A Discussion of Control Infection in Healthcare

Introduction Control infections have become more high profile than ever before and have seen the prevention and control during the early years of the twenty-first century. Infection is incontrollable and inevitably devastating, it is a painful fact of life, which is the cause of enormous health problems and the chief cause of death. Infection control is essential in all general care settings in which patients receive health and social care and this will protect the healthcare workers, patients and visitor from hazards and risks.This research concentrates predominantly on infection control in healthcare settings, including the policy of infection prevention related to health and safety policy in the UK for both hospitals and communities under Hygiene Code of Practice in 2006 and the policies and procedures through the prevention and control, which are related to the guidance of infection under the Health and Social Care Act 2008, in order minimise the prevalence of infection and to pr otect the health and safety of both healthcare workers and patient (Department of Health, 2006).In addition, this research contains several issues of risk of spreading infections in healthcare environment and the facilities. Moreover, this research will not disclose or breach any sensitive and confidential information under the Confidentiality Act 2008 (NMC, 2008). Searching the literature A methodical search was conducted using the following systematic which is applicable to the databases, including Medline, CINAHL and PubMed which were searched by using the words â€Å"control infection’ cross-referenced with â€Å"hospital† with 36,000 data results.In addition, several databases were used to compare the changes of ratio from 2002 to 2012. However, several results were not included due to lack of evidence and being non-published. In addition, the university library website was used in order to collect adequate information related to infection by setting on engine th e words infection control cross-referenced statistic†, which gives the hits of 1300 journals and research articles. The articles were considered eligible if reviewed by a reliable publisher, including Oxford journal and BJI. These journals and research articles were reported as an original research, in hich a researcher examined the relationship between the public and the health care setting and these used to review the previous report to collect the updated data. However, more than 50 data were excluded due to inadequate evidence and lack of information related to infection control. Moreover, the majority research was conducted under eligible originations where successfully collected all the relevant data which related to infection control, including Parliamentary, Department of Health, Health Protection Agency and National Audit Office.These organisations were used to identify and review the implication between the statistics of infection and health providers, such as the in fection control professionals. These databases were developed to standardise the protocols for classification and identification of infection prevalence, which have been widely adopted for researchers throughout the world. In addition, this research used altered books to provide information and evidence in order to support the data that have been undertaken from different publisher.The Royal Marsden Hospital Manual Clinical Nursing Procedures (2011) and Infection Prevention Control (2007), books contained information regarding the principles of infection control. Main Body Florence Nightingale is perhaps the first nurse on record to acknowledge the importance of infection control and she initiated the infection control protocols through gathering information and demonstrates the reduction of mortality of infection (Perry 2007). Florence Nightingale noted that during the Crimean War more patients were dying from infections than from certain injuries.However, Quan (2006) stated that, Florence Nightingale did not believe in the presence of microorganism, she found that putting together an ill patient in one area with inadequate space, ventilation and light contributed to the spread of infections. Dougherty & Lister (2011) highlighted that, people who are in hospital or receiving healthcare elsewhere have an increased vulnerability to infection, due to the fact that being in a hospital puts patients in closer proximity to other people with infection conditions. According to the Kings Fund (2012), stated that one of the major concerns of patients and the public are he result of high rates of healthcare-associated infections across the NHS. In addition, healthcare-associated infections are infections that are acquired across hospital and other health care environment, including community and hospital, or due to result of a health care intervention and procedure. According to the Department of Health (2004), it stated that Healthcare Associated Infection (HCAI) is a fatal problem of NHS There are 300,000 patients every year developing HAIs and it is estimated that during a patient’s duration stay in the UK hospital, around 1 in 10 patients can pick up an infection.The National Audit Of? ce (2006) estimates that HAIs contributes to the death of around 5,000 patients each year and costs the NHS up to ? 1 billion per year in the UK. According to the Parliament (2009), it highlights that HAIs, is a consequence of infections, which are acquired from a patient’s treatment by a healthcare worker during the course of their duties. These are often identified in care setting, but can also be associated with medical care delivered in a community.HAIs begins from micro-organisms which a patient carries safely on skin or body and eventually this will become a problem when the micro-organisms have a prospect to breech the body’s defences as a result, for example, intravenous devices, catheterisation and open wound (Dougherty & Lister, 20 11). Furthermore, the Department of Health (2004), has found that infected patients are around 7 times more likely to die in hospital than uninfected patients.The mortality rate of patients in the UK each year is estimated to be around 5, 000 as a direct result of HAIs, which is one of the causes of another 15,000 deaths. Parliament (2011) the prevalence of healthcare-associated infections, which was conducted in 2006 in hospitals in England 8. 2% Moreover, according to Doebbeling et al (2012) who conducted a research to identify commonly cited programmes absorbed throughout a wide variety of HAIs projects and hospital settings it has been revealed that in one year of tudies found in hospitals with an infection control team were more likely to reduced the incidence of HAIs by up to 33%. This research proved by Gamage et al (2012) through conducting further studies in all healthcare providers with infection control team in hospital, which eventually reported almost half per cent in t he reduction of the prevalence rate of HAIs from 10. 5% to 5. 6%. However, the survey has revealed found that healthcare provider with no infection control programme has been persistently increasing the prevalence rate in HAIs of up to 18%.On the contrary, the Nursing and Midwifery Council’s Code of Professional Conduct (2002) argues that nurses are accountability to act as an advocate to prevent HAIs. This statement supported by the NMC Code of Professional and Conduct (2004), highlighted that, nurses must act in order to isolate and minimise risk of patients and it should not regularly defendable to infection control team, which also reinforced by the Health and Safety at Work Act 1974 places a duty on healthcare providers to avoid the risk of infections if technically as possible (Jeanes, 2005).Dougherty & Lister (2004) stressed that, the standard of care, which set by senior staff often misled by healthcare workers, including the policy and procedure of infection control, such the Personal Protective Equipment Regulations Act 1992 (PPE). This is supported by Atkins (2001), that some of the staff did not have enough time to attend mandatory training for infection control, which shows negative impact of unawareness for infection control protocols and procedures, which eventually cause of poor level of care, such as lack of hygiene, which lead to HAIs.However, Perry (2007) argued that lack of standard of care is often not the cause of HAIs, due to the fact, that before the admission of most patients to hospital have already been acquired infections. This statement supported by NHS (2006), before patients decided to be admitted to hospital, the symptoms of infection have already occurred and in this case the health care provider should not be criticised for the increasing number of HAIs. According to the report of National Audit Office (2008), there are 79% of nfection control programme in NHS Trust, which mostly complied to the measurement of effective ness of infection control, such as standards setting and audit. However, only 11% was formally approved for the infection control programme that may reduce the programme’s authority within several NHS Trusts. In addition, stated, 66 % is the required data of infection that needs to be collected, unfortunately, due to lack of computer software and hardware, only 27% was calculated the rates of infection.In this case, 60% of infection control teams considered being unsatisfied with the support of NHS Trust due to inadequate clerical support, which may affect the performance in improving infection control (National Audit Office, 2011). In addition, Kings Fund (2012), the impact of large-scale cuts to the NHS has been widely reported and discussed in which the healthcare providers are concerned with the increasing incidence of HAIs in the UK.According to a latest survey for GPs and doctors in hospital, which was conducted in 2011, the report found that due to large-scale cuts by the government, the incidence of HAIs will be possibly increase in 2012 and it can have negative impact on healthcare providers . The survey found that, 79% of the 664 health workers, who participated in the survey, stated that it could be more challenging to tackle the prevalence of HAIs, due to a reduction of support of occupational health services and this eventually affects fewer patients getting effective care that is needed to prevent HAIs (National Audit Office, 2011).According to the Health Protection Agency (2008), highlighted that the department of commission in 2006 conducted the following year survey and found that 75, 694 patients were surveyed within acute care hospitals in the UK and 5,743 had HAIs, which gives a prevalence rate of 7. 95%. However, in the national survey, which was conducted in 2005, the reports found that the prevalence rate of HAIs was 8%, the statement shows that the prevalence rate of HAIs in 2005 was slightly higher with 0. % compared to 2006 sur vey (Health Protection Agency, 2005). Ultimately, Parliament (2006) found that the most common site of HAIs were Urinary tract infections with 23. 