Recent orders
Assessment tool
Assessment tool
Lucreshia Jackson
American Sentinel College of Nursing & Health Sciences
SIM432PE
24th September 2022
Assessment tool
The assessment of our change project will be based on the Telemedicine Services Maturity Model (TMSMM), which has been developed mainly for evaluating telemedicine services. The capability statements of TMSMM are used as the yardstick for assessing the maturity of every telemedicine service element in terms of its three service level groups, macro level, and micro level, and the five domains of telemedicine, man, material, money, machine, and method (Gomes & Romão, 2018).
The assessment includes identifying the telemedicine services at our healthcare clinic. It also includes gathering all the relevant data related to telemedicine service through structured interviews. The third step in this process is transforming the flow of information, which is complex, into data flow diagrams or the DFDs. The fourth step is loading all the data related to telemedicine into data warehouses. The fifth step is analyzing the data using On-Line Analytical Processing or the OLAP, statistical correlations, whisker, and box plots (Miranda et al., 2021). Based on the results from the TMSMM assessment, electronic questionnaires will be developed and administered to the healthcare workers in our clinic. This will help us know if the findings from the TMSMM represent the entire clinic.
The assessment of the services offered by our new method of telemedicine will provide information on those elements that affect the failure or contribute to the success of the entire clinic. This assessment will also provide input for analyzing the opportunities, strengths, and weaknesses of delivering telemedicine services by our clinic.
References
Gomes, J., & Romão, M. (2018). Information system maturity models in healthcare. Journal of medical systems, 42(12), 1-14.
Miranda, E., Aryuni, M., Richard, R., & Tanara, A. G. (2021, November). Health Care Mobile Application Development for Sub-District Primary Health Care: How and Why. In 2021 Sixth International Conference on Informatics and Computing (ICIC) (pp. 1-6). IEEE.
Native American skeletal
Introduction
Human remains and other buried artifacts are a source of insight into history and material culture for any archaeological progress. They provide the archaeologists with vital information on the origin of certain cultural practices, the origin of a particular group of people as well as an illustration on how these people behaved. In order to achieve this, the archaeologists have to employ any means possible to get the required information through what was left behind by past human populations including exhuming their bodies. For instance, some skeletal remains of several ancient communities like the Native Americans, Australian Aborigines, and New Zealand Maoris were dug up. These remains end up in museums where they are used as archaeological exhibits, to illustrate the cultural and environmental background of the respective communities. Unfortunately, the archaeologists are not the only party that is interested in these past artifacts and human remains. Whatever the archaeologists consider ‘archaeological evidence,’ could be of similar great value to some other people who take the ‘evidence’ to be a significant heritage in their culture. As such, this creates a conflict of interest between the archaeologists and the rest of the society.
Repatriation of Native American skeletal/cultural remains
There have been problems with the Native American groups that resulted from the process of colonization of the West in the 18th and 19th centuries. The consequent results of this process were the shift of the Native Americans to a reservation and a tremendous rise in the marginalization of the community in the 20th century. Unearthing more than ten thousand remains of Native Americans and being possessed by the archaeologists was viewed as a desecration of the Native American culture, which created tension between the archaeologists and the natives (vida). A program was set up in the United States that focused on this tension and provided a superb research of the Native American archaeology in the United States. As such, several Native American remains were boxed up and moved to local state museums, as the debates intensified concerning the need for reburial.
Repatriation is now a global issue as more and more nations, and ethnic groups attempt to save their heritage by collecting all the objects and materials they think is of great value to their culture. However, several prominent archaeologists from the United States were against this move and advocated their stand against repatriation by use of academic literature. The discovery of an ancient one skeleton individual, Kennewick Man, at a riverbed in Washington created huge legal uproars for almost a decade due to the differences between the indigenous people and the archaeologists.
Archaeology has also met much resistance from religion, evoking a debate relating to the theories of evolution by archaeologists and believes in creation by religion in the United States. These controversies have made the archaeologists’ task difficult, but have facilitated repatriations as several remains and material artifacts have been returned. Nevertheless, this has not stopped the digging up of the skeletal remains and other artifacts because more research is being carried out, but with permission from the indigenous people. The archaeologists should exhume the remains according to the Native Americans wish, and avail the remains later for reburial after they are through with their research (TS 118). Consequently, the Native Americans are treated with respect and create archaeological services to benefit the Native American groups.
The first human inhabitants of North America
The Kennewick Man was found with more than 90% of his skeleton still intact, at Kennewick, Washington and dates more than 9,000 years ago, suggesting to be one of the oldest ever discovered. Observations of the pelvis, teeth, and the skull shows that the skeletal remains belonged to an individual linked to the current Native American people. Subsequently, under the establish Act of NAGPRA, the remains are supposed to be returned for reburial and not taken to the museums. Moreover, this discovery proves that the Native Americans from the Umatilla tribes were the first inhabitants of the North America since the remains date more than ninety centuries ago (zimmr 224).
