Friday, August 30, 2019
Hershey Report
THE HERSHEY CHOCOLATE COMPANY INTRODUCTION The Hershey Company was originally a purely chocolate manufacturer but extended to wafers and other products, some even non-chocolate. Now, the Hershey Company has grown to become a leader when it comes to dark chocolate and premium chocolate. Hersheyââ¬â¢s Mission Statement is ââ¬Å"Bringing sweet moments of Hershey happiness to the world every dayâ⬠(www. thehersheycompany. com).This means delivering quality confectionary to consumer for all occasion, being a dominant and fun organization for the employees, having good business relationships for growth with customers, suppliers and business partners, creating value for shareholders and philanthropic activities for society as a whole. The company, adhering to its Mission from the founding day till today, strives to continuously create value by developing a number of products to cater to frequently changing consumersââ¬â¢ desire.Hence by creating a diverse portfolio which transfo rmed customer desires to reality, and by maintaining its quality The Hershey Company has managed to become one of the top chocolate brands in the market. HISTORY Hersheyââ¬â¢s derived from a single decision- the decision of candy manufacturer Milton Hershey. In 1894 he decided to produce sweet chocolate which would coat caramels. He started off an enterprise and called it The Hershey Chocolate Company, located in Lancaster, Pennsylvania. In 1900, the Hershey Chocolate Company started the production of milk chocolate bars, chocolate wafers and more.Hershey was the company which made the once a luxury item affordable to the common public by choosing to produce at a mass level. By using mass production the company had lowered its per unit cost and hence was able to sell it at a lower cost than other chocolates. The success of high sales led to Hersheyââ¬â¢s expansion of new chocolate factories, one of them being in south-central Pennsylvania in Derry Township, close to the ports of New York and Philadelphia which supplied the imported sugar and cocoa beans needed, surrounded by dairy farms that provided the milk required, and with a local labor supply of honest, hard-working people.By 1905 the production of chocolate in this factory was flourishing. Today, the Hershey Company operates all over the world, employs more than 12,000 people and generates revenues of more than $5 billion. (www. thehersheycompany. com) ENVIRONMENTAL ANALYSIS Sales of chocolate depend majorly on the demand of chocolate, and these demands fluctuate heavily. And hence the success of a chocolate industry relies heavily on whether itââ¬â¢s the Easter, Halloween or Christmas season or a plain summer day, sales being lower in the latter.It has been noted that sales of Hersheyââ¬â¢s or any chocolate brand for that matter, increases during the third and fourth quarter of the year, that is, the holiday seasons. For Hersheyââ¬â¢s, the difference in the net sales of the first quarter of 2009 and the third quarter of 2009 was $248,087,000. (www. thehersheycomany. com). Judging from this, we can safely deduce that chocolate sales, on a large part, depends on the environment. If we look at the social environment, there are all sorts of consumers with different demands.Some would prefer cheaper chocolate and would be more than ready to compromise on quality and consider it just a snack while others demand a rich taste making chocolate more of a luxurious item. This requires the industry to produce a variety of products to meet the needs of as many customers to ensure greater sales. But there is also the issue of brand image. If a company produces both rich and cheap quality products, it does not develop a specific image of the brand. Hence the business needs to identify what demographics they want to cater to. The Hershey Company has a number of competitors.The company itself has an average of 5 billion dollar sales annually, 5132. 8 million dollars in 2008 (theher sheycompany. com) and employs 14,400 employees which is quite a large number but there are other similar brands in the market. Major competitors of Hersheyââ¬â¢s are: â⬠¢ Cadbury, with a sale of 7,792. 3 million dollars and 45,000 employees in 2008. â⬠¢ Mars, with sales reaching 30,000 million dollars and a total of 70,000 employees in 2008. â⬠¢ Nestle with sales of 104,060. 9 million dollars and 283,000 employees in 2008. (www. hoovers. com) MARKET ENVIRONMENT ANALYSISPorterââ¬â¢s Analysis By using ââ¬ËPorters five forcesââ¬â¢ we can analyze the industry and subsequently to develop business strategy. These five forces present in the marketing environment will help determine the intensity of competition intensity and hence attractiveness of a market. In the marketing context, attractiveness refers to the overall profitability of the industry. A profitable business is an ââ¬Ëattractiveââ¬â¢ industry wherein the combination of these forces acts to pull up the overall profitability. Bargaining Power of Suppliers: The supply of Cocoa is limited.Since it is produced in areas with tropical weather, a lot of chocholate manufacturers have to import the cocoa. Suppliers have more bargaining power over the chocolate industry since cocoa suppliers are limited (www. bpi. cam. ac. uk). Bargaining Power of Customers: Bargaining power of customers of Hershey is moderately high. From Hersheyââ¬â¢s annual reports, we can see that sales volume is high for The Hershey Company and whenever consumers buy in large volumes, their bargaining power increases. This is specifically applicable to retailers, more specifically to retailers like Wal-Mart.Wal-Mart and other retailers who purchase large volumes of chocolate can bargain for lower prices and the industryââ¬â¢s profits can decrease. Threat of New Entrants: Threat of new entrants is not a major concern for The Hershey Company as Hersheyââ¬â¢s uses the technique of mass production (Evan Carmi chael) that is, produces on a mass level and has achieved economies of scale. A new entrant would therefore have to be a mass level manufacturer. Also, there are factors such as capital requirements and channels of distribution which make it harder