Tuesday, January 28, 2020

Theories of nursing

Theories of nursing HLTEN508B – Apply reflective practice, critical thinking and analysis in health. Pre-unit reading and preparation Nursing theorists and theories Henderson The Nature of Nursing Model Introduced The Nature of Nursing Model. She identified fourteen basic needs. She proposed that role of the nurse is to assist the patients during when they are sick or well, in recovery and rehabilitation. She believed that nursing involves assisting the client in gaining independence as quickly as possible or assisting them to achieve peaceful death if recovery is no longer possible (Theoretical Foundations of Nursing, 2014). Roper A Model for Nursing Based on a Model of Living This model incorporates a life span approach, where the characteristics of the person are considered with respect to prior development, current level of development, and likely future development. In combination with the life span approach an independence/dependence category used. The model then incorporates a set of twelve activities of living (ADLs), which represent activities engaged in by individuals whether sick or well. Orem Self-Care Deficit Theory Defined nursing as â€Å"The act of assisting others in the provision and management of self-care to maintain/improve human functioning at home level of effectiveness.† (Theoretical Foundations of Nursing, 2014). Focuses on activities that adult individuals perform on their own behalf to maintain life, health and well-being. Has a strong health promotion and focus. Identified 3 related concepts: Self-care, Health and Nursing System Peplau Theory of Interpersonal Relations Defined nursing as â€Å"An interpersonal process of therapeutic interactions between an Individual who is sick or in need of health services and a nurse especially educated to recognize, respond to the need for help (Theoretical Foundations of Nursing, 2014). Nursing is a â€Å"maturing force and an educative instrument† Identified 4 phases of the Nurse Patient relationship Watson The Philosophy and Science of Caring Nursing is concerned with promotion health, preventing illness, caring for the sick, and restoring health. She defined caring as a nurturing way or responding the needs of a client. Caring accepts the person as what he/she may become in a caring environment (Theoretical Foundations of Nursing, 2014). Abdellah Twenty One Nursing Problems Established 21 problem areas to guide care and promote the use of nursing judgement. Introduced Patient – Centered Approaches to nursing model She defined nursing as service to individual and families; therefore the society. Furthermore, she theorized nursing as â€Å"an art and a science that moulds the attitudes, intellectual competencies and technical skills of the individual nurse into the desire and ability to help people, sick or well, and cope with their health needs† (Theoretical Foundations of Nursing, 2014). Explain the difference between a theory and a model? A theory is a group of related concepts that propose action that guide practice. Theories are composed of concepts, definitions, models, propositions and are based on assumptions. Whereas models, are representations that allow the concepts in nursing theory to be successfully applied to nursing practice. They may demonstrate how theory can be introduced into practice, for example, through the specific methods of assessment. What are the common themes in nursing theorist’s views on caring? Four concepts common in nursing theory that influence and determine nursing practice are: The person (patient) The environment Health Nursing (goals, roles, functions) What are the age and gender issues facing nurses today? Nursing in a male-dominated world Nursing is dominated by females and if often regarded as an oppressed profession. This gendered hierarchy of women in lower roles emphasizes male domination and marginalization of women in society (Cordon, 2014). The unequal power balance between physicians and nurses has resulted in nurses lacking the confidence to question doctors decisions and not speaking up in the workplace. Reason for this includes fearing conflict and stress (Cordon, 2014). Gender discrimination Nursing, in the past, has been seen as womens work because it is a caregiver role. Due to this, men who enter nursing may face with barriers and discrimination. For example, men who enter the nursing profession may be perceived as more feminine†. Male nurses may face the perception that they are gay (Cordon, 2014). Male nursing students or graduate nurses may also have less male role models in the profession as it is largely dominated by females. While both men and women in the nursing profession can be excellent clinical mentors, the male nurse may have some issues that he