Wednesday, March 18, 2020

Supermarkets in UK Essay Example

Supermarkets in UK Essay Example Supermarkets in UK Paper Supermarkets in UK Paper The normal way to buy food has changed dramatically over the last half century, with the small independent shops such as butchers, greengrocers, fishmongers and bakers which dominated the High Street in the 1950s disappearing and being replaced by the ubiquitous supermarket. Today, 60% of British shoppers purchase most of their groceries in one weekly shop. The growth of the sector over the last fifty years has been remarkable. In 1950 the multiple supermarkets represented just 20% of the food retail market. By 1961 this had risen to 27%; by 1971 to 44%. As the trend continued, a generation has grown up relying on the convenience and choice of supermarket food. Of course some independent retailers went out of business, but the consumer is king and consumers felt that the price was worth paying. But the price tag got higher. Between 1997 and 2002 more than 13,000 specialist stores around the UK including newsagents, Post Offices, grocers, bakers, butchers closed, unable to cope with the competition from the multiples. A recent study by the Institute of Grocery Distribution revealed that 2,157 independent shops went out of business or became part of a larger company in 2004, compared with a previous annual average of around 300 a year. Traffic congestion rocketed as more large stores were constructed out of town. Tales abounded of the negative impacts of low supermarket prices on farmers and food processors, whether the UK or abroad. By 2005 a mere 8% of food was purchased from the independent sector. Tesco and other supermarkets claim that their growth is occurring purely in response to the desire of consumers. Market structure The UK supermarket industry is led by the `big four (Times Online, 2009), Tesco, Asda, Sainsburys and Morrisons. Thus it can be defined as an oligopoly. In the 12 weeks to 29th November 2009 these four competitors accounted for 75.6% of UK consumer spending on groceries. The market average increase in sales over this period was 4.4%. Tesco hold an actual monopoly over the industry, with 30.7% market share. The industry is currently worth à ¯Ã‚ ¿Ã‚ ½146.3bn and is predicted to grow to à ¯Ã‚ ¿Ã‚ ½175.9bn by 2014 according to UK Grocery Retail Outlook 2009 Repositioning for Growth Market share The market in which Tesco operates is supermarkets. Although this is a highly competitive one Tesco holds a disproportionate amount of power. The figures below indicate that Tesco holds over a third of the market share, and even double the amount of Asdas market share, the second leading supermarket. Market share is the percentage or proportion of the total available market or market segment that is being serviced by a company (Wikipedia 2006). Bargaining Power of suppliers Supplier power is an important part of the Porters five forces model. Implications for Tesco are many. Supplier power is wielded by suppliers demanding that retailers pay a certain price for their goods. If retailers dont pay the price, they dont get the goods to sell. But large supermarkets, like Tesco, have an overwhelming advantage over the small shopkeeper-they can dictate the price they pay the supplier. If the supplier does not reduce the price, they will be left with a much smaller market for their produce. Bargaining power of buyers Buyer power also acts to force prices down. If beans are too expensive in Tesco, buyers will exercise their power and move to Sainsbury. Fortunately for Tesco, there are few other large supermarket companies. This means the market is disciplined the supermarkets have a disciplined approach to price setting. Discipline stops them destroying each other in a profit war. Threat of new entrants Tesco, Asda, Sainsbury and other supermarket chains put up considerable barriers to entry. For instance, Tesco may have cornered the market for certain goods; the new supermarket will not be able to find cheap, reliable suppliers. Tesco also has the advantage of economies of scale. Thus, barriers to entry as well as the possibility of sunk costs will help restrict the level of new entrants. Threat of substitutes Its more difficult for Asda to try to raise prices and make greater profits if there are close substitutes available at Tesco But, in some cases, customers may be reluctant to switch to another product even if it offers an advantage. Customers may consider it inconvenient or even risky to change if they are accustomed to using a certain product in a certain way, or they are used to the way certain services are delivered. Competitive rivalry Classical economics predicts that rivalry between companies should drive profits to zero. This is partly down to the threat of substitutes. For instance, Tesco has competition from companies like Sainsbury that can provide substitutes for their goods. This drives the prices of groceries down in both companies. Monopsony issues There has been growing concern over the monopsony power of the big four supermarket chains: Tesco, Asda, Morrisons and Sainsbury. Technically, none is a monopsonist because none is the sole buyer of a particular category of products. Tesco, for example, is not the sole buyer of soap powders or frozen chicken. However because of their size, the big four supermarket chains enjoy much greater buying power than smaller buyers. The OFT has investigated the grocery market on several occasions over the last decade. Researchers asked suppliers for their opinion on the level of negotiating power they felt they had with different retail customers. Their responses showed that they felt they had less bargaining power with the Big Four than with smaller chains and groceries. Supermarket chains argue that they provide value for money to their customers through the efficiency of their operations. Some evidence suggests that the supermarkets do not always pass on cuts in supplier prices. Controversially, between 201 and 2003 when