The Dream Of The American Dream - 1178 Words

The American dream has been a beacon of hope and motivation for the millions of people who have immigrated and grown up in the United States; especially for those of the lower class. Through hard work and determination one could completely change their life for the better while provide better circumstances for future generations. The American dream is defined as, â€Å"a happy way of living that is thought of by many Americans as something that can be achieved by anyone in the U.S. especially by working hard and becoming successful† (The American Dream). Today, youth of the lower class are finding this dream to be nearly impossible to achieve, even by working hard. For many it has become nothing more than a pipe dream. The American dream is still alive, but it is on it’s final breath; especially for the poor youth of America. In the past, people’s dream of working hard, affording a nice house and providing for your family was easily attained. Today, to get a good-paying job, requires having a high school diploma, a college degree, and at least two years experience in that field of work. Except for a high school diploma, these qualifications are extremely difficult to meet as a child coming from a lower income background. In the past, jobs did not always require a college degree. An individual would get a low level job in a big company right out of high school. Through hard work and ambition an individual could get promoted and receive a higher wage. All of those steps lead to bigShow MoreRelatedAmerican Dreams : The American Dream1068 Words   |  5 PagesAmerican Dream? American Dream: Noun, the ideals of freedom, equality, and opportunity traditionally held to be available to every American. That is the definition of the American dream according to Dictionary.com, but the American Dream is more than a definition, but a way of life for many. Millions of immigrants come to our country in search of this â€Å"American Dream† including my grandparents but more and more are disappointed. So does the American Dream exist? Has it ever existed or has it allRead MoreAmerican Dreams And The American Dream Essay1727 Words   |  7 PagesMobility and the American Dream feed off one another, immigrants and American citizens wanting to work hard and building new inventions to make life easier. Without this American ingenuity, it might of taken the United States longer to get to where the country is now. The American Dream has helped people see all the potential that there is in the U.S. Almost all aspects of mobility relating to the American Dream are still achievable. The path to the so called American Dream might be a harder toRead MoreThe Dream Of The American Dream1047 Words   |  5 PagesThe American Dream is heralded and aspired to, by immigrants and natives alike. It is a hopeful belief, that although many believe in, very few achieve. This variability of outcomes is due to the American Dream’s dependency on ideals of equality and freedom of opportunity. These two ideals do not institutionally exist in the United States, causing its construction to be inherently unequal, as individuals cannot reach the Dream without systemic privilege and power. Social positions and historic contextRead MoreAmerican Dreams : The American Dream1187 Words   |  5 PagesThe American dream is what makes people from all around the world to want to move to America. The American dream is what makes America wonderful. The American dream has been categorized as an equal opportunity to attain success through hard work. The end result of t he American dream for the universal people is for that character and their loved ones to be living contentedly for the rest of their lives. However, this is not the same apparition that every individual has of the American dream. The AmericanRead MoreAmerican Dreams : The American Dream1663 Words   |  7 PagesThe American Dream The American Dream is indefinable. There is no one set of words or characteristics that the entire population assigns directly to its definition. With the American population consisting of people of various races, ethnicities, ages, classes, and genders, it seems trivial to even attempt to attribute a single definition to the concept of the American Dream. It is this inability however, to be confined within one single meaning, that allows for the American Dream to govern theRead MoreAmerican Dream Is Not A Dream771 Words   |  4 PagesAmerican dream is not a dream What is your own version of the American Dream? Money? Living a big house or having a nice car? I believe these are values that most of people define to them what the American Dream is. The American Dream has alway been challenging to receive happiness; but as an Americans, we had worked our way from inequality to freedom. First, immigration as one biggest puzzle in the United States. America is also refer to a melting pot. Because many different ethnic groups andRead MoreThe Dream Of The American Dream1098 Words   |  5 Pagesline â€Å"Follow your dreams!