TQM in Academic Environment Essay Example for Free

TQM in Academic Environment Essay Abstract Total Quality Management was originally a concept coined in the late 1800s and early 1900s. This concept sought continuous improvement in performance, laying a lot of emphasis on the customers. A lot of organizations and military institutes started implementing the principles and integrating them within their entirety. Very soon, people started debating on the effective use and implementation of TQM within academic circles. Irrespective of resistance by some circles, certain academic sectors integrated TQM and were surprisingly successful. Students, specializing in their respective fields were the focus of attention. It was decided that transformation will not take place through movements emphasizing greater specialization, grades, and standards of performance accountability or through training students to fit into existing academic environments. Rather, a change that would produce improvement not only the fundamental changes with which we manage and design our educational systems but also how we design them, keeping in view the needs of our clients/constituents. The paper focuses and throws light on the nature of total quality management. How it found way into the academic circles and its coherence as far as inculcating leaders in the society is concerned. It delves into the nature of change asked for and essential rethinking that follows post realization that TQM caters to the needs of the society and organizations at large. This involves budging out of the rules established, encouraging complex mental models, thinking out of the box, working on processes that improve grades rather than the grades themselves, eliminating prejudices with respective to normal and special cases, improving interaction between the departments, working towards a shared vision, increased commitment on the part of faculty and teachers, overcoming resistance to change and being adaptive. TQM in Academic Environment TQM or Total Quality Management marks certain philosophies and universally acknowledged notions to achieve organizational effectiveness. This is in essence an attempt to go beyond customer satisfaction and to ensure good will throughout the industry. Japanese firms have held their integrity and superiority over other firms for the past two decades, thanks to their successful implementation of total quality management. Today, TQM is considered as a key tool in ensuring that efficiency of the organization is sustained. It has been implemented, across the board in various corporate organizations and has produced desired results. They are customer driven, keep in perspective all the stake holders involved, inter-departmental communication is an important consideration, cross functional teams are operative, jobs are empowered and performance appraisal and feedback is regularly conducted. Thus, it was essentially through business organizations and militia that TQM entered the academic arena. In this context, we mould our definition of TQM as a means of achieving continuous unimpeded success, making use of certain tools and principles and producing effective leaders in the process. TQM has time and again proven to be an effective strategy for sustaining and improvising growth and development. Unfortunately, it is yet to bear its fruits in education, in particular primary and secondary education. The state of education in most nations around the globe has by far marked an average only. There is a lack of purpose, a focus, and most educational institutions in the world are not customer driven; a myriad of departments exist with no focus on cross-departmental interaction; conventional and old forms of imparting education continue being practiced and people outside the academic circles are given little or no regard; the notions are rigid and facts don’t count; excellence is rarely sought and no benchmarks are made. Keeping expectations from such institutes is hogwash. Most surprisingly the belief that these quality programs are expensive is false. The primary, secondary and higher sectors of our academic education will continue struggling unless a proper plan is chalked out to combat all the short comings, these sectors face. The aim of an educational system and its mission must be coherent with each other. The procedures, policies and tools applied in a department or a division should conform to the mission the academic institute caters to. Standards are set and a common understanding of the system at hand should prevail. Managers follow the aims targeted to devise the system proceedings and ensure that maximum quality is achieved. TQM in essence follows Deming’s 12 principles that were carved keeping the customers in perspective. On an academic scale, they are treated analogously. We begin by focusing on the major areas that TQM aims to improvise, what factors contribute its successful implementation and what goals are intended to achieve through it. The rules that govern our teachers, administration, students and support systems have been long standing and limit the ability to think and reason. Boundaries that are fenced around these rules are a comfortable resort not because they are easy to be taken care of but also because they stem for universally acknowledged practices. TQM, on the contrary advocates for the contrary. It aspires for change and thinking beyond the box. It does not believe in the conventional system of adjudging capabilities by marks but directs its focus towards the process that was put into practice to achieve the results. It is not possible to assess how the results changed, how the performance improved, unless the light is shed in the process that was used to produce the change. Continuous improvement should be sought for and educational systems should be continuously designed and redesigned unless goals stipulated are achieved. TQM, to this effect deliberates a framework that fosters continuous improvement. There is a marked difference between the traditional modes of achieving improvement and those set against TQM. Under TQM, education is dealt as a cafeteria which seeks to satisfy hunger pangs of its customers. Improvement efforts and traditional processes are laid down on a menu card and offered to its customers (educators, institutes, colleges, universities, students, schools, administration) who seek to satiate their hunger pangs. As a result, those customers, who are able to satisfy