Providing Healthcare Services at Nicaragua Canal Project - Research Paper Example

Healthcare Services in Nicaragua Canal Project CONTENTS Introduction ` 3 Issues Dilemmas Faced by HC 4 Environmental Dilemmas 6 Environmental Implication 7 Corporate Social Responsibility Dilemmas 8 Capacity Building Dilemmas 8 Dilemmas Resolution 10 Environmental Dilemmas Resolution 10 Corporate Social Responsibility Dilemmas Resolution 11 Capacity Building Dilemmas Resolution 12 Significance of Governance Structure 13 Sustainability International Context 13 Economic Growth impacts on HCSS 15 Reference 16 Introduction The HCSS Healthcare services negotiations within the newly proposed evacuating canal project in Nicaragua and its market environment has consistently provoked a competitive market structure to already existing Panama project and other stakeholders due to multiple congestions of shipping traffic, accidents and traumas between workers and the indigenous people. Thus, within a democratic and equitable business organization, HCSS Healthcare services developers are directed towards an environmental, capacity building and the Corporate Social Responsibility (CSR) roles and responsibilities that link its values, missions, policies and its activity profiles (Sultan & Rjoub, 2014). The HCSS proposed project’s objectives are focused towards developing a new canal project in Nicaragua whose most beneficiaries are employees and their families in conjunction with provision of healthcare services to the indigenous people. In addition, the proposed project has provoked the HCSS and CSR expertise to design a health management program that proactively identifies evacuating and healthcare services related issues with aims of reducing accidents, trauma and congestion of shipping traffics. Therefore, marketing, environmental management, and human resources related issues are identified within the organization illustrating environmental, Capacity Building and Corporate Social Responsibility dilemmas as the central challenges that needs resolution for mitigation measures (Frutos-Bencze, 2014). The analysis presented in this paper is helpful in understanding sustainability and health care services in relation to Nicaraguan canal development. Further analysis in this paper uncovers the entire organization dilemma, issues, and concepts or approaches used to tackle in tackling all the related issues in relation to HCSS developers, locals, and Federal Government agencies. In details, the paper explores and explains the Nicaraguan environmental issues exposing out the significance of the government structure and the corporate social responsibilities and the theories generated to support the arguments (Ogawa & Suzuki, 2015). Based on international context for sustainability, capacity building, and Corporate Social Responsibility the paper critically evaluates the impacts of environmental implications in relation to the Nicaraguan environmental issues as well as business growth (Grove & Berg, 2014). ISSUES / DILEMMAS FACED BY HCSS Fig 1: Healthcare Service Project dilemmas illustration As Nicaraguan health care program experiences foundational dilemmas from different components of marketing, environmental management to human resources dilemmas, environmental or operational management difficulties are most critical dilemma that faces the Healthcare services program (Padovani & Buccioli, 2015). The organizational dilemmas are identified as the core corporate responsibilities that function against the sustainability role in a government structure or non-profitable business providing a reliable tension between environment benefits and the societal deliveries. Conversely, as the dilemmas emerge within the health care services, decision-making concepts in modeling goal-oriented policies and corporate social responsibilities procedures keep on shifting positions (Mohseni & Lindström, 2008). The external environmental management of the organization is the molded that affects the projects services deliveries to the intended customers, the government, economic and public opinion. The Nicaraguan Healthcare services project is designed by the social corporate responsibility professionals to engage the components of marketing such as products stewardship and customers’ engagement with a favorable market structure for a business growth. The position of the corporate social responsibilities to reach a target market has significantly been outplayed by the program designers in order to fit the beneficiaries successfully according to Nauman (2012). For example, the Nicaraguan government has played a significant role in structuring the business environment by providing the new business regulation and policies. Additionally, the government structure as a contextual factor has regulated the canals’ products development, shipping and the organization abilities to expand its services delivery creating an environmental dilemma on the emerging profit margins and the unit cost production (Faezipour & Ferreira, 2011). Conversely, inadequate disclosure of the organization compensation plan that promotes or rewards withholding health services and political, ethical reality conflicts has created multiple challenges and threats to the organization management systems (Sullivan & Bell, 2009). For this regard, significant