† This simple sentence has inspired many. This idea of creating a dream and chasing it has inspired the American Dream. The American Dream is different for everybody. It could be getting married, creating a business, or being a hero. It turns out the American Dream is not for everybody. There is always something standing in the way of the American Dream. Race, social status, and the individual are standing in the way between the person and the American Dream. A person s raceRead MoreAmerican Dreams And The American Dream1728 Words   |  7 PagesAmericans have been dreaming since the Mayflower arrived in the New World and the American Dream itself has withstood threats up until this very day to all of its internal characteristics: international peace, health, leadership, wealth, supremacy, and equality. H.W. Brands states in his book American Dreams that â€Å"Americans had dreamed since our national birth, and in the twenty-first century we are dreaming still†. Both Brands’ story and Nathaniel Philbrick’s account in Mayflower assist significantlyRead MoreDreams And The American Dream828 Words   |  4 PagesThe American Dream is the thought the United States had never ending chances to live ones dream no matter where one would come from. During the Great Depression, the American Dream is to own land, to rise out of one’s current situation, and to not have to worry about money. In the novel Of Mice and Men by John Steinbeck, three characters have individual dreams that directly relate to the American Dream. George and Lennie want to own their own farm. He wants to not have to work 11 hour shifts andRead MoreThe Dream Of The American Dream1096 Words   |  5 Pagesline â€Å"Follow your dreams!† This simple sentence has inspired many. This idea of creating a dream and chasing it has inspired the American Dream. The American Dream is different for everybody. It could be getting married, creating a business, or being a hero. It turns out the American Dream is not for everybody. There is always something standing in the way of the American Dream. Race, social status, and the individual are standing in the way between the person and the American Dream. A person s race

Symbolism In The Glass Menagerie By Tennessee Williams

A play based on the power of memory, The Glass Menagerie by Tennessee Williams is a story told from Tom Wingfield’s point of view and depicts Laura’s imaginary world, a place where she can retreat and escape the reality of the present, and live in a â€Å"perfect† world. Laura’s memories from the past shape her personality, such as the name, â€Å"Blue Roses,† which illustrates her fragile nature, much like the fragility of the glass menagerie. In order to symbolize Laura Wingfield’s fragile behavior due to her disability, and emphasize her personal hell throughout the play, Tennessee Williams incorporates the presence of the Glass Menagerie, the name of â€Å"blue Roses,† as well as the glass unicorn as symbols. The most prominently seen symbol†¦show more content†¦Laura’s cripple throughout the play is depicted as a liability on the family, particularly on Laura, who allows this disability to take over her life and personality. When in high school, Jim O’Connor, the gentleman caller, makes a mistake by calling Laura, â€Å"Blue Roses,† instead of Pleurosis, the childhood disease that left Laura crippled. This nickname is symbolic of Laura’s character, as it can represent her uniqueness among other girls at the time. Like the rarity and mysteriousness of â€Å"Blue Roses,† Laura’s shy and fragile character is rare, a trait that only Jim recognizes of Laura, saying, â€Å"They’re common as—weeds,† referring to the rest of society, â€Å"but, you’re—Blue Roses!† (Williams, 87). The nickname â€Å"Blue Roses,† can also symbolize Laura in that it turns her overwhelming defect into a virtue. When this name is used, it is able to transform her unusual qualities to something that is seen as special rather than debilitating. The ultimate symbol of Laura’s fragility and her inability to change, in this way, is her glass unicorn, which illustrates Laura’s uniqueness among others. Notably, Laura’s favorite figure in her glass collection is the glass unicorn, which can represent her peculiar nature among society. Like the unicorn, who is, â€Å"Extinct in the modern world,† (Williams, 83), and whose horn differentiates it from other horses or animals in the glass menagerie, Laura’s crippleShow MoreRelatedSymbolism In The Glass Menagerie By Tennessee Williams858 Words   |  4 Pages Tennessee Williams had a rough past as a result it influenced him to write plays about the conditions in the 1930s. Although Williams had a tough past, Williams became very successful in his writings and plays. Nevertheless Williams gained popularity among his peers. His experiences in the 1930s affected his work especially in The Glass Menagerie. Williams’s homosexuality made him be seen as an outcast in American society. Not to mention that homosexuality was not as widely acce pted as it is todayRead MoreSymbolism and Crossing the Rubicon in Tennessee Williams’ â€Å"The Glass Menagerie.