Psychology Fundamentals for Major Depressive- myassignmenthelp

Lecture Notes For Never Events Required of The CMS Reimbursement Rules

Questions: 1. Helen Thomson who is likewise a medical caretaker, and examine the significance of their job as backer for improving medicinal services conveyance. What explicit bill(s) have they supported or upheld that has/have affected human services? 2. Talk about how the CMS repayment rules for never occasions required a move in the patient consideration conveyance model in inpatient offices. Answers: 1. Helen Thomson, RN who is a medical attendant by calling fills in as a delegate in the California State Assembly. The connection between an attendant and legislative issues glances ambiguous however in actuality, medical caretakers are fit for speaking to the whole human services division in the United States of America. The enactment passes numerous laws, which influence the everyday daily schedule, and practices of a medical attendant, which may influence the nursing practice and the whole social insurance part contrarily if its not considered according to a perspective of an individual serving the business. Helen Thomson expresses that medical attendants have different authority characteristics, which are not typically perceived, this quality makes them a decent contender for different open office. Medical caretakers have a great deal of involvement with working under difficult circumstances; have brilliant relational abilities and involvement with working with families, which m akes them truly reasonable for governmental issues (Ressler Glazer, 2010). Helen Thomson was enrolled as a medical caretaker in the United States of America in 1961 and was chosen as a delegate in the enactment in the year 1996. After her portrayal in the enactment, she has endeavored to correct enactments on working state of the medical caretakers and to widen the medicinal services area with respect to nursing care. Helen has likewise roused nurture everywhere throughout the United States of America to approach and talk pretty much all the issues the nursing framework in the United States of America faces. Helen Thomson presented a Bill in the enactment to permit benefits to for medical attendants in Pennsylvania alongside this Helen Thomson is chipping away at a bill which will present the informant assurance though medical attendants and wellbeing couldn't care less experts in the United States of America (Aiken et al., 2010). Helen Thomsons exertion got an upheaval the working states of the nursing administrations in the United States of America. The said bill is hanging tight for its last endorsement under the steady gaze of it turns into a law. After the presenting of the said law, Helen Thomsons work will without a doubt be doubtlessly be useful in improving the working states of the medical caretakers in United States of America. 2. Never occasions are serious and preventable patient security circumstances that can be kept from event if the accessible preventable consideration and measures are executed. Never occasions incorporate wrong side medical procedure, illegitimate after consideration administrations, and so on. The Nurses working in the United States of America have a significant task to carry out to forestall the never occasions. Human services habitats and emergency clinics increment the quantity of medical caretakers, which consequently improves the nature of social insurance and decreases the episodes of never occasions. Nonetheless, the term never occasions is an exceptionally negative term which influences a patient and the human services experts physiologically (Castle Ferguson, 2010). In this manner, the said term never occasions should be changed to make it generally occasions, which will make the negative term sound positive and cheerful. This approach can be actualized by various endeavors like divulgence of symptoms and straightforwardness arrangements with patient and families, ensured after consideration offices, drug blunder decrease methods and obligatory readback for high-ready medicine. The presentation of these arrangements in enactment in the United States of America will pull in a positive long haul approach in the segment of human services and patient security, which can be passed to the up and coming age of medicinal services experts. In this way the Centers of Medicare and Medicaid Services (CMS) proposes to receive a consistently occasions approach and let go of the never occasion approach in the social insurance area in United States of America (Kuo et al., 2013). Reference List Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L., Seago, J. A., ... Smith, H. L. (2010). Ramifications of the California nurture staffing order for other states.Health administrations research,45(4), 904-921. Château, N. G., Ferguson, J. C. (2010). What is nursing home quality and how is it measured?.The Gerontologist,50(4), 426-442. Kuo, Y. F., Loresto, F. L., Rounds, L. R., Goodwin, J. S. (2013). States with the least prohibitive guidelines encountered the biggest increment in patients seen by nurture practitioners.Health Affairs,32(7), 1236-1243. Ressler, P., Glazer, G. (2010). Administrative: Nursings commitment in wellbeing strategy and human services through social media.OJIN: The Online Journal of Issues in Nursing,16(1), 1-5.

