Becoming an Assertive Nurse | Reflection

Becoming an Assertive Nurse | Reflection Lorna Bennett The Assertive Nursing Student In this reflection paper, I will relate my experience of an incident that helped me to be more assertive, compassionate, and confident in my skills. I will be using the Gibbs model of reflection to write this paper. Gibbs model (1988) refers to the key processes within reflection itself, rather than as reflection as a process within general learning. The cyclical model, or more accurately a functional framework for reflective study, assumes repetitive experiential contexts and is split into six key areas. These areas are event description, feeling, and thoughts; evaluation, analysis; conclusion and action plan (Gibbs, 1988) Event Description In my second clinical placement, I was working in a general medicine unit of Grey Nuns Hospital. I was assigned to care for Karl (pseudonym). Karl was a delightful 82-year-old male, admitted with AECOPD (Acute Exacerbations of Chronic Obstructive Pulmonary Disease). Karl’s eldest daughter, Lisa (pseudonym) had dedicate her life to perform the duties of the primary caregiver and is an active participant with medical care and planning his daily needs. Both Karl and Lisa had no hesitation in welcoming me as a student to participate in Karl’s care. During my head to toe assessment, Lisa was constantly commenting on what she thinks was the â€Å"best way† to perform nursing tasks for Karl. That left me feeling bullied and distraught, as Lisa was always questioning my head to toe assessment and nursing care. She did not allow me to perform my assessment and nursing care because she was always intervening by directing negative comments about my skill and offered clues on how it should be performed instead. I tried to explain to her my role and the importance of the head to toe assessment, but she kept telling me an expert such as a Doctor or Registered Nurse and not a Student Nurse in his second year should do the assessment. This feeling of inadequacy arose partly because of Lisa’s strong assertion of being the patient’s daughter and sole primary care giver. Feeling and Thoughts Nurses are responsible for providing safe, competent, and ethical nursing care to patients, when conflict arises between families and nurses; building trust through relational practice approach becomes difficult in developing the nurse-patient relationship. I found it difficult to provide care as my beliefs and values were tested, I felt as if I did not belong in that situation and that nursing was not the profession for me. Mitchell (2001) suggests that nurses need to examine their own moral development and the theories that guide their practice. She further explains that when nurses choose theories that enhance their ethical practice, â€Å"the confidence that comes from that choosing will help nurses have the courage to act according to the realities that each person and family brings to the situation† (p. 113). I told my buddy nurse about Lisa’s assertive and demanding behavior. My buddy nurse also talked to Lisa about my concerns and told her that I should be treated with respect just as everyone in the health team and that I was of great help to Karl. I also spoke to my instructor on what had transpired during my first meeting with the patient, and how Lisa made me feel as though I lack self-confidence in my skill level. She suggested that we speak to Lisa about it together. My instructor talked to Lisa quietly in Karl’s room, and asked her why she was so uncomfortable with me doing the assessment and providing care for her dad. Lisa looked quite upset, she said she feels that a second year nursing student should not conduct such an assessment, as we are not experienced to identify certain health issues. My instructor discussed the importance of the head to toe assessment with her, and told her I was competent to perform the assessment, as I was educated in school to do so. I also strived to incorporate a holistic approach to the patient, in which the health care team, family, and the patient can benefit from the best nursing care possible. However, for once in my nursing career, I felt as though my practice was not safe, competent and welcomed. Evaluations. The incident was extremely challenging for me. I thought that I should have acted on my critical thinking skills earlier. However, I am pleased that Lisa had partially agreed with me to perform the skills. This incident has taught me the importance of acting assertively and not to be bullied into one’s beliefs and values and to focus more on the patient’s concerns. On reflection, I realized that I was practicing from the stance of my nursing skills, while at the same time concentrating on not making mistakes; I strayed from my relational connection with Karl and Lisa. Though I tried my best to create a rapport with Lisa, I find it challenging to pursue as she was focused on her beliefs and values rather than the care myself