A Multidisciplinary Approach to Patient Care Essay -- Nursing, Health

The objective for attendants as a calling isn't just to be â€Å"patient advocates† yet additionally help the patient to learn and pick up the vital abilities to accomplish the best degree of working for the patient dependent on their present ailment. So as to enable a patient to accomplish their ideal degree of working the medical attendant must work with the patient and the interdisciplinary group to make a community oriented arrangement that is coherent for the patient. Through inspecting a musculoskeletal issue contextual investigation #35 from Preusser (2008), one can make a basic pathway for the patient, S.P. a multi year old female, with extreme rheumatoid joint pain (RA) and admitted to the orthopedic ward for a hip break status post fall (p. 183). Since the patient’s needs is one of a kind and complex the medical attendant must tailor an arrangement with the patient which will incorporate â€Å"†¦assessments, meetings, medicines, way of life changes, mala dy education†¦Ã¢â‚¬  all together for the patient have the most suitable proof based consideration and settle on educated choices when it is essential (Oliver, 2006, p. 28). The focus on the medical attendant thinking about the S.P. is to help set up the patient for an up and coming system and center consideration to the patient by social affair essential data about her while. Joint effort with the patient, relatives, recovery, clinical and careful group about the treatment plans can assist us with giving appropriate patient’s care by using activities and mediations inside the extension and principles of the nursing practice. This Preusser (2008) contextual analysis includes a multi year old female, S.P., who fell at home and is admitted to the orthopedic ward for an intracapsular crack of the hip at the femoral neck (p. 183). Appraisal information incorporates her tallness is 5’3†, weight is 118 lbs, circulatory strain... ...National Association of Orthopedic Nurses. (2009). All out hip substitution. Recovered from http://www.orthonurse.org/ResearchandPractice/PatientEducation/tabid/490/Default.aspx  Oliver, S. (2006). Advantages of patient pathways in rheumatoid joint inflammation care. Nursing Times. 102 (16), 28-33. Recovered from http://www.nursingtimes.net/nursing-practice-clinical-inquire about/benefits-of-understanding pathways-in-rheumatoid-joint pain care/203268.article Oliver, S. (2009). Understanding the requirements of more established individuals with rheumatoid joint inflammation: the job of the network nurture. Nursing Older People, 21(9), 30-38. Preusser, B. (2008). fourth Ed. Winningham and Preusser’s basic intuition in nursing: Medical-careful, pediatric, maternity, and mental contextual investigations. New York: Elsevier/Mosby Inc. Wilkinson, J. M. (2011). fifth Ed.  The Nursing process and basic reasoning. Prentice Hall.

Management for Supply Chain

Questions: 1. What are the difficulties in simultaneous item and flexibly fasten configuration concerning key qualities of the improvement chain at Porsche? 2. In what capacity can plan for coordinations ideas be applied to (I) control coordinations expenses and (ii) make the gracefully chain progressively spry/responsive and (iii) increasingly effective for the new Porsche 911? 3. In what manner can the deferment idea and repositioning of the push-pull limit help with building up an Assemble-To-Order (ATO) or Build-To-Order (BTO) producing system for the new Porsche 911? 4. Could stock administration and hazard pooling hypothesis be utilized to clarify the justification for an ATO technique for another Porsche 911? Answers: Presentation Porsche is a German vehicle maker. The organization principally centers around the assembling of Sports vehicles, SUVs, and cars. In any case, it has tasks in different fields also. The organization was established by Ferdinand Porsche in 1931 and has from that point forward developed to get one of the pioneers in vehicle producers. The central station of the organization are situated in Stuttgart, Germany and claimed by Volkswagen AG. The organization has been the maker of an enormous number of notorious vehicles and all things considered, the lineup incorporates 911, Panamera, Boxster, Cayman, Cayenne and the Macan. Porsche has for since quite a while ago centered around the nature of its vehicles and all things considered, has attempted countless strides so as to make itself particular from its rivals. The brand estimation of the organization is additionally connected to the different accomplishments in the different fields including consumer loyalty. Porsche as such has advanced to be one of the most