their hunger walk out content and satisfied while the others stay in, unless their hunger demands are not dealt with. The rules established, thus have to be pondered over again in all major genres. To this effect, quality principles have to be especially dealt with. Quality in this context means, that a shared vision guides the purpose of education; its is acceptable by everyone; it focuses on collaboration and interaction instead of competition; it realizes that every individual is unique and different in its own right and seeks to optimize the expectations met for each one of them; grades and other performance indicators are considered as the capability of the system or the process and not the difference between a good and an unsuccessful student; it is devoid of prejudice and bias against students on the basis of their grades; it seeks to nurture the needs of all them and support them in times of distress; practices that berate people for instance ranking of staff, faculty, students are avoided and their morale are boosted and it emphasizes on self evaluation through collaborative evaluation. The rule rethinking under TQM also seeks to rethink roles allocated in an educational system. The most important of all being the managerial roles, who now have to deal individuals on an individual basis, keeping in perspective the context of the situation. This means having complete control of the environment and forces that work against the nurturing and development of intrinsic motivation (Bryan, n.d.). This fosters an education system in which students actively take part in planning and evaluating their learning process. They are made to realize that they are responsible for their learning and this responsibility only increase as they grow and mature. This is implemented by effective management of the system. This involves complete understanding of the coherence and co-relation between the various departments of the system. The administration manages their system and the faculty manages their system. Students on the other hand as discussed take control of their lives. This nurtures and builds up an enjoyable environment of learning and development where individuals exercise authority over their roles and seek to improve it continuously. However, care must be taken that this reallocation of roles adheres to the quality standards. This involves using teams to improve effectiveness of the higher education environment and student learning; quality in education emphasizes managing the processes used to produce the results then the results themselves; it designs a curriculum such that students are able to adapt them in their lives and integrate the parts they are exposed to accordingly; a win-win situation is produced and there is no concept of win-lose; quality in education is managed as a system by educational leaders who seek to understand their role and commit themselves to its strict adherence; it provides freedom, and inculcates novelty across the board. However implementation of TQM in academic institutes has met with resistance by various circles. The most oft repeated argument against its favor is the belief that it’s a panacea of the 1900s and holds no value in today’s time and era. Many argue that is a fad and like Management by Objectives, its going to be wiped away very soon. For this reason any many others that there are few organizations in the US who have completely embraced the concept of TQM. When it was first introduced many chose to turn a blind eye to it. For those who did successful implement TQM had to bypass a lot of obstacles. Most notably being the resistance to adapt, mould and change, adamant claims by naysayers who believed that TQM won’t work, lack of trust and unwillingness to train and empower employees. To challenge the deeply embedded academia culture will and is a mountainous task. Limited marketing alternatives and rare cost cutting opportunities have added more fuel to the fire. Most of these institutes are run by political sectors whose demands vary frequently. (Total Quality, n.d.) While TQM aims at ridding the society where grades judge capabilities, the society at large remains grade conscious. Other problems include the lack of coherence between the academic institute’s managerial strata and its academic functions. The two run parallel to each other working towards their own goals. TQM approach, on the contrary requires that the groups work parallel to each other. Excess division over subjects pursued is another obstacle. Cultural beliefs and practices embedded within most of these schools gives way for resistance to change. Irrespective of these obstacles, TQM has found audience in the literature and the health sector. They have successfully implemented the principles associated with TQM. Not only has this improved the quality standard but reinforced customer trust in these sectors. Students are able to develop a complex model of problems and delve into analytical evaluation of their performance. Their comprehension skills have improved and they have built on their ability to adapt their learning to their life. This can be achieved by provided instructions that are clear and focused; students should be taught different strategies to remember what they have learnt and apply them accordingly; actions such as head nodding, maintaining consistent eye contact, smiling and being responsive can help develop a student’s interest; continuous desire and urge on the part of principal to seek improvement and meet quality standards; instructional effectiveness is sought for such that no one has issues when it comes to changing the mode of instruction directed and a staff that is involved in learning activities. (Kathleen, n.d.) Leaders in such schools would thus not only look out for ways to change but to manage and embed the change process throughout the institute. References Kathleen, C. (n.d.). Applying Total Quality Management Principles To Secondary Education. Retrieved March Friday, 2008, from file:///C:/Documents%20and%20Settings/M.Sajjad/My%20Documents/originals/research%20work/s035.html Bryan, R. Cole. (n.d.). TOTAL QUALITY MANAGEMENT AS A TOOL TO ENHANCE THE QUALITY OF HIGHER EDUCATION MANAGEMENT IN THE 21ST CENTURY. Retrieved March Friday, 2008, from file:///C:/Documents%20and%20Settings/M.Sajjad/My%20Documents/originals/research%20work/keynote1.htm Total Quality Management in Higher Education: Is It Working? Why Or Why. (n.d.). : Green wood Publishing group.

