Saturday, August 31, 2019

Pragmatism, Empiricism and David Hume Essay

Pragmatism is based on the philosophy that ideas must be tested and re-tested, that experiences dictate reality. Pragmatists also believe in no absolute truths or values existing. David Hume argues that, â€Å"no proof can be derived from any fact, of which we are so intimately conscious; nor is there anything of which we can be certain, if we doubt this† (Treatise 2645). Hume’s empiricist ideals were roots to early pragmatic thought, by way of the theory that, in our reality, nothing is certain and everything that can be sensed must be constantly qualified to find a place in reality. Hume’s position on our experiences deciding our veracity follows the school of pragmatism by staying away from any conclusive ideals. Thus, his angle on empiricism melds with pragmatism on the level of determining one’s self’s existence. Similar to Descartes, he explains that even, and more often than not as per constant perception, metaphysical experience can mold one’s identity. â€Å"And were all my perceptions removed by death . . . I should be entirely annihilated, nor do I conceive what is farther requisite to make me a perfect nonentity† (2645). Based so heavily in perception, he further deduces that when â€Å"insensible during sleep† and all perception of environment lies dormant, existence may halt (2645). Hume speculates most closely on miracles and opens his essay with the stance that, â€Å"A miracle is a violation of the laws of nature . . . the proof against a miracle, from the very nature of the fact, is as entire as any argument from experience can possibly be imagined† (Enquiry 2647). He continues throughout his essay, supporting his claim and also breaking down Christianity, highly-based in such phenomena, proving the impossibility of the existence of miracles. This trend is something a pragmatist would argue against, firmly believing in there being nothing absolute. Yet, despite his resistance he concludes, â€Å"whoever is moved by faith . . . is conscious of a continued miracle in his own person . . . and gives him a determination to believe what is most contrary to custom and experience† (2650). This statement, although a bit contradictory to his thesis, appeases to pragmatist thought, allowing for an explanation to those who are still determined to believe in miracles and the like and allows for them to own an identity under his definition. It is at this end where his level of pragmatism veers from Charles Peirce to William James’ end of the spectrum. Hume’s doctrine, were it truly classified as pragmatism, is all-encompassing and goes beyond pure knowledge shaping the self. Hume utilizes experiences of every kind as an influence in reality’s perpetual state of progress and even further takes on the pragmatist protocol by denying religion that believes in an all-knowing entity. This Agnostician point-of-view is what further fuels Hume’s philosophy and persists in categorizing him as a pragmatist. In his efforts to liken the mind to a theater he breaks down identity to a simplistic nature. â€Å"The mind is a kind of theater, where several perceptions successively make their appearance: pass, re-pass, glide away, and mingle in an infinite variety of postures and situations† (Treatise 2645). Hume believes all concepts to be greater, complicated and more intricate combinations of simpler forms. Like individual ingredients baked into a cake, everything can be broken down into smaller, easier to understand parts. These many pieces or ideas fit together to create perception and thus, identity which is constantly evolving, finally leading to pragmatism. Hume would likely have subscribed to such a school of thought, the more developed formula. It seems, though, that he had the roots within his empiricist theories and the continuing progress would have led Hume down that path.

Breath Right Essay

â€Å"When we first began marketing this product, what was so gratifying, particularly as a physician were the literally thousands of letters and phone calls we would receive talking about how much better people slept at night. Almost all the letters began with â€Å"thank you, thank you, thank you!† Just three thank you’s. It was, I haven’t gotten a good night’s sleep like this in 10 years.† What is Dr. Dan Cohen, CEO of CNS, Inc., talking about? Its Breathe Right ® nasal strips, the innovative adhesive pad with a small spring inside that, when attached to the nose, pulls the nasal passages open and makes it easier to breathe. Since its introduction in the United States, Breathe Right strips have been coveted by athletes hoping to improve their performance through increased oxygen flow, snorers (and more often, snorers’ spouses) hoping for a sound night’s sleep, and allergy and cold sufferers looking for relief for their stuffed noses. The Breathe Right ® strip was invented by Bruce Johnson, who suffered from chronic nasal congestion. At times he would put straws or paper clips up his nose at night to keep his nasal passages open. After tinkering in his workshop for years, he came up with a prototype design for the Breath Right ® strip. He brought the prototype to CNS, which was in the sleep disorders diagnostic equipment business at the time. Dr. Cohen knew instantly the market for the strips would be huge. After the products received Food and Drug Administration (FDA) approval and became successful in the market CNS divested its other interests and went to work marketing the strips full time. Being a small company, CNS did not have the budget to launch a large-scale marketing campaign. But it got the break it needed when Jerry Rice, the wide receiver for the San Francisco 49ers won the 1995 Superbowl. The entire nation became aware of the product overnight, and demand for the strips increased dramatically. An indication of this national awareness was discussion on TV talk shows and even appearances of the strip in cartoons. The problems that the Breath Right ® strip solves – snoring, congestion – are not unique to the US population. Also, with the media being so global today, people around the world were seeing US athletes wearing the strip and wondering how they could get their noses on some. CNS decided to take Breath Right ® international. But because it was still a relatively small company and had no experience in the global market place, it opted to take on a distribution partner that had extensive global outlets already in place as well as the ability to market the product abroad. 3M, makers of such products as Post-It notes and the leader in stick-to-skin products around the world became the international distributor for Breath Right ® strips. David Reynolds-Gooch, International Business Manager at 3M, explains that the strips fit in well with 3M’s existing adhesive line of first-aid products and are sold in channels with which 3M has extensive leverage: pharmacies, hypermarkets and food markets. 3M agreed to take control of all the marketing and communication responsibilities in addition to the distribution in return for a percentage of the sales revenue of the strips. The strips are â€Å"co-branded† in the international markets. The packages say both Breath Right ® and 3M. 3M introduced the Breath Right ® strip in Japan, and then it was rolled out in Europe, and now can be found in more than 40 countries from Australia to South America. 3M used a similar approach to that used by CNS in the US. Create awareness during the introduction phase through public relations – sports related and otherwise. â€Å"The first year we had incredible PR success† remembers Reynolds-Gooch. â€Å"We believe we got about $14 million worth of free TV, radio, and print time around the world.† This was done through such tactics as having the South African rugby team wear the strips while it won the World Cup of rugby and having pulmonologists and breathing experts describe the benefits of the product on talk shows in Japan, Australia, Europe and Latin America. CNS quickly discovered some major differences in marketing the product here and abroad. For instance, as Gary Tschautscher, Vice President of International Marketing at CNS explains. â€Å"In the US, we positioned and distributed the strips as part of the cough/cold category of products. As we rolled it out internationally, suddenly we realized in some countries that section in the store doesn’t even exist. So where do you position your product?† Additionally, says Reynolds-Gooch. â€Å"There really aren’t many large drug chains or pharmacy chains. The stores are independent in most countries by law. So what that means is you have to go through multiple layers of distribution and ultimately we were able to influence the pharmacist because of the other products 3M distributes in the stores. Finally, there is no couponing in most countries in the world. That vehicle for inducing trial of a new product is not available, and hence a lot more in-store sampling is nee ded. Both CNS and 3M face some issues for the future as Breathe Right strips gain in popularity around the globe. While the athletic segment of the market gets most of the publicity, the snorers are the bulk of the market for the strips internationally. Reynolds-Gooch has identified creating heavy users – those who use the strip every night – as the most important marketing point for the future, ahead of people with seasonal colds or allergies. Also, many of the markets that have been identified as â€Å"hot† new markets throughout the business community may not be appropriate of the Breath Right ® strip. For example, Latin America and Asia (especially China) are emerging markets with steadily increasing income levels and large populations, but the average age in these countries is under 30, and people under 30 typically do not have snoring problems with the frequency that older people do.

