Tuesday, December 24, 2019
Perioperative Observation Paper - 1455 Words
Perioperative Observation Paper Jenna Vaccaro Lewis University College of Nursing and Health Professions Abstract As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operativeâ⬠¦show more contentâ⬠¦X-rays can be used for the diagnosis of osteoarthritis; the images would reveal damage and other changes related to osteoarthritis. With osteoarthritis of the knees, the patient would experience progressively increasing pain, stiffness, and they would have a decrease in daily functions. Patients experiencing these symptoms can be eligible for a t otal knee replacement. The surgical procedure. A total knee replacement is a surgical procedure where the diseased knee joint is completely replaced by artificial materials that resemble the original knee joint. The orthopedic surgeon removed the end of the femur and the end of the tibia by using metal pieces and sawing the bone, to ensure that he removes the right amount of bone. The end of the femur bone is replaced with metal and the end of the tibia bone is replaced with plastic and metal. A plastic piece was added under the patella because the surface under the patella was damaged as well. These artificial materials, called prosthesis, have smooth surfaces so when they rub against each other, it does not cause damage and is pain-free. The purpose of this surgery is to remove the diseased portions of the joint and replace it with artificial materials to prevent further deterioration and eliminate pain, stiffness, and decreases in function that were caused by the osteoarthritis. Preoperative and Operative Phase The surgical suite was clean, well lit, and very organized. All of the tools andShow MoreRelatedPerioperative Observation Experience. I Observed A Laparoscopic1323 Words à |à 6 PagesPerioperative Observation Experience I observed a laparoscopic cholecystectomy at Sentara Albemarle Medical Center. In this paper, I will cover pre-operative tasks, surgical procedure, anesthesia and interventions, roles and functions of the nurse, and surgical team members. I will also cover safety and comfort concerns along with nursing diagnoses related to this surgery. Pre-Operative Data Collection and Medications Pre-operative data collection was obtained in the ambulatory minor surgery unitRead MoreProtein Steroid Management Of Patients With A Normal Hypothalamic Pituitary Axis Essay1638 Words à |à 7 Pages Pituitary Surgery Perioperative Steroid Management in Patients with a Normal Hypothalamic Pituitary Axis INTRODUCTION Surgery on the pituitary gland and around the sellar region is of special interest to the neurosurgeon. The approach to the gland has evolved over the past 50 years and so has the role of steroids in the perioperative management of these patients. Being one of the organs that play a key role in the hormonal balance of an individual, the neurosurgeon should be particularly carefulRead MoreHow Leadership Styles Can Affect Performance Within Teams1983 Words à |à 8 Pageseffectively to match the challenges faced. Perioperative is one of the front line services and a large consumer of a health care budget. Managing the Operating Room services is equivalent to overseeing a commercial enterprise and nurse leaders in this field are required to understand the business acclaim, financial impact, strategic planning and all else that might evolve (Taylor 2014). This paper is going to review the impact of leadership in the perioperative arena. Differences in leadership stylesRead MoreObse rvation Of The Director Of Surgical And Cardiology Services For A Community Hospital1212 Words à |à 5 PagesThis paper discusses the observation of the director of surgical and cardiology services for a community hospital conducted on November 30, 2015 following. The leader was met with the leader beforehand to describe the needs for this assignment and to gain approval for the leadership observation. The director was observed during early morning rounds of the operating room for three hours. The observation lasted approximately 4 hours. Organizational Overview Southwest General Hospital (SGH) is locatedRead MoreImportance Of Perioperative Glycemic Control : A Report From The Surgical Care And Outcomes Assessment Program1830 Words à |à 8 PagesImportance of Perioperative Glycemic Control in General Surgery: A Report from the Surgical Care and Outcomes Assessment Program Summary: There is an evidence to show that poor preoperative and postoperative glycemic control is associated with poor surgical outcomes. Controlling the patient glucose levels to an acceptable range is liable to reduce the risk of developing complications. The clinical goal is to optimize metabolic control through close monitoring of patient, appropriate fluid intakeRead MorePreventing Patient Falls : Evidence Based Practice Applied Nursing Research759 Words à |à 4 Pagesbasic interventions can be missed. A2. Review of Literature The authors of this research article used several credible journal articles to build a background of information before starting their own observations and data review. In total the authors used twenty-five research articles for their paper and used the evidence they found to support their own findings. The research used for this article was informative and used appropriately for the purpose of the article. The authors used Micelli Greyââ¬â¢sRead MoreCase Study : Georgia College And State University1400 Words à |à 6 Pages Critical Insight Paper Lori Starr Georgia College and State University Critical Insight Paper The process of Evidence Based Practice is not truly complete until research translation occurs. Research translation is the transfer of research to the clinical setting where practices can be implemented, evaluated, and communicated. Research is produced and published at high rates while changes in education and practice are slow (Doody, 2011). There are multiple research translation modelsRead MoreThe Acceptable Toxicity Level Of New Chemotherapeutic Regimen1489 Words à |à 6 Pagesregimen that balances out its effective response rate and level of toxicity in patients with metastatic colorectal cancer (mCRC). The author provides evidence that the intensive FOLFOXIRI treatment has an acceptable toxicity profile through their observations of decreases in tumour size in liver/extrahepatic metastases and long overall survival (OS) and progressive free survival rate (PFS). The implications of the clinical trial is that the dose-limiting toxicity level of FOLFOXIRI can be used in neoa djuvantRead MoreThe Legal And Ethical Framework ( Atkins, Britton De Lacey 20111376 Words à |à 6 PagesIntroduction Nurses play a vital role in safe and effective pain management to optimise patientsââ¬â¢ outcomes and to reduce pain-associated complications within the legal and ethical framework (Atkins, Britton De Lacey 2011; Glowacki 2015). This paper will apply clinical reason cycle as a framework to approach an immediate postoperative case, discussing its legal and ethical issues that arise by the actions of two nurses regarding pain assessment and morphine administration, and offer a possible approachRead MoreThe Delivery Of Healthcare Is The Proper Management Of Patient Pain1912 Words à |à 8 Pagespost-surgical settings. This paper will look at the application of pain management in an Evidence-Based Practice context. To guide an EBP implementation the following PICOT serves as the contextual framework: ââ¬Å"Do adult patients undergoing total knee arthroplasty receive adequate pain relief in the postoperative phase when receiving Tramadol (an opioid) during the perioperative phase compared to patients who receive an alternate pain medication in the perioperative phase?â⬠This PICOT drives a more
