Wednesday, May 13, 2020
Fist Stick Knife Gun Essay - 1524 Words
Jen Jeffrey Juvenile Justice and Delinquency October 21, 2001 Critique of Fist Stick Knife Gun The Book Fist Stick Knife Gun by Geoffrey Canada is a biographical account of his childhood in the south Bronx. He and his 4 brothers were raised by only their mother. She would survive on no more than ten dollars a week. He moved several times as a child until finally landing on union avenue, the place were many of his life lessons were learned and at times applied. He learned about the ranking process of kids on union Ave. and how the only way to improve your status was to use your fists to fight your way up the chain. Looking back Geoffrey Canada notices the major shift in attitudes concerning the rules of the streets. What once wasâ⬠¦show more contentâ⬠¦The lower categories were the early teens and the pre teens. The early teens were just learning the rules whereas the pre teens couldnt go off of the sidewalk. Geoffrey belonged to the lowest rung, the sidewalk group. As time went on he got in many fights, sometimes with friends just to dig himself out of the bottom grou p. He soon became the kid not to challenge because he learned how to fight. The next was Stick. Their wasnt much mention of this phase in his life, but he does mention the fact that in certain circumstances, a broken bottle or a stick can be used in self defense when the opponent uses a weapon. The place where this would happen is at school. The rules of the streets still applied but the problem was many different gangs associated and congregated at his junior high. So everyone their follows different rules, some gangs might think the use of weapons is acceptable, so Union Ave. people have to adjust these circumstances and use a stick or a broken bottle to defend themselves. As he grew even older he began to notice other gangs tendencies of carrying knives. He realized that this fact changed the code of conduct. No longer would be a good fist fighter keep you from confrontation. Even the most unskilled fighter could win a fight and be on top if they knew how to swing a blade. One day Geoffrey lucked out, because he found an oldShow MoreRelated`` Fist, Stick Knife, And Gun ``1266 Words à |à 6 Pagesmaster the code of conduct and or the rules of the streets in order to survive. Not to mention learning the demands of socially regarding displaying appropriate behavior when they are outside of the disorganized community. In the book, Fist, stick knife, gun, the author shared his experience of growing up in a society in which he needed to learn the code of conduct that regulated what was fair and unfair when it came to surviving and protecting himself throughout his childhood. Not only did CanadaRead More Critique of Geoffrey Canadas Fist Stick Knife Gun Essay1506 Words à |à 7 PagesCritique of Geoffrey Canadas Fist Stick Knife Gun The Book ââ¬Å"Fist Stick Knife Gunâ⬠by Geoffrey Canada is a biographical account of his childhood in the south Bronx. He and his 4 brothers were raised by only their mother. She would survive on no more than ten dollars a week. He moved several times as a child until finally landing on union avenue, the place were many of his life lessons were learned and at times applied. He learned about the ranking process of kids on union Ave. and how the onlyRead MoreAnalysis Of The Book Fist Stick Knife Gun By Geoffrey Canada Essay2179 Words à |à 9 Pagesthoroughly convincing. His Book Fist Stick Knife Gun, is a great explanation of violence and poverty in late 20th century here in Americaââ¬â¢s inner cities. Of how he changed from a timid and frightened child into a young man who could hold his own in a fight in the streets, is written in a believable way. Canada actually learned the way of the streets because he grew up in the streets. All of his experiences first started when he was a child when he and his friends used their fists to settle disputes and toRead MoreThe Importance Of Teaching A Past Lesson836 Words à |à 4 Pagesand students alike to understand how classroom interactions can become more meaningful. In addition to my lesson analysis, I have also included a lesson plan and its subsequent reflection. The lesson provided was an opening lesson for my Fist, Stick, Knife, Gun Unit. The intention was to lead with high levels of engagement in order for students to buy in to the upcoming Unit. In the past, my principal and new teacher mentor has suggested videos and co-operative learning strategies that will allowRead MoreI Am An Active Participant898 Words à |à 4 Pagesstudents witnessed uproar after the death of Freddy Gray. While coming up with a Unit Plan, I knew it had to be relevant to what my students are currently experiencing. After conferencing with several teachers, I finally decided to teach Fist, Stick, Knife, Gun. Our Essential Q uestion for the Unit is, Where does violence come from and how can we stop it? Acknowledging what my students are going through rather than sweeping it under the rug appeals to the part of the standard that requires teachingRead MoreA Very Thoughtful Look Into Inner City Violence And The Rules Surrounding It1718 Words à |à 7 Pagesis thoroughly convincing. His Book Fist Stick Knife Gun, is a great explanation of violence and poverty in late 20th century here in America. His story of how he changed from a timid and frightened child into a young man who could hold his own in a fight in the streets is written in a believable way. Canada actually learned the way of the streets because he grew up in the streets It first started when he was a child when he and his friends used their fists to settle disputes and to gain a reputationRead MoreEnding Of Huck783 Words à |à 4 Pagesinto the forest, the boys had found a huge stick pile. Huck then took out his pocket knife and said ââ¬Å"well?... Letââ¬â¢s get to carving.â⬠So then all the boys proceeded to carve out wooden knifes, spears, rings, and small animals while singing. Thatââ¬â¢s when Tom said ââ¬Å"hey, we could carve wooden guns and play cowboys and Indians!