An Organization That Put The Customers At The Heart Of Its...

Recently, CXP conducted a survey to get the view of the employees about MBPS being an organization that put the customers at the heart of its operations. Here is a chart showing the Oct 14 vs. Sep 29 results. A month after the launch of CXP Sharepoint Site, only 65 people responded with 43 or 66% says that MBPS completely put the customers at the heart of its operations; 19 or 29% partially agreed with the statement; while 3 or 5% responded negatively. Interestingly, it only took 10 business days to increase the number of respondents into 264 on Oct 14 with 214 (81%); 45 (17%); and 5 (2%) responded yes completely, yes partially, and no respectively. The difference is 599% greater than the Sep 29 results! That is a huge number of responses from MBPS staff in a very short period of time! I can only think of one reason for that which is the Customer Experience Week. Last October 5-9, CXP held a Customer Experience Week in both Manila and Cebu sites. The said week is a jam pack of exciting activities to uphold customer service and honor and recognize our everyday heroes who serve and support our customers’ everyday. The week started with a recognition day promoting the applaud site. This was followed by a poster making contest with the theme of identifying â€Å"Who we are and what we do†. Then on the third day, a team photo contest was held in Manila site and a Dubsmash contest in Cebu. Before the Superhero fashion show and the Mr. and Ms. Everyday Heroes contest on theShow MoreRelatedSouthwest Airlines : Economic Challenges And Depression Essay1639 Words   |  7 Pagesleading U.S. low cost airlines that was established by Herb Kelleher and started operations in 1971 with only three Boeing 737aircrafts, and they served only three cities in Texas. After Southwest Airlines acquired AirTran Airways in 2011, it began its internation al services to three Caribbean destinations which includes Aruba, Bahamas and Jamaica. 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Medusa Quotes - What do writers say about Medusa

Medusa was  a monstrous being in Greek mythology, with a mass of snakes coming out of her head. According to legend, anyone who looked directly at Medusa would turn to stone. Perseus, a slayer of monsters, beheaded Medusa with a mirror given to him by the Greek gods so that he would not have to look at her. Over the centuries, famous writers as varied as Sigmund Freud and Ray Bradbury to Charlotte Bronte have mentioned Medusa in their poems, novels and general quotes. Below are some of the most memorable quotes from writers who alluded to this mythological figure. Literary Quotes Did I escape, I wonder? / My mind winds to you / Old barnacled umbilicus, Atlantic cable, / Keeping itself, it seems, in a state of miraculous / repair. - Sylvia Plath, Medusa This 1962 poem, which Plath wrote about her mother shortly before committing suicide in 1963, evokes the image of a jellyfish, whose tentacles are almost impossible to escape. The poem is a companion piece to Daddy, a work of exorcism in which she distanced herself from her dead father’s influence, according to Don Tresca, a scholar writing on the MuseMedusa. I thought Medusa had looked at you, and that you were turning to stone. Perhaps now you will ask how much you are worth? - Charlotte Bronte, Jane Eyre Jayne Eyre, the novels protagonist and narrator in this 1847 classic work of literature, is talking to  her clergyman cousin, St. John Rivers. Eyre had just learned about the death of her beloved uncle, and Rivers was commenting about how emotionless Eyre seemed to be after she heard the sad news. What thus snaky-headed Gorgon-shield / That wise Minerva wore, unconquered virgin, / Wherewith she  freezed  her foes to congealed stone, / But rigid looks of chaste austerity, / And noble grace that dashed brute violence / With sudden adoration and blank awe! - John Milton, Comus Milton, a famous 17th-century poet, is using the Medusa image to explain the importance of maintaining chastity, which is the subject of Comus.  According to myth, Medusa was a virgin until she was raped by the Greek god Poseidon in Athenas temple. Medusa Quotes in Popular Culture The television, that insidious beast, that Medusa which freezes a billion people to stone every night, staring fixedly, that Siren which called and sang and promised so much and gave, after all, so little.