perceived names in the vehicle business with numerous models getting equal with sports vehicles. Conversation (1). Porsche has had a well working technique since the time its beginning. Porsches flexibly chain system is a lean procedure that targets understanding the clients needs and afterward acting appropriately. The lean procedure is one that gives less time to the advancement of the item and putting it out to the market. The technique at that point assesses the clients responses and weaknesses in the item and afterward continues to address those(Blanchard, 2010). The gracefully chain is subsequently a framework that makes it simpler to distinguish the direction of the clients. The achievement of the flexibly chains can be followed by taking a gander at the numbers that say a lot about the companys achievement. In 1992, the quantity of vehicles sold by Porsche was 15,083. By 2012, the number had ascended to 151,999. The turnover of the organization likewise expanded complex during this period. While the yearly turnover in 1992 was 978 million Euros, by 2012, it was 13,865 million Euros. The p rovider base of Porsche comprises of 650 providers, 22,000 dynamic part numbers, 750 vendors and 125 markets (Carbon wheels for Porsche 911, 2012). Likewise, Porsche has countless after deals administration stations and furthermore countless extra parts makers and providers over the world. While the framework may furnish the organization with the capacity to detail a gracefully chain that is adaptable and cost effective, the fundamental test that it gives is in the division of the advancement chain. The test that the organization faces because of a lean procedure is that the organization can't build up another item to the most extreme level (Fernie Sparks, 2009). While Porsche has been for long an organization that depends on advancement, it needs to make items that are new to the market as well as have a high caliber. The test is made as a result of a short throughput time. On account of a tight time period in which, the organization should make and dispatch items; it passes up cer tain significant divisions. The new vehicles might be grown yet the issue in this procedure is that since the organization goes to advertise them when they are made, the weaknesses of the vehicle may be neglected (Weele, 2010). In such a case, while the organization may connect with the clients later after the units have been offered, the harm to the companys notoriety is now done. The effect on the advancement chain is without a doubt genuine as it is one of the variables that exceptionally influence the companys in general brand picture and well being(Gattorna, 2009). The test of keeping up a high item quality in a brief timeframe is to be sure genuine as the organization must be continually alert about every single unit leaving its assembling units. The organization additionally faces difficulties in its gracefully bind framework because of the restricted time span. The appraisal of the gracefully chains isn't done appropriately because of such a technique (Burt, Starling, Dobler , 2003). The flexibly chains are completely treated on a similar level and therefore, the organization doesn't find which chain to be given greater need as per the quantity of clients, the worth and so forth. All things considered, the difficulties that the organization faces is a result of the restricted time period in the lean promoting framework. In such a case, the companys principle challenges are keeping up the nature of the simultaneous item and finding the efficiencies of the gracefully chains. (2). (I) Porsche is an organization that has an extensive nearness in countless nations where it is a significant player. Additionally, Porsche is a significant player in every one of those nations. In such a case, Porsche can't mess with any issue. Porsche must target keeping its hold over every single market. In such a case, The organization needs to make its essence felt emphatically in each area and in that capacity, must make extensive spending in different segments (Hoek, 2006). The coordinations division of Porsche, which includes the exercises identifying with the obtainment, transport, transshipment and capacity of merchandise is accordingly a significant factor that influences the organization all in all. The coordinations of Porsche represents around 30% of every item landed expense. Porsche can utilize a couple of the structure for coordinations idea so as to control its coordinations cost. The initial phase in this is in the operational part. The organization should at presen t build up a group to screen the transportation costs. the organization basically centers around the