â⬠All the boys agreed to this proposition, and so thatââ¬â¢s exactly what the boys did for the next 45 minutes. All boys had their own wooden guns that they all made individually, and thenRead MoreRacial Profiling by Police Essay1669 Words à |à 7 Pages Brent Staplesââ¬â¢ essay, ââ¬Å"When the Paranoids Turn Out to be Right,â⬠acknowledges the issues of racism and racial profiling committed by police. In ââ¬Å"Fist, Stick, Knife, Gun,â⬠Geoffrey Canada also expresses views on this issue when he asserts that police fail to protect and serve individuals in poor neighborhoods. Staples contends, ââ¬Å"Among the day-to-day acts of discrimination that shadow African Americans, none are more stressful or dangerous than those committed by police, some of whom treat black peopleRead MoreGeoffrey Canada and the Harlem Childrens Zone Essay1672 Words à |à 7 Pagesand kept them privy to the civil rights struggles that their community was facing (AE, 2011). Growing up in Harlem was challenging. Early on, Canada knew that there was a ranking order in the South Bronx. He highlights this in his book, Fist, Stick, Knife, Gun: A Personal History of Violence in America (1995). Canada tells a story about how his two older brothers were playing at the park one day. The younger of the two boys, took off his jacket. A boy at the playground threatened the Geoffreyââ¬â¢sRead MoreEssay on Freedom Riders1426 Words à |à 6 Pagesbut the bus got away until about six miles down the road. The mob caught up to the bus and surrounded it until Ell Cowling, a police officer, pulled out his gun and badge and the Klansman backed away. Someone from the mob had thrown a flaming device into a bus window and the bus went up in flames (Garrow 2). Two highway patrolmen fired their guns to scare the crowd and make them leave so the passengers could safely get off the bus. Only twelve riders were taken to the hospital to be treated for smoke
Wednesday, May 6, 2020
Caring Theory Free Essays
Swansonââ¬â¢s Middle Range Nursing Theory of Caring By: Shari Semelroth RN, BSN Mennonite College of Nursing Abstract Do we honestly make an effort to improve the environment, care, medical treatment, and interactions with those patients who are suffering a loss? Do we adequately provide the care that they need? These questions are answered in Swansonââ¬â¢s Middle Range Theory of Caring. We examine the five caring processes and their applications to oneââ¬â¢s daily nursing routines. Many healthcare organizations have adopted the caring theory as their model of care for their philosophy and principles for nursing. We will write a custom essay sample on Caring Theory or any similar topic only for you Order Now Caring theory has also been the focus of many research articles that have concluded that caring is a natural part of nursing and it is based on evidence. All healthcare professionals should be able to achieve the concepts into their daily nursing profession. We care for patients, and what we are currently doing we can always switch to improve for more positive interactions. What is caring and why is it essential to nursing? What are the perceptions of caregivers, care receivers, and care observers regarding caring? A nurturing way of relating to a valued other person toward whom one has a personal sense of commitment and responsibility. Nursing has traditionally been concerned not only with the caring needs of individuals, but also with caring as a value or principle for nursing action. (Swanson, 1991) The underlying structure of the nursing philosophical system or grand theory of nursing as caring is created by the assumptions of the theory and their interrelationships. (Boykin Schoenhofer, 2001) These assumptions develop the most fundamental belief that all persons are caring by virtue of their humanness, that to be human is to be caring. A deep understanding of the practical meaning of that foundational assumptions also organize the theory that personhood is living grounded in caring; that caring is lived moment to moment in relationships with caring others, and that nursing as a discipline and profession of caring is orientated not towards diagnosing needs nor compensating for deficiencies, but as its focus, nurturing persons living caring and growing in caring. (Boykin, 2003) Swanson suggests that a universal definition or conceptualization of caring does not exist within and outside of nursing as to the role of caring in personal and professional relationships. Swanson, 1991) Kristen Swanson is a native of Rhode Island, graduated with a bachelorââ¬â¢s degree in nursing from the University of Rhode Island in 1975. She went on to earn her masterââ¬â¢s degree from the University of Pennsylvania in 1978 and PhD in nursing from the University of Colorado. Swanson worked as a Registered Nurse at the University of Massachusetts, as she was drawn to that institution because the founding nursing administration clearly articulated a vision for professional nursing practice and actively worked with nurses to apply these ideas while working with clients. Swanson, 1993) As a novice nurse she wanted to become a knowledgeable and technically skillful practitioner with an ultimate goal of teaching these skills to others. She pursued graduate studies. While studying she worked as a clinical instructor on a med surgical unit. Swanson studied psychosocial nursing with an emphasis on exploring the concepts of loss, stress, coping, interpersonal relationships, persons, environment and caring. As a doctoral student, she was able to experience hands on health promotion activity. She was involved in a cesarean birth support group. One historical meeting for her was on miscarriage. Swanson noticed that the discussion was based by the physician more on the pathophysiology and health problems of miscarriage. The women of the group were interested in discussing their personal experiences with pregnancy loss. (Alligood Tomey, 2010) From that day forth she decided to learn more about the human experience. Caring and miscarriage became the focus of her doctoral dissertation and her program of research. She has since then received numerous awards, has taught fellow nursing students, became the Dean at the University of North Carolina at Chapel Hill and Associate Chief Nursing Officer for Academic Affairs at UNC Hospitals. In addition to teaching and administrative responsibilities, she conducts research funded by National Institutes of Nursing Research, publishes, mentors faculty and students and serves as a consultant at national and international levels. Swanson was inducted as a fellow in the American Academy of Nursing and received Distinguished Alumni Award from the University of Rhode Island. Swanson used various theoretical sources while developing her theory. During her doctoral studies, she was influenced by other nurses and their theories related to caring. She took Dr. Jacqueline Fawcettââ¬â¢s course on the conceptual basis of nursing practice as a masterââ¬â¢s prepared nurse, not only made her better at understanding the differences between the goals of nursing