Thursday, July 25, 2019

The Battle for Fox Hill Research Paper Example | Topics and Well Written Essays - 2500 words

The Battle for Fox Hill - Research Paper Example The division was under the operational command of X Corps, commanded by Maj. Gen. Edward M Almond, USA. The 7th Regimental Combat Team (RCT), commanded by Col. Homer L. Litzenberg, had been ordered to move to Hamhung and relieve the 26th Republic of Korea (ROK) Regiment engaged with Chinese Communists in the north. While marching on the road towards the Changjin Reservoir, also referred by its Japanese name as Chosin Reservoir, the Korean regiment had encountered fierce resistance near Sudong on October 28. Meanwhile, the Chinese forces had also checked the advance of Gen. Walton H. Walker’s Eighth Army south of the border, pushing them back to the Chongchon River. However, United Nations forces had no credible information on the numbers of Chinese troops accumulated across Yalu River on the Manchurian border by that time (Appleman, 1-5; Santelli, 35-36; Simmons, 1-12). Interrogation of 16 Chinese prisoners revealed that 42nd CCF (Chinese Communist Forces) Army had deployed its 124th, 125th and 126th Divisions to check the advance of the 1st Marine Division. On the morning of November 02, the 7th RCT relieved the 26th ROK Regiment without encountering any significant resistance. The 1st (Lt. Col. Raymond C. Davis) and 2nd (Lt. Col. Randolph S. D. Lockwood) Battalions, 7th Marines, were leading the advance, while 3rd Battalion (Maj. Maurice E. Roach) was positioned in the rear. Over the next five days, the 7th RCT fought against determined resistance from the Chinese 124th Division, pushing it north over the Funchilin Pass to Hagaru-ri. On November 13, the RCT received orders to capture Hagaru-ri and advance 40 miles north to the southern tip of Chosin Reservoir. The RCT had reached its objective by November 15. However, Smith was quite concerned over the long narrow stretch of his division against uncertain enemy size and determination. He had expr essed his concerns in a personal letter to Cmdt. Marine Corps, Gen. Clifton B. Cates, stating, â€Å"I do not like the prospect of stringing out a Marine division along a single mountain road for 120 miles from Hamhung to the Manchurian border†¦I have little confidence in the tactical judgment of X Corps or the realism of their planning†. (Simmons, 13-35; BH, 36; Bevilacqua). On November 19-20. the Eighth Army captured the North Korean capital, Pyongyang. The 7th RCT had reached Yudam-ni by November 25. As the elements of 7the Infantry Division arrived at the eastern side of the Chosin Reservoir on November 25, the 5th RCT (Lt. Col. Raymond L. Murray) had began movement to Yudam-ni. According to the plans, the 5th RCT was to pass through the lines of 7th RCT and lead the attack to Mupyong-ni west of the reservoir on the next day. On November 26, three captured enemy soldiers had revealed the presence of 58th, 59th, and 60th CCF Divisions of 20th CCF Army around Yudam-ni. On the night of November 25, a massive attack by Chinese in the west had destroyed three ROK divisions on the Eighth Army’s right flank, repulsing its advance. Now, the Chinese prime objective was destruction of the 1st Marine Division in the east. (Bevilacqua; Appleman, 7-8; Simmons, 40-47). The American high command was under the impression that China will never enter the war, and the resistance was merely a small force of Chinese volunteers. On November 27, the 2nd Battalion, 5th Marines (Lt. Col. Harold S. Roise), launched the attack in the morning. The 7th Marines launched a secondary attack to the southwest. A temporary fall back of Chinese allowed the intermixed lead elements of the 5th and 7th Marines to make a 1 mile advance. Both regiments might have been combined under command of Assistant Division Commander, Brig. Gen. Craig, but he had departed for United States on emergency leave. Litzenberg had command authority as the senior officer.

Wednesday, July 24, 2019

Issues Experienced While Administering Care to Patients Article

Issues Experienced While Administering Care to Patients - Article Example This essay stresses that  they specifically interviewed nurses with not only more than 3 years working experience, but also with experience in dementia patient care. They used questionnaires in addition to focus group interviews in collecting data. Additionally, the authors of the article used analytical methods in extracting issues in nursing care from the data collected from the participants regarding their facilities. The result of their interview showed that difficult ethical situations, disorderly conduct among patients as well as problems associated with organization of acute care as the main obstacle to good nursing care for dementia patients. Other issues nurses that face in connection to dementia care included responsibility for patients in addition to not only frustrations with regard to time, but also with regard to lack of organization.From this paper it is clear that  in relation to the nursing care provided for dementia patients, the article had diverse strengths. F irst, it openly elaborates on how dementia affects many people. This is evidenced by its reference of dementia as a major public problem. It then expounds on how many acute care hospitals are involved in the treatment of comorbidities. In addition to this, the article expounds on the methods that were employed in the collection of data that enhanced the success of the research. The expression of the results that was got from the data that was collected is also one of the key strengths of this article.

