Thursday, October 31, 2019

Choose from the book Essay Example | Topics and Well Written Essays - 1250 words - 1

Choose from the book - Essay Example Third, has there been feedback to this research. And, forth, what are the establishments and/or findings of this research. Parenthetically, researchers normally distinguish young as being between the ages of 18-29 (Zukin et al 11-12). However there is a prior issue: Why is civic engagement essential and, parenthetically, what is civic engagement? Well, this is the key of the Presidential Citizens Scholar Plan, something an individual will discuss, assess and examine as course participants so it would inappropriate for us to answer these questions for them. The extensive social importance, nevertheless, lie in the social contact and even intermittently civic discussions over pizza and beer that many people forgo. Some onlookers assert that an essential concept, or theory, that this reduction in engagement, disengagement, could be generations, that is, younger cohorts are less involved or engaged than older generations. If this is authentic and if the reduction in engagements perpetuat es then total disengagement is in the offing, that is, it is predisposed to the very near future. This particular issue is why researchers concentrating on young adult and civic engagement is now all the rage (Zukin at al 15-19). The public opinion polls indicate that young people do not comprehend the notions of citizenship, they are disconnected from the political process, and they are short of knowledge necessary for effectual self-government. This public opinion survey also shows that these young people support and appreciation of American democracy is restricted. The older generations have been doing so little to impart the standards of citizenship on to the next generation. But there is optimism. The account offers new proof that civic engagement makes a huge difference in the attitudes towards citizenship, understanding engagement of young people. The report is pegged on a countrywide opinion analysis devised to estimate how the civic attitudes, understanding and engagement o f young people: The DotNet generation between 16 and 26 years of age compare to those of older generations. The survey was carried out by Knowledge Networks: an investigative organization that implements scientifically bases Internet Polls (Zukin et al 20-34). A lot has been talked about generational differences in voting models during the 2008 election. An analysis of generation differences sheds some light into how social meanings of civic engagement and social liability have transformed in due course. In effect, a lot has made of what earlier generations have done in terms of service to American culture. Many issues about how to expand political engagement have also been raised in the academic dominion. University/college student political engagement could be increased by actively engaging the=m in service learning experiences. Though service learning is a didactic and learning program that incorporates meaningful community service with pedagogical instruction and reflection, the re has not been concerted endeavor to enhance service learning courses that decisively prepare young people for enthusiastically engaging in the political system. Generation is a practical concept as it facilitates researchers to assess political actions in terms of how different age groups, formed at unusual times and by special experiences, respond to political occurrences. Particularly, (Zukin et al 35-46) are interested in the degree to which dissimilar generations, have undergone different political and cultural happenings in their seminal and

Tuesday, October 29, 2019

Federal Reserve Paper Essay Example | Topics and Well Written Essays - 750 words

Federal Reserve Paper - Essay Example 3. Maintaining the stability of the financial system and containing systemic risk that may arise in financial markets. 4. Providing financial services to depository institutions, the U.S. government, and foreign official institutions, including playing a major role in operating the nation's payments system. Discussion Since the Federal Reserve Act of 1913 the Federal Reserve has been in governance of monetary policy. The policy is controlled by maintaining open market operations, reserve requirements, and discount rates (Monetary Policy, p.1). In section 2A of the Federal Reserve Act the objectives of the monetary policy read â€Å"The Board of Governors of the Federal Reserve System and the Federal Open Market Committee shall maintain long run growth of the monetary and credit aggregates commensurate with the economy's long run potential to increase production, so as to promote effectively the goals of maximum employment, stable prices, and moderate long-term interest rates† (About the Fed, p. 1). In this process the primary function of the central bank is to increase the credit and cash flow. The way this task is completed is by acting as a hub for the Federal Open Market Committee (FOMC). The Federal Reserve Bank relinquishes the funds from depository institutions into public funds. ... 1). Generally in order for the central bank to be successful at this agenda there has to be something of monetary value. The basic function of money is used as a stake horse for the Reserve bank. When the economy is in high demand of currency the Federal Reserve Bank issues it to institutions. When the demand for cash is low the bank will recover money from institutions and allow them to access a credit account (The Structure of the Federal Reserve, p. 1) These involvements along with the influence of the monetary policy will have a visible impact on the economic state. In light of the recent recession there has been some progress made toward fulfilling the monetary policy. The Federal Reserve Chairman, Ben S. Bernanke, made a testimonial over the recent effects of the economic recovery. Based on his report the new monetary policy has not yet had a positive effect. According to the report given by Bernanke the objective for the Federal Reserve to maximize employment and stabilize pri ces is near but offset by an expected decline of employment in 2011. It is expected that with the policy in place the unemployment rate will go down to 8% by 2012. The effects of the currently high unemployment rates force the economy into lower inflation periods. That force places us in range for deflation and is the cause of less production (Bernanke, p. 1). To enforce a consistent upward turn in the objectives of the monetary policy several Acts have been implemented. Of the lot, the Government Performance and Results Act Strategic Planning Document (2008-2011) outlines that the monetary policy goals will be met using the following objectives: 1. Stay abreast of recent developments in and prospects for the U.S. economy and financial markets, and in those abroad, so that monetary

