strategic human resources management

 

STRATEGIC HUMAN RESOURCES MANAGEMENT

Myron D. Fottler, PhD

CHAPTER

1

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Learning Objectives

After completing this chapter, the reader should be able to

• define strategic human resources management, • outline key human resources functions, • discuss the significance of human resources management to present and

future healthcare executives, and • describe the organizational and human resources systems that affect

organizational outcomes.

Introduction

Like most other service industries, the healthcare industry is very labor inten- sive. One reason for healthcare’s reliance on an extensive workforce is that it is not possible to produce a “service” and then store it for later consumption. In healthcare, the production of the service that is purchased and the con- sumption of that service occur simultaneously. Thus, the interaction between healthcare consumers and healthcare providers is an integral part of the deliv- ery of health services. Given the dependence on healthcare professionals to deliver service, the possibility of heterogeneity of service quality must be rec- ognized within an employee (as skills and competencies change over time) and among employees (as different individuals or representatives of various pro- fessions provide a service).

The intensive use of labor for service delivery and the possibility of vari- ability in professional practice require that the attention of leaders in the in- dustry be directed toward managing the performance of the persons involved in the delivery of services. The effective management of people requires that healthcare executives understand the factors that influence the performance of individuals employed in their organizations. These factors include not only the traditional human resources management (HRM) activities (i.e., recruitment

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EBSCO Publishing : eBook Academic Collection (EBSCOhost) – printed on 2/1/2022 4:13 PM via WESTERN KENTUCKY UNIVERSITY AN: 237620 ; Fottler, Myron D., Fried, Bruce.; Human Resources in Healthcare : Managing for Success Account: s8993066.main.ehost

 

 

and selection, training and development, appraisal, compensation, and em- ployee relations) but also the environmental and other organizational aspects that impinge on human resources (HR) activities.

Strategic human resources management (SHRM) refers to the compre- hensive set of managerial activities and tasks related to developing and main- taining a qualified workforce. This workforce, in turn, contributes to organi- zational effectiveness, as defined by the organization’s strategic goals. SHRM occurs in a complex and dynamic milieu of forces within the organizational context. A significant trend that started within the last decade is for HR man- agers to adopt a strategic perspective of their job and to recognize critical link- ages between organizational strategy and HR strategies (Fottler et al. 1990; Greer 2001).

This book explains and illustrates the methods and practices for increas- ing the probability that competent personnel will be available to provide the services delivered by the organization and that these employees will appropri- ately perform the necessary tasks. Implementing these methods and practices means that requirements for positions must be determined, qualified persons must be recruited and selected, employees must be trained and developed to meet future organizational needs, and adequate rewards must be provided to attract and retain top performers. All of these functions must be managed within the legal constraints imposed by society (i.e., legislation, regulation, and court decisions). This chapter emphasizes that HR functions are per- formed within the context of the overall activities of the organization. These functions are influenced or constrained by the environment, the organiza- tional mission and strategies that are being pursued, and the systems indige- nous to the institution.

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America’s Relationship Status

 

America’s Relationship Status is Complicated: Lessons Learned from Isolationism in World War I and World War II

Sample Student

Example text

1

 

Outline

My Topic

U.S. Isolationism: World War I

From Isolationism to Intervention: World War I

U.S. Isolationism: World War II

From Isolationism to Intervention: World War II

Making Connections

Sources

Example text

2

 

My Topic

What can we learn from United States isolationist foreign policy during the first and second World Wars to help inform our approach to international relationships today?

 

Colors of The Famous 369th Infantry in Parade in New York City https://catalog.archives.gov/id/533494.

My research question is, “What can we learn from United States isolationist foreign policy during the first and second World Wars to help inform our approach to international relationships today?”