Tuesday, July 23, 2019

Childhood obesity Research Paper Example | Topics and Well Written Essays - 1500 words

Childhood obesity - Research Paper Example The obesity trends is rising day by day, and all that does emanate from the imbalance in the caloric content consumption. The trend has had detrimental effect to the children, exposing them to cardiovascular diseases, cancer and diabetes. The essay will expound childhood obesity with relation to classification, causes, effects and preventive measures. Obesity is determined by use of BMI in children who are two years or older. The center for disease control and prevention has come up with the acceptable body mass index from that that needs medical attention. A BMI of 18 to 24 is classified as a standard body mass index with 25 to 29 being overweight. Obesity sets in when ones weight and height ratio goes beyond 30. On the other hand, a BMI of less than 18 is classified as underweight as well (Anderson and Butcher). However, the United States preventive task force confirmed that high BMI can identify a health problem but does not mean that all children need to lose weight. The prevalence  of obesity in  childhood  is increasing in the world with the current estimates being in 42 million cases of overweight children (International Obesity Taskforce). According to (Force), the number of obese children has doubled from the ones in 1980 in all countries of North America that include Mexico, the United States, and Canada. Even though there is a decreased rate of childhood obesity development in the United States, the prevalence still remains high at 32.8 percent among children of age 6 to 11 years old, and 18 percent of the children with the age brackets of 6 to 9 years old (UniMelb Obesity Consortium). A myriad of factors often act in combination hence leading to the development of obesity among children. The mixture of elements that can result in the development of obese are termed as obesogenic in medical terms. One of the greatest risks of the child developing obesity is a situation whereby the parents to are suffering from the same condition. This can

Monday, July 22, 2019

A Critique of Frye’s, Jordan’s, and Miller’s Feminist Theories Essay Example for Free

A Critique of Frye’s, Jordan’s, and Miller’s Feminist Theories Essay Marilyn Frye’s feminist theory is based on a mix of art and philosophy as well as a presentation of her own ideas in the context of the world. Frye’s theory stresses among other things, the fact that the power of feminism is embedded in the capability of making women’s lives and their experiences understood by a vast majority of the people (Frye, 1983). On the other hand, Jordan’s feminist theory lays emphasis on the woman’s self with reference to her relational well-being (Jordan, 1991). Closely related to this, Miller’s theory is based on the view that there is need to address women’s experiences and make the world understand them better. Thus, Miller suggests that in order to understand women, there is need to understand their lives and values (Miller, 1987; Davis, 1999). This paper will examine and appraise the aforementioned theories and draw a conclusion based on the flaws or incongruence depicted by the theories, and will thus suggest whether the theories can be used together or as separate entities. Frye’s Feminist Theory Frye affirms that in order to understand women fully, that is in terms of their feelings, motivations, ambitions and how they are likely to react to different situations, there is need to understand their driving forces, which are the determining factors in various responses (Frye, 1983). Frye’s feminist theory thus presents an attempt to explain the forces and how they apply to different women. While it may be true that there are deciding forces behind every woman’s response to different situations, it is also evident that the forces cannot be studied conclusively. This viewpoint is instigated by the fact that women live in different conditions, and these conditions are likely to affect how they react to different circumstances. Thus, a generalization cannot be used to describe women’s attitudes. In view of sex and sexuality, Frye notes that sex roles have inhibited men and women from being in charge of their choices since the activities involved in sex are already predetermined (Hoagland Frye 2000). However, this supposition fails to address the sex drives involved among same-sex partners. Thus, even though Frye notes that women are sexually oppressed, it is difficult to concur with the argument since sexual freedom has increased tremendously in the world over the past few years. Frye’s likening of women to a birdcage in which if one observes one wire of the cage, she or he is likely not to see the other wires present in the cage (Davis, 1999) presents an interesting point of discussion. This is true given that in there are instances when women are ignored, for example in restaurants when waiters expect men in company of women to pay the bills. This implies that much attention is paid to men, who are perceived to be a superior sex. Jordan’s Feminist Theory This theory emphasizes the connections among different aspects of women’s lives, which are developed through relationships. It dwells on factors such as sexism and heterosexism, which separate women and alienate them from the rest of the society, thus subjecting them to a lot of suffering (Jordan, 1991). In view of this, while it is true that women are more affected by issues that concern sex it is also imperative to note that such issues are not just limited to women. Concisely, men also suffer from issues related to sex. Jordan’s theory also dwells on the self-condition of women in relation to their relational wellbeing. Jordan emphasizes that most Western psychological theories tend to point too much on the woman’s self rather than her relations with others (Jordan, 1997). Along this line, Jordan asserts that men have subordinated women and view them as their subjects, thereby undermining women’s relation capacity. This presumption has some substance with reference to how women were treated in the past. However, it may loose significance in the contemporary world where women have taken more leadership positions and have better control of their undertakings. Jordan addresses desire by relating it to adolescent sexuality, noting that it arises from people’s integration with others and creation of relationships (Jordan, 1997). This is true in the context of what people commonly refer to as â€Å"real love† that develops between men and women through their continued association. On the other hand, since relationships commonly break, there is an indication of a flaw in Jordan’s theory. Nevertheless, Jordan’s point of challenging the tendency by men to be dominant over women (Jordan, 1991) stresses the need for equality between men and women. Miller’s Feminist Theory Miller focuses on the concern of men’s domination over women and their tendency to subordinate them (Miller, 1987). She asserts that the propensity by men to be dominant over women causes conflict between the two sexes because men fail to understand women. Miller also notes that in dealing with conflict, women, who are usually the subordinates revert to overt conflict, a phenomenon that is prevalent in the present day (Miller, 1987). Miller therefore questions why men should be dominant over women yet women have equal capabilities do what men can do. Miller’s feminist theory is important in addressing gender disparity in the world. It also supports women in having voices to do what pleases them irrespective of what men think about them. However, its flaw lies in the fact that it fails to address why men have higher propensity to be dominant over women and why women usually revert to overt conflict when dealing with men. Conclusion The feminist theories by Frye, Jordan and Miller all address issues that though not congruent are closely related. Frye’s theory is centered on understanding women; Jordan’s theory recognizes the woman’s self worth and the importance of women’s participation in relations; whereas Miller’s theory in centered on understanding women and why men should not treat them as subordinates. All these issues are closely related since they address the status of women and their role in the society, which is paramount in eliminating injustices against them. Hence the theories should treated together to achieve the objective. References Davis, F. (1999). Moving the mountain: The women’s movement in America since 1960: Chicago: University of Illinois Press Frye, M. (1983). Politics of reality: Essays on feminist theory. New York: Ten Speed Press Frye, M. (1992). Willful Virgin: Essays in Feminism, 1976-1992. New York: The Crossing Press, Inc. Hoagland, S. L. Frye M. (2000). Feminist interpretations of Mary Daly. Pennsylvania: Penn State Press Jordan, J. (1991). Women’s growth in connection: New York: Guilford Publications, Inc Jordan, J. (1997). Women’s growth in diversity. New York: Guilford Press Miller, J. (1987). Toward a new psychology of women. Boston, MA: Beacon.