- Ray Bradbury The late science fiction writer, who died in 2012, is clearly calling television an idiot box that turns billions of people who gaze upon it nightly into stone. The terror of the Medusa is thus a terror of castration that is linked to the sight of something. The hair upon the Medusas head is frequently represented in works of art in the form of snakes, and these once again are derived from the castration complex. - Sigmund Freud Freud, the famous father of psychoanalysis, was using Medusas snakes to explain his theory of castration anxiety. You read any Greek myths, puppy? The one about the gorgon Medusa, particularly? I used to wonder what could be so terrible that you couldnt survive even looking at it. Until I got a little older and I figured out the obvious answer. Everything. -   Mike Carey and Peter Gross,  The Unwritten, Vol. 1: Tommy Taylor and the Bogus Identity This work is actually a comic book that uses imagery from Harry Potter to ancient mythology to tell the tale of its protagonist Tommy Taylor, the  former model for the boy hero of his father Wilson’s 13 fantasy novels. Taylor uses the Medusa image as a metaphor for his difficulties facing the realities of life. MORE RESOURCES Medusa - Sylvia PlathGorgon Quotes

Nova Scotia Ethic Assignment Free Essays

string(28) " shares in Great West Life\." Being short means that the firms sell more shares than are available in the new issue and the rim has some fire power in the after-market, meaning more liquidity. Mr.. We will write a custom essay sample on Nova Scotia Ethic Assignment or any similar topic only for you Order Now Berry was earning millions of dollars for the bank in 2004, it was seeking outside legal opinions on the ramifications of renegotiating his contract to stop paying him so much. Cumming is willing to testify that senior executives at Scotia had divulged the bank’s desire to catch Berry in â€Å"something like a securities violation so Scotia could use it against him,† to either severely reduce his compensation package or fire him. The bank claimed that Berry had hidden his behavior and that his education and training was such that e should have known his â€Å"misconduct breached fundamental terms of his employment with Scotia, and was just cause for his termination. † Colon (berry’s lawyer) cited the passage in COMIC that exempts the distribution of any previously uninsured securities from being entered on the exchange. Williams responded by saying, â€Å"The advice we received from counsel-?†. Scotia lawyer interrupted, preventing Williams from finishing her sentence, explaining that what she was about to say was protected by solicitor-client privilege. But the fact that Williams, herself a lawyer, had sought a legal opinion on Berry’s reads begged a crucial question: if the head of compliance didn’t know whether or not what Berry was doing was improper, how could they expect him to understand? An industry that’s almost entirely self-regulated, Berry’s case raises questions about how this monitoring is carried out. The history of Citibank and David Berry The Bank of Nova Scotia, commonly referred to as Citibank, welcomed its first customers in Halifax, Nova Scotia in 1832. Citibank continued to expand its branches across Canada, into the U. S. ND overseas from the 1 9th century and onwards. In 1 999, Citibank’s Corporate Banking business and Scotia Capital Markets were integrated to form Scotia Capital. Citibank now serves to some 21 million customers in more than 55 countries across the world. One of the main factors for the growth and success of Citibank is that it fosters a committed team that l ives their shared values and works together to provide customers with expert advice, insights and financial solutions . Citibank clearly puts great emphasis on hiring the best candidates suitable for their jobs. One individual who stood out the most was David Berry. Berry first worked at Ernst Young after finding out that the firm loud pay for his MBA tuition if he committed to work for them for a few years. He had left Ernst Young after receiving his MBA and chartered accountant license to join Scotia Capital in 1995. Berry Was presented the opportunity to work at Citibank through his father’s friend, Gordon Cheeseburger, who was the chairman of Scotia Capital Markets at the time. Berry started out as a research associate and had later moved to the Sales and Trading department In the span of two years, he made his way up the ladder to eventually dominate Scotia Capital’s preferred desk. Berry became a to commodity as other banks wanted him to leave Citibank and join them, which led to Citibank offering Berry a direct-driven deal in which he kept a certain percentage of the profits he made for the bank. He was the only trader who received a direct-drive deal as all the other traders were compensated on an annual bonus. This direct-drive deal percentage was increased a few times as Citibank aimed to