How Therapeutic Massage Can Help Ease Anxiety

How Therapeutic Massage Can Help Ease Anxiety Panic Disorder Treatment Print Therapeutic Massage for Anxiety and Panic Disorder By Katharina Star, PhD facebook linkedin Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. Learn about our editorial policy Katharina Star, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on December 08, 2019 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD on December 08, 2019 Peopleimages/Getty Images More in Panic Disorder Treatment Symptoms Diagnosis Coping Related Conditions Complementary and alternative medicines (CAM) are unconventional types of products and practices that are being used to treat a variety of medical and mental health conditions.?? Over the past several years, CAM practices have grown in popularity and are often used in combination with more traditional medical practices. Some common CAM practices include acupuncture, yoga, and aromatherapy. Massage therapy is another type of CAM practice that is often used to treat muscle pain, injury, and stiffness. Massage therapy has more recently been used for the treatment of mental and emotional problems, including stress, anxiety, and depression.?? Also considered a relaxation technique, massage therapy may be able to help reduce tension and elicit feelings of calm and deep relaxation. Additionally, massage may be able to curb feelings of fear and anxiety, plus assist in managing other panic disorder symptoms.?? What Is Massage Therapy? Massage therapy involves manipulating the muscles by kneading, rubbing, pressing, or patting different muscle groups. Massage therapists use their hands and massage oils to work through various groups of muscles.?? Some massage therapists will also include aromatherapy oils and tranquil music to help create a peaceful and deeply relaxing experience. There are many different kinds of massage offered by massage therapists. Depending on the style, massages often vary in pressure and muscle group focus. Some of the most common types of massage include: Swedish Massage: This is the most popular type of massage and is meant to help relax the body and mind. It involves a total body massage where a person lies on the  massage table while the massage therapist slowly works through different muscle groups. Swedish massage also helps circulate blood flow, relieve mental stress, and reduce muscle pain and tension. Deep tissue: This kind of massage is similar to Swedish massage. However, the massage therapist uses more pressure and intensity when working through the muscles. Deep tissue massage is aimed at releasing tense and painful muscle knots that are often associated with physical discomfort, stress, and headaches. Sports Massage: Often used by athletes, sports massage is used to assist in athletic training. This type of massage is focused on preparing muscles for intense training. Additionally, sports massage is used to help the muscles recover after intense performance or injury. Shiatsu: Frequently referred to as acupressure, Shiatsu is a form of massage that is similar to acupuncture. Shiatsu originated in Japan and means “finger pressure.” Instead of using needles like acupuncture, the practitioner uses their fingers on pressure points. Pushing these points are thought to help release energy and restore balance back to the body and mind. How Massage Therapy Can Help Ease Anxiety and Panic Disorder Symptoms Massage therapy can help the body relax, which in turn can help one let go of anxious and fearful thoughts. Massage can relieve muscle pain and tension, improve circulation, and increase flexibility. As a relaxation technique, massage therapy can work to manage the fight-or-flight response, or stress reaction, that is typically overactive among people with anxiety disorders.?? The fight-or-flight reaction is responsible for causing fearful thoughts and reactions that often far outweigh any actual threat in the environment. For example, people with agoraphobia often fear having a panic attack in a large crowd or confined areas where it would feel embarrassing or difficult to escape. The fight-or-flight reaction typically leads to uncomfortable physical symptoms, such as shortness of breath, accelerated heart rate, excessive sweating, and chest pain. Massage therapy can have an opposing effect on the body by eliciting the relaxation response, reducing tension, lowering heart rate, and generally making a person feel calmer.?? Physical Benefits of Massage Less muscle pain and tension Improved circulation and flexibility Lower heart rate Mental Benefits of Massage Less anxious thoughts Tamed fight-or-flight response Lower tension and more feelings of calm Getting Started with Massage Therapy Massage therapy is often offered at many spas, salons, and wellness centers. However, as it continues to become a more mainstream treatment option, massage is now offered at many hospitals and clinics. Some insurance companies may even cover massage therapy services. When meeting with your massage therapist for the first time, make sure to discuss your medical history, including your panic and anxiety symptoms. It is important to schedule these services with a licensed or certified massage therapist. This ensures that you will get treatment from a qualified practitioner who has followed the standards and requirements for their state licensure.?? Licensed massage therapists can be found through website directories, including the National Certification Board for Therapeutic Massage Bodywork and the American Massage Therapy Association. Let the massage therapist know if you have any areas of discomfort throughout your body. Also discuss what you hope to get out of the massage, such as muscle or stress relief. Generally, massage therapy only has a few potentially adverse side effects. Many people experience some soreness throughout their body the first few days following a massage.?? However, you should never feel pain or discomfort during or after a massage. Massage is also contraindicated for certain medical conditions. Always consult your doctor before getting a massage if you are unsure if its right for you. Studies have supported the safety and effectiveness of utilizing massage therapy for stress, anxiety, and depressionâ€"but if you are experiencing panic attacks and other symptoms of panic disorder, talk to your doctor before trying this and other CAM practices. Your doctor will be able to assist you with conventional treatment options, such as medication and therapy. Massage may be beneficial in helping you manage your condition  but is not a substitute for traditional medical care.?? Massage therapy may be incorporated into your standard treatment plan to assist you in coping with panic disorder. The 7 Best Online Anxiety Support Groups of 2020

The American Dream - 823 Words

