Stakeholder Management And Its Contribution To Project Success Construction Essay

Stakeholder Management And Its Contribution To Project Success Construction Essay Project management is an evolving discipline which is relatively new in both practice and academics hence knowledge is drawn from other disciplines to further advance both theory and practice in managing projects. Consequently this research will draw from different academic disciplines for its theory and the construction industry for its practice. To this end a project could be described as a strategy used by organisations to achieve its strategic goal, the strategy could be suggested to have a start and an end date (Turner 2009 p.20; Holton 2002 p.10-2). It could also be suggested that the word organisation in the above definition by Turner 2009 could be called the project stakeholder. Olanda and Landin (2005 p.321) defined project stakeholders as a: à ¢Ã¢â€š ¬Ã‚ ¦group of people who have a vested interest in the success of a project and the environment within which the project operatesà ¢Ã¢â€š ¬Ã‚ ¦ This research is focused on investigating the impact of stakeholder management and its contribution to project success in the construction industry. It could be suggested that the use of PMIs life cycle phases be adopted for the entire project plan as seen in figure 1 below. Figure -Project Lifecycle The project initiation phase of this report will include proposing a project research topic, assigning a project supervisor or project sponsor and proposing a research plan. While the project planning phase will include reviewing of the available project materials and the execution phase will involve writing up the literature review and project methodology. Handover and closeout will involve submitting the final report to supervisor and award of Msc degree in Project Management. Lessons learnt could be suggested to be the feedback and experience gained in during the research. 1.2 Project Context Project Context could be suggested to be the setting in which a project is carried out (ApmBok 2009). In relation to the above description, the aim of this research is in agreement with the above suggestion (Achterkamp and Vis 2008 pg 749). 1.3 Project Rationale 1.3.1 Academic Rationale The academic research into project stakeholders has been attractive and extensive to researchers and professionals. Evidence shows that the construction industry accounts directly for 10% GDP growth in the UK (Cridland and Wates 2009 p.5),this goes to justify the need to investigate the impact of stakeholder management and its contribution to project success in the construction industry and also fulfil the academic requirement of the award of Masters Degree. 1.3.2 Business Rationale The economic implications for any organisation if projects fail will be devastating considering the above report by Wates and Cridland (2009 p5), this report shows that the construction industry account for 10% GDP growth. Project failure of any kind in the current economic climate will cost the organization its finance and jobs e.g. BP deep horizon in the US Gulf Coast where the collapse of a well led to fatalities which in-turn increased BPs financial burden. 1.3.3 Personal Rationale It could be suggested that as a project management professional, embarking on this research will help one better understand the principles of stakeholder management. The knowledge gained from this research will clarify any unanswered questions at the end of this research. 1.4 Aim and Objectives This research is aimed at: Investigating the impact of stakeholder management and its contribution to project success in the construction industry Objectives To explore the principles of stakeholder management and project success. To assess the benefits and challenges of stakeholder management. To correlate a relationship between stakeholder management and project success. To propose a strategy for measuring the impact of stakeholder management thereby assessing its impact on project success. To make recommendations for improved stakeholder management practices. 1.4.2 Project Scope According to Burke (2003 p. 104) project scope identifies when a project has been successfully completed within specified requirement. The scope for this project will involve activities such as writing the literature review, research methodology and drawing on the findings of the above mentioned activities to come up with a conclusion and recommendation. The scope of this research excludes the execution of the primary research. 1.4.3 Project Deliverables Project deliverables for this research is suggested to be the outcome of the report at every stage of the lifecycle (ApmBok 2009 p.135). The deliverables as shown in Table 1 are generalised and subject to being revised at the end of this report. Table Project deliverables Deliverables Description Project Research Plan Introduction/ Background Project Context and Project Rationale Project Definition Project Approach Research Project Schedule Resource Requirements Ethical Considerations Literature Review Research of theory and practice within the construction industry Project Approach or Methodology It involves the description of the process in the collection and evaluation of data that will be used to achieve the overall aim and objectives of this report. Project Proposal This involves outlining a research proposal from the finding and the analysis done in the project approach section. Conclusion and Recommendation This section involves the final summation of all the data used and presenting recommendation(s) where necessary. 1.4.4 Assumption, Constraints and Considerations Assumptions The project will be delivered on time, quality and within budget. The literature / materials needed to complete the project will be readily available. That the project aim and objectives will be met at the end of the project. Constraints The time required by the sponsor to complete the report. Combining three live projects at the same period. i.e. CPD, Group placement and dissertation. Considerations That the report will inspire its readers to proceed towards a primary research. That there will be more research into the impact of project stakeholders and its contribution to project success within the construction industry. 