The significance of NAPGRA
The remains were removed from public display, and the Senate passed a law in 1990, the Native American Graves Protection and Repatriation Act (NAGPRA) that stopped the excavation of the Native American cemeteries. This Act helped to solve the conflicts that had developed between the museums and the Native American groups over the process of exhuming and storing the remains, as well as the grave artifacts. NAGPRA was passed to favor the Native Americans to enable the release of the Native American skeletal remains to their respective nations and developed a process to enhance the right claim of remains by the right people. The Act helped in maintaining the culture of the Native American people, which did not allow the exhuming of their ancestor’s remains as they believed they had to be left in peace. As such, the Native Americans’ culture was respected, and they were given the mandate to approve any necessary excavation required, as far as a reburial process would be undertaken. In case the process was given a go ahead under the Act, the people will get a chance of learning more about their historical background based on culture and the environment of their ancestry.
According to this Act, all the remains, grave goods, and artifacts considered to be of cultural importance were to be accounted for by the museums (rabbit 61). An inventory of the remains is determined to establish the Native American groups that could lay a claim on the remains and other materials based on their relationship with the said claims. As such, this made it easier for the museums to distribute the remains to their rightful burial sites. The Act allows the remains to be studied scientifically, in case the result from the study would benefit the nation and the whole world (zimmr 222). The scientists utilize this chance to study the remains under a legal support and state their findings, which is then used to make historical conclusions about the people associated with found remains.
The genetic and archaeological evidence for the first Americans
Through genetics, it is evident that human beings dispersed from Southern Siberia more than 30,000 years ago and further moved from Beringia to the Americas. It is through archaeology that we learn that the first Americans came from south of the Canada around 15,000 years ago. This aspect is proved by the close similarity in the molecular genetics of modern Native American people to that of the indigenous population in the south of Siberia. Using the gene markers, mitochondrial and the Y-chromosomes, the movement of people into America can be determined by relating the modern records to the ancient DNA records. According to geneticists’ calculations, the modern human beings located in Central Asia and set the platform for colonizing America. As such, Asia is denoted as the origin of the first American people.
Archeological evidence from the Yana River in the Siberian high Artic reveal artifacts and signs of a sophisticated technology, which are similarly found in the subarctic central Siberia and arctic European Russia. It shows that people were acquiring better techniques to survive in the north after reaching southern Siberia. Clovis could have originated from the south of the continent or the north resulting from the second dispersal events from Beringia to Americas with the opening of the ‘ice-free’ pathway (TS 134).
The importance of these different issues to both the discipline of anthropology and American culture at large
Through archaeology, it will be possible to give a light about the history of Native Americans of the last 12,000 years and broaden the historical research in the area for future reference. Acquisition of knowledge through science is of great significance in understanding our origin as well as the way people lived in the past. The findings from the remains will help the anthropologists to join up the facts that they have accumulated over the years and make a concrete conclusion about the ancient life of human beings. The programs should therefore not hinder the processes undertaken the archaeologists because the result benefit the nation, scientific researchers as well as the whole world. However, this scientific search for answers seems to undermine the rights of the indigenous people and abuse their beliefs, which every institution is supposed to respect and support.
Bibliography
“Center for the Study of the First Americans.” Center for the Study of the First Americans. Accessed April 17, 2015. http://csfa.tamu.edu/who.php.
Native American Symposium, Et al. Where No One Else Has Gone Before: Proceedings of the Ninth Native American Symposium. 2012.
Washington Times article. “First DNA Tests Say Kennewick Man Was Native American.” Washington Times – Politics, Breaking News, US and World News. Accessed April 17, 2015. http://www.washingtontimes.com/news/2015/jan/18/first-dna-tests-saykennewick-man-was-native-ameri/?page=all.
Humphrey, Doug. “Bones of Contention: Native American Archaeology.” Films On Demand – Login. April 1, 2009. HYPERLINK “http://digital.films.com/play/2XMZL7” http://digital.films.com/play/2XMZL7.
Zimmerman, Larry J., and Robert N. Clinton. “Case note. Kennewick man and native American graves protection and repatriation act woes.” International journal of cultural property 8, no. 01 (1999): 212-228.
Taking Sides: Unit 2 Issue 6. ANTH 101.2 Short Essay Spring 2015 3/3
How Can Small Businesses Survive This Era (2)
How Can Small Businesses Survive This Era
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How Can Small Businesses Survive This Era
The disruption caused by the spread of COVID-19 is having a major effect on small businesses globally. Goldman Sachs survey (2020) shows that of 10,000 small businesses, 96% have been impacted. According to data on the impact of the pandemic on small and medium enterprises suggest that from the deteriorating economy will be worse for the small businesses and their employees before it gets better. To overcome this, how can small businesses survive in this period?
In this pandemic period, what can make small business entrepreneurs survive and succeed is to have a keen eye on customer demands and desires. This perspective is very important in these times as things have drastically changed, existing business models are destroyed and new opportunities are being created. Instead of just lamenting about a decrease in profits, customers, and employees it is time for these businesses to be resilient and have a mindset of identifying new opportunities. (Liguori & Pittz, 2020).