Friday, August 30, 2019

Disorderly Sleeping

Disorderly Sleeping Ethane Mesa-Morale's Franklin University Morning person? Night owl? Something in between? When are you at your best? Vie found that no matter the hour of day, I am the best me I can be after a good nights' sleep. Sleep a wonderful state of unconsciousness after shopping at the mall with a four year, a five year old, a six year old, and a 7 year old. Let's face it for some of us sleep is a luxury, better than a day at the spa, but the reasoning behind sleep and the various disorders, damages and wonders it can cause are a mystery to even the brightest scientific minds.What do we really know about the all-powerful world of sleep? We know that we should sleep at least 8 of every 24 hours. We know that there are 24 hours in a day and we know that it takes the earth 24 hours to rotate. (Rather, 100) Coincidence? I think not. The earth turns too circadian rhythm or cycle that is connected with the twenty four hour period of the earth's rotation, but we don't know why. F or now this remains one of the great mysteries of the universe, literally. So, what happens when we sleep? During most of our day, we are awake, conscious of the world around us.Once a body realizes it is tired, the natural reaction is to relax. As our bodies begin to get drowsy our consciousness or awareness begins to slip away into the unconscious state of sleep. We are then in whole new world. One where there are five progressive stages of unconsciousness. Four stages of NORM (non- rapid eye movement sleep) and ERM (rapid eye movement) sleep. In stage one of NORM, our bodies assisted by slowed brain waves that create a theta pattern, which have a frequency of about 6 to 8 cycles per second and are accompanied by slow, rolling eyes.Stage one is the lightest stage of sleep, and could also be considered dozing. In stage 2 of NORM sleep, brain waves slow Just a bit at 4 to 7 cycles per second. Stages 3 and 4 are considered the deep sleep stages and produce brain waves called delta th at cycle approximately 0. 5 to 2 times per second. (Rather, 101) It is at this time when it gets interesting. One would think after stage 4, there would be a transfer into ERM sleep, which is said to be the deepest sleep of all. This doesn't happen.The cycle is then reversed and from stage four we go cycle back though stages 3, 2, and 1. Upon returning to stage 1, we then fall into ERM sleep. Therefore it would be logical to conclude that while ERM sleep is much deeper than stage 1 sleep, the brain waves are extremely similar. The difference here would be in the amplitude of the brain waves and the rapidity of eye movement. During ERM sleep, our eyes tend to dart around rapidly as if searching for something lost that is urgently needed. Earlier we determined that sleep is necessary to function at 100%.Unfortunately, there are problems related to sleep that can interfere with our ability to function at inability to fall asleep or stay asleep, narcolepsy also, known as sleep attacks, pane, sleep terrors, bed-wetting and sleepwalking. Insomnia is a common sleep disorder affecting approximately 2/g's of adults each year. Pane is a sleep disorder in which an affected patient stops breathing often several hundred times a night. Sleep terrors are similar to nightmares but are extremely terrifying and interrupt sleep. Both bed-wetting and sleep-walking are both thought to end with maturity although, have been known to happen well into adulthood.Narcolepsy, while being a sleep disorder does not happen while you are asleep, instead it makes you fall asleep suddenly with no warning while you appear to be wide awake. It is a dangerous disorder and can cause various accidents including loss of life or limb. It is said that Abnormalities in the hypothetic system may be responsible for the daytime sleepiness and abnormal ERM sleep found in narcolepsy. (Chunk) It can often go undiagnosed or misdiagnosed for years delaying treatment and preventing a cure. Once it has been corr ectly diagnosed, Amphetamines can be used in treatment.It is also suggested that regular exercise and exposure to bright eight be used for alertness in combination with alertness medicines prescribed by a physician. Sleeping disorders come in all shapes and sizes, and affect the smallest of children to the oldest of adults. For example, currently the sleep disorder in my family, and that of many families with young children is befitting. My son, who is four, Just can't seem to get up and get to the bathroom in time. The remedy in our house at the present time is to attempt to wake him up around 2 or 3 in the morning, unfortunately we don't always get to him before, well the you know, happens.Previously Vie had issues with sleep pane due to a medication given to me in the hospital. I was constantly monitored by nurses, who would constantly wake me to give me breathing treatments. Fortunately, insomnia is not a non-issue until about 7 am on Saturday and my darling devils decide it's t ime to play, but I suppose that form of insomnia is not a disorder. References Rather. S. A. (2011). Psych 1 10: Franklin University. Mason, Ohio: Coinage Learning Chunk,J. P. (2010). Narcolepsy. Retrieved from http://www. Medicine. Com/ narcolepsy/article. HTML

Thursday, August 29, 2019

Human Health and Environment Assignment Example | Topics and Well Written Essays - 1250 words

Human Health and Environment - Assignment Example In 1793, more than 5000 Americans died as a result of the yellow fever epidemic which started in Philadelphia. (Murphy, J., 2003) There are an estimated 200,000 cases of yellow fever, causing 30,000 deaths, worldwide each year. (Yellow Fever, 2009) On the other hand, The World Health Organization’s Guidelines for the treatment of malaria (2010) has reported an estimated 863,000 deaths in 2008 due to malaria. Still another similar factor yellow fever and malaria share is that they almost have the same symptoms. Both diseases make the victim feel feverish and body ache. Conversely, yellow fever can be different from malaria, too. Firstly, where malaria has a cure thanks to the medicine quinine (Agosta, W., 1997), there is only a vaccine for yellow fever and a cure dependent on the resulting illness manifested by the patient. (Hayes, J.J., 1858) The said vaccine was discovered by Max Theiler in 1937. (Monath, T., 2010) Secondly, the incubation fever for yellow fever is only for 3-4 days, malaria victims only show signs of the symptoms after 7 to 30 days. (WHO, 2010) Last but not the least, while yellow fever has mostly affected people in Africa and Latin America, deaths and cases of malaria are in sub-Saharan Africa. (WHO, 2010) 1.b) A mosquito’s bite causes malaria and yellow fever. Since North America goes through the winter season, egg production stops and there is no drive for the female mosquito to take blood meals. (Humphreys, M., 2001) Because there is no need to bite humans for blood, these diseases are not threats in North America. 1.c.) No single country in sub-Saharan African has shown a substantial decline in malaria, according to WHO’s Africa Malaria Report 2004 (Crowe, S., 2003) This can be attributed to two things: Africa is a tropical country and a poor one at that. Tropical countries only have two seasons: sunny and rainy. Inasmuch, the climate in tropical countries can be warm, humid or cool.

Wednesday, August 28, 2019

International Criminal Justice Essay Example | Topics and Well Written Essays - 4750 words

International Criminal Justice - Essay Example There are no guidelines that can serve societies that have endured a governing process that included crimes against humanity and gross abuses f human rights, but that is currently making a democratic transition based on constitutionalism and respect for the individual. Fashioning an appropriate approach is rendered more difficult to the extent that the former regime voluntarily gave up power as part f a bargain with the democratic opposition, and yet remains on the scene, even continuing to control the armed forces and internal police apparatus. The Southern Cone countries f Chile and Argentina pose this challenge in its sharpest possible form, but the same type f issue is posed for many other countries, including South Africa and several Central American countries. The complexity f this challenge has been widely revealed over the course f the last year or so by the controversy surrounding the arrest f the former Chilean dictator, Augusto Pinochet. At issue most fundamentally is whether international standards governing the accountability f leaders takes precedence over the implementation f a national bargain in Chile, giving Pinochet effective immunity, and even a position f Senator for Life. Extending law to govern crimes f state has more generally resurfaced in this period as a result f the end f the Cold War, and even more so, the human abuse arising from the break-up f the former Yugoslavia during the course f the 1990s. For one thing, a special criminal tribunal has been established at The Hague with authority over such allegations, as well as a parallel effort arising from the genocidal events that occurred in Rwanda in 1994. As well, through a transnational coalition f NGOs in collaboration with a series f governments, the Rome Treaty was signed in 1998 with the goal f establishing a permanent international criminal court. (Dammer 2006, 100-102) How can we explain this resurgence f intergovernmental interest in criminal accountability for political and military leaders acting under the authority f their respective sovereign states The impulse to impose such responsibility originated in a half-hearted way after World War I, with the Versailles Peace Treaty recommending a criminal prosecution f Kaiser Wilhelm and a duty for Germany to carry on against lesser figures in a special court established at Leipzig. These initiatives came to nothing, the Kaiser finding asylum in nearby Holland, and the Leipzig trials exhibiting Germany's lack f political will to punish its own nationals. International involvement between nations is not new. (Grotius 1853, 1-7) The twentieth century, however, has seen an incredible increase in the number and variety f international organizations, including the failed League f Nations f the 1920s, other post World War I agreements, and the United Nations and Bretton Woods agreements following World War II. The second half f the century has seen a virtual explosion f governmental and non-governmental organizations operating in the world arena. (Weigend 2002, 1232-1242) Despite the phenomenal growth f international cooperation and interdependence, the world is increasingly less humane. Conflicts generating Nazi-like atrocities have increased since the end ÃŽ ¿f that regime, (Brown 1999, 10-11) as exemplified by ethnic conflicts in Rwanda, Bosnia, Indonesia, Sierra Leone, and Kosovo.  

Tuesday, August 27, 2019

Capital Structure Pre and Post Global Financial Crisis Dissertation

Capital Structure Pre and Post Global Financial Crisis - Dissertation Example When debt financing is concerned, it includes borrowing from the banks, financial leasing, and bond issuing in the bond market. Equity financing mainly constitutes the retained earnings and issuing of additional shares in the stock market. Capital structure has its own importance in a company. There are primary two reasons supporting this fact. Firstly, debt and equity having differences in the costs, in the interest rates, and the required rates of return, there arises a need have an appropriate combination of debt and equity that can maximize the value of the firm by reducing the total cost of the company. This is achievable through the capital structure of the company (Broyles, 2003, pp.303-304). Secondly the knowledge and understanding of capital structure proves important since the borrowing of capital has an influence on the financial risk of the firm. The volatility of the net income or earnings per share of a company increases with the interest payments that represent additio nal fixed expenses for the company. This in turn increases the payment of interests on the issuing of bonds. The cost of equity capital also increases in the stock market as a result of borrowing. All these factors might eventually lead a company to financial distress or risk that leads to the increasing need for an appropriate capital structure (Broyles, 2003, p.304). ... primary aim of the study is to evaluate the capital structure of firms in the UK before the global economic crisis in the years around 2007 and after the financial crisis in the years 2011 or 2012. In order to achieve the above mentioned aim of the study, the following objectives have been considered: Review theories on capital structure in order to determine how it might change during a period of prolonged recession and liquidity crisis. Compare and contrast the capital structure of public UK companies in 2007 and in 2011/2012. Evaluate the extent to which any changes in capital structure are due to the ongoing global crisis. Capital Structure: An Understanding towards the Effect of Economic Crisis: There are four basic theories related to capital structure of a firm. These are: Net Income Theory of Capital Structure: This theory stresses on a firm’s ability to choose a capital structure where the level of share capital or equity is less than the debt of the firm. This helps a firm to increase its market value and thus decrease the weighted average cost of capital of the company. If the content of the debt in the capital structure mix is high, it is referred as financial leverage increasing which increases the value of the firm (Theories of Capital Structure, 2010). Thus it can be understood that when there is an economic crisis prevailing in a country, the availability of the debt reduces that affects the ration of the debt to equity and hence the capital structure of a firm would alter as a result. Net Operating income  Theory of Capital Structure: According to this theory, the concept of increasing financial leverage does not exist. It believes that changing the capital structure of a firm does not bring any change in the overall financial cost and value of the

