Critique of a research paper Essay

Issues that are to be studied during a research are usually expressed in a statement referred to as a research problem or research question (Lawn et al 2010). The researcher needs to have enough knowledge concerning the field in which he or she wants to contact a research in order for him or her to be able to come up with a research problem which is strong enough to be studied (Manzoni et al 2009; Partridge & Dickey, 2009). The researcher is supposed to come up with ideas which have not yet been researched on or which needs further development for him or her to be able to come up with a researchable topic. In most cases the research question or problem helps the public to have better insights in the studied field and even fills some knowledge gaps that may be existing in that field. Thus researchers are supposed to do thorough research to know what has already been researched on for them to be in a better position to make some improvement on the knowledge that exists. The problem to be studied should be significant to the general public and the professionals in the field of study. According to this study the research problem was: the impact of poor essential newborn care practices on neonatal mortality in rural Karnataka. This research problem is relevant in any medical profession since it addresses an important issue, which affects many healthcare systems in the world (Lawn et al 2010). As outlined in the paper many neonatal deaths occurs yearly resulting from careless or lack of knowledge on how to take care of these neonatal. Even though the authors point out that some research has been performed on this research topic, they point out the need to understand the local settings of concerned regions for better interventions to be undertaken since child birth is often tightly linked to traditions of concerned communities especially in the developing countries like India. Thus their research problem is still relevant given that no research has been done in such settings. Research design The case study research has employed both qualitative and quantitative research design. In qualitative research designs, answers are given to experiences related to humans (Kain, Gardner & Yates, 2009). Concepts like grounded theory, ethnography, case studies and phenomenology are covered in qualitative research designs (Manzoni et al 2009). This study used interviews to collect data. The interviews were recorded in text form which is a characteristic of qualitative research. Thus the research qualifies to be described as qualitative. The concepts covered in the study were ethnography and grounded theory. This is because in the paper, the researchers consider different ethnic groups found in rural Karnataka. Furthermore, the participants were interviewed on various cares they offer to neonatal after birth hence this cover the grounded theory concept since giving care is a social responsibility. Therefore the researchers were trying to answer the question on how different birth attendants carry out their services to newborns in rural Karnataka. Quantitative research involves collection of data in numerical form. The authors claim to have used this design to obtain preliminary data for carrying out qualitative research. Even though the authors state that they used quantitative research design it is not clearly stated the data collected since the paper only talks of administration of questionnaires of which we are not told the kind of information that was to be collected. Justification of use of both qualitative and quantitative research designs From the authors’ point of view, the use of quantitative design was aimed at providing evidence for need to carry out the qualitative research (Lawn et al 2010). It is also pointed out that the quantitative research confirmed earlier research on the same issue on neonatal mortality. Thus it seems the quantitative research was done to also confirm earlier studies on mortality related to newborn. On the other hand, the use of qualitative design is justified. This is because; obtaining data such as on breastfeeding, place of delivery, delivery hygiene, cord cutting, cord care, asphyxia and thermal care can only be done using qualitative methodology. Recruitment of study participants Recruitment of participants was based on pregnancy. All those who were pregnant and those who became pregnant during study period were allowed to voluntarily participate in the study. The study employed proactive research design for sampling purposes. This was used to prevent recall biases, which are common in retrospective research designs. Data collection Interviews, focused group discussions and questionnaires were used to collect data from eleven villages within rural Karnataka (Kain, Gardner & Yates, 2009). The method used to choose these villages is not stated in the paper and thus we do not know whether it was done using statistical methods or not. Interviews which were done were semi structured (Partridge & Dickey, 2009). They were thirty nine in total with thirteen targeting mothers who had delivered recently, ten targeting grandmothers, nine targeting birth attendants and seven targeting informants. The interviews to mothers lacked specificity in time frame especially to mothers who had delivered and therefore could have been prone to errors. In addition the authors do not outline on how they come with the different numbers that they administered the interviews to. Thus, the numbers may not be statistically significant. The five different questionnaires were administered to pregnant mothers at different times. Three of the questionnaires were administered prior to parturition, one was administered within five days after delivery and the last questionnaire was administered during postnatal period. It is not clear on how those involved in the delivery of the questionnaires knew when the mothers had given birth to administer them on time. In addition, the significance of the number of questionnaires administered is not justified statistically. Eight focused group discussions were undertaken in the study. Of these, three were among groups of mothers, two were among elders and one was carried out among birth attendants. The group discussions may have been exaggerated by some participants and therefore some of this data may be unreliable to some extent. Furthermore the choice of the number of discussion and the number of participants in the group discussion is not explained hence may be statistically insignificant (Jatana et al 2010). Data analysis From the paper, the authors state that they carried out framework in the analysis of their data. This is a type of data analysis is majorly used in the analysis of qualitative data. The versatility of the method allows it to be used in different qualitative data analysis. This method allows organization of data into structured transcripts. Credibility, auditability and fittingness The truths about the findings as judged by participants constitute the credibility of the study (Lawn et al 2010). This study is credible to some extent given that the source of data used to make the conclusion is not one, that is, pregnant mothers, birth attendants and grandmothers are utilized to get credible data (Kain, Gardner & Yates, 2009). However, the choice of the numbers of those involved in interviews, group discussions and the number of questionnaires administered raises credibility issues on the research. Thus, clarity is required pertaining these issues in related studies. If the information presented in the report is accountable then the research is auditable. The coherent of the report determines the auditability of the research paper. The authors of this paper tried their best to remain focused on the problem issue. Thus the paper is auditable. If the participants are faithful then the paper is fitting. From the excerpts from the interviews presented in the paper, the participants seem to be real in relation to daily realities. Thus, the paper is fitting. References Lawn, J. , Mwansa-Kambafwile, J. , Horta, B. , Barros F. & Cousens, S. (2010). ‘Kangaroo mother care’ to prevent neonatal deaths due to preterm birth complications. International Journal of Epidemiology, 39(Suppl_1): i144-i154. Kain, V. , Gardner, G. & Yates, P. (2009). Neonatal palliative care attitude scale: Development of an instrument to measure the barriers to and facilitators of palliative care in neonatal nursing. Pediatrics, 123(2): e207-e213 Jatana, K. , Oplatek, A. , Stein, M. , Philips, G. , Kang, R. & Elmaraghy, C. (2010). Effects of nasal continuous positive airway pressure and cannula use in the neonatal intensive care unit setting. Archives of Otolaryngology Head & Neck Surgery, 136(3): 287-291.