creation and doesn't consider what steps to take in issues of transportation (Hugos, 2003). Notwithstanding, that is a significant factor as that would essentially lessen charges. Additionally, Porsche can make an arrangement of mechanized consistence framework that would diminish human blunders and furthermore potential tricks in the companys legitimate dealings. (ii) Porsche follows an arrangement of a lean gracefully chain and as such needs to make its flexibly chain significantly more light-footed. Nonetheless, Porsche can't get rid of its lean framework as it is one of the most significant frameworks in the cutting edge age. Furthermore, since Porsche has for since quite a while ago followed a methodology of a lean framework, it can't get rid of it (Lean gracefully chain, 2006). In such a case, the organization must concentrate on making a half and half framework. While a lean gracefully chain the board centers around the yield of the organization and searches for whatever doesn't include esteem. In such a case, the lean framework is one that wipes out waste and doesn't permit whatever would simply end up being a misuse of assets and vitality. The coordinated framework, then again, makes a flexibly anchor that is receptive to the clients (Mentzer, 2001). A lithe framework is likewise, as the name proposes, ready to work quick and increase the piece of the overall industry by rapidly getting together with the necessities in the gracefully chains. The coordinations are a significant factor and the plan for coordinations ideas can give the organization the genuinely necessary thought of how to make a dexterous framework. The piece of the plan for coordinations that should be considered so as to encourage the development of the deft framework is the branch of conveyance (Myerson, 2012). The conveyance framework, when observed, would give the organization the specific strides to be taken so as to make the basic changes that would give a fast conveyance and fulfill the client. The organization ought to likewise roll out barely any improvements in its after deals offices so as to empower the procedure. (iii) The coordinations cost is the prime factor with regards to making a proficient framework for any organization. The coordinations cost of Porsche compensates for around 30% of the landed expense of the companys items (Packowski, 2014). The organization ought to figure a procedure that screens the all out expenses and wastages that are acquired in the different conveyance forms. The organization would then be able to continue to frame a framework that keeps up the division in a way that considers the procedures that would give minimal consumption in the vehicle and would likewise furnish the organization with the way to find where to produce in a way that the general use of production and transport would be kept at the very least (Rudzki, 2006). (3). The Porsche 911 is one of the lead vehicles of the organization and in that capacity, it is persistently advancing. In such a circumstance, the organization needs to distinguish whether it follows an Assemble to Order or Build to Order methodology. In the event that the organization utilizes the delay hypothesis, fabricating an Assemble to Order is probably the best plan to be established (Schniederjans, Schniederjans, Schniederjans, 2010). In the deferment hypothesis, the item is one that can be made that can be altered at a later point. On account of the 911, Porsche has for since quite a while ago had the option to form the vehicle to the inclinations of the cutting edge client. In such a case, the deferment hypothesis works on the grounds that the model of 911 is dependent upon consistent change. In any case, when another model is propelled, the clients might want to add the new highlights to their vehicles that are of a more seasoned model. In such a case, making an item that ca n be altered later on holds a lot of significant worth. Since the vehicles are presently ready to be altered, the organization would then be able to follow the Assemble to arrange approach to make the extra pieces of the vehicle independently (Special Topic Forum on Resources and Supply Chain Management, 2013). In

Spring cleaning and miscellany