Sunday, July 21, 2019

Is Community Policing Effective?

Is Community Policing Effective? AN ANALYSIS OF COMMUNITY POLICING: IS COMMUNITY POLICING AN EFFECTIVE PRACTICE? ABSTRACT Community Policing is a relatively new policing practice that focuses on reducing the crime rate in an area by creating cooperation and trust between citizens and police. The question that comes into play regarding this is whether or not community policing is an effective practice. To answer this question, a study will be conducted where community policing is implemented in a big city for a span of 2 years. All of the citizens and police officers of all ages and both sex’s will be the research participants. Data will be collected by comparing the crime rates from the beginning of the study to the end of the study, along with comparison between the data every 2 months as well. The results will be analyzed by looking at whether or not there were any changes in the crime rates as well as the amount of cooperation by citizens. If there was a decrease in the crime rate then that will determine that community policing is in fact an effective community policing practice that is worth its extra cost. TABLE OF CONTENTS INTRODUCTION LITERATURE REVIEW STATEMENT OF THE PROBLEM METHODOLOGY AND ANALYSIS DISCUSSION CONCLUSION REFERENCES INTRODUCTION The criminal Justice field is currently in a time where new and innovative policing practices are being used in police departments across America. One of these practices being implemented nationwide is community policing. Community policing spans a broad range of programs from neighborhood newsletters and neighborhood substations to foot patrol and neighborhood watch (Welsburd, Lum, 2013). Community Policing’s main focus is to create stronger alliances between police and the community. The goals of community policing are to help reduce citizen fear of crime, improve police-community relations, facilitate more effective responses to community problems, and lower the overall amount of crimes committed (â€Å"Community Policing,† n.d., para. 1). When evaluating the community policing practices there is always the question of whether or not the practice is effective and should continue to be implemented in police departments. Community Policing is an effective practice that is supported by different studies and statistics that have been conducted and released regarding this police practice. (Telep, Weisburd, 2011) The effectiveness of community policing is measured by examining a collection of strategies that are implemented in the practice. (Owusu-Bempah, 2010) Community Policing practices has had great results in cities such as Chicago where the practice has been implemented in several neighborhoods (Eig, 2002). By determining the effectiveness of community policing it determines whether or not this practice is worth being implemented by police departments throughout America. LITERATURE REVIEW Welsburd and Lum (2013) describe how Charlotte Gill and colleagues conducted a study on the impact of community policing. The study showed how community policing led to significant positive benefits for citizen satisfaction, perceived disorder, and police legitimacy. In the end of the article Bennett and colleagues looked at the effectiveness of neighborhood watch programs, which is related to community policing. They found that a neighborhood watch program does in fact lead to a substantial â€Å"crime reduction.† (Para. 10) These authors focus more on the positive aspects of community policing and do not describe much in the way of negatives regarding this policing practice. Community policing involves strengthening the relationship between police officers and citizens in the community. â€Å"Community Policing† (n.d) describes how Goldstein describes that officers working closely with members in the community have greater independence with making decisions, have positive feelings toward citizens, and have greater job satisfaction. One survey conducted on patrol officers showed 98 percent of officers agreed that â€Å"assisting citizens† is just as essential as â€Å"enforcing law.† (Para. 6) The authors focused on describing officer opinion on community policing and positive affects it has had. Community Service is an essential aspect of community policing that strengthens Citizens Corporation and trust. â€Å"The Bureau of Justice Statistics† (n.d) describes how Offering youth education and coordinating community outreach efforts are effective methods in community policing that have been utilized. The study focused on implementing a greater use of foot and bicycle patrols and frequent meetings with community groups. The LEMAS survey conducted in 2003 revealed 58% of all departments, employing 82% of officers, and utilized full-time community policing officers during 2003. All Together, there were about 54,800 local police officers assigned as community police officers. These authors provide data on how community policing is becoming a more widespread policing practice due to its effectiveness. Community Policing has proved to be effective in communities throughout America such as Chicago. Jonathon Eig (2002) describes the community policing practice in Chicago which focuses on more than just foot patrols. Citizens form a positive relationship with police officers which make them believe they have a role in solving the neighborhoods problems. The study describes how in Chicago when a suspect resisted arrest and began punching the officer, neighborhood gang members rushed to her defense and helped subdue the man. (2002) after the implementation of community policing