†1784 Words   |  8 PagesThe masterful use of symbolism is delightfully ubiquitous in Tennessee Williams’ â€Å"The Glass Menagerie.† He uses a collection of dim, dark and shadowy symbols that constantly remind the audience of the lost opportunity each of these three characters continually experience. This symbolism is not only use to enlighten the audience to their neglected opportunities to shine, but it is also repeatedly utilized to reinforce the ways in which the characters try in vain to cross over turbulent waters intoRead MoreSymbolism In The Glass Menagerie by Tennessee Williams Essay1827 Words   |  8 PagesTennessee Williams, The Glass Menagerie, is a play that evokes great sympathy and in some cases, empathy for a protagonist who struggles to overcome two opposing forces; his responsibilities and his desires. There are many s ymbols and non-liner references that contribute to the development of characterization, dramatic tensions and the narrative. This essay will examine in detail, the aspects of the play that contribute to the development of the above mentioned elements. In Toms opening addressesRead MoreThe Glass Menagerie Symbolism Essay800 Words   |  4 PagesTitle Tennessee Williams had a rough past that influenced him to write plays about the 1930s. Williams’s life was very successful in his writing, making him known to many. His experiences in the 1930s affected his work. Williams’s homosexuality made him be seen as an outcast in American society. Tennessee Williams utilizes symbolism to express his themes throughout The Glass Menagerie. There are many events in Tennessee Williams’s early life that is similar to the details in The Glass MenagerieRead More The Importance of Symbolism in The Glass Menagerie Essay1609 Words   |  7 PagesImportance of Symbolism in The Glass Menagerie  Ã‚      Tom Wingfield is the narrator and a major character in Tennessee William’s timeless play, The Glass Menagerie. Through the eyes of Tom, the viewer gets a glance into the life of his family in the pre-war depression era; his mother, a Southern belle desperately clinging to the past; his sister, a woman too fragile to function in society; and himself, a struggling, young poet working at a warehouse to pay the bills. Williams has managed toRead More Alienation in Tennessee Williams, The Glass Menagerie Essay examples943 Words   |  4 PagesAlienation in Tennessee Williams, The Glass Menagerie Life is a lonely tale of alienation, as Tennessee Williams conveys though his play, â€Å"The Glass Menagerie.† Williams surrounds Laura in isolation from a world in which they wish to belong to by using various symbols. The symbolic nature of the motifs hidden within the lines of this play provides meaning to the theme found consistent throughout the play: Individuals are all alone in the world. Williams brilliantly illuminates theRead More Essay on the Symbolism of the Menagerie in The Glass Menagerie1002 Words   |  5 PagesThe Symbolism of the Menagerie in The Glass Menagerie      Ã‚   Tennessee Williams play, The Glass Menagerie, describes three separate characters, their dreams, and the harsh realities they face in a modern world.   The Glass Menagerie exposes the lost dreams of a southern family and their desperate struggle to escape reality. Williams use of symbols adds depth to the play. The glass menagerie itself is a symbol Williams uses to represent the broken lives of Amanda, Laura and Tom Wingfield andRead MoreEssay about Williamss Use of Symbolic Reference in The Glass Menagerie851 Words   |  4 Pagesof Symbolic Reference in The Glass Menagerie Tennessee Williams wrote The Glass Menagerie basing it on himself and his life, although not always in detail. Tennessees life was not one of perfection. It had a lot of downs causing the play to be a very sentimental, dimly lighted and emotionally play. Although this play has a very basic story line Tennessee use of symbolism crates a much more meaningful story of the Wingfild family. Symbolism is used in almost everyRead MoreSymbolism in the Glass Menagerie Essay831 Words   |  4 PagesSymbolism in The Glass Menagerie Symbolism plays a fundamental part in Tennessee Williams’s play, â€Å"The Glass Menagerie†. Examples of the use of symbolism include the fire escape, as an escape from the family, the phonograph, as an escape from reality, the unicorn, as a symbol for Lauras uniqueness and the father’s photograph, representing something different to each character. Through recognition of these symbols, a greater understanding of the play’s theme is achieved. ThroughoutRead More Three Important Symbols in The Glass Menagerie by Tennessee Williams1429 Words   |  6 PagesThree Important Symbols in The Glass Menagerie by Tennessee Williams      Ã‚  Ã‚  Ã‚   In Tennessee Williams The Glass Menagerie, the narrator is used to reveal elements of Williams own life as a victim of the Depression in the 1930s. Williams does this through his eloquent use of symbolism. Three symbols seem to reveal Williams intent especially accurately; the unicorn, the picture of Mr. Wingfield, and Malvolios coffin trick.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The unicorn is a symbolic representation of ways