Analysis of Guy de Maupassant’s “Old Mother Savage” Essay

We are all taught that our identity lies in the roles we play throughout life, in other words, in our actions. William Shakespeare wrote, â€Å"All the world’s a stage / And all the men and women merely players. / They have their exits and their entrances†¦Ã¢â‚¬  (As You Like It, II, vii). Whenever people act outside of their parts; whenever we miss our entrance, our identity is challenged. This can be seen everyday in all walks of life and in all arenas. For example, a teen father who takes responsibility for his child is look upon with surprised admiration while a teen mother is look up with distain for becoming pregnant in the first place. Placing standards and expectations upon people can be a vastly good thing, but what happens when those standards and expectations become too rigid–to all consuming? Rigid, all-consuming, roles have been required of women since time remembered. Even in the twenty-first century, the career woman is still expected to maintain a family. Gloria Steinhem puts it succinctly; â€Å"I have yet to hear a man ask for advice on how to combine marriage and a career.† Men are expected to place high priorities on their careers. The implication is that a man will receive less criticism for neglecting his family for his career, while a woman will be criticized sharply for having a career without also being an excellent wife and mother. Many of these identity feminine roles have been so inflexible that many women cannot break free in order to discovery the woman inside. When circumstances force them out of their traditional roles, they find themselves wondering, â€Å"Who am I? What is my purpose?† Guy de Maupassant in his short story â€Å"Old Mother Savage† (1885) depicts a classic example of this. His main character is a mother in German occupied France who is deprived of her identity roles i.e. wife and mother. Since she has nothing else to give her life purpose, she becomes homicidal and a bit suicidal. In this story, Maupassant is arguing that women who have uncompromising and limited identity roles can become violent to themselves and others. Maupassant paints a vivid picture of how nineteenth century countrywomen of France presented themselves to the world at large. The narrator’s friend,  Serval, describes her as â€Å"not at all timid†¦tall and gaunt, neither given to joking nor to being joked with†¦the men folk come in for a little fun at the inn, but the women are always very staid† (p. 161). Victoire Simon, Old Mother Savage, is a kind, yet reclusive woman. She had once offered the Maupassant wine when he passed by her cottage fifteen years earlier tired and thirsty an obvious kindness (p. 160), yet Serval, Maupassant’s friend who tells the story of Old Mother Savage, implies that a â€Å"staid† attitude is normal for the women of the area. Maupassant presents his readers with a woman who has been taught very specific actions for conduct. She dresses so that her â€Å"tightly bound†¦grey hair† is never seen in public. She was taught duty and â€Å"never learned how to stretch [her mouth] in laughter. By the time Maupassant’s readers meet Victoire, her identity is irrevocably tied to performing the duties of wife and mother. Just like all the other wives of the region, she is nothing without the duties of either wife and/or mother. Victoire has her identity challenged thrice. The first challenge occurres many years before when â€Å"[t]he father, an old poacher, had been shot by gendarmes [police]† (p. 160). This provides a serious blow to her wife identity but she buries the lose because after all half her identity is still intact–she is still a mother. The role of mother is more prevalent than that of wife since, she cannot control the actions and their consequences of her husband. He, to some extent, failed in his role of husband and father by getting caught at poaching and subsequently shot for the offense. Victoire, on the other hand, is still around to perform all the motherly duties of keeping a home, cooking meals, and mending clothes, which she does religiously. The second challenge to her identity comes when war is declared and her son, now thirty-three, goes to fight in the Franco- Prussian War. Victoire is alone. She knows her duty but has no one to perform it for save for herself. Her life consists of â€Å"go[ing] to the village once a week, to buy herself bread and a little meat; then get back home at once† (p. 161). She does only what is necessary to keep herself alive until she can resume her duty as mother. In her mind there is nothing else for her–no gossiping with the village ladies; no sewing a new garment for herself; no cups of tea with a  neighbor. Her world ceases to function without her duty to her son. The death stroke to her identity began with the arrival of the Prussians. She is required to billet four of the occupying German soldiers, since she was â€Å"known to be well off† (p. 161). These young men, about the same age as her son â€Å"would clean up the kitchen, scrub the flagstones, chop wood, peel potatoes, wash the house-linen–do, in fact, all the housework, as four good sons might do for their mother† (p. 161). She would cook and mend for them, as a good mother would do. She still had a purpose–to be a mother even if it was to surrogate sons. For a month these soldiers are sons not enemies then she receives word that her son has been killed in the war. Suddenly, her world is shattered without her son she has lost her last shred of purpose. â€Å"The gendarmes had killed the father, the Prussians had killed the son†¦and suffering flooded her heart† (p. 162). With her husband buried for years, her son dead; she has no identity and co nsequently no purpose in life. Within moments, she plans a special form of revenge–not only will others suffer as she has, not only will someone die for to avenge her son, but she will be sure to die in consequence of her actions. Suddenly, the four German sons become four German soldiers–the enemy. â€Å"Simple folk don’t go in for the luxuries of patriotic hatred†¦the poor and lowly†¦pay the heaviest price†¦their masses are killed off wholesale†¦Ã¢â‚¬  (p. 162). Ones like these German soldiers billeting in her home murdered her boy. It is quite possible that she would have assumed a German mother was caring for her son like she was caring for the German men. She is, after all, a â€Å"simple folk†, who would not have much knowledge of the intricacies of war beyond the billeting of the German soldiers. Therefore, not only did German soldiers kill her son, but also a German mother failed in her duty toward her son. Through a carefully executed plan conceived in the brief afternoon of discovering the fate of her son, Victoire kills the soldiers. She burns her cottage to the ground with the soldiers trapped inside. When the German Officer asks her how the fire started, she said, â€Å"‘I lighted it, myself.’ She took†¦two papers from her pocket. ‘That’s about Victor’s [her son] death.’ ‘That’s their names, so that you can write to their homes.’ ‘Tell them [the German mothers] how it happened, and tell them it was I who  did it, Victoire Simon, that they call the Savage. Don’t forget.'† In order to ease her grief, she wanted other mothers to suffer as much as she was suffering. She knew she would be shot for her actions; she was probably counting on it. She could easily have lied. She could have told the German Officer just about any excuse, but she didn’t. What did she have to live for? She had no purpose for living without her husband and son. Her society, by placing limited and ridged identity roles on its women, robbed her of the ability to discover an identity within herself separate from family. Therefore, she did the only thing she could do–take revenge on the closest target and be sure she did not survive the experience. Maupassant, in five short pages, presents a compelling argument for the avoidance of limiting women with restrictive identity roles. Disastrous consequences are all too likely to result from their removal. Consequences that go beyond the death of four soldiers and their murder, the narrator’s friend Serval had his chateau burned down by the Prussians due to Victoire’s actions. If her identity had been broader–if she knew herself outside of societal-imposed roles, she then may have had something to cling to–a purpose in life rather than a kamikaze plan of revenge.

