Prescription Addition Essay Example | Topics and Well Written Essays - 1750 words

Prescription Addition - Essay Example This paper shall examine the various reasons for prescription addition of the eye of an individual. We will examine various common ailments and the reasons due to which these ailments cause a prescription addition. The areas which will be studied in this section are Presbyopia, Anisometropia, squints, the various debilitating effects of diabetes mellitus and juvenile stress myopia. These issues will be studied with respect to their relevance in prescription addition. The other major issue which will be studied is the difficulties in dispensing eye prescriptions. This issue is an often neglected issue, but it has a big effect on the patient as it is the patient who is eventually denied suitable eye care. The dispensing issues which will be examined are aphakic prescriptions, iseikonic lenses, pediatric dispensing, low vision aids and protective spectacles. These dispensing issues will be examined from the patient's viewpoint. As mentioned earlier there are numerous causes due to which prescription addition occurs. The most common is Presbyopia, which is caused due to increased age. The main cause of presbyopia is the reduced suppleness of the lens in the human eye. This suppleness is required to focus the objects near the eye. The Ciliary muscle which helps the eye to focus becomes less efficient. The lens loose their ability to alter their focusing power, the capsule which contains the lens in the eye loses its suppleness. The combination of these two factors results in a decrease in the ability to accommodate (reduced accommodation) (Woodruff 2001).This results in progressive prescription addition with the passage of time. Anisometropia Anisometropia is caused due to the differences in the dioptric values between both eyes of a single person. This is generally caused either due to refractive surgery causing a difference in the ability of both eyes. Other reasons are overcorrections of myopic and hyperopic patients. Lastly, Anisometropia is also caused, if one eye is significantly more astigmatic than the other. Irregular astigmatism can cause an imbalance in the refractive power of both the eyes (Woodruff 2001). Prescription addition due to Anisometropia are caused primarily because of either surgery causing a difference in the refractive power between either eyes or the overcorrections of myopic and hyperopic patients. Squint A squint refers to a state where the eyes are not aligned in the same direction Squints are caused by many reasons and occur more in children. As we are focusing on prescription additions, squints especially those that arise from hypermetropia (long sightedness) are treated with the relevant prescription addition. Then the child will be assessed for the decrease of the degree squint and the child's prescription will be changed accordingly. There are various reasons for the occurrence of squints and consequent prescription addition (for the correction of the squint) amongst children. Illnesses like viral fever, measles, and meningitis are known to cause squints. Injury to the nerves attached to the eye muscles can also cause squint.

Medication administration via enternal tubes, a survey of nurses Essay

Medication administration via enternal tubes, a survey of nurses practices - Essay Example The report was authore by Nicole Margaret who is a PhD holder, a lecturer and administrator at Deakin University, and Ruth Endacott, a professor at Monash University. This paper seeks to analyze the nursing research article. The paper will look into benefits of ‘evidence-based’ practice in the scope of nursing profession and then review the research article. Why evidence based practice is important in nursing Evidence based practice is important to all stakeholders in the scope of nursing. Patients are one of the categories of stakeholders that enjoy the benefits of ‘evidence-based’ practice. As beneficiaries of healthcare and with the precision in diagnosis, prescriptions and recommendations that are prompted by ‘evidence-based’ practice, the patients stands to benefit from higher quality healthcare services (Polit and Beck 1. P. 34- 36). Evidence based practice also enhances patients’ confidence in the offered services based on the beli ef that the personnel are competent and would only use the practice for a good cause. Development of ‘evidence-based’ practice has also induced higher level of proficiency among nurses by keeping them informed. In order to apply the practice that is research based, the personnel have to conduct a literature review over each subject matter, a step that keeps the nurses informed of the skills and knowledge in the profession. The nurses therefore benefits from improved capacity in knowledge and skills in the profession. Healthcare organizations, operating in a competitive market in which customers are quality oriented also benefits from ‘evidence-based’ practice. The level of precision in approach to healthcare based on the practice and the associated quality makes an organization that applies evidence base practice more competitive than those that do not use the practice. Development of the practice therefore helps health organizations to be more credible com pared to their competitions. The community on the other hand benefits from better services for a healthy society (Courtney and McCutcheon, 2009, p. 5). Evidence based practice is also generally important to stakeholders in the nursing scope due to its effects of improved quality services in practice. By forming grounds for informed â€Å"decisions and actions,† evidence based practice ensures competence in administration of healthcare. It means application of most appropriate approaches to solving precisely identified problems. This has been associated with practices that â€Å"are appropriate, cost effective, and result in positive outcomes for clients† (Polit and Beck, 2008, p. 4; Houser, 2012, n.p.). Similarly, Holland and Rees applauds ‘evidence-based’ practice for effectiveness in service delivery within the nursing profession. Evidence based practice is therefore important to all stakeholders in the nursing profession. Its underlying advantage is the induced precision, efficiency and effectiveness that is associated with better utility (Holland and Rees, 2010, p. 7). The research problem as it relates to the chosen article The research problem is to investigate the article within the scope of a quantitative research approach. Features of qualitative research and analysis of the extent of application of the features in the article therefore form the basis for evaluation of the relationship between the research proble

Gender inequality in Russia Essay Example | Topics and Well Written Essays - 2000 words

Gender inequality in Russia - Essay Example It is generally agreed that Russian women are not equal to men and that they undergo oppression. Vovk indicates that in national home interviews carried out in the year 2005 (February 25 to 27) in a hundred residencies in forty-four regions, 24 percent of respondents held the opinion that the world treats women and men in the same way. On the other hand, 61 percent of respondents believed that Russian women’s life is harder compared to men, while 8 percent believed that women live an easier life. Generally, the same is true for promotion and self-actualization. Of the year 2005 respondents 51 percent concur that in the present day, men have more opportunities for the realization of their potential, while in national home interviews carried out in the year 2004 (February 28-29), 58 percent of the respondents concur that the `double standard' that Russian institutions and companies practice provides men with better career opportunities. According to 30 percent and 37 percent, re spectively, though, Russian women have equal chances with men for promotion and self-actualization. Gender inequality in Russia manifests itself in different spheres, the first one being access to education. While the traditionally ‘male’ professions have been free/no-fee, the Russian government-introduced for-fee education has predominantly affected women or the ‘female’ professions making it hard for them to learn. This implies that the expenditure of budget money that the federal government allocates for education has progressively become gender asymmetric, and not in women’s favour. As far as higher education is concerned, the mounting discrimination policy on the part of educational institutions themselves is a crucial factor that makes it difficult for women to access education. In the 1960s, the gender factor only decreased the female applicants’ chances of enrolment in higher educational establishments by 2.4 percent. In the 1980s, it decreased their chances by 6.2 percent while by 1990s, it had reduced them by 12 percent (Mezentseva, 1). Another vital area in which women in Russia are discriminated against has to do with wage levels/material gains from education. Mezentseva notes that although women trail behind men concerning wage levels in all countries, the rise educational levels is narrowing this gap in virtually all countries. However, to date, this trend is the reverse in Russia. A study from the RLMS5 in 1998 revealed that the average wage of a woman varies from 53-66 percent of that of a man for the seven recognized educational levels (from ‘no secondary education’ to ‘higher education’). On the average, females with postgraduate education receive lower wages compared to men with secondary education. Women with university education only earn more compared to men with incomplete university education (Roshchin, 11). The least material return from education was observed in profess ional groups where women are in the majority, while the biggest the biggest material gain from education w