many UK dairy farmers were either barely profitable or making losses, prices paid to them dropped when supermarket milk prices were still rising: Illustration of monopsonistic power in the UK retailing industry Summary of the Big Fours competitiveness The Big Four (Tesco, Asda, Sainsburys and Morrisons) have gained a combined market share of 75.9% by pursuing a hybrid low price strategy with perceived benefits. In recent years Sainsburys has moved towards a differentiation strategy by focusing on quality and has implemented a higher pricing structure. These competitors have diversified their product offering and sell a variety of non-food goods including, financial services, clothing, electrical goods, and DIY products. All four possess huge buying power and high economies of scale. Each has invested in own label brands, which have risen in demand during the recession. All four have prime store locations in out of town and inner city locations. Tesco have over 2,000 UK stores. Tesco have developed a number of store formats including Tesco Express, Extra and Metro. This allows Tesco not only to compete in the convenience market but also get around the rules imposed by the Competition Commission, restricting the number of stores Tesco is allowed to have in one area. In October 2009 the Competition Commission recommended the introduction of new tests that would make UK expansion more difficult for Tesco .This may prove problematic as Tescos like-for-like sales slowed in 2009 and profit increases are driven by new store openings. Asda Relocation to larger, out-of-town sites in the 1980s gave many supermarkets the additional space required for extending their non-food offering. Asda in particular, focuses on non-food sales, because its 400 stores are generally much bigger than its competitors. Some of Asdas non-food brands have been phenomenally successful the George clothing brand has helped the chains clothing sales to outstrip those of Marks Spencer. Asda is currently the only UK supermarket offering the facility to purchase clothing online, in addition to groceries and other non-food items. Asda does not offer a loyalty scheme and claims to invest in a strategy of everyday low pricing. Asda expanded into the South in 1989 by buying out Gateway superstores. Asda became a subsidiary of Wal-Mart (the worlds largest retailer) in 1999 and hence enjoys huge buying power. Sainsburys 830 UK stores are mainly located in affluent areas. Sainsburys have diversified from their superstore format into convenience stores (Sainsburys Local). Sainsburys is the only competitor within the top four that has the strategy of quality goods for a fair price. The other three are positioned as low price supermarkets. Sainsburys hope to double the customer base of its larger stores within five years by expanding its non-food range (TU clothing range is very successful) and branching out into the North of England and Scotland Morrisons have 420 UK stores and three distinct brand values: Fresh, Value and Service. These values provide the flexibility to react to market changes and consumer trends. Morrisons aim to offer more freshly prepared food than any other retailer and have more staff preparing food than any other supermarket. The retailer grew in strength and expanded into the South of England following the acquisition of Safeway in 2004. Unlike its closest rivals Morrisons decided not to enter the convenience store sector. Vertical integration is key to the retailers success; Morrisons own their factories, production facilities and distribution network. With these facilities Morrisons can get food to stores faster so that its fresher. Morrisons have invested heavily in training and their staff is highly skilled and know their trade. Level of contestability A contestable market occurs when there is freedom of entry and exit into the market. Thus there will be low levels of sunk costs. Thus, when considering the contestability of supermarkets it is important to consider the following points: Barriers to Entry Barriers to entry in the supermarket industry are obviously extremely high, due to the massive market share held by the four main UK supermarkets. Small food retailers can be assisted in their growth by the government, with incentives such as tax relief and grants. Economies of scale are the second important barrier to entry. In addition to the usual one, the UK grocery retail market has a special economy of scale arising from the substantial bargaining power which retailers enjoy over their suppliers, the manufactures of food and grocery product. Updating earlier analysis, it has been observed that the European new contracts, Aldi and Netto have some ability to defeat this barrier. Aldi enjoys a buying-power derived economy of scale advantage in the European countries in which it has a large market share. The third major barrier to entry, the shortage of unexploited store sites, is again one that European discounters may be able to penetrate. A preliminary analysis would suggest that the UK market should be a difficult prospect for a new entrant. Unexploited superstore sites are running out. Mintel 91 has an estimated saturation point for superstores in the UK at about 800, only around 150 more than the present total. Furthermore, a barrier of entry may present itself in the sheer amount of land that a store owns; in the case of Tesco which limits the amount of new entrants into the UK market Sunk Costs If Sunk costs are high this makes it difficult for new firms to enter and leave the market. Therefore it will be less contestable. In the supermarket industry, spending on advertising are an example of costs that cannot be recovered when the firm exits the market. High sunk costs are a constraint on the level of contestability. Level of advertising and brand loyalty If an established firm has significant brand loyalty such as Tesco, then it will be difficult for a new firm to enter the market. This is because they would have to spend a lot