Sunday, October 27, 2019

Supermarket Information Systems

Supermarket Information Systems INTRODUCTION Following the development of technology, Supermarket information systems have been improved from time to time. From the beginning of buying product from supermarket, to internet shopping system, up to now, Supermarket information system, customers behaviour have changes a lot. However, as retail system need high business analysis procedures, the ePos system and decision support system and Customer Loyalty System has been overlooked. This project aims to improve these Supermarket information systems in human factors perspective. History China Resources Vanguard Shop (CRV) is one of the largest supermarket chains in Hong Kong. It is a member of China Resources Enterprise, a wholly owned subsidiary of State-owned enterprise. China Resources Vanguard Shop, or CR Vanguard, is a flagship operating supermarket chains of China Resources. It is the third largest supermarket chain in Hong Kong. It operates approximately 450 stores in Hong Kong, Guangdong, Zhejiang, Jiangsu, Shanghai, Tianjin and Beijing. PROBLEM DEFINITION DSS: For the decision support system, Traditional Invoicing system based on single database system, usually including management Information systems and decision support systems, business processing subsystem and decision support systems with a database. Composed of a single database-centric database systems often can not satisfy the diversification of modern supermarket data processing requirements. Specifically manifested in the following areas: Cannot integrate internal and external aspects of data. Cannot meet transaction processing and analysis and processing needs. Difficult to adapt to various types of users of different levels of data integration requirements. RESEARCH METHODOLOGY SWOT [B2] A tool that identifies the strengths, weaknesses, opportunities and threats of an organization. SWOT analysis determines what may assist the firm in accomplishing its objectives, and what obstacles must be overcome or minimized to achieve desired results. Strengths Part of the China Resources Enterprise 2926 stores in Hong Kong and China. Provide wide range of products No. of Staff 14500 in China ; 1000 in Hong Kong Weaknesses Founded in 1984 Branch store less than PARKnSHOP Wellcome in HK. Manpower: -Only 1000 in Hong Kong Product or service: Undifferentiated in relation to supermarket. Location. Opportunities Developing market: China Merger: Alliance with Manka (Supermarket) Theaters Price war. Negative impression a new competitor in your own home market Substitute: Competitor also has a new, innovative substitute product. Porters 5 Forces [B3] A tools is a simple but powerful tool for understanding where power lies in a business situation. This is useful, because it helps you understand both the strength of your current competitive position, and the strength of a position youre considering moving into. Threat of New Entrants (Low Pressure) High capital and investment requirement High likelihood of retaliation from existing industry players Threat of Substitutes (Low Pressure) Not easy to have substitution Modern family and office lady dislikes the traditional market Online supermarket / phone order is not popular No delivery delay Power of Supplier (Low Pressure) Many supplier sources Many kind of goods Supermarket has much bargaining power for price negotiation Power of Buyers (Medium Pressure) Not easy to order the goods from supplier directly Various customer group Easy to switch to other competitors Competitive Rivalry (High Pressure) Many equally sized competitors Parkn, Wellcome, DCH, Jusco and etc Price Wars DATA GATHERING juki CRC Business Manager, Roland said: We spent a few days, and open business meeting, the Preparatory trend analysis of customer loyalty to a few months, so we prefer to focus on the rush for our products than our competition Opponents and the development of our business. Questions Asked The questions that were asked from the Manager of Business ¼Ã…’Mr. Rolando, are: à ¢Ã¢â€š ¬Ã‚ ¢ How many sales staff do you have? à ¢Ã¢â€š ¬Ã‚ ¢ How many customers do they cover daily? à ¢Ã¢â€š ¬Ã‚ ¢ What is the process of registering a new customer in your organization and how do the sales people introduce the company products? à ¢Ã¢â€š ¬Ã‚ ¢ The way of keeping the customer history? The questions that were asked from the Head of IT are: à ¢Ã¢â€š ¬Ã‚ ¢ Describe the current environment in the supermarket industry? à ¢Ã¢â€š ¬Ã‚ ¢Current IT capability and infrastructure of the company? RECORD REVIEWING AND ONSITE OBSERVATION xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx PROPOSED SYSTEM In the chart, we will be able to see the whole flow of the supermarket system situation, first by the RFID received the data by the customer and sales and supplies and the production warehouse, and then save into the traditional Database, the data have been re-organization store into the Data warehouse, used to support decision analysis (OLAY), at the end, Customer Loyalty system can collect the right information use for the promotion. RFID, OLAY and Customer Loyalty are the object of our study. We recommend the following three ways: DSS Data warehouse [B2] and Technology in the application of DSS on decision support