Monday, December 16, 2019
The Golden Lily Chapter 16 Free Essays
string(54) " nothing compared to your safety,â⬠he finished\." I WASTED NO TIME in getting the group together. This was big. I still didnââ¬â¢t know the level of danger we were facing, but I refused to take any chances. We will write a custom essay sample on The Golden Lily Chapter 16 or any similar topic only for you Order Now I chose Clarenceââ¬â¢s house as a meeting spot, seeing as the hunters didnââ¬â¢t know about it yet. It still made me nervous. I wouldââ¬â¢ve been nervous even if weââ¬â¢d been meeting in an Alchemist bunker. And apparently, ââ¬Å"huntersâ⬠wasnââ¬â¢t even the right term. According to their low-quality pamphlet, they called themselves ââ¬Å"The Warriors of Light.â⬠I wasnââ¬â¢t sure they deserved that fancy title, especially since in their mission statement, they spelled ââ¬Å"abyssâ⬠as ââ¬Å"abiss.â⬠The pamphlet was really very sparse, simply stating that there was an evil walking among humanity and that the Warriors were the force there to destroy it. They urged their fellow humans to be ready and stay pure. None of the vampires were mentioned by name, for which I was glad. The pamphlet also didnââ¬â¢t mention much about any of the shared history they claimed to have with the Alchemists. Before we went to Clarenceââ¬â¢s, Eddie scoured Latte for any sort of tracking device. The very idea creeped me out, the same way being watched at Adrianââ¬â¢s did. There was a feeling of violation to it all. It was only my lack of faith in their technology that made me feel somewhat better. ââ¬Å"It seems unlikely theyââ¬â¢d be that advanced,â⬠I told Eddie, as he wiggled under the car. ââ¬Å"I mean, that pamphlet looked like it had been made on a 1980s copy machine. I donââ¬â¢t know if thatââ¬â¢s because theyââ¬â¢ve had the pamphlets sitting around that long or if thatââ¬â¢s the actual machine they still useâ⬠¦ but regardless, they donââ¬â¢t scream high tech to me.â⬠ââ¬Å"Maybe,â⬠he agreed, voice slightly muffled. ââ¬Å"But we canââ¬â¢t take any chances. We donââ¬â¢t know what theyââ¬â¢re capable of. And for all we know, theyââ¬â¢re trying to hook up with the Alchemists to score technology.â⬠Chills ran through me. It was an outrageous thought: that the Alchemists and this violent fringe group could be related. It had been crazy when Adrian and I had speculated about it and was hard to accept even in the face of mounting evidence. At least now I had enough information to take to my superiors without being ridiculed. Even though Iââ¬â¢d never heard of hunters like this, it seemed plausible that somewhere, at some point, theyââ¬â¢d tried to connect with my organization. Hopefully someone in the Alchemists could help. Eddie scooted out from under Latte. ââ¬Å"Youââ¬â¢re clean. Letââ¬â¢s head out.â⬠Jill and Angeline were waiting nearby, both tense and anxious. Jill gave Eddie an admiring smile. ââ¬Å"I didnââ¬â¢t know you knew how to do any of this. I never would have even thought about it.â⬠He wiped sweat off his forehead. ââ¬Å"You thought guardian training was all about hitting and kicking?â⬠She flushed. ââ¬Å"Pretty much, yeah.â⬠ââ¬Å"Can you tell me about some of this stuff sometime?â⬠asked Angeline. ââ¬Å"Seems like I should know it.â⬠ââ¬Å"Sure,â⬠said Eddie, sounding like he meant it. She beamed. Heââ¬â¢d been much easier around her ever since her attitude had become more serious and restrained. I think some of that good behavior had played a role in me getting permission for her to join us tonight. She was still technically on suspension, but Iââ¬â¢d managed to get a special exemption on the grounds of our familyââ¬â¢s so-called religion. Iââ¬â¢d used a similar excuse when Jill had been suspended last month, in order to take her to feedings. Even still, we were on very strict orders with Angeline tonight. She couldnââ¬â¢t be out for more than two hours, and the price was adding an extra day of suspension to her sentence. We took an abnormal route to Clarenceââ¬â¢s, and Eddie watched behind us carefully, looking for any signs of pursuit. He tried to explain some of the things I needed to watch for when I was on my own. I was so nervous, I hardly heard. After a tense ride, we made it safely to Clarenceââ¬â¢s. There, we found Adrian already waiting for us. Dimitri had apparently been downtown earlier and picked Adrian up ââ¬â no doubt taking all the same precautions Eddie had for travel. Iââ¬â¢d given Eddie and Dimitri some of the info on the hunters, but everyone else required a more thorough explanation. We gathered in our usual spot, the formal living room, and Dimitri paced around the room, bracing for an attack at any moment. Clarence looked on from his chair with that typical distracted gaze. When I held up the pamphlet, however, he came to life. ââ¬Å"Thatââ¬â¢s them!â⬠he cried. I thought he might actually spring up from the chair and rip the pamphlet from my hands. ââ¬Å"Those are their symbols!â⬠Most of the same alchemical symbols that had been on the sword were strewn across the pamphletââ¬â¢s front. ââ¬Å"That circle. I remember that circle.â⬠ââ¬Å"The gold symbol,â⬠I confirmed. ââ¬Å"Or, I guess in their case, the sun symbol since theyââ¬â¢re so obsessed with light and dark.â⬠Clarence looked around frantically. ââ¬Å"Theyââ¬â¢re back! We have to get out of here. I came to this city to escape them, but theyââ¬â¢ve found me. We have no time. Whereââ¬â¢s Dorothy? Whereââ¬â¢s Lee? I must pack!â⬠ââ¬Å"Mr. Donahue,â⬠I said, in as a gentle a tone as I could manage, ââ¬Å"they donââ¬â¢t know youââ¬â¢re here. Youââ¬â¢re safe.â⬠I didnââ¬â¢t know if I believed that and hoped I was convincing. ââ¬Å"Sheââ¬â¢s right,â⬠said Dimitri. ââ¬Å"And even if they did, you know I wouldnââ¬â¢t let them hurt you.â⬠There was such confidence and strength in the way Dimitri spoke that I had a feeling that weââ¬â¢d believe him even if a group of Strigoi were invading, and he said, ââ¬Å"Itââ¬â¢s fine, youââ¬â¢re safe.â⬠ââ¬Å"If what youââ¬â¢re saying is true,â⬠said Sonya, ââ¬Å"Iââ¬â¢m the one thatââ¬â¢s in danger.â⬠She seemed much calmer than I would be in that situation. ââ¬Å"Theyââ¬â¢re not going to hurt you either,â⬠said Dimitri sharply. ââ¬Å"Especially if you donââ¬â¢t leave this house.â⬠ââ¬Å"The research ââ¬â â⬠she began. â⬠ââ¬â is nothing compared to your safety,â⬠he finished. You read "The Golden Lily Chapter 16" in category "Essay examples" There was a look in his eyes that said he would tolerate no arguments. ââ¬Å"You need to get back to Court. You were planning on it anyway. Just make the trip early.