Foundations in Evidence based Practice Essay Example | Topics and Well Written Essays - 500 words

Foundations in Evidence based Practice - Essay Example Clinical expertise and patient preference are the overriding components of this model with clinical expertise coming to the forefront, when patients are too frail to provide adequate patient preferences Nursing professionals are taught the means of collecting clinical evidence through the evaluation of information from clinical research. However not always is pertinent and adequate information available on a timely basis. In addition clinical evidence may be at odds to patient preference and the clinical experience for the given clinical problem. Thus mere adherence to clinical evidence does not contribute to evidence based practice. (Steinberg & Luce, 2005). Patients are individuals with their individualistic desires in the treatment and management of their clinical problems. Quality of life and quantity of life are two perspectives in clinical problems. Clinical evidence may focus on one of these aspects, while patient preference may be for the other. Clinical evidence cannot be imposed through a paternalistic attitude ignoring the dignity and autonomy of the patient. Clinical experience provides the means in such situations to respect the preferences of the patient. It is this blending of clinical evidence with clinical experience and judgment that provides the means to respect patient autonomy and deliver evidence based practice. (Cody, 2003). Support and information, attentiveness and respect for the individual contribute to patient autonomy (Proot, Crebolder, Abu-Saad, Macor & ter Muelen, 2000). Care in the critical care units involves high costs due to the involvement of expensive life supporting devices like the mechanical ventilator. Clinical evidence suggests that three to six percent of patients in critical care units would require extended use of the mechanical ventilator and the prognosis is such cases is a high rate of mortality and poor quality of life in the rest. Thus clinical

Evaluation For Operations Management Of Hard Rock Cafe Marketing Essay

Evaluation For Operations Management Of Hard Rock Cafe Marketing Essay Hard Rock is one of the most globally trademarks in the world with 40 years history . At the beginning, it was a small cafà © located in London. What have made Hard Rock to be success, and their business cover all the world consisting of 169 venues in more than 50 countries.Hard Rock has become a truly phenomenon. We could evaluate how Hard Rock Cafe achieved that phenomenon in many points of view .One of these is operation management strategy of Hard Rock .Now we study and analyse the strategy to manage its operation.   Ã‚  1. Location selection With the first place in London, Hard Rock expands its cafes to major big destination cities on the world where there are huge population and tourist. Mr Oliver Munday, Hard Rocks vice president is heavily looking into global expansion in Europe, Latin American and Asia He said that Weve got to look at political risk, currency, and social norm-how does our brand fit into the country   [i]  . Therefore, the new choice for Hard Rock Cafe is to locate in other cities, they focus on the tremendous resurgence of the central of the city where nightlife is concentrated like Bang Coc, Ho Chi Minhà ¢Ã¢â€š ¬Ã‚ ¦. which are not rush tourist cities in order to less depend on such a fragile business. For the good position to be chose, markets research is deeply surveyed and analyzed base on Hard Rocks Standard market report. The analysis is based on these following fundamental elements including demographics, visitor market trend, transportations, restaurants and nightclubs, risk of politics, real estate market and comparable market, t. This serious quantitative market research supports Hard Rock Cafe to make right decisions for its business. Moreover, the success of every cafe in each location is also contributing the useful information for Hard Rock cafà © to expand these other one and also to improve their efficiency of the whole chains success. Hard Rock now aims to the area of Europe, Latin America and Asia. Not all cities selected Hard Rock cafà © operated by itself but choose to franchise because of risks, economic challenges such as culture, inflation, exchange rate, may affect its operating. Hard