cannot comfortably discuss with female colleagues (Cordon, 2014). In the field of health define the following terms: a) Best practice Refers to nursing practices that are based on the â€Å"best evidence† available from nursing research. The goal of â€Å"best practices† is to apply the most recent, relevant, and helpful nursing interventions, based on research, in real-life practice. b) Philosophy The philosophy of healthcare is the study of ethics, processes and people which establish the maintenance of the health for human beings. c) Vision An aspirational description of what an organization would like to achieve or accomplish in future. d) Mission statement – A formal summary of the aims and values of an organization, or individual. How do the following Professional Standards of Practice apply to you as an Enrolled Nurse? a) ANMC code of conduct These are the principles guiding behaviour between colleagues, between staff and those receiving care. The Department of Health places high importance on maintaining patient confidentiality and protecting privacy and as enrolled nurses we must follow these standards to ensure that all sensitive documents including patients case notes are stored in a safe and secure area and discussions of personal information about clients/patients do not occur. b) ANMC code of ethics It is essential and important, as enrolled nurses, to ensure that the relationship between a patient/client and a health professional is safe, helpful and therapeutic and is always within professional boundaries as determined by the Code of Ethics. Standards include identifying the fundamental moral commitments of the profession, reflection on ethical conduct for professional and self-development and ethical practice. c) ANMC national Enrolled/Division 2 nurse competency standards The national competency standards for the enrolled nurse are the core competency standards by which your performance may be assessed to retain your license to practice as an enrolled nurse in Australia. As an enrolled nurse, these core competency standards provide you with the framework for assessing your competence. d) State/Territory Nurse Regulatory Nurses Act The state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework to help enrolled nurses and midwives deliver safe and competent care. It also keeps the public safe by ensuring the services they will receive are from competent nurses. e) State/Territory Nursing and Midwifery Regulatory Authority Standards of Practice The state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework to help enrolled nurses and midwives deliver safe and competent care. f) Scope of Practice decision making framework The Nursing and Midwifery Board of Australia (NMBA) has endorsed national decision-making frameworks for both nurses and midwives. As enrolled nurses, these two flowcharts will assist us in our professional decision making through a structured and transparent process. It also provides us with and an evidence-based process (approved by the regulatory authority) in our decision-making that we may use in support/defence of our decisions should we be required to provide it. REFERENCE i. Theoretical Foundations of Nursing Virginia Henderson Bibliography: Theoretical Foundations of Nursing, (2014). Virginia Henderson. [online] Available at: http://nursingtheories.weebly.com/virginia-henderson.html [Accessed 15 Jul. 2014]. ii. Theoretical Foundations of Nursing Dorothea E. Orem Bibliography: Theoretical Foundations of Nursing, (2014). Dorothea E. Orem. [online] Available at: http://nursingtheories.weebly.com/dorothea-e-orem.html [Accessed 15 Jul. 2014]. iii. Theoretical Foundations of Nursing Hildegard E. Peplau Bibliography: Theoretical Foundations of Nursing, (2014). Hildegard E. Peplau. [online] Available at: http://nursingtheories.weebly.com/hildegard-e-peplau.html [Accessed 15 Jul. 2014]. iv. Theoretical Foundations of Nursing Jean Watson Bibliography: Theoretical Foundations of Nursing, (2014). Jean Watson. [online] Available at: http://nursingtheories.weebly.com/jean-watson.html [Accessed 15 Jul. 2014]. v. Theoretical Foundations of Nursing Faye G. Abdellah Bibliography: Theoretical Foundations of Nursing, (2014). Faye G. Abdellah. [online] Available at: http://nursingtheories.weebly.com/faye-g-abdellah.html [Accessed 15 Jul. 2014]. vi. Cordon, C. Structural Inequality and Diversity in Nursing | Minority Nurse Bibliography: Cordon, C. (2014). Structural Inequality and Diversity in Nursing | Minority Nurse. [online] Minoritynurse.com. Available at: http://www.minoritynurse.com/article/structural-inequality-and-diversity-nursing [Accessed 15 Jul. 2014]. Tabbner’s Nursing Care: Theory and Practice Tabbner’s Nursing Care 5th Edition: Rita Funnell, Gabrielle Koutoukidis, Karen Lawrence (2009)