â⬠Sonya didnââ¬â¢t look happy about that. ââ¬Å"So I leave the rest of you in danger?â⬠ââ¬Å"Maybe we arenââ¬â¢t,â⬠said Eddie, though the tension in his body said otherwise. ââ¬Å"From what Sydney said ââ¬â and their mini-manifesto ââ¬â their focus seems to be Strigoi, not Moroi.â⬠He glanced over at Jill. ââ¬Å"Not that we can let our guard down. If theyââ¬â¢ve mistaken Sonya for a Strigoi, who knows what other craziness they might do? Donââ¬â¢t worry. I wonââ¬â¢t let them near you.â⬠Jill looked ready to swoon. ââ¬Å"Thatââ¬â¢s a good idea,â⬠I said. ââ¬Å"They still think the Moroi are a threat but not as much as the Strigoi.â⬠ââ¬Å"Kind of like the Alchemists,â⬠said Adrian. He was sitting in a corner armchair and had been quiet this whole time. I hadnââ¬â¢t seen him since the night of the dance or had any communication with him, which was odd. Even when he wasnââ¬â¢t sending me pathetic e-mails about the experiments, he almost always had some witty quip to pass along. ââ¬Å"True,â⬠I admitted, with a smile. ââ¬Å"But weââ¬â¢re not trying to kill any of you. Not even Strigoi.â⬠ââ¬Å"And thereââ¬â¢s the problem,â⬠said Dimitri. ââ¬Å"These warriors are convinced Sonya used to be a Strigoi and is using some trick to disguise herself.â⬠ââ¬Å"Maybe they have some tracking or inventory system,â⬠Sonya mused. ââ¬Å"They keep tabs on various Strigoi in the country and then try to hunt them down.â⬠ââ¬Å"And yet they didnââ¬â¢t know about you,â⬠I pointed out to Dimitri. His face stayed neutral, but I knew it was hard for him to be reminded of his Strigoi days. ââ¬Å"And from what I knowâ⬠¦ you were much more of a, um, notable figure than Sonya.â⬠Heââ¬â¢d essentially been a Strigoi mobster. ââ¬Å"So, if youââ¬â¢re off their radar, they probably donââ¬â¢t have an international presence ââ¬â or at least not a Russian one.â⬠Angeline leaned forward, hands clasped, and regarded Clarence with a smile sweet enough to justify her name. ââ¬Å"How do you know about them? How did you first run into them?â⬠At first, he looked too terrified to answer, but I think her kindly attitude soothed him. ââ¬Å"Well, they killed my niece, of course.â⬠We all knew Lee had killed Clarenceââ¬â¢s niece, but the old man didnââ¬â¢t believe this any more than he believed Lee was dead. ââ¬Å"Did you see them when they did it?â⬠asked Angeline. ââ¬Å"Did you ever see them at all?â⬠ââ¬Å"Not when Tamara died, no,â⬠he admitted. His eyes got a faraway look, as though he were staring straight into the past. ââ¬Å"But I knew what signs to look for. Iââ¬â¢d run into them before that, you see. Back when I was living in Santa Cruz. They like California, you know. And the Southwest. Goes back to their sun fixation.â⬠ââ¬Å"What happened in Santa Cruz?â⬠asked Dimitri. ââ¬Å"A group of their young ones began stalking me. Trying to kill me.â⬠The rest of us exchanged glances. ââ¬Å"So they do go after Moroi,â⬠said Eddie. He actually moved closer to Jill. Clarence shook his head. ââ¬Å"Not usually. From what Marcus told me, they prefer Strigoi. These were young, undisciplined members of their order going off on their own, without the knowledge of their superiors. I assume it was the same type who killed Tamara.â⬠ââ¬Å"Whoââ¬â¢s Marcus?â⬠I asked. ââ¬Å"Marcus Finch. He saved me from them a few years ago. Fended them off during an attack and later got in touch with their order to keep those ruffians away from me.â⬠Clarence shivered at the memory. ââ¬Å"Not that I stayed around after that. I took Lee and left. That was when we moved to Los Angeles for a while.â⬠ââ¬Å"This Marcus,â⬠I said. ââ¬Å"Was he a guardian?â⬠ââ¬Å"A human. He was about your age then. He knew all about the hunters.â⬠ââ¬Å"I suppose he would if he got in touch with them,â⬠Dimitri speculated. ââ¬Å"But he must be friendly to Moroi if he helped you?â⬠ââ¬Å"Oh, yes,â⬠said Clarence. ââ¬Å"Very much so.â⬠Dimitri looked over at me. ââ¬Å"Do you think ââ¬â ââ¬Å" ââ¬Å"Yes,â⬠I said, guessing his question. ââ¬Å"Iââ¬â¢ll see if we can find this Marcus guy. Itââ¬â¢d be nice to get a source of info thatââ¬â¢s not one of these crazy warriors. Iââ¬â¢m also going to report on all of this, actually.â⬠ââ¬Å"Me too,â⬠said Dimitri. Although Clarence wasnââ¬â¢t the expert on the hunters that this mysterious Marcus was, the old Moroi still had a surprising amount of info to share ââ¬â info none of us had wanted to hear before. He verified what weââ¬â¢d already deduced, about the huntersââ¬â¢ ââ¬Å"devotion to the light.â⬠The groupââ¬â¢s focus was Strigoi (for now), and all of their hunts were carefully planned and organized. They had a ritualized set of behaviors, particularly in regard to their younger members ââ¬â which was why the rogue group harassing Clarence had been stopped. From what Clarence had gathered, the group was quite tough on their new recruits, emphasizing discipline and excellence. With the clock ticking down on Angelineââ¬â¢s reprieve, we needed to wrap things up shortly thereafter. I was also in charge of taking Adrian home, since we figured itââ¬â¢d be best to eliminate any chance of Dimitri being followed back to Clarenceââ¬â¢s. Besides, I could tell Dimitri was anxious to begin putting certain things in motion. He wanted to finalize Sonyaââ¬â¢s departure and also confer with the guardians ââ¬â in case Jill needed to be removed. Her face reflected what I felt about that possible outcome. Weââ¬â¢d both become attached to Amberwood. While he was giving some last-minute instructions to Eddie, I pulled Sonya aside for a quiet word. ââ¬Å"Iâ⬠¦ Iââ¬â¢ve been thinking about something,â⬠I told her. She studied me carefully, probably reading my aura and other body language. ââ¬Å"What is it?â⬠she asked. ââ¬Å"If you wantâ⬠¦ if you really want it, you can have some of my blood.â⬠It was a huge, huge admission. Was it something I wanted to do? No. Absolutely not. I still had the same instinctive fears about giving my blood to Moroi, even for scientific purposes. And yet, yesterdayââ¬â¢s events ââ¬â and even the alley attack ââ¬â had begun making me re-analyze my worldview. Vampires werenââ¬â¢t the only monsters out there. They were hardly monsters at all, especially next to these vampire hunters. How could I judge the enemy on race? I was being reminded more and more that humans were just as capable as vampires of evil ââ¬â and that vampires were capable of good. It was actions that mattered, and Sonya and Dimitriââ¬â¢s were noble ones. They were fighting to destroy the ultimate evil of all, and as squeamish as I felt about giving my blood, I knew the right thing was to help them. Sonya knew what a sacrifice this was for me. Her face stayed calm ââ¬â no whoops of joy ââ¬â and she nodded solemnly. ââ¬Å"I have my collection kit here. I can take a sample before you leave, if youââ¬â¢re sure.