Leadership assignment Example | Topics and Well Written Essays - 1500 words

Leadership - Assignment Example The main drawback of the manager was that he was very autocratic in his style. The company consisted of 100 employees then. Though there were divisional managers for each functional level, the decisions for the functional levels are taken by the MD himself. Even if the decisions of the divisional managers are worth, the MD hardly approves them. The second major drawback of his is that he is less concerned about the growth of his employees. In other words, he is highly afraid of being dethroned by other talents in the company. When an employee aims for taking accreditation tests, he de-motivates them by saying that it is not required at their stage and they could think of it on some later years. Overall he wants the employees to progress very slowly in the organization. But there is one good quality that he possesses. He takes quick decisions. There were many instances where the company required immediate decisions to sustain business. He was good enough to take decision at the right time and sustain the business. Though decision making is one of the best skills of a leader, its sole possession cannot make a person an efficient leader. Organizational Structure and Culture The organization which I worked for was a partnership firm. The company had a very informal culture. As per the firm’s objectives, there were no strict hierarchies to be followed. Everybody from the associate staff to the top directors of the firm are to be addressed each other’s by their first name only. Even an associate staff has the liberty to report anything directly to the chairman or director. Every individual who is recruited to the company is being given orientation program about the organizational culture and practices. This one week of orientation program is given in order to make the individual learn and unlearn various things. The culture of the firm has definitely helped me to enhance my relationship skills. The only hindrance for growth was the attitude of the manag ing director. My role in the company was a consultant. A consultant is just one level next to the associate staff. I am a person who likes to interact and mingle with people. The company’s culture helped me to be in constant interaction with the divisional managers and even the managing director. I could always interact with them on work or non-work related matters. The workforce of the firm was divided into various groups based on the companies for which the consulting is performed. A group is not permanent and each group will have members based on their team requirements. For instance, the team for Kraft Foods consulting will be different from the team for John Deer consulting. Both the teams may or may not have common members in them. Therefore, the team system enables an individual to be connected with various people in the organization. The team will also undergo minor re-shuffling every year. Each team will also have a person as a team lead who will manage the smooth fl ow of work in that team. Therefore, it gives an individual the opportunity for enhancing their leadership skills. Performance of the selected leader As discussed before, one of the good qualities of the managing director was his effective communication skills. He always communicated well with the employees. In that way he has helped me to motivate me on my communication skills. I always like to interact with people. I could always talk to him about anything. He always

Budgetary control Essay Example for Free

Budgetary control Essay Nowadays management’s philosophy revolves around the idea of planning. According to McKinsey (1922), chief executives have come to the realization that today’s task can only be properly fulfilled thanks to the meticulous planning of yesterday. The budgetary control framework has been openly accepted and widespread as a tool for management and overall organisation control. Nonetheless, recent evolutions in the managerial sciences have come to jeopardise the reliability of budgeting as an effective method for the control of performance and organisation. The concern of whether budgeting is in fact an apt tool has created mixed views and debate amongst scholars. This essay will aim to evaluate whether budgetary control is concerned primarily with the control of performance, or if it has of late taken on greater importance especially as a more integrative control mechanism for the organisation. In order to do so it will firstly define the meaning of two fundamental concepts such as budget and budgetary control. Secondly it will evaluate the use of budgetary control as a tool for today’s organization. Thirdly it will follow debates and criticisms on its the effectiveness and use and Lastly it will conclude by assessing to what extent budgetary control has become a more integrative control mechanism for organisations. The work of key specialists in management such as Bhimani, Otley, Van der Stede and McWatters, will be drawn on in order to cover the key issues of the discussion. Before commencing on a discussion of budgetary control, it is immanent to clarify and define the two key terms that will be used in this essay: ‘budget’ and ‘budgetary control’. On the one hand, as defined by Bhimani et al. (2008) â€Å"a budget is a quantitative expression of a proposed plan of action by management for future time period and it is an aid to coordination and implementation of the plan†. On the same line McWatters et al. (2008) highlights the importance of budgets as a planning control system for a company, which ‘translate’ organisational objectives into financial terms. Drury (2009) exemplifies the many different purposes that budgets serve, such as: coordinating activities, conveying various arrangements to different responsibility centres, arranging and controlling operations, motivating employees to attain organisational objectives and assessing the execution of managers. According to Johnson (1996), it was in the 1960s that associations started to highly regard the utilization of budgets as tools for performance measurement and the control of managerial objectives. On the other hand, budgetary control is described by Periasamy (2010) as â€Å"a system of controlling costs which includes the preparation of budgets, coordinating the department and establishing responsibilities, comparing actual performance with the budgeted and acting upon results to achieve maximum profitability†. A similar, yet more formal, definition of budgetary control is given by the Chartered Institute of Management Accountants of England and Wales (CIMA): â€Å"the establishment of budgets relating to the responsibilities of executives to the requirement of a policy and the continuous comparison of actual with the budgeted results, either to secure by individual actions the objectives of policy or to provide a basis for its revision†. There are two main purposes of budgets which scholars have identified: planning and controlling. The first purpose, which McWatters et al. (2008) discusses, is that budgets have a fundamental role in undertaking planning decisions. In fact, the integration of budgets into a strategic planning of long term and short-term objectives is crucial to the harmony of the project itself. This claim can be explained by Bhimani et al. (2008) who proposes that, budgets provide a more realistic view on the possible outcomes of investments, which consequently leads managers to adjust their strategic goals accordingly. To put it another way, when a company wants to match its potentials suitably with the prospects of the marketplace, it undertakes a strategic analysis to then set several long-run and short-run goals. On this basis a budget is formulated. However, as stated before, once the budget that has been formulated projects a more realistic view on the strategic