keep Berry at the bank. In 2003, it was stated that he had earned $15 million for himself , earning almost double of the CEO of Citibank. Through his performance he developed any privileges, and his domination of the industry made Berry extremely powerful. Shortly after his rise to success, he was dismissed from Citibank then known as Scotia Capital. What is the ethical case here? The ethical case here was that Citibank had fired Berry for supposedly engaging In inappropriate trading practices, specifically, selling newly issued preferred shares to clients without printing the trades biblically on the stock exchange. However, Berry claimed that it was perfectly fine to refrain from printing the trades on the stock exchange. **There were two issues involving Cecilia Williams that we’ve mixed up. . Cecilia Williams questioned him about the trade regarding Balconied and Great West Life. She determined that he was wrong to do this and was going to forward the tapes to MRS.. But Berry had played the tapes to Scotia head of trading, Mark Evader, and he said that this was fine and that every trader (including him) did this. As Williams was getting ready to send the report to MRS., Berry was allowed to attach a narrative to the report explaining his actions. He told Williams that he was going to state that Evader said that what he did was common practice. Williams reacted in shock and said â€Å"What? Our dead trader does this? † After this, there was no talk of the tapes going to RSI. This had nothing to do with the preferred shares. 2. The second issue is in regards to the preferred shares and whether or not they should have been printed on the stock exchange. RSI did their routine trade audit of Scotia, and it was during this that they discovered the preferred shares issue. Celiac Williams wasn’t sure if there practices were allowed, and Berry suggested getting opinion from another compliance expert Linda Frets who stated that he had done nothing wrong etc etc†¦. His is the main issue, and the reason he to fired for – not the Balconied and Great West Life trade. Http://www. Tortellini. Com/informer/random-situ if-informer/2008/06/01 / traders-revenge/4/ This had all started once Berry started to make millions for the firm and for himself, outpacing the earnings of top executives. Mr.. Berry had bought some shares in the Balconied mining company from a client and, in turn, sold the same client shares in Great West Life. You read "Nova Scotia Ethic Assignment" in category "Papers" Berry had not printed the trades on the exchange because the preferred shares were new issues (I. E. They were being offered to potential investors for the first time). Berry justified his actions because it was understood in the firm that new issues were exempt from being printed on the exchanged. However, his actions were wrong in the eyes of Cecilia Williams, the head of Scotia Capital’s compliance department. Williams had discussed to Berry that she was going to send the tape communication between Berry and his client to the Market Regulation Services. The market regulation service had started its routine scheduled trade desk review at Citibank. Berry went on to get another opinion from his own counsel from a compliance expert, Linda Frets. Frets ad advised that because the new issue shares in question had been sold from Berry’s inventory before being listed on an exchange, they did not constitute improper off-market transactions and thus were not in violation of Universal Market Integrity Rules (EMIR). Even if they had been, Berry did not understand why Citibank hadn’t alerted him to this issue long before now. He had never been secretive about how he operated. And, as far as Berry was concerned, there was no harm to his clients by trading this way. A few weeks later, Berry was asked to meet with Scotia Capital’s deputy chairman along with head Of institutional equities. Berry was notified that he was being suspended for the time being because Citibank was undergoing its own investigation relating to the preferred shares issue. Mr.. Berry filed a SSL 00 million claim focusing on constructive and wrongful dismissal. In return, Citibank filed a counterclaim along with a statement of defense. Ethical Issue in the Case and ethical behavior practices transgressed: One of the issues raised in the case is professionalism. The Commission found a violation and failure of the firm’s upper management to act in public interest in favor of their own. Mr.. Berry was allowed to book trades which were entered on the liquidity of the preferred stocks. These trades made money for Scotia, and the more money he made for the bank the more capital he was allocated and the bigger