and the health team are providing. She commented negatively on every aspect of nursing care performed by myself. I realize that her negativity stems from her lack of knowledge of medical terms, AECOPD, and the rationale on why care is being provided. Valentine (1995) states, â€Å"This disappointment and vulnerability can be particularly severe when bullying is involved, and the victims of bullying need high levels of assertiveness to allow them to resist the associated stress. Hence, in general nurses use conciliation and escape as methods of coping with bullying and conflicts (p. 145). Analysis During that week of practicum, I felt that I became more confident in my assessment. However, when I was confronted during my first head to assessment with Lisa, I was unable to provide a clear rationale on why I was performing my assessment the way it was, despite being competent in my skills. This affected my confidence because I was focused on doing my assessment correctly and lacked assertiveness when it mattered. Lisa was consistently critical of my head to toe assessment. I had sought out both my buddy nurse and instructor to confirm that my skill level was acceptable. I realized that lack of confidence was not skill related, but my inability to communicate the evidence-based reason to perform my assesment skill under constant pressure from Lisa. That placed me into a position where I looked like I was incompetent to perform my head to toes and other nursing care. Conclusion During, this ordeal, I was able to reflect on my practice, identify my weakness in confidence, and be proactive to seek out assistance from my buddy nurse and instructor in allowing me to develop my skill level as a student. I was also able to be more assertive when confronting Lisa. Assertiveness is a means, which can be used to work against bullying, improve stressful situations, and enhance empowerment (Fulton, 1997). Through a collaborative effort with my buddy nurse and instructor, I was able to clarify that my assertiveness, not my assessment skill level or knowledge base was not the reason rather my inability to effectively communicate when put under pressure, which in turn led to a lack of confidence in my skill and knowledge. Action Plan I recognize that assertiveness is an important aspect of nursing practice and has a huge impact on ensuring the well-being of the patient is maintained. It is evident that my lack of confidence in my own ability when pressured by Lisa contributed to my feelings of being bullied and incompetentence. I have learned to be more assertive after that incident by implementing critical thinking and effective communication. That experience has made me more assertive when interacting with staff, patients, and families in this current rotation in Nurs 277. References Fulton, Y., 1997. Nurses’ views on empowerment: a critical social theory perspective. Journal of Advanced Nursing 26 (3), 529–536. Gibbs, G. (1988) Learning by doing: A guide to teaching and learning methods. Oxford Further Education Unit, Oxford. Mitchell, G. J. (2001). Struggling in change: From the traditional approach to Parse’s theory- based practice. Nursing Science Quarterly, 3 (4), 110-116. Valentine, P.E., 1995. Management of conflict: do nurses/women handle it differently? Journal of Advanced Nursing 22 (1), 142–149.

Movie Essays - Narrative Holes in Films of Shakespeares Plays

Narrative Holes in Films of Shakespeare's Plays My subject in this essay in playtexts and in films of those playtexts. Drama offers the storyteller a simple choice about how to communicate each element of the story to the audience: show it, or have a character describe it. Often in drama narration is used because an event cannot be shown, but occasionally telling is used when showing is perfectly possible and Shakespeare uses this device self-consciously to draw attention to the medium rather than the message of his story. Shakespeare appears then interested in ekphrasis, which the Oxford Classical Dictionary calls "an extended and detailed literary description of any object, real or imaginary" (Hornblower & Spawforth 1996) but which is commonly used in the more precise sense summarized by Grant F. Scott as "a verbal representation of a visual representation" (Scott 1991, 301). In Shakespeare's Much Ado About Nothing there is an important hole in the narrative which has been placed there by the dramatist. The moment when Claudio and Don Pedro witness a sign of Hero's infidelity is only anticipated and recalled in the play, not shown. First Don John promises "Go but with me tonight, you shall see her chamber window entered" (III.ii.102-3) and in the next scene Borachio brags how he brought Margaret into the deception: "She leans me out at her mistress' chamber window, bids me a thousand times good night" (III.iii.140-2). Between III.ii and III.iii the deception takes place without being shown to the audience. It certainly would have been possible for Shakespeare's stage to represent Borachio entering or leaving the bedchamber, so we should consider why Shakespeare chose instead to use dialogue referring to t... ...Laterna/Athena/RSC. Greenaway, Peter. 