objectives, these strategic objectives are then readjusted once again. The second purpose that Emmanuel et al. (1990) discusses is to do with budgets as a form of control and a tool for monitoring a company’s performance. McWatters et al. (2008) describe this function by outlining the idea that budgets are frequently used to assign responsibilities by allocating resources to different managers. A budget may be given with more or less flexibility, for example by assigning a large sum of money for ‘advertising’ to be used at the managers discretion, or by highlighting the different ways that this money should be used. The optional flexibility of budgets allows for a company to give the adequate level of responsibility to its employees and thus the organisation is able to maintain a level of control. McWatters et al. (2008) further elaborates on the function of budgeting for control by suggesting that â€Å"the numbers in a budget are also used as goals to motivate organisational members†. This motivational aspect of budgeting can be explained by Bhimani et al (2008) who states that â€Å"the manner in which a budget is administered can adversely impact on the managers’ behaviour†. A manager must believe that the budget is achievable in order to actively attempt to pursue it, Bhimani et al (2008) adds that through the constraints and goals set by budgeting targets, managers are often motivated to â€Å"effect changes in a forceful way†. The way that a budget is formulated, and the demands and pressures that it targets are key in encouraging the right degree of motivation, â€Å"an enterprise can set a difficult to attain budget in an attempt to motivate good performance. This is because, in practice, budgets that are set up to a certain degree of tightness often become stronger motivators† (Bhimani et al. , 2008). A final point to consider with the role of budgetary control is the function that it plays in enhancing communication within a company. Internal coordination between the steps of production , as well as communication among departments are key aspects for a company’s performance. Dury (2009) states that â€Å"the budget serves as a vehicle through which the actions of the different parts of an organisation can be brought together and reconciled into one common plan†. Hence, hierarchical and inter-departmental communication within the organisation is extremely facilitated thanks to the use of budgets. For instance, considering a multinational corporation that, due to its size, has difficulties in communicating between the production department and the sales department, budgets could in this circumstance be the most operational manner of communicating, as they set common goals between different departments. As it is clear form the paragraphs above, the controlling side of budgets play a stronger role than the planning aspect. An example that instead criticise this view can be found in the strategic planning of investments. Maximising performance of a company can be synonymous for maximising the shareholders value. Akintoye (2008) argues that equality in investment decisions are fairly dependent on the solidity of the budgetary control system, which in turn is key to maximise the company’s shareholders value. Therefore, it is arguable that a weak budgetary control system may be the cause of unprofitable investments and consequently may trigger the loss of shareholders value (Akintoye, 2008). There are many examples that reflect this issue, such as one reported by the European Journal of Economics Finance and Administrative Science where the Coca-Cola Company, with the purpose of differentiating production, failed miserably in their investment on food and wine in that the investment rate of return resulted to be beneath their cost of capital. The tremendous loss of money caused by this investment and other failures of this type grab the attention of scholars, raising questions on the salience of the budgetary control system, as well as whether budgets are mainly used to control or plan organisations. Other criticisms towards budgetary control as a main form of performance control, argue instead that the use of budgetary control in performance management has of late taken on greater importance especially as a more integrative control mechanism for the organisation. This stands on the basis of different points of view of the role that motivation and communication play within a company. Bhimani et al. (2008) argues that current speculation concerning budgetary control systems prescribes two inverse perspectives. From one perspective, there is the view that upholds incremental change to budgetary process in terms of interfacing such forms more closely to operational prerequisites, arranging frameworks, expanding the recurrence of plan amendment and the arrangement of rolling budgets. A second perspective supports the abandoning of the budgetary control system as a method of organisational control, and supplanting it with elective systems to empower firms on their adaptability and adjustability. The second perspective arose because of the consequences caused by the conflictual role of budgets between planning and controlling. To summarize; in planning and settling choices, budgets convey specialised information between different departments and hierarchy of the organisation, whereas for control, budgets serve as benchmarks for performance measurement (Otley, 1978). According to McWatters et al. (2008) if too many boundaries are placed into performance targets, then specialised executives will settle down and stop disclosing accurate predictions of prospected occurrences, and instead rely more on budgeted figures, which ease the achievement of the targets. A clear example of this conflict is given by the marketing sector. Salespeople according to McWatters et al. (2008) are usually very specialised and can very well forecast future sales. Their predictions are very important to settle the amount of goods to be produced. Inasmuch budgetary control of sales takes place at the end of the year, and it is used as a tool to evaluate performance. Salespeople are reasonably incentivised to under-forecast future sales in order to assure a positive evaluation of their performance. Nevertheless this behaviour induces the company to have higher production costs, creating counterproductive results. However, this behavioural theory is contrasted by Van der Stede (2000) in his study on the relationship between two consequences of budgetary control: slack creation and managerial short-term orientation. In his experiment he attempts to find the relationship between rigid budgetary control and slack creation, where he defines slack as the action by business unit managers that leads them to â€Å"†¦ exploit their position of superior knowledge about business possibilities vis-a-vis corporate management to get performance targets that are deliberately lower than their best guess forecast about the future† (lukka, 1988). Van der Stede’s (2008) statistical correlation showed in fact that rigid budget control reduced slack. To strengthen his view, Bhimani et al. (2008) states that â€Å"budgeted performance measures can overcome two keys limitations of using past performance as basis for judging actual result†, meaning that, not only budgetary control is a good â€Å"judge† of performance, but it also develops better aspects in comparison to other evaluation techniques. In conclusion, this essay has highlighted the role of budgetary control and it’s functions in terms of planning the organisational control of a company, as well as its role in performance management. Motivation and communication are both key aspects in the management of performance, and both of these functions are met through the system of budgetary control, either by setting achievable incentives, or by providing the necessary requirements to improve communications within a company. Having underlined the role of budgetary control as an enhancer of performance management, it is clear to see how it has become a key mechanism for the integrative control of an organisation. Nonetheless, this essay has outlined some of the key disputes of the reliability and effectiveness of budgetary control as an adequate method of performance management. An example of this is highlighted by the fact that when managers are given strict budgeting figures, they sometimes deem the goals to be too easily achieved, and hence give a lesser input of motivation. Despite the many critics of budgetary control as a tool for the organisation of a company, scholars such as Van der Stede (2000) and Bhimani et al. (2008) have confidently stated that when a budget is set correctly, it can significantly improve an organisations performance, including the integrative function within a company; and is in fact a more effective tool than other existing methods of control.