1.5 Initial Literature Review 1.5.1 Stakeholder Management Project stakeholders have been widely discussed in various project management literatures. Fewings (2005 p.34) described project stakeholders as people that their interest could affect the outcome of the project while Olanda and Landin (2005 p.321) agues that although project stakeholders are group of people with different interest in a particular project, they are also interested in a successful outcome no matter the level of interest. Since this research will be focusing on stakeholder management, McElroy and Mills (2007 p.270) suggested that stakeholder management deals with the relationships between stakeholders within projects. This relationship must be developed and structured so as to achieve a successful outcome. McElroy and Mills (2007 p.270) description of stakeholder management is convincing because different bodies of knowledge are yet to agree on a particular description for stakeholder management. Fewings (2005) and Olanda Landin (2005) perspectives on project stakeholders in relation to stakeholder management is valid in that all agreed that stakeholders are made up of more than one individual, so managing this relationship as described by McElroy and Mills (2007 p.270) will determine if a project is a success or a failure . 1.5.2 Project Success Yu et al. (2005) suggested that a: Project  is a success if its created product adds value to the client, considering the cost to the client at the point of acceptance While there is no definite definition to what project success is or what will be the best way to define success, this report would look into critical success criteria used in the construction industry to determine when a project is successful. The ApmBok (2009) defined project success as: à ¢Ã¢â€š ¬Ã‚ ¦the satisfaction of stakeholder needs measured by the success criteria as identified and agreed at the start of the projectà ¢Ã¢â€š ¬Ã‚ ¦ 1.6 Project Research Approach In this section it could be suggested that a proposed research approach be developed, this approach would be aligned with the project aim and objectives. To achieve the above this report has identified two methods or type of research, this are the Primary and Secondary research. A primary research entails the collection of new data or expansion of existing theories in project management body of knowledge. This could be achieved by using the following methods: the use of questionnaires, sampling and survey. Data for this research would be collected though documentary research. This involves analysing various literatures relating to the research; given that this research is a secondary research, a qualitative method will be employed. 1.6.1 Ethical Consideration Sekaran (2000, p17) defined ethics as a code of conduct or expected societal norm of behaviour while conducting a research or project . Below in table 2 are the ethical considerations used to compile this research. Table -Ethical Consideration This research was carefully structured to avoid any misrepresentation or distortion of data collected. All information used for this research was adequately referenced to avoid plagiarism. This report was written with due respect for the subject and authors All information used for this report is in line with universities academic guidelines. Sekaran ( 2000, p.261) 1.7 Project Planning / Report Schedule Burke (2003, p.94) defined project schedule as à ¢Ã¢â€š ¬Ã‚ ¦a process required to ensure that various elements of the project are properly managed and controlledà ¢Ã¢â€š ¬Ã‚ ¦ The project schedule will be used to assign expected start date and expected finish date. The schedule is in a Gantt chart, this could be suggested to be in agreement with (Burke 2003) definition. See Appendix 1 for more details. 1.8 Project Resource Requirements and Budget The resources required for a successful completion of this project is listed in Table 2 and the cost estimate that would apply to both primary and secondary research is in Table 3 Figure -Resources Requirement Human Resources Description Hours Researcher Researcher would carry out a secondary research and prepare a primary research plan to be used to further analyse the project aim 600 Academic supervisor The academic supervisor would give guidance, review and monitor project to ascertain if the project is within scope. 60 Project sponsor The project sponsor and management would be need during an actual primary research. 100 Table Project Budget Activity Budget Source Cost for Researcher and supervisor  £3000 RGU and Sponsor Printing of dissertation and buying of CD drives ( hard and soft copies)  £200 Researcher and Sponsor (in the case of a primary Research) Transport is Dependent on the location of the organisation and RGU library Not Determined at present Researcher and Sponsor 1.8.1 Risk Matrix Risk management is a key area in APM and PMI bodies of knowledge; projects are often associated with one form of risk or another (Raz Michael 2000), controlling this risk is an important task for any researcher. To this end, this report will take a proactive role in controlling risks associated to this project by developing a risk plan which can be seen in Table 4 Table Risk Matrix RISK Probability Impact Rating Mitigating Measure New Rating Difficulty in accessing data for literature review 3 5 15 An early start would be suggested, so as to either change research topic or source for resources 5 The aim of the research becomes to wide to handle 3 4 12 Ensure research topic is specific not too wide 4 Too many information 2 4 8 Start gathering and arranging information on time 2 Technological Difficulty 3 5 15 Back up all files and attend classes on software training 4 Respondents for the primary research are not co-operative 2 5 10 Ascertain at an early stage the willingness of respondent 5 Delays leading up to dead line 3 5 15 Early start ensures an early finish 5 The key describing the colour coding is in Appendix 2 1.9 Report Layout Figure Report Layout