and other health disciplines, but also made her realize that caring for others as they go through life transitions of health, illness, healing, and dying was congruent with her personal values. (Swanson 1991)Dr. Fawcett developed the Language of Nursing and Metatheory; she displayed a distinctive role in caring for others and the importance of altruistic caring for the personââ¬â¢s well-being. (Fawcett, 1989) Dr. Jean Watson was also a mentor during her doctoral studies. Dr. Watson is known for her Theory of Human Caring. Even with the close relationship, they had, neither has ever seen Swansonââ¬â¢s program of research as an application of Watsonââ¬â¢s theory of human caring. They do agree that compatibility of finding on caring in their individual programs add creditability to their individual programs of research. Swanson acknowledges Dr. Kathryn E. Barnard for encouraging her to make the transaction from interpretive to contemporary empiricist paradigm to convey what she learned and postulated about caring through several phenomenological investigations to direct intervention research and hopefully clinical practice with women who had miscarriages. (Alligood Tomey, 2010) Dr. Barnard is recognized for her Parent Child Interaction Model. She encouraged Swanson to test her theory through randomized controlled trials. Swansonââ¬â¢s theory of caring is a nursing set of processes that are formed from the nurseââ¬â¢s own principles and his or her interaction with the patient, with five fundamental processes of knowing, being with, doing for, enabling, and maintain belief. Her theory was formed from three descriptive phenomenological studies from perinatal nursing. The five processes that help explain the concept of this theory has subcategories. The theory has four phenomena of concern: nursing, person, health and environment. Theory concepts of nursing are informed caring for the well-being of others. Beatty, 1984) Person in theory concept is unique beings who are becoming and whose wholeness is manifested in thoughts, feelings, and behaviors. Health in theory is related to having meaning filled experience with wholeness. Environment is any situation that is influenced by the client or influences the client. Knowing is the first process of caring. Knowing is striving to understand the meaning of the event in the life of the other, avoiding assumptions, focusing on the person cared for, seeking clues, assessing thoroughly, and engaging both the one caring and the one cared for in the process of knowing. Swanson 1991) The second caring concept, being with emotionally present to the other. It involves simply ââ¬Å"being thereâ⬠, conveying ongoing availability and sharing feelings whether joyful or painful. Monitor so that the one caring does not ultimately burden the one cared for. The third concept is doing for others what would do for the self at all possible, including anticipating needs comforting, performing skillfully and unconditionally, and protecting the one cared for while preserving his or her dignity (Swanson, 1993) Enabling is the fourth concept. It is facilitating the others passage through life transitions and unfamiliar events by focusing on the event, informing, exploring, supporting, validating feelings, generating alternatives, thinking through, and giving feedback (Swanson, 1991) The final concept is maintaining belief. Sustaining faith in the others capacity to get through an event or transition and face a future with meaning, believing in others capacity and holding him or her in high esteem, maintaining a hope filled attitude, offering realistic optimism, helping to find meaning and standing by the one cared for no matter what the situation is. Swanson, 1993) Her later work introduced ââ¬Å"Informed Caringâ⬠, aimed to provide structure for relating the five caring processes and describes assumptions about the four main phenomena of concern to nursing. (Swanson, 1998) An assumption of nursing is informed caring for the well-being of others. Providers must be informed and regarding common responses to health con cerns. The nurse will increase care given based on her experiences. Included is evidenced based practices, compassion, understanding of other structure of caring, and understanding of the nursing profession. Along with this assumption, the nurse may be affected by Bennerââ¬â¢s Novice to Expert Theory. Persons are defined as unique beings who are in the midst of becoming and whose wholeness is made manifest in thoughts, feelings and behaviors. (Benner, 1984) Each individual experiences are molded by environment. Spiritual endowment connects each being to an external and universal source of goodness, mystery, life creativity, serenity and free will to choose a range of possibilities. Each person does have equal choices. Nurses are mandated to take on leadership roles in fighting for human rights, equal access to health care and other humanitarian causes. (Hanson, 2004) Health and well-being is a complex process of curing and healing that includes ââ¬Å"releasing inner pain, establishing new meaning, restoring integration, and emerging into a sense of renewed wholenessâ⬠. (Swanson, 1993) Bonds are created, free expression of spirituality, thoughts, feelings, intelligence and creativity. The well-being of health is negatively affected by actions of individuals upon the other that inhibit expression of wholeness. Environment is situational. Any context that influences or is influenced by the designated client informed. (Swanson, 1993) Any forces that exert influence upon or are influenced by the patient. (Hanson, 2004) Forces could come from cultural, economic, political, spiritual, social, physiological realms. Any disturbance or change in the environment or realms will affect the wholeness of the other. According to Swanson (1993), the terms environment and person in nursing may be viewed interchangeable, therefore, what is considered an environment in one situation may be considered a client in another situation. Internal evaluation of the theory consists of clarity, adequacy, consistency logical development, and level of theory development. Clarity of the caring theory is straight forward and easy to interpret. Swansonââ¬â¢s definition of the environments clearly describes her thought process of how the environment and patient are interchangeable. Adequacy adequately addresses each process with thorough descriptions that bring the theory together as a whole. It recognizes nursing values and missions and uses prior theories and research as the basis for its