Author Archives: admin

Barriers to Effective Communication

Barriers to Effective Communication

What barriers to effective communication could occur with a health care professional colleague who is culturally diverse? How can these barriers affect patient outcome when effective communication is essential?

Language: Misunderstandings are common to people who speak the same language let alone those who speak different languages (Kaissi, 2008). One of the major issues when it comes to language barrier is the pronunciation or interpretation of some words. A word may mean two different things in different languages and therefore bringing a misunderstanding in the workplace.

Behavior: Behavior is also critical in communication in the work environment. Cultural differences in body language may also lead to miscommunications and therefore reducing the effectiveness of the team. For example in United states eye contact is critical when communicating to show that you are attentive but when it comes to Asia eye contact during a communication is considered a disrespect or challenging the authority (Kaissi, 2008).

Ethnocentrism: This is judging others according to the values or standards of their group. This hinder employee’s moral as it restricts their interactions with their colleagues. Sometime some cultures consider some personal issues private while others don’t and therefore disclosing this in front of colleagues could affect relationships.

What assumptions can you make about a healthcare professional colleague you do not know well? How can these assumptions impact your communication if your customs are different from your healthcare professional colleague’s customs and you do not understand their customs completely?

Language awareness: Most of the people think that everyone understands their language and therefore most of the time triggers the first communication. This could have an impact if some expects their fellow colleague to follow some steps or procedures given using a language they don’t understand as it could lead to errors.

Task execution capability: This mostly happens in operations or treatment cases where a doctor may assume that the nurses are aware of all the necessary tools and equipment needed to perform the procedure which might not be the case and therefore might cause confusion during the procedure. It is therefore important for the doctors to confirm that everything they need is ready before starting a procedure.

Rank or level in the medical facility: An assumption of a position of a colleague could also lead to communication issues as one may address their seniors in an inappropriate manner assuming they are in the same level. This therefore might lead to a rough kickoff at the beginning and therefore affecting the work relationship.

How can you overcome language barriers or make assumptions not based on facts to increase team unity and motivation? How important is it for you to take responsibility and improve your cultural competence?

The best way to overcome language barriers is trough setting a standard language in the work place that is known by all such that there will be an easy understanding by the employees (Ponte, 2011). This can also be overcome by doing some reshuffles after some time to make sure that there are regular interactions between people from different cultures for easy linkage and collaboration. Culture competences determine effectiveness of the employees as the way they link and associate contributes to the general output or group effectiveness at the end.

What specific language barriers can result when you communicate with a patient or a consumer who speaks limited English? How can you gather information or educate when language barriers are present?

Misdiagnosis: This might occur since such a patient may not be able to fully express their symptoms and therefore could read to misdiagnosis.

Misunderstandings: This mostly occurs when a patient is given a dosage to use or directed to a certain wing in the hospital. They might not understand the directions and therefore end up taking a lot of time to effectively go through the treatment process.

How do you adjust to conflicting values or traditions from patients in a specific religion or culture? For example, patients who are Jehovah’s Witness religion may refuse blood products or other religions may not eat pork. How do you adjust dietary restrictions communicating in a collaborative manner with the dietary department?

The best way to handle such an issue is to first have the basics about the religion or culture before addressing them. This is to reduce chances of going against their beliefs or cultures this could affect the relationship. As a nurse or a medical practitioner it is recommended that someone should be neutral and avoid chances of being driven by their culture or religion in resolving the patient’s issues as the might make them feel like their privacy is invades or they are not respected. In matters of dietary issues when dealing with Jehovah witness religion or other religions with some restrictions it is important to respect their beliefs and therefore address them differently. This is done by categorizing them and ensuring that they don’t interact or end up criticizing each other’s beliefs as this could affect their relationship.

What are the benefits of a healthcare organization to provide cultural awareness and training for each employee to better understand and accept others? Does your current or past organization provide cultural awareness training? If not, what will be your recommendation to your management team?