Spring cleaning and miscellany Well, grad school interviews and visiting weekends are done! This weekend I visited Harvard Medical Schools Biological and Biomedical Sciences program, from which both my UROP professor and my postdoc graduated. I got to hear stories about my UROP professor as a graduate student (I ate dinner last night with his PhD advisor), and I met several faculty members who are MIT alums they all asked to see my Brass Rat. (One walked over to the table where Brit 05, Lara 06, and I were chatting and boomed, So I see this is the Brass Rat table!) Theres a standard pair of questions MIT alums ask each other when they meet: what course were you, and where did you live? Most of the professors were, of course, course 7, but they were excited to hear that I was doubling in course 9 back when many of them were at MIT, course 9 was just psychology; the department didnt include neuroscience until 1986. I met a faculty member who lived in Burton-Conner (home of many current bloggers), and one who lived in Baker nobody from my home, though. Today I was home and doing nothing on a weekend for the first time in 2006 (this is when you know you interviewed at too many PhD programs, thank you very much), so I seized the opportunity to do a little spring cleaning. There are few things in life more entertaining than making a pile of clothes to give to Goodwill while singing Material Girl at the top of your lungs. I found a pair of 4-inch Steve Madden high-heeled shoes that a) I have never worn, and b) I would not be physically capable of walking in, and c) would cause me to be approximately 3 inches taller than my height-challenged boyfriend. I hope someone at Goodwill has a use for a pair of size 8 super-high-heels Lets see, what else my entry is looking for a new GRT (graduate resident tutor), since Bryan, our current GRT, is getting his PhD this spring and moving on to real life. A GRT is MITs version of an RA I guess at most schools, they have undergrad RAs, but ours are all grad students. GRTs are responsible for providing free food, emotional support, and cutting through administrative red tape (like when Adam had the flu during finals last spring and our GRT told him how to talk to the counseling deans so he could get his finals rescheduled). I suppose theyre also responsible for resolving conflicts between residents and those sorts of things, but were all pretty close and I cant think of a time when theres ever been a serious conflict between entry residents. So weve narrowed down our list to 12 prospective GRT candidates, and I think we get to interview all of them this spring to see whos the best fit for the entry. I am pretty sure this process will involve a lot of free food. Just a few questions today.. 1. Mike asked the kind of question that makes me squirm. Mollie, is there anything that you do not like about MIT? Now, I know perfectly well that MIT is not in fact Utopia, and if I say, Nope! I love everything about it! that just sounds completely disingenuous. I guess to some degree this is a hard question for me to answer, because I tend to have an internal locus of control so the semesters Ive been really stressed and transiently unhappy, I place the blame on things like my choice of class schedule (taking 75 units last spring made me a little crazy, but it was my choice to take 75 units) rather than on MIT per se. Im also a happy-go-lucky person by nature. So I will just say two small things that I dont like about MIT. Maybe later Ill come up with something more substantial. a) I dont like that my dorm is a quarter of a mile away from 77 Mass Ave, often necessitating a 10-minute walk in the cold and wind to warmth each way. Be smart! Go live with Jessie and Anthony at EC! b) I dont like it that the fact that I go to MIT leads to almost immediate stereotyping by non-MIT people. (Oh, you go to MIT? You must be a genius/total nerd/socially inept.) News flash: you dont have to be anything to be a happy MIT student, other than excited about science or engineering. 2. Annie asked, Would you have picked Harvard over MIT? And have you cross-registered for any classes there? I havent ever cross-registered my schedules pretty packed as it is with class, and working 15+ hours a week at my lab is a priority for me. Taking a class up at Harvard would introduce too much travel time. I do have friends who have cross-registered (or taken classes up there during the summer), and theyve enjoyed the experience. I really cant say whether I would have picked Harvard over MIT for undergrad. I had never visited either before applying (I visited MIT a week and a half before May 1), and since I didnt get into Harvard, I didnt visit there. I didnt accept my spot on the Harvard waitlist, if thats illuminating at all. If I had gotten into and visited both, I would have gone with my gut feeling on which was the better environment for me. 3. Timur harassed me for scanning in the list upside down. Oops. :) And my cursive lowercase as have always been normal its just when Im printing that theyre weird. And I can scan in writing assignments from fourth grade to prove that theyve been weird for thirteen years now!