Many people have different ideas of what the American Dream is and what it takes to make it a reality. The most common and the most accurate idea of the American Dream is for all to have the opportunity to have a chance at living a nice life. This includes all immigrants and anyone else who seems to lack better opportunities often. The American Dream is the belief that anyone, regardless of race, class, gender, or nationality, can be successful in America (read:rich) if they just work hard enough (Wulick). The American Dream is also influenced by those that have money and are successful. These people are looked up to as a goal when it comes to a better life. The American dream also includes overall happiness that stems from a†¦show more content†¦The slightest improvement within their life is better than nothing at all. It gives hope to others that are considering pursuing the American Dream. It is a continuous support system that helps everyone trying to better their lives. It depends on the circumstances, when it comes to whether or not the American Dream is achievable to everyone. It also depends on the environment that the person pursuing the American Dream is in. The American dream is attainable, it just isnt the American dream one is taught to pursue at an early age(Is the American Dream Attainable). Pursuing the American dream has become more common, which has made it more competitive. Improving one of the main factors of the American Dream, which is education, is more expensive now as well. The American Dream does not mean achieving success quickly or gaining a great amount of money easily. It means that a better life is possible with hard work and dedication. It is attainable with hope and determination. The main and most common obstacles include racism and struggles with the economy and finances. Preconceived notions of the character and work ethic of those trying to pursue the American Dream is an issue. The stereotypical idea that they cannot keep a steady job is an issue as well. Even though the rumors and ideas are false, some still believe there are no obstacles. There areShow MoreRelatedImmigrants And The American Dream1362 Words   |  6 PagesImmigrants and the American Dream In the article â€Å"The American Dream†, by James Truslow Adams in The Sundance Reader book, he stated that the American dream is that dream of a land in which life should be better and richer and fuller for everyone, with opportunity for each according to ability or achievement. It is a difficult dream for the European upper classes to interpret adequately, and too many of us ourselves have grown weary and mistrustful of it. It is not a dream of motor cars and highRead MoreThe American Dream By Kimberly Amadeo1637 Words   |  7 PagesNowadays, a large number of people migrate to the United States to work and achieve the American Dream. According to the Article â€Å"What is the American Dream?† by Kimberly Amadeo, â€Å"The American Dream was first publicly defined in 1931 by James Truslow Adams in Epic of America. Adam’s often-repeated quote is, ‘The American Dream is that dream of land in which life should be better and richer and fuller for everyon e, with opportunity for each according to ability or achievement.’† There are many peopleRead MoreAnalysis Of The Movie The American Dream 754 Words   |  4 Pages Nyreel Powell Ms. Jones American Literature 1 June 2015 The American dream in A Raisin in the Sun Have you ever had a dream and it didn’t come how you wanted it to be? Have you ever had accomplishments that you wanted to achieve but people were getting in the way of them? The four main characters in this book all have good dreams but there are people in the way of getting to those dreams or their dream is too high to accomplish. A Raisin in the Sun a play written by Lorraine Hansberry, andRead MoreSister Carrie and the American Dream1618 Words   |  7 PagesThe American Dream is surely based on the concept of â€Å"Life, Liberty and the Pursuit of Happiness† but it is above all, a matter of ambition. James Truslow Adams, an American writer and historian, in 1931 states: life should be better and richer and fuller for everyone, with opportunity for each according to ability or achievement†, which not only points towards a better standard of living for Americans but also denounces a degree of greed in the US society. Ambition not only â€Å"killed the catâ₠¬  butRead MoreGrapes Of Wrath And The American Dream1644 Words   |  7 PagesThe idea of the American Dream is ever changing depending on the person and the time of life that person is in. Although the main ideas of the American Dream remain the same to be educated, economically sound, healthy, to have a family, and equal rights. Many great films and works of literature were created to show case all the different ideas people have for their American Dream. The film â€Å"Grapes of Wrath† directed by John Ford and the poem â€Å"I Will Fight No More Forever† by Chief Joseph, both depictRead More Destruction of the American Dream Essay2145 Words   |  9 PagesDestruction of the American Dream I’ve talked about it in the past, the destruction of the American Dream. Always, there have been papers, writings, and thoughts that quantify a particular section of its ultimate demise, be it due to money, education, or sexuality. Maybe the destruction cannot be viewed as a singular event or cause. Perhaps instead it must be examined as a whole process, the decay and ultimate elimination of a dream. Self destruction, if you will†¦ Mr. Self Destruct Read MoreSuccess As One Of The American Dream1137 Words   |  5 PagesApril 2015 Success as One of The American Dream When we hear the word â€Å"success†, we often think of wealth and money. To some people, the embodiment of being success is earning a lot of money. In fact, the concept of success is primarily based on how much money a person earns. However, each person views the definition of success differently. One way to define success is something that has more to do with flash than it does with substance. John Wooden, an American basketball player and coach viewRead MoreJim Cullen And The American Dream2081 Words   |  9 Pages The American Dream, as defined by Cullen, is starting your goal off with a little and ending with more; it s like a business, you invest in it in order to gain more money. Usually, people will define the American Dream as being able to achieve your goal because everyone is offered opportunities. Cullen does acknowledge that people are born with different opportunities, so he talks about the good life. The good life describes different factors that determine your opportunities. Throughout the otherRead MoreFactors Influencing The American Dream1834 Words   |  8 Pagesindividual to succumb or to not succumb to the seductions of crime. These three factors are brilliantly portrayed in the television show, Breaking Bad and the novel, The Stick Up Kids. The American Dream is what many American citizens strive for. However, not all of those citizens are able to achieve the American Dream through a legal pathway. The reason an indivudal may not being able to do so is because of his or her background factors. It is important to note that background factors are a fractionRead MoreShark Tank And The American Dream1755 Words   |  8 PagesShark Tank and The American Dream The TV show Shark tank embodies everything the American dream represents. The show obtains successful Entrepreneurs ready to invest their own money into other Americans wanting to be just like them, reaching the American dream and become a successful entrepreneur. The show presents entrepreneurs working towards the goal of creating a business to not only gain wealth but also change the way we live today. The show is to keep the American dream alive and well while