Are Calcium Supplements Really Necessary? Essay -- Health Nutrition Pa

Are Calcium Supplements Really Necessary? Are calcium supplements really necessary, and if so, are they necessary for all age groups? This is a debated issue at this point, and there are facts and studies that have results going both ways. The difficult part is deciphering which studies are accurate, which are applicable to specific groups of individuals, and which are simply ploys to make a profit. But no matter what the conclusions, all studies agree that calcium, in one form or another, is essential for forming and maintaining strong bones. BONE BUILDING AND BONE LOSS First of all, calcium is essential for the strengthening of teeth and bones, muscle and nerve function, and is also a necessary factor for blood clotting. Although most people are aware of this, calcium is severely deficient in most of our diets. As a result, we are experiencing an epidemic of osteoporosis in our society and high blood pressure, which causes kidney and heart damage and stroke. The human body is constantly building and destroying bone mass. As long as it is receiving sufficient calcium, exercise, and hormones, bone building stays ahead of bone loss; osteoporosis occurs in older people when bone loss outpaces their bone building. This was once considered to be an inevitable part of the aging process, but it is now recognized as the most common skeletal disease in the world, leading to debilitating injuries that can have serious complications and even result in death. Factors of this disease include genetics, ethnicity, family history, and body type. (http://www.ghc.org /nwhealth/julaug96/women.html) CALCIUM NECESSARY FOR ALL AGES An adequate calcium intake is essential for all ages. Young children need high doses because th... ...oducts improve bone density in adolescent girls?" School of Allied Health Professions, University of Connecticut, Storrs 06269-2101, USA. Levenson DI. Bockman RS. Nutrition Reviews 52(7):221-32, 1994 Jul. "A review of calcium preparations." New York Hospital, Cornell University Medical Center, NY. Saggese G. Igli Baroncelli G. Annali dell Instituto Superiore di Sanita. 31(4):461-79, 1995. "Nutritional aspects of calcium and Vitamin D from infancy to adolescence." Istituto di Clinica Pediatrica Universita degli Studi, Pisa, Italy. Whiting SJ. Wood R. Kim K. Journal of the American Academy of Nurse Practitioners. 9(4):187-92, 1997 Apr. "Calcium supplements." University of Saskatchewan, Saskatoon, Canada. Whiting SJ. Nutrition Reviews 52(3):95-7, 1994 Mar. "Safety of some calcium supplements questioned." University of Saskatchewan, Saskatoon, Canada.

