Thursday, October 17, 2019
Research paper Essay Example | Topics and Well Written Essays - 750 words - 9
Research paper - Essay Example However, as with most aspects of the advanced economy, there are a number positive factors that the existence and proliferation of money provide as well as a certain number of drawbacks and disadvantages that the current system provides as well. As a function of analyzing these advantages and disadvantages, it is the hope of this author that the reader will be able to integrate a more full and complete as well as nuanced understanding of the current issues surrounding the monetary basis that society relies upon. The first disadvantage to money is the fact that it is one of the most definitive means by which individuals are judged based upon their overall worth as a human being. Due to the way in which the economy has developed and money has been placed as something of the supreme god to which all people worship, the level to which a person is able to accrue wealth has become of more importance than character, morality, or other primal determinants of human integrity (Webster, 2010). This is not necessarily the fault of money; rather it is the fault of the way in which human culture always seeks to find a way to separate one group from another and ascribe value to each and every situation that might be represented within society. With regards to the advantages of money, one can of course point to the fact that it allows a convenient and equitable means of exchange in order for individuals to purchase key resources and provide for themselves and for their families. Moreover, as compared to the prior barter economy that existed in past history, money provides something of a solid and relatively stable means of exchange that oftentimes carries an implicit value and is not dependent upon a good harvest or other key factors to determine its value. By simplifying the method of exchange, money is able to provide a degree and/or level of certainty whereas prior
The Birth Stories Of Christ And Buddha Research Paper
The Birth Stories Of Christ And Buddha - Research Paper Example The young Gautama was engaged in an excessive consumption and indulgence of sensual pleasures and he gave all these up only in his thirties as he must have gotten tired of temporary and fleeting pleasures. Jesus Christ lived a poor life as a young child and adolescent because his father Joseph was just an ordinary carpenter while the prince Gautama Buddha lived in a palace with all its luxuries and extravagance such that he himself got exhausted with all these pleasures. In the story of Jesus Christ, he forswore all material things in life and made the conscious or deliberate decision to live a life of poverty and humility because he knew early in his life he was destined for a work of proselytizing the unbelievers and pagans at the time. In contrast, Buddha realized his mission in life only much later when he saw an extremely old man and became worried about his own fate when he himself will grow old someday. Jesus Christ preached a gospel of love and brotherhood in order to gain en try to the Heavens through a life of sacrifice, denial, and re-connection with God the Father while the Gautama Buddha preached his teachings based on the so-called "Four Signs" to attain a level of enlightenment that is free from material or bodily desires. Both preached the twin virtues of humility and renunciation of all material things in order to attain eternal bliss in the next life. Christ promised redemption through atonement while Buddha pledged release from material torment through a series of rituals to suppress karma.
Wednesday, October 16, 2019
International Cross Cultural Management Essay Example | Topics and Well Written Essays - 2500 words
International Cross Cultural Management - Essay Example Culture refers to the way of living of a people basically referring to the way people carry on in their daily life. Each and every group of people has its own culture and this is what creates a difference between various groups of people. National culture is commonly used to refer to or is described as the shared programming of the mind of the people nationally. This makes one country unique from another. Individual countries have various cultural rituals as well as cultural activities. This includes the way that these people understand and think about the world, the values and beliefs they hold. The differences in national culture are more often reflected in the basic solutions given to the organisational issues and problems in various countries. The various national cultures normally have differences in the preferred ways towards the organizational structure as well as different modes of motivating the employees. For instance, some organizations minimise on the options appraising employee performance, managing the organization by objectives, and the use of strategic management. National culture is not an individual affair but rather a function of a group. The boundaries between countries usually put boundaries for national culture. This form of culture is usually instilled in individual's right from birth. The national culture has everything in regard