the inventory he could carry and the more money he made as compensation. Even though this is not illegal, integrity of the capital markets was threatened by these actions. Also, the lack of supervision from the management has led to a conflict of interest. Their actions could have had serious and lasting effects on the integrity of capital markets and public trust resulting from a lack of supervision in Scotia Capital. What is the Ethical Issue? The main issue in this case was whether printing the trades of the newly issued preferred shares on the stock exchange constituted unethical trading practices. Furthermore, if the practices were not deemed a violation of JIM by compliance expert Frets (and unsure by Scotia own Cecilia Williams), did Citibank act ethically in still pursuing their own investigation and terminating his contract? An identification of the key people involved, and their positions in the company Below is a list of the key people involved: 1 Cecilia Williams (head of Scotia Capital’s compliance department) 2. Linda Frets (External compliance expert) . Jim Mountain (Mr.. Berry’s boss at Scotia Capital Brian Porter, Scotia Capital’s deputy chairman 4. 5. Rick Hugh (Citibank CEO) 6. Marc Mannequin (Berry’s assistant) David Wilson (then vice-chairman of the Bank of Nova Scotia, and chairman 7. And CEO of Scotia Capital) 8. Andrew Cumming, who, until 2002, was Berry’s direct supervisor. Cumming swore an affidavit in support of Berry’s lawsuit, claiming that he saw nothing wrong with how Berry was ticketing new issue shares. 9. Mark Evader, Scotia head of trading People who have suffered David Berry David suffered as he had been out of a job for a long time, and thus has offered financially and occupationally. Although he had received many job offers, they were all contingent on the outcome of the case. His reputation has been damaged as this stigma will always stick to him. Furthermore, his absence from the industry for a significant period of time may have damaged his efficiency as a trader as he would have lost many clients and relationships, as well as the power he previously possessed. If he were to return to the industry, it would be near impossible to continue where he left off. In addition, David has further suffered financially as he has had to spend money n funding his case against Scotia. Citibank It is reported that the preferred desk has suffered without him since he was dismissed. Scotia has also had to spend a lot of money in the case against Berry. David Berry’s Clients David Beers clients have most likely suffered as well. If Berry, using his expertise was generating millions in income for himself, it’s clear that his clients were earning great profits on their investments as well. Although his clients can find another advisor, it is not likely that they will find one with the expertise and skill of David Berry David Berry’s Family His family has also suffered because he has not worked ever since the termination from Citibank. This must have cost the family as their standard of living must’ve lowered with the great loss in income. They were living very lavish lifestyles with Berry’s income. List of ethical behavior practices that were transgressed 1. Professionalism a. Knowledge of the law d. Misconduct 2. Integrity of Capital Markets a. Material Nonpublic Information (not completely sure) 4. Duties to the Employers B. Additional Compensation Arrangements (Don’t know if this fits) C. Responsibility of the Supervisor Description of Events, Penalties or Convictions that followed David Berry was terminated in June, 2005 from Citibank. He was alleged of committing security regulatory violations. He was accused of violating uniform market integrity rules. Berry went into a big legal battle to prove that he did not do anything wrong. Information was released to the media that higher management of Citibank were looking for opinions from alai. O,’errs to change Berry’s contract and keep him from leaving for a competitor prior to his accusation and termination from Scotia Capital. Eight years, later all allegations against Berry were dismissed by the IIRC. David Berry has a $100 million class action law suit against his former employer for constructive and wrongful dismissal. What should have happened to prevent improper action, and Resulting changes in corporate practices: We believe that the issue was in the company incompetence to provide adequate and effective supervision programs, and procedures for the employees to abide. Lack of supervision from Jim Mountain, as a manager towards the employees, and poor corporate culture has resulted in a failure of employee’s ethics. A stricter procedural rules and