CNS Breathe Right Essay Example for Free

CNS Breathe Right Essay Company Profile CNS was originally formed by Dr. Daniel Cohen and Dr. Frederick Strobl as a medical equipment company in 1982. Strobl and Cohen were neurology residents at the University of Minnesota hospitals. Strobl was also an electrical engineer. The original intent of the company was to revolutionize brain activity monitoring by inventing and marketing a personal computer equipped with a circuit board that could analyze brain waves in real time during operations. After five years of increased technological advances but a steady decline in sales, the company hired Fred Brooks as president. In 1990, the company finally recorded profits in 1990 for the first time by marketing their brain monitoring equipment to sleep clinics. In 1991, Cohen met with Bruce Johnson, who wanted to scientifically advance some ideas he had for a nasal dilating system. After many attempts to dilate his own nasal passages internally, he came up with the idea to dilate them externally. Johnson then spent the next three years working on a spring loaded strip that would lift his nostrils and keep them dilated. CNS then acquired the rights to market and sell this product in 1992, and Cohen reassumed the position of president. In 1993, CNS hired Richard E. Jahnke as their new president. Because of a lengthy FDA approval process, it took a while before the Breathe Right strips could be sold to distributors. Because of this and because of continued losses in the sleep disorder market, CNS reported more losses in 1993. In 1994, however, things started to change. CNS was allowed shelf space in Eckerds, Walgreens, and Snyders. This, along with two endorsements from Herschel Walker and Jerry Rice, two prominent NFL athletes who swore by the use of the strip at the time, the sales of Breathe Right doubled in the fourth quarter of 1994. The company enjoyed continued success through  marketing the strips as a use for athletic enhancement, a cure for snoring, a sleep aid, and a drug free way of degongestion. Financial and Non-Financial Goals The original non-financial goal of CNS was to produce efficient and useful technology to monitor brain activity that neurologists could use to effectively receive and translate data from electrical signals in the patient’s brain in real time during an operation. After this attempt at innovation failed to be profitable, the company acquired the marketing rights to the nasal strips invented by Bruce Johnson, and the company’s primary goal was the marketing and sales of the â€Å"Breathe Right† nasal strip. Sources http://www.answers.com/topic/cns-inc http://www.answers.com/topic/cns-inc#ixzz2HFZZmk2c http://www.calmu.edu/blog/international-marketing-the-success-of-cns-breathe-right-nasal-strips/ http://www.youtube.com/watch?v=iexvzcmzYB0 http://www.breatheright.com/ http://www.studymode.com/essays/Analysis-Cns-Breathe-Right-Strips-62927.html

Reward systems at heritage le telfair

Reward systems at heritage le telfair Tourism industry is a heavy dependent of human interaction, including employees (Baum, 1993; Davidson, 2003). Go et al., (1996) argue that the of products or experiences quality relies on competent, committed, and satisfied hospitality staff. Subsequently, numerous studies have demonstrated a positive correlation between employee satisfaction and customer satisfaction (Schmitt and Allscheid, 1995; Schneider et al., 1998; Ulrich, et al., 1991; Wiley, 1991) cited in Jing and Avery (2008). Hence, to ensure job satisfaction the appropriate reward mechanism needs to be adopted (Danish and Usman, 2010; Bai et al., 2006). Rewards play an important role in organizations today: they influence a variety of work-related behaviour (Eastaugh, 2002; Helmer et al., 1988) and as well as the motivation of employees (Nayeri et al, 2005). Reward can be defined as the benefit derived from performing a task, rendering a service or discharging a responsibility (Pitts, 1995; Silbert, 2005). Thus, this conceptual analysis aims at reviewing clear definitions of reward systems (Lawler, 1993; Herzberg, 1966) and its structure (Bartol and Srivastava, 2002). Light will also be shed on the development of reward systems by Zhou et al., (2009), its objectives by Lawler (1993), and the total reward system (Armstrong, 2006). Furthermore, the literature sets out the prominent reward practices of the hospitality industry argued by a myriad of authors, lists the tools to determine reward effectiveness (e-reward, 2009) and finally analyse the perceptions of managers and employees on rewards by Nelson, 2003; Perkins, 2007, among oth ers. 2.1 REWARD SYSTEMS Reward Systems are a critical part of any organisations design. The way in which they fit with its other systems will determine the latters effectiveness and the quality of life of its employees (Lawler 1993, p.2). Reward systems refer to the intrinsic and extrinsic benefits that workers receive from their jobs (Herzberg 1966; Katz and Van Mannan, 1977). Moreover, Byars and Rue (1997) define reward systems as being all the returns employees receive as a result of the employment by their organization, monetary as well as non-monetary. In contrast, Armstrong, (2006) incorporates the element of effective reward management in order to benefit both people and organisation in his definition. 2.1.1 STRUCTURE AND COMPONENTS OF REWARD SYSTEMS According to Bartol and Srivastava, (2002) and Grawitch et al., (2007, p.3), rewards could range from: Monetary and; Non-monetary incentives In addition further research by De Cenzo et al. (1996) has been agreed by Bartol and Srivastava, (2002) on the categorisation of rewards as being intrinsic and extrinsic (depicted in figure 2.1.1). Figure 2.1.1: Reward Structure-Source: De Cenzo et al., 1996 2.2 DEVELOPMENT OF REWARD SYSTEMS Attesting that reward development has experienced five phases, Zhou et al (2009) summed up the relevant records in table 2.2a. Table 2.2a: The Five Phases of Reward-Source: Zhou et al, 2009 To provide a historical glimpse, another version on the development of reward systems-figure 2.2b-has been compiled from Shermon, 2004; World at work, 2007; AWLP, 2006. Figure 2.2b: Brief Overview the Evolution of Reward Systems Source: Adapted from Shermon, 2004, World at work, 2007, and AWLP, 2006 2.3 OBJECTIVES OF REWARD SYSTEMS Every hospitality industry employer wants to recoup back investment on its employees (Glenn, 2006). Traditionally, the purpose of reward systems is to monetarily reward desirable behaviour (Bartol and Srivastava 2002; Rajagopalan and Finkelstein 1992). But, further research suggests that there are other objectives which potentially can impact organization effectiveness (Lawler, 1993). 