for business to be set up on a large level and to get the sales going.And, of course, there has to be something that sets apart the new entrantââ¬â¢s products from the existing businessesââ¬â¢ products. Threat of Substitute Products: Since chocolate is not a need-based product and a number of people consider in just a snack, they look to towards other products such as chips, ice-cream, other flavored products such as vanilla, orange etcetera as well. Also there are many people who deem chocolate as unhealthy and fattening and are ready to substitute it with other products. Competitive Rivalry within n Industry: Hershey is not the only chocolate company around. There are a lot more chocolate brands which are as established as Hershey . Consumers have a choice of buying Hershey or Cadbury or Mars or other more generic chocolates, and this provides a significant amount of competition. Hersheyââ¬â¢s has to compete against other chocolate brands and watch out for substitute products which makes competition intense. However, this analysis looks at the forces closely affecting the business i. e. the micro environment.Hence the Porterââ¬â¢s Analysis is not a hundred percent useful on its own. For most marketing experts, porters five forces analysis is only a starting point or sort of a ââ¬Å"checklistâ⬠and therefore the benefit of this analysis can be taken only when used in conjunction with other analysis techniques. SWOT Analysis STRENGTHS: â⬠¢ Rich history full of tradition, originality and philanthropic service: The Hershey Company produced Hersheyââ¬â¢s Tropical Chocolate bars and Field Ration D bars for the troops at war giving it points for both originality and patriotism.Milton Hershey has a lso opened the Hershey Park in 1907 (www. hersheypa. com) â⬠¢ Strong Brand Name and Image: Hershey has been in the market since 1894 and since then it has created a strong brand name and image. â⬠¢ Diverse Product Portfolio: Hersheyââ¬â¢s Chocolate Bar, Almond Joy, Kit Kat, Hersheyââ¬â¢s Kisses, Mounds, Reeseââ¬â¢s, Payday, York Peppermint Pattie, Milk Duds, Mr. Goodbar, Rolo, Skor, Whatchamacallit, Whoppers and Krackle Bar are only a few of Hersheyââ¬â¢s products amongst many more. Having a huge variety of products increases chances of high sales for the company. Strong Alliances: Apart from acquiring a number of popular chocolate/candy manufacturing companies and has acquired licenses for producing and selling Cadbury and Nestle products, it has also, recently allied with Starbucks, which lead to a 30% increase in profits for Hershey. (MarketWatch) OPPORTUNITIES: â⬠¢ A number of consumers desire and demand richer products and this gives Hershey to gain more of the upper strata of society â⬠¢ The Hershey Company joined up with Starbucks, which was a wise move as it contributed to a 30% growth in Hersheyââ¬â¢s profit (MarketWatch).More joint ventures with, for instance, Dunkin Donuts would boost sales of Hershey. â⬠¢ In todayââ¬â¢s day and age, people have started giving more importance to holidays as noted in the Quarterly reports of Hershey sales were higher in the holiday seasons. Hershey can use this to focus more on chocolates as gifts. â⬠¢ Price decline of sugar â⬠¢ Outsourcing of labor to cheaper areas WEAKNESSES: â⬠¢ Hershey is North Americaââ¬â¢s largest chocolate producer (The Hershey Company) but the same cannot be said when it comes to the international market. Currently, the companyââ¬â¢s presence is limited to Brazil, Canada, Mexico, and the United States. www. investopedia. com) â⬠¢ à A key weakness of Hershey is that it does not have much sales in the Asian markets and since Asia is the largest continent and a huge population, it is missing out on a lot. â⬠¢ Price inflation is also an issue. As prices are relentlessly increasing, consumers think twice before purchasing a lot of things and Hershey products are no longer item that once can buy with the loose change in their pocket. Less people are willing to buy chocolates frequently. THREATS: â⬠¢ There has been an increase in Nut allergies both in the UK and USA. ut allergies. (AAIR). A lot of Hershey products uses nuts and it has to consider this fact. â⬠¢ Obesity is also on the rise and according to Centers for Disease Control and Prevention, there has been a massive increase in obesity. ââ¬Å"In 2008, only one state in the United States of America (Colorado) had a prevalence of obesity less than 20%â⬠. Though there is no proof that chocolate equals obesity but that is the general conception and heatlh conscious people tend to buy little or no chocolate. If the health trend rises chocolate sa les will gradually decrease. Technology is becoming more and more advanced every day, and in order to be retain its economies of scale and to remain competent, Hershey has to keep up with technological progress in manufacturing and this will automatically increase cost.. â⬠¢ A recent issue has been minimum wage for labourers. ââ¬Å"Effective July 24, 2009, the federal minimum wage increases to $7. 25 per hourâ⬠. (Labour Law Center) â⬠¢ Price of milk has been on a steady rise. Milk prices reached its peak in July 2007 and consumers paid ââ¬Å".. an average $3. 80 a gallon, compared with $3. 29 in Januaryâ⬠¦Ã¢â¬ (Vandore, 2007).If this trend continues in the future, Hershey will have to increase prices due to increased costs of production hence sales could plummet really low. â⬠¢ There has also been a steady price increase in gasoline. In the Clayton News Daily, ââ¬Å"The annual average price of regular unleaded gas is expected to increase from $2. 35 per ga llon in 2009, to $2. 83 in 2010, with similar price hikes on heating oil and diesel fuelâ⬠. In this case production costs of running the heavy machinery in factories will increase significantly, making it difficult for Hershey to maintain reasonable price of its products. SWOT of CompetitorsAmongst Hersheyââ¬â¢s competitors, Cadbury is one of the major ones. Below is a brief SWOT analysis for Cadbury. |STRENGTHS |WEAKNESSES | |Has been in the market for 200 years- well established brand name &image. |Small product portfolio. Thereââ¬â¢s not much variety. | |Products sold in over 200 countries. |Very few new products are created by own group. | |High profits | | |Has been awarded Royalty. | |OPPORTUNITIES |THREATS | |Can expand into new markets |Other established brands in the market | |Should produce new products |Diversification of other brands into the market | MARKETING STRATEGY PRODUCT:The Hershey Company has a number of products, the main categories being as foll ows: 1. Chocolate Candy: This includes Hersheyââ¬â¢s Kisses, Hersheyââ¬â¢s Bliss, and Hersheyââ¬â¢s Milk Chocolate amongst a lot of others. 