2%, Lower respiratory tract infections with 22. 9%; Surgical site infections 10. 7%; Bloodstream infections (Bacteraemia) 6. 2%; Skin and soft tissue infections 9. 6%; Other 27. 4%. It clearly shows in the report by Parliament 2006, that the highest rate of HAIs was urinary tract infections with up to 23. %. This report supported by National Healthcare Safety Network (2011) states that urinary tract infection (UTIs) are the most common factor of HAIs and most patients who have acquired urinary tract infection in the hospital approximately 75% are linked with urinary catheter, which is a tube inserted into a bladder through the urethra to drain the urine. The prevalence rate of patients who receive urinary catheters during the duration of stay in hospital is between 15-25%.Charlett et. al. (2009) stated that, long-term catheterisation is f requently used for older patient and others for management options, where different treatments for bladder dysfunction are unsuitable or ineffective . In the UK, a district nurse’s caseload for the long-term catheterisation has been estimated to be around 4% and the catheterised patients prevalence in nursing homes is approximately 9% and possibly up to 40% in some areas (Health Protection Agency,2008),Moreover, Getliffe and Newton (2006) carried a sample of research of small representatives of patients’ records from nursing homes, hospitals and district nurses in which 3 PCTs was undertaken. The survey of CAUTIs resulted in 50% response rate from both the nursing homes and the hospitals 57% and 62. 5 respectively but only 6. 5% from the district nurses, due to problems in distribution of questionnaires to some district nurses. The results found that up to 8. % respondents in the community and hospitals considered that the continuation of urinary catheterisation is use d management option for older patient to prevent bladder dysfunction. On the contrary, a recent research which was carried out Badoz et al (2007) found that the studies of 4010 older patients (65 years old) living in both hospitals and the community in 11 European countries and the prevalence reported of indwelling catheter use was 5. % (range 0-23%) and the result found that, the risk of CAUTIs infections was 6. 5 times greater and catheterised patients were more likely to die within a year than those for patients non-catheterised Furthermore, the majority of existing surveillance on CAUTIs has been conducted in acute care settings, where usually the health of the patient is already compromised by co-morbidities, due to a long period of insertion of the urinary catheter.The study revealed that in primary and community care setting, the prevalence rate of CAUTIs and other healthcare-associated infections are significantly lower (Department of Health, 2003). However, Badoz et al (200 7) specified that, catheterisation is linked with evident risks, which is the most common cause of CAUTIs and CAUTIs are commonly documented as a major source of HAIs in the UK and frequency of catheter use makes substantial overall morbidity for patients and a cost to the NHS.This statement is reinforced by Pellowe (2009), that the recent debate is fuelled due to the fact that patient use catheter is associated with high morbidity of CAUTIs, which accounts for 80% of HAIs. On the other hand, Addison and Foxley (2008) stated that, CAUTIs are frequently seen as the acceptable and tolerable cause of urinary catheterisation carried out for a range of purposes, such as instillation of drugs and intractable incontinence. On the contrary, urinary catheter use is linked with a variety of adverse effects, involving death (Pellowe, 2009).This supported by Nicolle (2008) stated that, the two most important solutions in order to prevent CAUTIs are not to use a catheter and if a catheter is nee ded to minimise the period of use, catheter must be inserted only when there are acceptable symptoms and removed as soon as they are no longer indicated and CAUTIs perchance evaded for some male patient through using external condom catheter. The study revealed that this occurred for 28% of catheterised patients.Furthermore, the majority of existing surveillance was conducted in primary and community care settings; the prevalence rate of CAUTIs is significantly lower (Department of Health, 2003. In recent studies of 4010 older patients (65 years old) living in the community, the prevalence reported of indwelling catheter use was 5. 4% (range 0-23%) and the result found that, the risk of catheter-associated urinary tract infections was 6. 5 times greater and catheterised patients were more likely to die within a year than those for patients with non-catheterised (Getliffe & Newton, 2006).On the contrary, according to the RCN (2008) found that around 22% of healthcare workers were not aware and uncertain the role of guidelines for the prevention of CAUTIs of several healthcare providers. This is supported by Pellowe (2009) that, the reasons of an increasing prevalence of CAUTIs in hospital and community is due to relatives of patient that is lack of knowledge about infections and those part-time health workers who do not undertake with mandatory training which is mandated by the Health and Social Care Act 2008 that is came into force in April 2009.The Health Protection Scotland (2009) urinary catheterisation is a routine procedure regularly carried out by qualified nurses, however, several numbers of health workers are not aware of the risk of catheter-associated urinary tract infections which related to the procedure and less likely to meet the necessities in performing catheterisation, due to the fact, that some healthcare workers are skill deficiency and lack of expertise (Bissett, 2005).This supported by Humphries (2011) that reports have repeatedly shown th at several healthcare workers who do not perform hand hygiene before and after performing nursing task is one of the major reasons of the increasing number of CAUTIs. In this case, health workers and patients can leave as many as 1,000 colony-forming units of Klebsiella species on hands more likely to acquire gram-negative bacilli and staphylococcous aureus, which are reported causes of HAIs (Pellowe, 2004).On the contrary, Hadaway (2009) stated that, lifting a patient and touching anything in a patient’s room before performing certain nurses tasks, even after performing hand hygiene is unavoidable, due to the fact, that these are the daily routines of a healthcare workers role in order to ensure the health and safety of a patient. National Hand Hygiene NHS Campaign (2007), defines hand hygiene, as â€Å" the entrance door to better infection control and safer patient care†.Hand hygiene techniques have been implemented for many years into healthcare workers daily routi ne, the NHS have been evaluated on the proper technique to wash hands after being in close contact with patients or after performing certain treatments with patients. Performing hand hygiene thoroughly will certainly be beneficial for both healthcare workers and patients to prevent risk in HAIs (Wendt, 2004).According to Pratt et al, (2007), stated that, existing evidence-based strategies determine that in outbreak settings, contaminated hands of both healthcare workers and patient’s visitors are responsible for transmitting infections and that effective hand decontamination can significantly diminish HAIs rates in high-risk areas, such as operating theatre. Furthermore, Pessoa & Silva (2004) highlighted that studies revealed of epidemiological evidence determine that hand-mediated transmission is recognised as the most contributing element the present infection risks to hospital in-patients.This statement reinforced by Pratt et al, (2007), that hand decontamination before an d after contact with patients is essential in order to prevent transmission of germs. In addition, according to the Department of Health (2006), the NHS Code of Practice on the Prevention and Control of Healthcare Associated Infection, which came into force in October 2006, was established to support health care providers in the UK in order to plan and implement policies for HAIs.These include the criteria by which healthcare providers and managers of NHS ensure patients must perform hand hygiene for clean environment in order to keep the risk of HAIs as low as possible. According to Pittet (2002), the importance of adherence to the guidance of hand hygiene will certainly provide an outline of the effects and aspects that impact on the hand hygiene compliance, which emphasised the national and international guidelines.Furthermore, the issue regarding hand hygiene was addressed in excellence principles for hospital cleanliness, which has developed by the Infection Control Nurses Asso ciation and the Association of Domestic Mangers (NHS, 2004). According to Wendt, C. et al (2004) stated that patients are more likely to put at risk and increase the chance for developing HAIs once informal healthcare workers in contact with patient are not performing hand hygiene properly.It is essential that hands must be decontaminated before every period of care, which includes direct interaction with patients’ food or skin and in order to minimize cross contamination of the healthcare environment (Boyce and Pittet, 2002). However, healthcare workers should not always be responsible for the increasing numbers in spreading HAIs, due to the number of patients admitted in the hospital who have already acquired infections and healthcare workers have no time to assess the patient, due to short staffing (McGuckin, 2004).This is supported by the RCN, Chief Executive & General Secretary Dr Peter Carter, stated that the outcome of cutting staff numbers by up to a quarter and termi nating almost third of nursing jobs will certainly have a deep and possibly dangerous impact on patient health and safety (RCN, 2011). Moreover, El-Masri and Oldfield (2012) stated that healthcare workers are aware of the policy and procedure of hand hygiene and it should be performed before and after contact with patients and the truth of the matter, is nurses and doctors have more behaviour problem than a knowledge problem.Furthermore, Erasmus et al (2010) conducted a research of hand hygiene behaviour to explore the practicality and effects of hand hygiene behaviour of nurses, research design 17 nurses which is equivalent to 25% were invited to participate. The nurses had been observed for 3 weeks intervention for hand hygiene behaviour and the result found only 10% of 25% of nurses had performed hand hygiene, which is far too low.This research supported by Creedon (2008) explores healthcare workers’ compliance with behaviour hand hygiene in four acute care hospitals in Ir eland and the result revealed that the highest non-compliance by behaviour is the Doctors and medical students at 41% of indications, which was followed by nurses and student nurses at 28%. However, healthcare workers are aware of