Why Public Speaking is Important :: Public Speaking Persuasive Essays

Public speaking is one of the most under rated skills learned in school, yet is one of the most valuable. The way you communicate shows a lot about you, and can influence other’s opinions of you. In every profession communicatiis important. Good communication skills, no matter what you plan to do in life, will help you out greatly and improve your chances against a harsh job market. I am majoring in Business Administration and Law, and communication is one of the biggest parts of business and law, yet communication is hardly ever taught in business classes for my major. I think that a communications class like public speaking, for example, should be not just for a college class, but taught in high school and middle school as well. I believe several classes would allow anyone to become an expert speaking. The only way to fully learn public speaking is to get up in front of people and talk to them. One can not learn public speaking from a book. One’s career, school life, and even socializing are affected by communication. If you do not know how to communicate, you probably do not have many friends. Communication has been used since the days of the cavemen. When the cavemen learned to communicate they greatly increased their hunting potential. When they learned to communicate on the hunt and before the hunt, they caught much more game then when they were just randomly running after the animals with spears. In school, if teachers and students could not communicate well, how would anything ever get done? In a business, communication is the most important ingredient. Working at a corporation at a higher level, you deal with hundreds of important emails, meetings, phone calls, and other forms of communicating with your co-workers. I like communicating with other people, and much of my life consists of me with my friends. Communicating with people is a good way to become social and comfortable around people. Public speaking is my least favorite part of communicating but I feel if I go into business, it will be one of the most important things to learn. If I have to give a big speech, it could be the first time several upper management bosses really hear what I have to say, and if I give a poor speech and look frightened, it could make them think I am incompetent and cannot communicate.

Steriods and Baseball Essay examples -- essays research papers

Athletes and Steroids   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Jose Canseco claims steroids can make an average athlete a super athlete, and make a super athlete incredible. With that statement said, it not only compels pro athletes to use steroids, but teenagers as well. In 2002, NIDA funded a study that asked teen athletes if they ever tried steroids. The study confirmed that 2.5% of 8th graders used it; about 3.5% of 10th graders; and 4% of 12th graders admitted using steroids. The percentage of teens using steroids is on the rise every year and I believe something needs to be done to prevent it from even getting higher.   Ã‚  Ã‚  Ã‚  Ã‚  Most athletes acquire steroids to gain size and strength. The main reason I believe younger athletes are taking steroids is because they take notice of pro athletes taking them. The pro athletes you hear taking them are: Barry Bonds and Jason Giambi, as of late. Young athletes have grown up watching these two superb athletes and strive to be like them. In reality, the only way they can even come close to being as great as them is by taking anabolic steroids.   Ã‚  Ã‚  Ã‚  Ã‚  Professional athletes have been taking steroids for decades, it is proven. Athletes get stripped of gold medals they’ve won in the Olympics because of steroid use. Many sports have been now increasing the amount of steroid testing because they feel it is an unfair advantage. People who take steroids clearly are more super...