Monday, August 26, 2019

Evolution and Triumph of Roman Civilization Research Paper

Evolution and Triumph of Roman Civilization - Research Paper Example Initially, the Roman civilization had a leap from a monarchy to an aristocratic republic and later into a Roman empire. â€Å"During its twelve-century history, the Roman civilization shifted from a monarchy to an oligarchic republic to an immense empire† (â€Å"History of Rome†). This paper will mainly focus on the distinct religious, political, military, economic, language and artistic structures of Roman civilization, which were the main factors that acted as the effective pillars in building up an effective empire. While focusing on the religious structure of the Roman civilization, it emerges that it mainly resembled the Greek gods. The religious practices of the Romans can be divided into three main phases. The first phase of the religious structure encompassed the three main gods namely Jupiter, Mars and Quirinus collectively known as Archaic Triad. The intervention of Greek influence in the Roman religion ultimately led to the transformation from the Archaic wor ship to more Greek dominated Captioline Triad. In this way of worship, Mars and Quirinus were replaced by Minerva and Juno. Next came the third phase, during which there was gradual diminishing of the triad worship, which was further accentuated due to the emergence of Christianity with the birth of Jesus Christ. â€Å"The beginning of the third phase and the adoption of Christianity as the official religion of the Roman empire occurred in 312 BC, upon conversion of the Roman Emperor Constantine the Great† (â€Å"Roman religion†).Thus, it was from this Roman Empire, Christianity spread all throughout the world, and evolved through ages thereby becoming one of the prominent religions of the world. This part of the paper will discuss the political and military structures of Roman civilization. Initially, the Romans formed a government called ‘Republic’ where people elected the officials who governed the state, and they took care of the welfare of the voters. Furthermore, they framed their constitution popularly known as â€Å"The Constitution of Roman republic† which ensembled a complex set of unwritten laws and other traditions that depicted the political setup of ancient Romans. â€Å"Romans created their first legal code by formally writing down some of their laws, which collectively became known as the Law of the Twelve Tables† (â€Å"Rome influence Western civilization†). The essential political bodies of the Roman Republic included the highest-ranking officials called Consuls. Then the Senate which consisted of nearly three hundred men who had control over the foreign and other financial policies. Finally, the Assemblies, consisting of the Centuriate and the Tribal assembly, which performed numerous roles in the Roman Republic. The paramount feature of the Roman political structure was that women were excluded from the political activity and only men participated in the government and took over the welfare ac tivities. The other important aspect of the Roman civilization would be its military structure with the Roman legions being the key driving force behind the expansion of the Roman Empire. Well trained and disciplined military men known as the legionaries fought with both military and strategic advantage. They had sound organization capacity and the troops were well equipped with effective weapons which were quite advanced in those times. The other vital element to be discussed would be the economic structure of ancient Romans.

Sunday, August 25, 2019

NOGO Railroad Case Analysys Form Essay Example | Topics and Well Written Essays - 1750 words

NOGO Railroad Case Analysys Form - Essay Example Dave is wary of Allen’s intentions and is torn between making the required changes and not making those changes. However, the situation is not new to NOGO Railways as it has struggled with the same issues (highlighted later) since its inception. It is only that Dave has now been promoted to such a position where he must address the problems encountered. 2. Problem NOGO Railways faces a myriad of problems which can best be separated as surface-level problems and deeper or micro problems. At the macro level, the company faces an outdated and ill designed system of organizational policies and practices, thereby reflecting a poor HR system. This is the backbone of all other problems such as high debt and resistance to change. Owing to faulty (and biased) recruitment practices, productivity has been low and unnecessary positions have been created for the sake of compensating family and relatives. One such example is that of Fireman’s position whose only task was to take char ge of the engine in the event of assistance required by the engineer (Brown). The major problems facing Dave (and the company) are that employee expenses have been on a rise and that there was friction amongst NOGO’s employees with respect to change management. Next, it is important to analyze the micro level issues that NOGO is faced with. One of these is featherbedding which is defined as the practice of restricting output of work so as to create more jobs and reduce the chances of unemployment. Another problem pertained to the absence of a formal, structured recruitment process that objectively selected candidates with the right ‘fit’ for the job. These faulty hiring procedures gave way to favoritism. This meant that employees whom Dave worked with were related to each other in some way as spouses, children, brothers or cousins. This practice tends to create a disconnected workforce with ties based on their relations and not work. 3. Causes The presence of a u nionized workforce meant that the union acted as a resistance to any changes implemented by the management. This was clearly causing resistance to change which was one of the macro-level problems confronting NOGO. The union terms were guaranteeing complacency and minimizing worker efficiency owing to a contract that workers would get pay for 40 hours of work even if there was no availability of such work (Brown). These contract terms (as settled by the unions) meant that NOGO was covering the living expenses of their away-from-home, overtime employees as well as duplication of tasks such that clerks would have no task to carry out in the presence of telegraph operators. Furthermore, the union as well as improperly crafted contracts provided workers unnecessary cushion of refusing to do a task just because it wasn’t part of their job description. This was directly contributing to the high employee expenses which, again, was one of the major problems facing NOGO. Furthermore, t he lack of HR planning and strategy was at the backbone of a host of problems encountered by the company. For one thing, the lack of HR planning led to overstaffing leading to greater number of employees being hired than was necessary. This bred â€Å"featherbedding†. The employee contract was not designed appropriately with conditions such as prohibition of women clerks to work directly with train and radio communication personnel reducing the

Saturday, August 24, 2019

Since most people prefer to be involved in decisions concerning their Essay

Since most people prefer to be involved in decisions concerning their jobs, a participative style of leadership will always be m - Essay Example Directive leadership is often more autocratic whilst participative leadership deals more with consensus and direct stakeholder involvement in decision-making processes. In the organisational environment, some cultures and individual employee profiles will require a more directive leadership style in order to ensure compliance and goal-attainment. In a more decentralised organisation, more participative leadership is usually the method of leadership that will attain the most positive performance results. It has been said, however, that since the majority of workers want to be involved in organisational decision-making, then the participative style of leadership will be more effective than directive style. Evidence, however, somewhat refutes this notion, suggesting that both styles have practically equal probability of being effective so long as they are utilised properly and in a suitable organisational environment. Both styles are highly dependent on organisational culture, employee attitude and motivational capacity and organisational structure in order to achieve effective leadership outcomes. Participative versus directive leadership styles Participative leadership involves processes and procedures that tend to open communication channels with employees to gain their input in decision-making (Mullins 2005). The four stages of participative leadership are gaining consensus, consulting with important internal stakeholder, delegating responsibilities, and active involvement by key organisational actors (Mullins 2005). Thus, participative leadership is closely related to transformational leadership style, a style in which the leader acts as a teacher, mentor, and also opens lines of communications with employees where vision and mission are continuously reiterated (Fairholm 2009). Managers using participative style often will use charismatic, psycho-socially-based principles of leadership to gain long-term commitment and dedicated followership. Directive leaders hip is more arbitrary, focusing less on relationship development with employees and more on establishing order through controls or the development of transactional philosophy. Transactional leadership is establishing rewards based strictly on performance where low-performance reprimands are established for failing to meet organisational objectives or project goals. Directive style of leadership establishes specific job role responsibilities and then motivating performance of employees through routine evaluations and serving as a figure in the environment to ensure that compliance to procedure and goals is being accomplished by individuals or teams. Having defined both leadership styles and their differences, both can be properly explored to determine their potential success ratios when utilised in different organisational environments and cultures. In order to understand fully the style of leadership that will be most effective, it is necessary to examine existing research findings on participative versus directive leadership. Gill, Flaschner and Shachar (2006) identified that participative leadership style has a direct relationship with improved employee dedication, job satisfaction and reduced job burnout. Why is this necessarily? Participative lea

Friday, August 23, 2019

Colony colapse disorder Case Study Example | Topics and Well Written Essays - 1000 words