recommendations concerning hand hygiene, but education and knowledge do not in themselves motivate HHB (McGuckin et al, 2004).In recent years, hand washing with water and soap had been considered as the right amount of personal hygiene; however, the evidence concerning the hand washing and the spread of illness has only been proven in the last 20years (Kumperus, 2010). According to Ignaz Semmelweis and Oliver Wendell Holmes the mid-1800s, found that HAIs, is known to be caused by infectious agents, which are transmitted through hands (Cole, 2007).It was acknowledged healthcare providers the important measure of hand hygiene, which can significantly lower the danger of disease, in particular among vulnerable children in the UK (Trick, 2008). On the contrary , frequency hand hygiene can increase skin dehydration and replace the altered or depleted skin lipids that contribute to the barrier function of normal skin Several studies found that more than 30 times of regular hand hygiene can cause skin damage and irritation (Jenner et al, 2006).Moreover, according to Giuliano et al (2012) stated that alcohol gel hand rubs are more effective to prevent the transmission of potential pathogens from health worker’s hands to patients than hand washing with plain or anti-microbial soap. This statement argued by McGuckin et al (2004) that hand rubs gel is only used as a hand cleaner in some circumstances but washing hand with ati-microbial soap and water is important, especially if your hands are visibly contaminated with blood or body fluids and hand washing techniques will certainly have certainly reduced the contamination rates significantly.Conclusion Healthcare-associated infection remains a problem for the community, hospitals and other healthcare providers. The factors, which have continue to drive, the concerning growth in HAIs are numerous but well known. Particularly with patients, which heightens their susceptibility and vulnerability to HCAIs through weakened immunity. In addition, the cost of healthcare-associated infections in the UK is high which is around ? 1 billion per year.The involvement of healthcare workers in assessing the cost of infection and prevention control programmes will certainly reduce the increasing number of HCAs, which can be benefited in NHS and major savings can be achieved. In addition, the healthcare workers must have clear understanding of the latest infection and prevention control recommendations, which healthcare worker’s advocacy and participation in team efforts can play a vigorous role in preventing the increasing number of HCAIs in patients.The routine data collection of the CAUTIs should be more standardised to determine the scale of the risk associated with CAUTIs , in oder to develop the longitudinal database of catheterised patients and to provide essential data which infection control initiatives in hospital and community care can be evaluated and major obstacles will certainly strengthen epidemiological analysis of impact and risk of CAUTIs. The healthcare workers should have adhered to and shown more positive intentions to comply with hand hygiene guidelines and procedures.Healthcare workers should need to be educated regarding the awareness of skin damage and the value of regular, frequent use of hand hygiene. Hospital trusts and community care should have had procedures and delivered board with agreement that infection and prevention control is the responsibility of all healthcare workers and should have complied with the Code of Practice and should followed with good infection control practice for performance objectives. References Addison, R. , Foxley, S. , 2008. Role in Urinary Catheter Management. London: Blackwell Publishing ltd. Atkins, C. , Greenwood, N. Habibi, R. , Mackenzie, A. , 2011. General practitioners, primary care and support for carers in England. Oxford: Blackwell Publishing Ltd Badoz M. , Berntrand X. , Crouzet, J. , Husson, D. ,2007 Control of the duration of urinary catheterization: impact on catheter-associated urinary tract infection, Journal of Hospital Infection, 67(3), pp. 253-275. Bissett, L. , 2005. Reducing the risk of catheter urinary tract infection. Nursing Times. 22 March 101(12) p. 64 Boyce. M. , Pittet, D. , 2002. Research: The impact of wearing gloves on adherence to hand hygience policy. Nursing Times, 103(38), pp 46–48.Charlett, A. , Pearson, A. , Wilson J. , 2009 Pitfalls in the comparison of the country prevalence of healthcare-associated infections. Hospital Infection Journal, 13 January, 69 (3) pp. 23-48 Creedon, A. , 2008. Hand hygiene compliance: exploring variations in practice between hospitals. Nursing Times, 104(49), pp. 32–35. Cole, M. , 2007. Nurses take a pragmatic approach to hand hygiene. Nursing Times. 103(3), pp. 32-33. Department of Health, 2003. Surveillance of Healthcare-Associated Infections. [online] Available at: [Accessed 30 April 2012]. Department of Health, 2004.Audit tools for monitoring infection control standards 2004. [online] Available at: [Accessed on 14 March 2012] Department of Health, 2006. Infection Control Nurses Association. [online] Available at:http://www. dh. gov. uk/en/statistics/Policy [Accessed on 14 March 2012]. Doebbeling, B. , Flanagan, M. , Hoke, S. , Welsh, C. , 2012. Reducing healthcare-associated infections; Lessons learned from a national collaborative of regional HAI programs. American Journal of Infection Control. [e-journal] 40 (1) pp29-34, Available through: CINAHL [Accessed on 25 April 2012]. Dougherty, L. , Lister, S. , 2011.The Royal Marsden Hospital Manual Clinical Nursing Procedures. 8th edition. Oxford: Wiley-Blackwell El-Masri, M. , Oldfield, M. , 2012. Exploring the influence of enforcing infection control directives on the risk of developing healthcare-associated infections in the intensive care unit. Journal of Hospital Infection. 891), pp26-21. Erasmus, V. , Kumperus H. , Oenema, F. , richardus, C. , 2010. Improving hand hygiene behaviour of nurses using action planning: a pilot study in the intensive care unit and surgical ward, Journal of Hospital Infection, 76(2), pp. 161-164. Gamage, B. , Grant, J. , Schall, S. , 2012.Identifying the gaps in infection prevention and control resources for long–term care facilities in British Columbia. American Journal of Infection Control. [e-journal 40 (2) pp150-154, Available through: CINAHL. [Accessed 25 April 2012]. Getliffe, K. , Newton, T. , 2006. Catheter-Associated urinary tract infection in primary and community health care. Available at: [Accessed 23 April 2012] Hadaway, L. , 2009. Preventing Catheter-Related Bloodstream Infections. Nursing Times, 25 September, 2(5), pp 50-55. Health Protection Ag ency, 2005. Continous Optimism as HAIs Rates. [online] Available at: [Accessed 27 April 2012]Health Protection Agency, 2008. Healthcare-Associated Infections. [online] Available at: [Accessed 27 April 2012] Humphries (2011), Preventing and Controlling the Risk of Post-operative Surgical-site Infections. [online] Available at: [Accessed 30 April 2012] Jeanes, A. , 2005. Putting on Gloves. Nursing Times, 19 July, 101 (29) p28. Loveday, P. , Pellowe J. , Pratt J. , 2007. The epic project for preventing healthcare associated infections. Journal Hospital Infection. 93(5), pp. 47-82. McGuckin, M. , 2004. Evaluation of a patient education model for increasing hand hygiene compliance in an inpatient rehabilitation unit.American Journal of Infection  Control, 32(4) pp. 235-238. National Audit Of? ce, 2006. The Provision of out of hours care in England. [online] Available at: http://www. nao. org. uk/publications/0506/out-of-hours_care_in_england. aspx [Accessed on 25 March 2012] National A udit Office, 2008. Reducing Healthcare Associated Infections in Hospitals in England. [online] Available at: www. nao. org. uk/idoc. ashx [Accessed 25 April 2012] National Audit Office, 2011. National Audit Office Annual Report for 2011. [online] Available at: [Accessed 25 April 2012]. Nicolle, C. 2008, Strategies to prevent catheter-associated urinary tract infections in acute care hospitals, [e-journal] 30(4), Available through: Medline, [Accessed 29 April 2012]. National Health Service, 2004. NHS Professionals Infection Control Policy. [online] Available at: [Accessed 3 may 2012]. National Health Service, 2006. Healthcare-Associated Infections. [online] Available at: [Accessed 25 April 2012]. National Hand Hygiene NHS Campaign, 2007. Compliance with Hand hygiene 2nd Audit. [online] Available at: [Accessed 2 May 2012]. National Healthcare Safety Network ,2011. Data and Statistic NHSN Annual Reports. online] Available at: [Accessed 24 April 2012]. Nursing & Midwifery Council, 2002. The Code of Professional Conduct. [online] Available at: [Accessed 25 April 2012]. Nursing & Midwifery Council. 2004. Code of Professional Conduct, The Scope of Professional Practice, and Guidelines for Professional Practice. [online] Available at: [Accessed 25 April 2012]. Nursing & Midwifery Council, 2008. The code: Standards of conduct, performance and ethics for nurses and midwives. [online] Available at: [Accessed 13 March 2012]. Parliament, 2009. Report on healthcare associated infections. [online] Available at: [Accessed on 20 March 2012]Parliament, 2011. Reducing Healthcare-Assocaited Infections in Hospitals in England. [online] Available at: [Accessed on 28 March 2012] Pellowe, M. , 2004. The evidence-base for national evidence-based for preventing healthcare-associated infections in NHS. Oxford: Blackwell publiching Ltd. Pellowe , C. , 2009. Infection Prevention Guidelines – Best Practice. London: Blackwell publishing ltd. Perry, C. , 2007. Infection Prevention Con trol. Oxford: Blackwell Publishing Pessoa, L. , Silva E. , 2004. Dynamics of bacterial hand contamination during routine neonatal care. Infection Control and Hospital Epidemiology, 25(3) pp. 187-188.Pittet D. , 2002, Glove use and hand hygiene. Nursing Times, 103(38), pp. 46–48. Quan, K. , 2006. The everything new nurse. Massachusetts: Adams Media Rosenthal, D. , 2005. Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina. American Journal of Infection Control, 33(7), pp. 392-397. Royal College of Nursing, 2008. Infection Prevention and Control, [online] Available at: [Accessed 27 April 2012]. Royal College of Nursing, 2011. Essential Practice for Infection Prevention and Control. Available at: [Accessed 5 May 2012]. The Health Protection Scotland, 2009.Reports on emerging infections and other incidents of public health importance. [online] Available at: [Accessed 29 April 2012]. The Kings Fund 2012. Heal thcare-Associated Infections. [online] Available at: [Accessed on 23 March 2012]. Trick, E. , 2003 Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clinical Infectious Diseases, 36 (1), pp. 1383-1390. Wendt, C. ,2004. Differences in hand hygiene behaviour related to the contamination risk of healthcare activities in different groups of healthcare workers. Infection Control and Hospital Epidemiology, 25(3), pp 203-206. Words= 3998