Chicago communities have experienced falling crime rates and a growing sense of safety in many neighborhoods. Fayetteville Minneapolis implemented a community policing strategy to reduce violent crime plaguing the city. Greg Barnes (2014) describes that violent crime among juveniles has fallen dramatically after using community policing. The study showed from 2006 to 2012 gun crimes involving youth dropped by 57 percent and gun crimes dropped by 67 percent. Youths were 39 percent less likely to be shot and 60 percent less likely to be murdered. Fayetteville Police departments hired more police officers to patrol streets and the department upgraded crime-fighting-technology. The study stated that in 2013 there were about 600 fewer home breaks ins. Fayetteville shows how community policing is effective at reducing crime and violence in the community. Community policing is implemented to help curb the rise in violence throughout communities. Akwasi Owusu-Bempah (2010) describes how officers must be actively engaged in efforts to enhance the community safety themselves while using assistance from citizens. Through knowledge-sharing with members of the community, patrol officers become most knowledgeable about the needs and strengths of their communities. The study showed during the six years after the project began (from 1995 through 2000) the number of homicides in Atlanta decreased by 27 per cent. The author describes the positives of community policing and the data that supports this. STATEMENT OF THE PROBLEM Authors have stated that Community Policing is a relatively new practice in law enforcement that involves a variety of programs which can vary depending on the police department. ( Telep, Weisburd, 2011; â€Å"Community Policing,† n.d., para. 1; Welsburd, Lum, 2013; Owusu-Bempah, 2010) However there is a limited amount of data that determine if community policing practice is worth for departments to utilize. This means it is unclear whether community policing is an effective practice in regards to reducing crime. METHODOLOGY AND ANALYSIS The methodology is broken down into separate main focuses, the research participants, research design, and the procedure. The research that will be conducted is study of how a community policing program is an effective policing practice. The study will involve implementing a community policing program in a high crime city and seeing what effect it has over a 2 year span. The study’s participants will be split up into two separate groups. The first group will be composed of any citizen living in the city that has implemented a community policing policy. The city for this study is in New Haven Connecticut, which means everyone living in the city limits of New Haven will be the research participants. Their demographic will involve citizens of all ages and both male and females. The second group is composed of all the New Haven police officers assigned to areas throughout New Haven where they will utilize a community policing strategy. Their demographic will involve police officers of all ages and both male and female officers. My design/procedure involves experimentation which will show if community policing is an effective practice. The experiment will involve implementing a community policing practice in New Haven for 2 years. The city will need to hire more officers to actively patrol one specific neighborhood their entire shift. To determine if the practice was successful it will be measured by, whether or not the crime rate decreased with a community policing practice in place. The initial crime rate will be determined by the numbers of various major crimes committed the year before community policing was implemented such as murders, homicides, robbery’s, larceny’s, assaults, and grand theft auto. Next the study will involve increasing the number of cops on patrol and their interaction with citizens in the specific areas they are assigned too. Things that will be measured are whether or not corporation between police and citizens of the city has gone up. Another aspect measured is the ri se in annual police department costs since the community policing practice was put into place. Lastly to measure the practices success during the 2 year span you compare the number of crimes committed every 2 months throughout the duration of the study. Then once the two years is finally done compare the number of crimes that occurred before the start of the study to the number of crimes that occurred at the end of the study to see if the policing practice was in fact effective. For community policing to be deemed effective the data compared will show a drop in the crime rate. Lastly effectiveness will also be based on the cost of the practice compared to the results of the implementation of community policing. DISCUSSION Law enforcement agencies throughout the country are always looking for a solution to lower the rise in number of crimes committed. In the past law enforcement typically involved a disconnect between citizen’s and police officers. However with new policing practices like community policing the disconnect is able to be reduced by police advocating cooperation between citizens and police. Citizens are given the opportunity to be directly involved with keeping their own neighborhood safe by working with police by providing information such as witness statements and possible leads. This also leads to police getting to know people in the community on a personal level and for citizens to view a cop as more than just a person with a badge and a gun. What this means is that community policing provides reasons for