Colony colapse disorder - Case Study Example The queen is also present meaning that the hive is not dead. Before the actual CCD takes place, the colony members always become reluctant to eat the food (protein supplement and sugar syrup) provided. CCD is if great global significance because a very high percentage of agricultural crops are pollinated by bees. Background information on miticides, antibiotics, and neonicotinoid pesticides Neonicotinoid pesticides are commonly used in various parts of the world. This group of pesticides assume the model of nicotine which is a natural insecticide. Neonicotinoid pesticides act on the central nervous system (CNS) of insects causing excitation of nerves and finally, paralysis. Evidence from research has revealed that the use of pesticides like neonicotinoid pesticides and nicotine-based pesticides greatly affects the functioning and learning abilities of honeybees. This is very critical to the workers since they are the most active and dependable members of a colony. According to Gary e t al (2009), it has been documented that neonicotinoid pesticides levels that are able to affect the ability learning of bees occur in pollen hence they affect bees that feed on such pollen. There is an increasing threat on honeybees and their hives by mites and this has increased the dependence on miticides in order to control the situation. Basically, miticides are used in agriculture, to control the spread of mites. This is important because mites have a key role to play in the loss of good health among honeybees. However, the intensive use of these miticides has led to the development of their resistance by mites. To add an injury to this, toxicity tests conducted on bee hives have revealed that the levels of miticides in many bee hives has greatly increased (Mullen et al, 2010). Miticides are destructive to colonies of bees because they accumulate in bees wax. Bees wax is a least renewable resource in the hive hence it provides a base on which persistent pesticides can accumula te and cause toxic house syndrome (Mullen et al, 2010). In modern medicine, antibiotics are among the medications that are prescribed most frequently. Antibiotics are important for both animals and plants because they kill or injure disease-causing bacteria. However, it has been found that their use contribute to deficiencies of the immune system while their prolonged use lead to antibiotic resistant diseases and super-pests. Many commercial beekeepers administer antibiotics on regular basis as a protective measure against brood diseases hence honeybees have not been exempted from the effects of prolonged use of antibiotics. It has been found out that the major bacterial diseases that attack bees have also developed resistance to antibiotics. Resistance to pesticides has triggered the development of genetically modified crops that are thought to be producing pollen that also cause CCD (Gary et al, 2009. Potential Causes of Colony Collapse Disorder (CCD) The causes of CCD are still u nder investigation and almost every realistic and conceivable cause is a possibility. Four areas of research focused on by scientists in early times included bee management stresses such as poor nutrition, environment-related stresses, parasites and pathogen, and pesticides and chemicals. In the early studies, scientists had ruled out some conditions and practices from being probable causes of CCD. They include chemicals used by the

Thursday, August 22, 2019

The relationship between leadership and management Essay

The relationship between leadership and management - Essay Example Dissimilarity between leader and leadership is important and confusing since the leader is an individual as leadership is the function that an individual performs. A leader or a manager are two words that are used interchangeably to describe individuals holding formal authorities in organizations irrespective of their behavior in such positions. A manager does not necessarily exercise leadership in positions in which they are appointed even though leadership is just part of management. Generally, there are skills or traits that an effective leader is required to have as explained by various theories both old and contemporary theories. Some of the main traits that appear in leaders are ambition, zeal, intelligence, self-directive, and self-confidence. At times, physical characteristics, capability, and persona may be important aspects used to summarize what a leader is. There are six distinct characters that popular effective leaders have such as honesty and integrity. In addition, dr ive, motivation, cognitive ability, and business knowledge are also other characteristics of leaders. These traits would definitely distinguish whether a manager will be an effective leader or not. ... Leaders are emotionally stable, intelligent, discerning, and theoretically skilled who are able to show analytical ability, good ruling, and the capability to think strategically. Leadership requirements may vary with the situations of a workplace hence the need of researchers to concentrate on what effective leaders do rather than what effective leaders are (Nixon, Megan & Parker 205-207). Leadership skills, which are the knowledge, abilities, and competencies, are very essential in leadership. Nevertheless, the competencies depend on various factors such as the leader’s basic nature and values, the number of followers and the extent of leadership skills of a leader. The organization’s background and the values and associated behaviors of whoever is being led are in fact imperative while considering the leaders skills. Managers are usually needed to use these skills, which may be improved in training courses such as guidelines for decision-making, problem solving metho ds as well as appropriate use of power and influence without forgetting building trust to enable smooth and effective running of an organization (Shahmandi, Silong & Ismail 65-67). Effective leaders are always consistence in their operations and posses abilities based on hard work. Effectual leadership earns and keep others trust, have personal integrity, inspires trust among their followers, and ensures steadiness with what they promise their hanger-on. Nice leaders define and set a sense of mission by setting goals, priorities, and standards and ensuring the communication and implementation of the objectives set for smooth running of the organization (Shahmandi, Silong & Ismail 65-67). Moreover, good and

Conservatism and Liberalism Essay Example for Free

Conservatism and Liberalism Essay While there are a multitude of political philosophies in the United States, two have emerged as the dominant and pre-eminent philosophies. They are, of course, liberalism which name derives from liberty and conservatism which derives from conserving the constitution. While there is nothing inherently wrong with either philosophy the minefield of political exclusivity has led to a bitter dispute between both factions that have raged for decades. Many of these disputes are ideological as there are pronounced differences between the two philosophies. In this essay, two major differences will be examined.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One common difference is that liberalism prefers that a centralized government will guide the economy. Conservatism prefers that the government would play a smaller role in the economy with the hopes that the market will govern itself. In terms of public policy, this has led to a number of battles over regulation vs. deregulation, increased taxes vs. decreased taxes, etc with ach having varying degrees of success at different points in history.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In terms of foreign policy, conservatism has always stressed American exceptionalism whereas liberalism has stressed a more unified one world approach to government. The effect this has had on public policy over the years is evidenced in how often or how little American foreign policy is vetted through the United Nations or under accordance with allies overseas.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Of course, there are many more differences between the two but these two examples illustrate major differences between the two on both domestic and international levels.