of money on advertising, a sunk cost, which as explained above reduces the level of contestability in a market Levels of Profit If a firm is making very high profit, this is an indication that the market is not contestable, because hit and run competition should enable new firms to enter and reduce the profitability. Each of the Big Four have seen their profit margins expand while Tesco and Asda have enjoyed abnormal profits continuously Pricing and non-pricing strategies The following section discusses how each firm operates in the competitive environment of the retail grocery industry. Tesco battles by expanding market demand, increasing market share and defending market share with strategies such as flank, pre-emptive or mobile. In return the main competitors Asda and Sainsburys are attacking the market leader by using offensive strategies such as frontal, flank or bypass, in order to gain market share. Tescos understanding of its customers as well as its strong defensive marketing strategies against competitors assure them the leading position in the market. The vast majority of both marketers and practitioners frame a stores pricing decision as a choice between every day low prices or deep but temporary discounts, labeling the first strategy EDLP and the second PROMO. The kinked demand curve theory shows us that firms would lose out if they changed their prices relative to other major players i.e. if the firm increases its price, it will lose out on market share due to an asymmetric response from other competitors. If he firm reduces its price, other competitors would lower their prices too so that very little extra demand would be generated. Successful implementation of EDLP may involve offering a deeper and narrower product line than PROMO, allowing firms to exploit scale economies (in particular categories), reduce their inventory carrying costs, and lower their advertising expenses. Article by Retail Week as at 21 February 2005: Tesco shows no signs of letting up its position of dominance in the UK grocery sector, according to the latest market share figures from Taylor Nelson Sofres. Other EDLP players, such as Asda and Morrisons, also enjoyed solid growth, but Sainsburys and Safeways share dropped. Tescos market share rose by 0.7 percentage points to 26 per cent year-on-year for the 12 weeks to February 2. Asdas share increased by 0.6 percentage points to 16.7 per cent for the same period, while Morrisons share rose by 0.1 percentage points to 6 per cent. In practice, firms can choose a mixture of EDLP and PROMO, varying either the number of categories they put on sale or changing the frequency of sales across some or all categories of products. Not surprisingly, practitioners have coined a term for these practices, hybrid pricing. What constitutes HYBRID pricing is necessarily subjective, depending on an individuals own beliefs regarding how much price variation constitutes a departure from pure EDLP. Because of the price rigidity, supermarkets have resorted to non pricing strategies as a means of capturing market share. Examples of non pricing strategy may include:   Traditional advertising / marketing   Store Loyalty cards   Banking and other Services (including travel insurance)   In-store chemists and post offices   Home delivery systems   Discounted petrol at hypermarkets   Extension of opening hours (24 hour shopping)   Innovative use of technology for shoppers including self-scanning and internet shopping services Legal issues concerning public interest As with any large corporation, the supermarket chain has been involved in lawsuits, usually from claims of personal injury from customers, claims of unfair dismissal from staff, and other commercial matters. Two notable cases were Ward v Tesco Stores Ltd, which set a precedent in so-called trip and slip injury claims against retailers, and Tesco Supermarkets Ltd v Nattrass, which reached the House of Lords and became a leading case regarding the corporate liability of businesses for failures of their store managers (in a case of misleading advertising). Criticism of Tesco includes disapproval of the effects supermarket chains can have on farmers, suppliers and smaller competitors; along with claims of generally poor labour relations with its staff concerning sick leave regulations. Accusations concerning using cheap and/or child labour in Bangladesh amongst other places have also arisen from Sainsbury. Asda and Sainsbury are among companies that have agreed to pay near record fines of 116 million after admitting they fixed the price of milk, cheese and butter between 2002 and 2003. The supermarkets claimed they joined forces to help raise the price of milk to farmers who were suffering badly from falling milk prices and the after effects of an outbreak of foot and mouth disease. In contrast, consumers had to pay an extra 3p for milk and 15p extra for a pound of butter. The total cost to consumers form the higher prices was 270 million. Tesco, Sainsburys and Asda, as well as Imperial Tobacco and Gallaher, were among those accused of increasing profits illegally by the Office of Fair Trading (OFT). Cigarette brands at the centre of the investigation include Embassy, John Player Special, Lambert Butler, Benson Hedges and Silk Cut. Tesco has been heavily criticized by the media in both the UK and Ireland among other places over its comparatively more ruthless and harsh business tactics compared to its rivals, all of whom stand charged, like Tesco, of bullying farmers to lower their prices to unsustainable levels. Waitrose was the only major supermarket to come out of this accusation relatively unscathed. Tesco has been subject to several claims of apparently out-of-date food being back-labeled to appear to still be in date, poor cafà ¯Ã‚ ¿Ã‚ ½ hygiene and a staff member contracting legionnaires disease in the Wrexham store. Tesco has been involved in the areas of employment law, personal injury, intellectual property disputes, and taxation amongst others.