formation. It is clear descriptions of its process allow it to be easily applied to practice. Consistency within the theory focus, definition and interpretation of relationships remain consistent throughout the description of the theory. Logical development is described as the formation of caring as an interaction process. It acknowledges the processes that affect each level of the interpersonal relationship between client and environment. Swanson included previous research and knowledge of caring, but later individualized her theory with empirical evidence that her processes can be used to form a healing environment. Level of theory development is displayed of components of a middle range theory including empirical testing applicable to direct practice, based on a specific phenomenon and narrower in scope because it focusses on the five processes of caring and their interaction, rather that focus on both the medical and psychosocial aspects of nursing. (Peterson Bredow, 2009) External evaluation of the Theory of Caring include, complexity, discrimination, reality convergence, pragmatic, scope, significance, and utility. Complexity is easily understood with the simple definitions of the four concepts and five processes. Discrimination is not unique to the nursing field. There are many other theories based on caring. The theory does not have a precise boundary as it can be applied to many situations of nursing as well as outside the nursing practice itself. Reality convergences represent the real worlds of nursing and are true. The concepts and processes are described thoroughly enough to be understood by any professional. This allows the theory to be applied to a broad spectrum of human interaction meant to be caring. Pragmatic can be operationalized in real life setting which is seen in Swansonââ¬â¢s empirical testing. Scope is met by Swanson of a middle range theory by having the processes narrowly described for individual situations however it is broad enough to be applied to caring interactions that range from nursing to other professions. The components can be testes but remain concrete to be repeatedly applied to different practice setting. Significance of the caring theory is truly substantial to the nursing profession. It has recognized and organized key values of caring that will help to provide improved client to nurse interactions. The theory clearly describes the importance of recognizing the situational environment, and the influence of a nurseââ¬â¢s interactions on the health and potential outcome of a patient. Utility is a clear with definition and descriptions and has allowed Swanson to continue to have her theory tested for further research. Each process stands on its own, but some also help to build and define the others. Knowing, being with, doing for, and enabling work together to have the path filled with meaning will be chosen and thereby meet the goal of maintaining belief. Limitation in theory was to show relationship between five processes. She recognized the limitations and worked to link all five processes in to Nursing in Informed Caring for well-being of others. Swansonââ¬â¢s theory is congruent with Bennerââ¬â¢s theory of Helping Role of Nursing and Watsonââ¬â¢s Carative Factors. There is cross validation and rationale for perception. The University of North Carolina hospital has operationalized Swansonââ¬â¢s Caring theory. Swansonââ¬â¢s Theory has led to research based practicing. The initial investigation that launched this program of clinical research was a phenomenological pilot study of five women who had miscarried within fourteen weeks of participating in the study. The research questions were: ââ¬Å"What is the meaning of miscarriage to the woman who has recently experienced it? â⬠Another study was a phenomenological study of twenty women who had miscarried two specific aims were (a) to describe the human experience of miscarriage and (b) to describe the meaning of caring as perceived by women who had miscarried. This research study shifted the program of research from a qualitative, interpretative approach to a descriptive quantitative design. Kyle, 1995) Swanson was able to develop instruments to assist in the measuring of her results. The Impact Miscarriage Scale was delivered from her research. (Swanson, 1999) The scale was developed in three phases, it was repeated, measures, and randomized. This scale measures significant aspects of suffering from a miscarriage. She developed an Emotional Strength Scale that measures the extent of how individuals view themselves emotionally and the Caring Other Scale which measures the received aft er miscarriage from oneââ¬â¢s significant other and ââ¬Å"othersâ⬠. The Caring theory postulates that nurses demonstrating they care about it is as crucial to patient well-being for them through clinical activities such as preventing infection and administration medications. ( Bulfin, 2005) ) Implemented the Carolina Care Model is one approach to actualizing caring theory across a healthcare organization by systematically incorporating interventions that link nursing actions, caring processes, and expectations. The professional practice model for the University of North Carolina hospital completed in 2008 grounded in caring theory. A model was developed into specific caring behaviors and incorporated them in practice. Four key behavioral characteristics of Carolina Care were developed ðŸ⢠1) multilevel rounding, (2) words and ways that work, (3) relationship service components, (4) partnerships with support services. Hourly rounds combine elements of the caring process of being with and doing for. Scripts may have an adverse reaction, so words and ways that work. Suggests key points to include in interaction that frequently occur that are individualized conversations. These words are linked to enabling. These may be linked to the other caring process, such as being with. A moment of caring is asked to be done with each patient for 3-5 minutes to talk about how they are coping with their illness while touching the patientââ¬â¢s hand or arm. Moments like this exemplify being with, and information the patient shares may contribute to knowing. These links between caring processes and caring behavior suggested are grounded in a culture of maintaining belief. There are many healthcare organizations that use Swansonââ¬â¢s theory as their care model. Norton Healthcare, University of North Carolina, Childrenââ¬â¢s Hospital of Michigan, Virginia Mason Medical Center, Hudson Valley Sinai Hospital in Michigan and Meritus Healthcare