Wednesday, August 21, 2019

A Review Of Employee Management Systems Information Technology Essay

A Review Of Employee Management Systems Information Technology Essay Nowadays, Employee Management System is being adopted by many sectors in the real world whether it is small or large scale. But currently most of the fast food restaurant does not have this system implement to the website. Thus, the author decided to develop a web-based employee management system for fast food restaurant. The system will be built consists of human resource management function such as leave request, employee report and job application, this function will be integrated to this web-based system. The aim of this project is to design and develop a web based Employee Management System using PHP and MySQL. In this project, a web-based Employee Management System will be developed for Carls Fast Food restaurant to manage employee job information, working schedule, leave request, employee report on achievement, training and evaluations. In addition the system will also manage job application information that apply job online by visitor. In this web-based system basically it has 4 main users that are administrator, manager, employee and visitor. For employee, manager and administrator they can login to the system through online to perform their different task respectively that available for them, for visitor they can apply job. Where manager can do managerial work such as view/modify/create employee report, in addition it also can approve/deny/view leave request, accept/decline/view interview for job candidate, search for employee information and modify/view employee schedule. Manager can upload a doc file to the administrator, if there is any change about employee and manager information. In addition manager can search for specific employee information, view and print information. In employee, it can request leave and check for leave request whether their leave is approve or deny. Employee also can view working schedule that has been arrange by the manager and search for colleague to view their basic information. Administrator has just a small task such as create new user if there is any new employee, manager and administrator. In addition, it also can modify user information and delete user, and download doc file that uploaded by the manager to update the require information. And lastly the visitor can apply job online through the job application This web-based system is important where it can improve the way of managing and keep track of employee information such as leave request, employee performance report and others. Thus, this can determine the success level of the fast food restaurant. 1.1 Company Background Carls Fast Food Restaurant is one of the fast food restaurants in Malaysia, located at Cheras, Kuala Lumpur which founded in the year of 2008. This fast food restaurant is relatively similar to another fast food restaurant, which primarily sells french fries, fried chicken, hamburger and soft drinks. The restaurant has a traditional way and manual system of managing their employee information, hence the restaurant itself has the intention to improve the management of their employee. 1.2 Problem Statement One of the problems of the current Carls Fast Food restaurant is, they still using the manual way of managing the employee information and records, in term of keeping employee information such as employee leave request, employee report, and employee working schedule. The existing management task on keeping employee records and information of the still has to be done manually by hand written and record it in paper document. Employee records is not always reliable because is it hand written and might cause human error for example manager might write a wrong title in a report. Data duplication problem might happen when manager cant find require information. There is a possibility that data might get misplace when doing manual filling. Due too many data and paperwork that needed to record it could consume a lot of space in the filling cabinet. The retrieval of data can time consuming because it has to be searched from the filling cabinet. This will cause waste of resource in term of time and money. In addition it would also cause inconvenience and ineffectiveness in daily work. Plus, the manger will face difficulties when need to update employee working schedule, report and leave request, In the employee point of view, when they need to request for leave they need to fill in a leave request form manually and submit to manager personally and wait for confirmation, this is time consuming. Other than that, if there are any changes in working schedule, employee might have wrong information in the working schedule because the schedule might not update immediately, therefore the employee might not satisfy with the working schedule. 1.3 Objective The main objective of this project is to develop a web-based employee management system for Carls Fast Food Restaurant. The project objective is important because it define the purpose of the project. William (2009) identifies one of the reasons of project objective: They help frame the project. If you know the project objectives, you can determine the deliverables needed to achieve the objectives. The objectives of this project are as shown below: To understand and defining the fast food restaurant requirement for an employee management system. This objective is to ensure the greater understanding of fat food restaurant when developing an employee management system To analyses and designing a database suitable for the fast food restaurant This objective is crucial because it serve as a mainstay of the employee management system Build up a database that will store information such as employee working schedule, leave request, report, and job application and employee details. To perform a programming language analysis, compare and contrast the different programming language, which to use to develop the system This objective is to analyses information that has been collected. Select a suitable programming language to implement the system. To design a user interface for the fast food employee management system This objective is to design a user web interface that is user-friendly To allow a better and more flexible employee management system for this fast food restaurant. Improve the employee management of the fast food restaurant, analyses a better way to review data and ensure the system can adapt the specification needs. Improve efficiency of information management and improve data integrity To provide better capabilities for manager. Improve the capabilities and managerial work for manager to record employee report, employee leave request, employee working schedule and job application information for job candidate on interview. Improve better viewing of employee and job candidate information such as employee report and job application. To provide capabilities for administrator Where administrator can manage employee, manager and administrator information such as create new user and user information maintenance. To provide capabilities for employee To allow employee have better information and viewing of working schedule. Allow employee to search for their colleague information. 1.4 Scope This system will be focusing on developing of a web-based employee management system that would suit the fast food restaurant. The project scope is important because it define the need of the project. The main module is leave request, approve/deny leave. check approve/deny and employee report. Employee information management module will keep track of employee report. Another module is employee working schedule, with this working schedule in the system employee work time can be manage more effectively. The last module is accept/decline interview of job candidate that has been applied by visitor through job application. There are 4 main users in this system. One of the users is visitors, who like to apply job for the fast food restaurant. Employee is also one of user that able to apply leave online, check leave approve/deny and view working schedule. Manager of the restaurant able to view, print, modify, remove and create employee report, leaver request, working schedule. For administrator, it can create, modify, and remove new user. In this project, the web-based employee management system has several modules and feature, as listed below: Job application for website visitor Login page for administrator, manager and employee Account setting for 3 user (User profile and change password) Online leave request Check Approve/Deny leave View working schedule Search for colleague information Create new user for administrator, manager and employee User information maintenance Download doc file to update manager and employee information Approve/Deny leave request View approve/deny leave request View/Modify/Remove/Create employee report (Achievements, Training and Evaluations) View and modify employee working schedule Accept/Decline/View interview for job candidate View and print information Upload doc file to administrator. Chapter 2 Literature Review 2.1 Introduction Martyn Shuttleworth (2009) defines that A literature review is a critical and in depth evaluation of previous research. It is a summary and synopsis of a particular area of research, allowing anybody reading the paper to establish why you are pursuing this particular research program. A literature review is a summary research on existing of journal, articles, and other appropriate sources. 2.2 Fact Finding and Technique The author will conduct research to understand more about the of web-based employee management system by come up with question and answer. The author will also conduct a research of existing employee management system, to gather more information about employee management system. In addition, the author will discuss the advantages of web-based system over manual system. The chosen technique such as research, interview and surveillance will be use to gather information. Most of the research is based on Internet searches. 2.3 Definition of Web-Based Employee Management System. In order to have better understanding of the term web-based employee management system, the author will break it down into few terms and perform research about it that are web-based, employee, management system and employee management system. 2.3.1 What is Web-based? Bestbrief.com, (n.d.) provides a meaning of web-based: Web-based is Information or an application made available via the World Wide Web. It is accessible anywhere in the world as long as there is an Internet connection. Basically web-based also known web application, where is it convenient to the users, can log on to web-based system through the Internet using a web browser. 2.3.2 What is an Employee? It is defines that An employee is an individual who was hired by an employer to do a specific job. The employee is hired by the employer after an application and interview process results in his or her selection as an employee.(Susan n.d.). Employees play the most important roles in business where it can determine the success stage of a company. 2.3.3 What is Management System? Bluerockassociates.co.uk, (n.d.) defines that: Management systems are those systems that are used to help operate a business successfully. They work by helping to make it function correctly, by creating a management framework within which decisions are made and in which processes operate. Management system is crucial because it can assist the organisation by setting objective and outline the plan to improve and manage the organisation. 2.3.4 What is Employee Management System? Alan (2009) argues that Employee Management System is all about workforce, thus businesses that are serious about proper workforce should use employee management system. Employee management system is used to does the work of assembling, managing and organizing the valid information about the employees of a company. From another point of view, employee management system can assist an organisation to maintain employee performance report and keep track all of employee information, this can improve the efficiency and effectiveness of the organisation. 2.4 The term of human resources in market The term such Human Resources Information System (HRIS), Human Resources Management system (HRMS), Enterprise Resources Planning (ERP), Employee Management System (EMS), from the author point of view those terms is relatively has the same connotation and there is not much difference in meaning. The terms that the author stated just now are few of the term in human resources market, there are still other term arising in the human resources market. Clay (2008) argues that It seems like the more simple terms which may have been created by IT people or programmers slowly become replaced by more sophisticated terms created in the marketing world. The difference that might have is the module or functionality of the system. For example a company requires a system that can manage their employee training information, the term for it most likely will be Employee Training Management (ETM). It usually depends on the requirement of the company or organisation. Madison et.al (2010) describes that When a difference between personnel management and human resources is recognized, human resources is described as much broader in scope than personnel management. 2.5 Existing System The employee management system available in the market currently is similar to human resources management, employee leave management, and employee performance management. On the other hand, the scopes are smaller for restaurant and do not provides much management system for restaurant like Carls Fast Food. Below show the links of HRMS software that purchase by companies to manage employee: http://ubshelp.com/software-lists/ubs-human-resource-management-system.html http://www.hr2000.com.my/product.htm The HRMS software as stated is a software that need to install to a computer in order to run the software. The features that UBS has mainly is to manage employee information such personal details, education, employment history, salaries listing, and many more features for managing employee. It also has report in employee training, skills and leave. For hr2000, it has 2 main products that are QUICK PAY and QUICK STAFF. In QUICK PAY it has features such as management reports, data import export feature, and many more features that mostly about payment, salary, tax computation and shift rates. In QUICK STAFF it has features to manage employee historical information and human resources that consists of accident, appraisal, benefit, career development, education history and many more modules for managing employee information. Both HRMS software is powerful to cater company that managing employee in a centralized way. However, there is some problem, that it needs to install the software t o a computer to run the system, where it can cause time consuming and for some cases user have to log on to a specific computer to use the system. The problem the author just stated just now doesnt mean that the software is not good or inappropriate, the suitable word to describe it should be lacking. Therefore, a web-based system would be much more advantages over the HRMS software that the author point out above, below shown the links of web-based system. http://www.orangehrm.com/ http://whentowork.com Although web-based system has many advantages, it also has their own weaknesses or disadvantages. The user might have problem of login to the system due to the internet connection speed is slow and not stable, this can disrupt the daily task of the user. There will be a security issue such as virus threat, viruses might be able to corrupt or delete data. Another security issue is unauthorised access to the hosting server that stored the data, hacker can break into the network to steal, view, delete and change information such as password and confidential information. The advantages web-based will be discuss more detail in the next section of this chapter that is advantages of web-based system over manual system, comparison of comprised system manual system and benefits of web-based system. 