1. Attraction and Retention Enz (2009) affirms that attraction and retention are among the main HR areas of concern in the hospitality industry. A firms reward system can influence employees desire to stay in the company-as demonstrated by Bamberger and Meshoulam, 2000 and MacDuffie, 1995. Similarly, Gerhart and Milkovich, (1992) are convinced that organisations which give the most rewards tend to attract and retain most people. However, owing to its poor image in terms of remuneration and working conditions (Baum, 2007; Kusluvan and Kusluvan, 2000), the hospitality sector has lost its ability to attract and retain skilled staff compared to other sectors (Christensen Hughes, 2002; Lucas and Jeffries, 1991; Barron, 2008). On a serious note Terry and Lam (2000) cited in Chellen and Nunkoo (2010) warns that if hotels want to survive in todays highly competitive arena, they earnestly need to attract and retain quality employees. Though not being a panacea, to facilitate organisational commitment to employees has be en the idea proposed by Dawson and Abbott (2009) with the aim of a positive relationship with attraction and retention of these employees 2. Motivation of Performance Wagner (1990) claims that a primary concern in the design of reward systems is how well the plan will work in motivating employees. Responding to this, the works of Gerhart and Milkovich, 1992; Lawler, 1971, 1990; Bamberger and Meshoulam, 2000, MacDuffie, 1995 have proved that reward systems have been demonstrated to motivate performance under certain specifiable conditions. Simons and Enz (1995) research translated that hotel employees viewed bonuses associated to guest-satisfaction scores as an opportunity for motivation. Affirmatively, Torrington et al, (2009, p. 162) and Rabey (2000) allege that expectancy theorys advocates and behavioural sciences believe that employees will work harder if rewards are attached. Nonetheless, (Luthans and stajkovik, 1999) contest that there are a few who challenges the above perspectives. Such a scholar is Kohn, (1993), who concur that any incentive system makes people less enthusiastic, hence, less committed to excellence to their work. Notwithst anding with the above views, Chopin et al., (1995) have found that compensation depends on firm size and performance 3. Skills and Knowledge Just as reward systems can motivate performance they can motivate skill development by tying rewards to it (Lawler, 1996b). Jamison and OMara, 1991 and Pfeffer, 1998 explain that healthy work programmes are those which provide employees with the opportunity to increase and apply their knowledge and skills to different situations. Indeed, Kilik and Okumus (2005) ascertained that education and training were associated with productivity in hotels. Also, there has proved to be a positive relationship between training and employee retention, as reported by Dearden et al. (1996); Umiker (1994); and Blundell et al., (1996). However, being reputed for its high labour turnover culture (Denvir and McMahon, 1992; Deery, 1999; Tracey and Hinkin, 2006; Pizam and Thornburg, 2000; Rowley and Purcell, 2001; Lo and Lamm, 2005), the hospitality industry faces a lot of educational investment loss when training was provided to those leaving employees (Kang and Gould, 2002, Iverson and Deery, 1997; Rowle y and Purcell, 2001; Jenkins, 2001). 4. Culture Kerr and Slocum (2005) are among the advocates of the approach that the reward system can be a powerful means for influencing an organisations corporate culture. This is because of their important influence on communication, motivation, satisfaction, and membership (Lawler, 1998). Going a step further and in accordance with Brewster (1995); Bellenger et al, (1984); MilikiĆ¡ (2007); and Nacinovic et al., (2010), Lawler (1998) suggests that pay systems can help to change culture. As a deduction, Bauer and Erdogan (2009) admit that which behaviours are rewarded and punished determine the progression of a companys culture. Tracey and Hinkin (2000); and Davies et al., (2001) propose that increased wages and improved management practices such as increase staff motivation, commitment, flexibility and the quality of employees within an organisation could be efficient tools to remedy for the labour turnover culture in the hotel industry. However, Buultjens et al., (2007) emphasise o n the fact that hospitality businesses should adopt a more strategic approach to reward and monitor its effectiveness. 2.4 THE TOTAL REWARD SYSTEM The time when reward was only about cash and when people worked only for money, has nearly reached, if not yet, its extinction (Thompson, 2002; Phonsanam, 2010; Silverman, 2003; Schuster and Zingheim, 2000). Gao (2009) states that hoteliers have shifted from traditional to total reward systems. Simply defined, Total Rewards are the monetary and non-monetary return provided to employees in exchange for their time, efforts and results (Worldatwork, 2007). Alternatively, Zingheim and Schuster (2000) suggest that the new concept of total rewards comprise four total reward components as depicted in figure 2.4a. Figure 2.4a: Total Rewards-Source: Zingheim and Schuster, 2000 For the purpose of this study, the below model has been derived from the extensive list of total rewards provided by Worldatwork (2007) (Find in Appendix) which will be used to categorise Heritage Le Telfair Golf and Spa Resorts reward model. Figure 2.4b: TOTAL REWARD MODEL Source: Adapted from: Total Rewards: Different things to different employers Worldatwork (2007) A summary of the components found in the TR system with specific reference to the hospitality industry brought the classification of some points (Refer to Appendix B) The justification to adopt a total reward approach might be because it improves job satisfaction, work efficiencies, job performances, psychological contract and organizational citizenship behaviours (Zhou et al., 2009). Pessimistically, Kantor and Kao (2004) attributes to HR professionals of feeling confused or sensing chaos regarding TR thus contributing to the poor, complex and risky development and execution of TR (Thompson, 2002) leading to counter productivity and resource wastage (Albertson, 2000). Ergo, an advice would be that all pay components should be aligned complementarily and that the TR strategy should be derived from business strategy and, most importantly, be communicated to all employees, (Lyons and Ben-Ora, 2002; Gilbert and Cornish, 2005). 