The Civil War Of 1865 - 2230 Words

Although the Civil War of 1865 has ended and African Americans were given their freedom due to the Union Victory, conflict was still arising. Reconstruction was a major â€Å"milestone† as some would say in our history. Reconstruction gave light to the trials and tribulations that were apart of the south. Pre civil war south was known for their rigorous amount of slaves and their labor, post civil war south was known for their resistance against freed slaves and their soon to be citizenship. In Johnsons (2012) Reading the American Past Vol 2: from 1865, readers are exposed to a number of excerpts from this era that may or may not shed unseen light on this crucial period in history. Carl Schurz Reports on the Condition of the Defeated South, Black Codes Enacted in the South, Former Slaves Seek to Reunite Their Families and Klan Violence against Blacks are documents that allow readers to see first hand what was endured by many in the reconstruction era of 1863-1877. In Carl Schu rz Reports on the Condition of the Defeated South, the reader is able to sense the resentment the freed slaves have towards the soldiers. Schurz even states within his report that â€Å"The shooting of single soldiers and government couriers was not unfrequently reported while I was in the south.† It seems as though Schurz wants whoever reads his report to know that the south that Johnson sees is completely different than he’s led on. Schurz interviewed twenty people about their views on the new labor system andShow MoreRelatedThe Civil War ( 1861-1865 )1154 Words   |  5 PagesThe Civil War (1861-1865) is no doubt one of the most defining moments in U.S. history. Tensions between the North and the South reached a critical point in 1860 when the Southern states began to secede from the Union and form the Confederate States of America. The four years that ensued from the Battle of Fort Sumter claimed more than 600,000 lives, marking the Civil War the bloodiest battles in American history. Following the Union’s victory, the seceded states had to be readmitted into the UnionRead MoreAfrican Americans After The Civil War Of 18651226 Words   |  5 PagesThe American Civil War was ending and African Americans gained freedom, freedom from slavery and to live life as common folk. However, being set ‘free’ was not enough for African Americans to really experience what freedom was really like. Respect and rights of citizenship are by themselves weak in the ability to survive without also obtaining economic power. This paper will examine the progression of African Americans after the Civil War of 1865. The immigrant history of African –Americans is unlikeRead MoreThe Civil War, Lasting From 1861-1865, Consisted Of Numerous1156 Words   |  5 PagesThe Civil War, lasting from 1861-1865, consisted of numerous bloody battles, military involvements and other historically significant events. There were over ten thousand events, fifty of them being major.. These battles stretched across twenty-three states and caused over half a million casualties. America was divided between the confederates and union. One of these events started in Fort Sumter, South Carolina. The Confederate States of America were a chain of eleven southern states that separatedRead MoreThe American Civil War, Fought Between 1860 And 1865 Was1170 Words   |  5 PagesThe American Civil War, fought between 1860 and 1865 was one of the bloodiest conflicts in the history of warfare. At the end of the war, more than 600,000 soldiers were dead or wounded. The institution of slavery was ended and the United Stat es was changed forever. Several causes have been suggested for the conflict, including the disagreement over the institution of slavery, economic differences between the north and south and a difference in how the Constitution was to be interpreted. SlaveryRead MoreThe Civil War : A Bloody Battle1150 Words   |  5 Pagesâ€Å"With one terrible exception, the Civil War, law and the Constitution have kept America whole and free† (â€Å"Anthony Lewis†). This quote talks about how the Civil War kept America free. The Civil War was a very bloody battle that occurred about the right over slavery. The war began in 1861 and lasted for 4 years. The two armies were the Union and the Confederate. The Union won the war and it finally ended in 1865. The Civil War was one of the deadliest battles that changed the landscape of the US dueRead MoreThe Ultimate Causes Of The American Civil War941 Words   |  4 PagesThe American Civil War was a war fought within the United States of America between the North (Union) and the South (Confederacy) The war was one of the most critical events in American history. â€Å"It is estimated that 623,000 soldiers died during the Civil War†(Garrison) starting from 1861 and ending in 1865. While many still debate the ultimate causes of the Civil War, author James McPherson writes that, The Civil War started because of uncompromising differences between the free and slave statesRead MoreWar On Diplomacy By The American Civil War988 Words   |  4 PagesWar on Diplomacy To the victor goes the spoils, and in war that comes with writing the ballad of history. The American Civil War was no different, and it has gone down as a moral war that pitted brother against brother, spilt the blood of hundreds of thousands Americans, and showed the world that all men truly were created equal. This war showed the world that America was willing to do whatever it took to be one nation, indivisible with liberty, and justice for all. The Confederates did not shareRead MoreReconstruction Is The Effort Made In The United States1566 Words   |  7 Pagesfrom the Union. The Reconstruction Era last between the years of 1865-1877. The Civil War caused destruction and several deaths throughout the South in 1865. This struggle was compensated by radical Republicans who felt that they were in control of Southerners by punishing them for wanting to preserve their southern tradition. How would the North and the South come to an agreement about the freedom of slaves? Before the Civil War and the actions of President Abraham Lincoln the states were