more effective management control should have been imposed and fulfilled. No changes to laws or regulations were performed. The circumstances Of his dismissal for allegedly breaching trading rules and the regulator’s investigation of his conduct while working at Citibank. For good measure, the bank’s statement added: â€Å"[Berry’s] misconduct breached fundamental terms of his employment with Scotia and was just cause for termination. He violated the trust and responsibility that accompanied his poss. Zion. † http://business functionalist. Com/2013/02/after-allegations- against-former-top-Citibank-trader-dismissed-its-now-Mann-a-Mann/ IIRC had brought two sets of allegations against Mr.. Berry claiming that he violated uniform market integrity rules during the distribution of new securities. The panel noted that after obtaining commitments from clients to buy shares in a new issue, some of the sales went through syndication while others went through Mr.. Berry’s inventory account. Because no commission was charged on all of these new-issue sales, some clients knew that the shares didn’t come from syndication. And what more the trade occurred when the expression of interest was made -? even though the trade confirmations didn’t show the usual new issue trailer. Everyone concerned understood that they were trading a new issue,† noted the panel, adding that prior to Mr.. Berry being terminated â€Å"his employer had no written syndication process policies or procedures. † In each of the two prior years to Mr.. Berry’s dismissal, he had earned $15- million, when CEO Rick Hugh made an average of $8-million and few on the Street would dream of making as much. Mr.. Berry, who is currently suing Citibank for constructive and wrongful dismissal Documents obtained by the Financial post suggest that, about six months before his termination under the cloud of the now-dismissed allegations, the ann. was seeking outside legal opinions on the ramifications of renegotiating his contract to stop paying him so much. The documents also said Mr.. Berry could be fired â€Å"in the event of any of a regulatory breach, trading losses, or a violation of the bank’s code of conduct. † http:// business. functionalist. Com/2013/02/21/after-allegations-against-former-top Citibank-trader-dismissed-its-now-Mann-a-Mann/ http:// business. functionalist. Com/2013/01/1 5/IIRC-chaw urges-against-David-berry- dismissed/ However, things turned sour after Citibank created a new contract limiting compensation up to $1 0 million unless stated by management. Berry had not signed this new contract in April 2005. In May 2005, a regulatory precursor to the IIRC issued a warning letter to Mr.. Berry. By the end of June 2005, Berry had been terminated with his group having chalked up about $43-million in net income. One year later Mr.. Berry filed a $1 00-million claim alleging constructive and wrongful dismissal. In turn, the bank has filed a statement of defense and counterclaim. Was Citibank trying to save themselves to the possible illegal trading activity conducted by Mr.. Berry, or was it the top executives’ jealousy the main driver for Berry’s firing? How to cite Nova Scotia Ethic Assignment, Papers

Journal of Evaluation in Clinical Practice

Question: Discuss about the Journal of Evaluation in Clinical Practice. Answer: Introduction: While searching research article specific to the research questions, it is important to use specific search terms so that search process is defined and appropriate article with the search term is retrieved. Use of keywords in electronic databases provides specificity to the search. These key words indicate the topic, which the database is able to retrieve after matching it with entered key words (Shariff et al. 2013). There are various models that aids a nurse in clinical judgment. The Tanners model of clinical judgment and the evidence based practice framework are two relevant models to support nurse in clinical judgment during practice. Tanners model of clinical judgment proposes following the stage of recalling patient situation, noticing, interpreting, responding and reflection-on-action to engage in clinical learning and develop professionally in their career. This helps to analyze the biasness, ethical perspective, level of knowledge or experience in conducting a clinical task. This is a kind of self-assessment to judge clinical scenario and provide effective care to patients (Mariani et al. 2013). On the other hand, evidence based practices enables nurse to improve their clinical skills by integrating research evidence in nursing practice. This provide an extended role in which the Tanners model helps to identify the limitation in