Rock chose to expand its chain to 2 big and busy cities (Bogota and Moscow) in nightlife , but they had both franchise to local partners there. Other Hard Rock Cafes in other place like Honolulu, Dubai .. will be opening soon. 2. Goods and service design: With the name of Hard Rock Cafà © we can image the a typical their service with an electronic guitar and a simple logo, Hard Rock Cafe impress all people entering its places the environment full of rock music which We cant see in any other kind of Cafà © or pubs and bars. Hard Rock Cafe not only serves its clients food, rock enthusiasm but also the special type of enjoying .. Environment is also very typical way of Hard Rock Cafà ©. It is easy to recognize from its outside or inside even other advertising that make its client remember Hard rock cafà ©. Food and drinking do not mean that they are not taken into consideration, courses in Hard Rocks menu are modified, upgraded and concentrated to fit client where it located For example, Thai Snack Combo is added into Hard Rock Cafe Bangkok. Regardless of age, class or gender, Hard Rock Cafe slogan Love all Serve all has been going together with its development throughout the years. All people putting their steps into Hard Rocks door feel that they are always welcome by an enthusiastic attitude, good quality of service.       3. Quality As other business, Hard Rock cafà ©s quality is one of the most important factor during their operating. Keeping food, drinking and service quality ( employees behavior à ¢Ã¢â€š ¬Ã‚ ¦) as well as music, environment à ¢Ã¢â€š ¬Ã‚ ¦is carried out regularly and it is required to get the highest assessment from customers. Improving quality at the cafe is always ensured and achieved their quality in the highest scale basing on the customer evaluation. Besides that, Hard Rock Cafe always update by time the music as well as change menus, environment, layouts, memorabilia, services and strategy to improve quality and adapt with the demand as its clients responses.    4. Process and capacity design. Hard Rock is a very big chain of cafes which provides 100,000 meals per day only referring within the U.S. (3,500 at Orlandos Universal Studios), therefore it has to consider very carefully and carry out effectively. Non-current asset is always well managed and renewed. Labor, materials, inventory, other current asset, scheduling are all elements related, which are described with more details in the following decisions. It depends on the location and culture where Hard Rock cafà © is located, but the design of capacity and its process must follow standards of Hard Rock cafà ©. 5. Layout design Layout is the most key factor to make decisions in the long-term operation of Hard Rock cafà ©. It depends on the scales which follow the market demand or the social norms in different areas. Cafà © module is differently designed in each city, such as Hard Rock Cafe in Las Vegas is decorated by a huge, outstanding guitar in front of the building and most of the seats are organized in a large space for outside view while the cafe in Ho Chi Minh is designed according to a little eastern style with ceiling lights and chairs. Hard Rock cafà © design is considered whether they must lease in a long term, the structure of construction should be set up or remodeled for its operation smoothly and efficiently. Its places do not show the same module design of Hard Rock Cafà ©s chain.    6. Human resources and job design Good human resource strategies are expensive, difficult to achieve, and hard to sustain, like other many organizations, Hard Rock cafà © concentrate to build the human resource strategy. The purpose of human resource is that how employees contribute to firm and set up a reasonable quality of work life. Service industry is a industry employing around 75% of the people in the U.S, and Hard Rock have had huge network which creates a lot of jobs for people in the area it stands. All staff of Hard Rock Cafe must be required to have not only job skills, job description but also passion of rock music as well as to engage their personalities. Before working for Hard Rock Cafe, they are trained by Hard Rock cafà © and received a Hard Rock value card. Hard Rock employees will be proud to joint in a unique working environment and culture which appreciates the substantial diversity and individuality, personal