Cultural Competence in Nursing Leadership and Management - Samples

Question: Discuss about the Cultural Competence in Nursing Leadership and Management. Answer: Cultural Competence in Nursing Leadership and Management Transcultural awareness and competency are two concepts that are occupying a pivotal role in the nursing field. Nursing is a profession that interacts with people from all over the world, and there is a need to exercise cultural competence in addressing the issues of health care disparities. This paper will analyze the idea of cultural competence in nursing leadership and management. The paper will first define cultural competence and then relate it to the theory of emotional intelligence. Further, the paper will discuss the leaders influence to reach a culturally competent healthcare. Definition of Culturally Competent Care By analysis of various medical definitions, the profession of nursing defines cultural competence as the nurse knowledge and understanding of the peoples cultures. It is an adaptation to consumers way of life regarding health approaches and interventions. A review by (Dauvrin Lorant, 2015) states that cultural competence is a concept within a healthcare professional that recognizes the significance of culture. The work further says that cultural competence is a practice that assesses cross-cultural relations. Therefore, it requires healthcare professionals to tailor their services to meet the health demands as shaped by diverse cultures of their patients. A culturally competent health care system acknowledges, integrates, and interacts with health dilemmas from different consumer populations. Healthcare professionals must be cultural sensitive, self-aware, and have personal experience by interacting with patients coming from diverse cultural backgrounds (Cicolini et al., 2015). Conferring with Sperry (2012) interpretation, a culturally competent person can naturally and efficiently exercise cultural awareness, knowledge, skills, and sensitivity while caring for people coming from diverse cultural backgrounds. However, it is not just enough to have all these skills. The important thing is their application in solving difficult situations. From a healthcare point of view, cultural competence refers to a professional set of skills, knowledge, and understanding of diverse groups. These attributes enable someone to assist patients coming from different cultural beliefs comfortably. It also includes the respect to patients culture and avoiding a bias influence while offering care to the patient (Hines, 2014) Literature Review A few studies (El Amouri ONeill, 2014; Cicolini et al., 2015; Dauvrin Lorant, 2015; Soule, 2014) stressed the importance and outlined the understanding of cultural competence. According to (El Amouri ONeill, 2014), the study explained cultural competence as nurse capability to undertake their duties within different families, clients, or communities cultural context. This study conducted a purposive sample that involved six government and four private hospitals. In total, 153 nurse-leaders agreed to participate. The study found that there is a demand for cultural competence in the delivery of care due to the increasing immigration. The study also demonstrated a need for the nurse leadership to promote staffs capacity to exercise practical and relevant cultural competency in all healthcare settings. This technique will see healthcare setting embrace the increasing multicultural mix. In the study of (Cicolini et al., 2015), the work defined cultural competence as a process where healthcare professionals integrate their cultural awareness, sensitivity, and experience in ones professional practice. The study used the highest degree of neutrality to identify healthcare leaders in respective health service. This cross-sectional study concluded the presence of three aspects. The first one was a reasonable cultural competence performance. The second one was a moderate-high cultural sensitivity, and last one was an average cultural awareness among the nurses. In the study of (Dauvrin Lorant, 2015), an analysis of 507 healthcare specialists revealed their social relationships while they interacted with other healthcare professionals. The study sort to relate the cultural competence