skills of nurses and the evidence based practice framework p rovides the opportunity to implement best practice by the application of best evidence in daily practice (Melnyk and Fineout-Overholt 2011). Randomized controlled trial is the highest level of evidence, which aims to determine the cause-effect relationship between an intervention and outcome. The main advantage is that it reduces biasness in the study by means of the randomization process. On the contrary, the purpose of systematic review is to present the main findings of different research literature to identify the effectiveness of interventions. It is a means to summarize and appraise the research articles (Olivo et al. 2008). The main of the research study was to examine the impact of telemonitoring based service design for the management of uncontrolled hypertension in patients. Research in this area was considered important due to the poor outcome seen from routine clinical procedure for hypertension treatment. This happened mainly due to infrequent monitoring of blood pressure by patients, poor treatment adherence and reluctance by doctors to intensify treatment. Hence, use of randomized controlled trial will help to evaluate the effect of intervention on health outcome. The primary outcome for the study include mean daytime ambulatory systolic blood pressure six months after the intervention and secondary outcome include both the daytime ambulatory systolic and diastolic blood pressure. Other indicators of secondary outcome measures included adherence to drugs, cholesterol level of patients, exercise tolerance and health related quality of life (McKinstry et al. 2013). In the study by McKinstry et al. (2013), participants were asked to self-measure their blood pressure twice every morning and evening by means of telemonitoring equipment. Through this means, the device could automatically transmit reading to mobile phones. Participants could share the feedback of blood pressure to other clinicians. The sample size of 400 participants is adequate for the study because the researcher utilized statistical method to estimate the sample size requirement for the study. This consideration wass based on study design and by means of calculation regarding appropriate size that could help to identify difference between telemonitoring and usual care (Zhong 2011). Post 6 months of intervention, the mean difference in daytime systolic ambulatory blood pressure between telemonitoring and usual care group was 4.3 mm Hg (95% confidence interval 2.0 to 6.5). This data tells that difference between blood pressure reading for telemonitoring and usual care arm. As the blood pressure fell between both group, the mean daytime systolic blood pressure revealed the difference for the two arms. On the other hand, 95% confidence interval means that of 100 different samples are taken, about 95 of the 100 confidence interval will contain the true mean value. Hence, the mean value within 95% confidence interval will lie between 2.0 to 6.5 and the value will fluctuate between this value. The p value for the mean difference in daytime systolic ambulatory blood pressure between telemonitoring and usual care group was 0.0002. The p value is the probability of finding the observed results when the null hypothesis of a research question is true. In this study, null hypothesis means no difference between blood pressure between two groups. P-value of 0.0002 reveal a statistically high significant. In case of telemonitoring group, the mean daytime ambulatory diastolic blood pressure fell from 87.4 mm Hg to 83.4 mm Hg. The difference in mean value for intervention and control group was 2.3 mm Hg. Although there was no difference in secondary outcome for both grpup, however telemonitoring was effective in lowering the blood pressure. The randomized controlled trial study in patients with uncontrolled hypertension gave positive results such a decrease in daytime ambulatory systolic and diastolic blood pressure. More compliance with intervention was also found as patients were found to frequently monitor blood pressure readings through the telemonitoring equipment. The intervention was also cost-effective as expense was only required for equipment, training and consultation. I also propose to use telemonitoring for uncontrolled hypertension patients due to positive implications for clinical studies. I would also make it more cost-effective by reducing the duplication of effort due to the time spent in adapting the new technology. This will be done by providing adequate training to staff regarding the efficiently using the telemonitoring equipment so that they become confident in handling it. This would