Online vs Offline Distribution Strategies for Hotels

In order to set the context of the presentation, it is important to examine where the distribution strategy takes place in the global marketing strategy. According to Meidan and Lee (1982), four main stages constitute the global marketing strategy of hotels: identification of the target market and the needs of these customers; formulation of the marketing objectives; definition of the constraints (mainly linked to the environment of the hotel); and finally, allocation of marketing resources.This last stage can itself be divided in four components, following the Marketing Mix model of McCarthy (1960): product, place (also called distribution), promotion and price. Before the internet and online technologies, the distribution channels were limited in the hotel industry. They could be separated into two categories: direct and indirect channels of distribution. Direct channel was the internal Sales team of the hotel. Salespeople were of vital importance when it came to â€Å"making cont acts with companies, organisations and channel intermediaries, such as travel agents† (Meidan and Lee, 1982).Indirect channels of distribution include Tour Operators (travel agents), airlines and in centralized operations in the case of franchised or chains of hotels. In these circumstances, what kind of distribution strategy can be put in place? The importance of intermediaries in creating value has been outlined by Dub? and Renaghan (2000). Surveys amongst travel agents have shown that the expectations of these different actors differ. Second in the top ten hotel practices cited by these intermediaries stands the criteria â€Å"hotel has good sales representation†, while first is that the â€Å"hotel has up-to-date reservations computer†.This last argument might nowadays be seen as a required attribute, but in 2000 this was seen as an advantage to the hotel. Another example of distribution strategy is developing intermediaries’ loyalty, and the attribute s leading to this loyalty differ between travel agents and meeting planners. All these criteria changed with the arrival of internet, as studied in the next section. The importance of the internet in marketing and distribution is undisputed by scholars and has been for years.This is no different for Hoteliers who can access this resource through a number of different ways. Their own website allows hotels to have more reactive pricing strategies, keep information about themselves up to date, and provides the easiest method to have contact with customers. Online directory websites, tour operator websites, and travel agency websites all act as intermediaries between the hotel and customer in much the same way as the offline travel agent used to do but to a global audience.Whilst taking a commission these can still be profit maximising channels for hotels because they sell to a broader customer base than the hotel would otherwise have access to. Review websites, whilst not run by hotels either, are also a crucial contact network with consumers. They are trusted by consumers and tap into Word of Mouth which has long been recognized as effective. Search engines have similarly been identified as commonly used by potential tourists and provide huge amounts of traffic to hotel websites.It is therefore important to consider purchasing advertising space through these for the Hotelier’s distribution channel. Whilst search engines and review sites are not technically distribution channels (as you cannot book on them) they are still important to be aware on when looking from a hotel’s perspective at the online system. Having said all this it is important to remember how fast moving the technology is in this section and therefore the best hotels will have an eye on the future and how that will effect distribution channels.This is what the following section will look at. Innovative distribution strategies such as IVR Hotel Reservation System and Promoted Hotels on Google Hotel Finder are the future, where it will be easier for Hoteliers to promote themselves than ever before. It opens a bidding war between various OTA’s to provide the lowest price. Various innovations in social media can eventually lead to the death of Online Travel Agencies. But on the other hand, search engines will have nothing to worry about as there is hardly anything better than search.There has been a rapid increase in mobile bookings in recent years. More and more people have started using their mobile devices to make various reservations. Hence, Hoteliers should also focus more on developing their mobile websites, enhancing the user experience and making their website and content more discoverable by using search engine optimization techniques. They should also ensure that all the content on the site is multi-lingual because information is accessed by a global market.In today’s world, travellers are exposed to so much information coming via different platforms that they no longer keep track of the source of information or even the format. They do not know the difference between media channels and content formats. In other words, the coming together of media channels and consumers has led to a new channel – customer engagement. Hence, hotel distributors should pay more attention to direct online channel and its various sectors such as websites, social media platforms, mobile web development and so on.They need to invest more in multi-channel distribution and marketing strategies. We conclude with a summary of the merits of offline and online distribution channels today. For offline this includes the ability for up-sale to customers, access to a demand of customers wanting an easier time booking holidays that their own distribution channels might exclude, and the fact that the face-to-face contact can provide friendlier interaction with customers the hotel is otherwise not able to provide.Offline will remain important in t he present day by selling more tailor-made products and specific ‘experiences’. For Hoteliers it is important to tap this market as well. At the same time online is obviously an important distribution method as well. It allows hotels greater flexibility and control, a globalisation of the product, increased interaction with customers, an ease of pricing and allows an incorporation of social- and multi-media.

International Business Essay Example | Topics and Well Written Essays - 500 words - 11

International Business - Essay Example Globalization enabled investors to enter new potential regions with innovative business ideas. Today companies, governments, and non-governmental organizations have access to equity fund providers. Numerous equity companies are willing to invest in global market providing international business organizations with human capital and equity capital support. For instance, companies like Hamilton Bradshaw assist international companies by supporting expansion, development, and recapitalization. Changing global economy will certainly demand more equity support and outsourcing help in future. It will promote more entrepreneurs entering the global capital market because the aftermath of the recent recession would persist throughout the next decade. Governmental policies across the world on privatization also have contributed to the emergence of capital market. 2. In order to be competitive in a free global market with no trade barriers and restrictions, a company has to expand its business to international level. In the current business environment of cutthroat competition, a company is forced to seek new potential areas and alternatives for business consistency. To illustrate, the absence of constraints has enabled international business entrepreneurs to enter and dominate domestic markets of any area. If critiques are to b believed, many of the indigenous businesses and small scale or cottage industries are at the verge of extinction. It happens as the international giants come up with machine-made quality products at cheaper cost to acquire the local market. They have advanced technological backup and cost effective mode of business operation that enable them to manufacture products in bulk. In contrast, local business groups rely on conventional strategies and out-dated organizational structures which presumably add to their failure. However, business expansion is not a difficult task for modern organizations as they

Finance Essay Example | Topics and Well Written Essays - 1000 words - 8

Finance - Essay Example Purchases by store card went down from 134 in 1998 to 83 in 2005, thus reflecting a negative trend. However, this cannot be generalized as there was a negligible change in the years from 1998 to 2003, after which there seems to have been a steady downtrend. The total purchase on plastic cards showed a continuous and consistent growth during the period under study. From a figure of 3094 in 1998, the purchases grew to almost double or 6094 in 2005.There was also an increase in ATM and counter withdrawals, though the rise was not a steep one in the period under observation. For automatic transactions (e.g. direct debits, standing orders) there was a steady increase from 1998 to 2005, with the growth being faster in the period from 2003 to 2005.Payment by cheques , showed a negative growth from 2,988 in 1998 to 1,931 in 2005 i.e a reduction of almost 35%.Thus, there seems to have been a decline in the use of cheques for payments in the given period In 2005, the use of cash for transactions fell to 23,968 from 25,309 in 1998. Withdrawals from Post Offices also fell drastically in the period under observation. In 2005, it fell to almost 25% of the value as compared to 1998. While the total value of all transactions remained more or less the same till 2005, for the observation period, it grew marginally from 1998 to 2000, from 37,381 to 40,966.Thus, we can conclude that though there was not much change in the value of transactions from 1998 to 2005, the usage of plastic money, especially debit cards grew phenomenally in the given period. Cash transactions showed a negative trend and Post Office cash withdrawals went down drastically. We can also safely conclude that the group was moving from a credit society to a credit free one. People have realized the value of thrift and do not plunge blindly into credit card obligations. Instead, they spend through debit card, which draws upon the money already available in their account, and is also safer to carry around than cash. Thus, the consumer seems to have become wiser in the given period. Part B Briefly describe the financial planning model and outline what it is designed to achieve. Give an example of how the 'review' stage of financial planning might need to take into account a change in social and economic context and an example of how it might need to take into account the individual's life course. Financial plans are a means of achieving goals. Therefore, being clear about goals helps when working out financial plans. The following table shows how some goals can be achieved by financial planning. In each case, the financial plan provides a means of achieving a goal. Goal Financial plan Help the homeless Adjust pattern of spending Reduce debt worries Improve debt management Have some money to draw on in a crisis Build up an emergency fund Have a lump sum for specific projects Build up short-term savings Have a comfortable retirement Build up long-term savings Buy flat Save for a deposit Protect dependants Make a will Financial planning can take place in four stages. Stage 1 is to assess the situation, including the relative importance of different goals. Stage 2 is to decide on a financial plan, given goals and constraints. Then, Stage 3 is to act on the financial plan, and Stage 4 is to review the outcome of the

Review the sound recording and music industry Essay

Review the sound recording and music industry - Essay Example Another important role in the music/audio industry that requires music technology and audio recording skills is the role of the Sound engineers. They must also possess the ability to recognise and describe the quality of musical sounds and other sounds, in order to be able to adjust and balance these sounds creatively. â€Å"Sound engineers also need to listen for different types of distortion. Music producers need to listen for intonation and timing problems, and DJs need to refine their listening skills in order to match speeds and keys and to recognise points at which to mix.† (http://www.wolvcoll.ac.uk/international/courses/music_tech.html) When working in the audio/music industry, whether as a recording or creative artist, or even in a managerial or supporting role, it is vital to plan and work towards the production of effective final studio products, so that these products can be marketed to the right target audience. Thus, during the planning of a recording session, or any music project, â€Å"effective teamwork is essential and is only possible when everyone involved understands the process.† (http://www.ehow.com/way_5471252_effective-teamwork-care-settings.html).

Analyze Possible Problems Associated with Reintegration after Research Paper

Analyze Possible Problems Associated with Reintegration after Prisonization - Research Paper Example ii) Evaluation – A summary of the obstacles in the path of rehabilitation of the ex-prisoners, convicted of petty crimes like stealing, larceny, etc. iii) Recommendations - The various methods by which criminals can be corrected and their participation as a part of the society can be improved on. B. Grave Crimes: Incidences and corresponding punishments to graver crimes like murder or manslaughter is discussed. i) Biblical Explanation – Graver crimes like homicide is interpreted in the light of the views in the Bible. Murder entitles the death penalty but there is always the scope of pardon, evident from the biblical story of ‘Cain and Abel’. ii) Evaluation - An analysis of the actual factors that leads normal individuals to turn into hardened criminals and solutions to those problems. iii) Recommendations – Methods of correction for criminals convicted of grave crimes like, murder. III. Economic Perspective : The possible contribution of the rehabil itated convicts to the growth of economy and national income generation. Also, their economic contribution to community services and welfare activities is analyzed. IV. Conclusion : A summary of the process of rehabilitation of ex-convicts and reintegrating them into the society. V. References Abstract The study of the possible problems in the reintegration of the imprisoned into the civil society reveals the complexities that exist in this case. The embarrassment faced by an ex-convict to face society, in the aftermath of his sentence, is a very sensitive issue and hence, should be handled with the utmost kindness and caution. Generosity of heart, in this respect, may reap huge dividends and solve the problems that cannot be solved by a harsher treatment of criminals. If anything, injudicious punishments can actually cause more crimes than solve them as is evident from studying the upsurge of terrorism in various nations. A person who had committed a crime should not be treated as an outcast throughout his life and the society, as a whole, should strive to be less judgmental and hypocritical. Economically, the study shows the benefits in GDP creation that can be accrued if the these imprisonized population is converted into an active workforce, consistently contributing to National Income. This is a section of huge untapped labor power that can find employment in the informal sector and must be fully utilized for optimum growth of the economy. Prisons are considered to be the god-forsaken margins of a society, both from a rigid Christian point of view as well as a general one. To survive in these pockets of crime, malice and violence, an individual has to transform oneself completely, psychologically and physically. No matter how normal or innocent, a person is compelled to develop certain skills and attributes that are â€Å"considered highly dysfunctional in free society† (Marlow, 2008, p.42). Since these sites are infested with mutual mistrust, isol ation from the society at large, dependence on the institution and an ever-dangling danger of bloodshed, a person may feel limited, humiliated, and extremely deprived. This makes a dent on his persona indefinitely and poses as a problem in the path of reintegration into the society. Hence, proper and efficient programs must

