Sunday, January 26, 2020

Three Behavioral Theories Of Leadership Management Essay

Three Behavioral Theories Of Leadership Management Essay Leadership theories explore how leaders can influence humankind or employees to fulfil mission and vision of organizations. Traditionally, transactional leadership has prevailed throughout the industrial revolution with pay for work process. Although as time passes, leadership theories developed mirror those of quasi-transactional theories of Six Sigma, Total Quality Management, and Kaizen. These theories based on outcomes of production with the spirit of collaboration from employees to increase awareness of each task to promote or negate benefits to the company. Ruggieri (2009) related the leadership style displayed by the leader to the organizations performance and success. Leaders of an organization must anticipate and adapt to change by using the leadership style that fits the current situation. For an organization to grow and be successful in a changing environment, leaders must articulate vision, goals, and objectives and make sound business decisions that will lead the organization to success. In leading organizations to success, Kanter (2000) stated, effective leaders cultivate an environment where openness is encouraged and where collaboration is valued (p. 32). Partnerships both inside and outside the organization enhance the organizations knowledge and reach into the market, and provide greater expertise and experience than if a more closed position perspective were maintained (Kanter, 2000). Effective leaders also draw on the components of different leadership styles behaviors that will provide the best approach or decision based on the situation and environment at hand (Spears, 2004). The succeeding sections discuss three behavioral theories of leadership, which include transformational leadership, transactional leadership, and servant leadership. Transformational Leadership Theory Transformational leadership theory is based on the ability of the leader to provide an atmosphere, which engages their employees and hinged on the concept of spirit, via connectedness. Transformational leadership is the ability to motivate and to encourage intellectual stimulation through inspiration (Avolio, Zhu, Koh, Bhatia, 2004; Dvir, Eden, Avolio, Shamir, 2002). McColl-Kennedy and Anderson (2005) further defined transformational leadership style as guidance through individualized consideration, intellectual stimulation, inspirational motivation, and idealized influence (p. 116). Transformational leadership brings with it a degree of charisma and motivation (Avolio Yammarino, 2002). Transformational leaders can influence and inspire others to succeed and grow. Transformational leaders model the behavior they expect of their employees through transparent information sharing, enthusiasm, and optimism. The leader creative in creating solutions and encourages the employee to do the same. Transformational leaders are risk-takers and encourage others to take risks, too. These leaders encourage growth through advanced education, certifications, and interactions. Bass and Steidlmeier (1999) noted transformational leaders level of involvement had the ability to enhance creativity, innovation, and performance from their teams. Transformational leaders must have the fortitude and adaptability to respond to and learn from both internal and external stimuli of changes within the organizations. Such leaders must proactively mitigate any negative impact on the project, as well ensuring the overall satisfaction of the team members as factors in the projects successful completion and team performance (Ronning, 2004; Sanders et al., 2003). Bass (2000) had widely defended the potential of the transformational leadership to improve the post-modern organizational landscape. According to Bass, transformational leaders raise the awareness of their constituencies about what are essential increase concerns for achievement, self-actualization, and ideals. They inspire followers to go beyond their own self-interests for the good of the group, organization, or community. For Bass, true transformational leadership can be identified by its adherence to the highest levels of moral and ethical standards. Bass (1997) says that leaders are authentically transformational when they raise awareness of what is right, valued, and important; when they help satisfy increase followers needs for success, change; and when they reposition followers to go outside their self-interests for the good of their group or organization. True transformational leadership asks for sacrifice on the part of the follower, but it does not necessarily require that an individuals interests to be swept aside for the good of the organization. The transformational leader strives to achieve a true consensus in aligning personal and organization interests (Bass, 1998, p. 176). Transformational leaders act like moral agents and engage in joint understanding of employees, with the ultimate goal of converting these employees to become leaders themselves (Inkson Moss, 1993). Transformational leaders are most of the time interested in producing quality and quantity results from those they lead, but also attempt to provide an environment in which the individuals own career and personal goals are realized through the organization. In this way, efficiency can be increased, and the entire organization can benefit on the improvement of individuals (Seltzer Bass, 1990). It is the transformational leadership style that offers managers the greatest ability to deal with this rapidly changing workplace (Bass, 2000), especially in a global economy where change is inevitable. Wallace (1993) concluded that complex organizational and environmental factors require the flexibility that transformational leadership style offers because it enables managers to include workers on decisions, and can empower workers to have an increasing level of control over their work performance. Organizations led by transformational leaders usually perform at a believed greater level, with a higher level of employee moral (Bass, 1990). Bryant (2003) claimed that transformational leadership results to motivation and commitment for followers in order to have above average organizational performance. Robbins and Judge (2009) further concluded that transformational leadership is correlated with lower employee turnover, higher productivity, lower stress, and higher employee satisfaction. Transformational leaders are able to enhance their leadership style based on the situation, and transform that style into their subordinates to become innovative and creative in their decision-making process (Chung Chia-Hung, 2009). Transformational leadership is based on the leader-member relationship that fosters a greater degree of trust and mutual