Wednesday, January 29, 2020
Ethics in health services and policy a global approach Essay Example for Free
Ethics in health services and policy a global approach Essay Ethical dilemma Introduction            Ethics is the study of sensible thinking. Nurses face moral dilemmas on their daily practices. Ethical activities depend on several factors. What one person consider as moral may be different from another person’s approach of the circumstances? Nurses encounter ethical dilemma regardless of where they function in wide-ranging tasks. These principled decisions can have a collision to the nurses as well as their patients. In general, there is no apposite decision to a moral dilemma. An ethical dilemma can be defined as a quandary without satisfying solution. The significance of moral decision making depend on the perception that regardless of numerous ethical alternatives made pertaining to a given ethical dilemma, the resultant choice can pose to neither right nor wrong judgment. Ethics involve doing right and causing no impairment. However, definition of principles varies from one nurse to the other. Ethical guideline classes provide the nurse with suitable tools to base moral decisions upon. Though, these principles are habitually shaped by the beliefs, values and knowledge of the nurse. Accordingly, various choices may be raised concerning the identical impasse.            There are assorted ethical distresses that nurses can come across in the place of work. They include: freedom versus control, quality versus quantity of life, truth telling versus deception, pro-choice versus pro-life, empirical knowledge versus personal beliefs, and distribution of resources. Quantity might focus on an individual life span whereas quantity focuses on the number of citizens who will be influenced by the judgment. Quality address the goodness of life of a person, but it varies depending on how a person defines â€Å"good†. For example; the nurse’s position in supporting the patient deciding among a therapy that will lengthen life, but comprehending the quality of life. The patient’s life may be extended, but will experience major unattractive effects from the therapy. Nurses are called upon to use moral perceptions in delivering patient care.            Ethical perceptions include provision of accurate, good and coherent care. Patients necessitate to be offered prospects to put across their autonomy of preference in determining how they desire to be attended and in acquiring services. Ethical nurses identify that they are obliged to offer individualized care which will help the patient to realize their highest welfare. Ethical nursing care is based on lucid decision making and science. There are four fundamental concepts which are significant to a proficient nursing practice. They include: respect for patient self-rule, the task to operate with generosity, no mischief and justice. Nurses present respect to the patient self-rule by enhancing and recognizing a patient’s freedom of preference, respect their opinions, and providing privacy. The National League for Nursing issued a statement which highlights patient rights. Nurses are expected to encourage the rights of patients and adv ocate for patient’s who are unaware of their rights.            Nurses exhibit generosity by helping patients to attain their highest welfare. This can be attained by developing health care policies that affect large population or provision of direct care to individual patients. Nurses are not allowed to cause any damage to their patients. This is the principal of non-mischief. Nurses often do have to perform operations which make the patients uncomfortable. For example, when a nurse is administering an injection to the patient. Patients need medication to relief the sicknesses, though, in the process of relieving the symptom, the nurse might cause distress. Non-mischief must be balanced by kindness, while providing patient care. The intention of the nurse provides a treatment whose gain must outweigh the discomfort caused. The nurse aim must be to assist rather than causing impairment. Equality and justice in nursing care is usually linked to the delivery of services. The current health care restructu ring strategy is an end result of people acknowledging that the present health care structure requires streamlining. Controversy arises over what is practical, fair, and efficiently realistic.            Nurses are involved at every phase of current health care classification, assisting with policy development and decision making. Professionals propose that nursing concept of ethical care is outstanding case and needs staid implementation throughout the nursing practice. It is related to medical replica of ethics since it deals with life and death matters. The nursing model is one of the personal patient empowerment. Ethical nurses control health care reform plan which put emphasis on healing even in situations where curing is impossible. It position quality of life at the front line. Ethical dilemmas which the nurses face everyday are diverse. They include assorted topics such as end of life care and staffing ratios.            Nurses might face ethical dilemma as they attend patients with disabilities which might position them at peril for self-harm. For instance, an aged patient might be eager to stroll without directive. The nurse desires to endorse patient sovereignty, though the possibility of patient harm because of falling may be large. The dilemma is how to balance the contrasting situations. The nurse is in a dilemma to choose which one is more significant between security and independence. Each family, patient and health care staff faces these challenges in daily basis. Momentous challenges may be experienced by nurses operating with parents who have infants with mental or physical disabilities. The nurse is left to decide whether it is moral to subject the infant to an inexperienced process which will impose pain if it provides them with distinct chance of survival. The nurses have to decide whether it is ethical to prolong life while the quality of li fe is being comprehended.            