2. Pantry Items: This category includes Hershey Syrup, Hershey Toppings and Hersheyââ¬â¢s Hot Cocoa mix etcetera. 3. Snacks: Some products of this category are Canola Bars, Snacksters, 100 Calorie Bars and SnackBarz. 4. Gum and Mint: BreathSavers mints, Bubble Yum bubble gum and Ice Breakers are the products of this category 5.Sugar Confectionary: To capture the market who is sugar conscious or health conscious, Hersheyââ¬â¢s developed Hershey's Sugar Free Candy The Hershey Company has, in addition, acquired licenses to manufacture and sell chocolate and non-chocolate products of other brands such as Nestle Kit Kats, Rolos, and Cadbury. It also acquired a number of companies and now Jolly Rancher, Bubble Yum, Mauna Loa, Reeses, Whoppers, Twizzlers and Young & Smylie products are officially a part of the Hershey Company. PRICE: Her sheyââ¬â¢s chocolates are priced at a moderate level.A plain Hershey bar of 1. 55 oz is priced at $0. 99 and a Toblerone, 1. 7 oz bar, is priced at $1. 49. Toblerone is 50% more expensive than Hershey, as we can see below. Following is a list of the general pricing of Hershey Products: â⬠¢ Hersheyââ¬â¢s Milk Chocolate (1. 55 oz) priced at $0. 99. â⬠¢ Mr. GoodBar (1. 75 oz) priced at $0. 99 â⬠¢ Almond Joy 8 Pack (0. 6 oz x 8 pieces) priced at $2. 45 â⬠¢ Almond Joy Eggs (1. 1 oz) priced at $0. 99 â⬠¢ Cadbury Caramel Eggs (1. 2 oz) priced at $0. 99 â⬠¢ Black Licorice from Y (8 oz bag, containing 55 pieces) priced at $4. 5 â⬠¢ Bubble Yum (o. 17 oz oz x 5 pieces) priced at $0. 99 We can see the general pricing trend of Hershey, as almost all 1. 5 to 2 oz bars are priced at 0. 99 dollars PLACE: Hershey sells its products at a wide array of places. It sells to wholesale distributors, wholesale clubs, mass merchandisers, grocery stores, drug stores, vending companies, convenience stores, department stores, dollar stores and natural food stores. Then these customers of Hershey sell to end consumers in approximately 2 million outlets all over North America and worldwide. (The Hershey Company)One of the largest distributors of Hershey products is the Mc Lane Company Inc. , which in turn sells to other stores. It is the main distributor for Wal-Mart which is one of the few places which sells products of the Hershey Company. (The Hershey Company) PROMOTION: The Hershey Company uses a variety of mediums and techniques for advertising and promotion. Apart from regular mediums such as Billboard advertisement, Newspaper and magazine advertisements and Television commercials, it uses other techniques like using movies and Box Office to promote their company.For instance, in Hersheyââ¬â¢s ââ¬Å"Hulked-Upâ⬠promotion, you ââ¬Å"enter to winâ⬠a Hulk Hummer and get a free T-Shirt by checking out featured products (ComicBookMovie. co m). Other promotions include HERSHEYââ¬â¢S Camaro Sweepstakes to win a 2010 Chevy Camaro, HERSHEY'S KISSES Cookie and HERSHEYââ¬â¢S and the Young Survival Coalition which was used to create breast cancer awareness along with promoting Hershey. (The Hershey Company) ADVERTISEMENT CRITIQUE FINANCIAL ANALYSIS Looking at the financial statement of the last five years (www. thehersheycompany. om) has given the following results: â⬠¢ Net Profit 10. 1% of Sales in 2005. â⬠¢ Net Profit 11. 3% of Sales in 2006. â⬠¢ Net Profit 4. 32% of Sales in 2007. â⬠¢ Net Profit 6. 06% of Sales in 2008. â⬠¢ Net Profit 7. 94% of Sales in 2009. These profitability ratios show that while Hershey has performed better in 2009 than two of its preceding years, its profits have decreased considerably compared to 2006. 2006: By taking a closer look at the quarterly reports of Hershey for these years it is noted that the first half had strong but the second half of 2006 saw a slow-down in sales.The Hershey Companyââ¬â¢s long-term strategies seek to attain net sales growth of 3% to 4% annually (The Hershey Company) but results for 2006 did not meet their goals. Net sales growth was 2. 58% for 2006. There was a decline in market share during the second half, mainly in North American. Hershey tried to gain momentum again and succeeded with time but at a price. Apart from the increased interest costs for that year there were increased spending on advertising starting from the fourth quarter and continuing well into 2007, affecting the net profit for 2007 drastically. From a net profit percent of 11. % in 2006, it went down to 4. 32% in 2007. 2007: 2007 was also a difficult year. Net sales growth in this year was 0. 05% which is not even close to the companyââ¬â¢s goal of 3%-4% per year, even with the increased sales from international business and sales from the Joint Venture formed with Godrej Beverages & Foods Limited formed that year (Wikipedia). Sales in North America was low, costs incurred were much higher than the previous year and the company saw a much lower profit in 2007. Business realignment and impairment costs rose from 14,576,000 to a whopping 276,868,000.The difference in net income percentage was -61. 7%. Increased investment spending for advertising and expansion of our international infrastructure also contributed to the lower income in 2007. 2008: Net sales growth increased from 0. 05% to 3. 8% in this year. The net income percentage which was negative in the previous year turned into a positive 45. 