in Maryland are a few that has adopted this theory into practice. A theory is an explanation and it is said that nothing is as practical as a good theory. Yet there is a persistent gap between nursing theory and practice. Theory guided practice remains and ideal versus a realized goal in most organizations. Swansonââ¬â¢s caring theory may be a notable exception in accelerating progress toward this goal. Caring theory postulates that nurses demonstrating they care about patients is as important to patientââ¬â¢s well-being as caring for them through clinical activities such as preventing infection and administrating medication. By incorporating interventions that link nursing actions, caring process and expectations is an approach to actualizing caring theory. All areas of nursing should be able to incorporate the theory of caring into their daily routine with no barriers of resistance. My practice is initiated usually as an inpatient status. Our providers are called to consult any neurological concern that the admitting physician would like evaluated. We see pediatric patients and their families in the emergency room, NICU, PICU, and general pediatric floor. Some of the patients are new to their current health crisis and some are established patients of our service already. Knowing as defined in Swansonââ¬â¢s theory of caring could be implemented during our first initial visit that we center on the patient. We offer a realistic optimism that we will devote our services to properly diagnosing the patient. Taking a detailed history and searching for clues to why this admission came about and to determine the next step in helping the patient. Staying with the patient during this complicated and stressful initial consult can be related to Swansonââ¬â¢s being with. Nurses can take the time with our patients and explain in depth the diagnosis and testing that may need to be ordered. Many times we will spend hours with our teenage patients explaining the electroencephalogram. This age of patients can be scared of any testing and need to be told the truth on what is going to take place. Working in a childrenââ¬â¢s hospital it is a blessing that we have access to child life. These professionals are specifically trained in child development and can help with the education process with our children. We ask for their assistance to educate our patients. Many of times they have pictures or videos to show that can explain in a way a child or teenager may understand, visual and audio sometimes works in our modern technology generation. We encourage questions and let the patient and their families understand there is no burden on asking questions. Asking questions is the way our patients learn, and we want them to be educated so they are not scared. With our population, the more the patient knows, the easier the testing usually goes. Doing is applied to all our patients. When we have a seizure patient we have an abundance of education. Seizure patients need to be explained the many safety precautions. When they are being discharged from the hospital we are enabling setting up and scheduling follow up appointments at our clinic. Maintaining belief occurs as we are reassuring that if they are in need of anything before they come in to our clinic to please call and we can try to help. Many schools require a seizure action plan before students can come back in to class. This is why we try to stay in communication with the patients and their families before their follow up as many times they are scheduled out four months from discharge. Our patients are transferred to adult when they reach 18 years of age, and we hear too often that the adult world is not as caring as we were in pediatrics. I do believe that our services are being seen as a caring process. How can we enhance the theory of caring? Can the theory help us with research in the future? I believe that the theory of caring can be beneficial in care models, research and evidenced based practice. According to Johnson and Webber (2005), a model should capture central themes and theoretical relations in such a way to help guide nurses in their practice. Boykin, Smith, and Aleman (2003) believed that a model would help create a work environment for nurses that support their commitment to nurture and caring. This model would display the important values that nurses have stated to be critical in the practice of nursing. Caring is the foundation of nursing and defines the nurseââ¬â¢s professional identity. Boykin ; Schoenhofer, 2001) A caring-based nursing model, identified that care is an essential value for nurses and that being able to incorporate this value into their practice increases satisfaction of the nurse and the patient. A study by Bulfin (2005), using the care concepts developed by Boykin and Schoenhofer generated a model of care to patients in a large commun ity hospital. In the Bulfin (2005) study, the researcher asked if a visual model would enhance and support caring in nursing practices and, thus, improve the job satisfaction of the nurse and impact the level of patient satisfaction. Following the implementation of the caring model, patient satisfaction increased and more positive comments were received from the patients and families (Bulfin, 2005). The National Organization of Nurse Practitioner Faculties (NONPF) issued domains and competencies for every NP graduate that included emphasis on the nurse-patient relationship, use of healing modalities, respect of the worth and dignity of the patient, and incorporation of spiritual beliefs into the plan. These competencies describe the core abilities of NP graduates. NONPF states that these competencies are a ââ¬Å"gold standardâ⬠to maintain and shape quality graduate NP programs. NONPFââ¬â¢s emphasis on caring qualities in the NP-patient relationship is further evidence that NPs do not practice from a medical perspective but, rather, as facilitators of holism and health with their patients. Theory of caring can be used to better understand how to relate to our patients. Each process slows for a nurse to formulate an intervention to better care for a patient. This is a theory for the future. Caring defines nursing and is moving to be an evidence-based profession. Swansonââ¬â¢s five caring process are first grounded in the maintenance of a belief in human kind, anchored by knowing anotherââ¬â¢s reality, conveyed by being with and enacted through doing for and enabling. When time is taken to observe and interpret nursesââ¬â¢ actions, it becomes clear that nursing practice is the result of