also eliminate the problem of non-compliance with treatment and little attention to constantly monitor the blood p ressure. This intervention will promote easy access to constant blood pressure monitoring and seeking feedback from patients (McKinstry et al. 2013), Number of patients with healed ulcer (good outcome) in control group (Bandage A)= 65% Number of patients with no healed ulcer (bad outcome) in control group= 35% Number of patients with healed ulcer (good outcome) in intervention group (Bandage B)= 85% Number of patients with poor healing of ulcer (poor outcome) in intervention group (Bandage B)= 15% Bad outcome Good outcome Total Intervention group 15% (A) 85% (B) 100 Control group 35% (C) 65% (D) 100 A+C= 50% B+D= 150% 200 Relative risk of healing (RR)= = (15/ 100)/(35/100) = 0.428 Therefore, the relative risk of poor outcome in healing of leg ulcer is 0.428 If the risk is less than 1, it indicates that intervention group have less risk compared to control group. Absolute risk difference (ARD)= Difference in absolute risk between control and intervention group= 85%-65%- 20% Number needed to treat (NNT)= Inverse of absolute risk reduction= 1/ 20= 5 This indicates that atleast 5 people needed to treated to avoid poor outcome in healing leg ulcer The value of RR according to calculation is 4.28. As relative risk is the proportion of risk present between intervention and control group, this value suggest that the risk of bad outcome is more in control group compared to intervention group. The value for ARD is 20 %. This is simply the difference between risk compared to relative difference between risk. NNT value of 5 indicates that a minimum of people is needed to be treated to avoid the risk of poor outcome in healing. Bandage B is considered over Bandage for healing ulcer because its relative risk is low compared to Bandage A. While implementing any new intervention, it is necessary to evaluate the evaluate the chances of risk outcome. The minimum is the risk outcome, the more efficacious is the intervention. Hence, Bandage B should be considered over Bandage for treating leg ulcer. Part three: Implementation of EBP There are many barriers to implementing the new researching finding in clinical setting. These are: Organizational barrier- Due to lack of support in encouraging staffs to utilize evidence based intervention, health care professional continue to use traditional method of care. T compromises the desired quality of care. Issues in developing evidence based policy- To effectively integrate new research findings, appropriate policy development is needed. However, this is difficult due to the hectic procedure and initial arrangement to supply adequate information system. Complexity and size of research- Nurses and staffs face barrier in interpreting the complex research data and evaluating their relevance in particular practice area. Lack of training- When health care staffs are not adequately trained in evidence based care, it acts as a barrier in the integrating it in research practice (Sadeghi?Bazargani et al. 2014). This subject helped me prepare for my role as a junior clinician as I got to learn new things about the ways to apply best evidence in practice. The evaluation and analysis of the randomized controlled trial gave me new insight regarding the purpose of such studies and how it contributes to clinical intervention. Secondly, use of different models such as evidence based framework and the Tanners model of clinical judgment supported me in developing my critical reflection skill. This tool can be effectively used to judge clinical situation, interpret issues and contemplate best action to solve patient issue. Currently, there is also a focus on implementing evidence based care in practice and the evidence based framework will effectively guide me in retrieving the best evidence that can be applied in clinical setting. Reference Mariani, B., Cantrell, M.A., Meakim, C., Prieto, P. and Dreifuerst, K.T., 2013. Structured debriefing and students' clinical judgment abilities in simulation.Clinical Simulation in nursing,9(5), pp.e147-e155. McKinstry, B., Hanley, J., Wild, S., Pagliari, C., Paterson, M., Lewis, S., Sheikh, A., Krishan, A., Stoddart, A. and Padfield, P., 2013. Telemonitoring based service redesign for the management of uncontrolled hypertension: multicentre randomised controlled trial.BMj,346, p.f3030. Melnyk, B.M. and Fineout-Overholt, E. eds., 2011.Evidence-based practice in nursing healthcare: A guide to best practice. Lippincott Williams Wilkins. Olivo, S.A., Macedo, L.G., Gadotti, I.C., Fuentes, J., Stanton, T. and Magee, D.J., 2008. 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