to what is perceived as proper, polite behaviour in that particular country. This includes for example how to behave in front of the family, colleague's strangers, family. Germany's National culture Germany is a culturally diverse state. German is the language spoken by almost every citizen. Other cultural groups found in Germany include the Frisians, Danes, Sorbs, and Gypsies; these are the people who are non-Germany minorities. The religious beliefs observed in Germany include Protestants which has the largest percentage of approximately 38%, the Catholics who form a proportion of 34% and a small portion of Jews. Islam has also become common from immigrants. The culture of this country has been influenced by the middle ages. The philosophers from Germany have assisted in shaping the culture of this nation. There is a lot of influence by the guild system of the medieval times. This system has today seen Germany attain an apprenticeship system. The people have a pride in their occupations and the organizational managers need not work too hard on their motivation. The country is rated as having very productive personnel but does not have good leadership skills. Magala, S. (2005). The united Kingdom The UK is made up of North Ireland and the Great Britain. The United Kingdom is culturally diverse wit a total population of close to 58,587,194 people. Majority of these people live in the suburban and urban areas. The UK is home to different cultures especially due to immigration. The people have their origins in China, the Caribbean, Africa, India, South Asia, Pakistan and continental Europe. The indigenous people include the Celtic, Anglo-Saxon, Roman, and the Pre-Celtic. The dominant language spoken here is English. Other languages include Scots aw well as the insular Celtic Languages. The religious beliefs are also diverse with reports of having Hinduism, Christianity, Islam, and
Tuesday, October 15, 2019
The Birth Stories Of Christ And Buddha Research Paper
The Birth Stories Of Christ And Buddha - Research Paper Example The young Gautama was engaged in an excessive consumption and indulgence of sensual pleasures and he gave all these up only in his thirties as he must have gotten tired of temporary and fleeting pleasures. Jesus Christ lived a poor life as a young child and adolescent because his father Joseph was just an ordinary carpenter while the prince Gautama Buddha lived in a palace with all its luxuries and extravagance such that he himself got exhausted with all these pleasures. In the story of Jesus Christ, he forswore all material things in life and made the conscious or deliberate decision to live a life of poverty and humility because he knew early in his life he was destined for a work of proselytizing the unbelievers and pagans at the time. In contrast, Buddha realized his mission in life only much later when he saw an extremely old man and became worried about his own fate when he himself will grow old someday. Jesus Christ preached a gospel of love and brotherhood in order to gain en try to the Heavens through a life of sacrifice, denial, and re-connection with God the Father while the Gautama Buddha preached his teachings based on the so-called "Four Signs" to attain a level of enlightenment that is free from material or bodily desires. Both preached the twin virtues of humility and renunciation of all material things in order to attain eternal bliss in the next life. Christ promised redemption through atonement while Buddha pledged release from material torment through a series of rituals to suppress karma.
Consider Laertess contribution to the theme of revenge Essay Example for Free
Consider Laertess contribution to the theme of revenge Essay Of the various parallels between Hamlet and Laertes is one of the most telling. From the beginning of the play we see the two in comparable situations, each young men of the court, each seeking university, each spied on by Polonius, each (it would appear) loving Ophelia, in different ways. Therefore, when Laertes finds himself in Hamlets position of having a father murdered, the audience watches with interest to see how he will react, and how this will compare with Hamlets behaviour in the same situation. In fact, although Hamlet points out that: by the image of my cause I can see The portraiture of his Laertes reaction to murder of his father is very different from hamlets, and indeed he is everything which Hamlet rebukes himself for failing to b. He forms the very epitome of a traditional avenger, and almost everything he does forms a contrast with what Hamlet does not do. Immediately as he returns to the court in a riotous head, having recruited a rabble, to aid him in his revenge. Thus we see that he finds both opportunity and means to destroy his fathers supposed murderer as soon as he possibly can. It is sometimes argued that Hamlet has little opportunity, doing the first two acts of the play, at least, to confront Claudius and exact his revenge. However, it is clear that particularly since he is loved by the distracted multitude Hamlet might have actively created such an opportunity for himself, just as Laertes does. Furthermore Laertes is determined that he will dare