Rise of the American Criminal Industry between 1900-1940

1900 A rise in crime levels as gangs grow stronger. Monk Eastmans Gang starts to pose a real threat to Paul Kellys Five Points Gang. 1907 Michael Cassius McDonald dies and leaves a criminal industry in Chicago in the hands of opportunist gangsters coming in from all over the country. 1911 Mayer Lansky arrives in the U.S. and immediately starts to analyze conditions in the country with regard to Italian crime families with the purpose of getting involved in their affairs. 1919 Al Capone leaves New York with the purpose of starting illegal businesses in Chicago. Lucianos influence also solidified at this time, as the Volstead Act provided him with the perfect opportunity to start an illegal business. 1920 Prohibition started in the U.S. and provided crime families with the opportunity to get involved in particularly profitable affairs. John Colosimo, one of the most important gangsters in the U.S. is killed the same year, most probably because of his reluctance to get involved in alcohol trafficking. His death makes it possible for people to understand the full complexity of illegal affairs in the country as numerous other gangsters and even politicians attend his funeral. 1921 Johnny Torrio, Chicagos crime boss, brings in Capone as his bodyguard. 1924 Torrio manages to set the foundation of one of the most successful bootlegging businesses in the country. The Italian-American gangster also manages to invest large amounts of money into gambling and experiencesShow MoreRelatedThe Oil Major Of Mexico3323 Words   |  14 Pagesenergy trade with the hopes that it will help bolster its position in North American markets. 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Vol. 33, Iss. 3; pg. 197, 10 pgs Abstract (Summary) Prohibition, which came into effect in July of 1920 with the passing of the Eighteenth Amendment, also illustrated the progressives idealismRead MoreAntitrust Laws Limit Corporate Aqusition4748 Words   |  19 Pagesenterprises compete fairly. It has had a serious effect on business practices and the organization of U.S. industry. Premised on the belief that free trade benefits the economy, businesses, and consumers alike, the law forbids several types of restraint of trade and monopolization. These restraints can be classified into four main areas: agreements between or among competitors, contractual arrangements between sellers and buyers, the pursuit or maintenance of monopoly power, and mergers. 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The Food And Drug Aspect Of Aphrodisiac - 1388 Words

Introduction Being practiced in many different cultures, aphrodisiac is a legendary substance defined as any food or drug that could arouses the sexual desire and increases sexual pleasure with better performance for either male of female (Kotta et al. 2013). Aphrodisiac could trigger one’s sexual desire—libido, enhancing sex drive or sexual pleasure (Rajagopalan 2013). Active molecules crossing the blood brain barrier to promote sexual arousal through the central nervous system, which works as the regular mechanism of an aphrodisiac, according to several scientific studies (Sahoo et al. 2014). Aphrodisiac substances could also increase blood flow to sexual organs, or mimic a burning sense in sexual intercourse, in order to boost the†¦show more content†¦Almost all stimulants could be referred as aphrodisiacs (Rajagopalan 2013). Therefore, I will try to come up with a more detailed category for aphrodisiac substances, through examinations for the evidence and support that a re provided in various plant and substance researches. Direct Aphrodisiac —substances that is believed to have specific effect to sexual organs Food or substance from plant Tribulus terrestris (TT) is a worldwide-distributed flowering herb that has been used as a traditional sexual stimulant for a long time (Shamloul 2010). Animal researches have gained significant correlation between increasing erectile function and oral administration through the study of the plant extract (Shamloul 2010). Through increasing the sexual hormone levels, TT may have a mechanism of enhancing erectile ability (Shamloul 2010). However, no clinical studies have proved these and some studies have indicates that no direct correlation of TT administration and improved human libido (Shamloul 2010; Kotta et al. 2013). Panax Ginseng is also called Asian Ginseng from the family Araliaceae, which is a slow-growing plant with fleshy roots (Shamloul 2010). It has been used in China for centuries to treat sexual dysfunction, boost sexual desire and enhance better sexual performance. It may improve energy level and general health as well (Farrell 2011). The red Ginseng, which is a 6-year-oldShow MoreRelatedThe, Erectile Dysfunction And Low Sexual Performance Are Addressed By The Male Enhancement Products1065 Words   |  5 Pagesthe two in the end. VigRX Plus Vs MaleExtra Ingredients The first thing to discuss is the ingredients used in the male enhancement product. The VigRX Plus uses all-natural ingredients that are obtained from the plants. The ingredients are all Food and Drug Administration (FDA) approved and are quite safe. Catuaba is the main ingredient of the VigRX Plus and it combines with ginkgo biloba (another ingredient) for the improvement of blood flow in the penis and hence improve erections. 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Tragedy in Tom Brennan Free Essays

