“Outsourcing of Hospital Services” Essay Example

â€Å"Outsourcing of Hospital Services† Essay Example â€Å"Outsourcing of Hospital Services† Paper â€Å"Outsourcing of Hospital Services† Paper 1. In some instances the outsourced service occurs in a different location, while in others it takes place inside the organization doing the outsourcing, ad the food service did in this case. What advantages were there in having the outsourced work performed within the hospital? Suppose a different hospital outsourced its food service but decided not to have the work performed in- house. What might its rationale be? The advantages in having the outsourced work performed within the hospital were mostly related with the satisfaction of the workers, when the hospital outsourced its cafeteria food services; the employees felt a sense of ownership of their jobs and felt connected to the hospital because of the family atmosphere in the kitchen and cafeteria. When a different hospital outsourced its food service but decided not to have the work performed in-house then they might have to face a problem of employee turnover because the employees might lose the feeling of being connected to the work. Their interest in job will reduce which in future might lead to the problem of employee turnover which won’t be beneficial for the hospital 2. In the housekeeping situation, why not just forget about outsourcing, especially since the hospital ended up rehiring its employees anyways? When the hospital tried the same thing with housekeeping, it didn’t work because employee turnover became a problem. After the investigation, they found out the reason for employee turnover which is, because of the housekeeping employees were more isolated in their work, they lost their feeling of being connected to the hospital they had. So, for the benefit of the hospital they ended up rehiring its employees using outsources company to manage housekeeping. These days financial pressures are not the only reason for the outsourcing, hospital executives are finding more reasons to consider outsourcing. The desire to focus on core competencies and the need to fill jobs are also the main reasons for the outsourcing. 3. For laundry service, what might have been the rationale for asking another hospital to join it? I think the rationale for asking another Rival hospital to join in outsource laundry service, might be because teaming up will be profitable for the  hospital because sharing outsource will help hospital to be safe from the competition and could offer a potential vendor more economy of scale. To provide the quality of healthcare service hospital need the specific expert professional and outsources will help to provide the expert professional. Insufficiency in work force will require the outsourcing for hospitals.

Turn-Taking Definition in Conversation Analysis

Turn-Taking Definition in Conversation Analysis In conversation analysis, turn-taking is a term for the manner in which orderly conversation normally takes place. A basic understanding can come right from the term itself: Its the notion that people in a conversation take turns in speaking. When studied by sociologists, however, the analysis goes deeper, into topics such as how people know when its their turn to speak, how much overlap there is between speakers, when its OK to have overlap, and how to consider regional or gender differences. The underlying principles of turn-taking were first described by sociologists Harvey Sacks, Emanuel A. Schegloff, and Gail Jefferson in A Simplest Systematics for the Organization of Turn-Taking for Conversation in the journal  Language, in the December 1974 issue. Competitive vs. Cooperative Overlap Much of the research in turn-taking has looked into competitive versus cooperative overlap in conversations, such as how that affects the balance of power of those in the conversation and how much rapport the speakers have. For example, in competitive overlap, researchers might look at how one person dominates a conversation or how a listener might take some power back with different ways of interrupting.  Ã‚   In cooperative overlap, a listener might ask for clarification on a point or add to the conversation with further examples that support the speakers point. These kinds of overlaps help move the conversation forward and aid in communicating the full meaning to all who are listening. Or overlaps might be more benign and just show that the listener understands, such as by saying Uh-huh. Overlap like this also moves the speaker forward. Cultural differences and formal or informal settings can change whats acceptable in a particular group dynamic.  Ã‚   Examples and Observations Television programs, books, and films present some fine examples of turn-taking. Christine Cagney: Im being quiet now. That means its your turn to talk.Mary Beth Lacey:  Im trying to think of what to say.(Cagney Lacey, 1982) Once a topic is chosen and a conversation initiated, then matters of conversational turn-taking arise. Knowing when it is acceptable or obligatory to take a turn in conversation is essential to the cooperative development of discourse. This knowledge involves such factors as knowing how to recognize appropriate turn-exchange points and knowing how long the pauses between turns should be. It is also important to know how (and if) one may talk while someone else is talking- that is if the conversational overlap is allowed. Since not all conversations follow all the rules for turn-taking, it is also necessary to know how to repair a conversation that has been thrown off course by undesired overlap or a misunderstood comment. Cultural differences in matters of turn-taking can lead to conversational breakdown, misinterpretation of intentions, and interpersonal intergroup conflict. (Walt Wolfram and Natalie Schilling-Estes, American English: Dialects and Variation. Wiley-Blackwell, 2006) The Wolf: Youre Jimmie, right? This is your house?Jimmie: Sure is.The Wolf: Im Winston Wolfe. I solve problems.Jimmie: Good, we got one.The Wolf: So I heard. May I come in?Jimmie: Uh, yeah, please do.(Pulp Fiction, 1994) Turn-Taking and Parliamentary Procedure The rules regarding turn-taking in formal situations can differ markedly than between people who are speaking casually together. Absolutely fundamental to following parliamentary procedure is knowing when and how to speak in your correct turn. Business in deliberative societies cannot be conducted when the members are interrupting each other and when they are speaking out of turn on unrelated subjects. Etiquette calls interrupting someone else rude behavior and unfitting for people in refined society. [Emily] Posts book of etiquette goes beyond this to describe the importance of listening and responding to the correct topic as being part of good manners when participating in any form of conversation. By waiting your turn to speak and avoiding interrupting another person, you not only show your desire to work together with the other members of your society, you also show respect for your fellow members. (Rita Cook, The Complete Guide to Roberts Rules of Order Made Easy. Atlantic Publishing, 2008) Interrupting vs. Interjecting Sometimes butting in while someone is talking may not be considered as interrupting, but only interjecting. To be sure, a debate is as much about performance and rhetoric (and snappy one-liners) as it is about meaningful dialogue. But our ideas about conversation inevitably shape how we perceive the debates. This means, for example, that what seems an interruption to one viewer might be merely an interjection to another. Conversation is an exchange of turns, and having a turn means having a right to hold the floor until you have finished what you want to say. So interrupting is not a violation if it doesn’t steal the floor. If your uncle is telling a long story at dinner, you may cut in to ask him to pass the salt. Most (but not all) people would say you aren’t really interrupting; you just asked for a temporary pause. (Deborah Tannen, Would You Please Let Me Finish ... The New York Times, Oct. 17, 2012)