1991. Prospero's Books. Motion Picture. VPRO Television/Camera One/Le Studio Canal+/Channel Four Films/Elsevier/Vendex/Cinea/Allarts/NHK/Palace Pictures/Penta Films. Holland, Peter. 1995. "The Shapeliness of The Tempest." Essays in Criticism. 45.3. 208-29. Hornblower, Simon and Antony Spawforth, eds. 1996. The Oxford Classical Dictionary. 3rd edition. Oxford. Clarendon. Jarman, Derek. 1979. The Tempest. Motion Picture. Boyd's. McGuire, Philip. 1994. Shakespeare: The Jacobean Plays. English Dramatists. Basingstoke. Macmillan. Scott, Grant F. 1991. "The Rhetoric of Dilation: Ekphrasis and Ideology." Word and Image. 7.1. 301-10. Shakespeare, William. 1899. Much Ado About Nothing. Ed. Horace Howard Furness. New Variorum. 12. Philadelphia. Lippincott. Wilcox, Fred M. 1956. Forbidden Planet. Motion Picture. MGM

Imprisonment In This Way For The Gas English Literature Essay

Imprisonment: it can take many signifiers, traditional imprisonment in a penitentiary, a non actual signifier of feeling imprisoned by being impoverished, and the actual signifier, a concentration cantonment. But the signifier that is rather misunderstood and undertaken is imprisonment in literature. Imprisonment in literature can germinate and stem out so many different ways. You could depict the life of a concentration cantonment victim, to a immature male child trapped by his parents in his place, or a immature adult male populating up in trees. This signifier of imprisonment is the most unostentatious signifier of seeing imprisonment, although many plants of literature show us how their characters are imprisoned. Its dry how a adult male sitting in a prison will read a fresh, or aggregation of short narratives, who might non be in the same state of affairs as him, but understand what is traveling on to him, that imprisoned supporter. Tadeusz Borowski and Italo Calvino have master fully incorporated and portrayed the motive and subject of imprisonment into their plants This Way For The Gas, Ladies and Gentlemen and Baron In The Trees severally, along with enticing and elaborate enunciation, their plants make for great literature. This Way for the Gas, Ladies and Gentleman, is written by a Polish Holocaust subsister Tadeusz Borowski, and is the rubric piece and first narrative of his aggregation of short narratives. Borowski was non one of the Jews, but a poet who suffered from depression. For this ground, the Nazis had sufficient ground to confine him at Auschwitz and Dachau because he was considered a political captive. Borowski ‘s positions toward his fellow captives and the Nazis were reasonably different than usually seen by concentration cantonment subsisters, chiefly because he was non Judaic. Harmonizing to Karen Bernarda, â€Å" it was n't that Borowski ‘s viewed his captivity in any more positive footings than the Jews with who he was imprisoned with, but he does non look to be able to divide the captives and the Nazis into scoundrels and victims. † In the narrative, This Way For The Gas, Ladies and Gentlemen, the storyteller Tadek, has become a member of a group called â€Å" Can ada † , which was responsible for rummaging through the Jews single properties in hunt of any concealed hoarded wealths they can salvage. Tadek, nevertheless, does in fact know that most or all these people coming off the trains are traveling to be sent to the gas Chamberss, and yet decides non state them this. During this clip, nevertheless, Tadek feels profound indignity about his occupation, but he besides believes the Jews are the 1s responsible for their imprisonment in the concentration cantonments, and besides feels it was the heartsick Jews who have destined him to experience ashamed of himself. Borowski says, â€Å" [ aˆÂ ¦ ] I am ferocious, merely ferocious with these people-furious because I must be here because of them. I feel no commiseration. I am non regretful they ‘re traveling to the gas chamber. Curse them all! I could throw myself at them, crush them with my fists. ( Borowski 116 ) † The unjust statement that Tadek is seeking to demo is that even the concentration cantonment captives who worked for the Nazis suffered every bit much as the Jews did, even though they were a*llowed to last. Bu*t they were besides forced to wo*rk for the Nazis which was, for Borowski, even more dehumanizing than being allowed to decease. Captive workers were forced to transport dead Jews to the crematory, every bit good as informant countless other sickening and ugly Acts of the Apostless. Not merely is Tadek imprisoned physically, he is imprisoned mentally every bit good. Just the sheer fact that person is running your life, and non allowing you do your ain determinations or picks, makes you experience as though you are an captive slave. If you were non mentally capable of taking