dividedRead MoreThe Things They Carried Essay1718 Words   |  7 Pagesexperience. It showed how the war held obligations to its soldiers and expectations for each of the men to follow. The Things They Carried also showed a side of war that was not always seen in other documents and accounts such as Tim O’Brien thoughts and feelings during the war. However, many of the things O’Brien stated throughout his book is very similar to the experiences shared by men in the Civil War, World War I, and World War II. Moreover, despite some similarities, each war is unique and have theirRead MoreEssay about The Reconstruction Era: The Planted Seeds1231 Words   |  5 PagesThe first roar of the Civil War ended with a last gasp for air. Where in such a war more than six hundred twenty thousand men sacrificed their lives for their own belief in the abolishment of slavery (â€Å"Civil War Facts† ). â€Å"We here highly resolve that these dead shall not have died in vain. That this nation, under God, shall have a new birth of freedom† (Baslor). These wise words of Abraham Lincoln cleared the way of a desolate trail of violence and pain, yet he was determined to accomplish his plans

Alternative Medicine and Conventional medicine Free Essays

Shahrzad Nikkhah Professor Keafer English 200 29 november 2012 Alternative Medicine Growing up in a family that has been using herbal medicine for years became a motivation for me to further my knowledge of this ancient practice of alternative medicine . The world health organization has announced that about 65 and 80 percent of world’s population uses traditional medicine, since the growing belief is that to get cured of disease you need to get to the root of the problem, and reach beyond the physical body. According to all the research it seems that alternative medicine is more effective , more economical , less invasive and harmful than conventional medicine. We will write a custom essay sample on Alternative Medicine and Conventional medicine or any similar topic only for you Order Now While It has been proven that state of mind and body are linked directly , mind body medicine helps in healing the body by changing the person’s attitude which effects the immune endocrine and nervous system, while stressed mind interrupts the functioning of the immune system and causes disease. More and more people are relying on the power of prayers , meditation , and herbal medicine to protect their body from negative effect of stress hormone and proper break down of food in body. It has been shown that alternative medicine has helped many with depression and chronic pain, hypertension, and diabetes. Conventional medicine is a quick fix which prevents the body from stimulating the immune system to fight an infection as in antibiotics which destroys the valuable bacteria that helps with digestion. Since the production of antibodies slows down, it prevents the future healing. CAM ( another name for alternative medicine ) helps promote natural healing process while it has by far less side effects and harm to the other organs resulting in a long term benefit. Due to low cost of CAM higher low income population can afford the health care, while the conventional medicine cost has been on the rise over inflation and wage growth. With the 13 percent of 38 million adults who use CAM in conjunction with conventional medicine in the last year the poorer population with no health insurance has been benefiting from this method of treatment, since herbs is easier to obtain , naturally available and do not to be researched. Although , alternative medicine is not completely reliable to be used on serious illnesses many Americans have turned to alternative practices since they have not seen any positive results from standard medical or surgical treatment or because the traditional treatments are too expensive or dangerous. Most alternative medicine principle is to eradicate the problem from its roots. With serious dedication , discipline , and change of life style alternative medicine is personalized to suit the needs of individual. Works Cited: Grodjesk,Joe. â€Å"Sociology Of Medicine Alternative Medicine. â€Å"customessaymeister, May 5,2001 web. Crisenri. â€Å"Pros and cons of alternative medicine. † page1,June 2008 Diggs, Charles â€Å"Alternative medicine research papper. † Oct 20,2009 web. Epiro, E. and Nancy Walsh. â€Å"Alternative Medicine–Part Two: Mind Body Medicine–Expanding Health Model. † Patient Care 15 Sept. 1997: 127-145. Smith, Brad. â€Å"Alternative Treatments Gain Acceptance. † Denver Business Journal 18 July 1997: 2B-4B. How to cite Alternative Medicine and Conventional medicine, Papers

Politicization of Bureaucracy in Pakistan free essay sample

Human societies have been gone through a drastic shift from a very simple life (stone age),to a very complex life, which is now termed as Post-Modern societies or states. Due to this transition, systems had evolved into formal and well organized manner. Now for smooth functioning of a society or state, institute of Government is needed. So Governments are key elements of our social lives and their actions routinely shape the lives of individuals. Governments, which ever political systems they belong to; are not a single entity rather are composed of many departments, institutions and agencies; which jointly work together to ensure smooth running of society. Today the concept of governance carries an important ground. It is the use of political authority and use of control over policy matters to achieve the goal of people’s welfare (K. Sumrin, 2008). The main objective of good governance is to achieve harmony of society, rule of law, economic stability and improved life standards of people and this is done bf devising policies. We will write a custom essay sample on Politicization of Bureaucracy in Pakistan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Although, policy making is attributed to elected representatives in a democratic form of governance however, the task of implementation however remains attributed to the bureaucratic machinery which forms the lifeblood of administration. Bureaucracies form an integral part of the government and they do a lot more than just execution of policies. A bureaucrat can be the secretary of a ministry, the CEO of a state enterprise, Director General or a street level bureaucrat such as welfare departments, lower courts, legal services offices, and other agencies. To which ever cadre they belong, bureaucrats have a crucial role to play in delivering governance In short, bureaucracy in the developing countries are seen as engine of growth, development and an agent of change. Characteristics of Bureaucracy: The term bureaucracy was firstly coined by Max Weber for formal organizations concerned with efficiency. It is defined as: â€Å"An organizational model rationally designed to perform tasks efficiently. † There are following six key elements of the ideal