blended understandings of the empirical, aesthetic, ethical and intuitive aspects of a given clinical situation and a nexus of maintaining belief in, knowing, being with, doing for and enabling the other. Nursing caringâ⬠¦consists of subtle, yet powerful, practices which are often virtually undisclosed to the casual observer, but are essential to the well-being of its recipientâ⬠. (Swanson, 1993, p. 357) Swanson gives nurses a platform to base our caring foundation on. As nurseââ¬â¢s gain experiences we build small levels on the foundation. Like building a house, we a ll start with the basics of the foundation that we learn in nursing school. It is up to us what we do with that foundation. Every nurse in any clinical setting can use the theory of caring daily. They may not know the five caring process by name, but they are used in every situation, with every patient, by every nurse. References Alligood. M. R. , ; Tomey, A. M. (2010). Nursing theorists and their work. (7th Ed. ). St. Louis: Mosby. Beatty KD. Reflection on caring for a home care client using Kristen M. Swansonââ¬â¢s theory of caring. Int J Hum Caring 2004; 8: 61ââ¬â64 Benner, P. (1984). From novice to expert. Menlo Park: Addison-Wesley. Boykin, A. , ; Schoenhofer, S. (2001). Nursing as caring. Sudbury, MA: Jones ; Bartlett. Boykin, A. , Smith, N. , St. Jean, J. , ; Aleman, D. (2003). Transforming practice using a caring-based nursing model. Nursing Administration Quarterly, 27, 223-231. Bulfin, S. (2005). Nursing as caring theory: Living caring in practice. Nursing Science Quarterly, 18, 313-319. Fawcett, J. (1989). Analysis and Evaluation of Conceptual Models of Nursing, 2nd Edn. F. A. Davis, Philadelphia, PA. Hanson MD. Using data from critical care nurses to validate Swansonââ¬â¢s phenomenological derived middle range caring theory. J Theory Construction Testing 2004; 8: 21ââ¬â25 Kyle, T. (1995). The concept of caring: A review of the literature. Journal of Advanced Nursing, 21, 506-514. Kavanaugh K, Moro TT, Savage T, Mehendale R. Enacting a theory of caring to recruit and retain vulnerable participants for sensitive research. Res Nurs Health 2006; 29: 244ââ¬â52. Nightingale, F. (1859). Notes on nursing: What it is and what it is not. London: Harrison and Sons. Peterson, S. J. , ; Bredow, T. S. (2009). Middle Range of Theories: Application to Nursing Research (3rd ed. ). Philadelphia, PA: Wolters Kluwer, Lippincott Williams ; Wilkins. Schoenhofer, S. , ; Boykin, A. (1998a). The value of caring experienced in nursing. International Journal for Human Caring, 2(4), 9-15. Swanson, K. (1998). Caring made visible. Creative Nursing, 4(4), 8-12. Swanson K. Whatââ¬â¢s known about caring in nursing: a literary meta-analysis. In: Hinshaw AS, Feetham S, Shavers J, eds. f Clinical Nursing Research; Thousand Oaks, CA: Sage; 1999:31-58. Swanson, K. M. (1991). Empirical development of a middle range theory of caring. Nurse Researcher, 40(3), 161-16 Swanson, K. M. (1993). Nursing as informed caring for the wellbeing of others. Image: Journal of Nursing Scholarship, 25, 352-357 Watson J. Caring theory as ethical guide to administrative and clinical practices. Nurse Adm Q. 2005; 30(1):48-55. Watson, J. (1988). New dimensions of h uman caring theory. Nursing Science Quarterly, 1(4), 175-181. How to cite Caring Theory, Essay examples
Tuesday, May 5, 2020
How to be Successful free essay sample
Without a plan or system, the likelihood of you achieving massive success in life is at best unlikely or at worst impossible. If you fail to plan, then you ultimately plan to fail. It Is a harsh truth, but anyone telling you that success is a matter of luck and reserved for the fortunate few is deluding themselves. With a well thought out plan or system, anyone can achieve true success. While there are many successful plans and systems that you can use, I personally believe there are only 3 Keys to Success that are required.The first key Is Persistent and Consistent Attitude. The second key Is Learn to Grow Continuously and Learn What You Dont Know. The third key Is Enjoy Yourself and A Plan of Action. Keys to Success A Persistent Attitude is first of the 3 keys to success Is having the attitude to persist, no matter if the going gets tough and the negativity rears its ugly head. We will write a custom essay sample on How to be Successful or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It is a given, that at times things will not always go to plan. A Consistent Attitude is being consistent in activities that are going to move you forward on your journey.Set a time every day to consistently work on your plan. Dont let distractions take you off course. Learn what you dont know is second in the 3 keys to success just as you need to now what you want; you also need to be willing to learn what you dont know. Knowledge is power. If you are willing to be taught and to learn, youll always be a success. Strive to Grow Continuously as you realize your success, you can never stop there. Success is not about coming to a stop, but in learning how to roll once you get to where you are going.Enjoy yourself is the third in the 3 keys to success is perhaps the most crucial key to success. Often the Journey is Just as much fun or more so than where you finally end up. When you achieve success, you need to look back and feel happy for the path you choose. A Plan of Action the knowing of how to achieve and succeed without this final step is never going to be enough. Without action, nothing happens! This is where most people give up. They are asked to move out of their comfort zone.With Just a little effort, things could be so different. Conclusion Success means deferent things to different people. For some It means making a lot of money. For others it means being famous or having a loving relationship at home. Or It may mean doing the work you love on a schedule that meets your own needs. Most people wait for success, thinking It will find them. Usually It doesnt! You have to make space for success to happen. Just as there are many kinds of success, there are many ways to achieve It.Put another way, there Is no one key to success, there are many keys. Here are the most Important ones: A Persistent and Consistent Attitude, Learn What You Dont Know and Strive to Grow Continuously, Enjoy Yourself and A Plan of Action. Just remember that success doesnt depend on wishing or luck. It requires two things-? a dream and elbow grease. If you dont have both, success will always stay just outside your grasp. As Albert Schweitzer said Success is not the key to successful.