Small businesses should find solace on the internet. The internet has created a platform with a democratized marketplace and has numerous avenues of interacting with customers. The online business platform also provides an opportunity to identify product-market fit and look for new business models that can survive and thrive in this COVID-19 impacted world (Liguori et al. 2020). If the small businesses utilize this resource they will be able to mitigate the risks by identifying new customers and opportunities and eventually grow. Those entrepreneurs who will take advantage of this time to connect and create strong relations with customers, and improve their skills will emerge stronger than ever before after the pandemic.
In this time of the pandemic, small businesses should ensure they keep communicating with their customers to build trust. They should utilize their website and social media platforms to communicate changes in business operations such as opening and closing hours or major inventory changes. For regular customers and those that account for major revenues, they should consider reaching to them personally to maintain the relationship. As much as there is a need to maintain sales and revenues, this pandemic is a chance to deepen connections with customers. Business owners can achieve this by helping them with their human and business needs where possible.
In addition to connecting and meeting the needs of customers, business owners should also consider their employees. In times like this business owners are required to be strong leaders and be transparent, accountable, and over-communicate (Liguori et al. 2020). To be transparent means, they should let their employees how the business is in terms of revenues and business models. Whereas many business owners keep such information confidential, sharing helps the employees understand the business models, build trust and they create value in the long-run. Accountability means that in case of lay off, the owners take the responsibility and shield the intermediaries such as managers from blame. Over communicating is where the owner talks more with the employees as most of them are not used to uncertainty and this assures them.
Another way that small businesses can survive is by maintaining a connection with their entrepreneurial ecosystem. Having a positive culture within an entrepreneurship ecosystem helps stimulate high levels of creativity and innovation. Business owners who have industry connections have the benefit of learning from what others are doing for example, what strategies they have used to expand, diversify, or save revenue. They can also get new ideas, critical financing and inspiration, and resilience. Since entrepreneurs everywhere are feeling the pressure, connecting help share best practices, empathize, and even commiserate to have stronger ventures.
A crumbling economy does not really mean that small businesses have to be swept out. In fact, they can also grow if when the economy is taking a downward turn if they make strategies that help them to stand out from their competitors. These can be achieved through several measures. One is keeping costs down. Small businesses can reduce their costs and maintain competitive prices without having to reduce the quality of goods or services they offer. This will help to remain competitive in the industry. The second strategy is to differentiate its products/services. Small businesses should be flexible to give new and different products to their customers with the change and shifts in demand. The third strategy is about customization. Small businesses should work closely with their customers so to identify and produce tailored products/services according to their customers’ needs. (Bartik, Bertrand, Cullen, Glaeser, Luca, Stanton, 2020).
Small business owners need to be nimble. In this period of COVID, there have been many turns and twists in the business sector. Business owners, therefore, need to be fast to change with the changing times by recalibrating and redrafting business strategy to adapt to change. An example is Sheppard of Bow & Arrow Brewing Co. in Albuquerque, New Mexico whose business was at a critical point and difficult to pivot. Before COVID 19 most of the revenue came from customers visiting the taproom. At first, it could only provide to-go products but has since opened up its outdoor patio at 50% capacity, according to the public health regulations. The company has purchased a new canning line, designed new labels, and released its first two brands of canned beer. The owner says that they are selling so much and are working to meet the high demand for canned products. This shows the importance of a business being flexible with changing demands. (Fairlie, 2020)
A healthy business requires a healthy leader. In times of difficulty like the COVID 19, period business owners also need to take care of their mental health. These times can bring with it so much stress and anxiety. Business owners should consider seeking help from professionals when they realize they have symptoms of stress and anxiety. This will help them be in a possible to make proper decisions as tough choices are made at such time.
Small businesses can survive in this pandemic that has affected the economy of the whole world. The success or failure of these businesses depends on how owners take the initiative to survive this period. From the articles, it is evident that business owners should maintain a connection with their customers, utilize the internet, be flexible with market trends, connect with other entrepreneurs, and above all check their mental health. If these strategies are well applied the small businesses will survive and emerge better even after the pandemic.
References
Bartik, A. W., Bertrand, M., Cullen, Z. B., Glaeser, E. L., Luca, M., & Stanton, C. T. (2020). How are small businesses adjusting to covid-19? early evidence from a survey (No. w26989). National Bureau of Economic Research.
Liguori, E. W., & Pittz, T. G. (2020). Strategies for small business: Surviving and thriving in the era of COVID-19. Journal of the International Council for Small Business, 1(2), 106-110.
Fairlie, R. W. (2020). The impact of Covid-19 on small business owners: Evidence of early-stage losses from the April 2020 current population survey (No. w27309). National Bureau of Economic Research.
Fairlie, R. W. (2020). The impact of COVID-19 on small business owners: Continued losses and the partial rebound in May 2020. NBER working paper, (w27462).