this into consideration it was really improbable that you would hold survived in the Holocaust. It took a great trade of mental and physical strength to acquire through the imprisonment techniques of the Na zi government. Set in the peaceable vale of Ombrosa during the period of rational and societal agitation, Italo Calvino ‘s The Baron in the Trees relates the narrative of Cosimo Piovasco di Rondo , along with Cosimo ‘s brother Biagio, whom is the storyteller, provides the history and long standing tenseness of their household. Cosimo ‘s male parent, Baron Arminio, married the General of the War of Succession, Corradina. The Baron, who is â€Å" half-mad with a malicious run † , seems to mistreat his kids continuously ; and while Corradina is contending in the war on horseback it finally causes the kids to run rampantly, go brainsick, and finally non listen to their male parent. One twenty-four hours, when the Baron invites the Courts of France to tiffin at midday, Battista arrives with her new Gallic culinary art repast, snails. When Arminio forces Cosimo to eat the snails, it comes evident to Cosimo and the reader that he can no longer manage his male parent ‘s maltr eatment and shouting. Fling from the tabular array and ramping out of the house, Cosimo uses his ability to mount up a unrecorded oak tree in the backyard. In contrast to This Way for the Gas, Ladies and Gentleman, Cosimo escaped the imprisonment and rough jokes of his male parent in order to populate a better life. However, Cosimo was come ining into another captive life style, one in the trees. Bing that Cosimo is imprisoned in the trees, he is deprived of the points, pleasances, and chances that lie merely beneath him on the land, This would take one to the idea that your pick will pin down you, whether it be an experiential pick or non. Your pick will take to a different way, a way that has an unpredictable hereafter. Possibly an captive life style is merely inevitable. Possibly with every determination you make you are come ining more and more into the imprisonment of your ain life. Unknowing what will go on in the hereafter, Cosimo jumps out of the trees and into the hot air b alloon, he now becomes imprisoned within that hot air balloon for an unknown sum of clip. Harmonizing to Jessica Page Morrell, â€Å" Whatever your themes-abandonment, loneliness, anarchy, justness, the dangers of seduction-the scene can heighten these constructs. † In This Way for the Gas, Ladies and Gentleman, Tadeusz Borowski provides the grotesque, inhumane, scene of the Holocaust in order to supply a double penetration to the life of the Judaic and non-Jewish captives in the concentration cantonments. Borowski gives us a brief thought of how stray these cantonments were, and how he himself was isolated. Morrell states that â€Å" geographics and conditions are used most frequently as devices for isolation, † and being that these concentration cantonments were so far from any type of civilisation it is an first-class scene and topographic point for the short narratives. Right off Borowski starts his first short narrative with, â€Å" All of us walk around naked. The delousing is eventually over, and our stripy suits are back from the armored combat vehi cles of Cyclone B solution [ aˆÂ ¦ ] the heat is intolerable. The cantonment has been sealed off tight ( Borowski 29 ) . † This is a premier illustration of how scene enhanced the subject of imprisonment all while demoing the inhumane and unethical patterns used by the Nazis. The scene of Baron In The Trees is unvaried throughout the novel, but the chief scene would be in the trees. From the trees, Cosimo explained to his brother, he could see the Earth more visibly. Free from the dull modus operandi of an earthbound being, the Baron had antic escapades with plagiarists, adult females and undercover agents, and still had clip to read, and survey. Cosimo ‘s imprisonment, was non bad at all times, he got to bask some of the pleasance that people on the land have the award of making. The scene of Baron In The Trees non merely enhances the subject of the novel, but it besides develops a sense of topographic point that plays â€Å" an synergistic facet of the fictional novel that saturates temper and intending all while doing the reader rely on ocular and centripetal mentions ( Morrell 171 ) . † Harmonizing to the Merriam-Webster dictionary imprisonment agencies, to set in or as if in prison ; confine, and literature means inventive or originative authorship. When put together, the thoughts are implausible ; the writer takes the reader into a whole other universe. This Way For The Gas, Ladies and Gentelmen and Baron in The Trees, are two first-class plants of literature which portray the imprisonment of their several characters finely. Word Count: 1,454

Glaxo Smithkline Mergers And Acquisitions Finance Essay - Free Essay Example