Thursday, April 2, 2020
Emily Dickinson Essays (886 words) - American Christians
Emily Dickinson An Analytical Essay on Emily Dickinson Emily Dickinson was a woman who lived in times that are more traditional; her life experiences influence and help us to understand the dramatic and poetic lines in her writing. Although Dickinson's poetry can often be defined as sad and moody, we can find the use of humor and irony in many of her poems. By looking at the humor and sarcasm found in three of Dickinson's poems, Success Is Counted Sweetest, I am Nobody, and Some keep the Sabbath Going to Church, one can examine each poem show how Dickinson used humor and irony for the dual purposes of comic relief and to stress an idea or conclusion about her life and the environment in the each poem. Emily Dickinson was born in Amherst Massachusetts; a small farming town that had a college and a hat factory. There, she was raised in a strict Calvinist household while receiving most of her education at a boarding school that followed the American Puritanical tradition. She seldom left her hometown; virtually, her only contact with her friends came to be made through letters. As a young woman, Dickinson rejected comforting traditions, resisted male authority, and wrestled alone with her complex and often contrary emotions. Although she was claimed to be a high-spirited and active young woman, Dickinson began to withdraw from society in the 1850's. The many losses she experienced throughout her life, the death of her father, mother, close neighbors, and friends influenced her life largely and led her to write about death to an enormous amount. Dickinson made a few attempts during her life to be taken as more than an amateur poet; on one occasion, she sent a collection of her poems t o a correspondent who was a published poet. His criticism of her poetry devastated Dickinson, and she never made another attempt towards publishing her works. Evident through her letters and poems, her poetry records intense devotion, sharp, skeptical independence, doubt, and what repeatedly reflects her happiness and despair. In the poem, Success is Counted Sweetest; Dickinson's emphasis is less on humor and more on expressing irony. Here it is bitterness expressed towards the status or notion of success that is most felt by the reader as Dickinson reflects on the nature of success and how it can be best appreciated and understood by those who have not achieved it. While the previous poem expresses the poet's bitterness and sorrow with one aspect of her life, I am Nobody uses humor without irony to address another. In this poem, Dickinson's style appears almost child-like in its of descriptions including frogs and bogs. Dickinson seems to be addressing her spinster, hermit-like existence, and her preference for it. The poet relates through her writing that her situation has not left her without a sense of humor, but in fact has allowed her to maintain a child-like outlook on life rather than adapting to the tedious norms of her society. She mocks the conventional need for self-importance through publicity suggesting that the audience is not that interested by creating the mysterious feeling of an arcane society of social outcasts. In this poem, she effectively uses humor to soften a critique of elite members of her society. In addition, in the poem Some Keep the Sabbath Going to Church, she questions the sincerity of those who attend church on Sunday on a customary basis. Through the use of comparing the formalities of church with her own celebration of the Sabbath through the appreciation of nature, Dickinson casually suggests that those in attendance at church may not be as sincere in their worship as she is. Dickinson ridicules the congregation as she accuses them of attending merely for show and to gain status in the community. Also, she argues with the notion that attending church alone will lead towards salvation, suggesting that it is her own actions of finding God in nature that will lead to the path of redemption. The humor in this poem is not as explicit as in the other poems discussed, nor is the irony as directly expressed as in Success is Counted Sweetest. The reader can sense Dickinson's sarcasm in the opening lines of
Sunday, March 8, 2020
Examples of Sanctions in International Relations
Examples of Sanctions in International Relations In international relations, sanctions are a tool that nations and nongovernmental agencies use to influence or to punish other nations or non-state actors. Most sanctions are economic in nature, but they may also carry the threat of diplomatic or military consequences as well. Sanctions can be unilateral, meaning they are imposed only by one nation, or bilateral, meaning a bloc of nations (such as a trade group) is imposing the penalties. Economic Sanctions The Council on Foreign Relations defines sanctions as a lower-cost, lower-risk, middle course of action between diplomacy and war. Money is that middle course, and economic sanctions are the means. Some of the most common punitive financial measures include: Tariffs: Surcharges on imported goods, often imposed to aid domestic industries and markets.Quotas: Limits on the number of goods that may be imported or exported.à Embargoes: Restrictions on or cessation of trading with a nation or bloc of nations. These can include limiting or banning travel by individuals to and from nations.Non-tariff barriers: These are designed to make foreign goods more expensive by complying with onerousà regulatory requirements.Asset seizure/freeze: Capturing or holding the financial assets of nations, citizens, or preventing the sale or moving of those assets.à Oftentimes, economic sanctions are linked to treaties or other diplomatic agreements between nations. They could be revocation of preferential treatment such as Most Favored Nation status or import quotas against a country not abiding by agreed international rules of trade. Sanctions may also be imposed to isolate a nation for political or military reasons. The United States has imposed severe economic penalties against North Korea in response to that nations efforts to develop nuclear weapons, for example, and the U.S. does not maintain diplomatic relations, either. Sanctions are not always economic in nature.à President Cartersà boycott of the Moscow Olympics in 1980 can be viewed as a form of diplomatic and cultural sanctions imposed in protest against theà Soviet Unions invasion of Afghanistan. Russia retaliated in 1984, leading a multination boycott of the Summer Olympics in Los Angeles. Do Sanctions Work? Although sanctions have become a common diplomatic tool for nations, especially in the decades after the end of the Cold War, political scientists say they are not particularly effective. According to one landmark study, sanctions have only about a 30 percent chance of succeeding. And the longer sanctions are in place, the less effective they become, as the targeted nations or individuals learn how to work around them. Others criticize sanctions, saying they are most often felt by innocent civilians and not the intended government officials. Sanctions imposed against Iraq in the 1990s after its invasion of Kuwait, for example, caused prices for basic commodities to spike, led to extreme food shortages, and triggered outbreaks of disease and famine. Despite the crushing impact these sanctions had on the general Iraqi population, they did not lead to the ouster of their target, Iraqi leader Saddam Hussein. International sanctions can and do work sometimes, however. One of the most famous examples is the near-total economic isolation imposed on South Africa in the 1980s in protest against that nations policy of racial apartheid. The United States and many other nations ceased trading and companies divested their holdings, which in conjunction with strong domestic resistance led to the end of South Africas white-minority government in 1994. Source Masters, Jonathan. What Are Economic Sanctions? CFR.org. 7 August 2017.