damnation in order to revenge his father. This is very important when soliloquy beginning, To be or not to be, in which he confesses that the dread of something after death is, in part, what makes him lose the name of action, for again we see hamlets attitude to his task differs radically from that of a traditional avenger. This is also apparent when Laertes says that he would cut (Hamlets) throat I th church ! , since we are immediately reminded that Hamlet refused to kill Claudius, when given the perfect opportunity, because he was in prayer. Hamlets refusal to kill Claudius at this time (because his prayers make him fit and seasoned to go to heaven which is hardly a fitting revenge for a man who has sent his brother to be judged with his crimes broad blown) may if we decide that they are more than just another rationalization (an entirely debatable point in itself) prove that Hamlet reflects more carefully than Laertes on the business of revenge and that he is more caught up in the need for a perfect and fitting revenge. Nevertheless Laertes clear opinion that Revenge should have no bounds, and his immediate and unhesitating action, in comparison with Hamlets continual prevarication, persuade us that he is the more effective avenger. Laertes falls into the same category as Fortinbras, who with his unimproved mettle hot and full seeks revenge on Denmark for winning and taking control of what had been his fathers lands, and Pyrrhus, who brutally kills an old and defenceless man in the name of revenge. All these characters unhesitating and decisive action, and what seems to be their lack of fear at the consequences, throw Hamlets indecisiveness very much into relief, for whilst he can only unpack (his) heart with words, they can sweep to revenge as he longs to. However, it is \Claudius, not Laertes, who actually states that Revenge should have no bounds, which is not only ironic, since it is Hamlets hesitation alone which has saved him so far, but I feel also has sinister undertones, since one would hardly have put such words into the mouth of the clearest villain of the play without implying that this sentiment is also, somehow, villainous. Of course, as Claudius is here manipulating Laertes strong desire for revenge, it would be unwise to attach too much importance to this point, but it is nevertheless interesting to examine our attitude to Laertes attitude towards revenge as opposed to Hamlets. After all, the impetuous approach of the former allows him to believe: ; The people muddied, Thick and unwholesome in their thoughts and whispers. Thus he promptly accuses the wrong man (Claudius, rather than Hamlet) of killing his father. Compare this with Hamlet well aware that all is not necessarily what it seems in Denmark who creates an elaborate plan to catch the conscience of the king before he proceeds. It might also appear to the audience that Laertes defiance of damnation is more to do with a lack of reflection on the undiscovered country than courage in facing it. After all, as hamlet points out: the native hue of resolution Is sicklied oer with the pale cast of thought Laertes is all resolution, untroubled by the words and thoughts, which impede hamlets action. (We never see Laertes in soliloquy, of course, because he is morally certain of what he must do, and does not explore the subject further. ) However, we possibly feel some sympathy with the view that: blest are those Whose blood and judgement are so well co meddled That they are not a pipe for Fortunes finger. Ironically, these words, spoken by Hamlet in praise of Horatio, actually describe the former in some respects, and particularly when we see him in comparison with Laertes. After all, whilst his endless reflection might appear to serve, at times, only to exacerbate and rationalize his delay, at least he can only rarely be accused of being rash. Laertes believes that, That drop of blood thats calm proclaims me bastard. However, this rage, this refusal to reason calmly and to reflect on what has happened, allows the slippery Claudius to manipulate Laertes for his own ends, leading to the treachery which destroys Claudius and Laertes themselves, and Gertrude, as well Hamlet. Ultimately, there is a certain nobility t be found in the exchange of forgiveness between hamlet and Laertes (the final link the latters assurance that: Mine and my fathers death come not upon thee, Nor thine on me! Which is greater than Laertes revengeful triumph over Hamlet. This is not to say that Shakespeares presentation of Laertes serves entirely as an indictment of the process of revenge. Both hamlet and Laertes speak of the honour of revenge, and finally does kill Claudius, that he is justly served. However, I can feel that considering Laertes contribution to the theme of revenge is only useful when seen alongside hamlets reaction to the same theme, and perhaps this portrayal of a traditional avenger who is only useful when seen alongside hamlets reaction to the same theme, and perhaps this portrayal of a traditional avenger who is rash, manipulative and finally self-destructive, allows us to see hamlet in a more favourable light when he is unable to assume the same role as traditional avenger.