2.5 REWARD PRACTICES IN THE HOSPITALITY SECTOR 2.5.1. MYTH OR REALITY? Stereotype thinking has been revealed to be that the tourism and hospitality sector offers low pay, very little training and career prospects, limited scope for promotion, and unsociable working hours (WTTC, 2002a; HTF, 2000; Walmsley, 2004). Nickson (2007) also narrates the same facts but he associates this situation to the endemicity of unskilled or semi-skilled employees in the hospitality sector. 2.5.1.1 Low Pay Recurring evidence shows that that the compensation of regular employees of the hospitality is averagely lower comparatively to other sectors (Deery and Shaw, 1999; Hoel and Einarsen 2003; ABS, 2006a; Baum, 2007; Lucas and Jeffries, 1991; Tracey and Hinkin, 2000;; Worcester, 1999). However, hotels and restaurant recruiters are reporting that subject to the growth of the industry employers are increasingly offering attractive recruitment packages to attract the right staff (Wilson, 1999; HCIMA, 2010). Furthermore, wages in hospitality is on a rising trend owing to an increase in minimum wage (Clarke and Chen, 2007; McManus et al., 2011). Yet, Baram (2008) reports that minimum wage raise is not enough to survive in a high cost of living economy. 2.5.1.2 Unsociable Working Hours The hospitality sector requires employees to work relatively long hours (Pratten, 2003; Baum et al., 1997; Kelley-Patterson and George, 2001; OLeary and Deegan, 2005; Wallace, 2003; Lo and Lamm, 2005; Baum, 2006; Karatepe and Uludog, 2007 and Wong and Ko, 2009; Birdir, 2002) which deter a good work life balance. Further contributing to the black list, this sector is also associated to high-burn out service jobs (Maxwell; Faulkner and Patiar, 1997). Astonishingly, we have not come across any studies which sing the praises of working hours in the hospitality sector. It can thus be deduced that the hospitality workplace will fit only those who love the job environment and working night shifts that Barrons et al., 2007 study concluded. 2.5.1.3 Limited Training The EFILWC (2004) and STB (2002) stress that training is viewed as interesting by both employers and employees but is not the priority due to time and money constraint. Jameson, 2000; Dawson, 2006; Roberts 1995; Pratten, 2003; Lucas, 2002; Maxwell et al., 2004; Choe and Dickson, 2010 and Cairncross and Buultjens, 2007 also ratify the lack of investment in training. Indeed, Sigala et al., (2001) and Lashley and Best (2002) affiliate this with the high labour turnover in the industry. Howbeit, employers who admit that employee training has become preponderant for hotels, gain from improved service quality, decreased labour costs, increased productivity and profitability, high retention (Kim, 2006). Such companies are Ritz Carlton which provides its employees with 200 hours of training each year (Snell and Bohlander, 2010), Choice Hotels International, Coastal Hotel Group, Four Seasons Regent Hotels and Resorts, and Disneys Polynesian Resort (Enz and Siguaw, 2000). 2.5.1.4 Limited scope for promotion and career prospects In accordance with Getz, 1994; Hjalager and Andersen, 2001 and Page et al., 2001, Walmsleys (2004) exact words for tourism jobs are lacking in a clear career structure. Furthermore, various studies have shown that the hospitality sector is not a career option but rather a refuge sector. (Szivas and Riley, 1999; Riley et al., 2002; Wildes, 2007). Wright and Pollert (2006) also talk about an inhibitation of promotion of employees in hotels. Though, Hai-yans and Baums (2006) survey findings revealed that a majority of 68.1% envisage their future within the hotel sector, the other facet of the research is that nearly half of the staff feel uncertain about their hotel career and whine about promotion opportunities. Regardless of the above, Visit Scotland/George Street Research, (2002) and Wilson (1999) found that careers in the industry were in fact considered challenging and interesting. 2.5.2 FINANCIAL REWARDS Financial reward are rewards that enhance directly the financial well-being of the employee Chelladurai, (2006) and consists of base and variable pay, employee benefits and allowances (Armstrong, 2002). In an effort to develop a comprehensive understanding of the remuneration in the hotel sector, Mars and Mitchell (1974, p.27) and Wood (1994, 1997) suggested that payment to hotel employees from the perspective of a total payment system is comprised of basic pay ,subsidized food and lodging, tips, fiddles and knock offs. Base pay Base pay is a crucial component of any individuals total pay, and is used as a tool by many employers to attract talent (Sturman, 2006; Walker and Miller, 2008; Saks et al., 1996). Basic pay is the rate of pay which notionally reflects the market value for a job in an organisation (Heery and Noon, 2001). By far, many studies discerned that wages were preponderant and powerful motivational factors among hospitality employees (Simons and Enz 1995; Griffin and Moorhead, 2009; Blinder, 1990; Lawler, 1991e). Nevertheless, as Milkovich and Newman, 1990 expressed, pay is only one attribute among many others in attracting candidates. Pay for Performance Plans Most hospitality businesses are currently using some form of pay-for-performance compensation (Berman, 2010). Pay for performance has often been viewed as a norm of distributive justice by Campbell et al., (1998). UNISON (2001) highlights that the most common types of performance pay are piecework, payment by result, organisation wide incentives, merit pay, performance- related pay, competence based pay, profit related pay. When pay advancement is based upon an assessment of individual performance, against pre-established objectives, it can be referred to as performance related pay (Egan, 2010; Tanke, 2000). Nonetheless, when employees receive permanent pay increases based upon individual performance assessments, this can be referred to as merit pay (Heneman and Werner, 2005; Park and Sturman, 2009). Indeed, research evidence clearly supports that pay-for-performance plans have been found to help achieve desired results, at both the individual level (Bonner and Sprinkle, 2002; Gerhart and Milkovich, 1990; Heneman and Werner, 2005; Lawler, 1971, 1981; 1992; Schwab and Olson, 1990) and organizational level (Gerhart and Milkovich, 1990; Gomez-Mejia and Welbourne, 1988; Lawler, 1981). In contrast Hayes and Ninemeier (2009) avow that hospitality managers disagree that pay should be linked to individual performance as this has proved unbeneficial to teamwork. Many other counteracting studies divulged that PFP plans do not always affect performance (Heneman and Werner, 2005; Kahn and Sherer, 1990; Kuvaas, 2006; Pearce et al., 1985; Rynes et al., 2004 and Benson and Brown 2000) and does not really lead to motivation (Marsden and