2.6 Advantages of web-based system over manual system In this section advantages of web-based system over manual system research will be conducted because it can identify the concurrent problem of Carls Fast Food restaurant facing due to the restaurant itself mainly record their employee information in a manual system. Furthermore, it can assist the author when developing this project because the term of web-based system is related and relevant to the web-based employee management system that the author is going to develop. Although manual system is relatively low cost but it is time-consuming to access data held in a manual filing system.(Deskdemon.com n.d.). Since, the paper and document is store in the filling cabinet, as task or work amount increase on paperwork this will consume a lot of space in filling cabinet. Furthermore, if the task of a manager increase, it can lead to cause data miss-filling because too much of task to be perform. In web-based system, it can eliminate paper costs or reduce paperwork as daily task can be done by using computer and internet technology. This therefore, can increase the effectiveness of daily task and information can be manageable. In addition information maintaining and updating can be more systematic. From other point of view, the manual system has to records data by hand written manually into paper, it could cause the information to be incorrect or inaccurate because that might be possibilities that the manager accidentally written the incorrect information in the document. Other than that, it can cause data duplication because some task has to be repeatedly over and over again. While in web-based system, Everything is computerised managers just have to enter the specific information into the system.(John n.d.). Since everything is computerised possibilities of error can be reduced greatly. Moreover, it can avoid data duplication because most of the computerised system there will be a data deduplication. Data deduplication is essentially refers to the elimination of redundant data, if there is any data duplication, the duplicate data will be deleted and leaving only one copy of data to be stored. (Webopedia n.d.). The retrieval data is time consuming and slow as it has to search the records or information manually, from different filling cabinet area. Since the data is store in filling cabinet, the data might fall into wrong and use it against the organisaiton. Moreover, if the data in the manual record document lost, the will be lost completely. While in web-based system it can reduce the time consuming, because data processing and retrieval is much faster than manual system. Information is store in database, where only different user only can access to specific information only. A computerised database in web-based system is reliable, fast and well systematize in term of information. 2.6.1 Comparison of Computerised System and Manual System Below shown the comparison of computerised system and manual system, in a table form. Computerised System Manual System Fast when search for information. Time consuming when search for information. Greatly eliminate paperwork Too much paperwork and documenting. Systematic information maintenance Bad information maintenance. Information more accurate Less accurate information Better data security Lack of data security 2.7 Benefits of Web-based According to db net solutions, web based applications have evolved significantly over recent years and with improvements in security and technology there are plenty of scenarios where traditional software based applications and systems could be improved by migrating them to a web based application. In these recent years, many companies that are using manual system or conventional system has transform their system into web-based system due to, there many advantages in using a web-based system. Here are some of the advantages: Data centralized The data is centralized so that is it accessible from the Internet anytime with computer. And data is stored in a secure server, so anything goes to the computer it wont affect the data. No Software to Install or Update User need to login to the web-based system from any web browser, web-based system doesnt take up any spaces in the computer hard drive. It is located on separate secure host server. (Taublee.M,). More manageable The db net solution defines Web based systems need only be installed on the server placing minimal requirements on the end user workstation. This makes maintaining and updating the system much simpler as usually it can all be done on the server. User-friendly Most of the web-based is user friendly, it is convenient where user can get use to the system easily. 2.8 Interview session Date : 22th June 2010 Time : 11.00am 11.30am Interviewer : Mr.Kumar 1. Can you briefly describe about Carls Fast Food Restaurant? Carls Fast Food Restaurant is one of the fast food restaurants in Malaysia, located at Cheras, Kuala Lumpur which founded in the year of 2008. This fast food restaurant is relatively similar to another fast food restaurant, which primarily sells french fries, fried chicken, hamburger and soft drinks. 1. How do manage employee data? Manual or computerised system? Manual, we record employee information such as leave request, working schedule and employee report manually and stored the data in the filling cabinet. 2. If manual, question this: Do you satisfy with the current manual system of handling data? No, 3. If No, mention the reason. Due to too much of paperwork, hard to keep track of employee information because filling cabinet is messy. Time consuming when searching for employee information. 4. How many employees do you have in the restaurant? Currently we have 16 employee working in this restaurant with different shift that is morning shift and night shift Chapter 3 Methodology 3.1 Introduction Choosing a suitable methodology is important because it serve as a guideline when developing the system step by step. There are a lot of different methodologies that have been created to serve certain system development. Without proper guidance from any these methodologies, the system development always fail due to poor planning and management during development. 3.2 Project Methodology Thus, the author chooses System Development Life Cycle (SDLC) to serve as guideline when developing this web-based system. SDLC is framework for describing information in developing system successfully (Pasupuleti 2008). Pasupuleti (2008) specified that The overall process of developing information system through a multi-step process from investigation of initial requirements through analysis, design, implementation and maintenance. Waterfall Model of software development process is not suitable for developing this web-based system. Therefore, to overcome this problem, iterative and incremental software development process is selected to use as software software development process for this project. Although Iterative and Incremental process is quite similar to the waterfall model but it can overcome the problem that Waterfall Model have and cover the disadvantages. The Waterfall Model is linear and sequential design process that normally use in software development process (wikipedia.org, WF n.d.). The Waterfall Model consists of 5 phases that are requirement specification, design, implementation, testing and maintenance. In Waterfall Model, once one phase of software development is completed, the development of next phase will start and there is no turning back. Hence iterative development is use to solve the problem, this development could exit at any phase and return back to the previous phase to ensure positive at the end of this project. According to PCMAG (n.d.) iterative development is A discipline for developing systems based on producing deliverables often. Each iteration, consisting of requirements, analysis design, implementation and testing, results in the release of an executable subset of the final product. 3.3 Iterative Developed Model Figure 1: Iterative Development Model 3.3.1 Requirement Analysis Phase In this first phase, the author will focus on the requirement of the web-based system. Analyses the end-user needs that is Carl fast food restaurant and develop the user requirement. The problem statement will be done to identify the current problem of this fast food restaurant is facing by analyses the problem. The project objective purpose will be define to know the deliverables that needed to be achieved, refines the objectives into defined function. The research is will be done such as research of existing system in the human resources market. Research on manual and computerised system will be done about advantages of computerised system over manual system. Interview is done to gather more information about the fast food restaurant current management. 3.3.2 System Design Phase In this phase, the requirement specification is transform into system design to focus on how to deliver the required functionality. This system design phase is will focus on the architecture of the web based system, the database design and interface are defined in this phase. This phase must be done carefully, any malfunction can cost time and money to resolve. The next phase will be implementation phase. 3.3.3 Implementation Phase In this implementation phase, the transformation stage of the system design to executable system. The design from the previous phase will be translated into programming language that selected by the author according to the need of this web-based system. If the design from previous stage is carry out properly, the codes can be generated easily without much problem. The author selected PHP programming language to develop this web-based system and for the database the author selected MySQL as database because it can perform well with PHP language. After the implementation, the next phase will be testing. 3.3.4 Testing Phase In this testing phase it is a very important phase in system development of this project. A test is perform to obtain clearer understanding of the system. It is also important cater the author on how well the system had met its requirement and specification. To efficiently test the system, a few testing has been done that is test plan test case, performance testing and user acceptance testing. Test Case In this testing, it basically use to test the functionality of the system to check whether it working correctly or not. Hower (2010) describes that a test case is an input, action, or event and an expected response, to determine if a feature of a software application is working correctly. A test case might consist of test case name, test objective, actual result, expected result and conclusion (Hower, 2010). Performance testing Performance testing can be important measure that the system should be emphasis on. Basically the accomplishment of the project should be measured by the performance of the system to determine speed and effectiveness of the system. Hence, testing to know how well the system is behaving is crucial. User Acceptance testing User acceptance testing is a very important testing because it can determine whether the system developed is success or not. User such as manager or the owner of the fast food restaurant is important people to test the system because they are the end user. Therefore, their feedback and comments for the developed system are the most important factor in deciding the success of the system. Users will be asked to use the system to perform the task and they will validate the web-system based on their first time experience using the system. Users will ask to grade the web-based system. 3.3.4.1 Performance and User Acceptance Testing Evaluation on Performance Testing: Module : Leave Request Objective : This will allow user to request leave. Success Criteria : 1. Users able to request for leave after submitted their leave request form online. Expected results : 1. Users can check approve/deny leave after submitted the form. Actual result : 1. Users can check approve/deny leave after submitted the form. Evaluation : Majority of the users were satisfied with the web-based system. They were comfortable and did not hesitate to use the features. Hence, the web-based system is evaluated as satisfactory. Evaluation of User Acceptance Testing: Objective : The testing will involve the web-based system. This will test how well the users understand the use the features/module offered. Test Steps : The users will have a firsthand on using the web-based system. Users will be given the freedom to do whatever they want to the web-based system. Users will be observed to check if they are uncomfortable or irritated when using this web-based system. Users will be requested to grade this web-based system. Expected results : Users should be able to understand the functionality of the web-based system and know how to use the buttons and navigation buttons provided. Users should not feel irritated or uncomfortable when using the web-based system. Users should not feel lost or unsure of what to do with the web-based system. Actual result : Most users were able to understand the functionality of the web-based system and know how to use the buttons and navigation buttons provided. Users did not feel irritated or uncomfortable when using this web-based system. Users did not feel lost or unsure of what to do with the web-based system. Evaluation : Majority of the users were satisfied with the web-based system. They were comfortable and did not hesitate to use the features. Hence, the web-based system is evaluated as satisfactory. Test Plan Name: Please (à ¢Ã‹â€ Ã… ¡) where applicable. Performance Testing: Test Result Good Average Bad Determine if the leave request able to submit to other party User able to track leave request and approve/deny leave. All buttons will be tested for errors.