bureaucratic organization identified by Max Weber: Specialization Hierarchy of offices Rules and regulations Technical competence Impersonality Formal, written communications All these characteristics were mean to promote efficiency by carefully hiring workers and limiting the unpredictable effects of personal taste and opinion. Considering the ideal model of Weberian bureaucracy the legal-rational bureaucracy is focused to compliance to the direction from the political representatives of the people. State of bureaucracy in Pakistan: Pakistan had a small bureaucracy at the time of independence. However in the past five decades it has grown and expanded and become a fairly large and amorphous lot. Federal government employs over 5 lac civil servants. Out this 90 percent are between Grades 1–15, while 10 percent are in Grades 16–22. Of these the CSS officers comprise around 5 percent. After studying literature on the nature and role of bureaucracy in Pakistan, it shows that it is far from the ideal model of Webers bureaucracy which brings efficiency in governance process. Literature suggests that the nature and function of bureaucracy depends majorly on level of socio-economic development and political system of the society. But in the case of Pakistan where politics is a function of Patronage, bureaucracy remains plagued with institutional decline and their compliance generally comes from coercive (in case of autocratic regimes) and negotiable (in case of democratic regimes) means (S. Saeed, 1999). Research Problem: By considering the importance of the role of bureaucracy for promoting peaceful atmosphere in the society and its politicized nature in Pakistan this research aims to investigate the following problem: â€Å"Bureaucracy in Pakistan has been highly politicized with every change of government which lowered its capacity to maintain law and order for keeping peaceful atmosphere in the society. † Objectives: To analyze the importance of the role of bureaucracy for maintenance of law and order in Pakistan. To find out the reasons and impact of politicization of bureaucracy in Pakistan. To find out some solutions in order to sort out the issue. Research Methodology: By keeping in view the nature and objectives of the study, qualitative research approach using grounded theory method of unstructured interviews was used. Convenient sampling technique was used to select the sample of the study. Total of 4 key informants were selected based on equal gender representation, 2 male respondents and 2 female respondents. Data was collected through 3 personal face to face interviews and 1 telephonic interview to get all possible facts pertaining to the problem. An unstructured interview guide (see appendix 1) was developed to remain focus on the problem being investigated. In addition, responses were recorded by using the note-taking technique to create a positive environment for interviews and to keep the respondents at ease. The maximum time for conducting interviews remained between 60-75 minutes. After gathering the data, it was carefully analyzed by using the technique of â€Å"Thematic Analysis†. Responses were organized around the common themes which were derived out of the thematic analysis. Data Analysis: This section includes the transcripts along with the analysis, and interpretation of the data gathered by in-depth interviews of key informants. As discussed above data is thematically analyzed to get the deeper insight of the problem. Along with it Transcripts of interviews are also included. Personal profile of Interviewees: The 4 in-depth interviews were conducted 2 from males and 2 from females’ respondents. There personal profile along with the type of interview and time duration is given in the table below: Personal Information of Respondents Name Gender Professional status Time duration of interview Mode of Interview Dr. Zikria Zakar Male Dean of faculty of Social Sciences,Punjab University 57 minutes Face to face Ms. Habiba Rana Female Assistant director (LDA) grade-18 65 minutes Face to face Anonymous* Female Civil servant(grade 21) 75 minutes Face to face Naik Muhammad Khan Male Secretary public welfare Punjab 45 minutes Telephonic Transcripts Transcript of Dr. Zikria Zakars Interview [Q-1] In your opinion, what is the Importance of the role of bureaucracy? â€Å"Bureaucracy has a very crucial role in the governance itself because we cannot de-link the state from the governance process. An efficient bureaucracy is imperative to advance good governance. The primary function of bureaucracy is the execution and enforcement of the laws made by the legislature and policies decided by the political executive. Besides this the other important functions are: Carrying out administration, offering policy advice, articulating interests and maintaining political stability. â€Å"I think to run the administration of a country nicely, a band of capabl  officers are required. In Pakistan, bureaucracy has always been an elite service. The bureaucrats are rich, highly privileged and in many ways more powerful than most politicians of our country. † [Q-2] Do you think that Bureaucracy in Pakistan has been politicized? Give some examples. â€Å"Yes, most of the bureaucrats are de-facto party sympathizers and are guided by unofficial political a ffiliations rather than the indifference their jobs require†. [Q-3] In your opinion, what are the main reasons for politicization of bureaucracy in Pakistan? Well in my opinion, the main reasons for this dilemma are: â€Å"We did not do any serious efforts to manage our national affairs due to which we are facing a huge number of problems in all spheres of life and this bureaucratic inertia is one of them. Our bureaucracy is always willing to accept under -the- table payments. I admit that not all people are corrupt; obviously few are here to help the people, but usually â€Å"side lined†. â€Å"Similarly poor accountability mechanism makes it extremely difficult to challenge bureaucrats when there are disagreements. † â€Å"Another reason is the state of affairs in the country is characterized by rampant corruption at all levels leading to a break down in the rule of law and lack of accountability all around. All these things lead to collapse of our governance structure. And I strongly believe that this failure is the result of public bureaucracy that has failed to perform because they are managerially incompetent and lacking in accountability. † â€Å"There is no transparency in the functioning of bureaucracy. No one knows who is responsible for what. This has provided the ideal climate for corruption and allowing the politicization of the bureaucrats. † [Q-4] What are the consequences of this politicization of bureaucracy? â€Å"It is quite obvious that such sympathies cause a conflict of public and personal interests and which significantly leads towards poor performance as well as increase in level of corruption in the