Richardson, 1994; Harris, 2001). Furthermore, PFP has been categorised as being subject to favouritism, personal bias, and deliberate distortion (Pfeffer, 1998; Milkovich and Boudreau, 1991; Campbell et al., 1998) and as an anxiety generator among employees (Bassett, 1994). Thus, the minimum requirement for the proper functioning of PFP should be, as Kessler (1994) says agreeable to employees. Tipping Tipping is a common practice in the hotel industry and is a considerable source of revenue for service employees (Lynn, 2003; Azar, 2004). Lynn (2001) defines tipping as an economic payment that occurs in the context of a commercial exchange thereby encouraging many hotel managers to view it as a useful management tool. Ogbonna and Harris (2002) perceive tipping as an effective way to control employee behaviour and wage cost, and a potential path towards organizational profitability, whilst Lynn (2001) distinguishes tipping as a tool to measure customer satisfaction and servers performance. Also, tips represent an opportunity for workers to supplement low pay level (Wood, 1992). It is commonly believed that there is a relationship between service quality and tip size (Lynn and Graves, 1996; Conlin et al., 2003). However, empirical research examining this relationship found it to be insignificant (Lynn and Graves, 1996; Lynn and McCall, 2000; Lynn 2001; Azar, 2003a). As such, tipping is an investment for future good service and deters reduced attention (Pearson, 2010; Bodvarsson and Gibson, 1999; Lynn and Withiam, 2008; Lynn and Thomas-Haysbert, 2003). Azar (2007b) strictly disputes this and notes that future service is not dependent on tipping. Consequently, Casey (2008) warns service managers not to count on tipping to motivate staff to provide good service as researchers have found tipping negatively effects employee commitment. Withal, Wood (1992); Lucas, (1996); and Shamir, (1983) criticise this practice as research has demonstrated that tipping can bring perturbation, increase competition and individualism, and overdependence on customers among workers at the workplace. Williams et al. (2004) identified that the collection and distribution of tips method was also customary by managers. 2.6 NON-FINANCIAL REWARDS FOR EMPLOYEES Direct financial rewards albeit play a central role in the attraction of talented employees, it has been proved that they trail only a short-term impact on employees motivational levels (Ellis and Pennington, 2004; Samodien, 2004). This is where non-financial reward programs come in handy. They are in fact tied to the quantity and quality of individual performance to generate greatest impact on improving overall business value (Stolovitch et al., 2002). Non financial rewards, according to De cenzo and Robbins, (1994, p.413), emphasise on making life easier on the job more attractive. According to Armstrong (2002) it includes of recognition, achievement and responsibility. Non-Financial Recognition (NFR) I can live for two months on a good compliment. Mark Twain According to Moody (2008, p. 277), non-financial compensation is defined as satisfaction that a person receives from the job itself or from the psychological and/or physical environment in which the person works. Recognition forms an indispensible part of the total reward system of a company (Dessler, 2009; Human Capital Institute, 2009). Recognition typically relates to formally recognising employees accomplishment to strengthen employee loyalty, intrinsic motivation and productivity (Aamodt 2007; Dessler 2009; Marchington and Wilkinson 2008; Blum and Tremarco, 2008). Liu (2010) expresses that NFR can convey the message on the type of performance that the organisation expects from them to other employees Silverman (2004) and Human Capital Institute (2009) clarify that the NFR schemes may vary from informal to formal structures (See figure 2.6.3 a) Figure 2.6a: A dissection of Non-financial Recognition Schuster and Zingheim (2000) categorise recognition as being verbal, written, work related, social, symbolic, tangible, and financial. According to an employee recognition survey carried out in 2002, 84 percent of the responding 391 companies had the following forms of recognition: Note: Total adds more to 100% because respondents were asked to indicate all that apply. Gift Certificates 63% Other 31% Cash 58% Watches 28% Office accessories 41% Electronics 24% Jewellery 40% Travel 14% Household items 35% Debit cards 6% Table 2.6b: Employee Recognition survey Findings-Source: Compensation and Benefits Report, 2003 Some authors highlight the essential nature of employee recognition as a vector of motivation (Dutton 1998; Appelbaum and Kamal 2000; Saunderson 2004; Grawitch et al., 2006), identity (Dejours, 1993), component of meaningful work (Mow, 1987; Morin, 2001) and company success (Ford and Fina, 2006; Armstrong and Brown 2006; Cilmi 2005; Schuster and Zingheim, 2000). In fact, a lack of recognition embodies the second-largest risk factor for psychical anxiety at work (Brun and Biron et al., 2003) and to high turnover in hospitality industry (Raleigh, 1998). Surprisingly, Nelson (1998) reports that employee recognition might not be beneficial when it becomes annoying to others who have to hear the continuous praises of their colleagues. Moreover, it has been found that traditional forms of recognition such as Achievement Awards, Cash Substitutes, Nominal Gifts or Food, and Public Perks have diminished in importance for most of todays employees (Nelson, 2004). Results from various studies ha ve indicated that indicate that wage increases and cash incentives are important motivational rewards for lower-level employees (Hong et al,. 