and professional manner. Hard Rock has their promotion policies as well to encourage their employees loyalty, 60% managers of Hard Rock Cafe are promoted from their worker. Managers performance is evaluated by a target, and they will receive bonus when exceeding the target. It encourages all managers of Hard Rock Cafe to become better not only depend on the available data, but also they have to forecast other impacts and effects on sales then set up these countermeasure to improve or prevent for their operating . All of above human resource policy always helps Hard Rock take a competitive advantage, increase more revenues and saving costs for their success.    7. Supply-chain management Outsourcing is a creative management strategy that is popular method that a big-scale company, like Hard Rock, using for its supply-chain management to improve efficiency working such as capital, inventory management and operating margins. Qualified suppliers or vendors are chosen and controlled to ensure enough, fresh and quality meals. Risk of outsourcing is considered carefully for Hard Rock cafà © operation Hard Rock cafà © also manage the supply-chain risk by Hard Rock cafà © is reducing environment ( political) risk by franchising and licensing, rather than owning, when the political barriers seem significant  [ii]  Hard Rock cafà © in 2003 had the successful engagement of Avicon architects of the new supply chain and provided expertise in logistics for Hard Rock.    8. Inventory All company must establish system for managing inventory. Costs and expenditure can be substantial to store and move inventory. The way to manage inventory by ABC analysis, record accuracyà ¢Ã¢â€š ¬Ã‚ ¦ make Just-in-Time inventory control, can save costs and let products and services to customers more quickly. The best management of supply-chain support Hard Rock to keep a safe and effective inventory. Foods and drinking need to be fresh and provided on time. Also Hard Rock cafà © manage inventory base on the market demand to avoid long-term stock. A huge valued memorabilia are controlled by locations and catalogues and are renewed every few years.    9. Scheduling Types of scheduling decisions depend on type of company and its operating. Hard Rock Cafe applies shot-term forecasting scheduling to their services. It can be based on the real daily activities and data from whole restaurants in right Hard Rock chain. Every manager of each cafe set up its database to prepare the daily forecast which is recorded daily working. Next other factors, like upcoming events, major conventions, concerts, etc. are referred to. And then hourly sales are examined and Hard Rock is possible to calculate the time for rush or low hours in order to allocate suitable jobs for all employees.. This way of above managing schedule support Hard Rock Cafe managers Who can predict the volume of people, theirs feeling may get in and enjoy in its restaurants and prepare a right human, foods and services to serve Hard Rocks people with the way, Just-In-Time to save the costs.   10. Maintenance Maintenance is the way to keep quality that is the key to success in all industry sectors. Hard Rock Cafà © use preventive maintenance for inspection and serving to keep their facilities in good condition. They also adjusted its menus and music time by time, it depend on locations, basing on the survey done. All kitchens, bar, restaurants or other equipments are maintained regularly under supervising. In order to strengthen the brand name, Hard Rock Cafe creates its own website: www.hardrock.com and maintain a cable television program weekly on VH-1. Task 2: In the light of the above, discuss the operations management challenges and opportunities for Hard Rock when considering an expansion of its business into Hanoi. Hard Rock Cafe just established in Ho Chi Minh city. When expanding business into Hanoi, Hard Rock needs to survey the Hanoi market.Hard Rocks Standard market report following conditions: A- Demographics As Hard Rocks focus, Hanoi is the city center and have the nightlife with many small satellite cities to be built around like Ha Dong, Trung hoa Nhan chinh, Bac Thang long. Total is over 6,000,000 people (See table 2 below) with rapid urbanization , so tendency of population will surely increase in near future. Hard Rock may have is more and more people (Foreigner and Vietnamese) in