of two healthcare groups. That is; it projected to match healthcare leaders' cultural competence against the followers' (staffs) cultural competence. This study identified a close association between the two groups cultural competence. This analysis noted that cultural competence is an element that affects healthcare leadership significantly. Soule (2014) undertook a study that aimed to examine the cultural competence within a healthcare setting. The survey defined cultural competence as healthcare professionals approach that focuses on care that respects the consumers values and beliefs. The author focused on a qualitative analytical design. Her study involved international participants from different disciplines such medicine, social sciences, nursing, and medicine. This approach allowed her to acquire comprehensive information regarding cultural competence. The study concluded that cultural awareness involves three themes, the awareness, involvement, and application. Even though this study described each theme, it failed to focus on cultural competence within the nursing discipline. The Impact of Nurses Emotional Intelligence to Improve Cultural Competency There have been lots of studies on the topic of emotional intelligence. Emotional intelligence (EI). EI is ones capacity to effectively understand and control ones emotions and those of others (Harms Crede, 2010). EI is a personal characteristic that has a significant impact on the concept of cultural competency in the healthcare profession. There are five components of emotional intelligence. These include the self-awareness, emotional social skill, self-regulation, empathy, and internal motivation (Harms and Crede, 2010). Emotional Self-awareness This element is the ability to recognize ones feelings, the cause of those feelings, biases, and their sensitivities (Rosenstein, 2015). Emotional self-awareness further allows someone to grasp the development of the emotions and their potential. Understanding personal feelings provide adequate self-support. It then extends to help someone with the strength to support others in their difficult times. In a healthcare setting, EI helps one to acknowledge and form a deeper knowledge of the different cultures while interacting with patients and their family members. Before attending to a patient, EI allows clinicians to examine their self-reflection before engaging with a patient. After that, they get the strength to study their cultural values, behaviors or beliefs. If the examination of these attributes confirms that one cannot manage their biases while handing the patient, they should understand that limitation and allow another competent colleague to attend to the patient. For exampl e, if a nurse is aware that she cannot give a reasonable counseling on abortion due to her cultural beliefs, then she should allow other nurses to do it. Self-awareness also allows a nurse to understand their culture, accept the cultural differences, and diversities. It doesnt matter how much power or title that someone has. What matters is recognizing the patients culture, and desisting from giving a treatment that the patient claims that it is against his or her culture. Self-regulate This element is ones ability to manage disruptive thoughts and moods. It is also the ability to revisit judgments and to think before acting on them. This EI component enables a nurse to show trustworthiness, integrity and accommodate changes. Since healthcare involves diverse cultures, self-regulation allows a nurse to incorporate a new positive behavior that is different from his/her own culture. It is more of fitting into a new lifestyle. For instance, a nurse brought up in the USA would need to self-regulate his/her beliefs to fit in in the daily routines of Indian patients if he/she is working in India. Empathy This one is the capacity to understand other peoples emotional makeup (Fitzpatrick McCarthy, 2016). These skills can be seen in the way leaders lead their team, manage and build trust. In a healthcare setting, professionals should understand that health care systems interact with people from diverse cultures. As diversity across the cultures increase, nurses would need to deal with day-to-day challenges coming from patients as well as ethical dilemmas. Further, as the healthcare embraces technology, this will be another world that also comes with its problems. Nurses would need to be stronger as they work in a collaborative team that is both in the same room or on the network. Internal motivation Motivation in IE means a persons desire to work for good reasons that are outside financial gains. It is a passion to work to save lives, bringing joy to others, or a willingness to learn. It is a tendency to follow goals with liveliness and persistence. In (Paez, Allen, Carson Cooper, 2008), the cross-sectional study aimed at determining whether a relationship exists