money, mortgage, loan, investment, insurance and currency exchange these days. Internet is changing everyones life customers can easily obtain the information via internet. In the banking industry interest rate and service charge are senestive indicators for customers. In recent years various subtitute products and services are available for example currency exchange, insurances and loans and they are provided normally by the other financial institutions. Bargaining power of supplier: Credit Card industry is a high concentration ratio industry and ICBC has been awarded with awards from the leading companies such as VISA and MasterCard Worldwide. Although few Aother companies also provide credit card system, such as JCB and American Express but theie market share in the world is much less than VISA and MAstercard. So switiching cost might be high for ICBC. Substitute products: Internet made a huge difference to many organisations when it comes to deal with money. Now they do not need to transfer huge ammouts through banks. They can do the same with other low charge service and it is also more convinient. The services such as Real-time money transfer (i.e. Western Union), real-time payment (i.e. Paypal), currency exchange (i.e. Xe.com) and insurance (i.e. InsWeb.com) through Internet provide a high quality but low service charge service. Resource audit: Opportunities can be created and exploit in the external environment in which a business usually operates. Besides these opportunities threats are also present which can impair any business. However, to deal with these threats and exploit the opportunities, a business requires the right resources and capabilities. The current holding resources of any company can be recognized by the resource audit. These resources can be either owned (e.g. plant, machinery) or acquired from other resources such as partnerships and joint ventures. Financial resources: Existing Finance: According to the first quarterly report (2011) of ICBC, the bank has continued to push forward to their growth and obtained a sustainable profit as compare to last year. The total assets have an increase of 6.92% from the last year and its value is now 14,389,996 (RMB in million). Besides the assets the liabilities have also increased simultaneously and its value is now 13,517,771(RMB in million) which are 6.97% more than last quarter. The equity attributable to equity holders has an increment of double digit (10.54%). Net profit for this period is 53,836 (RMB in million) which is 29.03% more than the first quarter of 2010. The result shows the successful implementation of their strategy local and globally. Human resources: ICBC is enjoying the services of 387,000 employees till December 2010 at its global and local centres. Physical resources: ICBC has till now around 18,000 outlets and 23,000 ATMs all over China. Intangible resources: As being the leading institute in the banking industry ICBC is enjoying their good brand image. ICBC has also obtained the partnerships with several banks all across the world especially in Africa. ICBC has also won the reputation for their Internet banking services. ICBC has one of the secure internet banking system in China. Current Strategy: In June 2009 ICBC had introduced its three year new Development Strategy Plan and Implementation Scheme of that plan to all its offices. In the last ten years of ICBCs strategic transformation this plan is the second three year plan and it was based on the implementation experience of the development strategy plan of years between 2006 and 2008. This plan was produced after a comprehensive analysis of the latest development of ICBC and the economic and financial trends at domestic level and global level. Implementation experience of old Plan (2006-2008): The base of this strategic plan was laid on the experience of achievements and failures which had been achieved by ICBC in last 20 years as well as on the direction of Chinas financial reforms. The aim was set to achieve this strategic transformation within next 10 years. The strategies such as adjustment of management structure, development by areas, innovation, service differentiation, cross-border management, comprehensive risk control, and emphasis on technology and human capital were executed successfully and ICBC got better results than it originally expected. Therefore, at the end of 2008 ICBC became the number one ranked bank in market value as well as it became the most profitable bank in the world. ICBC was mainly successful because it enhanced the capability of comprehensive profit-making, paid a close attention to risk control and decided to achieve transformation in self-development. ICBCc new three year Plan (2009-2011): The successful implementation of previous strategic plan gave ICBC the assurance to carry out transformation strategy further to sustain the progress in development. The new plan offers the guiding idea that Guided by scientific outlook on development, striving to enhance core competitiveness, continuing to promote management structural transformation, developing more innovations, and achieving fast, stable and sustainable development of ICBC to seize opportunities to strengthen and to brace its market position. To apply this strategy ICBC has decided to start from the reality and carry out the scientific outlook on development into every step of transition. The New Plan proposes ten strategic projects which attach emphasis to structure adjustment, finance innovation, service upgrading and etc., and a set of precise objectives and measures for various regions and for diverse services according to the general objective and task design of the ten strategic projects. For the successful execution of the strategies ICBC also introduced an implementation scheme to make thorough and specific arrangements of the tasks and responsibilities for different departments and branch offices. ICBC establishes coordination mechanisms to coordinate the New Plan to ensure the flexibility and adaptability. Furthermore, at the start of each year, required adjustments will be made to the evaluate indicators according to the actual changes in the business environment and the implementation