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Isolationism and World War I

World War I began in 1914

The U.S. remained neutral until 1917

 

Wilson re-elected on Isolationism

1916 Campaign slogan “He Has Kept Us Out of War”

 

 

 

Presidential Portait : https://www.whitehousehistory.org/photos/fotoware?id=86EC86A1CF434DEA%20B75C9792E3DEB3BD

Examples of Campaign Buttons | www.worldwar1.com

Although World War I began in 1914, The United States stayed neutral until 1917. Isolationism was a long-standing tradition dating back to the Revolutionary war, when America gained its independence from Great Britain. America was leery of becoming entangled with foreign nations ever since its inception. Wilson ran his 1916 reelection campaign on the fact that he kept America out of World War I. His reelection solidified the belief that the majority of voters wanted to continue to stay out of international conflicts. It was difficult for some to see how a foreign war could impact America.

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Intervention in World War I

The sinking of the Lusitania

American citizens perished at Germany’s hands

Impacted America

 

Wilson’s League of Nations

Isolationist figures in U.S. opposed the League

Lusitania Headline: Hulton Archive/Getty Images

 

According to MacMillen, Wilson eventually came to see Germany as a menace to society and the world, and he came to advocating to make the world “safe for democracy” despite being elected as an isolationist (1). The sinking of the Lusitania would become one of the events that began to shift America toward intervention. Newspapers reported the sinking with emphasis on American lives lost (2). The U.S. would eventually intervene in World War 1 in 1917. As the war concluded, the battle in America between isolationists and interventionists heated up. Though Wilson tried to advocate for the League of Nations, powerful isolationist figures like Charles Lindbergh ultimately prevented Congress from sanctioning the League. The war sent the U.S. even further toward isolationism, with Congress passing Neutrality acts and placing limits on immigration to further solidify the country’s isolated position in foreign affairs. Norwich University offers the possibility that it was “perhaps isolationist Warren Harding’s election to the office of President that offered the greatest repudiation of the League of Nations and Wilson’s interventionism” (3).

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important for overall health of the body

 Homeostasis is vitally important for the overall health of the body. This week we covered various imbalances of various major body systems. Select one imbalance (disease) and discuss the clinical sign/symptoms of the disease.

List any treatments or cures associated with the disease.

Also, is there a vaccine available, and if so what countries are providing this vaccine to their residents?

Please write a report on Diabetes.

APA style.  300-400 words

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liberal arts foundation course

The first week of this course you were asked to answer the following question:

“Include a few lines describing what you hope to learn in a liberal arts foundation course. If you are not sure about what you hope to learn, then describe what you think this course is about.”

How does the course compare to what you thought the course was about in week 1? What do you think this course was about now that you have come to the end of the course?

How might this course influence the rest of your studies

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Describe the specific mechanisms of enzyme function

only respond to post 1 and 2

(Topic of discussion

ATP (adenosine triphosphate) has been called the energy currency of the cell. Briefly outline the cycle by which energy is stored in and released from ATP. Discuss how ATP is critically important to cellular chemical processes.

Enzymes are protein materials that control chemical processes. Describe the specific mechanisms of enzyme function. Pick a specific enzyme and describe its function and the importance of that function to life. Discuss how the loss of that enzyme would disrupt living processes. Make sure your explanation of enzymes is informed by the textbook.)

POST1

In this week discussion our main focus is the importance of the ATP and Enzymes. The ATP (adenosine triphosphate) has been called the energy currency of the cell. The ATP consists of an organic molecule called adenosine plus a tail of three phosphate groups. The triphosphate tail is the business end of the ATP which provide energy for the cellular work. Cellular work spends ATP, which is recycled when ADP and phosphate are combined using energy released by cellular respiration. The energy from processes that yield energy, such as the breakdown of the organic fuels, is transferred processes that consume energy, such as muscle contraction and other cellular work. The ATP run at a really fast pace up to 10 million ATP’s are consumed and recycled each second in a working muscle cell. Enzymes are proteins that speed up the chemical reactions without being consumed by those reactions. All living cells contain thousands of enzymes however, each one develop a separate chemical reaction. Proteins embedded in the plasma membrane perform a wide variety of functions, including regulating transport, anchoring to other cells or substances, promoting enzymatic reactions, and recognizing other cells.

Eric J. Simon, Jean L. Dickey, Jane B. Reece, and Kelly A. Hogan. (2016). Campbell Essential Biology, 5th Ed. Benjamin-Cummings

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POST2

Adenosine triphosphate, or ATP, is considered to be complex organic chemicals which are involved in providing energy for many processes that take place in living cells. When a cell requires energy, the ATP is then broken down through hydrolysis. Hydrolysis of ATP is important in movement by the contraction of muscles, structural maintenance.