Thoedore Roosevelt :: essays research papers

Theodore Roosevelt and the Modern Presidency I.  Ã‚  Ã‚  Ã‚  Ã‚  Early Political Career Despite ridicule from his educated and respectable friends, Roosevelt entered politics immediately after graduating from Harvard College in 1880. In 1881,Roosevelt showed the strength of his intention by winning election to the New York State Assembly. He gained reelection twice before personal tragedy, On February 14,1884, in a tragic coincidence, Roosevelt’s young wife died in childbirth just hours after the death of his beloved mother. Emotionally shattered, Roosevelt left politics and fled New York for the Dakota Territory. In 1886, after a disastrous winter demolished most of his cattle herd, Roosevelt returned east to politics, his first love. For the next 12 years, he held various government positions, from Civil Service Commissioner to Assistant Secretary of the Navy. When the United States went to war against Spain in 1898, Roosevelt resigned and organized a group of volunteers called the Rough Riders. Their successful assault on San Juan Hill in Cuba made Roosevelt a National hero. He rode his new fame to victory in the 1898 race for governor of New York. II.  Ã‚  Ã‚  Ã‚  Ã‚  Roosevelt and McKinley   Ã‚  Ã‚  Ã‚  Ã‚  When President McKinley prepared to run for reelection in 1900, he needed someone to replace Garret Hobart, his first vice president, who had died in 1899.Roosevelt seemed a logical choice. Basically a man of action, Roosevelt considered the vice presidency a do-nothing position leading to political oblivion. The bosses schemed to kick Roosevelt out of New York to serve as McKinley’s vice president. After he and McKinley won the election, Roosevelt sadly wrote to a friend, â€Å"I do not expect to go any further in politics.† Wherever Roosevelt went he became the center of attention. During the late 1800s, the country had been designated by strong Congresses and relatively weak presidents. Roosevelt reversed that traditional division of power. The new president employed the considerable powers of his office and his own personal magnetism to bypass congressional opposition. In doing so, Roosevelt became the first modern president. III.  Ã‚  Ã‚  Ã‚  Ã‚  Managing Natural Resources   Ã‚  Ã‚  Ã‚  Ã‚  In 1902 Roosevelt supported passage of the Newlands Reclamation Act, which authorized the use of federal funds from the sale of public lands to pay for irrigation and land development projects in the dry farms and cities of the West. Under new law, Roosevelt supported the construction of 25irrigation or reclamation projects. Roosevelt also backed efforts to save the nation’s forests by preventing shortsighted lumbering companies from overcutting. He appointed close friend Gifford Pinchot to head the U.