â⬠So soon? Well, why not. It was best to get it over with ââ¬â especially if Sonya would be leaving town soon anyway. We did it in the kitchen, which seemed slightly more sanitary than the living room. Sonya was no doctor, but whatever training sheââ¬â¢d had, it was right in line with what Iââ¬â¢d observed when getting physicals. Antiseptic, gloves, a new syringe. All the right procedures were followed, and after a quick poke of the needle, she had my blood sample. ââ¬Å"Thank you, Sydney,â⬠she said, handing me a plastic bandage. ââ¬Å"I know how difficult this must have been for you. Believe me, this could really help us.â⬠ââ¬Å"I want to help,â⬠I told her. ââ¬Å"I really do.â⬠She smiled. ââ¬Å"I know. And we need all the help we can get. After being one of themâ⬠¦Ã¢â¬ Her smile faded. ââ¬Å"Well, I believe more than ever that their evil needs to be stopped. You might be the key.â⬠For one second, her words inspired me ââ¬â that I might somehow play a greater role in the fight against evil and possibly even stop it. Immediately, that thought was replaced by my old panic. No. No. I wasnââ¬â¢t special. I didnââ¬â¢t want to be. I would make a good faith effort to help, but surely nothing would come of it. I returned to fetch the others. Adrian and Jill were having some earnest conversation in the corner. Eddie and Angeline were also talking, and I overheard her say, ââ¬Å"Iââ¬â¢ll stay with Jill more at school, just to be safe. We canââ¬â¢t have her be part of some accident or mistaken identity.â⬠Eddie nodded and looked impressed that sheââ¬â¢d suggested it. ââ¬Å"Agreed.â⬠Amazing, I thought. I left soon with my carpool and swung by downtown to drop Adrian off. As I pulled up in front of his building, I saw something that made my jaw drop. Awe and disbelief rolled through me. In what was probably the most ungraceful parking job Iââ¬â¢d ever done in my life, I brought Latte to an abrupt stop and was out of the car the second I pulled my keys from the ignition. The others followed moments later. ââ¬Å"What,â⬠I breathed. ââ¬Å"Is that?â⬠ââ¬Å"Oh,â⬠said Adrian casually. ââ¬Å"Thatââ¬â¢s my new car.â⬠I took a few steps forward and then stopped, afraid to approach it in the same way someone hesitated before royalty. ââ¬Å"Itââ¬â¢s a 1967 Ford Mustang convertible,â⬠I said, knowing my eyes were probably bugging out of my face. I began walking around it. ââ¬Å"The year they did a major overhaul and increased the size to keep up with other high-powered competition. See? Itââ¬â¢s the first model with the concave tail lights but the last to have the Ford block lettering up front until 1974.â⬠ââ¬Å"What in the world is that color?â⬠asked Eddie, not sounding impressed at all. ââ¬Å"Springtime Yellow,â⬠Adrian and I said in unison. ââ¬Å"I wouldââ¬â¢ve guessed Lemon Chiffon,â⬠said Eddie. ââ¬Å"Maybe you can get it repainted.â⬠ââ¬Å"No!â⬠I exclaimed. I tossed my purse over onto the grass and carefully touched the carââ¬â¢s side. Braydenââ¬â¢s beautiful new Mustang suddenly seemed so ordinary. ââ¬Å"Itââ¬â¢s been touched up, obviously, but this is a classic color. Which engine code is this? C, right?â⬠ââ¬Å"Umâ⬠¦ not sure,â⬠said Adrian. ââ¬Å"I know itââ¬â¢s got a V-8 engine.â⬠ââ¬Å"Of course it does,â⬠I said. It was hard not to roll my eyes. ââ¬Å"A 289. I want to know what the horsepower is.â⬠ââ¬Å"Itââ¬â¢s probably in the paperwork,â⬠Adrian said lamely. It was at that moment that I really processed Adrianââ¬â¢s earlier words. I looked up at him, knowing my face must be filled with disbelief. ââ¬Å"This is really your car?â⬠ââ¬Å"Yup,â⬠he said. ââ¬Å"I told you. The old man spotted me the money for one.â⬠ââ¬Å"And you got this one?â⬠I peered in through the window. ââ¬Å"Nice. Black interior, manual transmission.â⬠ââ¬Å"Yeah,â⬠said Adrian, a note of unease in his voice. ââ¬Å"Thatââ¬â¢s the problem.â⬠I glanced back. ââ¬Å"What is? The black is great. And the leatherââ¬â¢s condition is fantastic. So is the rest of the car.â⬠ââ¬Å"No, not the interior. The transmission. I canââ¬â¢t drive a stick.â⬠I froze. ââ¬Å"You canââ¬â¢t drive a stick?â⬠ââ¬Å"Neither can I,â⬠said Jill. ââ¬Å"You donââ¬â¢t have a license,â⬠I reminded her. Although, my mother had taught me to drive before I had a license ââ¬â both automatic and manual transmission. I knew I shouldnââ¬â¢t be surprised the stick was a lost art, as savage as such a lack seemed to me. That paled, of course, in comparison to the other obvious problem. ââ¬Å"Why on earth would you buy a car like this if you canââ¬â¢t drive a stick? There are dozens of cars ââ¬â new cars ââ¬â that have automatic transmission. Itââ¬â¢d be a million times easier.â⬠Adrian shrugged. ââ¬Å"I like the color. It matches my living room.â⬠Eddie snorted. ââ¬Å"But you canââ¬â¢t drive it,â⬠I pointed out. ââ¬Å"I figure it canââ¬â¢t be that hard.â⬠Adrian sounded remarkably unconcerned about what I found blasphemous. ââ¬Å"Iââ¬â¢ll just practice taking it around the block a few times and figure it out.â⬠I couldnââ¬â¢t believe what I was hearing. ââ¬Å"What? Are you out of your mind? Youââ¬â¢ll ruin it if you donââ¬â¢t know what youââ¬â¢re doing!â⬠ââ¬Å"What else am I supposed to do?â⬠he asked. ââ¬Å"Are you going to teach me?â⬠I turned back to the beautiful Mustang. ââ¬Å"Yes,â⬠I said adamantly. ââ¬Å"If thatââ¬â¢s what it takes to save it from you.â⬠ââ¬Å"I can show you too,â⬠said Eddie. Adrian ignored him and focused on me. ââ¬Å"When we can start?â⬠I ran through my school schedule, knowing Iââ¬â¢d have to make talking to the Alchemists about the Warriors of Light my top priority. Then, the obvious hit me. ââ¬Å"Oh. When we see Wolfe this week. Weââ¬â¢ll take this out there.â⬠ââ¬Å"Is that really to help me?â⬠asked Adrian. ââ¬Å"Or do you just want to drive the car?â⬠ââ¬Å"Both,â⬠I said, not embarrassed to admit it. Angelineââ¬â¢s clock at school was ticking, so the rest of us had to leave. Iââ¬â¢d driven three blocks away when I realized Iââ¬â¢d left my purse on the grass. With a groan, I looped around and returned to his building. My purse was there, but the Mustang was gone. ââ¬Å"Whereââ¬â¢s the car?â⬠I asked, panicked. ââ¬Å"No one could have stolen it that fast.â⬠ââ¬Å"Oh,â⬠said Jill from the backseat, sounding slightly nervous. ââ¬Å"I saw through the bond. He, um, moved it.â⬠It was handy having the bond as a source of information, but her words made me panic more than if the car actually had been stolen. ââ¬Å"He what?â⬠ââ¬Å"Not far,â⬠she said quickly. ââ¬Å"Just behind the building. This streetââ¬â¢s got weird overnight parking rules.â⬠I grimaced. ââ¬Å"Well, Iââ¬â¢m glad it wonââ¬â¢t get towed, but he shouldââ¬â¢ve had me move it! Even if itââ¬â¢s not far, he could ruin the transmission.â⬠ââ¬Å"Iââ¬â¢m sure itââ¬â¢s fine,â⬠said Jill. There was a strange note to her voice. I didnââ¬â¢t respond. Jill was no car expert. None of them were. ââ¬Å"Itââ¬â¢s like letting a toddler loose in a room full of china,â⬠I muttered. ââ¬Å"What was he thinking? About any of this?