ATP is constantly formed and broken down as it participates in biological reactions and it is central to the health and growth of all life. (Danaher, 2017). ATP is important to the cellular chemical process because it captures chemical energy obtained from breakdown of food molecules and then releases it to fuel other cell processes. Since ATP is the primary carrier of energy cells, ATP is converted from storage molecules when energy is needed by the cell. (Britannica, 2018).

Enzymes are important because they are protein in nature which speeds up the process of a chemical reaction without taking place in the reaction. (Marmorstein, 2016). The functions of enzymes may include regulating cell activities, breaking down of large molecules into small molecules which are easily absorbable by the body, generating energy in living organisms through the speeding up of hydrolysis of ATP and some other functions, including hormone regulation responses and reactions. An example of a particular enzyme is when the salivary enzyme amylase binds to a starch, it catalyzes hydrolysis, which results in maltose, or malt sugar. (Castro, 2014).

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Latin name for the coffee species

Please read the above articles (they are in 1 file) for the discussion. The first is short and simple. The second is long and more complex; you do not need to understand all of it.

Answer the following question in complete sentences.  Use evidence from the article to support claims made.

1. Give the proper Latin name for the coffee species studied.

2. Is caffeine production by coffee, cacao (chocolate), and tea a conserved trait from a common ancestor? Why or why not?

3. What are the 3 possible reasons given for caffeine production by coffee and certain other plants?

See the Science article for the last 2 questions.

4. How many chromosomes are in the coffee species studied?

5. This article is the culmination of many people in many different places. Give pros and cons of such a collaboration.

The discussion is focused on #5

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Health Care Policy And Economics Thesis

 

Instructions

Create a visual depiction using any tool you wish (graphs, charts, figures, pictures, or PowerPoint) to explain the process of how ideas become regulations and rules and how rules and regulations become policy and laws on the local, state, and national levels for the nursing home industry.

Research the path of how local, state, and national rules, regulations, and laws are created and include the knowledge you find from this research into the visual depiction you create. The depiction should be concise and easy to understand.

For example, no more than five PowerPoint® slides if PowerPoint® is used or no more than 2 pages of graphs, charts, figures, or pictures if WORD® is used. APA is not required except for the references section. You must include two (2) scholarly resources.

Requirements

The writer visually depicts a clear and easy-to-understand path of how ideas become healthcare policy on a local, state, and national level.

The writer visually depicts how individuals or groups can impact this process and their role in the process.

The writer visually depicts how the process impacts the nursing home industry.

Please be sure to review the various Academic Tools to assist you with meeting APA expectations for written Assignments.

Submitting Your Work

Submit your work to the appropriate Dropbox. To view your graded work, come back to Dropbox or go to the Gradebook after your instructor has evaluated it. Make sure that you save a copy of your submitted project.

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Reasoned arguments and personal beliefs

 

In this assignment, you will apply the use of reasoned arguments and personal beliefs to a case study.

Step 1: Consider the scenario:

Amnesty International has recently established a chapter in your area. Residents are encouraged by the organization’s message and good reputation, and everyone is determined to make this local chapter one of the largest in the state. In order to drum up further support, you have volunteered to create content for a group page on an online social network outlining the mission of Amnesty International. Another member suggests that you highlight a case with moral implications that are currently being contested.

Step 2: Research a moral issue.

Use the Internet to research a moral issue. Focus on the specific moral questions being debated as well as the opinion of all sides within the case.

Step 3: Examine a moral case study.

Address the following by creating content for your group page in hopes of attracting new members to your local Amnesty International chapter:

  • An explanation of the issue
  • The possible viewpoints and conclusions
  • A clear statement of your conclusion
  • An explanation of how you reasoned your way to your conclusions
  • An explanation of which underlying beliefs clashed with or supported your conclusion
  • Arguments to support your conclusion
  • How to form a reasoned argument illustrating the new belief

Remember, you are writing for a wide array of potential members. It is important that you exhibit superior knowledge of the subjects being covered while still packaging the materials in a way that is fun and engaging for new members. They should be excited to join your social network group. Follow these guidelines to further engage the audience:

  • Use clear, concise sentences.
  • Use clear and relatable real-world examples to help explain concepts.
  • Share your enthusiasm and interest in the subject matter.
  • Relate the material back to your own personal experience when possible.