Estimation Of GFR Kidney Disease Health And Social Care Essay

AbstractionBackgroundPurpose of our survey was to happen out correlativity between estimated Glomerular Filtration Rate ( eGFR ) by Modification of Diet in Renal Disease ( MDRD ) expression and eGFR by Cockcroft-Gault ( CG ) equations, in patients with chronic kidney disease ( CKD ) , and to see whether they can be used interchangeably.MethodWe conducted a cross subdivision survey of 70 patients presented to the nephrology clinic over a period of one twelvemonth. We compared the eGFR by these two expressions in five phases of CKD. Abbreviated 4 variable MDRD expression was used.ConsequenceMDRD consequences were expressed in ml/min/1.73m2 and CG consequences in ml/min. Age scope was 15 – 79 old ages ; Male 49 % , Female 51 % . The correlativity ( R ) between eGFR by MDRD and eGFR by CG for CKD stages 1 to 5 was 0.64 ; 0.31 ; 0.32 ; 0.67 ; and 0.45 severally. The correlativity ( R ) between creatinine clearance by 24 hr urine aggregation to eGFR by MDRD expression was 0.84 ( P: 0.001 ) and to eGFR by CG expression was and 0.79 ( P: 0.001 ) .DecisionWe conclude that Cockcroft-Gault ( CG ) equation correlates best with MDRD expression at CKD phase 4 followed by phase one. Cockcroft-Gault expression underestimated eGFR in phases 1, 2 and 3. We speculate that standardization of Cockcroft-Gault equation to the organic structure surface country of.73m2 will farther better the correlativity but will diminish its utility on bed side. . There is a demand of a big graduated table population based survey to formalize our consequences.Index WORDSMDRD, Cockcroft-Gault, Chronic kidney diseaseIntroduction:Alteration of Diet in Renal Disease ( MDRD ) and Cockcroft-Gault ( CG ) equations are the most common methods of appraisal of Glomerular Filtration Rate ( GFR ) . Both formulas depend upon serum Creatinine to gauge GFR. Creatinine clearance measuring utilizing 24 hours urine aggregation is mostly abandoned in favour of the MDRD and CG expressions. It is chiefly because of the familial troubles in accurate aggregation of 24 hours urine. Cockcroft-Gault expression remained the most common method of bedside appraisal of GFR. It requires weight in add-on to age but still is really easy to utilize without a reckoner or computing machine. This advantage of CG expression is maintaining it alive in spite the of rapid popularity of MDRD expression. Numerous surveies are done to compare these two equations in assorted scenes. However the information from Asia particularly from Pakistan is bare [ 1 ] . Purpose of our survey was to happen out correlativity between the two equations in patients with chronic kidney disease ( CKD ) and to see whether they can be used interchangeably.MethodsWe conducted a cross subdivision survey of 70 patients presented to the nephrology clinic of a third attention infirmary in Karachi Pakistan over a period of 1 twelvemonth from January 2006 to December 2006. Aim of our survey was to happen out correlativity between estimated Glomerular Filtration Rate ( eGFR ) by Modification of Diet in Renal Disease ( MDRD ) and eGFR by Cockcroft-Gault ( CG ) equations in patients with chronic kidney disease ( CKD ) and to see whether they can be used interchangeably. Age scope was 15 – 79 old ages. Male were 49 % , female were 51 % . Patients with acute nephritic failure were excluded. All the patients in the survey were divided into five groups harmonizing to the kidney disease outcome quality enterprise ( KDOQI ) categorization of chronic kidney disease as follows: Group 1: GFR & gt ; 90 ; Group 2: GFR 90 – 60 ; Group 3: GFR 30 – 59 ; Group 4: GFR 15 – 29 and group 5: GFR & lt ; 15 ml/ min/1.73m2. Abbreviated four variable MDRD expression was used.to estimated GFR ( ml/min per 1.73 M2 ) utilizing the equation:186 x [ serum creatinine ( mg/dl ) ] -1.154 x ( age ) -0.203 x ( 0.742 if female ) . Estimated GFR utilizing the CG equation ml/min ) was calculated as follows: ( 140 – age ) ten ( weight in kilogram ) /serum creatinine ( mg/dl ) x 72 ten ( 0.85 if female ) . Measured creatinine clearance was calculated by 24 hr urine aggregation and utilizing the expression: creatinine elimination ( mg/kg per twenty-four hours ) divided by serum creatinine ( mg/dl ) divided by 14.4 ( min/d per dl/ml ) . Data was analyzed utilizing SPSS package.ConsequencesMDRD consequences were expressed in ml/min/1.73m2 and CG consequences in ml/min. Mean GFR by MDRD expression for CKD stages 1 to 5 was 111AÂ ±30, 77AÂ ±24, 39AÂ ±9, 21AÂ ±6 and 13AÂ ±4 severally. Mean GFR by Cockcroft-Gault equation for