Tuesday, August 20, 2019

The Definition Of Methodology

The Definition Of Methodology The purpose of this chapter is to present the research methodology adopted in this study. It first outlines the philosophical assumptions underpinning this research, discussing the researchers constructivist approach. The next section defines the scope and rationale for the research design, and details of data analysis. It also provides an overview of the data collection methods used for this research. The chapter concludes by discussing issues of rigor and trustworthiness and ethical considerations. 3.1.1 Definition of Methodology According to Polit and Beck (2004) methodology refers to ways of obtaining, systematizing and analysing data. Creswell (2003) portrays methodology as a coherent group of methods that harmonize one another and that have the capability to fit to deliver data and findings that will reflect the research question and suits the researchers purpose. Bowling (2002) explains that methodology is the complete structure of the research study; the size and sample methods, the practices and techniques utilized to collect data and the process to analyse data. 3.2 Research Design Burns and Grove (2002) define a research design as a blueprint for conducting a study with maximum control over factors that may interfere with the validity of the findings. The overall purpose of this study is to contribute further to the role-definition process of the ambulance nurse in Malta. In order to reach the overall purpose of this study a qualitative exploratory descriptive design will be used to identify, analyse and describe factors related to the nature of interventions and care nurses deliver in the pre-hospital setting and to explore barriers and facilitating factors perceived by ambulance nurses that hinder or enhance PHC in Malta. 3.2.1 Research Philosophy The context in which research is carried out establishes were the researcher wants to go with the research and what is sought to be achieved. It is therefore imperative that the researcher is clear about the paradigm issues that guide and enlighten the research approach, as they are reflected in the methodology applied in the research and help place the research into a broader context (Thorpe Lowe, 2002). This research study is associated with the constructivism paradigm. Consequently, the researcher will discuss the ontology and epistemology in relation to this research. 3.2.1.1 Constructivism Constructivism seeks to undertake research in its natural setting; therefore, constructivism which is developed from the naturalistic philosophy disputes positivism and post-positivism views of knowledge and science (Appelton King, 2002). Thus, the aim of constructivism is to identify the diverse knowledge that people own, this is done by seeking to attain some consensus of meaning but at the same time remaining open to new explanations (Denzin Lincoln, 2003). Constructivist research, therefore, may identify a spectrum of diverse views and insights that would be overlooked within the narrow confines of conventional positivist inquiry. In view of these issues, constructivism is the most indicative research paradigm to use for this research as this philosophy will aid in exploring through description participants experiences, views and thoughts in a more humane way, by presenting ambulance nurses quotes and developing themes rather than presenting results in statistical form. 3.2.1.2 Ontology When considering a research paradigm, the researchers first requirement is to locate a position on the nature of reality (Appelton King, 2002). In the ontological theory, reality is subjective and multiple as seen by the participants in the study. Hence the researcher will use quotes and themes in words of the ambulance nurses to provide evidence on different perspectives. This is done by articulating, appreciating and making the research participants voices and concerns and practice visible. In the constructivism stance, the researcher is obliged to give a true picture of reality (Schwandt, 2001). Truth is achieved by seeking to comprehend the shared meaning and embedded meaning of both the participants and the researcher. This may be apprehended by building up a researcher-participant interaction in the natural environment rather than in a controlled environment (Denzin Lincoln, 2003). 3.2.1.3 Epistemology Conversely, in the epistemological assumption the aim of the researcher is to try and lessen the distance between what is being researched and oneself (Creswell, 2003). Within constructivism, the ontology and epistemology merge because the knower is inseparable from what may be known within the overall construct of a particular reality (Schwandt, 2001). The constructivist, ontological and epistemological positions have specific implications for me as a researcher wishing to explore these ambulance nursing issues. As a staff nurse working in another ambulance service, I acknowledge that my account of reality of PHC may serve to enhance the description of the phenomena under study. My role as a researcher is to be actively engaged with the research process. Therefore, an emic position is taken which allows me to build data, which is generated rather than collected. Within constructivism, the ontology and the epistemology approaches are interwoven and cannot be detached as with the positivist and post positivist paradigms (Appelton King, 2002). 3.2.1.4 Disadvantages of Constructivism Constructivism, whilst being an ideal paradigm for the inquiry may have its own limitations and it is central that the researcher takes these into consideration. A limitation of constructivism is that by trying to explain the phenomena, the researcher will be stuck in trying to give an infinite number of interpretations which may result in less explanatory power (Appelton King, 2002). Thus, working with the constructivism paradigm, the researcher is obliged to be conscious in seeking equilibrium between the contribution of informants and ones own to ensure an authentic account of the phenomena. Moreover, certain issues and steps in the methodology of this study were taken into consideration in order to avoid any pitfalls. 3.2.2 Qualitative Research Qualitative research refers to inductive, holistic, emic, subjective and process-oriented methods used to comprehend, interpret and describe a phenomena or setting. It is a systemic, subjective approach used to describe meaning (Burns Grove, 2003). Qualitative research is more associated with words, language and experiences rather than measurements, statistics and numerical figures. Researchers using qualitative research take a person centred and holistic perspective to understand the phenomenon, without focusing on specific concepts. The original context of the experience is unique, and rich knowledge and insight can be generated in depth to present a lively picture of participants reality and social context (Holloway, 2005). Regarding generation of knowledge, qualitative research is characterised as developmental and dynamic, and does not use formal structured instruments. In turn it involves the systemic collection and analysis of subjective narrative data in an organised and intuitive fashion to identify the characteristics and significance of human experience (Holloway, 2005). Qualitative researchers are concerned with the emic perspective to explore the ideas and perceptions of the participants. The researcher tries to examine the experience from the participants point of view in order to interpret their words. The researcher therefore becomes involved and immersed in the phenomena to become familiar with it. The immersion of the researcher helps to provide dense description from the narrative data gathered from the participants, to interpret and portray their experiences, and to generate a more comprehensive understanding. However, immersion cannot be obtained without a researcher-participant trusting relationship. The relationship is built through basic interviewing and interpersonal skills. In qualitative research, the researcher is required to be a good listener, non-judgemental, friendly, honest and flexible. Brink and Wood (1998) point out that the qualitative data collection methods are flexible and unstructured, capturing verbatim reports or obser vable characteristics and yield data that usually do not take numerical forms. 3.2.3 Qualitative Description Approach Within a qualitative framework, and an interpretive stance, this research is concerned with identifying and describing factors regarding the pre-hospital nursing care in Malta. For this study a qualitative descriptive research design will be used. Sandelowski (2000) points out that a qualitative descriptive study is seen as less interpretive than interpretive descriptive studies as they do not require researchers to move as far into their data. However, all inquiry entails description, and all description entails interpretation (Sandelowski, 2000). Although no description is free of interpretation, basic or fundamental qualitative description, as opposed to, for example, phenomenology or grounded theory description, it necessitates a kind of interpretation that is low inference, this low inference interpretation in qualitative descriptive studies entails the presentation of facts in an everyday language (Neergaard et al. 2009). 3.2.3.1 Design features of Descriptive Qualitative Research Qualitative descriptive design is a typical eclectic but reasonable design that well considers a combination of sampling, data collection, analysis, and re-presentational techniques (Neergaard et al. 2009). Sandelowski (2000) explains that qualitative description is especially amenable to obtain straight and largely unadorned answers to questions of special relevance to practitioners and policy makers. Neergaard et al. (2009) explicate that the qualitative descriptive design favours to use an interview guide somewhat more structured than other qualitative methods though it is still modified and transformed as themes emerge through analysis. They continue to explain that the strategy of content analysis is the most commonly used method of analysis in qualitative description (Neergaard et al. 2009). A straight descriptive summary is the likely outcome of qualitative descriptive studies, which should be organized in a way that best encloses the data collected (Sandelowski, 2000). 3.2.3.2 Strengths and Weaknesses of Descriptive Qualitative Research All research methods have their limitations, and qualitative description is often criticized for lacking of clearness and the lack of theory based approach (Giorgi. 1992). However, this criticism is only vindicated if qualitative description is used for the wrong principles. Neergaard et al. (2009) emphasize that qualitative description should be the method of choice when a description of a phenomena is wanted. Furthermore, qualitative description has been criticized for its lack of rigor and for being flawed, when it comes to judging its credibility. However, Milne and Oberlee (2005), converse about enhancing rigor in qualitative description by focusing on strategies such as authenticity, credibility, criticality and integrity. Qualitative description may be seen as too subjective because description is always attributed to the researchers perception, inclinations, sensitivities, and sensibilities (Sandelowski, 2000). In order to reduce this, the researcher must put an emphasis in m eeting the criteria of integrity and neutrality (Milne and Oberlee, 2005). Qualitative description may be seen as a functional method when the researcher intends to focus on describing experiences of patients, relatives and health care professionals and when the researcher wants to understand their views on patient-professional interaction and the organization of the health care system (Sandelowski, 2000). Strength of qualitative description is more evident in mixed method approaches and in studies which need to develop their own questionnaire. Neergaard et al. (2009) point out that qualitative description performed prior to the development of a questionnaire or an intervention can give very significant and useful information. Qualitative description has also be an appropriate qualitative method for small interview studies were one needs to gain preliminary insight into a particular topic (Neergaard et al. 2009). Sandelowski (2000) also highlights a great advantage of the method is that it is suitable if time or resources are limited. 3.2.3.1 Rational for choosing descriptive approach According to Burns and Grove (2003) descriptive research is designed to provide a picture of a situation as it naturally happens. It may also be used to justify current practices and identify factors that hinder or enhance practice as one gets a whole picture from the informants (Burns and Grove, 2003). Qualitative descriptive study is the method of choice when straight descriptions of a phenomena are desired, Sandelowski (2000) explains that qualitative description is especially useful for researchers wanting to know who, what and where of events. Qualitative description will be used in this study to describe and document the perceptions and experiences of what different skills are used while delivering PHC and when they are mostly used. The design will also be used to explore what facilitators and barriers are encountered when delivering PHC. 3.3 Population and Sample 3.3.1 Population Parahoo (2006) defines population as the total number of units from which data is collected, such as individuals, artefacts, events or organizations. Burns and Grove (2003) describe population as all the elements that meet the criteria for inclusion in a study. They continue to explain that the researcher must recognize a list of characteristics that requisite to be eligible part of the target population. The criteria for inclusion in this study were staff nurses who work in Accident and Emergency Department at Mater Dei Hospital, and have at least five years PHC experience. 3.3.2 Sample Polit and Beck (2004) define a sample as a proportion of a population The sample was chosen from the target population as defined in the inclusion and exclusion criteria. A carefully selected sample can offer data representative of the target population from which it is drawn. However, the aim of qualitative research is to raise insight into a phenomenon rather than assume representativeness. To reach the purpose of this study a purposive sampling technique will be used. Bowling (2002) explains that a purposeful sample is a deliberate and non random method, which aims to sample a group of people with a specific characteristic. The main characteristic of the selected participants in this study is being knowledgeable about the topic, because of their involvement and experience in PHC. Sandelowski (2000) explains that purposive sampling is a preferred method when using qualitative description as it is deemed information rich. 3.3.3 Sampling process The sampling process for this study was carried out in two phases, purposeful sampling for the interviews and a random selection from a group of purposeful selected participants. 