effect of the new plan in the preceding year. The existing problems, implementation progress and the implementation situation would be strictly monitored through regular inspections and reported to the Board of directors. To accommodate their corporate social responsibilities ICBC has developed poverty alleviation project in Nanjiang County and Tongjiang County in Sichuan Province and Chengkou County in the city of Chongqing. Over 300 (RMB in millions) has ICBC invested already in this project. This amount includes loans as well as the donations which have been distributed by the bank to eight hope projects which includes schools and medical treatment centres. There are several other projects which ICBC is directly responsible or helping them to improve the social life of the people of China. According to the Annual Report Announcement 2010 ICBC has earned more profit in 2010 as compare to 2009. ICBC is getting those results because of their clear and good implementation of that strategy. Besides the increased profit overseas asset size had also increased in the last year as shown in the following diagram. That explains very clearly that ICBC is on the right path regarding their domestic and global strategy. The exceptional outcome of ICBC in 2010 especially at a time when it was concerned with a complex and changing operating environment was mainly a result of the Banks successful implementation of its strategy at home as well as overseas. 12 new branches had been established in 2010 and a global network encompassing 203 overseas subsidiaries placed in 28 countries, spreading over five continents worldwide. Every business company faces threats and challenges although the numbers depict the different picture. These challenges could be overcome by the company by bringing some minor changes in their business strategy. As many other companies ICBC also faces some challenges which needed to be addressed. Firstly, ICBC is growing very rapidly which can cause some problem as it may affect their quality of service. Secondly the bigger challenge which is coming in the way of ICBC is the competition with foreign banks. After several foreign banks entering China makes hard for the ICBC. Now ICBC has more competition and even small mistakes can lead to huge financial and customer losses. Reccomendations for improvement: ICBC is facing a few challenges during their successful stint. These challenges has been mentioned above. These are not huge challenges and does not need any drastic changes in their strategy doemstically and globally. First challenge which was mentioned is their rapid growth. To grow fast is not a challenge unless you start compromising on the quality of your services. To keep in check this problem they need more check and balance in their organsiational structuer. As I mentioned above in the organisational structure that the main problem of their structure is communication problem. When IC BC can sort out that problem then there will be no compromise in the quality. Secondly, the callenge which can cause ICBC more problem is the competition in the chinese banking sector with the foreign banks as well as with the chinese banks. These foreign banks are entering China with much more oncoming force. Now ICBC can not afford any mishandling with their customer. A small mistake can lead ICBC to huge financial and customer loses. ICBC needs to transform their strategy in a way that they deal with their competetors in a way that they do not lose any customers locally as well as globally.

Caring for Older People Essay -- Health Care, Diseases, Dementia

Caring for older people highlights many special and difficult issues for nurses and carers, such as separation, illness, loneliness, death and how to provide continued care (Morrissey et al, 1997). This essay discusses the strategies of care delivered for an older person with dementia during my recent clinical placement. Discussions will focus on normal ageing process taking into account the relevant biological, sociological and physiological perspectives and the impact this had on this individual’s life experience. Ropers’ model is used as a frame work in which cae is delivered. Other related issues to be considered include the role of informal carers and the impact this had on him. Confidentiality is maintained in conjunction with NMC 2010 code of conduct. Thus a pseudonym (Scot) is adopted where the client’s name is mentioned. Scot is a 70 year old man with a long term history of psychosis. Recently he had been diagnosed with dementia. He had been well managed on quiatiapin until he had stopped taking the medication and his psychosis had worsened. And due to his decline in his mental state, he has also been refusing access to his carer (his wife) and was at risk of self neglect. Dementia is a disorder manifested by multiple cognitive defects, such as impaired memory, aphasia, apraxia and a disturbance in occupational or social functioning, Howcroft (2004). Disturbances in executive functioning are also seen in the loss of the ability to think abstractly, having difficulty performing tasks and the avoidance of situations, which involves processing information. Scot suffers from Alzheimer’s disease, a type of dementia, which affects the brain cells and brain nerve transmitters, which carry instructions around the brain. The b... ...is condition and how she can reduce the feelings of anxiety, tension and loss of control that has resulted from the impact of Scots deterioration. By the end of my placement, evaluations showed that although there have not been significant changes in Scots mental and physical state, it is also imperative to note that he has been supported and maintained well to carry some of the daily activities of living. Whilst Scots care plan continued to be reviewed, there is also an ongoing support and educational programmes for his wife, which will enable her to effectively care for Scot. Having gained experience working with older people, I have understood that whenever you care for a person especially the older person, one must take a holistic view of the person’s physiological and psychological and social circumstance in order to provide effective and continuous care.