systems has become a new trend. OLAP [B1]decision-making method according to demand in the process of multi-dimensional view [Figure1]of various types of information to the data stored in the warehouse, to provide decision makers with a wide range of business analysis. Data Warehouse environment supermarket Invoicing System Architecture Traditional Invoicing system has been built with a single database-centric data organization model, decision analysis has been unable to meet the system requirements on the database, but the emergence of data warehouse technology and Development of the above-mentioned problems provides a powerful tool and Means . Data warehousing is a kind of multiple distributed, heterogeneous databases to provide a unified query technology. Data warehouse management system of enterprises from outside the original data and collate the data together into a data warehouse, on this basis, through smooth, rational, comprehensive information management, so that end users can extract data directly from the data warehouse, associated data analysis. Data warehouse is not a substitute for traditional databases [Figure 4], but on the basis of a traditional database, the data re-organization, used to support decision analysis. Data warehouse and traditional database systems assume different tasks, play a different role. That is based on the traditional database, business processing system to complete the daily business of data entry and processing, the data processed are sent to data warehouse; based on data warehouse decision support system implementation analysis and processing, in order to provide decision makers with complete, timely and accurate decision-making information. In this way, transaction processing environment and analytical processing environment to achieve the separation, the relative independence, constitute new system environments, while the data warehouse is a system of core-based environment . Data warehouse environment at a supermarket invoicing system Structure shown in [Figure 1]. System is composed of business processing subsystem, support decision-making subsystem, and data management subsystem consists of three parts. Business processing subsystem in which the background for the traditional database (can be multiple distributed, heterogeneous database), foreground is a business application systems, the completion of all Invoicing business day processing, the entire Invoicing system data entry, and to support decision-making subsystem provides the raw data; support decision-making subsystem, the background for the data warehouse, front from the on-line analytical tools, data mining tools, etc., and the completion of statistical analysis and forecasting capabilities to achieve decision-making support; data management subsystem is responsible for the entire system of data management, in particular data from various data sources (traditional database) to the transfer of data warehouse and data warehouse data structures and business rules management. GOLBAL SUCCESS STORIES PROPOSED SOLUTION ADVANTAGES DSS Carry out market analysis Trend analysis Subgroups of commodities, layout, purchase of the analysis, recommendation and merchandise The analysis of the effectiveness of promotional activities carried out Customer loyalty analysis PROPOSED SOLUTION DISADVANTAGES DSS Higher initial capital investment Staff should need a special training. Difficult to integrate with other management information system. OVERALL BENEFITS OF THE SOLUTION DSS Data warehouse and multi-dimensional analysis with comprehensive data on capacity and can be fast and accurate analysis of the data to help managers make better business decisions, you can bring a competitive advantage for enterprises. The current data warehouse and data mining technology in domestic applications is not very extensive, but because of commercial enterprises have complex business structures, there are a large number of Invoicing business data, there is a specific need for decision analysis, the data warehouse technology in the business enterprise applications has broad prospects. GAINING A COMPETITIVE ADVANTAGRE DSS. Carry out market analysis Trend analysis Subgroups of commodities, layout, purchase of the analysis, recommendation and merchandise The analysis of the effectiveness of promotional activities carried out Customer loyalty analysis RESOURCES AND CAPABILITIES xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxxxx MAIN RESEARCH OUTCOMES Given below are the main research outcomes that we came across. The figures however are derived from observing past data of the organisation. à ¢Ã¢â€š ¬Ã‚ ¢ This project can be deployed with an initial cost of around US$.1 million à ¢Ã¢â€š ¬Ã‚ ¢ ROI Expectation time within 18-30 months à ¢Ã¢â€š ¬Ã‚ ¢ Expected sales growth up to the maximum of 25%-35% à ¢Ã¢â€š ¬Ã‚ ¢ Clear competitive advantage with the new system BIBLIOGAPHY Book references: [B1]Jun Chen, Sheng Yi-chi, CHEN Mian-yun. OLAP-based data warehouse DSS application in the study of .2003 (1) :30-31 [B2] WHInmon. Data warehouse. Mechanical Industry Press, 2000,5 [B2] SWOT Analysis I: Looking Outside for Threats and Opportunities [B3] Australias Construction Industry Porters Five Forces Strategy Analysis by Aruvians Rsearch Web references: [E1]