understanding expected between the members in maintaining that relationship. Members in a transformational leadership framework cooperate more often with their leaders and gain their leaders full support, confidence, encouragement, and patience, and this in return forms a lasting relation ship bond between the leaders and the employees (Chung Chia-Hung, 2009). Boga and Ensari (2009) stated, traditionally, the magnitude of the organizational leaders influence on the workforce has been tied to his or her leadership style (p. 237). Transformational leaders seeks to influence the interests of their followers in the workplace, accept change as being a part of life, and motivate their followers to pursue the purpose and mission of the organization above their own egocentricities (Boga Ensari, 2009). The transformational leader/follower relationship is viewed as one of shared interests and is comprised of four distinct characteristics (idealized influence, inspirational motivation, intellectual stimulation and individualized consideration) that are closely related to the approach leaders use (Boga Ensari). Finally, transformational leadership occurs when a leader inspires followers to share a vision and enables those who follow to formulate their own vision for themselves and the organization to achieve a higher level of performance. Transformational leaders allow those they lead a greater degree of self-direction in the decision-making process that allows the leader to be more successful leading the organization to success. Transformational leadership is somewhat similar to servant leadership, but most researchers agree that the transformational leadership style makes better leaders in organizations (Bass, 1990). Transformational leadership, as noted by Bass and Avolio (1993) has four defining principles that included idealized influence, individualized consideration, inspirational motivation, and intellectual stimulation. Idealized influence means the transformational leader works with followers to encourage independence, awareness, and maturation as a means to an end, where followers participate in the mission and vision of the organization. Inspirational motivation means the transformational leader is able to inspire followers with the intent to share in the goals of the organization. Intellectual stimulation means the transformational leader acknowledges his or her followers as talented and encourages input while re-evaluating assumptions for beliefs and values. The leader ignites creativity in followers, which may result in productivity for the organization. Individualized consideration means respecting the uniqueness of each person, while working with him or her to facilitate the maximi zation of potential. Leaders recognize the role and importance of involving followers in the establishment of a healthy organizational culture and climate. These four factors enable leaders to create an environment wherein team members clearly understood the tasks of the project, both holistically as a team and individually. The four factors of transformational leadership enable the leader to create a level of respect felt by members of the entire project. Team members had a proactive level of interest, concern, and inspirational motivation to become actively engaged in multiple levels of effective communication, thereby identifying the impact of each members role in project completion (Bass Avolio, 1993). An effective platform created by transformational leaders induces team cohesiveness on numerous aspects (Ruggieri, 2009). Research has provided evidence that transformational leadership in both traditional face-to-face teams and virtual teams has the components to produce multiple levels of group cohesiveness. Members became empowered to make greater contributions to the team, thus constructing an effective team environment of problem solving and innovative solutions (Jung Sosik, 2002; Ruggieri, 2009). Yardley et al. (2007) also noted transformational leaders encompass the aspect of preparing members of the team to become transformational by increasing their level of participation and satisfaction resulting in increased team performance in creative implementation creative and effective change. The transformational leadership framework has a tendency of creating domino effects in producing and creating potential leaders within multiple levels of an organization (Masood et al., 2006; Yardley et al., 2007). This form of communication and development within traditional collocated teams and virtual teams was indicative to producing effective leadership participation that enhances team performance. Transactional Leadership Transformational leadership gained prominence as the leadership style of the 21st Century. The concept of transformational leadership began to emerge in the late 1980s, particularly in research writings about education. According to Bass (1990), transformational leadership is inspirational leadership style that influences followers to achieve extraordinary performance in a context of large-scale innovation and change. There are times when the concept signified a suitable type of leadership for organizations taking up the challenges of reformatting and reorganizing. Today, this concept is applied in most developed countries worldwide (Leithwood, 1992). Transactional leadership theory often presents a more traditional view of team leaders compelling team members to improve their performance on a reward and reprimand based system (Yardley Nealy, 2007). Transactional leaderships main characteristic is separateness; there is a line between the leader and the follower, with the potential to leave individuals feeling abandoned and in moral poverty (Avolio, Walumbwa, Weber, 2009; Hauser, 2007). A transactional leader uses rewards as a way of managing subordinates behaviors and employs management by exception (Bass, 1985). The transactional leadership theory includes three dimensions. These dimensions include contingent reward, management by exceptionactive and passive leadership (Bass Avolio, 2000). Contingent-reward is the degree to which the leader sets up helpful transactions or exchanges with followers: The leader clarifies expectations and establishes the rewards for meeting these expectations (Judge Piccolo, 2004, p. 755). Management-by-exception is the degree to which managers intervene when issues, problems, or mistakes occur. An active management-by-exception involves leaders who monitor the performance of their subordinates throughout the course of the task or activity. This allows the leader to track whether mistakes happen in line with the completion of the task or activity. A passive management-by-exception on the other hand considers leaders who are unaware of mistakes within their team until his/her subordinates report the issues or the problems that happened. In