Recent research findings reveal that, nurses as caregivers central to health care, face a growing rate of ethical dilemma. The know-how is helping patients to endure serious sicknesses. However, recent studies disclose that people are surviving, but they are not living decent lives. Nurses have a task of executing clinical and educational operations which deal with the subject that professional care provides. The other dilemma is that there are insufficient health care resources across the world. The resources are also not equally scattered. The nurses are left to ensure that there is equitable distribution of health care resources. Patients from various cultures and personal experiences may present with different opinions of what is moral. The nurse can serve as resource to make sure that every individual feels that their opinions were considered. They have to decide who should get the scarce resources? For instance, nurses working with p atients living in vegetative state; nurses decide whether these patients should be left on life maintenance? The outlay of sustaining these patients is high. The patients might be consuming possessions that could be utilized by patients whom such expensive interventions, if reachable, could set aside their lives. The dilemma is determining the position of the nurse when a family wishes to go on with life hold up for a medically ineffective patient.            In conclusion, ethical principles are very noteworthy in the nursing practices since they direct the nurses to make their every day decisions. The nurses, however, face ethical dilemma since they are not able to settle to a superior decision. Nursing is a profession that requires a lot of decision making since they are working to save patient lives, though they are required to make decisions depending on the code of ethics. References Blasi, A. E. (2012). An Ethical Dilemma. Journal of Legal Medicine, 33(1), 115-128. Burkhardt, M. A., Nathaniel, A. K. (2008). Ethics issues in contemporary nursing (3rd ed.). Clifton Park, NY: Thomson Delmar Learning. Butts, J. B., Rich, K. (2008). Nursing ethics: across the curriculum and into practice (2nd ed.). Sudbury, Mass.: Jones and Bartlett Publishers. Garber, P. R. (2008). The ethical dilemma. Amherst, Mass.: HRD Press. Garber, P. R. (2008). The ethical dilemma. Amherst, Mass.: HRD Press. Harris, D. M. (2011). Ethics in health services and policy a global approach. San Francisco: Jossey-Bass. Harris, D. M. (2011). Ethics in health services and policy a global approach. San Francisco: Jossey-Bass. Hendrick, J. (2000). Law and ethics in nursing and health care. Cheltenham: Stanley Thornes. Hoffman, J. (2003). A Knotty Ethical Dilemma. Emergency Medicine News, 25(1), 36. Johnstone, M. (2007). Clinical risk management and the ethics of open disclosure when things go wrong: Implications for the nursing profession. Australasian Emergency Nursing Journal, 10(4), 215-216. Liaschenko, J., Peter, E. (2004). Nursing ethics and conceptualizations of nursing: profession, practice and work. Journal of Advanced Nursing, 46(5), 488-495. Retrieved February 8, 2009, from http://dx.doi.org/10.1111/j.1365-2648.2004.03011.x Linzer, N. (2003). An Ethical Dilemma in Volunteer Professional Relationships. Social Thought, 22(4), 37-51. Lowe, M. (2000). Ethical dilemma. A question of competence. Age and Ageing, 29(2), 179-182. Martin, C. W., Vaught, W., Solomon, R. C. (2010). Ethics across the professions: a reader for professional ethics. New York: Oxford University Press. Mcmahon, R. L. (2003). An ethical dilemma in a hospice setting. Palliative Supportive Care, 1(01), 35. Miller, S., Selgelid, M. J. (2008). Ethical and philosophical consideration of the dual-use dilemma in the biological sciences. New York: Springer. Monga, M. (2007). An Ethical Dilemma. Monash Business Review, 3(3), 34-35. Pattison, S. (2010). Emerging values in health care the challenge for professionals. London: Jessica Kingsley Publishers. Spector, T. (2001). The ethical architect: the dilemma of contemporary practice. New York: Princeton Architectural Press. Spector, T. (2001). The ethical architect: the dilemma of contemporary practice. New York: Princeton Architectural Press. Tschudin, V. (2003). Approaches to ethics: nursing beyond boundaries. Edinburgh: Butterworth-Heinemann. Tschudin, V., Davis, A. J. (2008). The globalisation of nursing. Oxford: Radcliffe Pub.. APA formatting by BibMe.org. Source document
Tuesday, January 21, 2020
Essay on Social Order in The Tempest -- Tempest essays
The Social Order in The Tempest      In Shakespeare's time, the social order was as powerful and rigid as law. Shakespeare provides an example of this social structure in his play, The Tempest. In the course of his play, the reader sees superior men dominating lesser beings on the basis of race, financial status, and gender. Not all upper class are completely corrupt, however. We see a semi-virtuous hero in the character of Prospero. Prospero has every reason to feel superior and exercise his social power, yet he doesn't always treat others disrespectfully. Although he does have some sense of charity, Prospero is still a good example of the social condition of the time.      One way in which The Tempest reflects Shakespeare's society is through the relationship between characters, especially between Prospero and Caliban. Caliban is the former king of the island, and Prospero and his daughter Miranda teach him how to be "civilized." Immediately thereafter, Prospero and Miranda enslave Caliban and he is forced to be their servant. Caliban explains "Thou strok'st me and make much of me... ...otte Porter and Helen A. Clarke (eds.) Thomas Y. Crowell & Co. 1903. Knight, G. Wilson. "Shakespearian Superman" The Tempest D.J. Palmer (ed.) Macmillan & Co. 1968 Murray, J. Middleton. "Shakespeare's Dream" The Tempest D.J. Palmer (ed.) Macmillan & Co. 1968 Palmer, D.J. Shakespeare's Later Comedies: An Anthology of Modern Criticism. Harmondsworth, Penguin, 1971. Shakespeare, William. The Tempest. 1611. Ed. Stephen Orgel. New York: Oxford UP, 1994. Tillyard, E.M. "The Tragic Pattern" The Tempest D.J. Palmer (ed.) Macmillan & Co. 1968
Monday, January 13, 2020