4%. Needless to say, Hershey gained momentum in the market again. Results for the 2008 up to mark and met the Hershey Companyââ¬â¢s goals and expectations. FUTURE TRENDS Health Awareness: Many people donââ¬â¢t use chocolate for fear of become fat, getting acne or other health reasons such as cholesterol. This may reduce sales. â⬠¢ Allergies: some children and adults have allergies, most commonly peanut allergies and o ther nut allergies. This, also, may decrease sales. â⬠¢ High Class society gatherings/increased importance to holidays such as Halloween, Easter, Christmas which use a lot of chocolate and chocolate products. This could increase sales in the future. â⬠¢ Price of cocoa and Price of fuel: The price of these two commodities will effect sales negatively if they continue to rise.RECOMMENDATIONS FOR FUTURE: Keeping in mind the factors and trends that may increase or decrease sales in the future, Hershey can take a number of steps to improve their chances of turning unfavorable situations into ones that will actually benefit the company. A lot of people think of chocolate and think of one of these words: ââ¬Å"junk foodâ⬠, unhealthyâ⬠, ââ¬Å"fatteningâ⬠and so on. But the fact is that chocolate can actually promote good health. Especially dark chocolate, which has anti-oxidant effects and generates antithrombotic mechanisms, can lead to better cardiovascular health (The Pediatric Infectious Disease Journal).In layman terms this means it prevents the blood in the heart from clotting up. Hersheyââ¬â¢s can use this knowledge for a different spin on their advertisements and removing the concept of unhealthy chocolate. Also many people and children have nut allergies, and since a lot of Hersheyââ¬â¢s products include hazel nut and peanuts, this can pose a problem But with careful and well defined market research Hersheyââ¬â¢s can overcome the problem of its chocolate bars containing nut not being sold, by finding out approximately what population of chocolate lovers is allergic to nuts and other ingredients which prevent them from buying chocolate.Another trend which poses a problem is the economy. Prices are constantly on the rise and cocoa and fuel are the two major concerns. Increase in fuel prices may lead to closure of a few plants to save on costs, or if the plants are not closed, prices of products may have to be raised to cover up the costs. Prices of cocoa are also on the rise, and an increase in this raw material may lead to an increase in price of the end-products. Since cocoa is produced in a few countries with tropical climate, chocolate manufacturers in colder climates have to import cocoa. Hershey has to pay mport taxes on top of the increased prices due to the global deficit of 145,000 tonnes of cocoa in the 2007-2008 season (confectionarynews. com). To reduce this cost, Hershey has two options. Either to buy as much cocoa in bulk as possible when prices are low and to buy as minimum as possible when the prices are high, or to outsource their manufacturing to places like Indonesia or Ghana where cocoa production is the largest (BBC News). CONCLUSION Hershey is a company which is already popular, but with a few well planned strategic decisions has the potential to be much more successful.They can do this by a reducing their costs, starting up new subsidiaries, perhaps even starting up production of th eir own cocoa beans instead of importing from Indonesia, Ghana and other cocoa manufacturers. The next thing they have to do is increase their advertising to countries Asia, as Asia has a large number of potential consumers.. APPENDIX REFERENCES About The Hershey Company. (www. thehersheycompany. com) < http://www. thehersheycompany. com/about/> Asthma and Allergy Information and Research. Nut Allergy- The Basics < http://www. sers. globalnet. co. uk/~aair/nuts. htm> BBC News. Peanut allergy on the increase < http://news. bbc. co. uk/2/hi/2487769. stm> BBC News. BBC News. Cocoa price hits 14-year-high Clayton News Daily. Confectionerynews. com. Future of cocoa prices uncertain, says ICCO. ComicBookMovie. com. Centers for Disease Control and Prevention Emma Vandore. Got Milk? More People Want It Now. Contra Costa Times. Evan Carmichael. His Secret Recipe: How Hershey Achieved Success Groovy Candies. Hoovers. Labour Law Center.Federal Minimum Wage Increase for 2007, 2008, & 2009 Lunde ll, Dean ââ¬Å"Capitalizing on Our Candy Cravings (NSRGY, CSG, HSY). â⬠Investopedia. com. August 1st, 2007. November 13th, 2007. Investopedia website: Investor Relations: Annual and Quarterly Reports (www. thehersheycompany. com) MarketWatch. Hershey's 3rd-quarter profit rises 30% ; http://www. marketwatch. com/story/hersheys-third-quarter-profit-rises-30-2009-10-22; Products (www. hersheys. com) The Pediatric Infectious Disease Journal. Plasma antioxidants from chocolate Oct, 2003 . Volume 22 Issue 10. p A7
Thursday, August 29, 2019
Comparative Academic Review
Introduction The aspects of psychiatric treatment of patients have been widely discussed in the academic literature on the subject in the last several decades. In two separate studies, Christina Katsakou et el. (2010) and Jelena Jankovic et. al (2011) trace the practical implications of treatment satisfaction and caregiversââ¬â¢ experiences respectively. Both studies cover specific aspects of psychiatric treatment in the UK. The first study focuses on the coercion and treatment satisfaction among patients, who have been admitted for psychiatric treatment involuntarily. The research, conducted in 2010, reveals the impact of coercion on the satisfaction of treatment among patients, as well as the psychological aspects of coercion. The study has been conducted as an observation in 22 hospitals in England, where a total of 778 patients were recruited (Katsakou et. al, 2010). Their satisfaction with the treatment they received has been measured at different stages: one week, one month, three months and one year after the admission. In order to measure the levels of satisfaction, the authors have used factors such as clinical improvement and clinical characteristics. The results from this study were obtained using standard statistical analysis, and indicated an increase in the satisfaction among involuntarily admitted patients between their first admission and the different follow ups. The second study, conduc ted in 2011, focuses on the experiences of family caregivers during involuntary hospital admissions of their relatives. It is a qualitative study, which used as a research method semi-structured