Friday, October 25, 2019

Atlantis Myth vs Today’s Science :: History

Atlantis Myth vs Today’s Science Now that we know the foundation of the Atlantis myth we can now speculate if this is even possible with today’s science and geography. Atlantis was said to be bigger than Asia Minor and Libya combined. This statement made by Plato in the Critias is most likely not true because Atlantis would have to be in the Mediterranean Sea or within a few miles of the Mediterranean Sea such as the Atlantic Ocean or Indian Ocean. The other thought could be that the size was gravely misjudged through the ages and maybe when it got to Plato the myth had outgrown the size of the city. A more logical explanation could be that Atlantis was smaller than once though and was present at the western part of the Mediterranean, between the coasts of West Africa and East South America or somewhere by the horn of Africa. Many are skeptic as to whether Atlantis existed solely because of the size but many researchers believe that the books Timeus and Critias are too detailed to be made up by Plato. Unfortunately the books of Plato’s thoughts and descriptions get cut off at the end of the second book hence ending the story of Atlantis quite abruptly. Some think that either the end of the story was lost during a burning of an attack on one of the Greek cities or that Plato’s patron for the project, Dionysius I, was going to publish the books as prose and poem and try to become famous. Unfortunately Dionysius died unexpectedly and Plato did not finish the story. Ever since the idea of Atlantis being a city explorers and scientists have looked for Atlantis. One idea is that the Mid-Atlantic Ridge was caused by the sinking of Atlantis. But this is disproved because if Atlantis did sink in the Atlantic Ocean then it would not have created a ridge or ridge like area. The Mid-Atlantic Ridge is caused by Divergent tectonic plates in the ocean which creates the ridge. The sinking of Atlantis could not have done this. Not only is this impossible but the descriptions given by Plato would also be off. The Mid-Atlantic ridge is a mountain like area going from north to south for a few thousands of miles; Plato described Atlantis a circular island that was maybe one hundred miles in diameter. Therefore this theory does not work.

