WRSX Group’s Strategic Position In Advertising Market Free Writing Sample

“The strategic management process begins when d firm defines its mission” (Barney & Hesterly, 2013, p. 8). For this reason, it is absolutely necessary to determine the mission of a company under analysis and understand all peculiarities of its functioning in order to make a well structured and comprehensive analysis of it. The company under analysis is called WRSX Group (Waldron Roux Silberstein Xao). It is “mid-sized advertising agency group with a good creative reputation offering a range of advertising and marketing communications services” (Advertising & marketing communications industry overview: consultant’s report & recent press cuttings 2011, p. 20). As can be seen from the description, the main goal of the company is to make good and effective advertising for customers and establish market relations. It renders services in spheres of media buying, public relations, research and insight, direct marketing, branding, film production, sports marketing (WRSX. Global advertising & marketing communications 2011). It has its own developed structure, which can guarantee understanding and effective work on all stages. The company does not have its common code of corporate, for local offices to act relying on their forces and be more effective.

The modern state of the company is rather stable. The company is competitive in the sphere of advertising. Its strategy is formulated by its officials and sounds like “Creative quality and a range of advertising and marketing communications services to support targeted clients globally” (WRSX. Global advertising & marketing communications 2011, p. 4). Above mentioned globalization can be achieved with the help of different agencies of this company, which are situated in different countries of the world. WRSX has its agencies in New York, Paris, London. This fact can help the company work more effective and provide advertising for some object all over the world. Of course, it increases the level of its competitiveness. However, there are also some risks connected with the international character of the company. “While the biggest risk facing our business is that we lose existing clients or fail to attract new clients, there are also risks associated with the effects of global, regional and national economic and political conditions” (Carnelley 2011, p. 1). The company is vulnerable to the slightest changes in the world economy as its main customers depend on it. There is no time for advertising for a company, which is trying to survive.

Understanding this fact, the company is trying to find new customers and sources of income. The first and very important step made in this direction is the gradual change of emphasis of the company. Taking into account fast emerging economy of Asia especially in countries like China, Japan and India, the company devotes more and more efforts to developing strong links with these countries, trying to take on the market in this region. Moreover, officials of the company also take Africa as the continent of opportunity (Carnelley 2011), planning to direct the attention of the company to it in future. This step is very important for the company as it guarantees its further development and presence of customers at difficult times of world crisis. It is also important because many companies change the place of their facilities, preferring to choose Eastern regions because of less strict employment laws.

One more important fact which can guarantee the further development of the company is the realization of change in traditional work of advertising companies, which comes with the development of digital technologies. New inventions change the totally traditional way of working of advertising companies, providing new abilities. It is possible to influence the whole world around the clock now. Realizing this fact, the company is able to inculcate these new methods in its work.


Advertising & marketing communications industry overview: consultant’s report & recent press cuttings 2011, Web.

Barney, J & Hesterly, W 2001, Strategic Management and Competitive Advantage: Concepts (4th Edition), Prentice Hall, New Jersey.

Carnelley, A 2011, WRSX External Environment – Phase 1, Web.

WRSX. Global advertising & marketing communications 2011, Web.

Duke University Medical Center: Professional Organizations

Organization Type

Duke University Medical Center is a teaching hospital that encompasses a group of education, research, and patient care facilities located on the campus of Duke University in Durham, NC (DukeHealth, n.d.). It is included in the U.S. News Rankings of the best hospitals and is regionally ranked first in North Carolina, which suggests that the facility is looking for skilled NPs that can provide high levels of quality primary care. Because the organization also includes education and research facilities, it will be a great fit for any NP that has a goal of professional growth and development.

Patients the Organization Serves

Duke University Medical Center serves adult and pediatric patients and holds 919 beds. In the most recent reported year (2016), the facility admitted 39,535 patients, performed 16,966 inpatients, and 21,368 outpatient surgeries (U.S. News, 2016). The organization is ranked in thirteen adults and ten children’s specialties among which the highest-ranking received Cardiology and Heart Surgery, Pulmonology, Ophthalmology, Urology, and Pediatrics: Neonatology. The large size of the organization, as well as the variety of patients it serves, will allow the NP to develop new skills with regards to working in large terms or interacting with patients of all ages and types of health issues.

