A Childs Promise.

A Childs Promise. This Friday night seemed just like any other with Mom and I lounging on the sofa watching the Grand Ole Opry. I could feel the joy that the Opry brought to my mom just by the look in her eyes as she watched, listened, and sometimes sang. Well she hummed more than she sang but that was my mom's way of singing. As we watched her eyes would glow. Sometimes I would see a sparkle. As I watched her I knew what I had to do. I hugged my mom and said "Mother, when I'm all grown up I'm going to take you there". Mom hugged me in return and said, "I'm sure that you will".As I started dinner, I turned the radio on and to my surprise the station was doing a special on The Grand Ole Opry. This brought my childhood memories roaring back. The Grand Ole Opry played on the radio in the kitchen every evening as Mom cooked dinner.English: Grand Ole Opry House, in Nashville, TN. T...She would hum and I would ask her to dance (as I had seen my father do). She would accept, especially if it were a slow song . Mom said that when it came to fast dancing she was afraid that she would break something and that with nine children she needed every thing she had to keep up with us. We would dance and at the end I would bow and say "thank you madam", she would courtesy and off I would go. Then I remembered the promise that I had made to her so many years before. I had a plan.The following morning at work I put in for a week of vacation. Next came the wait for the approval. One day turned into the next, the next into the following. I...

buy custom Health Care Issues and Cultural Effects essay

buy custom Health Care Issues and Cultural Effects essay Research on to the health disparities has shown that, patients who receive culturally sensitive care show an increased adherence to medical advice and report higher satisfaction with the services. Therefore, with the increased growth in the cultural diversity and related health disparities in society, the rise in academic interest in examining the interrelationship between health and culture has also increased. This has led to the realization of the benefits of cultural competency program. The cultural competency training program produces measurable changes in the knowledge and skills of the health practitioners (Khanna, Cheyney, Engle, 2009, p. 886). Although the debate still continues on its effectiveness, a general agreement among the scholars is that, it improves the patient-provider communication, and in the long term, it improves on the patient satisfaction and compliance. This has led to many health care organizations, medical schools and providers integrating the cultural competency training into their training programs or curricula. In one study conducted on the 43 healthcare professionals, participants indicated an enhanced understanding of the healthcare experiences of patients with diverse backgrounds. This study involved health care providers and health administrators for a four (4) hour cultural competency workshop. In addition to the enhanced understanding of health care experiences these health care professionals, reported improvement in their cross-cu ltural working skills (Khanna, Cheyney, Engle, 2009, p. 886). According to them, the post then pre method of evaluation used is reliable, innovative, and time-saving. According to them, these training programs should be implemented so as to inform the health care providers on the role of culture in service delivery. Factors like, ethnic medical belefs, use of folk medicine, health beliefs and worldview, cultural values and norms influence the offering and perception of the services. In addition, gender and religion also play a vital role. The Health Resources and Services Administration (HRSA) advocates for the inclusion of the cultural and linguistic competency training and assessment protocols in health care systems (Khanna, Cheyney, Engle, 2009, p. 887). The Office of Minority Health has been on the forefront in advocating for the National Standards for culturally and Linguistically Appropriate Services (CLAS) in the Health Care Systems. These standards take into account the social context and interaction and thus, form the benchmarks in the provision of the competent services to patients from all cultural backgrounds. This arises from the fac t that, the cultural characteristics of the patient and the health care provider influences the manner in which different people seek, access, and utilize these services (Khanna, Cheyney, Engle, 2009, pp. 887-888). The study used post then pre method to evaluate the outcomes of the training. In a typical pre then post evaluation, participants subject themselves to a set of questions before and after the training program. Post then pre method helps in controlling response shift bias got in the traditional pre then post method. In the post then pre method, gauging of the respondents perceptions occur at the end of training. This reduces the respondents perspective on the construct measured between pre-test and post-test situation. In addition, use of the post then pre reduces the problems of over and ideal reporting associated with pre then post reporting (Khanna, Cheyney, Engle, 2009, p. 889). The limitation of this evaluation method is the inability recall knowledge and skills before the instruction accurately. The social desire of the respondents to fulffill the expectations of the training programs also manifests itself among the respondents. At the end of training, all participants had a ch oice of completing a 29-item Cultural Competency Assessment (CCA). Of the sixty that had originally joined the training, only forty-three (n=43) completed the test without errors. The CCA developed reflected on intercultural and intra-cultural diversity. It involved 3 parts- demographic data (5 items), knowledge (19 items) and skills (5 items). The results indicated that the participants indicated a positive change in their knowledge and skills in the cross-cultural provision of health care. They acquired a more nuanced understanding of individual terms associated with culture, race and ethnicity. They also self-reported improvements in the role of cultural factors in the patient-provider communication, and importance of nonverbal clues in patient-provider interaction. These results indicated the need to raise awareness regarding the importance of cultural learning. The health beliefs and cultural healing practices involvement in the collection of the case histories are essential. This helps in the conducting of the clinical examinations and development of culturally based care plans with the patients from diverse cultural backgrounds (Khanna, Cheyney, Engle, 2009, p. 890). This study indicated that, for cultural competency to be successful, it needs to go beyond the racial and ethnic differences. It should incorporate issues pertaining to sexual orientation, socioeconomic status, health insurance status and type/ timing of care in the provision of health care services. It is also a dynamic process rather than 1-time, structured training endeavor lending itself to rigorous, quantitative analysis. It should be expanded to include multiple markers of differences (Khanna, Cheyney, Engle, 2009, p. 891). Buy custom Health Care Issues and Cultural Effects essay

How Decisions on Customer Service will Impact on Influencing the Level Essay

How Decisions on Customer Service will Impact on Influencing the Level of Sales - Essay Example The research conducted will be quantitative and will additionally adopt quantitative methodologies. The research will be conducted at the headquarters of the Commercial Bank in Venice. Data will be collected from the first one hundred customers who visit the organization for the purposes of making purchases within a period of two months. This sample is appropriate since the organization receives about five hundred customers on a daily basis. It is also appropriate since it will enable the management to collect diverse opinions from many of their customers. The collection of data will be done through the use of interviews along with the issuing of questionnaires to the customers. The existing relationships between the causes and effects will then have to be established from the customer replies and the trends on the organization's sales and profitability. To determine how the management decision-making methods can affect the quality of customer service and whether or not a good custom er service leads to customer loyalty, a primary research survey study will be conducted on the customers and the books of accounts to test the hypothesis. Â  The dependent variables in the research are the organizations level of sales along with their profitability. The independent variable, in this case, will be the decisions made concerning customer service. The organization will recruit personnel from within the organization to analyze the effects of their decision-making methods on their sales volume and profitability.