Night Essay

Elie Wiesel’s Night is a novel about himself and his family and their time in Auschwitz. This book describes the most gruesome event in human history, the Holocaust. It also describes the psychological effect that the Holocaust had on the young people and adults who survived the horrible event. In the interview with Bob Costas Elie describes some of the aspects of Judaism. The main setting of this book is in Auschwitz, a concentration camp in the Holocaust and is from Elie’s point of view. This book has a sad tone to it and this book has many different conflicts. First off, Elie Wiesel’s novel Night is Elie describing his time in the biggest concentration camp in the Holocaust, Auschwitz. The purpose of writing this novel in my opinion was to inform people of what actually happened in these concentration camps on a first-hand account. Secondly, many historical and psychological events were present in the book. An example of this is the descriptions of Auschwitz by Elie Wiesel. Elie also describes the crematories and gas chambers that were used to exterminate the Jewish people in Europe. Some psychological aspects of the Holocaust are that many kids knew that their parents were dead and had to go on with their lives. Also, During Elie’s interview with Bob Costas, he describes how his community was mainly Jewish and how the shops in the town were closed on Saturday and on Saturday and on the Sabbath people changed and became sacred. Lastly, the novel Night has two main settings. It takes place in a small town in Transylvania called Sighet. Also it takes place in Auschwitz, the largest concentration camp in the Holocaust. This book is told from the point of view of Elie. The tone of this book is a distraught tone. There were many conflicts in Night there was Man vs. Man with Jews against the Nazi regime. There was Man vs. self when the Jews had to tell themselves that they would make it through the Holocaust and survive. Lastly there was Man vs. nature when the Jews were running around in the night for 40+ miles. In conclusion, I really enjoyed reading Night because it gave me a better understanding of the Holocaust and what it felt like to be in a concentration camp. Night is an interpretation of the Holocaust from the perspective of a young boy named Elie Wiesel. The Holocaust is a tragedy not only of Jews but of all mankind because it deals with the question of human freedom and equality. It touches people ‘s souls because it is not just a narration about the Holocaust and its victims it is the author ‘s real memories with all the emotions and feelings . It is hard to refer this book to the memoir genre because the truth in it is combined with the invention it is a literary work not a documentary one. Nevertheless, we can see that under the main character, Eliezer, is hidden the author himself. After the occupation of Hungary by the Nazis , Eliezer and his father are separated from the mother and sisters and their terrible journey to the concentration camp of Auschwitz starts . They are exhausted , hungry and practically cannot move but it is only the beginning . One of the most terrible Eliezer ‘s memories is the picture of the hanging of fellow prisoners in the middle of the camp . Another terrible episode is a dreadful , slow death of a young boy , who was accused in collaborating with the Nazis ‘ enemies . Elie asks â€Å"Where is God ? Where is He? † This shows how the Holocaust affected Elie’s faith in God. http://essaytree. com/english-literature/criticism-over-night-by-elie-wiesel/ Elie Wiesel was born in the small town of Sighet in Transylvania, where people of different languages and religions have lived side by side for centuries, sometimes peacefully, sometimes in bitter conflict. The region was long claimed by both Hungary and Romania. In the 20th century, it changed hands repeatedly, a hostage to the fortunes of war. Elie Wiesel grew up in the close-knit Jewish community of Sighet. While the family spoke Yiddish at home, they read newspapers and conducted their grocery business in German, Hungarian or Romanian as the occasion demanded. Ukrainian, Russian and other languages were also widely spoken in the town. Elie began religious studies in classical Hebrew almost as soon as he could speak. The young boy’s life centered entirely on his religious studies. He loved the mystical tradition and folk tales of the Hassidic sect of Judaism, to which his mother’s family belonged. His father, though religious, encouraged the boy to study the modern Hebrew language and concentrate on his secular studies. The first years of World War II left Sighet relatively untouched. Although the village changed hands from Romania to Hungary, the Wiesel family believed they were safe from the persecutions suffered by Jews in Germany and Poland. The secure world of Wiesel’s childhood ended abruptly with the arrival of the Nazis in Sighet in 1944. The Jewish inhabitants of the village were deported en masse to concentration camps in Poland. The 15-year-old boy was separated from his mother and sister immediately on arrival in Auschwitz. He never saw them again. He managed to remain with his father for the next year as they were worked almost to death, starved, beaten, and shuttled from camp to camp on foot, or in open cattle cars, in driving snow, without food, proper shoes, or clothing. In the last months of the war, Wiesel’s father succumbed to dysentery, starvation, exhaustion and exposure.