Read 2 Article and Anwser the Questions Essay Example | Topics and Well Written Essays - 750 words

Read 2 Article and Anwser the Questions - Essay Example hand, and to be totally transparent about the firm’s activities and efforts towards addressing identified problems In the article, Nike has been proactive in ferreting out related problems and taking it upon itself to make use of its huge leverage against its shoe suppliers, to essentially force suppliers and subcontractors to play nice with their workers in the factories, for instance. In the case of Gap, even as the garments industry operates on a different dynamic, adhering to the standards set by the SA 800, and working closely with the auditors and being in touch constantly with the general public ought to help make their products more acceptable to society in general (Smith, Ansett and Erez). 2. Working with the auditors and being transparent to the public about the problems and initiatives relating to the sweat shops and the general work conditions among the suppliers and subcontractors are steps in the right direction. As the case suggests, the negative coverage has adverse impacts on brands, and consequently on revenues. Further to this, global firms have to put more resources aimed at genuine reform, and towards engaging its customers and other major stakeholders earnestly. At present the companies can make use of social media to reach out in a personal way to consumers and the general public (Smith, Ansett and Erez). 3. Where companies totally avoid sweat shops, the impacts are tied to higher costs from giving workers higher pay and providing genuinely for their welfare. In industries where companies compete on cost, the impacts of shunning sweatshops and the attendant rise in costs due to that may be substantial, and may imperil the future prospects of many firms, but the alternatives are mainly in the areas of losing customers due to poor work conditions and the heightened scrutiny of media and other concerned parties about those, leading to probable loss of customers and dwindling revenues and profits in the long run (Smith, Ansett and

Nursing Essay Example | Topics and Well Written Essays - 1250 words - 2

Nursing - Essay Example The Columbus campus is quite popular not just for its size but also for the range of its options for students of different background and needs. The Columbus campus is not the only campus of the Ohio State University. The specific University has been expanded across Ohio through ‘campuses in Lima, Mansfield, Marion, Wooster and Newark. Still, the Columbus campus is the most popular campus of the Ohio State University, a fact that it is highly related to the citation of the campus, at the heart of Columbus, Ohio. In terms of its performance in regard to medical studies and medical research, the Ohio State University can be characterized as quite successful. The College of Health Science and Nursing is built on the theoretical framework of Kristen Swanson’s Theory of Caring. Swanson outlines five unique caring processes: (1) maintaining belief, (2) knowing, (3) being with, (4) doing for, and (5) enabling (Parker & Smith, 2010). Swanson’s structure of the caring model shows the relationship among the five caring processes as overlapping elements. By adopting Swanson’s framework, the college shows its commitment to uplifting nursing as a caring profession, providing a first-class educational experience, and fostering quality patient care. The concept of caring is dynamic and is applicable to nursing practice, research, and education. As a leading educational institution, we are committed to redefining caring as a central concept in nursing, building professional relationships, developing clinical skills and knowledge, and encouraging career advancement. Nursing is providing holistic and culturally sensitive care and performing purposeful actions that lead to health restoration and the ability of the recipient to regain a sense of well-being. Nursing led interventions are implemented to achieve a desired positive outcome that promotes and/or assists individuals toward health-seeking

Human Resource Learning and Development(Reflective Learning Critique ) Essay

Human Resource Learning and Development(Reflective Learning Critique ) - Essay Example 217) Socio - Psychology depicts human beings as social animals, seeking and learning from experience, through observation, cognition and reflective processing of mankind. In theory, it enhances the human thinking and inculcates the notion that we; the social animals, adapt to changes in society and learn as the society evolves. The learning experience is one which is a never ending process, one that defines our very existence (Hassan, 2007). According, to the Swiss Biologist, Jean Piaget, when human beings are born, they know nothing; they have no mental or verbal skills. However, with experience they learn and adjust themselves in the very society they live in. According to the literature, one uses each experience either positively or negatively; completely ignoring it would not make it an experience (Jarvis, 2003). A constructivist learning environment is a place where people can draw upon resources to make sense out of things and construct meaningful solutions to problems. It emphasizes the importance of meaningful, authentic activities that help the learner to construct understanding and develop skills relevant to solving problems. The literature and theories that we have analyzed and fathomed have given a more profound understanding to the learning process that one takes for granted but which leaves a strong impact on our persona and psyche. The models we studied provided a valuable insight into analyzing my experience and use it as constructively I can. My experience is one which is holistically simple but taken in a reductionist perspective, one can see how, I have learned from it (Mathis & Jackson, 2004). The transition from a high school, to a university is a crucial experience in a student’s life, I was no exception. In school we are used to being given structured lectures, supervised assignments, or study at the end of the term. In

How Social Responsibility of Corporations Relates to Business Ethics Assignment

How Social Responsibility of Corporations Relates to Business Ethics - Assignment Example The Government must play its role in harnessing the skills attached to the corporate sector in finding out the better means in which it can benefit the society. For that certain loans and grants can also be fixed for a certain company depending on its market level in the business world. Extensive research has found that corporate responsibility is becoming an essential part of any company’s day-to-day undertakings. Thus, the responsibility played by the Government as well as the citizens in this regard should be quite eloquent and expressive. Their voice is given due value by the company and it does just about everything to get more and more customers and consumers which in turn excites it to search for better means to get the very same people. This, in turn, attracts the company to sponsor big events and sports galas, competitions as well as come towards social welfare works, which really benefits the society in more than one ways. Mr Higgins, who completed a research on the local community, was not that enthusiastic about the role played by these companies in the social sector. People, according to him, were of the view that these companies filled in social responsibilities to a certain limit and not beyond that extent where other large organizations jumped in and took the lead. For the small business owner, CSR means a different thing altogether. He sees it in a different attitude encompassing his own business and its responsibilities fulfilled for the betterment of the society or let alone none at all. Corporate Social Responsibility helps as a survival agent for any business in the new atmosphere of an economy. By that, it means whenever the economic climate changes, it favours the CSR that has been initiated by a business with respect to its role in the fulfilment of the social responsibilities. This can be regarded as an advantage of CSR whereby the business gets a slight edge as opposed to the other ones in the corporate world who haven’t actually started with the idea of investing with consideration to the society in the forms of different sponsors, helping of non-Governmental organizations and the like.  

Media review Essay Example for Free

Media review Essay My practical production magazine Real is of the lifestyle genre, I looked at magazines like Now and Heat for inspiration for my magazine. With the lifestyle genre I am looking to put a mixture of real life stories and celebrity gossip in my magazine as these are the main connotations found in this genre. My target audience for my magazine is mainly aimed towards females aged 16-40 as this is a very popular target area and their basic interests and attraction to a magazine is easy to create. The magazine has fewer longer articles and more images and shorter texts as most of the people who read these magazines are on the move or dont have time to read through lots of articles and would prefer to flick through a magazine and still be able to pick up of the moment gossip or amazing true stories. My font cover is bright and bold to stand out to the reader. The name Real is used, as these are real stories and real gossip so the readers will have trust in the magazine to be truthful. The name is in black bold and is bigger than the other fonts on the page to make it seem more important. Also real the issue number, price, and website are drawn out from the rest of the magazine as they are in a pink text box outlined in black. I did this to draw attention to the name of the magazine and other vital information. My main story is about Jennifer Aniston and as the story is about Jennifer Aniston going through a hard time the image of Jennifer is of her looking quite sad and heartbroken to get sympathy of the reader. My headline for the main story is Jennifer Aniston Exclusive I put this because Jennifer Aniston is a huge star and people worldwide know about her so having her name on my magazine will attract people to read it. Also because Exclusive portrays that this is the only magazine that will have this information that again will invite readers to pick up the magazine. One of the other stories on my page is of a private interview with Paul Walker. This interview will interest readers as it is with a famous Hollywood actor and also because the interview is private it will attract people as it gives the impression the information will be more intimate and more private. My other two stories are of everyday people bringing in the more true life into the magazine. The stories are about people who have had difficulties with their relationships. I chose Gay boyfriend abandoned me when I was 8 months pregnant and My boyfriend cheated on me with my mum as these are stories that will shock readers and attract sympathy. The straight to the point shocking quotes I used will leave people wanting to read more. A lot of the audience I chose like to hear about tragedy and heartbreak which is why every story on my front page is upsetting and sad. The colours I chose for the front page are pink, red, white, black and blue as these are colours that stand out and make an impact on the magazine. I chose bright bold colours for my contents page to make the magazine seem more inviting. I used a black font in my columns of the contents page to make it clearer to read and easy to follow. The page numbers are in bold as this is vital information. The word contents is in red with a shadow effect to make it stand out, and the Real in its pink text box outlined in black is in the corner to remind readers of the magazine they are reading. I have a picture of Paris Hilton in the top right corner underneath the Real logo to show what is in the magazine; this image is suitable as it refers to an interview with Paris in the magazine. The points on the contents page are of different stories, gossip and competitions which attract the target audience I have chosen. My main article is about Paris Hilton a well known heiress who is often in the papers this will attract readers as Paris is getting into lots of trouble and people like to hear about her. I chose a stylish picture of Paris along with the heading Paris Hilton my secret confessions as this will make the reader want to find out more. Secret confessions sounds like shes only telling this magazine which will make the readers more interested in reading it. I chose some darker colours with white and black to make it more stylish, serious and simple as this was the atmosphere of the interview. I used questions in the interview that people would be interested in such as her career, love life, and enemies. At the end of the article I put the website for Real magazine so people will be encouraged to look up the website and find out more. There were few technical problems with my magazine. Sometimes it was difficult to arrange images or text in the right way, I spent a long time on my front page getting it to look right. Images were also an issue as many I found werent the right size or were filtered. It was difficult to find an image to go with the emotion or atmosphere of the interview/article. I was quite happy with my contents page and main article as I spent a long time on them and I thought they came out well. I wish that I had found better images foe my front page to make it look more professional and better laid out. My advert was easy and simple to do but it would have been nice to find images and text that go together better than the ones I used. I could have improved my practical production with more time and better resources and thats what I would do if I were to do it again, attempt more work on different computers, look at more magazines and spend more time on it. Overall I am happy with the work Ive done, I think I did quite well and am pleased with my production especially my main article and contents page.