Thursday, February 20, 2020
In what ways, if any, were women better off in 1901 than they had been Essay
In what ways, if any, were women better off in 1901 than they had been in 1837 - Essay Example The ideology of separate spheres was a cultural philosophy of the separation of female and male roles. The line of demarcation was relatively simple. The public sphere was the domain of men and the domestic sphere was the domain of women. While this separation was not absolute, women had to contend with the cultural implications as well as the legal ramifications of having no real legal standing within the public sector. This meant without a male representative who could stand in her place to support her cause, and without that male having standing over her person, she was at the mercy of society and without much recourse to right wrongs committed against her. This ideology was not conducive to the needs of women as change began to roll through a variety of aspects of life. These changes begin to emerge during the reign of Queen Victoria and mark her reign with the advancement of society within Britain. In 1837 Queen Victoria became queen of England when her uncle, King William IV di ed. Queen Victoria was eighteen at the time of his death meaning that she was eligible to take the throne without a regent, which put her in the role as sovereign at a very young age. Her reign lasted for 63 years and seven months, during which time the world changed dramatically. A great number of advances occurred in industry, science, society, and military areas which helped civilization to move forward into a time of betterment for the citizens of England. However, it was the womenââ¬â¢s movement that caused some of the larges changes during her reign than any other, despite the slow simmer that it held in the background of all of the other advancements. Women moved from being merely extensions of the males in their lives to full legal entities, capable of creating change within their personal circumstances through legal action. A woman became a full individual, no longer the possession of her husband, but the embodiment of her own ownership. During the early part of the 19th century, English women took up the cause of the abolishment of slavery, their voices ringing with American voices in the cause to free all men and women from ownership. During the course of this movement, a metaphor for female oppression began to emerge through the cause of slavery (Hall, Rendall, and McClelland 2000, p. 123). Eventually, the metaphor dropped away, leaving a womenââ¬â¢s suffrage movement that was active in trying to gain roads towards allowing women the legal standing within society that would allow women to have more than the good graces of the males in their life through which to support their lives. Hall, Rendall, and McClelland (2000), state that ââ¬Å"it was notâ⬠¦the drudgery of hard labour for women which constituted slavery for women, but the effects of long standing patriarchal oppression and its shaping of the submissive - or slavish - character of womenâ⬠(p. 124). In 1846, the Westminster Review published an article that discussed the â⬠Ëfictionsââ¬â¢ about the way in which literature was
Tuesday, February 4, 2020
Is It Weird Weather or Climate Change (extreme weather) Assignment
Is It Weird Weather or Climate Change (extreme weather) - Assignment Example The incident prompted 11,000 residents in towns that bordered the river to quit to safe places and some of their enterprises experiencing losses. The flooding also destroyed property and agriculture, which approximated to $2million. Corps and other aid agencies like FEMA intervened in containing the situation in diverse ways, which encompassed barring the public from using some bridges and roads that were not safe. Additionally, there entailed evacuation of the regionââ¬â¢s residents to safety who resided in approximately 4,000 homes (Holbrook 18). This menace compared to other previous events that has ever occurred in the region or nearby is the worst and emanated from an altered climate, which the world is currently experiencing. Hypothesis Missouri River flooding and its adverse effects on the bordering residents is an indication of a climate change that is continuously depicting itself in anomalous incidences globally. The trend may continue to accelerate and yield to further catastrophes if human fails to alter activities that interfere with climate, for illustration, release of Greenhouse Gases to the atmosphere (Stromberg & Kuenzi 37). Hypothesis Evaluation Missouri river has tributaries that feed it and originates from the rocky mountains of Montana and Wyoming. ... The stateââ¬â¢s six dams due to snowmelt, which augmented water capacity, their records depicted increased rates even amid the interval months of May and June/July. Dam Previous flow Rate Previous Year Record May 1 Flow Rate 2011 May 31 Flow Rate 2011 June/July 2011 Flow Rate Gavis point 70,000 1997 45,000 77,000 160,700 Oahe 60,000 1997 30,000 86,000 160,400 Big Bed 75, 000 1997 21,300 84,000 165,000 Garrison 65,000 1975 17,500 80,500 150,000 Fort Peck 36,000 1975 7,000 9,700 66,000 Fort Randall 67,000 1997 42,500 76,600 158,000 Figure 1: Past Six Dams' Flow rates compared to 2011 May - June/July Figure 2: Annual Flow due to climate change affecting snowmelt. Retrieved from http://www.swc.nd.gov/4dlink9/4dcgi/GetContentPDF/PB-2023/Flood%20Presentation.pdf Figure 3: Augmenting water Flow rate. Retrieved from http://www.swc.nd.gov/4dlink9/4dcgi/GetContentPDF/PB-2023/Flood%20Presentation.pdf According to the data depicted in this section, the trend seems to augment with time, which results to increased anomalous incidences. These comprise floods and other related climate catastrophes triggered by increased snow melt emanating from climate destruction by Greenhouse Gases. It also indicates an altered variability with time where at some instances it is unpredictable according to the then Newsââ¬â¢ reports. Societal Relevance Discussion Environmental negative impacts normally befall society, which at many occasions may not be aware of what may culminate after certain environmental degradations (Stromberg & Kuenzi 37). This is due to ignorant and sometimes misinformations especially from the relevant authorities like the weather forecast.
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