Discussion for online Economics class Article Example | Topics and Well Written Essays - 250 words

Discussion for online Economics class - Article Example The current position of China in global economy has also contributed to the inelastic nature of its Australian mining sector. For instance, China is more concerned with economic domination rather than profits. Thus, China has vast interests in controlling the mining and energy sector, leading to the inelastic nature of mining. Unlike other commodity such as farm produce and manufactured goods, minerals are increasingly becoming scarce. This indicates that their economic value increase at a faster rate than their market value. For instance, the market price of a barrel of crude oil is much lower than its economic value. This indicates that demand for oil is not driven by the market value of the product but by its economic value. In a normal economy, a boom is followed by a bust. Currently the Pilbara Region is experiencing an economic boom and, producers are cautious about a possible economic bust. In order to protect themselves against such occurrences, production decisions are not b ased on income from mineral

Financial Intermediaries Assignment Example | Topics and Well Written Essays - 250 words

Financial Intermediaries - Assignment Example A drawback of the approach is that it is hard to observe bank conduct and that the approach excludes foreign banks in the determination of competition (Bell, Brooks and Prokopczuk, 2013 p.197). The Panzar-Rosse H-Statistic relates a firm’s conduct with models of different market structures such as monopoly, monopolistic competition, imperfect competition or perfect competition (Schaeck, Cihak and Wolfe, 2009 p.715). It demonstrates how the elasticity of a firm’s revenue differs under the different market structures. Although the model is quite straightforward under monopoly and perfect competition, imperfect competition, and monopolistic competition pose some complexities for this approach. The H-Statistic also assumes equilibrium for the banking market in the long-run. The Lerner Index uses the relationship between a firm’s price and marginal cost as a basis for the measurement of the firm’s market power. The index is a reciprocal of the price elasticity of demand and indicates the proportion price exceeds marginal cost. A disadvantage of the Lerner index is that it fails to demonstrate the substitutability of a product (Bell et al., 2013 206). The Boone Indicator assesses, in terms of strength, the relationship between efficiency and performance. Accordingly, superior performance is achievable for more efficient banks. Under competitive market conditions, banks show more aggression in order to achieve the superior performance as compared to competitors (Bell et al., 2013 p.206). The Boone Indicator does not share the disadvantages of the H-Statistic and the Lerner Index. It demonstrates the aggression more efficient banks employ in the exploitation of their cost advantage. As a measure of competition, Persistence of Profits proposes that entry and exit provide a sufficient avenue for the elimination of abnormal profits. Accordingly, profit rates for all firms would converge towards some average value in the