environmental issues have developed as a current environmental problem affecting commercial disadvantages. However, the organization has tried to establish a commercial opportunity stemmed from various environmental issues to create a positive reaction for the business operation (Kopnina & Blewitt, 2015). Therefore, within the environmental and corporate responsibility realm, the unfavorable business environment is created by the nature in which the Nicaraguan health care project accommodates the presence of a sustainable environment that alleviates the health problems (Farmer & Saussy, 2010). Environmental Dilemmas According to global interdependence measures, a competitive market structure acts as a compelling dimension of a business environment that creates a dilemmatic demand for assessing external and internal environmental issues (Shah& Ramamoorthy, 2014). In this regard, diverse literature and conventional methods utilization have been pushed by the Healthcare System Strategies (NZ) Limited (HCSS) within the health care providers to aid a theoretical advancement of a sustainable environment. For example, environmentally sustainable work behavior that alleviates accidents, trauma and evacuation site related problems. Within the Healthcare Services agenda, the corporate environmental sustainability is regarded as a particular determinant of environmentally sustainable work behavior from which sustainable business model and corporate social responsibility lie (Weber & Khademian, 2008). Therefore, environmental sustainability within the project act as an important activity in building the organization business image while meeting the regulatory requirements. Nevertheless, proactive and protective environmental measures that identify environmental friendly environmental policies and government regulations emerge as a significant challenge in the proposed Nicaraguan canal (Amine & Alaoui, 2014). In addition, there is an ecological concern with the nature of the proposed canal that illustrate contradicting and ineffective environmental sustainability management in full products development, evacuation plans and adaptation to the new environmental conditions. For instance, environmental issues within the proposed Nicaraguan canal to counter the accidents, trauma and impaired evacuation process may not be meet compared to unfavorable competition emerging from Panama canal project according to Farmer & Saussy, (2010). Environmental Implication Comparatively, the environment as a sustainable factor has multiple effects for Nicaraguan business existence such as increased productivity, improved quality of life as well as increased business growth. Based on the current literature current, the Healthcare services projects in relation to the workplace environmental sustainability, the HCSS has predominantly focused upon various top-level environmental management systems and Corporate Social Responsibility (Zhang, 2008). Although several environmental dilemmas have consistently developed in the Nicaraguan Canal Project Healthcare Services, the organizational capacity within the organization has changed the scope in which restructure its new environment. For example, engaging a sustainable relationship between the banks, developers and the local administration helps in initiating the desired changes and existing environmental condition. For successful environmental sustainability, activity profile has placed technology basis and level of care for the healthcare project to acquire financially and personal resources (Pate & Leos, 2011). Corporate Social Responsibility Dilemmas Corporate Social Responsibility dilemmas emerge within the project development where developers, theory, mixed sustainability developed and accountability fails to be adopted as an alternative pillar for profit maximization, community, and environment protection. Additionally, as the HealthCare Services Project between the actual responsibilities of service delivery, the conflict between the concepts of social responsibility and the purpose of the business emerge with significant criticism (Institute of Medicine (U.S.), & Nerenz, 2009). Across the Nicaraguan Healthcare Services, the HCSS has played a dominant role in addressing health environment and ethical issues through its corporate social responsibility intervention. In this regard, inadequate community participation in the Corporate Social Responsibilities (CSR) activities within the Healthcare project result to limited knowledge for the local communities and the project beneficiaries (Zhang, 2008). Conversely, issues related to local capacities building is evidenced with inefficient trained personnel that contribute to progressing CSR initiatives and activities from the local to the federal government agencies. For example, corruption and embezzlement of the aid funds contribute to an inhibition of the program’ goals attainment according to the Personal Observation (UNFPA 2009) due to limited transparency on the part of the implementing agencies. Narrow perception towards Corporate Social Responsibility initiatives and limited explicit CSR guidelines leads to stagnation of building a consensus on implementing CRS issues and development of CSR invisibility factors (Sullivan & Bell, 2009). For example, inadequate consensus within the project