transactional leaders hip, the leaders appeal to their subordinates self-interest through rewards in order to achieve the teams objectives. In the team setting, leaders who are solely transactional leaders created an environment built upon positive and negative reinforcement (Ruggieri, 2009). The reinforcement came in the form of compliments and awards in money and gifts when milestones reached completion during the life of the project. Transactional leaders used negative reinforcement when team members miss milestones or fail to complete project deadlines, generally in the forms of chastisement, censorship, and in some cases, release from the organization (Ruggieri, 2009). Sanders et al. (2003) indicated most leaders utilizing this leadership style exhibited less confidence in their ability to lead or make an impact within the organization. It is important to express that nearly all leaders in a virtual or in a traditional team environment have utilized the transactional leadership theory as part of decision-making (Ulmer, 2005). The transactional leadership theory is framed around an award-based system, which motivates followers to contribute to the success of the team. Servant Leadership Servant leadership theory suggests that the leader places the good of those led over the self-interest of the leader and promotes the idea of valuing and developing by sharing their power and prestige with those they lead (Greenleaf, 1977). Greenleaf (1970, 1977) introduced theoretical concepts to the body of leadership literature on servant leadership. Greenleaf, who is the founder of the Greenleaf Center for Servant Leadership, created the idea of servant leadership after reading Nobel Laureate Herman Hesses (1956) Journey to the East, a story about a spiritual pilgrimage of a band of men on a fairy-tale journey. The term servant leadership may not be familiar to a large number of individuals or corporations, but many organizations have adopted and embraced this concept within their leadership structure. Servant leadership is radically changing how leaders lead and treat subordinates under ones area of responsibility in the organization that creates a caring and understanding atmosphere within the organization (Chung Chia-Hung, 2009). Greenleaf (1970) stated, Caring for other persons is the foundation upon which a decent society is built (p. 54). Transformational leadership and servant leadership have several similar characteristics, but are not quite the same in their approach to leading subordinates. Servant leadership is based on the notion of egalitarianism and assumes that the leader is no better than those led, but considered equal in value (Greenleaf, 1977). Bass (2000), as well as Farling, Stone, and Winston (1999), see parallels between transformational leadership and servant leadership. However, while the theory of transformational leadership says that leaders need such traits as vision, credibility, trust, etc., the theory of servant leadership argues that leaders must place the needs of their followers ahead of their own. Serving and leading at the same time has found to be a constant characteristic of servant leaders. Among the other characteristics that servant leaders have been said to need are: listening, empathy, awareness, healing, persuasion, ability to conceptualize, foresight, stewardship, commitment to growth, and commitment to building community (Spears, 2004). The main feature of this  leadership style is  the servant leader provides resources and support without expecting followers to admit that leading by example is important to them. Instead, this type of leader assumes a servant first position (Smith, Montagno, Kuzmenko, 2004), and expects others to work for the collective good of the company, rather than for the leader as representative of the company. Servant leaders, according to Greenleaf (as cited in Spears, 2005), are not initially motivated to pursue leadership. However, they accept this role in response to the urgings of others, and in response to a perceived need for their expertise and service in such a situation. The servant leader is expected to be knowledgeable regarding his or her role in promoting the organization or groups goals and to ensure that his or her followers are collectively advancing the objectives of the organization or group (Spears, 2005). Servant leadership has taken on a greater importance in recent years not only in corporate and religious organizations, but also in educational institutions (Cozby, 2001). Servant leaders in schools and universities should have a genuine desire to help others, and a shared vision of taking on the role of servant to its student body. Herman and Marlowe (2005) asserted that leaders should be a servant first in order to transition from a classroom environment to a community of caring. Greenleaf (1977) concluded that if someone wants to have true meaning in life, they must first seek out ways to be a servant to others. Servant leadership is viewed as a significant contributor to leadership effectiveness in organizations and institutions. Practitioners have given due attention to servant leadership in recent years because the workplace and business world is more transparent, competitive, global, inclusive and demographically diverse (Bryant, 2003). The concept of servant leadership shares similarities with the concept of transformational leadership, which produces a pre-determined outcome when the leader empowers followers to achieve organizational goals based on their own innovation and creativity. According to Sendjaya and Sarros (2002), a reason for the shortage of research in servant leadership is that the notion of servant as leader may be perceived as a weak leader (p. 41). Servant leaders emphasize developing their followers personal potential and enabling their personal growth and self-interests. Leadership is about relationships, and the principles of servant leadership are the inherent characteristics for the leader to lead by the heart with a greater degree of humility and honesty. Servant-led organizations should be built on a leadership style where  ideas are welcomed and relationships are nurtured. Servant leaders take a different approach from that of traditional leaders who seek to harness and maintain their power base. When a servant leadership culture  has been established at an organization, servant leaders lead by example, and are expected to help those around them achieve their personal and professional goals. Servant leadership does come with some reservations because some employees will try to take advantage of leaders who demonstrate this leadership style and reduce the leaders ability to lead (Spears, 2004), in this instance, servant-leaders are able to overcome this by instilling in workers a sense of the importance of teamwork and shared responsibilities. Peer