â⬠No one had an answer for that. I got us back to Amberwood in time for Angelineââ¬â¢s curfew and retreated to the sanity and calm of my room. As soon as I was satisfied my friends were safe and secure for the night, I e-mailed Donna Stanton ââ¬â a high-up Alchemist whom Iââ¬â¢d inexplicably developed a good relationship with ââ¬â about the hunters and what weââ¬â¢d learned. I even took pictures of the pamphlet and e-mailed those as well. Once that was done, I sat back and tried to think if there was anything else at all I could provide her with that might help. It was only when Iââ¬â¢d exhausted all options (and refreshed my inbox a few times to see if sheââ¬â¢d responded already) that I finally moved on to homework. As usual, I was pretty much caught up on every assignment ââ¬â save one. Ms. Terwilligerââ¬â¢s. That stupid book was on my desk, staring back at me, daring me to open it. I still had a number of days before her spell was due, time during which I could continue to procrastinate. I was beginning to accept, however, that this assignment wasnââ¬â¢t going to go away. Considering how long some of the prep on these took, maybe itââ¬â¢d be best to bite the bullet and get it out of the way. Resolved, I brought the book over to my bed and opened it to the table of contents, scanning some of the spells sheââ¬â¢d gone over with me. My stomach twisted at most of them, every instinct telling me how wrong it was to even be attempting these. Magic is for vampires, not humans. I still believed that to be true, but the analytical part of my mind couldnââ¬â¢t help but apply some of the defensive spells to various situations. Much like my decision to give blood, recent events had made me look at the world differently. Was magic wrong? Yes. But that blindness spell would have certainly been useful in the alley. Another spell, one that temporarily immobilized people, couldââ¬â¢ve been used if Iââ¬â¢d wanted to flee from the hunters at the cafe. Sure, it only lasted thirty seconds, but that was more than enough time for me to have escaped. On and on, I went down the list. They were all so wrong and yetâ⬠¦ so useful. If I hadnââ¬â¢t seen the fire charm Iââ¬â¢d made ignite a Strigoi, I wouldnââ¬â¢t have believed any of these were possible. But by all accounts, they were. So much powerâ⬠¦ the ability to protect myselfâ⬠¦ Immediately, I rebuked myself for such a thought. I had no need for power. That kind of thinking was what led freaks like Liam to want to be Strigoi. Althoughâ⬠¦ was it really the same? I didnââ¬â¢t want immortality. I didnââ¬â¢t want to hurt others. I just wanted to protect myself and those I cared about. Wolfe had a lot to teach me, but his preventative techniques wouldnââ¬â¢t help if determined vampire hunters cornered Sonya and me again. As time went on, it was becoming clear that the hunters were very determined. I returned to the table of contents, finding several that would be useful and well within my capabilities to make. According to Ms. Terwilliger, someone like me had excellent potential for magic because of inborn talent (which I didnââ¬â¢t entirely believe) and the rigorous Alchemist training in measurement and attention to detail. It wasnââ¬â¢t difficult to figure out how long it would take me to produce any of these likely candidates. The question was which spell did I make? Which did I have time to make? The answer was eerily simple. I had time to make all of them. How to cite The Golden Lily Chapter 16, Essay examples
Saturday, December 7, 2019
Effects of Leadership Styles on Organisational Productivity
Question: Discuss about the Effects of Leadership Styles on Organisational Productivity. Answer: Introduction Leadership plays the most significant role in achieving the fruitful productivity of an organisation. The efficient leadership style establishes the transparent communication process, which is an essential part of the organisational functionalities (Clarke, 2013). An efficient leader visualises the potentiality within the individuals and brings the best performance outcomes. This study determines the establishment of the future profession in engineering field. I have set my ambition of being a manager in the engineering field. After pursuing my career as a mechanical engineer for several years, I have gathered enough experiences for becoming a manager in this specific domain. This study would present the ideas of the suitable leadership style that will guide a mechanical engineer to be an efficient manager in the engineering domain. As opined by Davenport (2013), engineering is one of the most effective work domains that help in generating more revenues for the organisations. Moreove r, the critical activities associated with the engineering management are required to be performed in an effective way. Therefore, it is necessary to keep the concentration on the management functionalities and the effective leadership styles to determine the expected outcomes. Therefore, the study will shed lights in the proper methodology and the literature based information to understand the underlying concept. The findings derived from such secondary data collection process will be analysed to conclude with proper recommendation. The aim and objectives of the study will be focused to make the critical analysis of the documented information. Background of the Issue and Justification People need to derive the clear and conscience idea while selecting the future professions. The ambitious minds always tends to identify the most innovative and efficient way of achieving the goals. Therefore, it is necessary to select the future profession wisely. I have selected my future profession as the manager in the engineering organisation. I believe that I need to gather more information and guidance to become an efficient leader on this domain. It is noticed that the current volatile market has been transforming the demands of the stakeholders. In the engineering management procedure, the associated engineers face the diversified challenges much frequently (Lopp, 2016). Therefore, it is necessary to ensure the proper guidance and leading capabilities that will help them to move ahead with justified skills and efficiency. Moreover, it will be helpful enough for the organisations that are looking forward to expand the business globally. The individuals need to be highly skilled and ethically competent to take u the engineering management as the future profession. Anitha (2014) opined that the individuals need to be much responsible towards the organisational functionalities and managing other associates. It is essential for the individual to derive the sufficient knowledge about the practical application and experiences during the crucial scenario. The manager in an organisation plays the integral role in managing the functionalities. An efficient manager concentrates on the employee development process by providing proper guidance. Neubert et al. (2015) implied that the mechanical engineers have to perform more complex activities in their regular professional lives. The supportive attitude towards the employees can bring the most efficient performance outcomes that are beneficial for achieving organisational aspects. Hence, the major concern is to identify the most fruitful leadership style adopted by the managers that will be beneficial for each of the employees associated with the organisational functionalities. Leadership is the integral part of the organisational functionalities that develop the organisational culture and ensure high