form of embezzlement, abuse of power and extortion etc. † [Q-5] What possible measures can be taken to resolve this issue of politicization of bureaucracy? â€Å"Well I think, the political leadership must do their own job of establishing policy and holding public service managers accountable for their wrong actions. Although, I know this will face tough challenges but it should be the first step. † Which sort of challenges? â€Å"Like to create political consensus. † â€Å"I think if we want any kind of reforms in bureaucracy, there is a need to define the whole idea of public value and then re-inculcated in the cycle of bureaucracy. As we have lost this value†. â€Å"Bureaucrats have become masters of obfuscation in our country so things cannot continue as they are. That is why there is a need of immediate downsizing of bureaucracies to reduce the government payroll and also to improve efficiency†. Transcript of Ms. Habibas interview [Q-1] In your opinion, what is the Importance of the role of bureaucracy? â€Å"It is quite true that state functions are dependent on political parties, bureaucratic administration, judiciary and the military so whenever one of them fails, the next in line takes its position of command. It is usually taught that bureaucracy and its functions leads towards more efficient results but as far as my personal experience is concerned, honestly I did not see any practical significance of all these functions rather in my opinion, they have become the main obstacles in smooth running of day to day work†. [Q-2] Do you think that Bureaucracy in Pakistan has been politicized? Give some examples. â€Å"Yes it is very much true that bureaucracy has been highly politicized and this state machinery and perks are used for private use and interests. State funds are exploited for private purposes. Every political party tried their best to appoint bureaucrats of their own choice on all those important positions which can have any kind of direct or indirect influence on government†. â€Å"Appointment of Chairman of NAB, IGs, and the most recent example is the termination of chairman of NADRA etc. There are various such examples around us†. [Q-3] In your opinion, what are the main reasons for politicization of bureaucracy in Pakistan? â€Å"I strongly believe that political leadership feeble nature allowed the bureaucrats to take over the reins of the country. Such self-centered politicians open floodgates of opportunities for institutional breaches. It is a usual practice that junior officers are promoted out of turn to burden them with favors, which they later return to their political benefactors†. â€Å"As i said earlier, that our political parties and leaders created this culture of favoritism and political affiliation in bureaucracy. Now it has become a norm to use bureaucrats for personal interests. On the other hand, bureaucracies themselves are inclined towards personal gains in term of promotions and money etc. So both sides are equally responsible for administrative inefficiency. What are the consequences of this politicization of bureaucracy? â€Å"All the negative results are in-front of us including poor situation of law and order, extensive corruption in national projects, destruction of infrastructure and inefficiency of all major public organizations etc. All these are the product of bureaucratic mess†. [Q-5] What possible measures can be taken to resolve this issue? â€Å"I do not think any measure can be taken in the situation where everyone is involved in corruption in one way to another. They delay major projects of national interest just to serve personal interests. We need a revolutionary kind of reforms both in political as well as in bureaucratic structure. All setup should be replaced by the best talent, regardless of political antecedent†. Transcript of 18th grade Civil servants Interview (Respondents profile is not provided to ensure anonymity according to agreement) [Q-1] In your opinion, what is the Importance of the role of bureaucracy? â€Å"In developing countries, bureaucracy is considered to be an engine of good governance and development as along with other public institutions, it was expected to provide leadership, order and stability in the country. In modern political systems, bureaucracy is expected to ensure continuity of policies, political order, and stability, uphold rule of law, and promote economic development and cultural cohesion. [Q-2] Do you think that Bureaucracy in Pakistan has been politicized? Give some examples. â€Å"Yes a lot of political interference peeped into the bureaucratic structure, causing negative impact on administration and governance. The government servants could play a positive role in establishing good governance in the country only if they had a sense of security. It is possible only if they have assurance that no adverse action would be taken against them for non-compliance of any illegal order or direction of his superiors or political heads†. â€Å"The government had established the National Accountability Bureau with a view to eradicating corruption and corrupt practices and hold accountable all those persons accused of such practices. However, it has failed to perform its functions to the expectation of the general public because the concerned officials of NAB did succumb to the external or internal pressures. Resultantly, the large sums of public money, illegally plundered, could not be recovered, This is only one example; our history is full of such political interferences. [Q-3] In your opinion, what are the main reasons for politicization of bureaucracy in Pakistan? â€Å"Because of favoritism, nepotism and also due to exploitation of the government employees through their appointments, removals and promotions. In Pakistan the appointment and removal of civil servants always remain politically motivated. All these help to serve their personal interests†. [Q-4] What are the consequences of this politicization of bureaucracy? â€Å"Consequences are quite obvious â€Å"It triggered the lowering of standards, violation of principles of good administration, thus paving way for nepotism, and political interference, leading to poor governance, maladministration and indeed corruption. Can you please identify some ways of corruption in our bureaucracies? All forms of misuse of authority should be seen as corruption, these mainly include: violation of formal standard operating procedures, appeasing the power elite, unnecessary government expenditure, nepotism, bribery and illegal financial kick-backs for granting tenders. What possible measures can be taken to resolve this issue of politicization of bureaucracy? â€Å"It is necessary that best talent of country be attracted to civil services. Since bureaucracy has been so notorious for its political role, most of educated class avoids taking the competitive exam. They instead prefer the private sector and multinational firms as they not