pressure is remarkably effective in encouraging employees to do the right thing and preventing them from challenging leadership for selfish and personal reasons. Servant leaders have a better chance of preventing such conflicts because they have earned the trust and respect of the followers in the organization (Bass, 1990). Another dilemma in practicing servant leadership is the desire to practice individualism and competiveness that nurtures selfish or ego driven pride in the workplace or institution (Bass 1997, 2002). Organizations with a culture that promotes an authoritarian hierarchy will greatly hinder servant leadership and could be a major cause of organizational decline and failure (Boga Ensari, 2009). Most researchers agree that authoritarian hierarchy and egotism are the evil twins that can inhibit the implementation of servant leadership, and may be two of the reasons why many institutions and organizations exhibit a high level of unethical behavior (Bass, 2000). Servant leadership has not been a leadership trait of recent indoctrinated leadership style just in the case of the U.S. Army as a preferred or recommended leadership style. Bryant (2003) concluded that servant leadership is more concerned with the emotional well being of followers than transformational leadership is. Transformational leaders, on the other hand, do seek to inspire followers not only an intellectual level, but also on an emotional one. That is, they try to maintain a positive attitude regarding the work being performed. Comparison between the Behavioral Theories of Leadership Two of the most popular leadership styles currently discussed by researchers are transformational and transactional leadership styles (Boga Ensari, 2009). Over the last decade, considerable research effort has been invested into understanding the processes through which transformational leadership relates to followers attitudes, behavior, and performance beyond their own self-interest for the good of the group (Bass, 2000). However, apart from these two leadership styles, servant leadership style has also been emerging in fields such as military organizations. Servant leadership theory suggests that the leader places the good of those led over the self-interest of the leader and promotes the idea of valuing and developing by sharing their power and prestige with those they lead (Greenleaf, 1977). A theoretical analysis of transformational and servant leadership theories suggests rival consequences for organizational success on the best leadership style. Transformational leadership is defined as having four separate elements: charismatic leadership/idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration (Bass, 1996). Servant leadership has six different components: valuing people, developing people, building community, displaying authenticity, providing leadership, sharing leadership (Greenleaf 1970; 1977). Transformational leadership and servant leadership in organizational settings has experienced a significant progression in terms of both theory development and empirical research studies (Boga Ensari, 2009). Based on this research, transformational leaders are one of the most important factors in motivating others to meet organizational goals. Researchers agree that leaders must encourage, reward, motivate, and discipline, mostly through their leadership style, and encourage the development of team relationships inside and outside the group (Ruggieri, 2009). Transformational leaders motivate followers to work for inspiring goals that go beyond their immediate self-interests. Thus, more and more companies are moving way from transactional to transformational leadership styles. Yuki (2006) believed that the study of leadership embodies a vast amount of research dominant in military institutions, businesses, and government organizations. While a significant body of literature has been produced concerning military leadership, Campbell and Dardis (2004) and Harris (2002) believed there is little or very limited research exploring the correlation of job satisfaction related to servant leadership attributes in military recruiting organizations. Some scholars agree that transformational leadership and servant leadership are considered the most prominent leadership styles in military and leading business organizations (Seltzer Bass, 1990). Transformational and servant leaders inspire followers to transcend their own needs for the good of the organization that will lead the organization to greater success. Transformational and servant leadership both encourage their followers to be more innovative and creative which creates an environment that breeds success within the organization. Followers are inspired by the leaders personality, which focuses on the collective goals of the company and both types of leadership are focused on the relationship the leader has with their followers. However, Bass (1996) suggests that employees job performance is also positively related to their like or dislike of their supervisor than to their organization. The leadership style displayed in the organization will have a direct affect on the failure or success of the organization, because of the level of commitment the employees binds to the leader of the organization. The way the leaders leadership style is perceived by the followers could influence the leaders power and ability to lead the organization to success. Much of the literature written on leadership style challenges encompasses the difficulties that lie within team collaboration and the empowerment of the individual. Recognizing and identifying the importance of individuality, while maintaining the team approach is a theme echoed throughout much of the written works. Similarly, comprehending the process by which personality traits merge and produce, the studied literature indicates the need for leadership to identify adequately and accurately. Such an example imbedded in Bono and Judge (2004) where they indicate that personality traits are three dimensional in nature. The identification process of personality traits in combination with leadership styles can become a challenge. Bono and Judge write: Personality traits were related to three dimensions of transformational leadershipidealized influenceinspirational motivation (charisma), intellectual stimulation, and individualized considerationand three dimensions of transactional leadershipcontingent reward, management by exceptionactive and passive leadership. Extraversion was the strongest and most consistent correlate of transformational leadership. Although results provided some support for the dispositional basis of transformational leadershipespecially with respect to the charisma dimensiongenerally, weak associations suggested the importance of future research to focus on both narrower personality traits and