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Planning process of Natural Disasters

You take on the role of the administrator of a health care facility in your area. You should also identify a natural disasters such as earthquakes, floods, hurricanes, tornados, wildfires, winter storms, or any combination thereof.

Write a three- to five-page paper that details your strategic planning process. In your paper,

  • Analyze steps 3 and 4 of the MAPP process when dealing with your selected nature disaster.
  • Explain how you as an administrator would promote collaborations among clinical professionals.
  • Determine methods that encourage physician leadership in patient care enhancement.
  • Design quality initiatives that reduce organizational risk and support patient safety.

The MAPP Strategic Planning and Risk Management: Part II assignment

  • Must be three to five double-spaced pages in length
  • Must use at least two scholarly and/or peer-reviewed sources published in the past 5 years.

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Impact of exposure time

 

RESEARCH ARTICLE

Impact of exposure time, particle size and uptake pathway on silver nanoparticle effects on circulating immune cells in mytilus galloprovincialis

Younes Bouallegui, Ridha Ben Younes, Faten Turki and Ridha Oueslati

Research Unit for Immuno-Microbiology Environmental and Cancerogenesis, Sciences Faculty of Bizerte, University of Carthage, Bizerte, Tunisia

ABSTRACT Nanomaterials have increasingly emerged as potential pollutants to aquatic organisms. Nanomaterials are known to be taken up by hemocytes of marine invertebrates including Mytilus galloprovincialis. Indeed, assessments of hemocyte-related parameters are a valuable tool in the determination of potentials for nanoparticle (NP) toxicity. The present study assessed the effects from two size types of silver nanopar- ticles (AgNP: <50 nm and <100nm) on the frequency of hemocytes subpopulations as immunomodula- tion biomarkers exposed in a mollusk host. Studies were performed using exposures prior to and after inhibition of potential NP uptake pathways (i.e. clathrin- and caveolae-mediated endocytosis) and over dif- ferent durations of exposure (3, 6 and 12 h). Differential hemocyte counts (DHC) revealed significant varia- tions in frequency of different immune cells in mussels exposed for 3 hr to either AgNP size. However, as exposure duration progressed cell levels were subsequently differentially altered depending on particle size (i.e. no significant effects after 3 h with larger AgNP). AgNP effects were also delayed/varied after blockade of either clathrin- or caveolae-mediated endocytosis. The results also noted significant negative correlations between changes in levels hyalinocytes and acidophils or in levels basophils and acidophils as a result of AgNP exposure. From these results, we concluded AgNP effects on mussels were size and duration of exposure dependent. This study highlighted how not only was NP size important, but that dif- fering internalization mechanisms could be key factors impacting on the potential for NP in the environ- ment to induce immunomodulation in a model/test sentinel host like M. galloprovincialis.

ARTICLE HISTORY Received 13 February 2017 Revised 6 May 2017 Accepted 24 May 2017

KEYWORDS Silver nanoparticles; endocytosis; hyalinocytes; granulocytes; Pappenheim panoptical staining

Introduction

Nanoparticles (NP) are defined as materials with all dimensions in nanoscale [1–100 nm] (Luoma 2008). Silver nanoparticles (AgNP) have become the fastest growing product category in nanotechnology due to their thermoelectrical conductivity, cata- lytic activity and nonlinear optical behavior and have great value in the formulation of inks, microelectronic products and biomed- ical facilities (i.e. imaging devices) (Tiede et al. 2009; Katsumiti et al. 2015). Their exceptional broad-spectrum bactericidal prop- erties and biocompatibility (i.e. as drug delivery agent) have also made AgNP extremely useful in a diverse range of consumer goods (Luoma 2008; Rainville et al. 2014; Cozzari et al. 2015; Katsumiti et al. 2015; Marisa et al. 2016).