Monday, January 20, 2020

Threat of Global Warming Essay example -- essays research papers

Threat of Global Warming There are two burning questions that I feel need to be answered before exploring the aspects of global warming. They are what is the greenhouse effect and how does the green house effect contribute to global warming? Gases in the atmosphere are transparent to visible light but absorb infrared (heat) waves that are reradiated from the earth’s surface (Cunningham, Cunningham, Saigo 05). However, some greenhouse gases occur naturally in the atmosphere, while others result from human activities. Naturally occurring greenhouse gases include water vapor, carbon dioxide, methane, nitrous oxide, and ozone. Carbon dioxide is released to the atmosphere when solid waste, fossil fuels (oil, natural gas, and coal), wood and wood products are burned. Methane is emitted during the production and transport of coal, natural gas, and oil and the raising of livestock. The atmosphere, when loosely compared to the glass of a greenhouse, transmits sunlight while trapping heat inside is called the green house effect. The greenhouse effect is a natural atmospheric process that is necessary for life, as we know it. Too strong of a greenhouse effect that is caused by the burning of fossil fuels and deforestation, may cause harmful environmental change. The greenhouse effect is only troublesome when it gets too strong and warms things too much. And that’s just what scientists say has happened over the last 150 years or so as the people of industrialized nations have extracted Earth’s vast buried stores of fossil fuels and burned them. Each greenhouse gas differs in its ability to absorb heat in the atmosphere. Methane traps over 21 times more heat per molecule than carbon dioxide, and nitrous oxide absorbs 27... ...appen if deforestation stopped entirely? Would the greenhouse effect stop immediately or would it take many, many years? We as humans are smart enough to stop doing things that will ultimately destroy human kind. Aren’t we? More studies must be done to find a definitive answer in order to save mankind. Or is this the way that history dictates that in this one million years global warming is inevitable? Works Cited Discovery Channel. 2005. Global Warming.discoverychannel.org. EPA. 2006. U.S. Department of State website. Epa.gov/globalwarming.org. Science Express, 30 September 2004 Knutson, Thomas R. and Tuleya, Robert, Journal of Climate, vol. 17, pp. 3477-3495. Geophysical Research Letters, September 22, 2004. Cunningham, W.P. Cunningham, M.A. and Saigo, B.W., Environmental Science, A Global Concern, ninth ed., publisher, 2005. Threat of Global Warming Essay example -- essays research papers Threat of Global Warming There are two burning questions that I feel need to be answered before exploring the aspects of global warming. They are what is the greenhouse effect and how does the green house effect contribute to global warming? Gases in the atmosphere are transparent to visible light but absorb infrared (heat) waves that are reradiated from the earth’s surface (Cunningham, Cunningham, Saigo 05). However, some greenhouse gases occur naturally in the atmosphere, while others result from human activities. Naturally occurring greenhouse gases include water vapor, carbon dioxide, methane, nitrous oxide, and ozone. Carbon dioxide is released to the atmosphere when solid waste, fossil fuels (oil, natural gas, and coal), wood and wood products are burned. Methane is emitted during the production and transport of coal, natural gas, and oil and the raising of livestock. The atmosphere, when loosely compared to the glass of a greenhouse, transmits sunlight while trapping heat inside is called the green house effect. The greenhouse effect is a natural atmospheric process that is necessary for life, as we know it. Too strong of a greenhouse effect that is caused by the burning of fossil fuels and deforestation, may cause harmful environmental change. The greenhouse effect is only troublesome when it gets too strong and warms things too much. And that’s just what scientists say has happened over the last 150 years or so as the people of industrialized nations have extracted Earth’s vast buried stores of fossil fuels and burned them. Each greenhouse gas differs in its ability to absorb heat in the atmosphere. Methane traps over 21 times more heat per molecule than carbon dioxide, and nitrous oxide absorbs 27... ...appen if deforestation stopped entirely? Would the greenhouse effect stop immediately or would it take many, many years? We as humans are smart enough to stop doing things that will ultimately destroy human kind. Aren’t we? More studies must be done to find a definitive answer in order to save mankind. Or is this the way that history dictates that in this one million years global warming is inevitable? Works Cited Discovery Channel. 2005. Global Warming.discoverychannel.org. EPA. 2006. U.S. Department of State website. Epa.gov/globalwarming.org. Science Express, 30 September 2004 Knutson, Thomas R. and Tuleya, Robert, Journal of Climate, vol. 17, pp. 3477-3495. Geophysical Research Letters, September 22, 2004. Cunningham, W.P. Cunningham, M.A. and Saigo, B.W., Environmental Science, A Global Concern, ninth ed., publisher, 2005.