Thursday, October 24, 2019

Cone Health Organizational Chart and Structure Essay

The classical theory consists of organizational design that subdivides work and specifies tasks. The classical theory allows the different departments to run with efficiency by giving staff members different task to perform. The classical theory is composed of four elements: division and specialization of labor, chain of command, organizational structure, and span of command. Division and specialization of labor reduces the workload of the employee that will increase proficiency throughout the organization. The chain of command is authority, power, and responsibility delegated from high levels of authority to the lower levels. Organizational structures are how the departments are arranged and how command is maintained and how communication is achieved through a formal system. The span of control is how many employees a manager can effectively manage. (Sullivan, 2012).†¨ The structure of this organization provides for an environment for client centered care by offering services of acute care with different levels of care such as emergency services, med-surgical units, intermediate care unit, intensive care and labor and delivery. Each division is managed by a specific leader, such as the manager, who reports to the chief of nursing. The managers are more in contact with staff and have direct communication with staff members as well as patients in the hospital. This personal level of communication allows for managers effectively to communicate the importance of the mission of the hospital, which is to exceed expectations and provide quality health care to all at all times. With this mission in mind, it can lead to a close relationship with client care. The use of information systems is the way to communicate throughout the hospital to staff members. There are two charting systems used in the organization and an assignment board system in each department. The first one is Emergency Data Management, which is used in the emergency department, and the second is the Meditech, used in the other departments in the hospital. All information systems are visible to all nursing staff but cannot be edited interdepartmentally. Verbal communication method can be in the form of informing peers concerning the level of care already delivered to a patient and expecting others to follow through. We are expected to formally inform each other of what need to be done concerning our patient via the Emergency Data Management and Meditech. The GroupWise E-mail system is used by staff for internal communication and exchange purposes, and it can be accessed both in the hospital and at home via the internal intranet. Information from different departments comes to staff via e-mail, and all are encouraged to check their email daily. Staff members are also provided with a physical mailbox, with their names on it where everyone is provided with departmental information. Decision-making regarding policy change may be done by departmental basis, but must be approved by the chief nursing executive. For example, the standard of work was change in the triage process, but before management implemented the change, it had to be approved by the chief nurse executive, and he or she will decide based on the Nurse Practice Act. Restructuring of nurse leadership is currently in progress to allow nurses to have more input on leadership and its decision making pattern in organizations. The chief nurse executive reports to the regional vice-president of nursing, whereas all directors of each nursing department reports to the chief nurse executive. The organizational structure has its strength and weakness. One weakness that exists in this structure is the lack of communication between departments. Strength in this structure is that the chief-nursing executive is not left to make all decisions on his or her own because they have the help of managers and directors of the different departments. These informal structures of the organization is constantly at test as staff do frequently communicate with each other about what is expected in the plan of care to achieve an efficient client centered care. The charge nurse writing on the assignment board the activity of plan of care into the system as per each department to allocate patients to nurses and the staff nurse reports uses formal communication in the day-to-day operations of the organization the activity of plan of care into the system as per each department. For example there are formal meetings daily with the house supervisor, the managers, and leaders of the department to discuss bed availability in the hospital. Issues of power and control exist between the different floors and the emergency department. There is always competition for staffing resources, and if there is a float pool nurse on call, the charge nurses have to show who has a greater need for the float pool nurse leading to charge nurses to compete for the nurse.†¨ St. Luke’s Hospital is located in a lower middle-class neighborhood and caters to all ages. The hospital caters socially to the infants and pediatric patients. It has recently expanded the acute-stroke and short-stay unit also known as an observation unit. There are patients of different ethnicities while there are many patients who do not speak English; the use of the language phone has come into use quite often. The language phone removes language barriers between the patient and the health care provider and allows the patient to receive proper care. A lot of patients in the community have stated they come to our hospital because they have read in magazines that we are a great hospital.†¨ Generational differences that influence organizational culture are on the rise in the work environment. There are a great number of new younger nurses coming out of nursing schools, which means new ideas. The older nurses sometimes have problems accepting new nurses because they seem to want to change things. Some of the older nurses feel they are being pushed out of the nursing field by the new nurses and feel they are being forced to retire.†¨ In this paper there has been a discussion of organizational structure and functions, creation of client-centered care, information systems, power issues within the organization as well as decision making abilities. There have been discussions about social and cultural influences and how they integrate into delivery of care in the organization, and finally how generational differences influence organizational culture of the workplace as it shapes the future. It will be appropriate to expect more input into decision making culture via a developed formal and informal system to increase the input from the first responder group-the staff nurses and certified nursing assistants. References Sullivan, E. J. (2012). Effective leadership and management in nursing (8th ed.). Boston, MA: Pearson.