Stereotyping German Turks Cultural Studies Essay

Stereotyping German Turks Cultural Studies Essay An American, a Chinese a German and a Turk are in a plane. Because of a technical fault the plane is about to crash if not immediately some ballast is thrown out. The Chinese opens the door and gets rid of the rice in his bag explaining: it doesnt matter, we have too much rice at home. Then the American stands up and throws greenbacks out of the window: we have way too many of them back home. After a short silence the Turk turns to the German and says: Bruder (buddy), dont get any silly ideas!. by pointing out their representation as victims and unwelcome guest-workers. Meanwhile, wrapped in a humorous aspect this joke clearly hints at the fact that prejudices and stereotypes have an immense influence in our daily life. Now the following question arises: To what extent do stereotypes affect intercommunal relations? With the intention of answering the question this work will focus on stereotypes, Turks in Germany are confronted with, by analyzing the representation of both immigrants with Turkish heritage and native born Germans in literature as well as in cinema. In order to support the theses it will refer to authors like Arlene Akiko Teroka, Rob Burns, Gà ¶kà §e Yurdakuli Y. Michal Bodemann, Johanna Watzginer Tharp and to their works. In addition, it will discuss the social consequences of stereotyping and show how much prejudices and labeling affect our actions towards and treatment of other groups. In order to be able to understand the labeling process the emergence of specific stereotypes one should be well informed about the historical background of the aforesaid nations and their international relationships. In the case of Germany and Turkey the era after World War II plays a decisive role. Aiming to rebuild the country and reconstruct its ruined economy the German government decided to import labor from nearby countries like Turkey. (Yurdakul, 2006) These so called guest-workers were unskilled peasants in search of income, which they were unable to gain in their homeland. This immigration policy of the German government is inextricably linked with the perception of Turkish immigrants in the eyes of German citizens. To be precise, the first stereotype Turks have to cope with is the image of unskilled guest-workers. In order to make this labeling clear a connection with literature and cinema seems adequate at this point. Migrant writings and films between 1970s and 1980s were called guest-worker literature or the literature of the effected. (Burns, 2007) They mostly tended to foreground two thematic concerns; the reality of the exploited, discriminated and socially excluded Turkish guest-worker experience and the problems of living between two cultures. (Burns, 2007) One example underlying the above mentioned image and experience of the uneducated and socially excluded Turkish guest-workerr is the novel and film Ganz Unten (Lowest of the Low),. In the film, the writer Gà ¼nter Wallraff borrows the identity of a real immigrant, the guest-worker Ali Levent Sinirlioglu and records his experiences in a variety of dangerous, unsanitary and badly paid jobs. Devoid of both a personal history and a private sphere, Wallraffs Ali has no individual identity, no life beyond the workplace.(Burns, 2007) In the film the immigrant Ali is defined purely in relation to his economic function as a worker. According to the Turkish writer Aysel ÃÆ'-zakin, Walraff presents a patronising clichà ©d portrait of the Turk as uneducated, unskilled and basically ignorant, as well as naive [à ¢Ã¢â€š ¬Ã‚ ¦] oppressed and, hence, ultimately pitiful. (Burns, 2007) Thus Ganz Unten reinforces the stereotype of the Turks as merely unskilled and suppressed guest-workers. This example additionally shows that the stereotype of guest-worker goes hand in hand with the portrayal of German Turks as victims,oppressed by the superior, the German employer. One narrative example that underlies the image of the exploited, helpless guest-worker is the story about the laboratory assistant Kadir, who falls victim to a nefarious employer a German manager, who supplies him with hormone pills for the stomach cramps that continually afflict him.(Burns, 2007) At the end when Kadir grows breasts after the excessive supply of hormone pills he cuts his own breasts with a kitchen knife. This act of self-mutilation serves as a [à ¢Ã¢â€š ¬Ã‚ ¦] metaphor for German treatment of guest-workers, especially Turks as subhuman beings and for the helpless and self-destructive response of a man, who falls victim to the bewildering complexities of urban technological society.(Burns, 2007) Beside the portrayal of being a victim the fact of being regarded as a guest-worker also leads to another stereotype: the image of being an outsider. The film 40 m2 Deutschland (40 Square Meters of Germany, 1986), is a very well example to show the Turk, isolated between two cultures. The films location is a flat in Hamburg, the new home of Turna, who has been brought over from rural Anatolia to live with her husband, Dursun. Turnas task is to transform this space into a little enclave of Turkish culture, offering Dursun refuge after his work at the factory and safeguarding his wife from the moral depravity he sees pervading German society. (Burns, 2007) This film demonstrates that Turks tend to distance themselves from the German society and their rules, in order to save their own cultural values. This kind of behavior contributes to the labeling process as an outsider. The Turk is seen as someone, who wants only minimal contact with German life and deliberately deprives him/herself of social intercourse. This limited contact with the German society and culture even led to the development of a new language-the so-called Gastarbeiterdeutsch (Guest-worker German), a simplified form of German to meet only basic communicative needs (Watzinger Tharp, 2004); a form of German which leads to reduced or even incorrect input. (Watzinger Tharp, 2004) A new arising form of language among the second and third generation Turks in Germany, the so called Tà ¼rkendeutsch, introduces a new stereotype: the fact that German Turks are stuck between two cultures, even unable to speak one language properly. This stereotype is clearly reflected in Geierbachs choice of his novels title: Bruder, muss Zwiebel und Wasser essen! (Brother, have to eat onion and water!). This sentence is neither German nor Turkish: The content reflects behaviour peculiar to lower class Turks whereas the sentence is completely written in German. Thus, it appears to be rather a mix of two languages, two cultures, and therefore ser ves as an example to demonstrate the fact that the German Turk, has positioned him/herself between two cultures remaining culturally torn. However, these are only some of the stereotypes Turks in Germany are confronted with. Still, they can be seen as the main ones. The following abstract will now shortly focus on the social consequences of stereotyping and show their effects,which mainly cause social tension and even racial violence. The bad image of the Turks created through stereotyping connected with increasing unemployment rates in Germany led to an atmosphere of open anti Turkism among Germans. Some even say that former anti Semitism was transformed into open anti Turkism. In short stereotyping led to animosity and aggressive tendencies and increasing violence towards Turks. The Solingen arson attack of 1993 serves as an example of anti foreigner violence in modern Germany, when Neo Nazis set fire to a Turkish familys home. On the Turkish side, however, being constantly stereotyped and mocked resulted in anger and hostility among German Turks. A cartoon published in the German magazine Stern shows a heavily mustached man crawling through a cat hole in a door named European Union, trying to gain entry into Europe. Some imitation Arabic writing appears on top of the cat hole, and a suitcase with a Turkish flag stands next to the man.(Yurdakul, 2006) Some claim that the nose of the Jew is now replaced by the mustache of the Turk and consequently accuse Germans of anti Turkish racism. As a response, associating Turkish concerns with those of the Jews and comparing the Holocaust to the bombings of Turkish houses, the Turkish society has openly begun to attack the Germans, where they are most vulnerable, creating even more hostility between both nations. In conclusion, by analyzing the representation of Turks and Germans in literature and cinema, this paper has tried to highlight the stereotypes directed against Turks-mainly German Turks, dominating Turkish-German relationships, even until today. After, explaining the historical evolution of stereotypes and the emergence of specific prejudices against Turks, the essay has illustrated the social consequences of labeling. As seen in literature and cinema stereotyping is an element, which dominates relationships between different nations. In a nutshell, the main aim of this paper is to show that stereotyping and labeling are very serious and dangerous social traits, which can have drastic consequences on intercommunal relations fueling emotions like hostility, dislike, anger and even racism, all being traits which should have no place in an enlightened, modern society.