Monday, March 2, 2020

Responding to a Racist Joke

Responding to a Racist Joke Comedians from Chris Rock to Margaret Cho to Jeff Foxworthy have carved out niches by making jokes about people who share their cultural heritage, but just because they play up cultural differences in their stand-up routines doesnt mean the average Joe should follow suit with racist jokes. Unfortunately, people try their hand at racial humor all the time and fail. Unlike the aforementioned comics, these people arent making humorous statements about race and culture. Instead, theyre dredging up racist stereotypes in the name of comedy. So how do you respond if a friend, family member, or colleague makes a racist joke? The goal is to make your point and exit the encounter with your integrity intact. Dont Laugh Say youre at a meeting and your boss makes a crack about an ethnic group being bad drivers. Your boss doesnt know it, but your husband is a member of that ethnic group. You sit in the room simmering with indignation. Youd like to let your boss have it, but you need your job and cant risk alienating him. The best response is to do and say nothing. Dont laugh. Dont tell off your boss. Your silence will let your supervisor know that you dont find his racially-tinged humor funny. If your boss doesnt take the hint and makes another racist joke later, give him the silent treatment again.   The next time he makes a non-racist joke, however, be sure to laugh heartily. Positive reinforcement might teach him the kinds of jokes appropriate to tell. Leave Before the Punch Line Sometimes you can sense a racist joke coming. Perhaps you and your in-laws are watching television. The news features a segment about an ethnic minority. I dont get those people, your father-in-law says. Hey, did you hear the one about the†¦ That is your cue to leave the room. This is arguably the most nonconfrontational move you can make. Youre refusing to be a party to racism, but why take the passive approach? Perhaps youre certain that your father-in-law is prejudiced against certain groups and has no intention of changing, so youd rather not fight with him over the issue. Or perhaps your relationship with your in-law is already tense, and youve decided that this battle is not one worth fighting. Question the Joke-Teller Youre lunching with an old friend when she launches into a joke about a priest, a rabbi, and a black guy entering a bar. You listen to the joke but dont laugh because it played on racial stereotypes, and you dont find such generalizations funny. You care for your friend dearly, though. Rather than make her feel judged, you want her to see why her joke was offensive. Consider this a teachable moment. Do you really think that all black guys are like that? you might ask. Well, a lot of them are, she answers. Really? you say. Actually, thats a stereotype. I read a study that said black guys arent any more likely to do that than others. Remain calm and clear-headed. Keep questioning your friend and offering facts until she sees that the generalization in the joke isnt valid. At the end of the conversation, she might rethink telling that joke again. Turn the Tables Your run into your neighbor at the supermarket. She spots a woman from a certain ethnic group with several children. Your neighbor jokes about how birth control is a dirty word for those people. You dont laugh. Instead, you repeat a stereotypical joke youve heard about your neighbors ethnic group. As soon as you finish, explain that you dont buy into the stereotype; you wanted her to understand what it feels like to be the butt of a racist joke. This is a risky move. The goal is to give the joke-teller a crash course in empathy, but you might end up alienating her if she doubts that your motive was to show her stereotypes hurt. Moreover, this isnt the nicest way to make your point. Try this only with thicker-skinned people you believe will respond well to having the tables turned. For others, youll likely need to be more direct. Confrontation If you have nothing to lose from a direct confrontation, go for it. The next time an acquaintance tells a racist joke, say that you dont find such jokes funny and request that he not repeat them around you. Expect the joke-teller to tell you to lighten up or accuse you of being too PC. Explain to your acquaintance that you think such jokes are beneath him. Break down why the stereotypes used in the joke arent true. Remind him that prejudice hurts. Tell him that a mutual friend who belongs to the group being stereotyped wouldnt appreciate the joke. If the joke-teller still doesnt see why this type of humor isnt appropriate, agree to disagree but make it clear that you wont listen to such jokes in the future. Create a boundary.