interviews, conducted with 29 caregivers whose relatives have been admitted involuntary in 12 hospitals across England (Jankovic et.al., 2011). Throughout the study, major themes have been identified, such as relief and conflicting emotions, frustration with the delay of getting help, etc. The results of the second survey have concluded that the role of the family caregivers can be enhanced if their duties are valued enough, without turning into a burden. The purpose of this brief academic review is to critically compare both studies, highlighting their strengths, weaknesses and possible contributions to the literature on the subject. Both studies provide valuable insight on the subject of treatment of patients with mental illnesses, and reveal the interactive nature of the clinical process as a dynamic interaction between different elements ââ¬â institutions, caregivers, and patients. Both studies manage to reveal the intricacy of the connection, which exists between coercion and satisfaction in the first case, and family caregivers as active elements in the process of involuntary admission in the second case. The first study uses a quantitative research method and statistical analysis, based on an observational study. The study has been conducted in 22 hospitals in England. The advantage of the choice of this method for the purposes of study is its accuracy and straightforwardness. Results obtained through observation are easier to analyse, and presented in a comprehensible and consistent manner. In terms of the design of the research, the use of timeline base is a feasible option, which meets the research aims of the study and unfolds different aspects of satisfaction among patients. The fact that the patients have been examined at three different periods following their first admission provides the researchers with the possibility to explore how satisfaction (or dissatisfaction) develops gradually. This is an important feature of the research design deployed, because here satisfaction is discussed in relation to memory and emotions, which change over time. This changeability has been ca ptured with the choice of the design. Also, it is a good way to operationalize and thus measure the main variable ââ¬â patientsââ¬â¢ satisfaction. Despite the fact that the operationalization of satisfaction was enhanced through the use of specific research design, the study could have also benefited from a bigger emphasis on open interviews, conducted with a certain (perhaps smaller) portion of the patients. This is because interviews allow for more abstract and personal issues to be uncovered in the research and these are issues which are usually unquantifiable and difficult to detect in observational studies and semi-structured interviews. As far as data collection is concerned, the authors of the first study have used two different models, designed to measure satisfaction ââ¬â one concentrating on potential base lines predictions combining satisfaction scores from all time points (baselines, one month and three months) and another one concentrating on the results from the follow ups only. The data was analysed using a three step model, and applying standard linear statistical analysis (Katskakou et.al, 2010:287-288). This comprehensive choice of methods and models for data collection has enhanced linear results, which allow readers to obtain an extensive view of satisfaction not only as an isolated variable, but also as a process, which is happening over time. However, one of the weaknesses of this study in the methodological part is the sampling. The researchers have attempted to obtain a representative sample, covering hospitals from different geographic areas and patients of different ethnic and social backgro unds. Little, if anything is mentioned however on how the eligibility of the patients has been identified (eligibility criteria). Another weakness in the methodology part is related to the decreasing number of patients interviewed at the baseline, the first month and the third month and one year. For the baseline, the patients are 778, and for the one year follow up their number has decreased almost in double ââ¬â 396 (Katskakou et.al., 2010: 289). This might pose some problems related with the generalizability of the results obtained and the consistency of observations. Although it would be a formidable task to keep the number of patients at each point exactly the same, at least proximity in the numbers of interviewees could have been targeted. Another possible weakness of the study is related with the lack of causality between coercion and satisfaction. In other words, the study does not necessarily reveal a cause-effect relationship between the two, because coercion in this observation has been explored as an individual projection. However, this can also be looked at as an advantage, because a cause-effect relationship between two abstract concepts can oversimplify their existence in a particular setting. To compare, the second study uses a very different methodology. It is a qualitative study, and the variables measured here are even more abstract compared to the first study. The psychological aspects of personal experiences relating to care are difficult to capture and quantify, and this is important to mention in the methodological review of the second study. In terms of choice of methods, the authors have used semi-structured interviews, conducted among family caregivers of 29 patients admitted involuntary against 12 hospitals in England (Jankovic et.al., 2011: 1). Compared to the first study, here the sample is much smaller. It is arguable whether such a small sample can provide results, which are generalizable. Perhaps the authors have decided to choose smaller number of participants in order to observe the matter more closely. Here it is important to note that the issue of carersââ¬â¢ experiences is sensitive and often a stressful one. Therefore a smaller sample would give t he chance to conduct more detailed interviews, and thus capturing nuances of the matter, which remain unexamined in studies involving larger samples, due to time constraints. Another problem with the sample, just