Professional Fit for Advanced Nursing Role

Nurse Practitioners (NPs) have become a tool for dealing with the shortages of professionals in primary care, which means that they should be professionally fitted to meet the requirements of a healthcare organization. Moreover, according to the findings of the research conducted by Naylor and Kurtzman (2011), NPS usually receive very high-quality training, which allows them to care for the patient on a level that is equivalent to that of a physician. This suggests that an NP is fit for the professional nursing role in primary care and can potentially bring high value to the organization that lacks trained professionals who can diversify their range of responsibilities according to what the facility needs.

An NP should possess extensive clinical expertise, formal education provision, as well as wider operational awareness. Duke University Medical Center is a facility that employs professionals of different expertise to make up a team of the most skilled and professionally prepared healthcare providers. In this sense, the NP planning to work in the facility should be prepared both practically and theoretically for providing high-quality primary care to patients admitted to the facility.

New Nursing Role Implementation

Since the interpretation of new nursing role implementation can vary in different settings, it is first important to mention that in this case study implementation will refer to the process a health authority used in order to introduce the Nurse Practitioner to the Primary Health Care setting. Nursing role implementation never occurs in isolation (Sangster-Gormley, Martin-Misener, & Burge, 2013) because both environmental and contextual factors should be taken into consideration. The process of NPs role implementation will be facilitated by the support from the facility’s manager, the previous work experience and the level of education of the NP, acceptance by other members of the team, as well as the level of patient satisfaction with the level of primary care provided by the NP.

It is also worth mentioning that new nursing role implementation will be the most effective if the management plans the role beforehand and then conducts long-term planning when the Nurse Practitioner was hired; this will help other members of the team understand better why the role was implemented as well as how the organization will benefit from it.

State Board of Nursing and Nursing Practice Act

North Carolina Board of Nursing is the body that will support the role implementation of a Nurse Practitioner’s role in Duke University Medical Center. The Board is responsible for licensure of nurses in the state, nursing education, as well as regulation of nursing practice in North Carolina through the Nursing Practice Act. According to the State of North Carolina Nursing Practice Act (2009), in order to obtain the license and retain it in the future, a nurse practitioner must meet the qualifications for licensure and renewal outlined by the applicable state laws. Therefore, the NP should have all the required licenses to work at Duke University Medical Center.

It is also important to follow the Nursing Practice Act because it outlines the key principles and regulations of the nursing practice since NPs are professionals that take a variety of roles ranging from management to innovative care. Because Duke University Medical Center is a teaching hospital that conducts extensive research in different areas of healthcare, the NP has an opportunity under the NPA to implement research and innovation into the practice and bring a significant benefit to the facility. Overall, there is a large body of literature that supports the role of the NP as a professional that provides patients with primary care of the highest value. Moreover, Duke University Medical Center should be prepared for any shortages in primary care providers and hire versatile NPs that can take up a variety of roles.


DukeHealth. (n.d.). Duke University Medical Center. Web.

Naylor, M., & Kurtzman, E. (2011). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899.

Sangster-Gormley, E., Martin-Misener, R., & Burge, F. (2013). A case study of nurse practitioner role implementation in primary care: What happens when new roles are introduced? BMC Nursing, 12(1), 1-12.

State of North Carolina Nurse Practice Act. (2009). Web.

U.S. News. (2016). Duke University Hospital. Web.

Advanced Practice Registered Nurse’s Policy And Work

Health Systems, Policy, and Resource Management

The Advanced Practice Registered Nurse (from now on referred to as APRN) is a graduate medical professional with a higher education who has specialized skills and knowledge that can be useful during the process of practice. The US federal policy adopted in 2010 aims at supporting young professionals in the sphere of nursing and assisting them in finding employment (United States Congress House Committee on Health Care, 2010). The state program of support of public health that provides more affordable insurance promotes the formation of APRNs as a qualified professional and defines this post as promising and actively developing. At the same time, such nurses have a heavy responsibility. As it is known, health policymakers require constant analysis to approve their funding. Thus, APRN is to work according to the conditions established by the local law.