Saturday, February 15, 2020

Marketing strategy Coursework Example | Topics and Well Written Essays - 250 words

Marketing strategy - Coursework Example Until the end of 2013, almost 5oo million iPhones were sold. This clearly indicates that people want to use these mobiles, despite the fact that these gadgets are relatively expensive. Moreover, the company preferred to focus on the demands of its various customers, and it offers them with packages that suited their needs. In this regard one can find the company using Kohler’s advice. Philip Kohler is a reference when it comes to marketing; and according to him marketing is about creating genuine customer value, he further elaborates that selling the product does not complete the story, marketing campaigns must be designed in a way where customers become a priority over the services offered or products available(Armstrong, Kotler, Trifts, & Buchwitz, 2014; Hollensen, 2015). Mostly, marketing campaigns are product focused, however, from the point of view of Kohler; it needs to focus on the consumers (Armstrong, Kotler, Trifts, & Buchwitz, 2014). The market of cellular phones is perhaps one of the most rapidly expanding arena, and the competition among mobile brands is severe. It is always hard for the newcomers to come in and make their position. In this regard Apple turned out to be successful; it not only made its place, but also improved its ranking among the mobiles. There was a time when Nokia, Motorola, and etc. dominated the market, but today iPhone is one of the leading brands. Initially the company focused on people who were old customers of Apple, and later on the marketing strategy of the company entered the phase of expansion. Today, there are more iPhone has become one of the most sold brand of

Sunday, February 2, 2020

Globalization and Production Chain Essay Example | Topics and Well Written Essays - 4250 words