The Most Favoured Colour Used in Food Packaging Design Essay

The Most Favoured Colour Used in Food Packaging Design - Essay Example After a literature review, primary data was collected through surveys. Data was collected on how humans associate colors with emotions and then certain packaged products were displayed to catch their immediate responses. The study revealed that while most associated red with a positive emotion when it came to buying the actual product, the product attributes bear significance on the packaging. This was also found in the case of Heinz ketchup and McDonalds – their sales were not adversely impacted when they changed their color from red to green. Culture and global trends also influence the purchase decision. For instance, since the trend today is for a greener environment, Coke, while still maintaining its red logo, has changed its packaging to a more eco-friendly material. The study concludes that red is not the most favored color in food packaging. However, the study has its own limitations which have been highlighted and areas for further studies have been recommended. Most products require good packaging. Packaging not only can protect the product from damage but can also promote sales. Sales occur through visual perception and this is where the color of the packaging plays an important role in consumer expectations. The color associations and conceptions exist in the memory and affect how people make choices. This is particularly relevant in the context of the supermarkets where consumers are constrained for time. However, market research indicates that 90% of consumer purchases are the result of a deliberate search and only 10% of purchases are made on impulse. And of those planned purchases, 60% of the decision to buy involves color (Rodemann 1999, p170).  

Summarize the artical, give an overall meaning, key facts and opinion Coursework

Summarize the artical, give an overall meaning, key facts and opinion of the sources - Coursework Example Post uses cells called myosatellites, these are muscle cells, which are used normally to repair damaged muscle tissue. These cells can be extracted without necessarily killing the animal, and they develop into a muscle cell; it is easier to control the development of these cells (Brown, 2011 p1). For the cells to develop the muscle cells must be exercised regularly, this can be done by giving the cells minute electric shocks that stimulate their growth. However, the professor wants the muscle cell to exercise on their own; pieces of velcro act as anchor points and are fitted into a Petri dish where they create tension in the muscle cells. Naturally, the cells will try to contract, but the velcro provides the necessary resistance, which stimulates the cells to grow and increase their bulk (Brown, 2011 p1). After a few weeks, the cells will have grown into strips, which are a couple of millimeters thick and 2-3 centimeters long. The professor has not yet managed to grow them any bigger; this is until he finds a means to enable nutrients and oxygen to access the cells that are at the center of the strip. The professor is hopeful that, in a few months coming, he will have developed an intricate meshwork that will enable the nutrient and oxygen to reach the center of the strip and produce strips that will be thick enough (Brown, 2011 p1). According to the professor, the research that he is carrying out has potential to change the meat production methods. With laboratory production of meat, we shall still need small herds of cattle to donate the stem cells, but the traditional livestock farming will be outdated. Although no one has tasted the meat yet, even if the hamburger does not taste good, it still represents a very significant breakthrough that could reduce carbon emissions and transform the face of farming (Brown, 2011 p1). The professor has had a lot of experience in the field of vascular physiology. The document was obtained

How has religion impacted American society Term Paper

How has religion impacted American society - Term Paper Example This assignment explains the significance of religion and the way it can impact various components of a society be it culture, education, politics or economics. The areas that are significantly under consideration in this paper are education and culture.Talking about the developed countries, it has been observed that America is most religious as far as the demographics is concerned. In 2002, a survey was conducted which revealed that citizens considered religion as a very important part of their lives and it was an area which was given high respect and priority. An attitude similar to this was also observed in America’s neighboring country; Latin America. To study the impact of religion on American culture, it is necessary to understand the meaning of both the terms and the relationship between them. Religion is a system of principles through which individuals identify their existence and base their explanations of the universe and the natural occurrence that are linked with i t. Culture is a set of methods, values and norms that are adopted and practiced by people in a society which are also transferred form one generation to the other. In America there is not a universal religion, a number of religions which include; Christianity, no religion, Judaism, Islam, Buddhism, Hinduism, Sikhism and Baha’i Faith. All the religions have had their respective impacts on the American culture. A few of them will be discussed here. The religion that is practiced by majority of the Americans is Christianity which further branches out into more sects that are considered to be a part of Christianity. Christianity pays emphasis on compassion, in the light of this teaching; individuals make attempts to help the needy and to assuage distress of the troubled ones. Donations are paid in higher amounts and in case of disasters, every individual rushes to help their virtual brothers. Christianity has also discouraged homosexual relationships and has put a stop to them wh ich has ultimately affected the family life and husband wife relationship in a positive way. (David, 89) Islam has also been rated as the fastest growing religion in America. It started after the African Muslims arrived here and immediately formed a community of their own named as Ahmadiyya Muslim Community. American culture has experienced a relative difference since the emergence of Islam which encompasses building of mosques, formation of political and donation organizations and other Islamic practices. The Muslims have immigrated to America in large numbers especially in the year 2005 which has significantly affected the culture in a way that Muslims equally take part in the educational matters. Islam discourages the ideological perception of granting superiority to a particular race and gives equal status to mankind including slaves. This has encouraged slaves particularly to enter into Islam empowering them in the wake. Impact of Religion on Education in America Maintaining a balance between education and religion has emerged as a dilemma and persistent problem in America. Arguments and discussions have been held to ponder over the problem of right placement of religious education in the course outline. The two parties involved in this battle are religious conventional, secularists and liberals. The former demands religion to be included in the basic public education whereas the latter thinks it is a private issue and should not be confused with worldly education. However the importance and impact of religion cannot be ignored. The teachings of religion gave a new prospect to the human life. As far as the Greeks were concerned, they emphasized on the human mind whereas Christianity showed man his soul. The benefits and impact of religion on American education can be better understood if compared