Ancient History Essay

New research has immensely impacted on our understanding of daily life in both Pompeii and Herculaneum. Experts in archaeology, science and other fields have revealed copious amounts of information about people, buildings and food found in the two cities prior to the eruption in 62 AD. Experts such as Estelle Lazer and Sarah Bisel have assisted in heightening our understanding of the daily life in Pompeii and Herculaneum. From 1986 Estelle Lazer worked on a sample of over 300 individuals who were represented by a collection of disarticulated bone. The techniques of forensic medicine and physical anthropology were used to determine sex, age-at-death, height, signs of disease and population affinities of the victims. The results indicated that almost equal numbers of males and females from all age groups did not manage to escape the town before it was destroyed. Sarah Bisel worked with the bone analysis of the skeletons of Herculaneum to determine and study the lifestyle differences between the social classes present within Herculaneum. She discovered many things about the people of Herculaneum such as the town was a genetically diverse society, children were often malnourished due to the lack of calcium in their teeth and the bodies had high levels of lead. This new information has majorly effected and broadened our understanding of daily life in Pompeii and Herculaneum. The evidence of food in the two towns and the study of these by experts such as Wilhelmina Jashemski and the team of principal researchers known as the Pompeii Food and Drink Project, further develop our knowledge of daily life in these famous towns of Campania. Jashemski’s project had the purpose of studying animal and plant remains in order to gain an understanding of the kinds of gardens in and around Pompeii as well as gathering information on the wine and oil industries of the area. By examining soil contours and carbonised plant remains, archaeologists have gained a more accurate picture of produce and ornamental gardens in Pompeii. The purpose of the Pompeii Food and Drink Project was to analyse the patterns of daily life in a non-invasive way to study the structures that are associated with food and drink. The Project has collected many ancient artefacts and information, and answered many questions about the food and drink storage, distribution, preparation, serving, and consumption in Ancient Pompeii. All these sources combine to give us a more acute knowledge of the ancient towns of Pompeii and Herculaneum. The buildings found in Pompeii and Herculaneum provide extensive information about the lifestyle of people living there. The House of Pompeii Project, started in 1977, had the focus of investigating and salvaging buildings which had been excavated in previous years but had not necessarily been recorded. The two houses that were particularly studied was the House of the Ancient Hunt and the House of the Coloured Capitals. The Project has not uncovered any new information, only recorded findings on certain housing which were either not properly recorded or completely ignored. The Insula of Menander Project had much the same aim as the House of Pompeii Project, in that they were redressing the deficiencies in earlier records. Their main focus, though, was the insula conducted under Amedeo Maiuri. The Project provided a detailed history of the insula showing that there had been frequent building changes over time and that there appeared to be a late appearance of shops and the addition of upper storeys in the last years of the city. The Pompeian Forum Project’s main objective was to produce more accurate plans of surviving remains by the use of architectural analysis to widen the understanding of contemporary urban problems. The traditional view that the Forum was a ‘builder’s yard’ after the 62 AD earthquake was disproved. There was also evidence found of a comprehensive earthquake plan for the Eastern side of the Forum. In Source A we can see how new research has amplified our knowledge of Pompeii and Herculaneum. Through research by Italy’s National Institute of Optics, it has been discovered that the famous ‘Pompeian red’ was a colour created from the mixture of yellow paint and the gases from Vesuvius. In conclusion, the impacts of new research and technologies have considerably expatiated our enlightenment of the daily life in Pompeii and Herculaneum. The many sources uncovered and analysed from these towns have been much more useful as a result of developing technology and research. In the years to come, technology will continue to develop, along with more information being discovered and this will result in more and more information being provided about the famous ancient towns of Pompeii and Herculaneum.