A successful healthcare organization is attained through teamwork. The goals of the healthcare must be in line with the goals of the medical team. It is also important for the employees to know how to relate with one another as they have diversifies views and cultures and therefore they can only work together effectively if they understand and relate well. Culture awareness training help people link and create standards in working together. This help in avoiding collusions and other issues that might act as cultural barriers and therefore affect the business. I have worked in several healthcare centers and the one I am working with currently have training sessions for the management and the employees on job relates issues and also the crosscutting issues in which they also deal with cultural awareness issues. This has greatly contributed towards promoting a peaceful relationship between the management and the other employees.





Kaissi, A. (2008). The role of nursing in bridging the gap between managers and physicians in hospitals. The Health Care Manager, 27(2), 113–117.

Ponte, C. D. (2011). Improving communication in the health care setting. American Journal of Health-System Pharmacy, 68(8), 666–667.

What is a Person?

What is a Person?

While biologists can manipulate all aspects of biological, genetic, and psychological make-up, this question can be best answered within the context of philosophical purview. The rationale behind such a declaration lies in the fact that ordinary language interchangeably uses a person and a human being. For example, biologists would refer to, “a persistent vegetative state” as a human being, yet they have ceased to exist. The aspect that they no longer exist may prompt the temptation to say that they are no longer persons. Another example occurs over the abortion debate on whether a fetus is a person or not. These are among the complex questions, which go beyond biology since they tend to be philosophical. The aspect of “being” refers to a persistent vegetative state, which may exist in something human, but that might not be a person.

There is evidence that some entities might be persons, but not humans. For example, some of the great apes such as gorillas had quite complex thinking capacities, are sophisticated enough to warrant them the classification as persons, though they are not human beings. The premise of this argument is that not all human beings are persons, and some persons are not human beings. The underlying assumption brings us to the fundamental question of what constitutes personhood. The traditional philosophy by Rousseau and Kant, from the book Cultivating personhood: Kant and Asian philosophy, examines the aspects of personhood not by describing how we are, but rather how we ought to be. In that regard, they concluded that personhood is defined by the autonomy of the human being. An autonomous being is one that acts for particular reasons, reflects on facts and their interests over time. One can argue, therefore, that an independent being is an entity, which has self-determination and can shape their lives by taking reasoned free choices.

The next question is whether substances such as alcohol and the law interfere with autonomy; the answer is positive. Actions, which one takes when under the influence of any substance, do not reflect the minimum level of autonomy, which defines personhood. Thus, treating someone as a person involves allowing them to exercise their capacity to act for reasons, as opposed to emotions or set rules. Conversely, human beings that are not autonomous in their decisions and actions are not worth to be treated as persons. Everyone agrees that there are reasons, which may make one not to treat another as a person, for instance in the prisons where waders try to make choices for the inmates. However, there are no general reasons for not recognizing the autonomy of individuals. Cloning amounts to external control of human independence hence the products are not persons but human beings with no free will. The natural being in many ways better than cloning creations and we cannot argue that the world would be better with them. The creation of super-humans, who do not pollute the environment or commit crimes depends on natural humans. Hence the argument that we could be better off without humans, who will not contaminate or do crimes, to me is invalid.

In conclusion, a person is defined by the autonomy with which an individual makes decisions on actions. The concept of personhood calls for independence and free will where one makes decisions and accounts for activities in an environment where there are no interferences. All persons are human beings, but not all human beings are persons. For instance, while prisoners, children, and slaves are human beings, we cannot consider them persons as they do not make choices regarding their lives freely and all their actions are controlled by waders, parents, and masters respectively.

I would just like to end this by a poem which I believe truly defines a person:

I am not my body,

My body is not me

I am not my mind

My mind is not me

I am energy,

That’s me

Why do we need a bureaucracy?

Why do we need a bureaucracy?