only pay well but also do not require dependence on any patronage for career advancement†. â€Å"Another measure which should be taken without delay is the strengthening of a system of accountability and procedural control†. â€Å"I also think that Public Service Commission must be fairly autonomous†. Transcript of Mr. Naik Muhammad Khans interview [Q-1] Do you think that Bureaucracy in Pakistan has been politicized? Give some examples. â€Å"Yes, since the very first regime of Prime Minister Liaquat Ali Khan, several key bureaucrats showed a readiness for increasing their role in political affairs. Individuals such as Malik Ghulam Muhammad and Iskander Mirza who ascended to the apex of political power in Pakistan originally hailed from the bureaucracy and lacked democratic credentials†. In your opinion, what are the main reasons for politicization of bureaucracy in Pakistan? â€Å"An absence of competent and assertive political leadership creates space for other actors to intervene on the pretext that the country needs to be saved from anarchy and corruption. Both the bureaucracy, and the military of Pakistan, has used this vacuum created by the political leadership whenever it seemed convenient to them†. [Q-3] What are the consequences of this politicization of bureaucracy? â€Å"A politicized bureaucracy is fertile ground for nepotism, jobbery, financial corruption and other forms of misuse of authority. The outcome of all this is inevitably a situation where merit, honesty and diligence are compromised making the functioning of bureaucracy significantly less effective and efficient†. [Q-4] What possible measures can be taken to resolve this issue of politicization of bureaucracy? â€Å"Politicians must lead from the front; they must practice, promote and enforce strict non-interference in order to bring on track actors belonging to political and administrative domains of governance. Furthermore, better accountability should be ensured so that misuse of office can be curbed and a constructive work-ethic could be harnessed†. Thematic Analysis Due to qualitative nature of research, data is analyzed thematically. Researcher read the transcripts again and again in order became familiar with respondents opinions and explanations regarding the topic and hence identified the following themes from the data: First theme: Importance of the role of bureaucracy It is interpreted through the analysis of in-depth interviews that all the respondents were of the view that bureaucracy plays a significant role in the state structure. An efficient bureaucracy is imperative to advance good governance. E. g. Dr. Zikria said â€Å"I think to run the administration of a country nicely, a band of capable officers are required. † Similarly according to Ms. Habiba â€Å"It is quite true that state functions are dependent on political parties, bureaucratic administration, judiciary and the military † Similar views were shared by another respondent who said that â€Å"Bureaucracy is considered as an engine of good governance. † Second theme: Politicization of bureaucracy in Pakistan Analysis of responses shows that all the four respondents shared this opinion that in Pakistan, it is clearly evident that bureaucracy has been highly politicized. It lacks neutrality and indifference that their jobs require. While giving opinion Dr. Zikria said that â€Å"Yes, most of the bureaucrats are de-facto party sympathizers and are guided by unofficial political affiliations. † According to Habiba Rana â€Å"Every political party tried their best to appoint favorite officer on all those positions which can have any kind of direct or indirect influence on government. † Second female respondent argued that â€Å"A lot of political interference peeped into bureaucratic structure, causing negative impacts on administration and governance. † Same views were also shared by Mr. Naik by saying â€Å"since the very first regime of Prime Minister Liaquat Ali Khan, several key bureaucrats showed a readiness for increasing their role in political affairs. † Third theme: Reasons and consequences of politicization of bureaucracy in Pakistan It is interpreted from the responses that poor accountability mechanism, managerial incompetency, lack of transparency in bureaucratic functions and the culture of favoritism are the main factors for politicization. For example while answering the question related to reasons for politicization of bureaucracy Ms. Habiba said that â€Å"it’s become norm to use bureaucrats for personal use on the other hand, bureaucrats themselves are inclined towards gaining benefits † Thus it is interpreted that all these reasons leads towards negative consequences or impacts on states functioning because politicized bureaucracy provides a fertile ground for nepotism, jobbery, financial corruption and other forms of misuse of authority. The common ways of corruption which highlighted by most of respondents were appeasing the power elite, bribery, illegal financial kick-backs for granting tenders, misuse of authority, embezzlement, allocation of state land to private interests, before time promotions and illegal perks etc. Fourth theme: Possible Measures All the respondents came up with their own recommendations in order to sort out this issue. Some common ideas were as: Revolutionary kinds of reforms are needed in both political and bureaucratic structure. The best talent, regardless of political antecedent must be employed. A system of accountability and procedural control must also be strengthened. It is important to mention here that no major differences in the opinions were find regarding the politicization of bureaucracy in Pakistan which lowered its capacity to maintain law and order for keeping peaceful atmosphere in the society. Conclusion: It is concluded from the analysis of responses that all were in the view that bureaucracy has a very crucial role in the governance itself. But sadly, Politicization of bureaucracy in Pakistan is the biggest menace, which plagues governance and both politicians and bureaucrats are implicit in the crime. It is the need of time to bring reforms in bureaucratic functioning in order to maintain law and order peaceful atmosphere in the society. References Shafqat, S. (1999). Pakistani bureaucracy: Crisis of Governance and Prospects of Reforms. The Pakistan Development Review, 38, 995-1017. Kalia, S. (2009). Bureaucratic policy making in Pakistan. The Dialouge, 8, 2. Biber, H. , Leavy, P. (2010). The Practice of Quantitative Research: SAGE. Appendix: 1 Interview Guide In your opinion, what is the Importance of the role of bureaucracy? Do you think that Bureaucracy in Pakistan has been politicized? Give some examples. In your opinion, what are the main reasons for politicization of bureaucracy in Pakistan? What are the consequences of this politicization of bureaucracy? What possible measures can be taken to resolve this issue of politicization of bureaucracy?