Mgmt question inpatriation

Because of the difficulties that expatriates face, some firms have begun a policy of “inpatriation” (a concept discussed further in the Debate section of chapter 13), whereby they relocate foreigners to the host country, with the expectation that after a period of time, they will replace expatriates. While this provides the MNE with a source of workers who do not face cultural obstacles, some significant problems remain. First, inpatriates, who are paid the going rate in the MNE’s home country, are often disappointed or upset when they go to the host country, where salaries are much lower. Second, many inpatriates are ineffective because of their ambiguous position. While the headquarters views inpatriates as “us” because of their time in the home country, other HCNs also view them as “us” because of their common ethnicity. 

1.Given the pros and cons of expatriation and inpatriation, which do you feel is more effective for MNEs? Would certain situation call for one strategy over another? What could an MNE do to alleviate some of the difficulties of inpatriation?

 
2.
MNEs operate in multiple locations, negotiating through a complicated web of formal and informal institutions that are different from country to country. An MNE is successful, in part, because of its ability to work within a complex network of laws and values to create a global, cross-cultural entity. The question is could labor unions do the same? While union presence is strong in some countries, it is nearly absent in others, so that workers in those countries have relative little protection from potentially unfair actions. What is the feasibility of establishing a global (or semiglobal) labor union to cover these countries? How would they overcome institutional obstacles presented by governments and by MNEs? What would be the pros and cons of such a movement?

 

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need elaboration on the patient s comorbidity on this post

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 5 hours of sleep per night, but that is okay with her. She drinks coffee all morning to “keep her going.” She lives 1 hour from campus and commutes each day, and often drinks diet cola to “stay awake.” When asked what she does to relax and de-stress, Maria states she “doesn’t even have time to think about that.”

Maria’s vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90

What additional assessment data (subjective and/or objective) would you like to gather from Maria?

Objective data would be comprehensive lab work (CMP, CBC, lipid profile, thyroid profile), BMI, current medication list, and PMH

Behaviorally, I would determine her mood, affect and anxiety level. I would ask her about any history of mental illness including depression and substance abuse. I would also perform a PHQ-9 for a baseline. Additionally, I would explore her concerns about her appearance and what are, her concerns about her health specifically? I would like know her social support system. Does she feel supported by her family, husband, extended family if any? How is her marriage, how does her husband help her? What type of activities are the children involved in?

Nutritionally, I would also ask an open ended questions about her cooking ethnic foods, her favorite foods and what her family likes. Is she currently cooking for the family or relying on take-out? What does she eat for snacks? I would ask her about her daily coffee intake and the amount of cola she drinks per day. Also review intake of alcohol and/or use of other illicit drugs.

Overall, I would like to know, what does her typical day look like? When does she study? I would also like to discuss sleep hygiene and what are her habits related to sleep? Also, how are her finances and the effect of going to school on those finances?. My opinion – it is cheaper to eat unhealthy then it is eat healthy.

A thorough family medical history can also provide insight into potential medical conditions which could also affect her or her children. Additionally, her husband’s medical history could also provide further insight (Chamberlain College of Nursing, 2018).

Critical is all of this to determine Maria’s readiness for change. She may simply be reactionary by presenting to the clinic. She may not be ready to change any aspect of her life.

What actual health concerns and risk factors have you identified?

Maria is at risk for multiple co-morbidities, including but not limited to, obesity, hypertension and initially metabolic syndrome if not T2DM. Maria is also at risk for depression, anxiety, or other behavioral issues due to stress and reliance on external sources (caffeine, colas) to cope

What are some opportunities to promote health and wellness for Maria?

Discuss stress management, alternatives to caffeine intake or attempt to decrease, provide information re mood/depression and resources for counseling, support and further treatment. Discuss time management as a way to manage her stress in addition to exercise.

Physical activity and support are essential as nursing students require encouragement to engage in exercise and lack self-confidence in their ability to exercise (Blake , Stanulewicz, & Mcgill, 2017).

Nursing Diagnosis: Risk for diabetes and depression related to lifestyle choices, ineffective coping, increased stressors and limited support.

Works Cited

Blake , H., Stanulewicz, N., & Mcgill, F. (2017). Predictor of physical activity and barrier to exercise in nursing and medical students. Journal of Advance Nursing, 73(4), 917-929.

Chamberlain College of Nursing. (2018). Health Assessment for the Practicing RN; Week 2 Lesson. Downers Grove, IL.

 

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ASSIGNMENT2 W4

Use MS Word to complete “Questions to be Graded: Exercise 33” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where appropriate.

 

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math 146 all wamap homework quiz and exam 1

WAMAP stands for Washington

Mathematics Assessment and Placement. The site requires that students register as a new student with

a username and a password unless they have already registered into WAMAP from a previous class.

Students can login with the username and password and enroll in the course

 

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