Worldwide AgNP production is estimated at � 55 tonne/yr (Piccinno et al. 2012). However, release of AgNP into aquatic environs can happen through wastewaters generated during AgNP synthesis and/or incorporation into goods and consumer products (Canesi et al. 2012; Matranga & Corsi 2012; Katsumiti et al. 2015; Marisa et al. 2016). As such, AgNP have emerged as potential stressors that might enter marine environment (Luoma 2008). A lack of appropriate tools to evaluate effective NP (of AgNP in particular) levels in aquatic environments make selection of appropriate testing levels a major problem in risk assessment of engineered NP. As a result, predicted environmen- tal concentrations for AgNP are often set at a level of � 0.01 lg/L (Tiede et al. 2009; Katsumiti et al. 2015). Even so,

levels much lower than that have commonly been used in aquatic species ecotoxicity tests (1–100 lg/L) (Tiede et al. 2009; Canesi & Corsi 2016), including those with mollusk models.

In the mussel Mytilus galloprovincialis (filter-feeding organ- ism), hemocytes are hemolymph cells responsible for immune defence and serve as a first line of defence against foreign substan- ces (Gosling 2003; Parisi et al. 2008; Giron-Perez 2010; Matozzo & Bailo 2015). Immune defences carried out by hemocytes constitute important targets for potential NP toxicity (Canesi et al. 2012; Canesi & Prochazkova 2013; Katsumiti et al. 2015).

Several studies have shown that different NP types, that is, car- bon black, C60 fullerenes, TiO2, SiO2, ZnO, CeO2, Cd-based, Au- based and Ag-based, are rapidly taken up by hemocytes. Internalization of these NP subsequently impacted on morpho- logic/functional characteristics including immune responses (Canesi et al. 2008, 2010a, b, 2012; Katsumiti et al. 2015; Marisa et al. 2016). Various mussel hemocyte parameters, including total hemocyte count (THC), differential hemocyte count (DHC), hemocyte viability, phagocytic activity and lysosomal membrane stability, have been used as a tool for screening of immunomodu- latory effects of differing NP (Matozzo et al. 2007; Parisi et al. 2008; Hoher et al. 2013; Matozzo & Bailo 2015; Canesi & Corsi, 2016; Marisa et al. 2016). Specifically, hyalinocytes and granulo- cytes have been assessed for morphological changes among hemo- cytes in Mytilus galloprovincialis (Pipe et al. 1997; Chang et al. 2005; Garcia-Garcia et al. 2008).

CONTACT Younes Bouallegui [email protected] Research Unit of Immuno-Microbiology Environmental and Cancerogenesis, Sciences Faculty of Bizerte, Zarzouna 7021, Bizerte, Tunisia � 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

JOURNAL OF IMMUNOTOXICOLOGY, 2017 VOL. 14, NO. 1, 116–124 https://doi.org/10.1080/1547691X.2017.1335810

 

 

While granulocytes are large ovoid-shaped cells with a small eccentric nucleus and granulated cytoplasm (low nucleus/cyto- plasm [N/C] ratio) that are able to spread out and produce pseudo- podia), hyalinocytes are small round cells with an agranular (zero- few granules) small cytoplasm surrounding a large nucleus (high N/C ratio) (Carballal et al. 1997; Parisi et al. 2008; Cima 2010; Matozzo & Bailo 2015). Overall, hemocytes can be classified into two types, granulocytes and hyalinocytes (so-called agranulocytes), based on morphological characteristics (the presence/absence of granules in cytoplasm). Staining of the cytoplasm by certain dyes allows for sub-distinguishing of acidophils from basophils among the granulocytes. Ultimately, the basophils of M. edulis appear as granulocytes with small granules, while acidophilic granulocytes contain large granules. In comparison to the granulocytes, hyalino- cytes in bivalve have only basophilic properties. Thus, in earlier studies that described hemocyte subpopulations, the author indi- cated that basophilic cells (hyalinocytes þ basophils) made up about 40% of the total hemocyte pool in bivalves/mussels while eosinophils accounted for the remaining � 60% of all hemocytes (Chang et al. 2005; Garcia-Garcia et al. 2008).

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