like in the first study, is its ability to represent the population. A closer look at the participantââ¬â¢s characteristics in the second study reveals that in more than 50 percent of the cases, the relationship of the carer to the patient is ââ¬Å"parentâ⬠(Jankovic et.al., 2011: 3). This fact could have influenced the results, since parents tend to be much more concerned for their children. They are concerned first as patients, and then as carers ââ¬â therefore a more representative selection of the carers could have taken place (for example equal number of carers who are patients, partners, siblings or children). Yet, the study manages to make good use of thematic analysis, clustering answers of the patients and identifying four important themes ââ¬â rel ief and conflicting emotions in response to the admission, frustration with the delay in getting help, being given the burden of care by services and difficulties with confidentiality (Jankovic et.al, 2011:3-4). Just like the first study, the methodology is well-implemented in terms of coding. In the second study, two independent researchers have been selected to code the interviews, and the results have been finalized through a joint discussion (Jankovic et.al, 2011:3). In both studies, the methods chosen have met the research criteria, and have been meticulously implemented to produce comprehensive and well-themed results. Also, the proposed hypotheses have been well tested. Here it is important to note that both studies tackle issues, which are not easily quantifiable or measurable. The first study concentrates on satisfaction among patients which have been involuntary admitted for treatment, while the other one focuses on an even more sensitive and abstract issue, related with personal experiences among family caregivers in the cases when patients have been admitted for treatment. Therefore the authors of both studies have made significant effort in the planning of the research, its design and implementation in order to make the themes of their research measurable. As a result both studies have managed to create consistent results. The first makes coercion and satisfaction measurable, with the implementation of a 0 to 5 scale of coercion and inco rporating the results in a separate model. Critics would suggest that the method implemented in the first study is too rigid for the investigation of issues, which are deeply psychological and reflect the personal perceptions of patients on the way they have been treated. Although the study could have benefited from a combination of qualitative and quantitative methods, its reliance on quantitative techniques only does not affect the overall validity of the results. Perhaps one of the biggest strengths of this study is that through the interpretation of the results, the authors manage to reveal the connection between patientsââ¬â¢ satisfaction and coercion as an individual perception. As already mentioned, the second study relies solely on a qualitative technique. They authors capture the nuances in the experiences of the caregivers, and interpret the results closely adhering to the themes, identified by them during the data analysis stage. Both studies deal with aspects of psychiatric treatment, which are challenging due to their specificity. Therefore they both make significant contribution to the literature and theory on the subject. The first study sheds light upon the complexity of coercion as an individual perception, and its results resonate with those obtained in earlier studies (Lidz et.al, 1998; Sorgard, 2004). Observing coercion as an individual perception, projected by patients as a result of hospital surroundings and treatment, shows a major transition in clinical psychology, and a shift towards a more constructive approach for understanding patientsââ¬â¢ reactions. In this sense, this study can be classified as a constructivist study, because it measures how perceptions are formed and exemplified by particular patients in particular environments. It deviates from earlier studies on the subject, like the ones conducted by Svensson et al. (1994) and Spenseley (1980), which observe patientsââ¬â¢ satisfa ction with treatment in their entirely empirical dimensions, ignoring individual projections. Similarly, the findings and conclusions from the second study (Jankovic et.al, 2011) resonate with conclusions from previous research on the subject (Simson et. al, 2002; Jones et.al, 2009). Therefore this study belongs to a particular body of literature in clinical psychology, which explores the psychological and social impact on families of care for people with mental disorders. Both studies contribute to their relative subjects, and might have important implications in terms of policy reform in health care services for people with mental illnesses in the UK. Recommendations for policy-makers in this sector, stemming from Jankovicââ¬â¢s study include an improved service, which would ensure that carers obtain proper assistance and cooperation from hospitals prior to the admission of mentally unwell relatives. This would have positive implications to the quality of treatment of mentally unwell patients, by enhancing cooperation between carers and institutions, which would inevitably lead to a better distribution of responsibilities. Katsakouââ¬â¢s study might have policy implications as well, because it reveals the necessity for interventions, which would reduce patientsââ¬â¢ perceived coercion. In conclusion, both studies discussed in this review present specific aspects of treatment of mentally unwell patients. Despite some weaknesses in sampling, and some minor limitations, both studies make significant contributions in their relative fields, and offer new, and well-supported angles of interpretation on the themes they cover. Both studies make good use of research methods, despite the differences in the number of participants for the first and the second study. Some issues related to generalizability of the results have arisen, such as the decreasing number of observed patients in the first study and the small sample in the second study. Still, the data analysis and the interpretation