implementation results in duplication of evacuation activities, corporate houses and poverty rather than building collaborative approaches reveals out the dilemmas (Kopnina & Blewitt, 2015). Capacity Building Dilemmas Non-profitable capacity building within the Healthcare Services can only be met if the HCSS initiatives are designed to improve and strengthen its management, leadership and administration strategies. However, balancing the program developers or expertise in developing holistic and sustainable technical skills in which the HCSS initiatives have to engage its desired outcomes and resources available (Frutos-Bencze, 2014). For example, there is a consistent growth of capacity building challenges in understanding how the Healthcare Services fit the ecosystem based on the R&D capacity building approaches. Similarly, alienating the HCSS program capacity building within the organizational cultures and structures that are already impaired by its ethical and contextual factors complicates goals implementation (Zhang, 2008). For instance, implementing the business codes of conduct in conjunction with modernizing procedures are unattainable since the program accountability and impacts assessment cannot be obtained. Conversely, multiple discrimination and corruption within the programs implementation stages limit a diversification of workforces that limit building and delivering of a capacity building project. For example, the HCSS experiences multiple contextual factors that may intend slow down desired outcome changes as well as adaptability to fit in the existing environment. Nevertheless, demanding activity profile within the projects implementation may limit the HCSS change strategies the undertake bylaw revisions as well as supporting professional development (Sullivan & Bell, 2009). DILEMMAS RESOLUTIONS Steps Towards Responsible HCSS Healthcare Services Business environment dilemmas resolution Based on Sustainable Modernization Theory, the Healthcare services project environmental dilemmas can be solved by a collective bargain. For example, a sustainable built environment can be meet by creating and developing spaces that incorporate the project developers, the locals, and the federal government agencies (Pais & Santos, 2014). Comparatively, environmental dilemmas in an intergenerational aspect of sustainability within the Nicaraguan canal project can be resolved out by building a permanent environment with structures that typically influence the future generation needs and requirements. For example, the Healthcare services can resolve the environmental operation or management dilemmas by ensuring their sustainable constructions within the project is aimed at incorporating conventional construction practices with the choice made on building materials (Montazemi & Keshavjee, 2011). Nevertheless, the entire supply chain of building materials ought to be evaluated and selected according to global sustainable dimensions. According to the ecological modernization theory (EMT), an environmental innovation that balances contextual factors within the Healthcare services project can be implemented at early developmental stages to regulated and design policies that protect the environment (Clark, 2014). Corporate Social Responsibility Dilemmas Resolutions The project Corporate Social Responsibility dilemmas can only be resolved by advocating for all the drivers that pushes the entire organization operation towards CSR. Shrinking the government roles and resources results in the exploration of non-regulatory and voluntary initiatives in delivering environmental and social objectives (Shaw & Oikawa, 2014). However, the Healthcare program from the designers, local community, federal government agencies, community and investors have to put a greater disclosure and increased customers interest pressure rather than looking for competitive advantage. For example, transparency and local capacity building have to be designed to meet the CSR global guidelines that stimulate community participation in the CSR initiatives and activities (Peet & Hartwick, 2009). For instance, the HCSS Service Strategy in Nicaragua has to implement its detailed plan based on the consumers’ survey and environmental assessment without undermining sustainability fundamental requirements (Structures Congress & Blandford, 2004). Similarly, the HCSS initiatives has to sustainably build a broader perception of the local community, non-governmental organization and government structure that advocates for visibility factors such as the role of media services in highlighting successful cases of CSR initiatives. Based on the Social Contract CSR model, the HCSS has to invest at the local in order to build capacity, power and responsibilities that form reputation risk insurance from the grassroots (Fiodendji & University of Ottawa, 2012). For example, the HCSS within the Healthcare Services will able to meet its functions as there will be enough community participation as a result of increase perception of the program in implementing sustainable policies and procedures (Clark,2014). Alternatively, the HCSS has to consultatively involve all the associate members in building collaborative approaches that undertakes the impacts of sustainability initiatives from time to time keeping on track of the