between cultural motivation and work competence. The study found that care providers who demonstrated attitudes that reflected greater cultural motivation did not have difficulties in reducing disparities. Social Skills These are competent skills that enable people to manage their relationships and build networks (Singh Dali, 2013). It is the capacity to get along with others by finding common ground and building a rapport. In healthcare, of social skills include effectiveness in organizing changes, being persuasive, creating and managing teams (Goleman 1996). Healthcare leaders need to be conversant with social skills that eliminate language and cultural barriers. EI can help healthcare leaders to handle sociocultural factors such as community differences, moral, customs, ethics, language, and other cultural beliefs (Parvanta, Nelson Harner, 2017). For example, different cultures use body language, interpersonal distances, or eye contacts to communicate different meaning. A mismatch of any of the body languages may create a cultural norm problem hence raising an ethical question. A Review of Emotional Intelligence Theory as A Theoretical Approach Cultural Competence in Healthcare Delivery In healthcare, as with other sectors, intelligence is a significant factor for efficient performance. Healthcare profession cuts across different backgrounds of patients and families. All these people come with anxiety, and problems regarding their diagnosis, treatment, and financial complexities. Emotional intelligence is helpful among other qualities of a healthcare profession. In the healthcare environment, health workers also encounter other problems like misunderstanding among themselves and hurdles of organizational culture. The required skills for a healthcare professional falls either under soft and hard skills (Klaus, 2008). Hard skills are the practical skills that someone can learn from a training such as medical schools or advanced nursing training. On the other hand, soft skills are distinct, and they include interpersonal, professionalism, and communication skills among others (Vijayalakshm, 2017). The application of all these skills relies heavily on emotional intelligence. The two components of EI are the personal and social emotions (Mandal, Shanwal Emmerling, 2008). Therefore, from a theory point, EI refers to a wide range of professional competencies. In practice, any leader can only accomplish the work objectives through others. Healthcare leaders oversee the care efforts of other staff members. At all levels, leaders and other professionals set the EI culture. This culture has direct impacts on their relationships with patients and that with their colleagues (Mrkonjic Grondin 2011). When a healthcare system overlooks the development of the EI culture, the professionals dispose themselves to disruptive behaviors (Oliveira et al., 2016). Creating healthcare environments that are non-focused leads to emotional exhaustion and poorer emotional health in nurses (Cummings 2009). Creating the same healthcare with EI environment enhances nurse satisfaction, and retention (Cummings 2009). Poor EI in healthcare does damage the organizations reputation. Patients are likely to seek services elsewhere where nurses understand their diversity. Reuven Bar-On, a pioneer scholar in EI, provides a compelling description of EI as an array of non-cognitive competencies, capabilities, and skills that inspires ones ability to do well in coping with environmental stresses and pressures (Stein Book, 2010). Indeed, public health and private healthcare are fields troubled with environmental pressure and demands with which nurses must endlessly persevere. Emotional Intelligence is a vehicle for building alliances. It is a tool for repairing damaged relationships. Healthcare leaders and professionals must understand the challenging nature of the work and the difficult times that fray relationships due to cultural backgrounds, discriminations, need for recognition, or competition for opportunities. However, the same people that have diverse cultures in the same arena must rely on each other for survival. Nurses need their colleagues as the colleagues need them. Similarly, patients need the nurses as nurses need them. Goleman is another leading scholar of EI. He suggested that 67% of the required competencies for successful leaders fall under the realm of emotional intelligence (Goleman 1996). He stated that emotional intelligence was a skill that has two dimensions. The first one is the personal competence and the other one as the social competence. In the study of (Gorji1 Ghareseflo, 2011), the report sort to examine the relationship between cultural and emotional intelligence. It also studied the effects of EI in the university employees performance. The sampled composed of 115 randomly selected employees. This study found that application of EI in a culturally