Mooting PowerPoint Presentation Example | Topics and Well Written Essays - 250 words

Mooting - PowerPoint Presentation Example On both accounts the client, Tony Shameless, was not in the house. This would provide an opportunity to ask: In your testimony you admit that your fellow officers only found Mrs. Shameless in the house after a domestic incident call. Is that correct? Moreover, the first witness testimony admits that Mrs. Shameless did not link her husband with the injuries sustained on both accounts; actually, she said that she had fallen from the stairs. The defense counsel would then ask: In your testimony, Mrs. Shameless reported that she sustained her injuries from a fall. Is that correct? 3. The prosecution does not have a witness statement from Mrs. Shameless, the â€Å"assaulted person in this case† nor a medical report from the hospital. This would provide an opportunity to ask: After the alleged assault, what was the doctor’s verdict? What was Mrs. Shameless version of events? In an attempted murder case, the prosecution should record a statement from the assaulted. A medical doctor should also provide an independent report on the cause of injuries sustained (Keane, 2008, p.

Conflict Resolution Essay Example for Free

Conflict Resolution Essay Merriam-Webster (n.d) defines conflict as, â€Å"the opposition of persons or forces that gives rise to the dramatic action in a drama or fiction†. Interpersonal conflicts, whether they are between family members, students and teachers, employees and supervisors, or groups, have certain elements in common. Coser (1967) asserts that conflict is a struggle over values and claims to scarce status, power, and resources, in which the aims of the opponents are to neutralize, injure, or eliminate the rivals. (p. 8) Coser’s definition grew out of the cold war, when conflict between the United States and the former U. S.S.R. dominated Western method to conflict. Conflict was viewed as a win-lose solution. According to Dana (2001) there are only three ways to resolve any conflict; power contests, rights contests, and interest’s reconciliation. Power contest is based on Coser’s (1967) win-lose situation. Each party views their point as right each wanting power over the other. Rights contest is an orderly system which has rules, regulations, policies, precedents and a hierarchy of authority which is used in order to â€Å"win† again this model is a win-lose resolution. The solution to conflict resolution is interest reconciliation. This approach enlists support from both parties to find the best solution. All parties win with interest reconciliation model as their solution. Conflict in the workplace is a condition between or among two or more workers whose jobs are independent, who feel angry, who perceive the other(s) as being at fault, and act in a way that causes a business problem. Conflict has three elements feelings (emotions), perceptions (thoughts) and actions (behaviors). â€Å"Psychologists consider these three the only dimensions of human experience. So, conflict is rooted in all parts of the human nature† (Dana, 2001, p. 5) some confuse conflict with indecision, disagreement, stress, or some other common experience that may cause or be caused by a conflict. However, those elements are not best handled by conflict resolution. The question many ask, is conflict normal? Conflict is a fact of any organizational life. On the job, conflict is a stubborn fact of organizational life (Kolb and Putnam, 1992, p. 311). Rather than seeing conflict as abnormal, Pondy (1992) suggests we view organizations as arenas for staging conflicts, and managers as both fight promoters who organize bouts and as referees who regulate them (p. 259). In addition, Pondy states that in the company, agency, or small business, conflict may be the very essence of what the organization is about, and if conflict isnt happening then the organization has no reason for being (p. 259). One study surveyed workers and found that almost 85 percent reported conflicts at work (Volkema and Bergmann 1989). With an increasing awareness of cultural diversity and gender equity issues, it is essential that employees become familiar with issues surrounding promotions and harassment. In fact, one can see training in organizations as a form of preventive conflict management (Hathaway, 1995). The recognition of the frequency of conflict at work has led to books on mediating conflict in the workplace (Yarbrough and Wilmot 1995), showing how managers can learn conflict management skills to intervene in disputes in their organization. As employees, daily work with clients, customers, co-workers, or bosses can be a struggle. Conflict is as Wilmot (1995) wrote, What determines the course of a relationship . . . is in a large measure determined by how successfully the participants move through conflict episodes (p. 95). Conflict resolution has five styles, giving in, avoiding, fight it out, comprise, and work together style. No style is right or wrong; however some do work better than others. Accommodation, giving in to the others wishes or smoothing waves sacrifices ones own goals for the sake of the other person. Accommodators often use phrases like: Whatever you want is fine with me. When one party in a conflict genuinely does not care about the outcome of the conflict, accommodation may be the right choice for that situation. However, if accommodation is the only style a person utilizes, he or she is advised to learn more skills. Avoidance is characterized by behaviors that either ignore or refuse to engage in the conflict. While avoidance is by some consider a negative style that shows low concern for both ones own and the other partys interests, there are sometimes strategic reasons to avoid conflict. For example, when the relationship is short-term and the issue is not important or when the situation has a potential to escalate to violence, avoidance may be the prudent choice. Fight it out, competition, or win/lose, style maximizes reaching ones own goals or getting the problem solved at the cost of the others goals or feelings. While always choosing competition has negative repercussions for relationships, businesses and cultures, it can occasionally be the right style to choose if the other party is firmly fixed in a competitive style or there are limited resources. While competitive strategy is not necessarily dysfunctional, competition can