CKD phase 1 to 5 was 119AÂ ±28, 78AÂ ±13, 43AÂ ±7, 23AÂ ±3 and 12AÂ ±2 severally ( t able 1 ) . The correlativity coefficient ( R ) between eGFR by MDRD and eGFR by Cockcroft-Gault for CKD phases 1-5 was 0.64 ; 0.31 ; 0.32 ; 0.67 ; and 0.45 severally ( table 2 ) . Mean and average eGFR by MDRD was 48AÂ ±40 and 32 ( 58-7 ) severally for all patients. Mean and average eGFR by Cockcroft-Gault was 52AÂ ±42 and 36 ( 197-7 ) severally for all patients ( table 3 ) . The Cockcroft-Gault equation correlated best with MDRD expression at CKD phase four followed by the phase one. The eGFR by MDRD was lesser as comparison to by CG, in phases 1, 2 and 3. The creatinine clearance by 24 urine aggregation was correlated to the eGFR by MDRD expression. The R value was 0.84 with p value of 0.001. Similarly the creatinine clearance by 24 urine aggregation was correlated to the eGFR by CG expression. The R value was 0.79 with p value of 0.001. ( Table 4 )DiscussionAccurate measuring of GFR in chronic kidney disease can non be overemphasized. It is particularly of import when GFR reaches near phase 3 and 4. The of import determination like doing AV fistulous withers and induction of nephritic replacing therapy are taken at this clip. There were more than eight expressions introduced to gauge GFR but merely two viz. Cockcroft-Gault ( CG ) and MDRD got the credence by the medical community. The CG Formula was proposed every bit early as 1976 [ 2 ] . Because of its simpleness and bedside usage, it was readily accepted by the doctors. The CG expression enjoyed this monopoly till the MDRD equation was introduced in 1999 [ 3 ] . Twenty four hr urine aggregation for Creatinine clearance measuring is non method of pick because of several booby traps. The most of import being the 24 hr urine aggregation is frequently non accurate. In add-on the serum creatinine remains within normal scope in early phases of CKD due to increased cannular secernment ensuing in overestimate of GFR. Using Inulin clearance to mensurate GFR is really cumbrous and non practical for everyday clinical pattern. Alternatively, the radioactive and non-radioactive based markers e.g. Iothalamate, Iohexol, DTPA and EDTA are used. The isotope based GFR measurings are thought to be the most accurate but they are dearly-won and non available in many research labs. Therefore their public-service corporation is confined practically to research. They are used as a gilded criterion to formalize the truth of eGFR by MDRD or CG equations. In our survey we still used the traditional 24 hr urine aggregation to cipher creatinine clearance. We were really peculiar and thorough in giving the direction to the patients. The strong correlativity of 24 hr creatinine clearance to eGFR by CG every bit good as MDRD expression goes in favour of our premise that urine aggregation was accurate. MDRD survey equation originally required six variables viz. Serum Creatinine, Serum Albumin, Serum Urea Nitrogen, Gender, Age and Race. Later a simpler four variable equation was proposed and is considered to be a good as six variable equation [ 3 ] . This brief MDRD equation requires Serum Creatinine, Age, Gender and Race merely. It does non necessitate Serum Albumin and Serum Urea Nitrogen. The usage of standardised serum creatinine in re-expressed 4 variable MDRD expression improves the truth [ 4, 5 ] . Surveies have shown that accommodation for organic structure surface country improves the truth of Cockcroft-Gault expression [ 6,7 ] . The demand of this simpler four variable MDRD equation raised due to trouble of utilizing 6 variable equation on bedside. However still its chief drawback remains the demand of a computing machine. There are a figure of surveies comparing the MDRD to CG expression with variable consequences. Following is the reappraisal of some of import surveies. MDRD equation provides indifferent and moderately accurate estimations across broad scope of subgroups when GFR is less than 60 ( CKD Stage 3, 4 & A ; 5 ) [ 8 ] . They besides proved to be dependable for followup in CKD patients in longitudinal surveies [ 9 ] . MDRD equation performed better than CG equation in CKD, when GFR was less than 60 ml/min/ 1.73 M2. On the other manus CG equation performed better in healthy kidney givers [ 10 ] . CG expression was less precise than MDRD equation in most instances with average GFR of 59.8 ml/ min/ 1.73 M2s [ 11 ] . In another survey appraisal of GFR in older patients with CKD and average GFR of 53 ml/ min/ 1.73 m2. , the CG Formula was more precise than MDR Formula [ 12 ] . In diabetic patients MDRD every bit