productivity. The application of the justified leadership styles is necessary for undertaking an operational process in an effective way. An efficient manager requires maintaining the necessary responsibilities for achieving success in a complex business scenario (Strom, Sears Kelly, 2014). Therefore, the study will help in recognising the justified leadership style that will be beneficial in achieving high productivity parameter. Employee welfare and supports are necessary for achieving the determined organisational goals. The major aim of the study is to identify how the efficient leadership styles can ensure organisational productivity in the field of mechanical engineering. Research Objectives To describe the types of the leadership styles in the organisations To recognise the suitable leadership style for the mechanical engineering department To determine the impact of efficient leadership style on organisational productivity Concept of leadership Leadership management is an influential process in an organisation that guides the individuals towards achieving the personal and professional goals. According to Lo et al. (2015), leadership is an organisational process, which influence other associates to perform much efficiently and accomplish the determined objectives. It is to be indicated that the most effective leadership style helps in organising the business functionalities in a cohesive and coherent manner. The well formed and skilled leader has the capability of inspiring other individuals in the organisation and providing enormous support for developing the organisational culture in a significant way. The business complexities are increasing much significantly in current times. Therefore, the innovations and unique strategy implementation have become necessary. Organisations need to keep the focus on recruiting the skilled people who have the superior knowledge about the business activities in the respective domains (Lasc hinger and Fida 2014). The leaders have to take the responsibility of guiding these people with proper efficiency and motivate them to bring the most effective performance outcomes. Typologies of Leadership styles The leadership styles are classified into different divisions based on the characteristics and attribute of the leaders. These diverse leadership styles have both the advantages and disadvantages in many ways. The determined goals and organisational culture determine the preferable leadership styles that are needed to be undertaken (Hogg, Van Knippenberg Rast, 2012). There are five types of the leadership styles that are followed by the managers to manage the organisational activities. These different types of leadership styles are described further: A laissez Faire leader usually does not take the regular feedback from the employees performance and lacks the direct supervision. The highly experienced employees are directed under the supervision of the laissez faire leaders (Furtner, Baldegger, Rauthmann, 2013). The leaders are completely reliable and depended on the employees performance skills. However, it is to be noted that not every employee possess such high skilled characteristics and professionalisms. Hence, the leadership style hinders the employees production more significantly. It may even affect the organisational productivity. The leadership style lacks the control over the employees. Moreover, the leadership style requires more investments on training sessions for making the employees more efficient. The participative leadership style often interpreted as the democratic leadership that values the input of the associated employees. Assembling the responses of the associated personnel and the staffs together, the leaders make the decision for organisational welfare. Skogstad et al. (2014) implied that the democratic leadership style boosts up the employees spirit and make them feel more reliable towards the performance. The contribution of the employees to make the organisational decision is highly appreciated by the democratic leader. Especially, the participative leadership style is much effective during the change management procedure. The employees accept the change easily since they contribute much effectively to facilitate the changing management scenario. In fact, this leadership style is much helpful for the organisation whenever any quick decisions are needed to be undertaken within a short time span. Autocratic The autocratic leadership style signifies the participation of the manager in making the organisational decision. The managers take the full authority to organise the functionalities and lead the associated members. There is no scope of challenging the decisions of the leaders in this leadership style (De Hoogh, Greer Den Hartog, 2015). For example, the organisations in the countries like North Korea, China, and Cuba follow such leadership style (Boykins et al., 2013). The leaders determine that the autocratic style helps in retaining control over the employees and establishing the closer supervision. In some of the cases, this leadership style demoralises the employees contribution towards organisational productivity. Transformational The transformation leadership style signifies the establishment of the effective communication from the management level to accomplish the determined goals. The transformational leaders encourage the associated members to enhance the productivity parameter and maintain the efficiency level through high visibility and proper communication. The involvement of the high management is also an essential part in order to accomplish the personal and professional goals (Dumdum, Lowe, Avolio, 2013). In this leadership style, the leaders usually concentrate on the bigger picture within an organisation. Moreover, the leaders identify the fruitful strategies of delegating the smaller tasks that will be beneficial for meeting the organisational objectives. The transactional leaders pay attention towards several specific tasks and accordingly provide rewards and punishments based on the performance parameter. The managers have to take the responsibility to make the associated members aware of the organisational goals. The members need motivations for achieving the pre-determined goals. The positive performance outcomes will be appreciated with rewards (Choudhary, Akhtar, Zaheer, 2013). On the other hand, if any employee fails to meet the goals, the leader has the authority to put a penalty. The managers review the results and determine whether the employees need to be more trained or monitored. The employees receive the rewards that motivate them towards accomplishing the organisational objectives. Effectiveness of the leadership style on organisational productivity Application of the effective leadership styles is necessary for each of the organisation. Pierro, Raven, Amato Blanger (2013) explained that the leaders need to acquire the most effective communication skills that are necessary for making the employees aware of the organisational goals. On the other hand, (Furtner, Baldegger, and Rauthmann (2013) argued that the