citizens to speak with police which will help deter criminals from committing crimes due to knowing that witnesses will cooperate. The importance of the study conducted is that it allows for other police departments to determine whether community policing might work well in their city. There is also a chance for departments already implementing the practice to determine whether they should continue or discontinue community policing. Implementing community policing comes at a rather high cost due to an increase in officers on patrol at once. By the study only being two years long it allows for a city to see first-hand results of the policing practice which will help determine if the effect on the crime rate outweighs the extra costs. Similar studies to this one have shown results that provide support for community policing being an effective policing practice. Chicago is a city that has already implemented community policing in their neighborhoods. One major is that the Chicago study involves community policing in specific neighborhoods with the most crime and poverty which is different from how the New Haven study involves the entire city. In the Chicago study neighborhoods saw a decrease in crimes especially those involved with drugs and gang violence. There was also increased police and citizen cooperation which led to citizens sharing a lot more valuable information to the police, due to how the police showed citizens they were in the community to help them keep the neighborhoods they live in safer. The Chicago study is able to provide support of how community policing will be able to help with reducing the similar issues of gang violence and drug related violence in New Haven which has in recent years seen a major rise in these issues. Even though the study in New Haven shows effective results there are limitations and problems that could possibly occur. A limitation is that realistically not all officers will be able to get citizens in their patrol area to cooperate with them. If this is the case the question that arises is whether it’s worth the extra costs to continue with community policing in the neighborhood for the full duration of the study. Also with a study over a 2 year span a lot can change, if an officer assigned to a neighborhood has to leave midway through the study, could lead to citizens no longer cooperating with the newly assigned officer in the same way they did with the prior officer. In order for the experiment to have validity it would require that every neighborhood has the same officer patrolling it the entire 2 yearlong study which is unrealistic in a large city like New Haven. The last possible problem is that community policing involves a variety of programs which means programs t hat led to successful a community policing outcome in one city might not have the same results in another city. CONCLUSION Community policing is one of the most recent law enforcement innovations with recent research suggesting that close to 100 percent of larger police agencies have implemented this practice. (Welsburd, Lum, 2013) The problem regarding community policing is determining whether or not it can be called an effective policing practice. The overall goals associated with this practice are fear reduction, increased citizen satisfaction with police, and the development of techniques which address the issues in the community. Community Policing’s overall concern is to create stronger alliances between police and the community which are a major factor in seeing crime rates in an area decrease. (â€Å"Community Policing,† n.d., para. 1). (Quire, 1993) While community policing has its benefits there are also some issues with it such as the rise in police spending and an increased need for more officers on patrol at the same time. In the end the New Haven community policing study is ju st one of the many studies that provide support that it is in fact an effective policing practice. REFERENCES Welsburd, David, and Cynthia Lum. Community Policing and Procedural Justice.Center for EvidenceBased Crime Policy. 1 Jan. 2013. Web. 4 Dec. 2014. http://cebcp.org/evidence-based-policing/what-works-in-policing/research- evidence-review/community-policing/ Police: Community Policing The Theory And Practice Of Community Policing. Officers, Crime, Local, and Neighborhood. Web. 27 Nov. 2014. http://law.jrank.org/pages/1650/Police-Community-Policing-theory-practice- community-policing.html Telep, Cody, and David Weisburd. What Is Known about the Effectiveness of Police Practices? 1 Sept. 2011. Web. 4 Dec. 2014. http://www.jjay.cuny.edu/Telep_Weisburd.pdf Eig, Jonathan. Eyes on the Street: Community Policing in Chicago.The American Prospect. 17 May 2002. Web. 4 Dec. 2014. http://prospect.org/article/eyes-street- community-policing-chicago Owusu-Bempah, Akwasi. Review of the Roots of Youth Violence: Literature Reviews. Community Policing Strategie. 27 Apr. 2010. Web. 4 Dec. 2014. http://www.children.gov.on.ca/htdocs/English/topics/youthandthelaw/roots/volu me5/preventing03_community_polcing.aspx Bureau of Justice Statistics (BJS).Bureau of Justice Statistics (BJS). Web. 4 Dec. 2014. http://www.bjs.gov/index.cfm?ty=tptid=81 Barnes, Greg. Seeking Safety: A Blueprint for Reducing Youth Crime That Works :: WRAL.com.WRAL.com. 26 Oct. 2014. Web. 4 Dec. 2014. http://www.wral.com/seeking-safety-a-blueprint-for-reducing-youth-crime-that- works/14117413/ Quire, Donald. Models for Community Policing Evaluation: The St. Petersburg Experience. 1 Jan. 1993. Web. 4 Dec. 2014. https://www.fdle.state.fl.us/Content/getdoc/50e19742-07dd-4813-a850- 3248a9db71b5/Quire.aspx