Question: It is impossible to avoid conflict in life, but this tragedy was preventable. Do you agree? Do you believe that tragedies only happen to others? In the novel ‘The story of Tom Brennan’, by JC Burke, she highlights in the most severe way that tragedies do occur. My opinion to the matter at hand is that tragedies do happen. We will write a custom essay sample on Tragedy in Tom Brennan or any similar topic only for you Order Now There will always be unavoidable conflict andI agree with the first statement in the paragraph. If you think about the events that took place in the novel, you will understand that the story line is not a happy one. As described by JC Burke, the novel outlines grief in many instances, sadness in the way of Nicole and Luke’s families. Although these emotions are outlined there is still bright and happy emotions involved. It is impossible to avoid conflict; it is just a matter of the amount of tragedy you receive. The amount of conflict you receive can also reflect on a person’s personality, how they respond and handle otherwise terrible issues. If you can stay strong through the tough times in life, you can overcome the obstacles that are thrown at you. There are many stages a person goes through during times of tragedy; it varies between people, religions and races. Some of the stages are depression, being so sad you can’t find any way out. Anger is another, showing you miss the person/s so much rage takes over your life. These are just some of the stages one goes through during tragedy. Obviously the accident in the novel is a tragedy, however there was definitely negligence involved in the events that took place on the night of the accident. Daniel was intoxicated and the passengers knew that so I question the judgment of them, never the less the responsibility lies with the driver and in this case it is Daniel. His actions leading to the death of his friends Nicole and Luke were unacceptable, also his actions lead to the impairment of his cousin Fyn. His cousin Fyn was one of his great friends, they did everything together, played for the same rugby team, training alongside each other and just generally having a great time. Now though Fyn is not capable of doing the things he ones was able to do. He will no longer share his passion for rugby he once had, although he would give anything to play there is nothing he can do. How to cite Tragedy in Tom Brennan, Papers

Public Education in USA

Introduction The United States of America is the nation that controls the economy of the world. Consequently, the USA is the founder of equality. Despite its efforts however, the nation is currently facing problems in its education system. Ironically, the US government comes up with a new idea almost every decade that are parenthetical good but they are not as effective in practice.Advertising We will write a custom essay sample on Public Education in USA specifically for you for only $16.05 $11/page Learn More The main question that comes up as a result is, who it to blame for this? In the United States of America, the government controls the education system. Due to this fact, I believe that due to its institutional inefficiencies, the American government has failed to successfully manage the education system in America. As a result, there is a huge disparity between the education that is offered in public schools and the one offered in private school. In practice, private school education in the United States of America is of a higher quality as compared to the education offered in public schools. With regards to these factors, this paper will thus focus on the role played by the United States government in the declining quality of education that is offered in public schools. Failure of Public Education in America In the United States of America, many people believe that the lack of results in the main problem that the public education in the USA is facing. This allegation is true since the standards of education in public schools are relatively lower as compared to private schools. Therefore, many people do not place high expectations on students who attend public schools in the United States. As Chubb (1990) asserted, setting up rules and regulations in the United States is considered a bigger priority as compared to the analysis of results and coming up with measures that would ultimately improve the quality of education in p ublic schools (6). Thus, from this argument, it is evident that public education in the United States has failed not due to the poor performance of students but as a result of the policies that have been put in place to ensure that public schools in the United States operate in an effective and efficient manner. In the United States, the government determines the policies that will be implemented either directly or indirectly (Chubb 8). Therefore, the government is to blame for the poor performance by the students in public schools and not the students themselves. Since the end of the Second World War, the US government has put extensive efforts in reforming the education system of the nation. Through school reform programs, the US government aimed at developing an education system that will carter for the needs of its citizens ensure its sustainability in the short run and in the long run.Advertising Looking for essay on education? Let's see if we can help you! Get your first paper with 15% OFF Learn More However, most of the policies and measures that have been developed and implemented have failed to meet these needs. The approach that the policy makers used to develop and implement these measures has always been poor. Measures such as school centralization, progressive education, and incorporation of ICT in education by introducing computers in the classroom were brilliant ideas. However, they were proposed and implemented with proper analysis of the educational needs of the country and the impacts that they might have on education. As a result, these and many other measures have failed to meet the needs and requirements that they had been implemented to achieve. Despite realizing its mistakes and coming up with effective measures, the government is still utilizing the same rudimentary techniques in the school reformation process up to the present moment (Hood 7). Thus, policy development and implementation in public schools in the USA is cha racterized by misdiagnosis of the needs of public education and blame shifting during the times of failure. More importantly, the government has failed to address