easily slip into a destructive situation. Understanding the methods and strategies of others who use competitive styles can assist conflict managers in neutralizing the negative consequences of competition and work toward a mutual gain approach. Compromise is a give and take of resources. The classic compromise in negotiating is to split the difference between two positions. While there is no victor from compromise, each person also fails to achieve her or his original goal. Finally, working together to collaborate is when parties cooperatively team up until a mutually agreeable solution is found. Compromise and collaboration are win-win solution where as the other styles are win-lose. Why do people avoid dealing with conflict? People have a natural instinct of fear and some let that fear overpower them. The fear of harm causes people to fight-or-flight. Individuals will choose the flight option when in a dangerous part of a city that they have never been in before in order to avoid danger, it shows wisdom or strength to get out a of physically abusive relationship, commendable to stay out emotionally abusive relationships. In spite of this, in some cases people have the response to flight to a false perception of harm. People overstress in their minds the emotional h arm that someone can cause harm. The same is said for conflict in the workplace, people will avoid conflict for fear of being harmed by others. Some avoid conflict because of a fear of rejection from others. These individuals feel others will withdraw their friendship or push them away causing more hurt. People have the perception if they do not risk rejection they can suppress their needs and feelings. Loss of relationship is the fear of rejection taken up a level they fear totally losing a relationship. Others avoid conflict to mask their true desires because preserving a relationship is more important than getting what they want. These individuals are trapped into believing their worth is dependant on another accepting them. People avoid conflict for fear of anger. These people do not like listening to someone who is angry. They believe another will hurt them, reject them, or leave them, and they just cannot stand to witness anger. However, anger is just anger and it is not necessarily directed toward them. Individuals do not want to be seen as selfish. In some situations people are not afraid of others reactions, but rather their interpretation of the situation. They fear that they will appear selfish. However, is it wrong to have a need, feeling, or want and to express it? Society has sometimes had it seem that way. Although, there is nothing wrong with asking for what individuals want versus feeling they are entitled to always getting what they want. The truth is if one never asks, then they are depriving people around them from being able give to them effectively. Still, people who feel their wants should not be fulfilled, regardless of what others want, fall into the selfishness category. Sometimes people avoid conflict for fear of saying the wrong thing or something they will regret. Individuals will avoid conflict rather than risk putting â€Å"their foot in their mouth† they contain their anger and frustration which often leads to that which they fear. When people have conflicts in the past that have failed so they avoid future conflict for the fear of failing those too and begin to believe the confrontation is not worth the em otional energy it takes to deal with others. The fear of failing can impact other aspects of ones life. The fear of hurting another is more than just saying the wrong thing. These individuals are extremely sensitive and caring. They would rather hurt themselves than risk hurting another. The fear of success is a fear that most over look. However, it is much like the fear of failure. Some people are afraid to get what they want; they believe they will never get it. These people feel they do not deserve what they want, the consequences of getting of what they want is regret, or the responsibility is more than they need or desire. The fear of intimacy is the most subconscious of the fears. People do not want to share their dreams, desires, and wants with others. They feel they are private and do not want to be exposed. People do not want to appear weak. If resolution involves giving in, avoiding, or compromise they may feel they appear as though they do not have confidence. People do not want the stress of confrontation. They feel it is better to avoid conflict rather than deal with the stress it will cause them in the workplace between co-workers. Our society tends to reward alternative responses to conflict, rather than negotiation. People, who aggressively pursue their needs, competing rather than collaborating, are often satisfied by others who prefer to accommodate. Managers and leaders are often rewarded for their aggressive, controlling approaches to problems, rather than taking a more compassionate approach to issues that may seem less decisive to the public or their staffs. Conflict resolution requires profound courage on the part of all parties: It takes courage to honestly and clearly express one’s needs, and it takes courage to sit down and listen to one’s adversaries. It takes courage to look at one’s own role in the dispute, and it takes courage to approach others with a sense of empathy, openness and respect for their perspective. Collaborative approaches to conflict management require individuals to engage in the moment of dialogue in thoughtful and meaningful ways, so it is understandable if people tend to avoid such situations until the balance of wisdom tips in favor of negotiation. People have certain perceptions in conflict when dealing with different situations. Culture shapes and frames each individuals interpretation of appropriate behaviors during conflicts. Conflict across cultures, whether across nations or across the diverse cultures within a country, exacerbates the routine difficulties of conflict management (Fry and Bjorkqvist, 1997). There is no clear conclusion about whether men and women actually behave in different ways while conducting conflicts. However, gender stereotypes do affect conflict behaviors when individuals act and react based on stereotypes of how men and women will/should act rather than selecting behaviors appropriate for the individual one is communicating with (Borisoff and Victor, 1997). Parties