Top of Form

Your first weekly post should be made by Wednesday of the week (it is strongly encouraged to start on Wednesday, but Thursday is the latest). It should be intuitive and thoughtful. Of your next two posts (which are responses to other students’ posts), one must be done between Thursday and Sunday, and the third can be done on any day you wish. Thus: three posts on three different days throughout the week(for example, one post on Tuesday, one post on Thursday, and one post on Sunday). These responses to other posts should also be well-written and intelligent. The week closes on Sunday at 11:59 PM and you will no longer have access to the discussion.


Grading criteria: 1) You must post on 3 different days during the week for full credit. If you only post on 2, then you can only obtain 2/3 credit, on one day, then 1/3 credit. On any given day, you are certainly welcome to post multiple times. Keiser University uses this format to ensure that you are participating throughout the week, interacting with me and with your classmates. 2) You must post at least 150 words in each of your posts and 200 words in your first post including a reference. It is a good idea to write it in Word first, do a word count and list that at the end of your post. 3) While opinion can be important in politics, it needs to be an informed opinion–one that relies on our readings or discussions.

Post Length requirement Day requirement
First Post 200 words By Thursday (try to make it earlier, though) and include a reference
Second Post 150 words Between Thursday and Sunday.
Third Post 150 words Between Thursday and Sunday, but a different day than first or second post


Why do we need a bureaucracy?

In a time of fiscal restraint, politicians campaign on getting rid of “bureaucrats” who make government more inefficient and cost taxpayers more money.  However, is there a value to having public servants? What does a bureaucracy do?

After reading Chapter 14, name some reasons why a bureaucracy is detrimental to our political system and some reasons why a bureaucracy is a functional necessity to our political system. Please bring in information from your text to support your answer.

In addition, choose one federal or state agency in our government’s bureaucracy and describe its purpose. Is it effective in carrying out its purpose?

Bottom of Form


Argument Essay

Essay 3: Argument Essay
“Don’t raise your voice, improve your argument.” –Desmond Tutu
“Without contraries there is no progression.” –William Blake

Purpose: Write an essay that takes a clearly defined position on an issue. Make sure you take a position upon which reasonable people may disagree. Use at least two sources from the Chaffey Library databases to support your position and respond to possible objections.

Audience: At the most literal level, your audience for this piece will be your classmates and instructor. However, you should try to write a piece that engages and interests a wide readership. You should also take into account whether or not your audience is likely to be hostile, friendly, or ambivalent to your position, as that will change the way you write your essay.

Tone: The most important thing to remember when writing an argument essay is that tone matters. Cultivate a tone of respect. Remember, you are trying to persuade those who may disagree with you. While a passionate tone is desirable, avoid name calling or word choice that would alienate or offend your readers.

What you’ll be practicing:
-Reading and understanding arguments -Synthesizing others’ arguments
-Choosing convincing support for your argument -Responding to objections to your position -Strategically organizing your argument -Maintaining a passionate but civil tone
Things to keep in mind:
-Be sure that your position on the issue is clear
-You should have a position upon which reasonable people may disagree -Cultivate a tone of civility and respect
-Respond to the most relevant and pressing objections to your argument
-Balance your voice with outside sources

Source Requirement: You must include at least two sources from the Chaffey
Library databases or holdings. You are allowed to use other sources as well, but you must have two from our library.
A last word of advice: Be extremely careful when choosing a topic for this essay. Make sure that it appropriately narrow and be sure that you can respect those who may hold differing views. Beware of topics like abortion, the death penalty and euthanasia, topics which, all too often, students treat too generally or superficially to add any insight into their chosen posit

Global Food market or trade; innovation related

Topic (Global Food market or trade; innovation related)

Assignment Instructions

Annotated bibliographies (AB) have many uses. First, they provide a compilation of sources with intelligent commentary; meaning, that not only do you have a summary of the content of a source, but you also have some comment as to why the source is (or is not) of use.

Second, ABs provide a quick reference for useful definitions and key ideas (if you’ve done your job). Finally, ABs help to provide you an overview of the field so that you are not repeating work that’s already been done, but can make a genuine contribution (or at least get a better grade on your current project).