diverse working relationship increased employees performance. While emotional intelligence skills might not be innate, one can develop them through learning (Goleman 1996). Also, the development of these skills requires a willingness to adjust personal shortcomings and to show a sense of humility. Unlike cognitive skills where you can correct an error through referring to the facts or honing up behavioral skill, correcting EI works through taking feedbacks positively even though they feel personal. Influence of leaders on the cultural competence of healthcare professionals. Culturally competence in healthcare is a practice drawn from the provision of the social impartiality and principles of fundamental rights irrespective of the social framework. The provisions of social justice and application of cultural competence in healthcare can significantly reduce disparities. Currently, there are global migrations. This migration causes a shortage of nurses, and a need for culturally competence skills among nurses (Miller et al., 2008). One role of healthcare leaders is to advocate for equality and the rights of the disadvantaged. Despite that leaders start by encouraging this practice within a small group of employees, the practice will eventually transform the organizational culture and consumers will know that the institution treats everyone with respect. In (Dauvrin Lorant, 2015), the study hypothesized that healthcare workers would become cultural competent by observing how their leaders practice it. The study also hypothesized that the characters of a leader could have a significant effect on the healthcare management including the efficacy of cultural competence. The study discovered an improvement of cultural competence among healthcare staffs due to their association with their culturally competent leaders. Culturally competency in nursing leadership is a tool setting for a change in self, the organization, and other staffs to accomplish effective health results for the entire society. In (El Amouri ONeill, 2014), the study reported that leaders of both public and private hospitals practice cultural competence. The leaders demonstrated an insight that multicultural care practice is an aspect that can have a significant impact on health provision. However, this purely depends on the way healthcare leaders handle the issue. The ultimate goal of this study was to examine the effects of leadership styles and their influence to the other workers cultural competence. This study found that leadership style can significantly impact the way the staffs performance regarding the expectations of a healthcare institution. Different leadership styles bestow different freedom of management to the leaders (El Amouri ONeill, 2014). An authoritarian leadership style is more likely to restrict leaders in making and implementing changes. On the other hand, transformative style can stimulate the intellectual capacity of the employees (El Amouri ONeill, 2014). Therefore, transformati on leadership has higher chances of incorporating new changes to include cultural competence that the authoritarian style. Organizational factors are another approach that can also influence cultural competence. According to (Dauvrin Lorant, 2015), the degree of support that the organizational environment offers in encouraging cultural competence determines how health professionals would develop their cultural competence. There are various avenues for this approach. Healthcare agencies and organizations can provide the infrastructure that supports culturally congruent to the consumers (Douglas et al., 2009). Similarly, organizations can strengthen the realm's workforce by cultivating cultural competency through action plans, training, and education. For instance, (Jackson Gracia, 2014) states that U.S. government agencies, private and academic institutions provide educational materials to support health-care providers in acquiring and applying cultural competency skills. Also, the work of (Wilson-Stronks, Lee, Cordero, Kopp, Galvez, 2008) states that it is the responsibility of the organizations leade rship to implement policies and procedures that aim at optimizing the channels for care in culturally diverse populations. The work also states that leaders should ensure the integration of such policies throughout the organization. Recommendations for Supporting Nurse Leaders in Ensuring the Effective Delivery of Culturally Competent Care. There are numerous avenues for effective delivery of a culturally competent care. However, the journey begins with healthcare leaders themselves learning and readdressing the issue of cultural competency. They should lead other staff by undertaking a cultural awareness competent training. In (Ong-Flaherty, 2015), the work states that education approach supported by leaders is one mechanism for developing critical cultural awareness. The work