respond to conflicts on the basis of the knowledge they have about the issue at hand. This includes situation-specific knowledge and general knowledge. The understanding of the knowledge they have can influence the persons willingness to engage in efforts to manage the conflict, either reinforcing confidence to deal with the dilemma or undermining ones willingness to flexibly consider alternatives. The person sharing the message is considered to be the messenger. If the messenger is perceived to be a threat (powerful, scary, unknown, etc.) the message can influence others responses to the overall situation being experienced. For example, if a big scary-looking guy is yelling at people they may respond differently than if a diminutive, calm person would express the same message. Additionally, if the people knew the messenger previously, they might respond differently based upon that prior sense of the person’s credibility. People are more inclined to listen with respect to someone they view more credible than if the message comes from someone who lacks credibility and integrity. Some people have had significant life experiences that continue to influence their perceptions of current situations. These experiences may have left them fearful, lacking trust, and reluctant to take risks. On the other hand, previous experiences may have left them confident, willing to take chances and experience the unknown. Either way, one must acknowledge the role of previous experiences as elements of their perceptual filter in the current dilemma. These factors, along with others, work together to form the perceptual filters through which people experience conflict. As a result, their reactions to the threat and dilemma posed by conflict should be anticipated to include varying understandings of the situation. This also means that they can anticipate that in many conflicts there will be significant misunderstanding of each others perceptions, needs and feelings. These challenges contribute to our emerging sense, during conflict, that the situation is overwhelming and unsolvable. As such, they become critical sources of potential understanding, insight and possibility. How do people respond to conflict? There are three responses to conflict emotional, cognitive and physical responses that are important windows into our experience during conflict, for they frequently tell people more about what is the true source of threat that is perceived; by understanding the thoughts, feelings and behavior to conflict, a better insight into the best potential solution to the situation. Emotional (feelings) are the feelings we experience in conflict, ranging from anger and fear to despair and confusion. Emotional responses are often misunderstood, as people tend to believe that others feel the same as they do. Thus, differing emotional responses are confusing and, at times, threatening. Cognitive (thinking) are our ideas and thoughts about a conflict, often present as inner voices or internal observers in the midst of a situation. Through sub-vocalization (self-talk), people understand these cognitive responses. Physical (behavior) can play an important role in our ability to meet our needs in the conflict. They include heightened stress, bodily tension, increased perspiration, tunnel vision, shallow or accelerated breathing, nausea, and rapid heartbeat. These responses are similar to those we experience in high-anxiety situations, and they may be managed through stress management techniques. Establishing a calmer environment in which emotions can be managed is more likely if the physical response is addressed effectively. Dealing with someone unwilling to negotiate can be difficult for the person who is trying to resolve the conflict. However, the 8 Step Model can be very beneficial, by focusing first on listening to the other person, and seeking to understand the sources of their resistance, the stage can be set for clarifying the conditions he or she requires in order to talk things out. This is not about being right or wrong in the situation, but a practical strategy for getting the other person engaged as a partner in the negotiation process. Another alternative is to focus on things we can do to influence conflicts in the future, rather than putting initial energy into understanding (or solving) problems we have had in the past. By remaining relatively flexible about the agenda taking on topics individuals care about, but not necessarily the most pressing issues – thus, creating an opportunity to reduce the fears associated with resistance. While the conflict may not be able to be truly resolved, some key issues that exist will be managed and will help to prevent the issues from getting worse. Power is an important and complex issue facing anyone seeking a negotiated solution to a conflict. Before negotiating clarify the true sources of power in the room: The boss has position power, associated with the carrots and sticks that come with the role. She or he may also have coercive power, supported by contracts or statute that compels employees to behave in certain ways and do certain tasks associated with the job. Some may have a great deal of expertise power, accumulated from doing your job over a period of time. Either conflict participants may possess normative power, through which they know the lay of the land in their department and, therefore, how to get things done. And either may possess referent power, through which others show respect for the manner in which the employee conducts themselves. Generally, referent power accrues to those who demonstrate a mature willingness to seek collaborative solutions. An impasse is the sense of being stuck. Impasse is the point within a dispute in which the parties are unable to perceive effective solutions. People feel stuck, frustrated, angry, and disillusioned. Therefore, they might either dig their heels in deeper, anchoring themselves in extreme and rigid positions, or they might decide to withdraw from negotiation. Either way, impasse represents a turning point in our efforts to negotiate a solution to the conflict. As such, rather than avoiding or dreading it, impasse should be viewed with calmness, patience, and respect. Multi-party disputes are complex situations, and they require careful attention and persistence. However, the same 8 Step Model can be applied to the disputes. In spite of using the same process expect