events that promotes or degrades CSR initiatives (Institute of Medicine & Nerenz, 2009). Capacity Building Dilemmas Resolution HealthCare Services capacity building dilemmas resolution can only be met if training, skills transfer, CSR and human resources management are directed towards implementing sustainable HCSS development strategies (Sultan & Rjoub, 2014). In this regard, conflict/dilemma management capacity building strategies plays a critical role in ameliorating and preventing the capacity building conflicts by promoting dispute resolution and analyzing the proximal and structural sources of the Capacity Building conflicts. However, diversifying the workforces, keeping technological advances, contextual learning and assessing the impacts of capacity building dilemmas would be the best resolution strategies for the HCSS (Kopnina & Blewitt, 2015). For example, within the Middle East countries, the HCSS has developed relationship between the shareholders, advanced training coalitions and identifying leadership skills that promote sustainability. SIGNIFICANCE OF GOVERNANCE STRUCTURE Suitable government structure in relation to policies and ethical stability provides a suitable and sustainable business environment that advocates for resolutions for CSR, capacity building, and environmental dilemmas. The government has a significant duty in ensuring the project developer, local and Federal Government agencies collaboratively work together in visualizing the CSR and Capacity Building initiatives and activities so that the program can broadly be perceived and participated (Sullivan & Bell, 2009). Sustainability International Context In the absence of sufficient data, the international context within an environment sustainability assists in managing both social and cultural issues facing the Healthcare Services project in relation to the business growth. Sustainability oriented business cultivates profitable practices that end up reducing the cost of production as well as building a supply chain that encourages operational innovations (Shaw & Oikawa, 2014). For example, the capacity of the Healthcare system to illustrate the concepts of sustainability is evidenced when the HCSS successfully mobilize profitable and sufficient resources for finish evacuation process and financial self-reliance (Zhang, 2008). Economic Growth impacts on HCSS Project Economic growth argument impacts to the HCSS and the CSR Healthcare services are demonstrated vividly by a shift of production factors either to the left or right depending on whether the economic growth is positive, static or negative. However, multiple economic growth arguments for and against HCSS Healthcare services to workers and indigenous people impacts arise from different dimensions depending on various views. From growth economic system point of view, the amateurs for the HCSS and CSR healthcare services base their HCSS implication argument based on capitalism theory of economic growth as unavoidable imperative growth incorporated with social logic for HCSS services consumption (Faezipour, & Ferreira, 2011). In contrast, critics of economic growth influences to HCSS healthcare services based their argument on long-term capital accumulation caused by inescapable needs collision with economic growth factors in the affected region. Thus, economic growth arguments favors or inhibit the HCSS Healthcare services affect workers and indigenous people’ active participation and perception to the services given. From social and environmental based evidence, the supporters of economic growth within the proposed canal base their argument on the social benefits and environment problems solved by the HCSS Healthcare services within the current framework of economic growth. This is evidenced by economic development and better solution plans achieved by the HCSS healthcare services. Conversely, critics of the economic growth in relation to the HCSS Healthcare services argue their stance based on economic growth proportionality that evidently fails to increase with an increase in social benefit, but instead it increase pressure against nature. The effects of economic growth are caused by increased production and consumption of the HCSS Healthcare services in the proposed area (Weber & Khademian, 2008). Similarly, critics of economic growth in relation to the HCSS Healthcare services provided to workers and indigenous people states that, increased contradiction between ecological constraints and economic growth keep on postponing the time required to run scarce resources in the area of application (Shaw & Oikawa, 2014). Thus, the economic growth argument affects the HCSS Healthcare services from reaching an optimum utilization in the area of operation as it affects the perception and participation of workers and indigenous people in the proposed project. References Amine, M. E. A., & Alaoui, A. M. (January 01, 2014). Organizational Efficiency and X-Inefficiency. Clark, W. W., & In Clark, W. W. (2014). Global sustainable communities handbook: Green design technologies. Faezipour, M., & Ferreira, S. (November 01, 2011). Applying systems thinking to assess sustainability in healthcare system of systems. International Journal of System of Systems Engineering, 2, 4, 290-308. 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