the cultural and social trends within the classroom that have greatly deteriorated since the beginning of the 1960s. These trends have greatly affected the relationship that students have with their teachers and the relationship between the parents and the teachers. In the contemporary world, students do not respect their teachers as they did several decades ago. Consequently, parents always blame the teachers for the poor performance by the students without the realization of the limited resources that they have to work with in the process of teaching. Institutional Problems Facing Public Schools The operation of public schools is usually characterized by external influences from various agencies and government bodies. As a result, the rules and regulations in public schools are rigid from external forces such as supervis ors are responsible for their development and implementation. This trend reduces the power that the internal management of a school has. Therefore, it is difficult for public schools to hire or fire teachers or any other employee as a measure of improving their performance. According to Smith (1995), it is difficult for principals to achieve high standards of performance when their staff comprise of individuals who are not fit for the job and they do not have the power nor the mandate to fire them or hire new ones (122). In most cases, such institutions will be characterized by conflicts between institution heads and their staff and among staff members.Advertising We will write a custom essay sample on Public Education in USA specifically for you for only $16.05 $11/page Learn More This greatly reduces the effectiveness and efficiency of operations resulting in poor performance that is a characteristic of public schools in the USA. The government should therefore decentralize the management of public schools to give institutional heads and managers more power to run their institutions. This will greatly increase the efficiency of public education since institutional heads will have the opportunity to select a workforce that works to meet the vision, mission, goals, and objectives of public education in the USA. The civil service system also plays a significant role in the poor performance of public schools in the United States of America. Since the beginning of the 20th century, most of the employees in public schools are unionized individuals who are employed by the government. Due to the guarantee of tenure that such individuals have, it is difficult for them to increase their performance to meet the needs of public education. Furthermore, lack of accountability is another factor that has greatly reduced employee performance in public schools. To overcome this problem, private firms should provide employment in public education to meet their specific needs and requirements. These firms should strive to achieve efficiency and accountability from their employees. As a result, teachers and other personnel in the public sector will improve their performance and output to meet the needs and requirements of their employers as well as the requirements of public education. Monotony is another problem that public education is facing in the United States. Like other employees, teachers in public schools will be motivated with incentives and rewards (Hood 12). However, the government has failed to realize this need. Thus, due to lack of incentives, teachers are not motivated to work harder to improve the performance of students in public schools that has been deteriorating with time. Thus, the government should come up with measures and systems that reward hard working teachers and public schools. This move will increase the engagement of teachers in public education and competition among public schools while strivin g for excellence. In the long run, this strategy will greatly improve the quality of public education. Finally, the presence of centralized decision-making mechanism has greatly hindered the efficiency of operations in public schools. As it has been discussed, the government is the main decision maker with regards to the policies, rules, and regulations that affect public schools. Through its personnel and auxiliary bodies, the government develops rules and regulations that are to be implemented at the school level by institutional heads and their staff.Advertising Looking for essay on education? Let's see if we can help you! Get your first paper with 15% OFF Learn More However, since they were not involved in the decision making process, school heads, and their staff are always reluctant in implementing these rules and regulations to the latter. Thus, the decision making process should be decentralized to ensure that these individuals are involved in the making of measures, rules, and policies that they are to implement. This will greatly improve the efficiency of operations in public schools hence increasing their overall performance. Conclusion The quality of public education has greatly declined over the last several decades. Despite the fact that many people believe that it is the students who have failed to improve their performance, this paper has identified that indeed it is the government that has failed to put in place measures that are effective in meeting the educational needs of the public. Thus, the government needs to address issues that relate to the management of public schools to improve the quality of education hence meeting the educational needs of the greatest nation in the world. Works Cited Chubb, John. Politics, Markets and America’s Schools. New Jersey: Brookings Institution Press, 1990. Print. Hood, John 1993, The Failure of American Public Education. Web. https://fee.org/articles/the-failure-of-american-public-education#axzz2K0a7QuvY Smith, Kevin. The Case against School Choice: Politics, Markets, and Fools. New York: M.E Sharpe, 1995. Print. This essay on Public Education in USA was written and submitted by user Pyro to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.