Healthcare and Communication Essay

Abstract Healthcare is a continuous growing field, within this field you are faced with many diverse cultures that have different values, beliefs, practice and customs of a special group. Among the many challenges facing healthcare is the role of language and cultural barriers that can affect health care and the quality of care that a patient may receive. Healthcare provider interactions, preferred treatment of care are some of the cultural behaviors that are encountered in the daily decision making process. Cultural behavior and the value can affect such use in preventive health care, health related lifestyle, and sources of health related knowledge. The challenge in healthcare today is the number of the patient population that is diverse from the usual United States population. Effective Communication The growth of the culturally and linguistically diverse population has led to many efforts to encourage or ensure that health care systems respond to the distinct needs of culturally and linguistically different patients by becoming â€Å"culturally competent† Just as with the concept of culture, there are many definitions of cultural competency. However, most definitions are derived from one developed by mental health researchers who defined cultural competence as â€Å"a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or amongst professionals and enables that system, agency, or those professionals to work effectively in cross-cultural situations† (Cross et al. 1989, cited in Brach and Fraser 2000: 182). Effective communication between patients and physicians who are culturally and linguistically different implies the employment of strategies to provide culturally competent health care. At a minimum, effective communication means that all participants in the communication comprehend and understand the content of the communication. Beyond this minimum, effective communication implies subjective feelings such as trust, empathy, and mutual satisfaction with the communication. In the case of patient-physician verbal communication during a clinical encounter, effective communication  means that both physician and patient. As a provider of healthcare you must be able to understand the content of each other’s spoken communication thoughts related to the encounter, leaving no questions and thoughts unexpressed. You must have the patient feel that sufficient time is available for speaking and listening, and the overall satisfaction with the communication was successful. Language Barriers Environmental, socioeconomic characteristics and perceptual contexts have a vast impact on communication. Researchers have taken surveys of micro groups of culture and Latinos as well as Hispanics have shown that due to the lower access of health care language barriers have had an adverse impact on patient appointments, how providers explain symptoms, and the understanding of terminology. Language and cultural barriers can be added to health behavior models to illustrate their effects on access to medical care. For example, limited English proficiency and cultural unfamiliarity with the U.S. health care system can both be considered inhibitors or barriers in accessing medical care. The healthcare belief model shows the effects of f cultural differences on health care use are similar to those of language. Cultural differences often translate into cultural barriers that lower access to health care. However, the research on cultural barriers on access or use of health care is not as extensive as research on language barriers. Language and culture are used interchangeably so that the effects of culture may not be distinguished from those of language. Skill in a language does not necessarily bring with it cultural familiarity and competence. Providers can choose to learn a second language, let us say, Japanese, and become sufficiently proficient that she is ilingual in English and Japanese. She may still lack cultural knowledge of Japanese culture, including values and beliefs about health and illness, traditional health treatments, and the experience of being a immigrant in the United States. Overcoming the language barrier is a major step in effective communication with Japanese speaking patients, but cultural differences can still affect the doctor patient relationship. Healthcare High and Low Context Providers in general need to be more empathetic when dealing with high and low context cultures, the quality of interaction is very important. High text cultures tend to have a more moderate or suppressed expression of negative or confrontational messages, unlike the low context culture. In the low context culture silence and pauses are often misunderstood as the patient agreeing with the situation. Responsibility of communication lies with the provider, to be clearer of the information that is being transposed through provider patient relationship. To improve the quality of care providers must be able to recognize patterns and body language, and take an emphasis on listening, and take note of response and speech. With the acknowledgement of these patterns providers and staff are able to reduce the amount of error that can occur in health care. Healthcare Stereotyping Stereotyping is a behavior used when there is uncertainty; providers may apply this type of treatment when faced with medical decision making. Individual often harbor negative associations in relation to various groups. African American patients have been viewed as less educated, and less likely to comply with the providers instructions. Providers are often unaware of here bias decisions. One stereotype is that of Black Americans are less cooperative when it comes to medical procedures, this is called automatic stereotyping. To beat this type of treatment is vital that the provider communicates with patients; understand the environmental state of these patients. Many patients who don’t receive proper care is due to the cost of health insurance, lack of finance, and communities that are lacking proper physician care. Patient care must be treated as an equal. Conclusion The healthcare field as been viewed as a field that has overcome many barriers, unfortunately that’s untrue, many providers suffer from the lack of communication, and understanding why it is important to break cultural barriers. Perception and disparities in health care are often stereotype those without health insurance, how well a patient speaks English, and lastly patient gender. As health care providers it is very important to understand the quality of care that is expected among cultures. Communication among the patient and physician can make or break the organization values. References Neulip, J. W. (4th Edition 2009). Intercultural Communication. In J. W. Neulip, A Contextual Approach. Sage Publications. Singleton, K., Krause, E., (Sept. 30, 2009) â€Å"Understanding Cultural and Linguistic Barriers to Health Literacy† OJIN: The Online Journal of Issues in Nursing. Vol.