Development of Buildability and Constructability

Development of Buildability and Constructability What is buildability or constructability? Is design for buildability or constructability is approachable? Can buildability concepts and theories enhance designers awareness of construction knowledge and buildability issues and reduce rework and increase construction productivity? , or can it inadvertently limit designers creativity? At the heart of this review paper are debates about the potential of buildability concept and the usability of construction knowledge in design to sustain and develop buildable designs. Construction is the worlds largest and most challenging industry [R. L. Tucker, 1986]. In 1997, the US construction industry accounted for 10% of Gross Domestic Product (GDP) and employed over 10 Million, making the industry the largest in the country [E. Allmon, C. T. Hass, J. D. Borcherding and P. M. Goodrum, 2000]. On the other hand, a 10% increase in construction labour productivity would yield annual savings of about  £1 Billion to the British economy [R. M. W. Horner, B. T. Talhouni and H. R. Thomas, (1989).]; a similar conclusion was echoed by Stoekel and Quirke [S. Adams, (1989).]. Several factors affect project productivity but, buildability is among the most important [R. M. W. Horner, B. T. Talhouni and H. R. Thomas, 1989)., S. Adams, (1989)]. In practice, design and construction processes are normally carried out in a sequential manner. Since 1805 the construction industry has benefited from the various advantages this approach (Dunican, 1984). It allows the different parties in the project to compete and provide the best results for the project while defending and upholding their rights and duties within their respective disciplines (Griffith, 1986). Although the separation of design and construction allows the construction processes to be managed systematically between the various stages and disciplines, the industry is still being criticised for poor performance, being under productive, lack of competitiveness, and consuming longer product development time. Various studies have revealed that since 1950, the construction industry has realised the important of analysing design for construction implications, if the production work on site is to be effectively performed (Gray,1986). To overcome this inherent problems from the separation of design and construction, a concept known as buildability in the UK and constructability in USA is established and marketed to the industry (Illingworth, 1984; CIRIA, 1983; NEDO, 1975; Griffith, 1985; Gray, 1983; Moore, 1996). By using the buildability concept as a means to improve the construction industry, many ideas have been put forward by various researchers to remove the disadvantages of separating the design and construction process (Illingworth, 1983; CIRIA, 1983; CII, 1986; Tatum, 1987). The issue of buildability and academic research in the field for that matter has been an evolving one over the last three decades; moulded by reaction to changes in the procurement environment and in the case of academic buildability research, to advancements in the science of methodology. Regarding the latter, developing techniques such as neural networks, fuzzy decision making, buildability scores system and 3d/4d technology technologies have witnessed application among a range of assessing buildabilty problems (ref.). This paper will review and synthesise the existing research efforts in order to establish state of the art collective knowledge in relation to buildability problems causes and effects. It aims to create two separate taxonomies, which are comprehensive collections of all project change causes and change effects identified in previous studies. A simple case study is presented to demonstrate how the taxonomies provide a useful framework for construction professionals to manage project changes. However, they are not management tools that can be used directly in practice. Instead, they provide a basis for developing project management solutions and toolkits. While the industry focus of this study is construction, the developed taxonomies can be modified and adopted for other project-based industrial sectors (change). Aim and objectives of this study This backcloth of evolvement brings matters conveniently to the focus of this study, the aim of which was to critically appraise academic research within the field of construction buildability, published over a time window of circa 30 years prior to 2011. Objectives related to this aim included particular consideration of: (1) the foci of that research; (2) stated research drivers; (3) favoured methodological approaches; (4) research tools employed; and (5) the products of research effort. Buildability assessment method (6) Buildability attributes Based on observation of outcomes resulting from satisfying these objectives, the contribution of published academic research is considered, and future research direction intimated. The literature review: The principal method for this study is literature review and analysis. A preliminary review found that studies on buildability assessment fall into a broad spectrum, covering buildability problems causes and effects, buildability attributes, as well as assessment methods and techniques. Given the large volume of published work, there was a need to set a limit to the scope of the review. The study was chosen to focus on buildability assessment models and the stages of its implementation, because a good understanding of buildability models is a prerequisite for effective. Such a decision excluded papers from the review. The targeted literature sources are limited to refereed academic journals, published in English. They are a good representation of the breadth and depth of research achievements; and they have been scrutinised through peer review. In recent years, most academic journals began to provide online access. The emergence of a number of publication index databases has greatly assisted the literature search task. As for the date of publication, no explicit restriction was set. However, because few pre 1990s publications were covered by the online index databases the number of papers identified for that period is very small. This will be revealed in the following analyses. Development of buildability and constructability concept: The word buildability appears to have first entered the language in the late nineteen seventies [D. W. Cheetham and J. Lewis, (2001).]. Concerns on the disparate phases in building development was raised in the early 1960s when a series of studies, such as Emmerson (1962), Banwell (1964), Tavistock (1965), EDC (1967) and NEDO (1975), were carried out in the UK. The issue of buildability and academic research in the field for that matter has been an evolving one over the last three decades; moulded by reaction to changes in the procurement environment and in the case of academic buildability research, to advancements in the science of methodology. Regarding the latter, developing techniques such as neural networks, fuzzy decision making, buildability scores system and 3d/4d technology technologies have witnessed application among a range of assessing buildabilty problems (ref.). To gain a better understanding of buildability problems, especially their causes and effects, has been a long-standing research challenge. Emmerson Report: An early attempt to address buildability can be credited to Sir Harold Emmerson (1962) when he suggested the development of a new form of relationship between designers and constructors. The point of concern was the lack of cohesion between designers and constructors and the inability of both parties to see the whole construction process through each others eyes. The report was the first that has emphasised that the inefficiencies in the construction industry stemmed from inadequacies of communications and coordination. The quality of the relationship between the professions and subcontractors was seen as affecting the efficiency of building operations. Emmerson criticised the lack of cohesion existing within the industry. Banwell Report: In the UK, since the Emmerson Report (1962), numerous researches had been carried out to identify the causes of buildability problems and search for solutions for improvement. Banwell 1964 highlighted the fragmented characteristics of the industry and inefficient designs produced by designers deficient in construction knowledge without involvement of contractors. Banwell 1964 suggested that: design and construction must be considered together and that in the traditional contracting situation, the contractor is too far removed from the design stage at which his specialised knowledge and techniques could be put to invaluable use The report called for more attention to be given to pre-contract planning and design formulation and criticised professionalism as being narrow sighted, giving rise to unnecessary and inefficient construction practices. It was suggested that: clients define their building requirements clearly at the start of the design stage; the building process should better integrate the stages of design and construction; and that traditional construction practices should be reviewed to seek interdisciplinary approach. A subsequent study (Economic Development Council 1967) reported that the recommendations made in the Banwell Report had not been successfully implemented within the construction industry and that flexible approaches to traditional procedures should be sought and new initiatives developed if meaningful change within the industry was to be achieved. The Wood Report in the mid-1970s (National Economic Development Office 1975) suggested that in the decade following the Emmerson and Banwell reports some improvements had been made in the quest for integrating better the processes of design and construction. In general however, the original problems remained and it was suggested that efforts should be directed towards increasing the level of awareness for the problems and designing measures to bring together the design and construction processes such that the construction stage might directly capitalise on design initiatives. Tavistock: Later, the report of the Tavistock (1965) highlighted that the causes of the communication problems between contracting parties could be attributable to the division of responsibilities and the pattern of relationships. Since then, the need to integrate disparate development phases has triggered a large number of studies in different countries. Griffith: Griffith (1984) suggested inviting construction expertise early at the design stage, using contractual arrangements that facilitate the improvement of buildability. Griffith (1984) further pointed out that the capability of project management embracing suitable procurement approaches would contribute to improved buildability with concomitant benefits for overall project performance. Griffith and Sidwell (1997) also maintained that decisions taken early in a projects life cycle have greater potential to influence the final outcome of the project, based on the Pareto Principle. Griffith and Sidwell (1997) highlighted that buildability must be considered from the first notional idea suggested by the client, and is quite simply a prerequisite throughout what may be considered to be a staged process. Griffith and Sidwell [17] identified several similar problems, which are lack of consideration on interrelationship between different construction elements and skills required; and less flexibility of design and leeway within design details for materials, components, plants and craft tolerances. Constructability includes number of activities during all project life cycle phases. Griffith Sidwell (1995) believe that application of these activities during early stages of total construction projects causes more influences on overall cost and value. Constructability must always remain as the ingenious thinking throughout the project life cycle to overcome project difficulties and barriers. Griffith Sidwell (1997) illustrate some of these difficulties such as low level of awareness; demarcation; lack of incentives; reticence; and competitive stance adopted by construction professionals. So identification, mitigation and review of constructability barriers and barrier-breakers, which affect directly on efficiently implementation of a constructability program, is a must during project life cycle (OConnor Miller, 1994, 1995). Griffith (1987) suggested a compromise between consciously making the design more buildable and accommodating the many factors imparting an influence upon design, including quality, aesthetics, time and cost. It is essential to consider constructability at an early stage in the total construction process, because the ability to influence project cost, and so value for money, from the client s viewpoint, diminish as the project progresses in time. (Griffith Sidwell, 1995). Construction projects can be divided into different stages as conceptual planning and briefing, design, procurement, construction and post construction (start up and use) (Alan Griffith Sidwell, 1995). Generally, there are many all-around benefits of good constructability; these are measurable not only in cost and time, but also in terms of the physiological and psychological gains for the participants in the total construction process (Alan Griffith Sidwell, 1995). Griffith (1987) suggested a compromise between consciously making the design more buildable and accommodating the many factors imparting an influence upon design including quality, aesthetics, time, and cost. Methods should be sought to improve constructability by designing for economical use of labor and widely available and versatile tools, plant and equipment. Griffith (1984 1985) also added that managerial aspects have the greatest potential to increase productivity and achieve good buildability. A subsequent research study (Griffith 1984; Griffith 1985a) was similarly narrow in scope, but recognised in its findings the fundamental weakness in focusing narrowly on the attributes of design to aid construction on site. It was suggested that concentrating on design was important, but that project site and management-based factors must also be considered. The difficulties surrounding the determination of conceptual boundaries for buildability have been discussed in further studies (Bishop 1985; Griffith 1985b).It was the narrow focus, together with the complexities of the traditional contractual processes, that led to the diminishing interest in buildability concepts within the UK construction industry during the late 1980s. Creating a building that is easier to construct cannot be the sole aim of the client (Griffith Sidwell 1995). Further research by Griffith and Sidwell (1995) presents an outline for developing a constructability strategy at each key stage of the construction process. This considers many of the factors suggested by Chen and McGeorge. This approach sought to stimulate creative thought about the nature of each stage such that important questions and considerations about the building process would not be missed and to encourage action to be taken by the respective participants to pursue constructability. In the strategic consideration of constructability it is likely that future research and practice might focus on: the more holistic view of constructability to develop more encompassing strategies to be developed for considering constructability at each stage in the total building process; the concentration on a fewer number of factors which influence constructability such that greater reliability can be built in to the strategies developed; and the formulation of management methods that are readily adaptable to the individual project situation, including non-traditionally procured projects. CIRIA: Thereafter, the Construction Industry Research and Information Association (CIRIA) (1983) in the UK introduced the concept of buildability and the Construction Industry Institute (CII) (1986) in the US developed the notion of constructability. The CIRIA (1983) defined buildability as the extent to which the design of a building facilitates ease of construction, subject to the overall requirements for the completed building. It indicates the importance of design considerations geared towards buildability improvement. Subsequently, a similar concept of constructability was introduced by the CII (1986) as the optimum use of construction knowledge and experience in planning, design, and procurement and field operations to achieve overall project objectives. It dealt with the optimal integration of construction expertise and experience at various project stages to achieve the overall project goals. Since then, numerous studies have been conducted in order to strive for better project perf ormance through improving buildability. For examples, Francis et al. (1999) found that better buildability could contribute to early completion of projects; Jergeas and Put (2001) as well as Low and Abeyegoonasekera (2001) showed that buildable designs would lead to saving in project costs and costs of change orders; others such as Trigunarsyah (2004a, 2004b) and Low (2001) pointed out that buildable designs would bring about improved quality and safety performance, as well as higher productivity levels, and mitigate the risks of unforeseen problems. Despite these developments, it has become evident that the progress of resolving buildability problems is still unsatisfactory. Construction industry review reports typically found contractors having little input into the design (Egan, 1998), or consultants putting little emphasis on buildability (CIRC, 2001). The ensuing review by Wolstenholme (2009) of the UK construction industry also points to the need for better integration of the construction supply chain using a whole life cycle approach. More specifically, some good examples of involving the contractors early in the design process have been cited, indicating the need to improve buildability. In view of these findings, a set of principles targeted at designers under the traditional procurement system was drawn up by the Construction Industry Research and Information Association (CIRIA). Following the reports of Emmerson and Banwell, the Construction Industry Research and Information Association (CIRIA) supported a major research initiative to investigate what they regarded to be, the principal problems of construction practice. Their attention focused on a concept which they referred to as buildability, suggesting that building designs were not providing value for money in terms of the efficiency and effectiveness in the way in which the building process was then being carried out (change). The report of their investigations, Buildability: An Assessment, (CIRIA 1983) presented seven categories of buildability principles to: carry out thorough investigation and design; plan for essential site production requirements; plan for a practical sequence of operations and early enclosure; plan for simplicity of assembly and logical trade sequences; detail for maximum repetition and standardisation; detail for achievable tolerance; and specify robust and suitable materials. C IRIA stated that their methodological approach provided data that were too limited to be certain that the categories identified were final and universal, although they had sufficient confidence to publish the categories as provisional guidelines. It is from this original study that buildability research and practice evolved (change). The initial CIRIA report was followed by a further study (Adams 1989) in which the original seven categories of buildability principles were further developed to present 16, more definite, principles. This study is most purposeful since, although it still focuses on design, it does begin to widen the perspective of buildability and point the way towards recognising the true complexity and multifaceted nature of the issues involved. The first CIRIA study, while laudibly raising general awareness to the concepts and principles of buildability and therefore achieving its basic objective, was unfortunately restricted in focus. Egan Report: More recently, the Egan Report (1998) awakened attentions that the general buildability performance was far from being satisfactory. Contractors were also found to have little input into the design in the UKs construction scene, thus constituting a comparatively lower productivity figure for the industry (Graham and Bird, 2001). Egan (1998) claims that too much time is spent in construction on site trying to make design work in practice. He adds that contractors have little input into the design and this is indicative of a fundamental malaise in the industry the separation of design from the rest of the project. This is mainly because the traditional procurement method of design-bid-build remains rooted within the industry (Arditi et al. 2002; Song et al. 2009; Kent and Becerik- Gerber 2010). Egan (1998) subsequently encouraged longer term procurement relationships in favour of selective methods, as a mechanism to achieving quality and efficiency improvement; while in a second report (Egan, 2003), arguably rooted the term integrated supply chains into procurement dialogue. More recently, the Egan Report (1998) awakened attentions that the general buildability performance was far from being satisfactory. Contractors were also found to have little input into the design in the UKs construction scene, thus cons tituting a comparatively lower productivity figure for the industry (Graham and Bird, 2001). Over the years since the definition of buildability has been put forward by the CIRIA 1983, lots of studies have highlighted the prospective benefits to be brought about by improved constructability Arditi et al. 2002; McGeorge and Palmer 2002; CIRC 2001; Francis et al. 1999; CIIA 1996; CII 1986; Griffith 1984; Gray 1983. With the potential benefits as incentives, methods and practices have been proposed for more efficient designs minimizing construction wastages on site. However, as time passes by, the progress of resolving constructability problems is still regarded as being unsatisfactory CIRC 2001; Egan 1998. The underlying reasons are multifaceted Ma et al. 2001; Uhlik and Lores 1998; Griffith and Sidwell 1995; OConnor and Miller 1994, which have led to the current sluggish use of pull factors in the pursuit for better design constructability. More recently, push factors have been put in place by the Singaporean Government, which has enforced a legislation to enhance constructab ility by requiring minimum buildable scores to be attained before building plans are approved. The calculation of buildable scores is based on the buildable design appraisal system BDAS, which was modeled from the in-house buildability appraisal system of a major Japanese contractor, Takenaka Corporation Poh and Chen 1998. After the implementation of BDAS, follow-up studies have demonstrated the correlations between higher buildable scores and the improvements of site productivity, construction quality, and manpower consumption Lam 2002; Low 2001; Poh and Chen 1998. Buildability is a major issue across global construction industries and in particular the UK industry.