non-dispositional determinants of transformational and transactional leadership (Bono Judge, 2004, p. XX). Another challenge with leadership styles is explored by Brown and Keeping (2005) , where they concluded that ratings of leadership are highly influenced by the interpersonal affect raters feel towards the target being rated (p. 245). Varma, DeNisi, and Peters (1996) evaluated performance reviews and correlation to how well the person being evaluated likability by the person doing the evaluation. Job approval ratings for the president of the United States correlates to this highly influenced by the interpersonal affect raters feel towards the target being rated in business (Kaiser, Hogan, Craig, 2008). Driskell and Salas (2005) researched the affective response to a leader when there was depressing content and demeanor within an employees performance review. Synthesis Leadership is probably the most studied facet of human behavior (Geoghegan Dulewicz, 2008). Although leadership per se is not often mentioned (as opposed to managerial skills, which are almost universally accepted as important to running a successful organization), the numerous references to vision, communication, building relationships with diverse constituents, motivating members, ability to lead well in a wide range of circumstances reflect the characteristics of agile leadership (Caffey, 2007). Fiedlers (1996) research suggested that leadership styles such as transformational, transactional, and servant leadership styles are effective in all situations; but successful organizations have a combination of leadership styles and managers at each level. Leadership style has been shown to be a significant factor in the effectiveness of the organization, and different leadership styles are more effective than others in different situations. According to Smith, Montagno, and Kuzmenko (2004), both transformational and servant leadership styles function based on charismatic leadership while transactional leadership style is performance-oriented. The leader inspires and directs followers by means of a shared vision and values. To be successful, both the transformational leader and the servant leader need a considerable amount of charisma-the ability to inspire greatness in them and in those they manage or lead (Bass 2000). Likewise, while not all followers are motivated through reward s, transactional leadership provides a target for followers to perform well. Transactional leadership style differs from transformational leadership for various reasons. For the former, the focus is on the exchanges that occur between leaders and their followers. The transactional leader concentrate on maintaining the status quo by satisfying the followers current material needs (Bass, 1990). Transactional leadership is based on the assumption that, by explaining what the leader wants and rewarding appropriate behaviors, the leader directs followers to achieve a desired level of performance. The transformational leaders primary objective is to bring followers up to a position where they can accomplish tasks without immediate supervision (Seltzer Bass, 1990; Shuster, 1994). Einstein (1994) suggested that a transformational leader uses three steps to bring about transformation in leader follower relations. The steps are: (a) diagnosing the leadership situation, (b) transacting the relationship between leader and follower, and (c) transforming follower into an effective employee. These leaders listen to their followers and share their individual concerns as they help to build their confidence. The best leadership is said to be both transformational and transactional. Transformational leadership augments the effectiveness of transactional leadership; it does not replace transactional leadership (Bass, Walsman, Yammarino, 1990). The opportunities this combined style fails to address would be those who fall between both leadership styles. This is why it makes sense as an effective leader to understand the various leadership styles and be able to employ them as needed as one tends toward the transformational leadership style.  Ã‚  Ã‚  

Saturday, January 18, 2020

Major Benefits Of The Airtraq Health And Social Care Essay

The undermentioned entry lineations my proposal to present the AirtraqA ® Video Intubation ( Airtraq by Prodol, 2010 ) device into the Airway Management Clinical Practice Guidelines of Ambulance Victoria. Endotracheal Intubation ( ETI ) has ever been considered the gilded criterion of airway direction and is presently a MICA merely skill. My proposal is to present a new piece of equipment which will non merely do it easier for MICA trained paramedics, but may take to ALS paramedics one twenty-four hours besides being accredited in ET cannulation. At present Ambulance Victoria do non use any picture laryngoscopy equipment, alternatively trusting on the standard Macintosh laryngoscope and perfect line of sight of the vocal cords to execute the cannulation. Clinical grounds has shown that with the usage of the Airtraq Guided Video Intubation tool successful in increasing cannulation rates, even in awaited hard instances. The Airtraq device is compatible with IFS and RSI cannulations and has even been used in awake patients following consumption of a lignocaine solution. They have been used in morbidly corpulent patients, patients fitted with cervical neckbands, patients restrained in autos following MVA ‘s, and pediatric instances to call a few. They have besides been used as portion of a failed cannulation drill after direct laryngoscopy cannulation was non achieved. This proposal aims chiefly to present the Airtraq as the standard tool used by AV for cannulation, or neglecting that, as the following measure during a hard patient following the failed cannulation bore CPG before making for the cricothyroidotomy scalpel. Kind respects,BackgroundETI is an intricate accomplishment that requires pattern and apprehension in order to execute and keep the proficiency. To set up or keep a patent airway a soft plastic tubing is threaded past the patients vocal cords and into the windpipe. Different methods of interpolation apply and scope from necessitating general anesthesia or local anesthesia to none at all referred to as an awake cannulation. Currently cannulation in Ambulance Victoria is reserved merely for MICA officers due to the terrible reverberations if it is non performed right. However, it is a basis of advanced airway direction and indispensable in clinical scenarios where the patients air passage is compromised or oxygen bringing is imperative such as traumatic encephalon hurt. The accomplishment is non merely used in the prehospital scene but predominately in exigency sections worldwide which is where the bulk of our informations has been sourced from. Paramedics are invariably required to can nulate in