besides the effective communication skills, the efficient leaders need to be a motivational factor that will lead the employees towards the success. However, it is still argued that establishing the communication transparency is much beneficial in making the clear approaches regarding the organisational functionalities. When the employees are motivated towards the work, it will generate high organisational productivity. Therefore, it can be inferred that application of the suitable leadership style can enhance organisational productivity. Gap in the Literature The extracted ideas from the journal articles provide the insightful knowledge about the efficient leadership styles that have the significant impact on organisational productivity. However, the literature study is still limited since it does not provide the information about the maintenance of the organisational productivity at the optimum level. The study is somewhat presenting the impacts of the different leadership styles on enhancing productivity. Research Methodology Research methodology is the structured and sequential process of assembling the relevant information for the study. The methodology provides the contextual ideas about the proper method that is applicable for gathering and analysing the necessary information (Bryman Bell, 2015). The methodology also suggests the scheduled time frame, which will be followed to complete the entire study. The research philosophy is classified into three different typologies, such as realism, positivism, and interpretivism. This research is conducted by applying the positivism philosophy, which reveals the hidden truth (Edson, Henning Sankaran, 2016). On the other hand, research approach is divided into two forms, such as deductive and inductive approach. The study is based on the secondary research process and it is necessary to concentrate on the theoretical perspectives. Deductive Approach provides the information based on the theoretical concepts. The study is associated with the various types of t he theory based analysis. Hence, application of the deductive approach for this study will be much relevant and appropriate. The next segment of research methodology is the research design, which is classified into three divisions, such as exploratory, explanatory, and descriptive (Creswell, 2013). The major focus of the research techniques is to fulfil the research objectives and determine the conclusion. The study is based on the in-depth analysis of the leadership styles that have the significant impacts on the organisational productivity. The use of the descriptive design focuses on the underlying concept and the hypothetical value of understanding the subject matter. Therefore, the application of the descriptive design will be justified for completing this study. The study explores the effectiveness of the leadership styles that have the significant impacts on the organisational productivity. In order to conduct this research study, it is necessary to collect the secondary data and understand the underlying concepts. The study is thus based on the secondary research method. The research study will be conducted by gathering the relevant information from journal articles, books, newspaper articles, and website sources (Creswell, 2013). The online and offline sources contain the leadership case scenario of different organisations. Moreover, the secondary research study represents the thematic analysis, which points out the underlying issues faced by the skilled managers in the organisations. It depicts whether the leadership attribute can bring more efficiency in an organisational context. The use of the secondary analysis is thus appropriate for this research study. The further section of the study will present the findings derived from the the matic analysis. Time Frame Activities Week 1-2 Week 3-5 Week 6 Week 7-9 Week 10 Week 11-12 Week 13-14 Selecting the Topic Layout Development Review of Literature Research Plan Development Research Process Selection Data Collection Technique Selection Data Analysis Technique Selection Data Findings Conclusion Final Submission Table 1: Time Frame (Source: Created by Author) Findings from Secondary Analysis The study is mainly focusing on the effectiveness of the leadership styles on the organisational productivity. The research study discusses about the significant attribute of the manager from mechanical engineering domain. The engineering domain includes more complex working scenario and needs more innovations in the business process. Therefore, it is essential to identify the most suitable leadership style that can enhance the organisational productivity. Accordingly, the study recognises two specific themes that can justify the business procedure in a mechanical engineering domain. It is already mentioned that the mechanical engineering business deals with many of the innovations and complexities. Therefore, it is essential to recognise the most preferable leadership style that is needed to be undertaken by the manager. According to Hoch and Kozlowski (2014), in the engineering domain, the leaders need to be high skilled, innovators, and efficient enough to handle the complex business functions. Herrmann and Felfe (2014) believe that the engineers can be the most suitable people for being managers in future. The capability of handling the business complexities, frequent innovations, and a detailed attention shapes up a leader for accomplishing the organisational goals. However, the major discussion in this theme is to identify the most suitable leadership style in mechanical engineering process. Reid (2016) described that the mechanical engineering process is much complex and the managers require bringing frequent innovations to survive in current business scenario. It is necessary for the business companies to identify the suitable leadership style. Concentrating on the different leadership styles along with the business needs of the mechanical engineering domain, the transformational leadership style can be used in a justified manner. De Poel, Stoker and Van der Zee (2014) argued that the transformational leadership style provides the significant opportunity to the individuals and encourage them to bring more business innovations. It is even helpful for developing the professional and personal attributes of the employees that will pay off in future. The article also highlights that the transformational leaders are involved with frequent and closer supervision process. Therefore, the employees receive the proper guidance for evaluating the innovative business ideas. The tra nsformational leaders maintain the high level of communicational transparency that encourages the employees to preset their concerns (Simonet Tett, 2013). The major limitation in this article is it does not include the method of maintaining the feedback process for the performed activities. It is necessary to understand the basic method of keeping the information of the employees that are needed to be addressed. The leaders need to find out the most efficient way of communicating