Sunday, January 12, 2020

Ethical Self-Assessment

Healthcare professionals are faced with making multi-faceted decisions on a daily basis. These decisions are not just limited to clinical matters, but they include the total patient care experience. Because of emerging healthcare trends and complex health law and ethics, it is imperative that healthcare administrators have a professional organization that they can belong to. â€Å"The American College of Healthcare Executives (ACHE) is an international professional society of more than 35,000 healthcare executives who lead hospitals, healthcare systems and other healthcare organizations.ACHE is known for its prestigious FACHE ® credential, signifying board certification in healthcare management, and its educational programs including the annual Congress on Healthcare Leadership† (American College of Healthcare Executives, n. d. ). The Ethics Self–Assessment Tool and Individual Decision Making The American College of Healthcare Executives (ACHE) provides an ethics self -assessment which is made up of thought-provoking questions to serve as a moral compass using the ACHE Code of Ethics as its basis.No matter what your role in the healthcare system, the self-assessment provides a standard for various healthcare relationships including, â€Å"Community, Board, Colleagues, Staff, Clinicians, Buyers, Payors and Suppliers. † (American College of Healthcare Executives, n. d. ). Any questions that were not answered with â€Å"always,† identified an area of weakness in which ethics were being compromised. The first lesson learned is that there are numerous situations where healthcare professionals may believe they are being ethical, but the assessment provides examples that some decisions being made are unethical.This gap away from being completely ethical occurs because professional decisions are often influenced by individual ethics. Identifying these gaps allow healthcare administrators to make necessary steps to improve the method in whic h they make decisions. Another lesson learned is the importance of having a tool to compare your organization’s level of ethics to the code of ethics. Paying special attention to minimize outside influences, will allow you to make complex ethical decisions at all times which will promote consistency throughout all team members and the organization.The American College of Healthcare Executives (ACHE), has a strong impact on ethical decision making because they focus on the â€Å"entire being† of the healthcare professional. For example, in ACHE’s preamble of The Code of Ethics it states, â€Å"In fulfilling their commitments and obligations to patients or others served, healthcare executives function as moral advocates and models. † Imagine, when a healthcare administrator recites these few words, he cannot help but acknowledge the depth of his commitment and the high level of morality that is expected from him.Because of the vast number of complex ethical dilemmas that arise, ACHE further promotes the value and importance of strong ethical decision making in ACHE’s Ethics Toolkit. â€Å"When the ethical guidelines are not enough, when there is uncertainty about the proper ethical approach, and when there is a need to develop additional ethical guidelines. ACHE’s Ethics Toolkit provides tools for developing both parts of an ethical culture. † (American College of Healthcare Executives, n. d. ).Influence of Individual Ethics on Decision Making. When it comes to the modern decisions in today’s healthcare system, it is important to be able to identify problems and opportunities and choose the best course of action for the greater good. A strong ethical background helps individuals make the right decision although it may be unpopular. â€Å"Aristotle (Summers, 2009) also teaches about morality when explains how to apply ethics to daily living. Through the idea of practical wisdom and eudemonia, he makes us aw are of the need to apply ethics and behave in a moral way.We develop our moral character so that we use our knowledge of ethics to address challenging new situations. Ethical principles become the center of our lives and we apply them as virtue-centered administrators. † Strategies to Improve Decision Making in the Future The opportunities that being a member of The American College of Healthcare Executives (ACHE) has afforded healthcare professionals, is one that is here to stay. Healthcare administration is a profession that continually evolves with time. Because of the advances in medicine, people are living longer and have a better quality of life.The current self-assessment tools are quickly improving and making it easier for healthcare professionals to obtain the data needed to make prompt ethical decisions. It is important to remember that as a healthcare professional, one must present all of the facts to a patient and preserve his right of autonomy. It is within the co de of ethics that healthcare professionals are not to impose their will on someone else. Remember, to carry out â€Å"the four ethical principles of autonomy, beneficence, nonmaleficence, and justice. †

Saturday, January 4, 2020

The Sociological Imagination - Free Essay Example

Sample details Pages: 1 Words: 406 Downloads: 4 Date added: 2018/12/27 Category Sociology Essay Type Research paper Level High school Tags: Life Essay Did you like this example? What C.W. Mills characterized as sociological imagination is the acknowledgment that what occurs in a persons life and may seem not to involve others, actually affect the society and really reflect substantially more extensive public issues. Human conduct and history shapes society, and also can hurt the society and non can be well comprehended without the other. I have constantly been inspired to end up noticeably as an author from the time I got a pencil as a kid, an inspiration I got from my grandfather who was a great author of articles and books. I was very much in love with the vibe of the pencil lead on paper. I preferred mostly the courses I could in writing and partook in workshops to compete with my neighborhood secondary. Upon graduation from secondary school I centered my mind more on making cash; subsequently I went to work and surrendered writing. However, it didnt take me longer before I attended a university I immediately understood that on the off chance that I needed to not work so hard for an insignificant measure of cash I would need to get a professional education in something that was viable yet gave personal time to write. Don’t waste time! Our writers will create an original "The Sociological Imagination" essay for you Create order In college as I endeavored to pick a major I still found myself concentrating on what would earn me a lot of money as opposed to being content with what I was doing. I was firm to tail one of my interests and I picked Broadcast Journalism as my major since I could utilize my written work aptitudes and accomplish something I adored doing which was narrating through interacting with different individuals. How sociological imagination helps throughout my life is through visualizing about my future and focusing on a dream of me playing my role as a sports broadcaster or a games author in articles and books. On the off chance that sociological imagination is tied in with influencing an association with biographic events and my character for the life I desire not at all like my parents. I dont want to confine myself and my lifes objectives to an occupation for 30-40 years since I have a mortgage and motor vehicle installments, children and a spouse and the Joness living to the side of me. I need versatility and freedom and in particular I need to use the innovation that is out there to help me in having the life I imagine.