3.3.3.1 Phase 1 For the first phase of data collection eight nurses were purposely selected for semi-structured interviews. Purposeful sampling methods were used based on the nurses who have special training in pre-hospital and are considered more experts in the field. This non-probability sampling technique was used since the researcher wanted to get a more in depth description of the pre-hospital nursing care offered. The researcher informed the nursing officer to distribute an invitation letter to the selected participants and those that agree to participate in the study were given a consent form. 3.3.3.2 Phase 2 The sample for second phase where the focus group was carried out was selected randomly from purposefully selected nurses who satisfied the selection criteria (5 years experience in the ambulance service), since the aim of the focus group is to identifying specific issues commonly related to nursing care in the pre-hospital setting. Ten to twelve nurses were randomly selected by the nursing officer who presented them an invitation letter with information about the study. Those who accept the invitation were asked to consent their participation in the focus group by filling out a consent form after having had their queries addressed by the researcher. 3.4 Data Collection Qualitative data collection is the precise, systemic gathering of information relevant to the research problem, using methods such as interviews, participant observations, focus group discussions, narratives and case histories (Burns and Grove, 2003). Data collection techniques in qualitative description usually include minimal to moderate structured interviews and focus group interviews (Neergaard et al. 2009). 3.4.1 Methods of Data Collection Data was collected in two phases. Phase one included data collection by means of semi-structured interviews, were the researcher interviewed nurses who are experts in the field and by the way of their clinical experience and having received specialized training in PHC. Phase two included a focus group which had the aim of identifying specific issues, and add quality to the data obtained from the interviews. The data will be presented and discussed in the results and discussion chapters respectively. 3.4.1.1 Semi Structured Interviews According to Kvale (1996), using a qualitative interview offers the researcher an opening to understand the phenomena under study from the perspective of the interviewee. In this study face to face semi-structured interviews were deemed appropriate as this method is particularly efficient in collecting data which involves opinions and perceptions. Polit and Beck (2004) converse that when performing semi structured interviews the researcher has to prepare in advance a written topic guide, which is a list questions to be covered by the respondents (Appendix 2). The interviewers function is to encourage participants to talk freely about all topics on the list, and to provide as much detail as they wish, and offer illustrations and explanations (Polit and Beck, 2004). 3.4.1.2 Advantages of interviews Among the main advantages of semi structured interviews there are the benefits of conversation that is carried out between the researcher and the informant. However, the conversations are purposeful ones that require advance thought and preparation, so the researcher must not enter into them casually. These face to face interviews can probe fully for responses and clarify ambiguities. Bowling (2002) points out advantages of interviews are that one can check misinterpretations and inconsistencies, and that interviews can provide rich quotable material which enlivens research reports. Kvale (1996), also find interviews beneficial to the participants as they can freely communicate their perceptions and experiences to the researcher. 3.4.1.3 Disadvantages of interviews Nevertheless, despite the many advantages of interviews, there are some limitations for this method of data collection, mainly the fact that interviews can be expensive and time consuming, and there is the potential of interview bias. According to Bowling (2002) techniques for reducing interview bias include good interview training and managing to establish rapport with the participants by putting them at ease, and appearing non-judgmental. 3.4.1.4 Focus Group interviews Another method of data collection used in this study is a focus group interview. Neergaard et al. (2009) recommend the use of focus groups when using qualitative description as focus group interviews seem pertinent to get a broad insight into a subject. According to Parahoo (2006), a focus group discussion is an interaction between one or more researchers and more than one participant for the purpose of collecting data. Holloway (2005) states that in focus group discussion researchers interview participants with common characteristics or experiences for the purpose of eliciting ideas, thoughts and perceptions about a specific topic or certain issues linked to the area of interest. Therefore, in this study the researcher will carry out a focus group discussion with the nurses who deliver PHC, based on findings from previous face to face interviews to elicit discussion on the objectives of the study. 3.4.1.5 Advantages of focus group interviews Focus group discussions have several advantages in obtaining qualitative data. Contrary to face to face interviews, focus group meetings are cheaper, and are quicker in obtaining valuable data (Parahoo, 2006). Bowling (2002) points out that one of the main strengths of focus group meetings is that it makes use of group dynamics which stimulates group discussion to gain insight and generate ideas in order to pursue a topic in greater depth. Parahoo (2006) also points out that participants are provided with an opportunity to reflect and react to the opinion of others with which they may disagree or of which they are unaware. Holloway (2005) also finds focus groups advantageous as they give the opportunity to the participants and researcher to ask questions and informants can build answers on others responses. 3.4.1.5 Disadvantages of focus group interviews Nonetheless, Holloway (2005) also highlights limitations of a focus group as the researcher may find difficulties in managing debate and controlling the process. A disadvantage in focus group discussion may also be due to some participants being introvert while others may dominate the discussion and influence the outcome, or perhaps even introduce bias (Holloway, 2005). Therefore, the researcher must create a good climate to stimulate all informants to participate and keep a balance between participants. Another disadvantage when using a focus group to collect data is the fact that recordings can present problems. Parahoo (2006) stress that taking notes during focus group discussions is not feasible since many people may me talking at the same time. They also point out that tape recordings may only record those that are nearer to the recording making transcription a problem. 3.5 Data Analysis Data analysis is a mechanism for reducing and organising data to produce findings that require interpretation by the researcher (Burns and Grove 2003). Field and Morse (1996) points out that data analysis can be a challenging and creative process characterized by an intimate relationship of the researcher with the participants and the data gathered. 3.5.1 The researchers role in data analysis As researcher reflexivity, bracketing and intuiting were used to lay aside preconceptions regarding the phenomenon being studied and also carried out data analysis simultaneously with data collection. The intellectual process identified by Field and Morse (1996) were followed during data analysis. These comprise of comprehension, synthesising, and theorising. The researcher synthesises the data by putting the pieces together which will enable the researcher to comprehend what is actually going on, then the researcher can prepare a detailed description of the phenomenon under study and give explanations and determine correlation with data gathered (Field and Morse 1996). 3.5.2 Content Analysis Qualitative content analysis is the analysis strategy of choice in qualitative descriptive studies (Sandelowski 2000). Qualitative content analysis is a dynamic form of analysis of verbal and visual data that is oriented towards summarizing the informational content of the data (Polit and Beck 2004). Bowling (2002) explains that with content analysis, the key themes and concepts are identified in the transcripts, and are categorised. Sandelowski (2000) explains that qualitative content analysis is a reflective and interactive process, were the researcher continuously modify their treatment of data to accommodate new data and new insights about the data gathered. Content analysis was carried out for the analysis of data from both face to face interviews and focus group discussion. 3.6 Robustness of Study Critiques of qualitative research may argue that it is impossible to ensure a positivist approach of validity and reliability in qualitative work; however, naturalistic researchers have adopted other measures to ensure rigour and trustworthiness of the qualitative study (Shenton, 2004; Silverman, 2001). In order to pursuit a rigours and trustworthy study, the constructs proposed by Lincoln and Guba (1985), will be followed. These four constructs consist of credibility, transferability, dependability and confirmability. 3.6.1 Establishing Rigor and Trustworthiness A research studies is trustworthy when it reflects the reality and ideas of the participants. Lincoln and Guba, (1985) add that trustworthiness of research depends on the extent to which it delves into participants experiences apart from their theoretical knowledge. In this study trustworthiness was guaranteed by the researcher by putting aside preconceived ideas about the phenomenon under study and returned to the informants to ascertain that the description was a true reflection of their opinions and perceptions. According to Polit and Beck (2004) credibility is similar to internal validity in quantitative research. Adopting a well established research method is one measure that can confirm credibility and ensure internal validity of the study. Bowling (2002) recognises the importance of incorporating correct operational measures for the concepts being studied. Therefore, importance was given so that the most adaptable methodology and methods used were suitable for this study. A thick description of the phenomenon under scrutiny was conveyed in detail so the actual situation that was investigated is understood. Lincoln and Guba (1985), stress the close ties between credibility and dependability, arguing that, in practice, a demonstration of the former goes some distance in ensuring the later. Without this detailed description it will be difficult for the reader of the final account to determine the extent of credibility and dependability. Another measure to ensure credibility is that the researcher shows familiarity with the culture of the participating organisation. Since the researcher works in a similar setting and was previously employed in the department which is being studied, gives the researcher a good understanding of the culture of the participants. However, the researcher must give special attention so that professional judgements are not influenced and must acknowledge this in order to reduce researcher bias. According to Shenton (2004), random sampling is also a great way to guarantee credibility and can help to reduce the researchers bias. However, random sampling in qualitative research may not always be possible. In this study a purposive selection technique was used to give the researcher control in choosing participants with different levels of experience. Even though a purposive selection was carried out, participants had the right to withdraw from the study and they were not required to disclose an explanation. Besides being ethically correct this ensured that participants were genially willing to take part in the study and that they were prepared to offer data freely giving more credibility to the study. Lincoln and Guba (1985) consider member checks, peer scrutiny and debriefing sessions important provisions that can be made to bolster a studys credibility and reliability. The researcher checked data during collection and perform dialogues with participants. Informants were also asked to read transcripts in which they have participated for verification. The researcher carried out debriefing sessions with supervisors and was open to peer scrutiny, in order to help identify the development of new ideas and interpretations which may assist the researcher to refine the research methods and strengthen arguments brought up from data collected. These meetings also helped the researcher recognise any biases. Transferability is related to the external validity of the research project. Since qualitative assignments are specific to a small number of particular environments and individuals, it is practically impossible to demonstrate that findings are applicable to other situations (Shenton, 2004). However, in order to offer transferability of findings the researcher ensured that sufficient contextual information about the phenomenon under investigation was provided to allow readers to have a proper understanding of it. 3.7 Ethical Considerations Research has many ethical implications and participants rights, such as the right to refuse to participate to the study, right to refuse to answer certain questions, the right for confidentiality and the right for informed consent, which should at all time take precedence over research objectives (Parahoo, 2006). Therefore, throughout all the stages of research process, it was ensured that ethical principles were maintained so participants were safe guarded against harm. Participants had the right to choose not to participate and similarly the right to withdraw at any point. In this regard, participants were informed of the study in writing and were asked for their consent to participate to both the face to face interviews and the focus group. The consent letters were distributed to the nursing officer who was instructed to pass these on to the selected nurses. In the consent letter, participants were informed about the confidentiality of their responses and also that some of the responses might be quoted to add value to the presentation of results and discussion in the study. However, they were also ensured that measures were taken so that no individual respondent was identified. After completion of the study all data collected and recordings of interviews and the focus groups will be destroyed. Gathering of all relevant permission from the hospital authorities, Data Protection Officer and University Research Ethics Committee of the University of Malta to carry out this research study were sought. (Appendix)