Evaluating Expectations And Role Of Modern Nursing Nursing Essay

Evaluating Expectations And Role Of Modern Nursing Nursing Essay Introduction Modern nursing is a rewarding, but challenging, career choice. The modern nurses role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient as advocate caregiver, teacher, researcher, counselor, and case manager. Under the paradigm of quality health care, modern nurses should interpret this as quality patient care which comprises three important factors sound theoretical knowledge of the latest medical procedures, information and innovations; superior communication skills that are multi-culturally based; and the ability to empathize appropriately with the patient and family to buttress the role of caregiver. The necessity for modern nurses is to be far more than ever more of a multitasking professional with superior communication and organization skills and even more focused on the holistic model of the patient and the manner in which they, the nurs e, affects the outcome of the patients care experience (Brown, 2007). Theory into Practice It is a given that the modern nurse will have a far greater exposure to new medical methods, pharmaceutical interactions, and techniques than many nurses of the past. In fact, the use of clinical judgment in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death is one of the definitions of modern nursing (Royal College of Nursing, 2003). In fact, with such a vast amount of clinical information needed, combined with the stress of a busy hospital, and the various insurance and legalities to be considered, many contemporary nurse managers find that it is helpful for the modern nurse to utilize a medical checklist to improve patient care (Hales, 2008). In the contemporary world, it is important to note that a more holistic approach is preferable, seeing the patient as more than their disease, and advocating for that patients proper care and assistance when they are unable (Kozier, Erb, Blais, 1997). One of the more critical approaches to the rubric of patient care and advocacy is the Theory of Human Caring, by Jean Watson. This book represents a needed, but dramatic, shift in the modeling of patient care, and remains controversial still. Watsons theory formed the basis of modern nursing theory and some of the ideas she epitomizes have become part of other theories, among them Marilyn Rays Theory of Bureaucratic Caring for the Nursing Practice. Some of Watsons material came from a previous theoretical maxim, that of the Self-Scare Deficit based on the book Nursing: Concepts of Practice (Orem, 1971, 2001). Between 1949 and 1957, Orem worked for the Division of Hospital and Institutional Services of the Indiana State Board of Health. Coming out of the World War II paradigm, Orem immediately found that the health care system often perpetuated illness as opposed to helping cure disease. She believed that the quality of nursing in general hospitals should be upgraded, and to do this, she believed that the patient should take some of the overall responsibility for their care and management of their own ability to deal with illness (Dorthea Orem, 2010). The reason Orems model is important when discussing other nursing theories is due to its seminal nature of generalized care and one of the most commonly used in actual practice. Orems model has three major templates: 1) Nursing is required because of the individuals inability to perform self-care in many medical situations, 2) As adults age, they deliberately learn and master actions that help direct their survival, quality of life, and well-being, and 3) The product of nursing systems should be a nurses advocacy to help people meet their self-care requirements and avoid dependency on others (Ibid.). The significance of these paradigms set up a value system and put responsibilities on both the nursing profession and the client. The nurses role is not continual care without the prospect of improvement, nor is it simply to provide medical care without explanation. Instead, the nurses role is a bit of a self-advocacy method (advocacy, we will see, is very important for Watson, too). The nurses role is to help the patient understand their care, perform care on their own, and be able to remain self-sufficient and independent as long as possible. In fact, Orems theory found resonance in the new ways of communicating with patients. Instead of simply providing medication or therapy, but educating the client on their own illness and care, a greater level of empowerment is reached and a lessening of completely dependence on the health care system (Alligood and Tomey, 2005, 255-9). One way to understand the way and importance of Orem in the modern hospital situation is to analyze the way the theory has been put into practice: Operations Issues Regulatory Systems Takes into consideration the basic factors of age, developmental state, and health care systems. Provide for effective regulation of health and development state by setting forth relationships among component and self-care demands. Specify timing of nursing contact, reasons for contact; actions of nurse, client and others. Production of Care Specify time, place, environmental conditions, equipment, supplies, and number of personnel and stakeholders. Coordination of self-care tasks, assist client in performing of those tasks; bring about accomplishment of self-care that is satisfying to the client. Observation/Appraisal of Care Make judgments about quality and quantity of care; development of self-care agencies and assistance; judge nursing assistance and make adjustments to determine if operations are in accord with client condition and appropriate care. (Bridge, Cabell, and Herring, n.d.). Even though it was published in 1979 and revised in 2008, the book Nursing: The Philosophy and Science of Caring, remains a seminal part of new nursing scholarship/ Discussion abounds, possibly because of the implications of her theory challenge the applicability of nursing practice in the contemporary world of budget cuts and HMOs, as to less the validity and more the practicality of Watsons theory. There is a great deal of information on Watsons theory, critiques, applications, and amalgamations of her theory, and the content and veracity of the information that is available is well documented and explored.  [1]   Jean Watson views nursing as an art and a science, which has the goal of preserving the worth of humankind through the process of caring. Caring is the essence of nursing and a moral ideal: Caringhas to become a will, an intention, a commitment, and a conscious judgment that manifests itself in concrete acts. Watson herself notes that human care is both an ideal and a moral tenet, and it must, for the nurse, move beyond an individuals frame of reference and ensure that the profession as a whole acts in tandem with a more universal attitude toward the care for all humanity (Watson, 1988, p. 32). In addition, Watson emphasizes that all individual experience is relatively subjective, and uses the term phenomenal field to describe the specific frame of reference arising from the individual. This frame of reference is influenced by a myriad of cognitive stimuli, experiences that are individual and unable to uncover in the initial nurse/patient relationship. Instead, Watson stresses that one take those cognitive paradigms, move them into transpersonal care and allow the patient to partner with the nurse all with one goal complete health for the individual. (Watson, 1988, p. 70). Watson (1988) defines health as harmony between mind, body and soul, and illness as a subjective disharmony between mind, body, and soul. As well, integral to Watsons theory are the 10 carative factors that serve as a framework for providing a structure and order for nursing phenomena (Watson, 1997, p. 50). The 10 carative factors are as follows: Humanistic-altruistic system of values Faith-hope Sensitivity to self and others Helping-trusting, human care relationship Expressing positive and negative feelings Creative problem-solving caring process Transpersonal teaching-learning Supportive, protective, and/or corrective mental, physical, societal, and spiritual environment Human needs assistance Existential-phenomenological-spiritual forces. All of this presupposes a knowledge base and clinical competence (Watson, 1988, p. 75). Watson (1988) believes that nursing must separate itself from the reductionist views of the traditional science medical paradigm and focus on movement towards a human science nursing paradigm. Watson also readily acknowledges that her theory is a work in progress, and she invites participants to co-create the models further emergence (Watson, 1997, p. 52). This is in accordance with her theory in that she believes that everything is in an unending process of becoming (Watson, 1988). Within the Watson theoretical construct, then, the central view for healthcare professionals is that they work diligently to emphasize care as more than a mere term, and take it further to engender the universal idea of comfort, attention to a patients needs, genuine concern. This idea, certainly historical in its constructs, has no specific chronology, rather has been a part of human nature since the first Neanderthal tribe cared for a sick individual who was unable to hunt for the tribe. It is this overwhelming caring that changes Watsons theory into a practical view for modern health care systems. (Watson, 2008). This universal theory is both intellectually and emotionally attractive, and seems to embody the very principles of health care however; it was necessary to utilize additional non-internet sources to delve deeper into Watsons theory. Marilyn Ray, on the other hand, looks at a slightly wider universe, in a sense the medical anthropology paradigm, and forms a model called the Theory of Bureaucratic Caring. While Orem emphasizes the way nursing must model care so the patient can take over some of the responsibility, and Watson primarily seems nursing care as a way to advocate the patient through the mire of modern health care, Rays theory emphasizes the interconnectedness of nursing within modern health care systems as a hole. Like Watson, Ray believes that nursing is part of a holistic determiner of care as opposed to the cause/effect template so prevalent in Western medicine. When nurses realize that they represent the entire breadth of medical care (social, spiritual, medical, practical, etc.), then they realize they are treating an organism, not just an imbalance. If one thinks about the contemporary world, one easily sees that changes in the political, economic, legal, and technological world necessitate a broa der view of nursing care. This is the power of Rays work it helps find new policies and ways of looking at the human perspective, if even through corporate or governmental policy (Ray, 1989). If the contemporary nurse asks themselves truly what the most important part of their job would be it is difficult to delineate just one aspect. However, in the past three decades the demographic and psychographic landscape of nursing has dramatically evolved. Combined with the movement towards cultural and economic globalism, the number and proportion of international nurses practicing in the United States continues to increase (Aiken, 2007). Among the most often reported challenges for these nurses, a deficiency in communications is the top, most persistent, issue for employers (Davis and Nichols, 2002). Additionally, the communication paradigm works equally with American trained nurses and an increasingly diverse, multi-ethnic, population most especially the need to communicate effectively with the patients family, many of whom have very poor English skills. However, how can communications be part of a nursing paradigm without looking at culture and the whole person as Ray does. What is most important for Ray is that desirable and derivable consequences occur. She challenges the medical field to think beyond their usual boxes and to envision a more holistic world. Once the nursing profession appreciates and responds to the interrelatedness of the individual, one has adopted Rays theory (Marriner-Tomey and Alligood, 2005, 132-4). Conclusions- All parties in the healthcare paradigm have certain expectations of nurses: physicians are ever more reliant upon the expertise and attention to detail from nurses and expect more clinical knowledge; hospital staff see the nurse as the focal point in the wheel of patient care the go-to person who is really a patient care manager; the patient tends to view the nurse as the lifeline of communication and empathy; the family the translator of the physicians diagnosis and the true individual who is watching out for their loved one (Daly, et.al. 2005). Competence, then, for the modern nurse has a number of significant definitions. Certainly, all sides expect the clinical expertise to be a given, as well as continuing education and training on new technologies and treatments. The nurse is almost expected to be prescient, but if not possible, then at least exhaustive in the ability to synergistically interact with all sides of the patient-healthcare equation (Saha, p. 1280-1; L evin and Feldman, 2006). Thus, the core concept for nurses and the professional and non-professional people they interact with, care is one of the fields least understood terms, enshrouded in conflicting expectations and meanings. Although its usage varies among cultures, caring is universal and timeless at the human level, transcending societies, religions, belief systems, and geographic boundaries, moving from Self to Other to the community and beyond, affecting all of life and the ability for nurses, as well as patients, to self-actualize and assist in the healing process (Watson, 2008). This universal theory is both intellectually and emotionally attractive, and seems to embody the very principles of health care. In actuality, though, the new paradigm of Nursing care; whether Watsonian or Ray or the myriad of others, must be an amalgamation of aesthetic knowing. For only in that manner can a modern nurse be truly successful (Slevin in Basford, pp. 197-200).