of the results obtained have been meticulously carried out and well situated in the context of existing literature. In addition, both studies might serve as a basis for policy-reform in the UK healthcare system, ultimately leading to improvement of the latter. In sum, the studies present coh esive and well-researched conclusions and can be a useful reading for students and professionals, occupied in the field of Clinical Psychiatry, Health Services and Public Policy. Reference list: Jankovic J, Yeeles K, Katsakou C, Amos T, Morriss R, Rose D, Nichol P, McCabe R, Priebe S (2011) ââ¬ËFamily caregiversââ¬â¢ experiences of involuntary psychiatric hospital admissions of their relatives ââ¬â a qualitative studyââ¬â¢, PLoS ONE 6(10): e25425. Jones IR, Nilufar A, Catty J, McLaren S, Rose D, Wykes T, et al. (2009) Illness careers and continuity of care in mental health services: A qualitative study of service users and carers. Soc Sci Med 69: 632ââ¬â639. Katsakou C, Bowers L, Amos T, Morriss R, Rose D, Wykes T, Priebe S (2010) ââ¬ËCoercion and Treatment Satisfaction Among Involuntary Patientsââ¬â¢, Psychiatric Services 61: 286-292 Lidz C, Mulvey EP, Hoge SK (1998) et al: Factual sources of psychiatric patientsââ¬â¢ perceptions of coercion in the hospital admission process. American Journal of Psychiatry 155:1254ââ¬â1260 Simpson EL, House AO (2002) Involving users in the delivery and evaluation of mental health services: systematic review. BMJ 325: 1265ââ¬â1268 Sorgaard K (2004): Patientsââ¬â¢ perception of coercion in acute psychiatric wards: an intervention study. Nordic Journal of Psychiatry 58:299ââ¬â304 Spensley J, Edwards DW, White E (1980): Patient satisfaction and involuntary treatment. American Journal of Orthopsychiatry 50:725ââ¬â729 Svensson B, Hansson L (1994) : Patient satisfaction with inpatient psychiatric care. Acta Psychiatrica Scandinavica 90:379ââ¬â384
Wednesday, August 28, 2019
Sweeney Todd Essay Example | Topics and Well Written Essays - 500 words
Sweeney Todd - Essay Example The first and the second scenes have a musical effect that gives more information on the life of Sweeny and how the activities that happen around him have shaped his life. Music is used to build emotions and create an interaction between the audience and the characters (Wheeler). In the first scene, the music played in the background; ââ¬Å"No Place like Londonâ⬠depicts London as an amazing place, and makes the audience keen to learn more about the city. The events that take place show the transition from one city to the other. Sweeny Todd and his companion Anthony are coming back to London after being away for such a time. Anthony is genuinely happy but Todd does not seem enthusiastic. The music played describes London and sets the mood of the play. Wooten in his book ââ¬ËThe Music Lessonââ¬â¢ suggests that there is a connection between music and the audience (30). Music helps to create the overall mood of the play and bring a connection with the audience. This relation is important in capturing the attention of the audience. The next scene features Anthony, a character in the play, walking down the lane. He is captivated by the exquisite blonde woman singing through the window. She is singing to the caged birds and wonders why they are caged and yet they sing so happily. The song ââ¬ËGreen Finch and Linnet Birdââ¬â¢ attracts Anthony and he develops interest in the woman and wants to rescue her. According to the book ââ¬ËThis is your Brain on Musicââ¬â¢, the author, Daniel Levitin opines that there is a strong psychological relationship between music and the people who relate to it (40). In this case, the music sang by Toddââ¬â¢s daughter captivated the young gentleman and he made plans to woo her. Music speaks to the heart and affects the way people think and reason. The scenes use music to depict the effect that it has in the play. Music is a powerful tool in literature. It helps to create moods, themes, attitudes and emotions. A combination of the
How did the French Revolution inspire Romanticism and why Essay
How did the French Revolution inspire Romanticism and why - Essay Example Romanticism, therefore, turned to an assessment of imperialism and materialism of an industrial community. Although the French revolution enabled romanticism to gain popularity, it turned romantics against it. The French revolution in an immense way influenced the era of romanticism and most of it in a positive way. The French revolution significantly inspired interest in the portrayal of modern-day events, although there was evidence of detailed paintings that were done before the revolution (Mosse, 1989). The French revolution was inspired by the enlightenment era which led to a period of anticipation and optimism. Artists in France chose to represent their happenings in highly detailed forms of art. Their leader Napoleon demanded that their achievements should be displayed in detailed pictures. Napoleon wanted everything to be remembered and, therefore, pictures would do the representation better. Paintings that also represented individual suffering were represented in ââ¬Å"The Raft of the Medusa.â⬠rudiments of romanticism can be establish in art, music and literature and other forms of writings (Mosse,1989). Napoleons invasions can be attributed to dispersal of reforms across Europe. The Romantic Movement also helped shape the political movements such as the French revolution, and it was also shaped by the revolution. Both played a significant part in the creation of nationalism among the citizens. The romantics were ready to end the terrible reign and would do everything possible to improve the society. The French revolution helped cultivate the idea that rebuilding of the society was achievable. The revolution built on the Enlightenment plan of advancement that society could improve. The romantics, therefore, began embracing their history and displayed it in the form of art and music. The revolution inspired them and they started looking at their ancestral origins as a source of inspiration. The romantics during those times were focused on ending the reign of terror. It seems that they had the same vision as the people