Hanoi love Rock Roll music in Hanoi. And Hanoi is a choosier market for all cultural activities than Ho Chi Minh, it has quite loyal audiences if Hard Rock cafà © can convince them by the unique culture, interesting activities. Moreover, the cheap labor is an important advantage that affects to its cost and particular the companys human resources strategy (See table1 below). Beside that the economic indicator of Hanoi and Hanoi area is attractive for all business sector(See table 1 below) Table 1 (Economic index of Hanoi) Content 2009 2010 2011 ( forecast) GDP per capita (UD$) 1710 1900 2120 GDP growth rate (%) 6.70% 11% 11.50% CPI 8.22% 9.56% 10% Exchange rate (VND/US$) 17500 19500 21000 Source: VnEconomic-December 2010  [iii]   B-Visitor market and market trend Hanoi have Tourists and business visitor growth rate increasing with 20,5% for foreigner ( 1.227 million people) and 10% for Vietnamese(7.392 million people) in the year 2010. Total revenue in tourist industry increased 26.9% in Hanoi -Report of Hanoi general statistic offices data December 2010(See table 2 below) Table 2 (Population and tourist of Hanoi Content 2009 2010 2011 ( forecast) Population (1000) 6480 6617 6750 Population growth rate (%) 2% 2.10% 2% Tourist Foreigner (1000) 1080 1227 1472 Foreigner growth rate(%) 11% 20.50% 20% Local tourist (1000) 6720 7392 8130 Local tourist growth rate (%) 5% 10% 10% Source: Report of Hanoi general statistic offices data December 2010.  [iv]   As above data, Hanoi market of population and visitors is potential market for all kind of business, especially for service industry C-Transportation Because Both population and tourist/ visitor have been increasing, so the trend of infrastructure suck as Hotel, Convention center, Entertainment service place .. to be increased . Transportation is concentrated priority, Phase two of Noibai airport is going to start within 2011 with ODA fund from Japan. Four lines subway are studying to build soon and some bridges have been built crossing Red river. Also Hanoi have expanded the wide of many road and built the new road with high standard from Northern part to southern part, from eastern part to western part, they try to connecting center Hanoi to the rest of Hanoi by road, subway, railà ¢Ã¢â€š ¬Ã‚ ¦ D-Restaurants and nightclubs Right location is a very important element for Hard Rock cafe to be successful in Hanoi, where is the most tourist to stay and also there are many restaurants and nightclubs located, that is HoanKiem district in the center Hanoi which is called tourist town. But the lease cost for a centre position is too high and most of them are dominated by both foreign and local cafe brands, consist of Highland, Trung Nguyen with trademark G7à ¢Ã¢â€š ¬Ã‚ ¦.. There are also many potential competitors such as Coffee Bean and other foreign brands who really want to enter Hanoi markets as well like Gloria Jeans Coffee, etc. E-Political risk Besides, Vietnam is evaluated one of the most stably politic regimes. This situation allows Hard Rock cafà © to feel safe to invest the business in Hanoi. Vietnam government established a system of open policies, encouraging foreign investors to invest by foreign country investment law, develop Vietnam country and create jobs for local people. However, many environment challenges that Hard Rock Cafe has to consider before entering in Hanoi. Hanoian has the way to drink coffee and enjoy it in differently way. Almost them like to sit in a street-cafe with a cheap cup of coffee, making cafe by the traditional and simple method, talk each other, read newspapers and look people passing by. There are not many people to spend high price ( around VND 80,000,000 )on drinking a cup of coffee that Hard Rock may serve that average price for its items. One thing, the local peoples taste of coffee and foods in is different. They are drinking stronger taste than the other countries. Robusta coffee in Viet Nam is more popular than Arabica. The type of cafe with live-music is more and more popular in Hanoi and its price is various from low-end to high-end level. With Hard Rocks price set (Hard Rock Ho Chi Minh), it can not only aim to rich people but also change clients mind or their consumption behavior. Local labor will be a issue that Hard Rock need to care about . The labor cost is cheap, but the tendency of labor cost is increasing