Saturday, July 20, 2019

Consider the implications of the title, Persuasion Essay -- English Li

Consider the implications of the title, Persuasion â€Å"Something intended to induce belief or action† is how the Oxford Dictionary defines the term persuasion. To consider the implications of the title successfully, it is essential that we first understand the term persuasion within the context of the novel. The Oxford Dictionary also defines the term ‘persuade’ as â€Å"to successfully urge a person to do; to talk into or out of an action†, â€Å"to attract, lure or entice† or as â€Å"to talk earnestly with a person to secure agreement or compliance.† By these definitions we can notice that the concept of persuasion is ever-present throughout Austen’s novel. One of Austen’s traits is that her titles appear to offer some indication towards subject content; ‘Sense and Sensibility’,’ Pride and Prejudice’ and in this novel; ‘Persuasion.’ The first of these titles seems to suggest a tone of appraisal and the second, a tone of condemnation. From this recognition, we can also notice that Austen’s novels deal with the concept of moral perameters. ‘Persuasion’ however, does not seem to provide a clear indication of the nature of the subject matter. Yet isn’t persuasion less of a moral concept than ‘Sense and Sensibility’ and ‘Pride and Prejudice’? It seems therefore, that ‘Persuasion’ can be seen to challenge the idea of social class and position as opposed to the large issues of morality which are seen in ‘Sense and Sensibility’ and ‘Pride and Prejudice’. We must not consider the implications of the title with a closed mind. When Jane Austen penned her last complete novel, ‘Persuasion’ could be interpreted in two different ways; a strong belief in the process of persuasion of one’s thinking and secondly, the act of being pers... ... Lady Russell’s moral inferiority as Anne â€Å"lost her bloom† due to the persuasion of Lady Russell. Idealised love is, in fact, performed away from the public in ‘Persuasion’ as we see that public interferences are able to turn relationships sour; â€Å"a short period of exquisite felicity followed, and but a short one. Troubles soon arose, Sir Walter on being applied to†¦Ã¢â‚¬  From Anne and Wentworth’s lasting affection, we can see that most persuasion in the novel revolves around the concept of love. At the time of writing ‘Persuasion’, there had been a change in popular taste from Augustan values to Romanticism with its focus upon intense feelings. By carefully weaving between Romantic and Augustan values, Austen leaves it up to the reader to consider the case of romance between Anne and Wentworth, determining whether we find ourselves for or against persuasion.