Globalization and Production Chain - Essay Example Globalization refers to the increasing universal connectivity and economic integration of cross-border activities in the corporate sector through removals of barriers of free trade and capital mobility. It has major impacts on the world in the financial, communal, cultural, political, environmental and technological areas. Globalization is a comprehensive term and it has a number of key concepts and theories concealed within it. The idea can perchance be better portrayed as an idle process built upon a number of sub-processes such as virtual corporations across physical borders, progress in information technology, elimination of cultural and physical barriers etc. that are increasingly shrinking the humanity into a global system constituting of a universal society. The best example of globalization is the internet revolution. Despite the level of importance acquired by the subject a standard definition is yet to evolve and a number of varied opinions dominated by the perceived merits of the concept are used to describe the all important the driving engine of the 21st Century. Globalization has been defined been defined with respect to various aspects of life some view it as the homogenization of cultures, norms, values and attitudes across transnational borders. While others consider it as the standardization of procedures, experiences and knowledge which may not only be limited to the corporate sector but even to other areas that impact an individual's life in current globally influenced society. On the other hand from an economics point of view globalization is considered to be the meeting of prices, products, wages, rates of interest and profits towards the developed country's standards. Notwithstanding the varying opinions the following attributes have been universally accepted to be associated with the impacts of globalization and whatever leads to any of the following results would be an aspect of the Globalization. People around the world are integrated and connected to each other while the physical distances have shrunken. This trend has been evident in the aftermath of the evolution of information technology. A convenient flow of information and capital throughout the globe. Goods and services manufactured in one country being easily accessible by the people living in other countries. The role of Multinational Corporations (MNC's) has been evident in this case. Communication and journey across the borders becomes a routine activity. All the above states characteristics can be easily identified in the current environment we live in. To maintain a Mercedes, wear a French perfume, to talk to friend in Australia, to be able transfer money from New York to London in a split second or to be roaming on the streets of Delhi within a couple of days are realities that have traveled through the dark roads of idealism and have blessed us by the virtue of globalization. A question then arises is globalization a feature of the 20th Century or its existence can be traced back further. The answer to this is that globalization has been a phenomenon that is as old as the human existence. Man has always tried to break down the shackles of physical frontiers and explore new horizons. From the time when human being first involved into barter trade till the undertaking of organizational activities through

Friday, January 24, 2020

How does homer use suspense to make the story of the ‘Odyssey’ more :: Classics

How does homer use suspense to make the story of the ‘Odyssey’ more exciting in books 13 to 21? To create suspense and tension in the story, Homer uses the aspect of disguise. When Odysseus lands upon the Ireland of Ithika, Athene gives him a disguise so that he will not be recognise by the suitors and killed. The first person he sees when he is on the island is a ‘herdsman of sheep.’ Who is really Athene she is in disguise, Odysseus, thinking she is a herdsman lies to her about whom he is, ‘I have fled, an exile, because I have killed the son of Idomeneus.’ His lie continued and although he lied about who he was it did have some truth in it, for example he says he went to Troy as a henchman, he did actually go to Troy so he’s not lying but he was a hero rather than just a henchman. ‘the goddess grey-eyed Athene, smiled on him and stroked him with her hand.’Athene is please that he lied she feels he showed metis and that it was the right thing to do. ‘yet you never recognized Pallas Athene, daughter of Zeus, the one who is always standing beside you.’ She reveals herself to him she gives him a disguise and advice, and the next person he meets is Eumaois the swine heard.’ There is a lot written about Odysseus and the swine heard I feel that Homer was digressing and intentionally delays Odysseus going home to create tension. Odysseus tells another lie, again to create the tension ‘ I announce my origin is from Crete, a spacious land.’ He does this using metis and to protect himself as he can’t allow anyone to find out whom he really is. The swineheard knows he is lying ‘nor spell me with your lies.’ This again makes the reader feel anxiety, in case he knows whom Odysseus really is. Homer keeps emphasising in the disguise, ‘beggar is better begging his dinner in the city.’ He is referred to as a beggar to really emphasis to the audience that, that is what he comes across as. Another thing that helps build up the tension is of Penelope weaving, as when she finishes she has to marry one of the suitors.’ Sitting back on a chair and turning yarn on a distaff.’ Things like this will appear in the text to make the reader nervous, about the time Odysseus is taking to kill the suitors; the delaying helps keep the tension. ‘The doe has brought her fawns to the lair of a lion.