Sample details Pages: 8 Words: 2303 Downloads: 9 Date added: 2017/06/26 Category Finance Essay Type Narrative essay Did you like this example? ABSTRACT Mergers and acquisitions often referred to as MA is also a tool for expanding ones business or get around different laws or regulations such as tax laws or monopoly regulations. Merger and acquisition (M A) has been the most debatable issue in the field of management and finance. There are arguments for and against corporate restructuring and mergers. Don’t waste time! Our writers will create an original "Glaxo Smithkline Mergers And Acquisitions Finance Essay" essay for you Create order Martin, (1996) argued that although. MA activities occur in waves but MA activities are as a result of the economic environment. The purpose of this assignment is to assess the reasons for the GlaxoSmithKline merger and to what extent the aims of the merger have been achieved. INTRODUCTION GlaxoSmithKline is a UK based second largest pharmaceutical healthcare company in the world. Headquartered in the UK and having listing on both New York stock exchange and London stock exchange. GSK is one of the industry leaders, with an estimated seven per cent of the worlds pharmaceutical market; GSK is the only pharmaceutical company researching both medicines and vaccines for the World Health Organizations three priority diseases HIV/AIDS, tuberculosis and malaria.(www2) GSK employs over 100,000 people, has more than 80 manufacturing sites in 37 countries, and makes almost four billion packs of medicines and healthcare products each year. GSK spends 8 million (US$14 million) on research and development each day thats around 300,000 (US$562,000) every hour (www3). Moreover in 2007 the turnover decreased from 23.2 % in 2006 to 22.7 % a very challenging year for the company as GSK unexpectedly faced a severe decline in sales of Avandia, the second biggest product (www1). REASONS FOR GSK MERGER SMITHKLINE BEECHAM The creation of SmithKline Beecham resulted from two companies running out of internal options. SmithKline was unable to restore the income from its core drug, Tagamet, but had an aggressive sales force in the US. Beecham, a consumer goods Company, got success in its early research attempt on antibiotics, but had no competencies to become a major pharmaceutical player. Their merger resulted in an organization with an international marketing presence. Glaxos acquisition of Wellcome produced only short-term savings but no long-term growth. Through amalgamation both Beecham and SmithKline Beckman were able to keep up with critical mass in RD, as the combined research budget doubled, but total RD expenditure still lagged behind the likes of top firms such as Glaxo, which were outspending them two to one. However, the amalgamation resulted in a meticulous power sharing agreement between the two management groups and brought about a new organisation with international marketing and sales presence. (Sudarshan, 2003) People at SmithKline Beecham knew that the advantage of a friendly merger was allowing for equality of chances for those involved. A perception reinforced by Mr Bauman and his team investing substantial amount of time and effort to create a new culture (under the Simply Better initiative), which also transformed the way people were measured and rewarded. The amalgamation of Beecham and SmithKline Beckman was lengthy and relied in a combination of benchmarking (i.e. continuous improvement efforts) and process reengineering. (Herd, 2000) Jan Leschly became chief executive in 1994 and was responsible for the continuing implementation of Baumans vision. The intent was for the pharmaceutical company to match services already offered by insurance companies, hospitals and doctors, by offering complete healthcare packages for a flat, up-front fee. This move was followed by other major pharmaceutical companies in 1994 when SmithKline Beecham and Eli Lilly purchased DPS and PCS Health Systems, respectively. Through the acquisition of DPS, SmithKline inherited a six year alliance with United Healthcare Corp., which owned several health management organisations (HMOs) with some 1.6 million members. The alliance would assure SmithKline exclusive rights among pharmaceutical and diagnostic companies and to access medical outcome data from members of HMOs owned by United Healthcare. (Herd, 2000) However, the validity of the managed care model was questioned in 1998 when Ely Lilly sold PCS, at a substantial financial loss. The following year SmithKline divested DPS as well as the clinical laboratory business. For the industry the divestiture of PCSs was more significant than the associated financial losses. The strategic turnaround of Eli Lilly and SmithKline Beecham signalled a failure to control distribution channels through formulary lists and the inability of established pharmaceutical companies to integrate proprietary outcome and patient information into new drug discovery. (Scholes Johnson 2001) GLAXO WELLCOME Glaxo Wellcome resulted from the merger of two leading UK pharmaceuticals