also recommends exposure to new cultures through a method of cross-cultural interactions. This technique can enhance cultural relativity and cultural humility. Another recommendation regards both the healthcare organizations setting and health care providers. In (Saha, Beach Cooper, 2008), the study recommends that healthcare leaders should implement principles that focus on both cultural competence and patient centeredness. In this approach, this study finds that the method will enable the alignment of services to meet the requirements of all patients, families and other disadvantaged groups. As many disparities in health care are the main outcome of cultural barriers, almost all dimension for improving cultural competence recommends awareness of the diverse culture. For instance, in the study of (Horvat, Horey, Romios Kis-Rigo, 2014), the study meant to assess the influences of cultural competence teaching on the performance of health professionals on different patient-related instances. The study concluded that cultural competence is a continuous learning process. The training showed a significant improvement in the practice of cultural competence in the provision of care. Conclusion Cultural competence is not an optional skill in a healthcare setting. It has now become an element that determines the entire qualification of a heathcare professional. Also, cultural competence go hand in hand with emotional intelligence. These are some of the skills that every nurse should have so that they would be able to serve the public at any part of the world. The ultimate goal of this paper was to treat the idea of cultural competence as a skill for both healthcare leaders and staffs. The paper has discussed this idea, and covered the idea of emotional intelligence. Overall, anyone can develop these skills through either practicing them or learning References Douglas, M., Pierce, J., Rosenkoetter, M., Callister, L., Hattar-Pollara, M., Lauderdale, J. et al. (2009). Standards of Practice for Culturally Competent Nursing Care: A Request for Comments.Journal Of Transcultural Nursing,20(3), 257-269. https://dx.doi.org/10.1177/1043659609334678 Horvat, L., Horey, D., Romios, P., Kis-Rigo, J. (2014). Cultural competence education for health professionals.Cochrane Database Of Systematic Reviews. https://dx.doi.org/10.1002/14651858.cd009405.pub2 Jackson, C., Gracia, J. (2014). 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Teddy Roosevelt Essays - Ballot Measures, Direct Democracy

Teddy Roosevelt The progressive believed that by applying a more uncorrupt form of democracy they could in fact fix the already corrupt democracy especially at the state and city levels. The progressives believed that if given a chance the majority of voters would elect honest respectable officials unlike those elected by the corrupt political machine but to do this they needed people to vote. So they compiled numerous methods for increasing the participation of the average citizen in political decisions. The secret ballot box, by using the method adopted by the Australians the voter would not be manipulated by the political party that would affect a voters decision by standing next to a ballot box and intimidating him or her. This method was first accepted by Massachusetts in 1888 and proved to be really popular by 1910 all voting states adopted this method. The progressive governor of Wisconsin Robert La Follete introduced the method of direct primaries in which the majority vote would elect the p arty candidates for the state and federal offices. This method was used to try to minimize the power of political bosses to try to keep the corrupt officials from gaining office once again. The direct election of state senators was also a plus for the progressives for many years the senators had been selected by the vote of the state legislature. The corrupt state legislature would then of course vote for the corrupt official for senate. After a while the senate begun to look like a club for the rich man. In 1913 the seventeenth amendment required all that all U.S senators be elected by the popular vote. By calling for Initiative, referendum, and recall the Progressives allowed by initiative to take part in the process of having a legislature pass a bill, to allow voters to vote on proposed laws on their ballots by way of referendum, and finally recall which allowed voters to remove an unsatisfactory politician from office by majority vote before the end of his or her term. Such peo ple as New Yorks Charles Evans Hughes, Californias Hiram Johnson, and Wisconsins Robert La Follete put the initiative, referendum, and recall to use so that they could win back their government for the people from the big businesses, and corrupt bosses. With the new reforms the political machine was left out to rust and Progressives cured democracy by using or making more of it. Political Issues