Timid President-Futile War Essay Example | Topics and Well Written Essays - 750 words

Timid President-Futile War - Essay Example The wars are considered futile because of the many expectations the Bush administration intended to achieve that did not come to pass, the reason why President Obama decided to withdraw the U.S troops from Iraq after almost a decade of occupation. President George Bush’s decision to attack Iraq was based on unfounded beliefs in the presence of weapons of mass destruction (WMD). The Saddam Hussein administration granted the UN and the Americans permission to inspect their weapons artillery to ascertain if they were indeed developing weapons of WMD and even though nothing was found, Bush and his administration believed Iraq did not reveal everything and that formed the basis of American’s invasion of Iraq and the subsequent execution of Saddam Hussein. George Bush’s decision to convince congress to allow America attack Iraq was based on fear that terrorists were likely to attack America again and not necessarily because of WMD that were never found after they subdu ed Iraq. Another factor that led to American invasion of Iraq was interest in the Middle East oil resulting from the fear of uncertainty in the future of American energy security. For this, he saw Saddam Hussein as a major impediment to the benefit they would receive from Middle East oil. They had prevailed upon the United Nations to put economic sanctions on Iraq with the food-for-oil arrangement but this did not deter Iraq, so he believed the best way to achieve their objective was by deposing Saddam Hussein from power. It was therefore an embarrassment to the bush administration when the WMD were never found and nothing could justify the military expenditure on the war (McClellan & McClellan, 2008). President Bush’s fear just before and after the invasion of Iraq began showed up immediately. The United Nations, led by Kofi Annan, opposed the war and proposed a peaceful way of resolving the American suspicion but the administration disobeyed because their fears. It is this very fear that led to interference in the war by civilian commanders based in Washington, which left soldiers on the ground very indisposed. There was also the misconception by the administration that Iraqi soldiers could provide reinforcement and military support. Some Iraqi soldiers did not support the war and posed a great risk to Americans as they ganged up with insurgents to cause trouble to the American troops. In fact, many American soldiers died and had injuries more than the administration had anticipated. As a result of fear, the Bush administration overlooked the process of reconstruction; they did not foresee the magnitude of destruction that resulted from this war. The destruction was so vast that it needed the participation of European bloc, the UN and other international bodies to help in the reconstruction exercise. Although the three segments were interested in participating in the reconstruction, American stubbornness in its interest to lead the reconstruction exer cise after causing destruction made them develop cold feet and some eventually withdrawn. President Bush then made it appear like no country or organization was willing to participate in the restoration exercise. Toward the end of the Bush administration, there was panic both in Washington and Baghdad when it became apparent that there was a political and military vacuum in Iraq. The Iraqi government apparatus collapsed and the institutions that provided basic services like water and electricity could no longer coordinate because staff could not come to work. The Bush administration in its panic started doing things in haste to fill in the vacuum.

Nursing care delivery models and organizational structure Essay

Nursing care delivery models and organizational structure - Essay Example However, this paper tends to research how factors like organizational structure and care delivery models can influence nurse turnover rates. Introduction Health care sector across the world has been experiencing an unusual increase in nursing turnover for the past few decades. According to the NSI (2013) report, the hospital turnover rate increased to 14.7% and registered nurses is 13.1%. Nursing Solutions, Inc projects hospital turnover to be over 15.5% and RNturnover14% by2014. However, it is important to assess to what extent nursing care models and organizational structure can cause nurse turnover in modern hospital settings. This detailed analysis based on the available literature will suggest what advice Jamie Johns (in the given case context) as a Quality Improvement Leader can give to her Chief Nurse Officer on appropriate care delivery models. Impacts of Nurse Turnover Nurse Turnover is a major risk factor that affects the hospital’s functioning and effort for ensurin g quality patient care. Nursing turnover causes huge amount of financial loss to the hospital. Losing a single nurse can bring about the loss of twice the nurses’ annual salary. Therefore, loss of nurses adversely affects patient care thereby causing loss of patients, increased staffing cost, absenteeism, and accident rates. Poor communication with the management regarding their needs, low remuneration, and lack of career opportunities and career development in the hospital they work can also increase nurse turnover. Solutions for nurse turnover have been researched on a wider basis. According to Hunt (2009), the most important suggestion is to make the job attractive; and this process involves increasing job incentives, flexible scheduling and job sharing, adding career development activities. A major after effect of high turnover rate is that the existing staff is always forced to adjust with the newcomers. A study by Baernholdt and Mark (2009) showed that both rural and ur ban hospitals can improve nurse job satisfaction and turnover rates by changing unit characteristics, creating better support services and a work environment that supports autonomous nursing practice. According to the very findings, rural hospitals can also improve the work environment by providing nurses with more educational opportunities and thus career development. Scarcity of qualified nurses makes turnover so prevalent in the health care industry. The increase in job opportunities makes the existing nurses confident enough to leave their present organization and find a new one. Organizational Structure and Nurse Turnover Only by implementing key strategies, hospitals can put a curb on the turnover rate of nurses. Nursing is the largest occupation within the health care industry with 2.4 million people working. In recent reports by the International council of Nursing (Trust, 2006), one of the main reason for shortage of nurses relates to work environment. Studies have proven t hat a positive organisational climate plays a key role in job satisfaction and in lowering turnover rates. But the strength of organisational climate and job satisfaction is more compared to organisational climate and turnover rate. As Stone, Hughes, and Dailey (2008) point out, low job satisfaction leads to burnout, frequent leaves, higher rate of turnover, or loss of nursing profession. The work environment, especially the organizational structure has much to do with nursing turnover rate. A pleasant relationship with the hospital