Wednesday, October 23, 2019

Professional Development of Nursing Professionals Essay

In 2010 the Institute of Medicine (IOM) released a report indicating that nurses are a key component to the improvement of the healthcare transformation in the United States of America. The Future of Nursing: Leading Change, Advancing Health discussed the powerful impact of a highly educated and trained nurse in the medical profession by examining evidenced based research and relative trends. In the following essay we will discuss how these findings influence nursing education, primary care nursing practice, and the leadership roles nurses will inevitably be placed. When addressing how nursing practice will be affected, we will also discuss how the goals of the IOM will be met. Impact on Nursing of the 2010 IOM Report The Affordable Care Act of 2010 presented an interesting dilemma. According to the IOM panel, America will heavily rely on the expertise and compassionate care of advanced practice nurse’s to bridge the gap between the existing low number of primary care providers and the addition of thirty- two million people to the currently insured group of Americans. To connect this gap, it will be necessary to allow nurses to practice to their full potential by expanding their education and training. Nursing Education The majority of nurses in the workforce today are educated at a community college level and do not hold a Bachelor’s Degree. However, the report findings indicate the need for these nurses to attain a Bachelor Degree. This push is mainly because studies have shown a ten percent increase in the proportion of nurses holding a bachelor’s degree was associated with a five percent decrease in probability of patient’s demise within thirty days of admission and the odds of failure to rescue (Aiken, 2003). The IOM’s goal is to increase this from fifty percent to an eighty percent by 2020. To meet this goal they call for â€Å"seamless academic progression† through integrated transitions between community colleges and universities. The committee also stated the need for more affordable nursing education and training to meet the complex demands that chronic health conditions create. Primary Practice Nursing Care The IOM committee recommended the necessity of nurses to be able to practice  to the full extent of their education and training especially Advanced Practiced Registered Nurses (APRN’s). In the United States of America, there are many legal barriers and inconsistent state regulations that prevent nurses from practicing to their full potential. The IOM report states, â€Å"APRN’s scopes of practice are so circumscribed that their competence extends far beyond their authority. At any point in their career, APRN’s can do much more than they may legally do. As APRN’s acquire new skills, they must seek administrative or statutory revision of their defined scopes of practice (a costly and often difficult enterprise).† Once legislation allows APRN’s to practice to their full scope of practice the high quality health care can be delivered. APRN’s in primary practice can be extended to meet the physicians and patient needs. When nurses and doctors collaborate, quality patient care increases and cost efficiency is created. One way of establishing this collaborative team effort is by hiring more Advanced Practiced Nurses (APN) in primary care practices. Another way we can transform nursing practice in primary care is by allowing nurse’s to be more involved with data collection. Jack Rowe from the IOM committee stated that science is based on â€Å"objective evaluation of evidence†. This evidence can be provided by the nurses who provide care to patients on a daily basis in order to create a more efficient health care system. Nurse’s Role as a Leader The IOM report indicated the need for nurses to become the leaders of the upcoming reform. Today’s nurse is in a unique position due to the 2013 Gallup Poll’s statement that they are the most â€Å"trusted† profession in the United States. Bill Neville from the panel suggested that more nurses be put in boardrooms, legislation panels, and given more opportunities to lead. These qualities combined give nurses more power and force in leading discussions that will ultimately drive the change that needs to take place. Overall the IOM report is opening the door for huge upcoming opportunities for the nursing profession. Nurses are a vital part in the healthcare  reformation by becoming full partners with physicians, creating seamless academic progression for educational advancement, and practicing to their full scope of practice. References Aiken, L. H., et al. (2003). Educational Levels of Hospital Nurses and Surgical Mortality. Journal of the American Medical Association, 290(12), 1617-1623. Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. IOM, Pg. 97. Retrieved from http://books.nap.edu/openbook.php?record_id=12956 Institute of Medicine. (IOM). (2010, October 5). The Future of Nursing: Leading Change, Advancing Health-Report Briefing [Video]. Retrieved from http:// www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-change-Advancing-Health/Report-Release.aspx