of France who wanted to break away from the monarchy. Romanticism developed to being a philosophy, which could not match the power that the French revolution had (Friedrich). The French revolution brought about the change that the romantic philosophers so much desired. Before the French revolution, the romantics lived in an oppressive society with no or little freedom. The romantics wanted a strong group to intervene and help them attain a stable government and a strong sense of individuality. Their society was particularly divided, and they could not write anything that was not acceptable. This made them desire so much for freedom. The rise of the French revolution, therefore, enabled people to be capable of putting across their feelings in whichever way they wished. The French revolution had a significant impact on the European lifestyle in the nineteenth century. A significant wave of emotion was spread thr oughout the society. The French revolution introduced new laws for the citizens. It also resulted in change, in both literature and art (Doyle). Romanticism is largely responsible for shaping the world to a better place to live. The French revolution was the climax of the romantic philosophy. The revolution provided with problems, which acted as a basis for the romantic literature and art. The French revol
Tuesday, August 27, 2019
Conlon Nancarrow's career and his relation to player piano Research Proposal
Conlon Nancarrow's career and his relation to player piano - Research Proposal Example The interview is considered as quite important for understanding the actual view of composer for a series of critical issues related to his life and career. The findings of the literature review will be categorized, so that they are presented in separate sections according to their relevance to the studyââ¬â¢s issues. The career of Conlon Nancarrow can be characterized as rather impressive. As for all artists, for Conlon Nancarrow also communicating effectively with his audience has been a key priority. Media and technology have helped Conlon Nancarrow to achieve this target. Has this support intervened in the development of the composerââ¬â¢s career? Was the involvement of media and technology in the career of Conlon Nancarrow fully justified? Duffie, Bruce. ââ¬Å"Composer Conlon Nancarrow. A Conversation With Bruce Duffie.â⬠Archive of Contemporary Music. Northwestern University. October 12, 1987. Accessed at 25 February 2013.
Monday, August 26, 2019
Policemen of the World Thesis and Outline Assignment - 1
Policemen of the World Thesis and Outline - Assignment Example The first war was between 1798 and 1800 with France. The war was instigated by land controversy in the now Dominican republic. In the 20th century, United States of America was involved in a fierce war against Cambodia and Vietnam (Collier, 1993). The most recent war between 1990 to date has been to nations such as Iraq, Afghanistan, Libya and Egypt among other countries. There have been controversies surrounding the USA involvement in the global wars. The controversies within the nation are on the constitutional mandates that give the president power to invade a nation without consulting the senate and the congress (Kornbluh, 2003). The congress demands for a proper clause that the president must always seek for their opinion before he execute his plan to attack a worrying nation. Controversies have also arose on the countries being attacked by the USA troops. There were controversies in Iraq when the USA troops invaded them and ousted Sadam Hussein that the country had nuclear weapons but the country never had any weapon. The question now is why did USA have to attack another nation on false claims? (Steinhauer, 2011) The united states of America need to have a clear investigation before attacking any nation. The wars usually lead to the deaths of many civilians majority of whom are innocent. It should be noted that war does not bring any benefit, but a loss to the life of human
Sunday, August 25, 2019
Nurse practitioner Essay Example | Topics and Well Written Essays - 2000 words
Nurse practitioner - Essay Example within the present structure of the available health services mainly in order to facilitate their journey within the healthcare continuum (Sweet, 2005). Nurse practitioners have responded to this social and political need and professional challenge through expansion of the scopes of their practice with action, plan, and rigor. As a result in todayââ¬â¢s changing contexts, this professional role has literally evolved into development of skills and expansion of scope of practice so this category of service providers can provide efficient, safe, comprehensive, and accessible care to the patients and the communities (Ashington Audit Group., 2004). Before going into the critical examination of the conditions of this development and its social and political contexts, it would be prudent to define a nurse practitioner. According to Australian Nurse Practitioners Association, nurse practitioners are senior clinical nurses within their specialty of choice with a Masters of equivalent degree and registered with the state nursing boards (Redshaw and Harvey, 2001). Professionally they are experienced with high level of skills suitable for different healthcare settings. The political motive for this role is to support the existing system of patient care while at the same time improving access of people to care that may be adequate or even better for certain clinical conditions. In the Australian context, the nurse practitioners are able to cater to the health needs of the population independently through their clinical skills and are able to meet the health needs of the population at the given level through their ability to recognize the holistic health needs in the context of their environments. In any way, this provision is not designed to provide care that is does not fulfill the competency standards of healthcare delivery. They provide services with accountability within this extended scope of practice in conformity with the evidence that nurse practitioners are quite able
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