Madeline Leininger Article Example | Topics and Well Written Essays - 750 words

Madeline Leininger - Article Example Transition from a graduate nurse to a professional nurse and to a member of a nursing unit is areas of learning different norms, behaviours, and values that a nurse has to undergo. Negative impact on the workplace environment, patient outcomes, and collaboration are the main outcomes of lack of diversity awareness, sensitivity, background knowledge, and individual appraisal and according to the article. The article concludes by calling for the promotion of multicultural workplace competence in accordance with legal and ethical principles to avoid being charged with negligence and malpractice. Measures for improving cultural competence provided in the article include cultural training orientation and in staff meeting at a health care centre, invitation of guest speakers to tackle cultural issues and competence, and payment of tuition fees for nurses to undertake transcultural nursing and competence classes. Essential elements for the provision of multicultural workplace competence are caring, on-going, multidimensional, proactive, ethics, trust, education, networking, confidence, and evaluation. The article begins by providing a background on the need for multicultural healthcare provision and the changes that have been witnessed in the provision of culturally competent health care in the last 30 years. The need for the provision of health care that respects different cultural backgrounds, values, and culture is emphasized in the article. The article calls for the use of transcultural nursing models by nurses in getting acquainted with society’s cultural structure and its evaluation. The models advocated use by the article include Leininger’s theory that forms basic practice but has been refined, changed, and modified by other modelists including Purnell, Campinha-Bacote, Ginger, and Davidhizar whose theories’ applicability are discussed in

Is There a Smarter Way to Approach IT Governance Case Study

Is There a Smarter Way to Approach IT Governance - Case Study Example The Weill and Ross model of IT Governance has the following governance styles: Business monarchy, IT monarchy, federal system, IT duopoly and anarchy. Under business monarchy, it is the business executive, or a group of business or group of business executives including the CIO, makes all the IT related decisions for the enterprise. In an IT monarchy, those decisions are made by an Individual IT executive or group of IT executives. In a federal system, the C-level executives and business representatives for all the operating groups collaborate with the IT department. This is equivalent to central government and the states working together. In IT duopoly, a two-party decision making approach which involved IT executives and group of business leaders representing the operating units.1 In a feudal system, business unit or process leaders maker separate decision on the basis of the unit or process needs. The most decentralized is anarchy, in which each individual user or group pursues his or her own IT agenda.2 The five decision areas the need to have an organizing model as basis for deciding where a company should adopt a centralized, decentralized or hybrid approach. Another area I on investment as to know what should the company invest into including of course amount to invest. Another area is on architecture as to guide a company’s emphasis whether it is stability or flexibility. Determining the degree of applications to be externally purchased or internally developed and deciding whether on the kind of ERP application whether single or multiple applications. The fourth area is on standards, to help a company decide which components of technology it should standardize and the level or kind of standards to adopt. The last area is on resources to be utilized and finding source of these resources Based on the foregoing, Alcan appears to