year by year and local people are not familiar with the high international working intensiveness, style of unique business of Hard Rock cafe and they may not satisfy with standard required. Hard Rock cafà © must train them and change their thinking, all labor need to be trained regularly and intensively. Furthermore, the Vietnamese is too modest, so they may not feel confident to show their thinking, personality as expected by Hard Rock Cafà ©. F-Real estate market The real estate market is rapidly increasing in recent years in whole country , particularly in Hanoi and Hochiminh City, the tendency of market is also increasing of capital investment, sector investment , source investment as well as management investment. The real estate price is too high where is good location (See table 3 below) Table 3 (Rental fee of office and shopping mall of Hanoi) Content 2009 2010 2011 ( forecast) Rental fee ( $/m2/month) Office ($/m2/month) 35.7 34 35 Office growth rate (%) -6% -5% 3% Shopping mall ($/m2/month) 40.1 42.2 45 Shopping mall growth rate(%) -13% 5% 7% Source : CB Richarsd Ellis Viet Nam -December -2010  [v]   These information of the market brings information to Hard Rock if managers want to study and set up its business in Hanoi. They must have a comparable market analysis carefully then making their decision whether Hard Rock cafà © expand its business in Hanoi or not. Vietnam has not developed the information system and its information is some time not unclear, so it is difficult for researchers to collect exactly data for studying all business. In summary, all above information which mention in this topic is only for us to have a look of Hanoi market, that is surely a potential market for doing business, but it is not sure for Hard Rock cafà © or other business to be successful when they set up business in Hanoi. So Hard rock need to analyse many factors and index such as breakeven point, IRR,RCE,ROCEà ¢Ã¢â€š ¬Ã‚ ¦inflation, exchange rate, GDP, GDP growth rate.. before they make final decision for expand their business in Hanoi In this topic we only concentrate to analyse the breakeven point and we assume that all data collect from all sources to be accepted Assumption that We will set up Har rock cafà © in Hanoi with capacity as follow: -Area : 400 m2, Labor : 16 persons ( 2 shift/day),Facility investment : 200,000 USD, design and reconstruction:100,000USD, training cost : 30,000USD and other: 16,500 USD, other figure refer Table 1,2,3 above. Option 1 Option 2 Definition Description   Explanation Change rental fee Change cost/unit 50 42.2 35 1.5 1.25 1 Area (400 m2) 400 Labor ( 2 shift)/day total 16 persons, 8persons/shift Non-current asset Design and construction ( 400m2) 250$/m2 100,000 100,000 100,000 100,000 100,000 100,000 Total Facility (USD) Full set 200,000 200,000 200,000 200,000 200,000 200,000 Training (USD) Full course 30,000 30,000 30,000 30,000 30,000 30,000 Other ( 5%)(USD) Allowance 16,500 16,500 16,500 16,500 16,500 16,500 Total(USD) 346,500 346,500 346,500 346,500 346,500 346,500 Depreciation ( 10 years) Depreciation/month(USD) Straight-line 2,888 2,888 2,888 2,888 2,888 2,888 Fixed cost Rental fee ( 500m2)(USD) Option 1 20,000 16,880 14,000 16,880 16,880 16,880 Labor cost for 16 employees 200$/p/month 3,200 3,200 3,200 3,200 3,200 3,200 power consumption ( lighting.. per /month 500 500 500 500 500 500 Depreciation(USD) per /month 2,888 2,888 2,888 2,888 2,888 2,888 Total fixed cost / month(USD) 26,588 23,468 20,588 23,468 23,468 23,468 Variable cost Raw material ( coffee, ice, sugarà ¢Ã¢â€š ¬Ã‚ ¦)(USD) cost /unit 1 1 1 1 0.75 0.75 Material consumption ( Gas ,tissue (USD) cost /unit 0.5 0.5 0.5 0.5 0.5 0.25 Total cost /unit(USD) Option 2 1.5 1.5 1.5 1.5 1.25 1.00 Sale price Sale price/unit(USD) 4 4 4 4 4 4 Breakeven point Breakeven point Total fixed cost + total variable cost= total revenue; X : breakeven point How many units will be sold/month 10,635 9,387 8,235 9,387 8,534 7,823 How many units will be / day 355 313 275 313 284 261 Above analysis just give Hard Rock a data about the breakeven point which depend on the difference level of rental fee and unit cost, they must analysis more other variable. So Hard Rock cafà © should compare with its data of Hard Rock Cafà ©s chain. Hard Rock decision maker will make decision whether they are going to expand their business in Hanoi or not.