with the employees and make them updated with the business innovation procedure. Leaders play the most significant role in shaping the organisational functionalities. The efficient contribution of the leaders can bring changes in the organisational scenario (Tung, 2014). While discussing the effectiveness of leadership styles in the organisational context, it si necessary to shed lights on the organisational functionalities. The engineers need to analyse each of the business activities with detailed information. The complexities in the business procedures are sometimes affect the business environment. The repeated changing demands of the business world become much hectic. Reid (2016) opined that the efficient leader can manage such challenging scenario by engaging the information and ideas of the associated employees. However, in order to achieve such purposes, it is necessary to provide the employees proper encouragement that will reflect in their performance outcomes (MacIntyre, 2016). When the employees receive the proper guidance and the motivations from the upper management level or the leaders, they tend to focus on their performance parameter. Moreover, an efficient leader provides the significant opportunity to the employees to prove the potentiality and develop the career with proper appreciation. The journal, the effects of leadership styles and budget participation on job satisfaction and job performance, indicates that this procedure is much beneficial in improving the organisational culture and ensuring more profitability (Reid, 2016). The argument present in this article signifies that the employees can bring the innovations in the business procedure if they receive the proper training and closer supervision of the leaders. Maintaining such consequences will be effective enough in motivating the employees and encouraging them to fulfil their personal and professional goals. Simultaneously, it will create impacts on the overall productivity of the organisation. The above theme analysis specifies the impacts of the leadership styles on organisational productivity with the special reference of mechanical engineering domain. The information and the limitation associated in the secondary sources are pointed out in this section of the study. Concentrating on the findings derived from the secondary analysis, the study will discuss the findings derived from the literature based information. The collaboration of these findings will ensure the fruitful recommendation for being a capable and efficient leader. Discussion of the Findings derived from Literature Review The literature review mainly concentrates in the theoretical background of the subject matter. The study focuses on the impacts of leadership styles on organisational productivity. The discussion determines that the leaders adopt the different types of leadership attributes that have the significant impacts on the employees and the organisational activities. However, the leaders share the similar vision of accomplishing the business objectives. Employees are the major resources of an organisation. The leaders need to maintain the responsibility of managing these employees and motivate them enough to enhance the organisational productive. The autocratic leadership style ensures the full authority of the leaders and no one can challenge the decision (Nanjundeswaraswamy Swamy, 2014). The employees are sometimes unable to cope with such decisions sometimes. It discourages the presence and participation of the employees. On the other hand, the transformational leadership style is much pr eferable for the employees since it is associated with the personal and professional development of the workforce in an organisation (Vermeeren, Kuipers Steijn, 2014). It is noted that the transformational leaders lead the employees towards achieving the business goals which automatically serves as the significant method of developing the personal attributes. Therefore, it is essential for the managers to select the leadership style wisely. The leaders need to keep the focus on the detailed information that will help in enhancing the organisational productivity. The application of the findings from the literature study with the thematic analysis specifies that the leaders need to bring more innovations in the business process to enhance the productivity parameter. More specifically, in case of engineering domain, the skilled performance outcomes of the employees are necessary for handling the complex business environment. The efficient leaders have the capability of encouraging the workforce to manage such complexities and enhance the organisational productivity (Nanjundeswaraswamy, Swamy 2014). The concentration on the proper leadership attribute is necessary to lead or guide the workforce. Conclusion The contribution of the leaders in an organisational context is much important for each of the organisations. The efficient leadership style can enhance the organisational productivity much significantly. Mechanical engineering domain often deals with the complex business procedures. It is necessary to bring more innovations in business functionalities to ensure the organisational productivity. Accordingly, the selected leader needs to be capable of bringing more innovations in the business and guide the workforce to cooperate with such scenario. The information received from secondary analysis and literature based study, it is noted that the transformational leaders are bringing the workforce together to gather more innovative business ideas. The assimilations of these unique business ideas are much helpful for dealing with a complex business scenario. Moreover, the transformational leadership style helps in developing the personal and professional attributes of the employees by undertaking the closer supervision of their activities. Consequently, the organisation ensures more productivity, which leads towards achieving the pre-determined objectives. The major focus of a transformational leader is to motivate the employees and bring the best performance outcome. Simultaneously, the transformational leaders concentrate on the innovative procedures and change management scenario, which are essential for sustaining the competitive position of an organisation. The mechanical engineering is a different domain, which deals with the repeatedly changing business functionalities and high skilled technicalities. Hence, as a manager, it is important to focus on such demands to fulfil the goals and enhance the organisational producti vity. References Anitha, J. (2014). Determinants of employee engagement and their impact on employee performance.International Journal of Productivity and Performance Management. Boykins, C., Campbell, S., Moore, M., Nayyar, S. (2013). An empirical study of leadership styles.Journal of Economic Development, Management, IT, Finance, and Marketing,5(2), 1. Bryman, A., Bell, E. (2015).Business research methods. Oxford University Press, USA. Choudhary, A. I., Akhtar, S. A., Zaheer, A. (2013). 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