Thursday, January 16, 2020

End of Life Care

Nurses’ Perceptions of End-of-Life Care After Multiple Interventions for Improvement Lissi Hansen, Teresa T. Goodell, Josi DeHaven and MaryDenise Smith Am J Crit Care. 2009;18: 263-271 doi: 10. 4037/ajcc2009727  © 2009 American Association of Critical-Care Nurses Published online http://www. ajcconline. org Personal use only. For copyright permission information: http://ajcc. aacnjournals. org/cgi/external_ref? link_type=PERMISSIONDIRECT Subscription information http://ajcc. aacnjournals. org/subscriptions Information for authors http://ajcc. acnjournals. org/misc/ifora. shtml Submit a manuscript http://www. editorialmanager. com/ajcc Email alerts http://ajcc. aacnjournals. org/subscriptions/etoc. shtml AJCC, the American Journal of Critical Care, is the official peer-reviewed research journal of the American Association of Critical-Care Nurses (AACN), published bimonthly by The InnoVision Group, 101 Columbia, Aliso Viejo, CA 92656. Telephone: (800) 899-1712, (949) 362-2050, ext. 532. Fax: (949) 362-2049. Copyright  © 2009 by AACN. All rights reserved. Downloaded from ajcc. aacnjournals. org by on February 11, 2010 Nursing Education in Critical Care PERCEPTIONS OF END-OF-LIFE CARE AFTER MULTIPLE INTERVENTIONS FOR IMPROVEMENT By Lissi Hansen, RN, PhD, Teresa T. Goodell, RN, PhD, CNS, CCRN, ACNS-BC, Josi DeHaven, RN, MPH, CCRN, and MaryDenise Smith, RN, CNS, ACHPN Background Nurses working in intensive care units may lack knowledge and skills in end-of-life care, find caring for dying patients and the patients’ families stressful, and lack support to provide this care. Objectives To describe nurses’ perceptions of (1) knowledge and ability, (2) work environment, (3) support for staff, (4) support for patients and patients’ families, and (5) stress related to specific work situations in the context of end-of-life care before (phase 1) and after (phase 2) implementation of approaches to improve end-of-life care. The approaches were a nurse-developed bereavement program for patients’ families, use of a palliative medicine and comfort care team, preprinted orders for the withdrawal of life-sustaining treatment, hiring of a mental health clinical nurse specialist, and staff education in end-of-life care. Methods Nurses in 4 intensive care units at a university medical center reported their perceptions of end-of-life care by using a 5-subscale tool consisting of 30 items scored on a 4-point Likert scale. The tool was completed by 91 nurses in phase 1 and 127 in phase 2. Results Improvements in overall mean scores on the 5 subscales indicated that the approaches succeeded in improving nurses’ perceptions. In phase 2, most of the subscale overall mean scores were higher than a desired criterion (

Wednesday, January 8, 2020

U.s. Equal Employment Opportunity Commission Essay

The U.S. Equal Employment Opportunity Commission (EEOC) holds the responsibility of enforcing federal laws that make it illegal to discriminate against a job applicant or an employee based on a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation, national origin, age (40 or older), disability and/or genetic information (U.S. EEOC, 2016a). The EEOC laws cover most employers with at least fifteen employees as well as labor unions and employment agencies (U.S. EEOC, 2016a). The EEOC has the ability to investigate charges of alleged discrimination against employees who are employed by organizations covered by the EEOC. The EEOC not only uses these investigations to protect alleged victims, they also use them as an education tool for organizations. The EEOC conducted an investigation based on racial discrimination in the EEOC v. Alliant Techsystems case, which was settled in 2012 when they paid the alleged victim in relief expenses. EEOC v. Alliant Techsystems The EEOC v. Alliant Techsystems case was settled in November of 2012, when Alliant Techsystems Inc. (ATK) agreed to pay $100,000 to settle the suit alleging that they violated Title VII (U.S. EEOC, 2016c). The case is one of a pretext for race discrimination under Title VII of the Civil Rights Act of 1964. ATK is a Minnesota based company that is one of the nation’s largest aerospace and defense manufactures (U.S. EEOC, 2012). The EEOC was bringing the case against ATKShow MoreRelatedThe History and Evolution of Title Vii and Its Amendments (Pda, Ada, Adea).895 Words   |  4 Pagesin the workplace. In 1943 Congress introduced the very first equal employment bill but it failed to pass both houses. Congress for the next twenty years introduced equal employment bills but they were either kicked by committee or died under the threat of Senate filibusters. 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