The key essence of the public policy concerning APRN is that the government responds to all comments on possible problems and takes timely measures to eliminate inconveniences in the workflow (Frick, Cohen, & Stone, 2013). The quality and speed of such a response directly affect the workability of nurses and their satisfaction with a current job. There is a public policy called Medicare, and Frick et al. (2013) remark that this program requires a constant contact of APRNs with the authorities controlling the healthcare system in a particular region (in this case, in Miami). For example, if a patient makes a request or complaint, the government is obliged to pay attention to this issue, regardless of whether it is sufficiently substantiated or not. This approach to work aims at encouraging nurses’ responsibility and is direct proof of the quality of the public policy.

A social program means the provision of medical aid to the population, as well as the planning and implementation of new methods and techniques for organizing the work of medical employees. Frick et al. (2013) claim that the impact of Medicaid, which is a policy aimed at supporting the poor, requires a strong involvement from nurses and makes them acquire new knowledge, self-develop, and work on the introduction of appropriate nursing interventions. This type of policy encourages medical personnel to work more efficiently and provides better training for specialists.

Professional Development of the Advanced Practice Nurse

The main difference between the Advanced Practice Nurse (APN) from the Family Nurse Practitioner (FNP) and the Primary Care Provider (PCP) is that the latter two posts assist individuals or families. FNP and PCP, as a rule, provide medical care at all stages of treatment. APN is a more narrowly focused specialist who works with particular cases due to the acquired professional skills.

Educational Requirements and Professional Competencies

While comparing educational requirements for FNP or PCP with those that APN should have, there is a significant difference. For example, if it is the specialty of women’s health nurse practitioner, the qualification of APN, and the required level of knowledge should be much higher. Ordinary nurses do not need to possess exceptional practical skills to perform highly specialized work. An employee with a higher qualification has particular knowledge that allows making serious decisions regarding a treatment course and possibly medical intervention. Perhaps, all these posts have one common factor: these medical workers help patients in their recovery; nevertheless, the educational level of APNs is higher and more advanced.

The professional competencies of FNP, PCP, and APN are also different. For example, an APN can qualify for a Certified Registered Nurse Anesthetist, which gives such an employee rather serious credentials. The ability to provide patients with anesthesia is an essential procedure. FNP and PCP do not have the opportunity to practice such skills due to the lack of knowledge and the absence of an appropriate document confirming the right to engage in such work (Reddy, Pollack, Asch, Canamucio, & Werner, 2015). These three specialties have one similarity: their goal is to provide patients with care and conduct necessary procedures.

Scope of Practice

Compared to ordinary nurses, APNs specialize in work that requires a deeper knowledge than those which FNP and PCP study in the course of their training. The duties of APNs can include providing such services as surgical assisting during operations, providing anesthesia, psychiatric work, etc. It means that a nurse with higher qualifications works in departments of a higher level and uses specialized knowledge and skills.

Among patients undergoing FNP and PCP care, there may be ordinary people who turn to a doctor with a general problem. As Melnyk, Gallagher-Ford, Long, and Fineout-Overholt (2014) remark, these nurses monitor the health of families and individuals and provide timely assistance. The range of APN’s tasks is extensive enough. People who turn to these nurses have problems that require serious medical intervention, for example, a surgical operation or a psychiatrist’s help.

The licensing procedure for these nurses is also different. FNP and PCP receive a standard certificate confirming their right to engage in nursing care. APNs have more advanced education and, accordingly, more authority (Melnyk et al., 2014). These graduates have personal documents that give them opportunities to conduct medical activities and practice at a higher level. Consequently, their work is regulated not only by the leadership of the local clinic but also by other healthcare organizations.


Frick, K. D., Cohen, C. C., & Stone, P. W. (2013). Analyzing economic outcomes in Advanced Practice Nursing. In R. M. Kleinpell (Ed.), Outcome assessment in Advanced Practice Nursing (3rd ed.), (pp. 45-72). New York, NY: Springer.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for Practicing Registered Nurses and Advanced Practice Nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient Outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5-15.

Reddy, A., Pollack, C. E., Asch, D., Canamucio, A., & Werner, R. W. (2015). The effect of Primary Care Provider turnover on patient experience of care and ambulatory quality of care. JAMA Internal Medicine, 175(7), 1157-1162.

United States Congress House Committee on Health Care. (2010). Patient Protection and Affordable Care Act, Senate and House of Representatives, One Hundred Eleventh Congress, 2010. Washington, DC: President of the United States of America.

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