less than ideal fortunes out in the field. Any device or tool that would be helpful in helping cannulation and consequence in fewer complications or troubles should be considered earnestly. Macintosh Laryngoscope ( Dimeda, 2009 ) Previous surveies show that paramedic pupils executing traditional Macintosh cannulations required extended preparation that may turn out to be financially unrealistic for an establishment ( Warner et al. , 2010 ) . The survey reported that in order to accomplish high success rates of first-pass ETI, drawn-out preparation plans and patient exposure was required. Whilst it was fortunate that the peculiar university carry oning the survey was attached to an adjoining infirmary, obtaining in-hospital patients to pattern upon may be far more ambitious for most other preparation plans and universities.So what makes the Airtraq different?The Airtraq is preponderantly based upon the Macintosh laryngoscope design. Both are long metallic blades aimed at making the groove channel to let for a good visual of the vocal cords. However the differences between the two designs and the subsequent positive consequences are good documented. AirtraqA ® Laryngoscope ( Enayah, 2010 ) There is marked curvature toward the tip of the Airtraq blade, ensuing in less manoeuvring and force per unit area during interpolation, hence supplying less opportunity of dental injury. More significantly, the in-built optical camera placed at the distal tip of the blade is designed to give the best possible position of vocal cords with the mini proctor built into the grip of the device. The two most common landmarks used during interpolation ( vallecula channel for Macintosh and epiglottis for Miller blade ) can both be used with the Airtraq, doing it a really various pick for those coming to work in Victoria from interstate of abroad ambulance services. There is the option of an extra radio proctor to give a larger image of the camera position and provides a docking station in instance charging is required. It besides integrates an anti-fog system to give the best opportunity at a clear position. Additionally the Airtraq is a individual usage disposable device that wholly cuts out any cross-contamination hazards that may originate due to improper cleansing after usage. A survey performed in the UK comparing proficiency of medical pupils with no anterior advanced airway direction preparation, provides cardinal grounds in favor of the Airtraq being used amongst ALS and MICA crew likewise. The survey compared a scope of state of affairss including normal air passages in supine place, left sidelong place, during cervical immobilization and in a pharyngeal obstructor scenario. They so evaluated the figure of cannulation efforts, figure of optimization tactics ( seting of the caput, bougie, helper ) , continuance of the cannulation efforts and dental injury caused ( Maharaj, Costello, Higgins, Harte & A ; Laffey, 2007 ) . Across the board there were better consequences recorded with the Airtraq – pupils stated it was easier to utilize, they had less trouble, cannulation times were shorter and tactics and incidence of dental injury were significantly lower compared to the Macintosh laryngoscope. The survey so went on to re-test the participants in 6 months clip in order to measure a â€Å" impairment in cannulation accomplishments † ( Maharaj et al. , 2007 ) . Consequences in favor of the Airtraq once more proved positive, frequently demoing about dual the success rate when utilizing the Airtraq. 90 % of Airtraq cannulations required zero optimization maneuverers compared to 50 % whilst utilizing the Macintosh. This information tells us that there is the possible to do ETI far easier and safer for paramedics whilst utilizing this tool compared to the current Macintosh laryngoscope. It so shows us that because of the design of the Airtraq, even if the medical practician has non used the device in a important clip, they are more likely to be able to cannulate right and rapidly utilizing the Airtraq. This would be wondrous good for those MICA staff that have n't performed ETI for a piece and are experiencing rusty. It besides shows possible that possibly in the hereafter, ETI could perchance be introduced to ALS paramedics provided a thorough and supportive preparation plan can be provided.Major benefits of the AirtraqAs the population becomes older, less active and increasingly more corpulent, new techniques and get bying schemes will necessitate to be devised to battle progressively hard cannulations. Taking patients that were undergoing bariatric surgery, a survey was performed to find the best manner in which to use the Airtraq in respects to way of interpolation ( Dhonneur et al. , 2007 ) . In mean leaden patients it is practical to utilize the standard method of laryngoscope interpolation without excessively many complications. However in morbidly corpulent patients a somewhat different method was developed to battle the extra fatty tissues barricading the throat. The blade can be inserted with the curve rotated 180A ° prior, so rotated into the normal pharyngeal place known as a contrary tactic. This process was shown to diminish cannulation times during the survey which is ideal and implies that the patient will hold the shortest clip possible in between oxygenation and airings with this method. Difficult cannulations including corpulent patients have been reported to take 4 times every bit long as standard cannulations ( Dhonneur et al. , 2007 ) so safely and efficaciously cut downing interpolation times is overriding when researching new methods and tools. An extended survey was performed to find if the Airtraq truly was every bit adept as it claimed to be when used in concurrence with patients that has suffered from spinal hurts and had later been fitted with cervical neckband. The survey was performed utilizing patients undergoing surgery whom had no anterior or current spinal injury. Alternatively motions between occipital and cervical sections were measured utilizing skiagraphy and the information was recorded in grades of angle ( Hirabayashi, Fujita, Seo & A ; Sugimoto, 2008 ) . Again, this research compared between the Macintosh laryngoscope and the Airtraq. Whilst both devices used did make some extension motion when cannulation was performed, the Numberss were still lower and in favor of the Airtraq. The research workers used the patients impersonal head place as the baseline figure and found that divergences in spinal angles were smaller, sometimes up to 40 % compared with the Macintosh. The article besides finished by saying that the troubles in go throughing a ET tubing down through the vocal cords utilizing a Macintosh blade ( being unable to put patient in the sniffing place ) would ask significant and accordingly, a important angulation of the laryngoscope ( Hirabayashi, 2008 ) . However in contrast the Airtraq has a built in counsel channel for weaving the ET tubing into the windpipe when cords have been adequately visualised. This would ensue in a decrease of motion bing less possible for spinal hurts caused by cannulation injury. Whilst old surveies had recorded and analysed the clip it took to execute cannulation with Airtraq ( Nowicki et al. , 2009 ) , this survey specifically showed scope of motion alternatively of clip and velocity.Discussion and DecisionThe information gathered in this proposal is designed to demo the board that the Airtraq device has superior effectivity when comparing cannulation consequences against the standard Macintosh laryngoscope. The curvature of the blade and camera make it far easier to visualize vocal cords whilst the patient is supine or even sitting. Cannulations performed were systematically faster and required fewer efforts than normal. The Airtraq system has proven it has a rapid acquisition curve with novitiates and professionals likewise being able to visualize class 1 cords rapidly, easy and still be far more effectual than the options at a ulterior day of the month after nothing exposure. The device has shown its ego to be the preferable tool when cannulating the corpulent or spinally immobilised. It was documented that the Airtraq did non raise blood force per unit area up by 50mmHg after cannulation unlike its Macintosh equivalent ( Maharaj et al. , 2008 ) . The Airtraq caused less dental injury and soft tissue hurt. Was suited and encouraged during hard cannulations state of affairss such as spinal hurts, corpulent patients, tissue hydrops These points and more are presumptively what a paramedic would look for in an cannulation tool if given the option. If given the pick between what is presently in usage and the easier, safer and more various option, the Airtraq appears to be a clear victor. Compatible with both IFS and RSI guidelines the Airtraq would comfortably steal into our presently used cannulation CPG ‘s and could potentially replace the Macintosh wholly. The possible cost factors at buying the disposable tool would hopefully be seen as secondary to its benefits for both the patient and the paramedic. Logistically buying the new device would hold to be determined informations exposing how many cannulations MICA performs on a regular footing. Using the Airtraq would potentially alter the manner we think about cannulation and let it to go incorporate into the ALS accomplishment set. More research would be required into uniting the Airtraq without the terrible paralytic drugs such suxamethonium used in RSI and whether it could be a possible option for ALS paramedics. Considerations for extra CPG information are included below. Airtraq by Prodol. ( 2010 ) Retrieved from hypertext transfer protocol: //airtraq.com/airtraq/portal.portal.action Dhonneur, G. , Ndoko, S. K. , Amathieu, R. , Attias, A. , Housseini, L. E. L. , Polliand, C. , & A ; Tual, L. ( 2007 ) . A comparing of two techniques for infixing the Airtraq laryngoscope in morbidly corpulent patients. Anaesthesia, 62, 774-777 Dimeda ( 2009 ) . Dimeda Surgical Instruments. Retrieved from hypertext transfer protocol: //www.dimeda.de/images/laryngoscope.jpg Enayah, A. ( 2010 ) . Emergency and Critical Care Solutions. Retrieved from hypertext transfer protocol: //www.al-enayah.com/Product.html Hirabayashi, Y. , Fujita, A. , Seo, N. , & A ; Sugimoto, H. ( 2008 ) A comparing of cervical spine motion during laryngoscopy utilizing the Airtraq or Macintosh laryngoscopes. Anaesthesia, 63, 635-640. Maharaj, C. H. , Costello, J. , Higgins, B. D. , Harte, B. H. , & A ; Laffey, J. G. ( 2007 ) . Retention of tracheal cannulation accomplishments by novice forces: a comparing of the Airtraq and Macintosh laryngoscopes. Anaesthesia, 62, 272-27. Maharaj, C. H. , Costello, J. , Higgins, B. D. , Harte, B. H. , & A ; Laffey, J. G. ( 2008 ) . Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased hazard for hard tracheal cannulation. Anaesthesia, 63, 182-188 Nowicki, T. A. , Suozzi, J. C. , Dziedzic, M. , Kamin, R. , Donahue, S. , & A ; Robinson, K. ( 2009 ) Comparison of usage of the Airtraq with direct laryngoscopy by paramedics in the fake air passage. Prehospital Emergency Care, 13 ( 1 ) , 75-80 Warner, K. J. , Carlbom, D. , Cooke, C. R. , Bulger, E. M. , Copass, M. K. , & A ; Sharar, S. R. ( 2010 ) . Paramedic preparation for adept prehospital endotracheal cannulation. Prehospital Emergency Care, 14 ( 1 ) , 103-108.

Friday, January 10, 2020

Sports Development Continuum

P1 describe three examples of the sports development continuum, from three different sports M1 compare and contrast three examples of the sports development continuum, from three different sports, identifying strengths and areas for improvement Sports Development Continuum Foundation: means the early development of sporting competence and physical skills (e. g. throwing, catching, and hand-eye co-ordination) upon which all later forms of sports development are based.Without a sound foundation, young people are unlikely to become long-term sports participants. Participation: refers to sport undertaken primarily for fun, enjoyment and often, at basic levels of competence. However, many very competent sports people take part in sport purely for reasons of fun and health & fitness. Performance: signifies a move from basic competence into a more structured form of competitive sport at club or county level, or indeed at an individual level for personal reasons.Excellence: is about reaching the top and applies to performers at the highest national and international levels The Golf Foundation reports that its adapted and competitive golf offering for schools is proving a big hit with teachers and pupils. The Foundation’s ‘HSBC Golf Roots’ programme in schools is gathering significant momentum in 2013, as 39 out of 46 County Local Organising Committees have selected an HSBC Golf Roots competition for the current academic year as part of England’s School Games curriculum.This high proportion is second only to athletics, and ahead of traditional school sports such as football, cricket and netball. Participation: refers to sport undertaken primarily for fun, enjoyment and often, at basic levels of competence. However, many very competent sports people take part in sport purely for reasons of fun and health & fitness. An example for participation would be SNAG golf. Performance: signifies a move from basic competence into a more structured form of competitive sport at club or county level, or indeed at an individual level for personal reasons.Elite: is about reaching the top and applies to performers at the highest national and international levels. Football Development Centre’s These centres can be found in 70 colleges across the country for players who are above average