in 1995. Glaxo already knows the merger game as before Glaxo wellcome was created in 1995 when Glaxo took over Wellcome for 9bn, in what was then the biggest merger in UK corporate history. Wellcome Foundation was financing medical research and was established in 1936, welcome owned a 40% stake in Zantac, Glaxo struggled to find a replacement for its blockbuster, whose patent has expired in the US, and for Zovirax, Wellcomes antiherpes drug which has already become available without a prescription. However before this wellcome has rejected this $14 billion unsolicited takeover offer. (Lambrecht, 2005) Top managers thus endeavoured to rationalise the overall organisation and introduce economies of scale in RD activities. However, executives had great difficulty holding the new company together. Russell Reynolds, a top recruitment consulting firm, was brought in to help re-organise world-wide operations. The aim was to create a levelled playing field so that few key individuals were lured away while, at the same time, the integration of different units was smooth and effective. In spite of this, there was increased middle-management turnover after coming together. (Herd, 2000) At the time of the merger with Wellcome, the chief executive at Glaxo was Sir Richard Sykes. He had been holding that job since 1994, was a former (very successful) British academic and RD director, as well as a firm believer in investing in RD for company growth. One of the biggest setbacks of his career, at the top position in the new Glaxo Wellcome, was the UK governments decision in 1999 not to place Relenza, the companys new flu drug and the first real success of combinatorial chemistry research, on the At the time of the merger with Wellcome, the chief executive at Glaxo was Sir Richard Sykes. He had been holding that job since 1994, was a former (very successful) British academic and RD director, as well as a firm believer in investing in RD for company growth. One of the biggest setbacks of his career, at the top position in the new Glaxo Wellcome, was the UK governments decision in 1999 not to place Relenza, the companys new flu drug and the first real success of combinatori al chemistry research, on the National Health Service list of prescription drugs. However, he had been responsible for the diversification into emerging markets, a new organisational structure, as well as joint ventures in India and Japan. (Johnson, et al., 2008) By the end of the 1990s, some analysts were sceptical on whether the merger of Glaxo with Wellcome had produced any synergies at all. It was true that sales of revitalised Wellcome products through Glaxos marketing muscle had helped to avoid slipping in the rankings, but it was also true that the drugs pipeline was unimpressive and many new products had failed to live up to expectations. The merger had, indeed, brought Glaxo presence in certain therapeutic areas that it had not exploited before (such as antivirals), while Wellcome benefited from greater financial discipline and focus. But both companies had been used to cash and profit rich years. So analysts wondered whether costs had really been brought under control, whether Glaxo Wellcome had relied too much on disposals to flatter its earnings performance and, on balance, many were disappointed that augmented RD facilities had done little to replenish the pipeline by producing new potential blockbusters. GSK merger was part of t he pharmaceutical merger wave, but keeping in view (Economic environment) future prospects and growing market potential pharmaceutical firms started looking for partners, because the growing trend in the industry could affect their future cost. The companies giving birth to GlaxoSmithkline themselves resulted from mergers. (Scholes Johnson 2001) SUCESS OF GSK MERGER As one of the key points of the merger, managers considered building operational headquarters in the US while corporate headquarters would remain in the UK. The new companys increasing leanings to the US in style and markets puzzled many, as Britain was home for both originating companies and the UK one of the worlds leading centres for the research, development, and manufacture of prescription medicines. Britains pharmaceutical output doubled between 1980 and 2000 in real terms while exports boomed and research and development of prescription drugs increasingly became a high-technology business and one of the most successful bits of the knowledge economy. (Myers, et al., 2006) Another key point to the merger was expected savings of 250 million pounds from combined RD operations. Those savings were to be reinvested in RD to produce an annual research budget of 2.4 billion pounds, the largest in the world after the new Pfizer. Top executives also expected the combined company to save an annualised 1 billion pounds after three years. These savings would come on top of previously announced restructuring at both companies, expected to cut a combined 570 million a