The purpose of compiling an annotated bibliography is to gain background information on the topic (innovation of Global food market or trade) and to prepare yourself to review the literature associated with your project. Your goal is to provide the context for your own research and credibility for your conclusions by finding out what other scholars say on the same subject.

You will need to include 8 sources total — at least 2 for each section

The components of an annotated bibliography are as follows:

  1. Title, bold and centered with innovation in italics:

Annotated Bibliography for the Innovation White Paper: Global Food market or trade

  1. Each entry:

1) APA-style reference (See Resources below.)

2) A short paragraph of 3-4 sentences indicating

  • the question or problem addressed by the article (the research question)
  • the method of analysis (the method)
  • the main outcome/thesis (the result or major idea)
  • the conclusions and/or recommendations provided by author/s.

3) Explicit mention of where your innovation is discussed –include page number, location on page (if relevant, useful), and quoted material (copy/paste is fine, must be in quotes, must have page number; may be a figure, and if so, include caption information as well).

4) In brackets, note how this source is useful to you; how will you use it in your innovation white paper? how does it relate to your other sources?

(innovation white paper is a future assignment, and this assignment is kind of like source research for innovation white paper )

An example is shown below. Note that for full credit, each entry must have all four parts as well as proper formatting.

***NOTE: Annotated Bibliographic entries from low quality sources will receive no credit.***Below is Example of title and ONE entry:

Suggestions for success:

  • Use only high-quality sources! Watch the lecture videos! If you’re unsure about a source, email your instructor.
  • Don’t use a citation maker. Look at the APA guide in the Appendix of your textbook or Purdue OWL’s site about APA style(Links to an external site.)Links to an external site.. Knowing how to build a citation will help you avoid mistakes later when/if you start using a citation maker. Remember, they’re only as good as the information that is input.




Content: (1) Sources are scholarly or high-quality trade. (2) Sources are recent (usually within the last decade). (3) Summary covers whole reading.


Organization and Coherence: (1) Each entry includes the citation, the summary, important information in quotations with page number, and note explaining the source’s usefulness and connection to other sources. (2) Organization should be consistent throughout.


Evidence and Support: Quotes are clearly related to explaining the innovation


Mechanics: (1) APA citation style is correct. (2) Page number is included for all quotes.


IMPORTANT! Plagiarism and academic dishonesty will not be tolerated. The penalty is failing this class and official notification of an Honor Code violation sent to the University. Copying is plagiarism! “Submitting a document or assignment which in whole or in part is identical or substantially identical to a document or assignment not authored by the student” is also plagiarism as defined by the  Honor Code (my emphasis).

Childhood obesity

Childhood obesity
The state of Florida is the fourth most obese state in the U.S for children aged 10 and 17 years whose obesity rate is 36.6% (State of Obesity, 2017). Therefore, the aim of this research is to establish the impact of childhood obesity interventions like physical activity on body mass index (BMI) of study participants aged 10 and 12 years. Childhood obesity has become a significant health and social problem, therefore prioritize heath education and promotion practices can help to build healthy families and communities.
Study participants for this research will be children aged 10 and 12 years from Miami-Dade County, Florida. The inclusion criteria for this study will be any child with a body mass index (BMI) greater than 85th percentile whose parents give consent to participate in the study. Children will be excluded if they were part of an obesity intervention/health promotion program as well as if the participants suffer any chronic medical condition or not obtaining consent from parents to participate. All study participants will come from one school what kind of school? Junior high? in Miami-Dade County since the study interventions will take place at the participant’s local school and family settings. Rationale for the setting? A total of 60 children aged 10 and 12 years will be recruited for this research either in the control group or the test group. In addition, 10 subjects have been added to the sample goal after considering a 10% attrition rate, as some participants may choose to not complete the study (Grove, Burns, & Gray, 2013). Therefore, my target sample size for this study will total 70 children.