to compete with players of a similar ability. Here they work in an environment with people who can develop their progression to achieve their highest level of performance. Once players have reached a certain level according to the coaches they can be recommended to a school of excellence or academy. Players can attend these centres by invitation only.They would have normally taken part in a Local Football Development Scheme activity in the past. Liverpool Football Club have a talent development scheme starting from their under 10’s going up to under 19’s. †¢UNDER 10-â€Å"age of fun†. †¢UNDER 12-â€Å"age of techniqueà ¢â‚¬ . †¢UNDER 14-â€Å"age of understanding†. †¢UNDER 16-â€Å"age of competitive match play†. †¢UNDER 19-â€Å"age of professional preparation†. This is similar to the Long-term athlete development models devised by Istvan Balyi in 1990 following his work with the Canadian Alpine Ski team in the 1980’s.This was designed to help prepare players to reach the highest levels. It takes about 10 years of training to develop an elite athlete however they don’t need to train for 10 years in one sport. The LTAD state that playing more than one sport over the 10 years is part of the programme. This programme has 6 phases to it. It also helps prepare people for retirement to the sport. These 6 phases are then split into 3 areas: †¢Objective: what the athlete should be able to do at the end of the phase †¢Content: the activities contained within the phase Frequency: how often the athlete should train during the phase. Phase one- FUN damentals Objective: to learn fundamental movement skills. Content: overall development, focusing on ABCS (agility, balance, coordination, speed) to underpin the generic skills used in many sports (running, jumping and throwing). Frequency: perform physical activity five to six times per week. Phase two- Learning to Train Objective: to learn fundamental sports skills Content: Concentration on the range of FUNdamental sports skills, such as throwing, catching, jumping and running †¢Introduction to readiness – being mentally and physically prepared †¢Basic FUNdamentals tactics, e. g. if fielding, net/wall, invasion games can be introduced. (In net/wall games, players achieve this by sending a ball towards a court or target area which their opponent is defending. The aim is to get the ball to land in the target area and make it difficult for the opponent to return it) †¢Cognitive and emotional development are central †¢Skills are practised in challenging form atsFrequency: if there is a favoured sport it is suggested 50% of the time is allocated to other sport/activities that develop a range of skills. Phase three – Training to Train Objective: to build fitness and specific sport skills †¢Fitness training †¢Detailed mental preparation †¢A focus on sport-specific skill development, including perceptual skills (reading the game/tactical understanding †¢Decision making †¢Detailed and extensive evaluation Frequency: for the aspiring performer, sport-specific practice will now be 6-9 times a week Phase 4 – Training to CompeteObjective: to refine skills for a specific event or position Content: †¢Event and position-specific training †¢Physical conditioning †¢Technical and tactical preparation †¢Advanced mental practice †¢All of the above come together and are developed under competition conditions Frequency: training can be up to 12 times a week Phase 5 – Training to Win Ob jective: to maximise performance in competition Content: †¢Development and refinement of all the skills learnt already but with more use in competition modelling.More attention paid to rest periods and the prevention of injury due to heavier load. Frequency: training can be up to 15 times a week (some sports may stop at this phase as this is the highest competitive level) Phase 6 – Retainment For athletes/players retiring from competitive sport, many sports are developing Master’s programmes. An additional phase, â€Å"retainment†, keeps players/athletes involved in physical activity. Experience gained as a competitor can be invaluable, should they move into administration, coaching or officiating.

Thursday, January 2, 2020

Slavery Essay - 1104 Words

A slave is a tool, a total servant, a possession. Being a possession, a slave is required to total obedience to a master who has the power to do anything to a slave. Freedom means, to carry out one own choices, actions without coercion or constraint by necessity or circumstances. Fate often take a hand in the distillation of freedom. When this distillation occurs at weaker levels, benevolent slavery begins. A benevolent master usually receives gratitude from those slaves who are aware of their good fortune and will, in turn, work willingly. This form of slaves future is relatively certain, assured and predictable. Their offspring, born into a benevolent slavery, find the thought of freedom disturbing. Although freedom as an idea sounds†¦show more content†¦Knowing this, benevolent masters enact stern laws and sterner measures are taken to hold ambitious slaves in check, even killing impersonally to maintain control. The list of the dead, including Martin Luther King, Mahatma Gandhi, John and Bob Kennedy serve as example of a longer list of those who died ingloriously, marked by ridicule and scandal. They were inextricably linked with the above named people. Who are we, then? You, the reader, and me, the writer of this treatise-are we masters of our fate? Or are we slaves? If we assess our lives, the control over our movements, our schooling, our earnings, we might become aware that what we call freedom is actually, liberties. We have liberties. To me this means we are allowed to do things, within limits - we have limitations placed upon us by documentation, credentials, licenses, etc. We are, in all respects, not free. During the Hitler regime, a Jew was stripped naked and displayed for the amusement of Gestapo officers. One officer noted that the hapless victim still wore a wedding ring. The Gestapo officer pointed his pistol at the Jew and ordered him to take it off and throw it away. As the naked man removed his wedding ring, the last thing he had to bind him to his wife whom he loved and who had been killed a few days before in a gas chamber, the humiliated Jew had a sudden realization quot;They can take from me all the possessions IShow MoreRelatedSlavery And The Slavery Of Slavery Essay2080 Words   |  9 PagesThere has been an ongoing debate on whether Christianity condoned or condemned slavery. In this essay, I will discuss how slave owners used biblical context to uphold the institution of slavery. I will begin analyzing scriptures in the bible that pertain to slavery. It is in my belief that the Bible did not condone slavery in the way that slave owners upheld slavery. 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