year. But analysts of pharmaceutical companies at investment banks were puzzled by these figures. (Copeland Weston 2003) On the one hand, analysts were disappointed by the planned savings. Most estimated the figure to be between 1.1 billion and 1.5 billion, as well as some sort of immediate disposal of factories, reduction of intermediate capacity or outsourcing plan. On the other hand, analysts were encouraged by potential pay-offs that could come from the complementary research skills of the two companies. (Heracleous Murray 2001) As part of the merger process, plans were drafted for the amalgamation of corporate and support operations of the new pharmaceutical colossus in most countries. This made labour unions unhappy because of the lack of consultation. Corporate executives claimed that there was nothing to consult about until the legal merger had taken place and thus, the newly introduced European regulation on consultation would not be broken. Nevertheless, unions feared at least 15,000 job losses, no less than 14% of the 105,000 strong combined global workforces would be lost. As for the 300 or so senior managers likely to be made redundant, Spencer Stuart, an international recruitment consultancy, was brought in to look into areas of potential overlap between business units rather than the universe of managers at the new corporation, and would leave the vital RD and marketing teams intact. By bringing in recruitment consultancy to carry out a management audit, top executives once again expected to devel op a level playing field so that few key individuals were lured away. At the time, Jean Pierre Garnier considered that organising 15,000 scientists across several time zones, with an annual budget in the billions of pounds, would require a radical new structure. This facilities master plan would allow assessing which, if any, of the 24 global RD sites should be closed. (Scholes Johnson 2001) However, rivals such as Pfizer, Novartis or Aventis, which had already restructured their core operations, questioned how radical Garniers plan really was. Greater scale in marketing was attractive to managers because, while regulatory approval proceeded in the US, SmithKline Beecham became the worlds second-biggest toothpaste manufacturer following the completion of its acquisition of Block Drug of the US for $1.24 billion dollars with a cash bid worth $53 per share. The deal added Blocks Sensodyne toothpaste to Smithklines range of dental care brands, which included Aquafresh, Macleans and Od ol. Consumer goods sales, including toothpaste and drinks such as Lucozade, Ribena and Horlicks, would then make 2.5 billion pounds or a third of SmithKline Beechams sales and 15% of the combined 1999 sales of Glaxo and SmithKline. (Myers, et al., 2006) Even at the time of merger many analyst citizen the future prospects of GlaxoSmithKline merger as (Barron, 2000) called this merger as a marriage of convenience with lots of tough issues to be worked out SmithKline is wedding itself to a slow-moving company with a lacklustre pipeline of new drugs coming to market. After two and half years cost savings had in fact amounted to 1.8 billion by 2003, cost reductions had taken GSK trading profit margin to 35 per cent. GSK has under-performed the FTSE All-Share Index, SP by any measure, relative or absolute, this company is not doing well. Compare to pre acquisition stock. Jean-Pierre Garnier was said to be committed to the consumer health business because he saw this area as being key for GlaxoSmithKline extending the life of certain prescription pharmaceutical brands, such as blockbuster Tagamet, by switching them to over-the-counter sales. (Myers, et al., 2006) However, analysts at investment banks speculated that the lower-margin consum er unit could be sold and the money reinvested in pharmaceuticals assets. SmithKline Beecham had been willing to sell individual brands in the past. Opinion was thus divided as to whether the Block Drug acquisition represented greater commitment to consumer health or a strengthening of the business in preparation for a sale. Yet for others growth into consumer health meant to signal another significant acquisition for GlaxoSmithKline in the not too distant future, while questioning which were the core competencies that would deliver the much needed advantage in prescription pharmaceuticals markets. (Scholes Johnson 2001) CONCLUSION This assignment on mega pharmaceutical GSK merger shows that they havent delivered value. The stock prices underperform both in absolute and relative terms against the share index. Besides this previously executive remunerations were based on stock performance, which was supporting short term on the part of management. Contrast to that company has substantially reduced the cost $1.8 a year, to be comprised of combining their RD operations, manufacturing consolidation and substantial headcount reduction. Any how the debate of value creation in future is still questionable.