Economic constraints Essay
As part of my applied business GCSE, I have been asked to compare two different companies. The two companies I am going to compare are Nike and McDonald’s. Nike is an LTD, while McDonald’s is a franchise. At the end of this course I aim to get a better understanding of how businesses run. The business location (McDonalds) Most of McDonald’s earliest restaurants were opened in the UK during the 1970s, many customers were willing to travel miles to visit them. This specific McDoands is located in archway (N19) McDonald’s believe that their customer convience & research are the things that drive force behind McDonald’s restaurants and locations. Such development has led to new McDonald’s in sites as varied as cross-channel ferries, a bowling alley and London’s former County Hall. The Company is committed to responsible growth, and works closely with local planning officers and community groups when developing a new restaurant. When McDonalds decide to open a new restaurant, it is considered as a long-term proposition. For McDonalds, local knowledge is a key factor to choosing new locations. McDonald’s relies on discussions with local managers who are involved at the grass roots level with their local communities. Key customers & competitors. (McDonalds) McDonald’s are one of the leading providers of quick service food globally. In the UK, the company has 1,250 restaurants – around 500 of which are franchised operations. Seen as how McDonalds are a very big and successful franchise, they are bound to have competitors such as:McDonald’s are one of the only franchises to have a goal of no more than two complaints per restaurant per month. Using Business Objects to spot problems early, such as staffing levels, some 500 stores have achieved zero complaints for more than two months. In McDonalds, customer service is improved by information from the three â€Å"Mystery Shopper†visits to each restaurant monthly. This information includes, amongst other criteria, whether or not there was a friendly greeting, whether the server was wearing a name badge, as well as the overall cleanliness of the restaurant. Some of McDonald’s external influences may affect the way that the business is managed and run. For example, if there were complaints being made about the level of pay for its workers then McDonald’s might have to respond to this. Even though it could be argued that the workers demands are not an external influence the company would still face pressure to make judgments about the nature of its decision-making. The business location (Nike) Nike are known worldwide and have many stores throughout different countries, these include of: Austria, Belgium, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Israel, Italy, Netherlands, Norway, Poland, Portugal, Russian federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, UK and Ireland. In Nike’s case, it is very important that all of their locations suit to their liking because Nike aims to get out of their store locations including, profit and popularity. Before building a new store, Nike may need to take into account the following factor.
Sunday, January 5, 2020
Program Evaluation And Measurement Tools - 1480 Words
Program Evaluation and Measurement tools Hypertension (HTN) is a chronic illness that serves as a main risk factor for cardiovascular disease (Hanus, Simoes, Amboni, Ceretta, Tuon, 2015). Although medication can manage HTN appropriately, lifestyle modifications make a substantial difference as well. However, many patients go through behavior stages in which he or she contemplate on making the necessary changes to improve their health. One solution to the problem is the development of an educational Hypertension Intervention and Follow-Up program (HIFP). Studies have shown that active educational interventions that incorporate small groups are more effective than passive delivery of educational materials (Pimenta, Caldiera, Mamede,†¦show more content†¦Utilizing the CDC’s framework for evaluation will allow the program design to be tailored for implementation. Efficacy is defined as the ability to produce the desired result (â€Å"Efficacy,†n.d.). One way to establish efficacy is to test the knowledge of the health care providers. The blood pressure program will be ineffective if the providers lack HTN knowledge. The author will plan to evaluate fluctuations in employee knowledge, attitudes, and viewpoints about blood pressure screening and control. Furthermore, the health care team members need to understand how to measure a manual blood pressure adequately. Accurate blood pressure readings will facilitate more validity in the results (CDC, 2014). Efficiency distinctly represents the ability to accomplish tasks in the least amount of time and effort (â€Å"Efficiency,†n.d.). Measurement tools used for determining efficiency will be proper staffing, working equipment, various sizes of blood pressure cuffs, and acceptable space for the program. Quality is the characteristic or feature that something possesses ( "Quality,†n.d.). Trained health care providers will aid the program in obtaining good quality. Also, new sphygmomanometer that are calibrated and education pamphlets will serve as increasing the quality of the program. Intervention Plan Outcomes Short-term outcomes The short-term goals ofShow MoreRelatedPolicy Monitoring vs. Policy Evaluation Comparison712 Words  | 3 PagesPolicy Monitoring vs. Policy Evaluation Comparison Team D: Aaron Sawyer, Paulette Banks, Buck Charley, Greg Bradley CJA/385 Criminal Justice Policy Analysis amp; Program Evaluation May 23, 2016 Professor: Dr. Duane Benton Policy Monitoring vs. Policy Evaluation Comparison Policy Monitoring Monitoring policies allows the gathering of factual information as to the causes and outcomes of criminal justice policies. For policy monitoring to be effective the information gathered must be relevantRead MoreSeen from the responsibilities definitions only, the objective shown in Figure 1 presents the800 Words  | 4 Pagesthe scope of the responsible authority actions in the evaluation. 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