F. Scott Fitzgeralds The Great Gatsby Essay -- Fitzgerald Great Gatsb

F. Scott Fitzgerald's The Great Gatsby The greatness of an individual can be defined in terms far beyond tangible accomplishments. In F. Scott Fitzgerald's classic American novel, The Great Gatsby, Jay Gatsby's greatness comes from his need to experience success and his will to achieve his dreams. Nick Carraway narrates the story, and his cousin, Daisy Buchanan, is Gatsby's love. Daisy, however, is married to Tom Buchanan, a wealthy, arrogant womanizer who despises Gatsby. Gatsby feels the need to be successful and wealthy, and his participation in a bootlegging operation allows him to acquire the wealth and social status needed to attract Daisy. In his narration, Nick focuses on Gatsby's fixation of Daisy and how he longs for her presence in his life. Gatsby's greatness comes from his power to dream, his competence in turning dreams into reality, and his absolute love for Daisy. In The Great Gatsby, Jay Gatsby uses his dreams as motivation for his existence. Fitzgerald uses wealth and social status to define Gatsby?s character, which is exemplified by his lavish parties and the dignitaries who attend them. In his formative years, Gatsby was employed by a wealthy yachtsman, Dan Cody. It is from Cody that Gatsby develops his appreciation for wealth. ?To young Gatz, resting on his oars, looking up at the railed deck, that yacht represented all the beauty and glamour in the world? (Fitzgerald 106). Fitzgerald uses this quote to mark the point at which Gatsby encounters wealth and power for the first time, and also, he uses it to symbolize Gatsby?s social standing and economic status. By comparing Gatsby?s rowboat with the luxurious yacht of Cody?s, Fitzgerald presents the idea that money and power translate into bigger and better things. The event is symbolic in that it illustrates Gatsby?s perception that wealth is a necessity. By saying that he was ?looking up? to ?all the beauty and glamour in the world,? Fitzgerald makes it evident that Gatsby idolized this lifestyle. Also, he shows that Gatsby views beauty as a materialistic quality. Gatsby?s materialistic view of beauty can be seen in his love for Daisy when Gatsby says, ?her voice is full of money? (127). This quote by Gatsby shows how he identifies his love for Daisy with his love for money. Gatsby and Daisy met in Louisville, where they fell in love with each other, however, when Gatsby lef... ...life ensconced in their very essence. Nick says that Gatsby, ?represented everything for which I had an unaffected scorn? (6). However, he is able to see through this dislike of Gatsby?s character to tell him, ?you?re worth the whole damn bunch put together? (162). In other words, Gatsby possessed the qualities of a great individual, but his reliance on material objects to show his love and his corrupt ideology prevent him from reaching his full potential as an honorable character in the work. Gatsby?s greatness is not contained in noteworthy accomplishments, his wealth, or even his pursuit of love. Gatsby possesses the power to dream. Gatsby dreamed of being wealthy and reuniting with Daisy. He fulfilled his dreams, but unlike his dreams, Gatsby?s reality was hollow. His money was made illegally and his love for Daisy was based on only that which he could buy. Gatsby?s greatness is not only present in what he dreamt for, but also, he possessed the ability to grasp his dreams and turn them into reality. Gatsby may not be a perfect character, but by living for a purpose, he is able to extract greater meaning from life, making him superior to the other characters in the novel.