Monday, October 14, 2019
Impacts of Workplace Violence in Nursing
Impacts of Workplace Violence in Nursing Introduction (1/2 page) In this paper, I will explore the concept of the Workplace Violence with three following issues of sense of powerlessness, job satisfaction and psychological and physiological effects on the victimââ¬â¢s well-being. An example of the clinical situation detailing an environment, facts and events leading to the development of the clinical situation will be provided, followed by the short discussion of relevance of this topic to myself both clinically and personally. The evidence from existing literature will be incorporated into the detailed identification, discussion and analysis of each of the three issues. A special section with a discussion on how my further practice as a registered nurse influenced by the lessons learned from these events will follow. Conclusive remarks with some key elements in the paper will be elaborated at the end. Description of the Clinical Situation (1 page) While working as a newly recruited registered nurse (RN) in the short stay unit at our local hospital I was providing care for a 25 years old woman. She was 13 weeks pregnant and a missed abortion. The patient was in the process of passing products of conception, experiencing a severe pain, constantly screaming and demanding me to provide her with much stronger pain medication. I have explained that I have already administered painkillers, as prescribed, and it would take time for them to kick in. Yet, patient was not listening and continuously demanded to see the physician. After numerous unsuccessful attempts, I contacted the physician, explained the situation and was immediately yelled at, instantly being labeled as ââ¬Å"unworthy, not knowing anything, unable to do my jobâ⬠with many other degrading and demeaning remarks at each phone call. Shocked, I contacted my supervisor and asked for an advice, but got the reply that ââ¬Å"these things happenâ⬠¦ welcome to the rea l RN life, calm down and try to contact him againâ⬠. I did it again and got exactly same treatment. I have documented and reported these incidents on the same day. I learned that, apparently, the yelling, and name-calling was an acceptable pattern of behavior from this physician directed at all new RNs and I was told to accept the ââ¬Å"facts of life ââ¬Å" that, hierarchically, nurses are at the bottom of the ââ¬Å"feederâ⬠(Christie Johnes, 2009) and should not go against the physicians, advise them or even ask for help. This news really threw me off. The following day I called in sick. I felt emotionally distressed, powerless, unprotected and could not convince myself for making a right decision by choosing RN as my profession in Canada. I have never encountered these kind of physician-nurse relationships before. Discussion of Relevance of Clinical Situation/ Topic Both Personally and Professionally (1/2page) The situation of the workplace violence speaks to me directly as it affects not only my personal wellbeing, but also impacts the quality of care I provide. Unsafe workplace environment allowing for re-occurring violence outbreaks in any form ultimately leads to deteriorating outcomes in emotional and mental health of the nurse, personal well-being and patient safety. As a nurse and a human being, I have a full right to work in a safe workplace environment, protected from any form of physical and emotional abuse from either my clients (patients, visitors) or my co-workers and supervisors. The fact that doctor continuously treated me as having less knowledge and his ongoing demeaning remarks as well as forcing me by staff nurse to accept such oppressing behaviour I consider as acts horizontal violence. (Johnson, 2009). (2) Review of literature(1/2 page) I have reviewed the available literature on the topicâ⬠¦ and â⬠¦foundâ⬠¦.list here statistical information of the prevalence of the horizontal violence, resulting powerlessness, nurse dissatisfaction, effects on the physical and mental state of nurses. The frequency with which hospital violence occurs is rather shocking. The Emergency Nurses Association (ENA, 2010) has conducted a study that found that 8%ââ¬â13% of emergency department nurses are victims of violence every week. According to the U.S. Bureau of Labor Statistics, 46% of all violent acts in the workplace that necessitated time off were against RNs. (1) - Identification, Discussion and Analysis of 3 Issues of the Concept Within the Clinical Situation (6-9) Issue 1: Powerlessness (2 pages) Hincherberger (2009) identified that one of the symptoms of the dynamics surrounding oppression that creates a sense of powerlessness in its victims is a horizontal violence. In order for the horizontal violence to occur a formalized working relationship, where individuals are mutually working to achieve a certain goal, must be present. (Ventura-Madangeng Wilson, 2009,p.40). Evidently, in my situation, we had a formalized working relationship between physician and myself as a nurse, working together to achieve a common goal of helping our patient to overcome severe pain followed by the procedure. An understanding how to deal with nursesââ¬â¢ experiences of powerlessness within the workplace resulting from the acts of horizontal violence is essential