Inner Asia as a Separate Entity :: miscellaneous

Inner Asia as a Separate Entity The concept of â€Å"Eurasia† is easily identified: it is the combine bodies of both the European and Asian landmasses. However, a concept of â€Å"Inner† or â€Å"Outer† Eurasia is no so easily defined. Whether sub-regions are delineated by culture, geography, politics, or religion is yet to be decided. Denis Sinor and David Christian are two authors that attempted to clarify the discrepancy of an â€Å"Inner Asian† border. Borders can be formed a number of ways. Rivers, mountain chains, and other geographic infrastructure can form visible boundaries. Australia is clearly its own continent based on its geography. However, borders can also be formed simply on the common characteristics of citizens’ culture. Inner Asia is a region that many westerners know little about. Both â€Å" ‘logocentrism’ (the bias towards literate sources and literate societies) and ‘agrocentrism’ (the bias towards agrarian, urbanized civilizations)† have shaped western knowledge (or lack thereof) of this region. The Outer, sedentary civilizations of Eurasia were based on agrarian societies, whereas the Inner civilizations weren't permitted this luxury, due to geographical circumstances. Therefore, "economic self-sufficiency" was a must for the sparsely populated Inner Asian societies. The peoples of Inner Asia survive one of two ways: by migrating to food sources (usually accompanied by raising livestock), and by subsistence-level farming. These lifestyles, Denis Sinor claims, form a border between Inner and Outer Eurasia. The civilizations of Inner Asia were never able to become immensely populated. This is because neither subsistence-level farming or nomadism result in large excesses of food, which is a necessity for a large population. Because of this, a unified army that could conquer surrounding (possible more fertile) areas could never be formed. The small amount of farming that is done in Inner Asia was in the steppe; the other zones, â€Å"the arctic tundra, the forest region (taiga), and the desert [cannot] provide food for a population large enough to muster the political power necessary to initiate conquest.† Sinor suggests that Inner Asia is inarguably a unified region. However, "the links which usually hold together or create cultural entity - such as script, race, religion, language - played only a very moderate role as factors of cohesion". Instead, a common way of life is the main similarity that marked Inner Asia as decisively separate from Outer Asia. In order to survive, Inner Asian peoples had to either provide for themselves completely (which was difficult, as mentioned above), or to trade with more well endowed societies for what goods they could not produce.

Is Technology a Blessing or a Curse?

Is technology a blessing or a curse? Justify. Which inventions do you think were the most important ones in the history of humankind? At the beginning I would like try to define a technology. What the technology is? Technology is the making, usage, and knowledge of tools, machines, techniques, crafts, systems or methods of organization in order to solve a problem or perform a specific function. Technology is a measure of human development. Technology is part of the life of every human- We can live without a technology and technology can’t exist without us.So, of course- technology is blessing for us. Technology is a necessary to live and to prove conditions of our live. New technologies help in every field of our life. It is possible to invent a new medicines against dangerous diseases. It is possible travel by car of talking by phone. We can multiply a positive examples in different field of our life. Of course, technology has also a second, worst side. It can be used against people, for instance in act of terrorism. However, we shouldn’t scare about it.We have to use technology to prevention of violence and achieve higher objectives. In the my opinion the most important inventions are the simple and easy (in the modern world of course) tool which allow for further development. In the my opinion such a inventions can be a writing, basic tools for physical job circle, printing later. In the modern world as important invention we can describe an engine, phone or computer. Every of thing are needed and useful and helpful in everyday life.

A Campaign against KFC Corporation MGNT Essay

When contemplating critics of business and defenders of capitalism, the ongoing debate by The People for Ethical Treatment of Animals (PETA) against fast food restaurants should be mentioned. On January 6, 2003 a little girl named Payton Hull organized a PETA demonstration outside a KFC. The demands were for KFC to require the chicken’s suppliers to treat the chickens ethically in a humane way while processing them. In retrospect I agree with this request but in everyday life I just do not stop to think about how my food is processed. When I read and prepare to do paperwork on this subject it always tends to make my stomach a little uneasy. PETA organized and founded by Ingrid Newkirk has been very successful thus far in swaying many fast food restaurants to submit to request of transparency. KFC called the attacks â€Å"corporate terrorism†. Ingrid Newkirk even went as far as writing a nasty letter to the president of KFC stating that it was just an accident that the K FC president was born who she was instead of a chicken. Like me most consumers do not think where the chickens come from because we see the end final product. Which that being said it makes us realize that events held by PETA brings those images and staggering treatment procedures to the forefront. The organization has been successful with more than 1.2 million supporters. They create sit ins, use the internet and social media, and also go as far as using sexuality to get the point across. Former Playboy Playmates wearing bikinis pass out veggie hot dogs in Washington DC at the Annual Hot Dog Lunches. See more: Experiment on polytropic process Essay