Sampling Strategy
The sampling strategy for this research will draw upon purposive sampling which is a nonprobability sampling method and it will allow the researcher to focus on targeted group in line with research hypothesis and research question (Grove, Burns, & Gray, 2013). Moreover, engaging children’s parents and school will allow for childhood obesity interventions such as exercise, healthy diets and healthy lifestyles to be implemented in the test group in collaboration with children’s school and parents.
The BMI of all prospective study will be determined using guidelines provided by Centers for Disease Control and Prevention (CDC). Per CDC (2017), BMI is determined by dividing the weight of each study participant in kilograms by square height measured in meters. All prospective participants whose BMI is in the 85th percentile and over will be grouped together using purposive sampling by the research. The final sample will have 70 study participants whose BMI is in the 85th percentile and over. These will then be divided into control and test group for the purpose of the study.
Research Design
The research design for this study will be quasi-experimental design because it will allow the researcher to collect data from participant’s normal settings. Per Grove, Burns, and Gray (2013), quasi-experimental design allows for research respondents to divided into control and test groups and ensure that pre-tests and post-tests are carried out for all respondents. Therefore, the researcher will be able to collect data from both the control and the test group and use it to test research hypothesis. Furthermore, quasi-experimental design will allow for data to be collected from the same research participants for a period of one year while at the same time facilitating for childhood obesity interventions to be implemented at family and school settings. When you state that you going to collect over the course of a year that means you are changing the parameters of the quasi experimental study. Because you will most likely be following them and doing periodic measurements. What you should think about is conducting this study over a 3 or 6 month period to see if there is an effect on your proposed outcome. Instead of supporting your choice with statements from the textbook, support your choice based on how you will conduct your study.
Research Question
In children aged 10 and 12 years in Miami-Dade County, what are the effects of obesity interventions on a reduction in BMI of overweight and obese children in the intervention group compared with no intervention within a one-year period? There is no point in comparing to a group with no intervention because you are not going to gain anything significant from the data. You measure them before and after and chances are there will not be any change. So you really only have 1 group with a pre and post test method.

CDC. (2017). Defining childhood obesity: BMI for children and teens. Centers for
Disease Control and Prevention. Retrieved from
Grove, S.K., Burns, J., & Gray, J.R. (2013). The practice of nursing research: Appraisal, synthesis, and generation of evidence. (7th ed.) St. Louis, MO. Elsevier: Saunders.
State of Obesity. (2017). Childhood obesity in Florida. State of Obesity. Retrieved from

synthesis of sources

Your third writing assignment in WRTG 391 will be a synthesis of sources essay, often called a literature review.

Please watch video on WA #3 — approaching the synthesis of sources essay.  Then complete the following task.

Imagine that you are working for department within a large company.  The manager of your department is considering allowing workers in your department to telework, in other words, to work from home. 

However, your manager is not sure what to expect from this possible change.

She is not sure what the advantages, pitfalls, unexpected issues, etc. are of allowing teleworking. For example, she is not sure whether workers become less productive because they will be working from home and not supervised.  She also considers the possibility that workers will become more productive because they won’t have to worry about traffic and parking.  They won’t have to take large amounts of time off to get children to a doctor’s appointment, to see a doctor themselves, to take care of errands, etc.  It is possible that working from home will improve productivity. 

Other questions abound in her mind.  For example, how many days a week should the workers be allowed to telework?  Should they be limited to one day?  Two days?  Or should they be unlimited to telework as many days as they would like per week?

In addition, she is not sure if everyone should be allowed to telework or if perhaps only people in certain positions should be allowed to telework.  For example, she knows that the janitor cannot telework.  His job could not be done at a distance.  But some individuals could telework, as their jobs involve meetings and other functions that could be accomplished at a distance.

Overall, your manager is somewhat at a loss on this issue. 

Your manager has asked you to review the literature on teleworking.  She has asked that you submit a literature review to her next month on the topic of teleworking.

From what you have gleaned in this class about what a literature review is, what is your manager asking you to do?

  • Does she want a proposal that supportsa new teleworking arrangement?
  • Does she want a persuasive paper that takes a stand againstteleworking?
  • Or does she want something entirely different from those two options?


Please give your answer in a paragraph of 5-10 sentences.

error: Content is protected !!