for nursing practice and ultimately effective delivery of patient care (Coursey, Dieckmann, Austin Rodriguez, 2013). While horizontal or lateral violence is generally defined as any type of unwanted abuse or hostility within the workp lace it is considered as an act of aggression among healthcare professionals (Becker Visovsky, 2012). Experiencing an aggression makes a nurse feel powerless. Some of the characteristic circumstances leading to the experience of the powerlessness involve evidence of the exercising physician control or dominance in incidents involving fundamental human situations triggering strong emotions in all involved (Coursey et all, 2013). Pain and miserable condition exhibited by my patient has stimulated strong emotions and desire to provide better patient care. Another defining attribute of horizontal violence is the use, misuse and abuse of power in an attempt to disempower the individual, to elicit favourable response and that is used within formal relationships to achieve goals and objectives through an interpersonal process (Ventura-Madangeng Wilson, 2009, p.40). Doctors have traditionally dominated those groups lower in the hierarchy, most notably nursing (Dykema, 1985). Diminishing of nursing care and disregard for nursing decisions are often manifested through power plays (Dwyer, 2011). Newly recruited nurses, myself not exception, frequently see themselves as having little or no power while in the role. Physicianââ¬â¢s continuous degrading statements about my practice quality and methods in an attempt to force me to act independently or convince the patient clearly demonstrated physicianââ¬â¢s power control and push for dominance. Subsequent supervisorââ¬â¢s comments about the general acceptance of the existing unhealthy hierarchical relationship created frustration, unwanted feelings of being out of control, understanding of non-existent collegial support, pressured, isolated, hopeless, demoralized and invalidated. A detailed analysis of the impact of powerlessness arising from incidents involving horizontal violence has helped to identify its numerous effects. Being constantly subjected to the effects of horizontal violence nurses, in general, feel o ppressed (King-Johnes, 2011). The oppression of nurses is perpetuated by both the hierarchical structure of health care organization they work in, and by nurses internalized oppression. The greatest impact is on the nurse as victim, professional practice, and the implications for patient care. Zerabvel Wright (2012) believed that being exposed to harmful effects of horizontal violence made nurses less empathetic to the wounds of others. And what is more alarming is that coping with feelings of powerlessness members of the oppressed group contributed to displacing all aggressiveness and negative emotions onto each other rather than onto actual perpetrators or members of the dominant group (King-Johnes, 2011). Issue 2: effects on physical and psychological well being (2 pages) Boykova (2011) indicated that based on hospital power hierarchies, nurses as a group, are always subject to various types of oppressions. She also, suggested that nursing continues being perceived inferior to the medical profession. Oppressors are always clearly identified, but are not frequently reprimanded. Various researchers have identified members of medical team and nursing management as a valid oppressor of other nurses in an attempt to absorb lower status nurses into existing hospital power hierarchies (Roberts, Demarco, Griffin, 2009). Being repeatedly told that all new nurses with this doctor ââ¬Å"have gone through similar eventsâ⬠and indirect indication that these events were not to be taken personally, but to be accepted ââ¬Å"as isâ⬠created an unwanted psychological effect of viewing myself as a weak and unable to provide good care nurse. Hutchinson, Vickers, Wilkes Jackson (2010) found that horizontal violence exercised by the members of medical team and management can ultimately affect nurse wellà ¢Ã¢â ¬Ã being. Effects of exposure to horizontal violence include psychological and physiological impacts on victimââ¬â¢s well-being often results in health and mental problems. Many psychological unintended consequences occurring sometime after an event affect the victim with such outcomes as increased fatigue, frequent mood swings, negative changes in personal life and values and frequent ranting to partner. Faced with organizational resistance to support me, I emotionally reacted manifesting not one but several symptoms at once including sadness, frustration, irritability, hurt, anger and most importantly stress. An analysis of several studies confirmed that approximately 80% of health care employees experienced at least one adverse symptom in response to work-related violence, while 25% of victims of nonphysical violence experienced five or more troublesome symptoms (Kitaneh Hamdan, 2012; Findorff, McGovern, Sinclair, 2005; APNA, 2008). Additionally, Thomas and Burke (2009) examining narratives of nurses experiencing horizontal violence stated that the greatest impact of horizontal violence is stress. Stress-related health and workplace problems include increased blood pressure, avoidance of professional relationships, depression, anxiety, lowered work performance, toxic