1995; Arnolds and Venter, 2007). Thus, managers should bear in mind that recognition might not always be appropriate for everybody. Fiddles and Knock-offs Although recruitment, retention, and understaffing issues in hospitality are well documented (Baum, 2002; Brien, 2004; Choi et al., 2000; Gustafson, 2002; Jameson, 2000), there is poor literature dedicated to the issue of fiddles and knock-offs (Jones and Groenenboom, 2002). In addition to tips, some hotel and catering workers might also benefit from Fiddles and Knock-offs (Wood, 1992). Fiddles refers to pilferage that goes on in hotels. Whilst knock-offs is a particular form of fiddle involving the purloining of (usually) small items such as soap and towels, but mostly consisting of stealing food (Mars, 1973; Mars and Nicod 1981). In accordance with Mars and Mitchell (1976) and Nickson (2007) who establish that fiddles and knock-offs are in fact institutionalised in hotels whereby management collude on allowing to a certain extent this practice, Gill et al. (2002) have also stated that small-scale theft of hotel property are tolerated as a form of shrinkage. The reasoning behind mig ht be explained by Hollinger and Clark (1983) who found that employer retraction against theft was inversely related to theft. Despite that, agreement is widespread that theft in the workplace is a serious problem (Greenberg, 2002, Weber et al., 2003) and has proved costly for businesses (McClurg, 2006). Hence, the challenge lies in managements concern in setting parameters beyond which pilferage will not be tolerated (Mars and Mitchell, 1976). Fringe Benefits Heneman and Schwab (1985) defined benefits as indirect pay or payment for time not worked such as health care, retirement account, and insurance. Benefits account for a big portion of the reward package, and employees recognise them as an integral part of their reward package (Gross and Friedman, 2004; Williams et al., 2007). In its simplest forms benefits may include: breakfasts, lunches, dinners and snacks, that the employees and their families can have (Rubis, 2004), free cab rides home after certain times (Oldfield and ODonovan, 2001). Namasivayam and Zhao. (2007) apprised that benefits should be offered to all employees as they found out that benefits had greater positive effects on motivation, retention and job satisfaction on non-managerial employees. Considering the lack of academic research in the field of employee benefits in the hospitality industry, information on employee benefits at three international hotels has been gathered from their respective websites in the table 2.6c. Conversely, Hansen (2005) recur that the cost of employee benefits in the united states is killing profitability for whole sectors. Because of such costs, organisations are increasingly implementing cost containment strategies to lower labour expenses (Lucero and Allen, 1994). The same authors continue to argue that negative repercussions can range from mild dissatisfaction to severe outcomes like outrage, resentment, and anger. Table 2.6c: Examples of Employee Benefits in international hotels THE RITZ CARLTON FOUR SEASONS HOTELS AND RESORTS SHERATON HOTELS AND RESORTS Well-tailored Uniforms Medical, Dental, Vision Coverage Life and Accidental Death Dismemberment Insurance Short and Long Term Disability Health Care and Family Care Spending Accounts Domestic Partner Benefits Vacation, Sick/Personal and Holiday Pay Retirement 401(k) Plan Employee Stock Purchase Plan Employee Assistance Program Educational Assistance Program Employee Discounts on hotel rooms, restaurant outlet meals and retail items Complimentary Employee Meals Complimentary stays at Four Seasons properties with discounted meals Paid holidays / vacation Educational assistance Dental and medical   / disability / life insurance Retirement benefits / pension Employee service awards Annual employee party / social and sporting events Complimentary meals in dedicated employee restaurants Comprehensive, low cost health insurance for employee and family Dental and vision insurance coverage Company-sponsored retirement plans (U.S. 401(k) program) Life Insurance and Disability Insurance Flexible Spending Accounts Employee Stock Purchase Plan Employee Assistance Program Adoption Assistance Domestic Partner eligibility SOURCE: Adapted from: http://corporate.ritzcarlton.com/en/careers/benefits.htm, http://jobs.fourseasons.com/workingatfourseasons/benefits/Pages/fsbenefits.aspx, http://www.starwoodhotels.com/sheraton/careers/offer/benefits.html 2.7 MEASURING THE EFFECTIVENESS OF REWARD SYSTEMS You cannot improve what you cannot measure Lord Kelvin Pfeffer (1998) remarked that there was little devotion in measuring the efficacy of rewards although the design of the reward system loomed much management attention. However, Armstrong et al. (2009) rate the importance of such practice even above the design and execution of rewards. The primordial reasons for measuring reward effectiveness are to apperceive the benefits and impediments of a reward strategy Hodgson (2010) and to discern potential areas for improvement (Armstrong et al. (2009). Yet, Heneman (2002) comments that the evaluation of a reward systems effectiveness remains often overlooked. For instance, reward survey conducted by the CIPD in 2009 showed that only 32 percent of respondents had carried out any form of evaluation. In addition, a survey of reward by e-reward in 2009 established that only a low proportion of 12 percent of respondents had evaluated their performance-related pay schemes. Tools used to carry out the evaluation, according to e-reward (2009a) are: External market survey Staff attitude survey Benchmarking Internal data analysis Equal pay reviews Apparently, simpler methods for such practice do exist. For example, a survey carried out by Edenred concluded that reliance on manager observation, feedback and employee surveys were common for measuring reward effectiveness Hodgson (2010). Other criteria that could be used to measure reward effectiveness include improved performance, compliance with laws and regulations, cost reduction, contribution to strategic plans (Bergmann and Scarpello, 2002); Gomez-Mejia, 1992) and employee attitudes (Ram and Prabhakar, 2010). Hence, hospitality businesses could engage in carrying out such assessments in order to investigate the problem of high labour turnover in the industry. The tendency for overlooking the evaluation of rewards as highlighted by Heneman (2002) can be justified by the following reasons provided by Pfeffer and Sutton (2006): Lack of time and resources to evaluate Bewildering sources of information Lack of training and skills in statistics Laziness Constant change in organisations 2.8 THE GAP BETWEEN HOW MANAGERS REWARD EMPLOYEES AND HOW EMPLOYEES WANT TO BE REWARDED Figure 2.8: What Do Employees Want From Their Jobs?-Sources: Foreman Facts, Labor Relations Institute of NY (1946); Lawrence Lindahl, Personnel Magazine (1949) Repeated with similar results: Ken Kovach (1980); Valerie Wilson, Achievers International (1988) Bob Nelson, Blanchard Training Development (1991) Sheryl Don Grimme, GHR Training Solutions (1997-2001) Most managers feel that all employees want is more money (Nelson, 2003). Research shows there is a wide gap between managers and employees on this issue, as shown in the figure 2.8.1. However, other survey findings revealed new elements which have not been found by the original study in 1996. Thus, the below list has been compiled from various authors survey findings on the subject in hand. Fair (competitive) Compensation (Perkins, 2007) Flexible working hours and time-off from work (Nelson,