good as CG expression correlated good with isotopic GFR measurings, but MDRD equation turned-out to be more accurate [ 13 ] . In ill hospitalized patients the public presentation of MDRD and CG equation was compared, utilizing Iodine iothalamate as a control. MDRD equation performed better [ 14 ] . MDRD Formula as comparison to CG expression underestimates GFR in healthy persons [ 15 ] . MDRD expression was more accurate than CG expression in ESRD patients. However MDRD expression underestimated GFR when inulin clearance was more than 8 ml/min/1.73 M2 and overestimated GFR when inulin clearance was less than 8 ml/min/1.73 M2. On the other manus CG expression overestimated GFR when inulin clearance was less than 13 ml/mim/11.73 M2. [ 16 ] . In patients with CKD but normal serum creatinine, CG Formula was found to be more accurate than MDRD Formula. Measurement of GFR by endogenous and exogenic filtration markers might be the most prudent scheme [ 17 ] .DecisionWe conclude that CG Formula correlates with MDRD equation best at CKD stages 4 and overestimated GFR at phases 1, 2, 3. The two expressions may be used interchangeably at phase 4 & A ; 1. Measurement of 24 hr urine creatinine clearance may still be dependable if patients are counseled decently. Standardization of GFR for organic structure surface country of 1.73 m2.improves the truth of Cockcroft Gualt expression. We speculate that this in bend will better its correlativity with MDRD expression. However we suspect that perplexing the Cockcroft Gualt expression by including the organic structure surface country in equation will diminish its utility on bed side. It is improbable that MDRD expression will replace Cockcroft Gualt expression in clinical medical pattern shortly because of its dependence upon a computing machine plan.

Social Inequality In The Media - 1700 Words

The media carries a significant role in the distribution of information in American society. The American populace rely on entertainment and news networks to properly feed them updates on science, politics, celebrities and so much more. The media has this kind of power due to the fast pace way of life Americans live as well as their inability, or lack of want, to read pure and unadulterated academic articles on any given subject. While the media never seems to stop covering vast topics of interest to great length it is fundamentally failing at properly commenting on one of the most important social issues of the century, class and its relation to social inequality. The media is downright disrespectful and negligent in the way it goes†¦show more content†¦The media especially enjoys reducing the severity of the class disparity by pushing the idea that the majority falls within the middle class. Not only does entertainment follow a typical middle-class protagonists format but the news also allots middle class politics the most screen time. However, the middle class is actually shrinking indefinitely but this rising development continues to be ignored. Another way this idea of reducing the discussion of class in America is pushed by stripping away the humanity behind the class that needs the most help, the lower class. This is typically done by using numbers to represent large groups of people without giving details on the actual quality of life. The news also makes the lower classes plights to be temporary telling success stories instead of average ones while the entertainment industry shows an episodic view of the poor where there is always a happy ending which of course is far from the truth. An example of this can be seen in how they dehumanize and flat out demonize the worst off in the lower class, the homeless. As Mariah Barajas expressed, in her article â€Å"How Homelessness Is Distorted in the Media.†, â€Å"Entertainment media has also given us unrealistic ideas of what to expect from individuals struggling with homelessness. If we don’t see a success story like Will Smith in the movie, â€Å"The Pursuit of Happiness,† then oftenShow MoreRelatedMedia and Social Inequality906 Words   |  4 PagesMedia and Social Inequality The Media promotes and reproduces societal values and norms, establishing common meanings and understandings among groups and individuals. These common meanings are portrayed in the media and put forward by the dominant culture; and for this reason the patterns of inequality that benefit the dominant culture are produced and reproduced. The media today are not only entertaining the people but also favor the spreading of certain information. 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