work environment, and an emotionally oppressive environment (Broome, 2008). Physical and psychological maladies deriving form exposure to stress include weight loss/gain, hypertension, cardiac problems, gastro-intestinal disorders, headache, insomnia, chronic fatigue, anxiety, depression, substance abuse, and feelings of isolation, insecurity, low self-esteem, post traumatic stress disorder, and suicidal and homicidal thoughts (Bigony et al. 2009). One of the emotions shared by the bullied and bystanders is fear. Fear is a very real and powerful emotion that can result in negative consequences. Exposure to horizontal violence can result in anxiety, weight changes and exacerbation of previously controlled conditions such as hypertension or irritable bowel syndrome (Faminu, 2011). Randall (2001) studied the effects of bullying in adulthood and states that targets of bullying may develop autonomic reactions (e.g., feeling out of breath, blood pressure changes) muscle manifestations (e.g., backache, neck pain), cognitive reactions (e.g., inability to concentrate, irritability, sensitivity) up to and including post-traumatic stress disorder. Intimidation and fear of retaliation prevents reporting of bullying behavior by both the target and the witnesses allowing the negative behavior to continue (Lally, 2009). The greatest danger of fear in healthcare is the fear of conflict that can result in medical errors if those intimidated by aggressive behavior fail to speak up (Langlois, 2009). Adult targets often do not have the capability of productively handling a bullying situation. Their attempts to manage the situation frequently escalate the conflict, particularly if the bully has greater authority. The negative behavioral effects on the target progress from anxiety to loss of motivation and to outbursts of emotion. Loss of emotional control can result in the target displaying aggression and escalating the conflict and bullying behavior (Lee Brotheridge, 2006). Must ADD some line of how all of the above linked back to my clinical situation Issue 3: decreased job satisfaction/motivation (1.5page) Work-related violence in the health care system is a complex and dangerous occupational hazard and impacts the job satisfaction and motivation as well as the quality of the care provided (Arnetz Arnetz, 2001; Needham et al., 2005). Research identified multiple situations in which nurses felt unheard, unappreciated and disrespected by their medical colleagues that ultimately led to nursesââ¬â¢ re-examination of their stand on patient-organization loyalty. (Aytac Dursun 2012; Rodwell Demir 2012). As in my clinical situation, this manifested in moral distress and dilemma, as I felt my loyalty should be primarily to the patient. It is obvious, that the greatest negative effects of workplace violence are felt by the victim (Kvas, 2011). Budin et al. (2013) confirmed that it not only affects the victimââ¬â¢s health, satisfaction with work and life, confidence, but also causes emotional exhaustion and burnout. Being subjected to this situation I was depressed, anxious and basically encountered a work-related stress (Aytac Dursun 2012; Rodwell Demir 2012).(kvas) Many psychological unintended consequences arising from experiencing acts of non-physical horizontal violence have a strong impact on the victims with such outcomes as decreased job satisfaction, performance and absenteeism (Merecz, Drabek Moscicka, 2009; Schat Frone, 2011). The following day I felt tired, upset, unhappy and did not come to work reporting being sick. I believed that my knowledge and my skills deserved better recognition either from physician on call or from the nurse manager. When I finally went back to work I noticed my decreased job performance especially in the daily routine activities. Gerberich et al. (2004) observed that workers exposed to nonphysical violence had high rates of quitting or job transfer. Continuous exposure to the disrespectful remarks and unwillingness of management to deal with situation as it arose I immediately started to research other departments at our hospital where I could transfer to work with physicians known to be more respectful of nurseââ¬â¢s skills. An analysis of the issue clearly sheds a light to the fact that perceptions of violence affects job satisfaction and motivation. (Roche). Generally, nurses experiencing horizontal violence felt less happy at work, had greater work stress, lower morale, less respect for staff compared to unexposed nurses and perceived less supervisory support. The number of violent exposures is inversely correlated with feelings of job safety and satisfaction (Ienacco et al, 2013). Violence is not a constituent part of the profession and nurses deserve to work in a safe working environment. To achieve this goal, all members of the nursing profession must, jointly with other stakeholders (doctors, patients, relatives), actively contribute to changes.(kvas). Discussion of How My Future Practice May be Influenced (1-1.5 pages) Nurses must acknowledge the existence of horizontal violence, confront horizontal violence, and take appropriate actions to mitigate it (Vessey et al., 2010). A policy of zero tolerance for any sort of horizontal violence in the workplace is the goal (Center for American Nurses, 2008). Nursing staff must take a role in combating horizontal violence. Nurses must know the policies that govern professional conduct in the workplace (Maxfield et al., 2005), and feel empowered to take actions against HV. Strategies for empowerment consist of confronting and teambuilding (Kupperschmidt, 2006), mentorship programs (Latham, Hogan, Ringl, 2008), and cognitive rehearsal (Stagg et al., 2011). Maxfield and colleagues (2005) found only 5%- 15% of nurses would confront a colleague concerning unprofessional behaviors. Only 10% of nurses felt comfortable enough to confront a coworker displaying HV (Wilson et al., 2011). Based on the impact horizontal violence had on the me as a nurse, especially effects of psychological and physical on well being, sense of powerlessness and dramatic reduction in job satisfaction I learned important lessons from it. First lesson was that I wanted to continue working as a nurse I have to stop thinking of myself as a member of the oppressed group, start being proactive, disallow any attempts on diminishing my efforts or stop any occurences of any demaning remarks directed at me from any member of medical team being so physician, supervisor or colleage. Second lessond I should maintain a healthy view of self, so as not to personalize attacks of HV (Kerfoot, 2007). avoid unnecessary emotional turmoil, learn to be assertive (Exhibiting assertive behavior at the time of the event is considered an acceptable response to HV behaviors. If possible, actions that constitute bullying should be confronted during or immediately following the incident. Conversation must remain both empathic and factual (Randle et al., 2007).) in situations of horizontal violence. Journaling, another strategy to address HV, can serve dual purposes. First, keeping a detailed journal will help the victim maintain a timeline of events (Cleary et al., 2009). Second, journaling may provide an emotional outlet for the psychological distress associated with HV. Good documentation requires a list of witnesses to the accounts and all notes, texts, or emails from the perpetrator also be kept as part of the journal (Cleary et al., 2009; Edwards OConnell, 2007). Final lesson, that influenced my further practice was job satisfactionâ⬠¦ Summary/Conclusion (1/2 page) Text here Kitaneh, M., Hamdan, M., (2012) Workplace violence against physicians and nurses in Palestinian public hospitals: a cross-sectional study, BMC Health Services Research 2012, 12:469 retrieved from http://www.biomedcentral.com/1472-6963/12/469
Sunday, October 13, 2019
The Benefits of Nursing Homes Essay -- Health Care
In the early twentieth century, what we now call nursing homes did not exist. If elderly citizens had nowhere else to go, they were sent to live in rundown poor farms. On August 14, 1935 President Roosevelt signed the Social Security Act, which provided matching grants to each state for Old Age Assistance (OAA). This in turn set in motion the opening of private homes that allowed people to live in a care facility and collect the OAA payments as well. It was not until the 1950ââ¬â¢s when nursing homes started developing into the facilities most of us are familiar with today. It was then that nursing homes were required to follow state set standards for licensing and some even received Federal grants if they possessed a hospital like atmosphere. Throughout history, nursing homes have faced many dilemmas, laws, and legislations. However, it has been these ups and downs that have contributed to the quality of modern nursing homes. In my opinion, nursing homes are a good choice becau se they provide seniors with companionship, medical treatments, and reliable safe shelter for those who do not have a safe environment at home. Nursing homes provide companionship to elders and fun activities with people in their age group. The Four Seasons Nursing and Rehabilitation Center, offers a variety of services for the elderly. According to their website, the Four Seasons have a Therapeutic Recreation Department which ââ¬Å"coordinates and plans all therapeutic activities for all Four Seasons residentsâ⬠(2012). These activities revolve around an individualââ¬â¢s specific needs and can include activities such as book readings, music, arts and crafts, games, and even holiday dances. In February 2011, my grandmother suffered a stroke and needed to go to a te... ...aving their family members at home. In the end, it all comes down to the individual family deciding what would be best for their loved ones. Works Cited Four Seasons Nursing and Rehabilitation Center (2012). Recreation. Retrieved from http://www.fourseasonsnh.com/Recreation/recreation.html Kapp, M. B. (2003). Resident safety and medical errors in nursing homes. Journal of Legal Medicine, 24(1), 51. Minority Staff of the House Committee on Government Reform (2001). Abuse of residents is a major problem in U.S. nursing homes. Washington, DC: U.S. House of Representatives. PBS (2012). The Evolution of Nursing Home Care in the United States. PBS The Online News Hour. Retrieved from http://www.pbs.org/newshour/health/nursinghomes/timeline.html Stiegel, L. A. (2011). Power of Celebrity at the Senate Special Committee on Aging Hearing. Bifocal, 32(4), 43-45.
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