everything to take a bit longer than if there where only two or three people. Patiently make sure that all points of view are heard, that issues are clarified for all to see, and that all members in the group accept the agreements being negotiated. If there are limits to the groups decision-making power, then it is important to acknowledge those limits and understand how they are perceived by all members of the group. There are many different ideas of the steps for resolution, some claim five steps while others claim six or seven for the purpose of this paper Weeks (1992) eight step resolution style is identified. Step one – Create an Effective Atmosphere Creating the right atmosphere in which the conflict resolution process will take place is very important, yet most overlook its importance. The atmosphere is the frame around the canvas which will be painted the negotiations and building of better relationships (Weeks, 1992). Step two – Clarify Perceptions Perceptions are lenses through which a person sees themselves, others, their relationships, and the situations they encounter. Perceptions have a great influence on behavior of people. Once people perceive something in certain way, even if the perception is wrong, in the mind it is that way, and often base behaviors on that perception (Weeks, 1992). Step three – Focus on the Individual and Shared Needs This step builds on the previous step as needs as the conditions people perceive they cannot do without, those conditions critical to each persons wellbeing and relationships. However, step three focuses more on skills involved in the conflict partnership approach. There are several key points to keep in mind in this step. 1) Needs are the foundation of relationship and are an essential part of that foundation. 2) People sometimes confuse needs with desires. 3) Personal needs in relationships perceived by individuals must allow for respect of the needs or the relationship (Weeks, 1992). Step four – Build Shared Power Power is a part of every relationship. However, the way people perceive and use power is seen frequently as a dirty word. Such as when people use power as means to control or to manipulate some else to get what they want. Although, power is and of itself not corrupt, it is the way in which people use their power and whether they allow such power to corrupt. Developing positive self power through a clear self-image means that we base our perceptions of ourselves not on what others expect of us or want us to be but what we believe to be our own needs, capabilities, priorities and goals (Weeks, 1992, p. 152). Step five – Look to the Future, Then Learn from the Past. All relationships and conflicts have a past, present and future. Resolving conflicts requires dealing with all three. The conflict partnership process encourages the use of positive power to focus on the present-future to learn from the past. The past experiences people face set the landscape for present and future decision making and how relate to others (Weeks, 1992). Step six – Generate Options People have the ability to discover new possibilities in their relationships as well as conflict resolution. However, both are often impaired by the packaged truths and limited vision people hold onto in times of stress, insecurity, and conflict. Generating options breaks through the predetermined restrictions brought into the conflict resolution process. Generating options imparts choices which specific steps to resolve conflicts and enhanced relationship can be agreed upon (Weeks, 1992). Step seven – Develop â€Å"Doables†: the Stepping-stones to Action Doables are the necessary stepping-stones taken along the way to resolve conflict. Doables are explicit acts that stand a good possibility of success, meet some individual and shared need, and depend on positive power, usually shared power to be carried out. Working on and accomplishing some doables can help the conflict partners see more clearly where they need to go. Many conflict partners have changed their preconceived definitions of both the conflict itself and the expected outcome due to the lessons learned and clarified perceptions through working with doables (Weeks, 1992) Step eight – Make Mutual-Benefit Agreements Mutual-benefit agreements are the next step on the pathway to conflict resolution. Conflict resolution agreements must be realistic and effective enough to survive and the potential to develop further as challenges arise in the future. Mutual-benefit agreements replace the need or want for demands, see the others needs, shared goals, and establish a standard wherein power is identified as positive mutual action through which differences can be dealt with constructively (Weeks, 1992). Conclusion Conflict is an unavoidable aspect of everyday life whether it is with family, teachers, students, friends, or an organization. The best approach to resolving conflict is interest reconciliation. It joins both parties of the dispute to find the best solution. In so doing, all parties win. People respond to conflict in three ways emotional (feelings), cognitive (thinking), and physical (behavior). All are important to the conflict experience. They allow a better awareness to best furnish a solution to the situation. An important tactic to conflict resolution is to develop persuasion skills with the ability to clearly explain one’s point of view and to argue for their conclusions and convictions. Week’s Eight-Step Process is a valuable tool in helping people to become more strategic about resolving conflict. References Borisoff, D., and D. A. Victor., (1997). Conflict management: A communication skills approach, 2nd ed. Boston: Allyn and Bacon. Conflict, (n.d.). In Merriam-Webster’s online dictionary Retrieved from http://www.merriam-webster.com/dictionary/conflict Coser, L. A. 1967. Continuities in the study of social conflict. New York: Free Press. Dana, D. (2001). Conflict resolution. New York: Mcgraw-Hill. Fry, D. P., and Bjorkqvist K., (1997). Cultural variation in conflict resolution. Mahwah, N. J.: Lawrence Erlbaum Associates. Hathaway, W., (1995). A new way of viewing dispute resolution training. Mediation Quarterly, 13(1), 37-45. doi:10.1002/crq.3900130105 Kolb, D. M., Putnam, L. L. (1992). The Multiple Faces of Conflict in Organizations. Journal of Organizational Behavior, (3), 311. doi:10.2307/2488478 Pondy, L. R. (1992). Reflections on organizational conflict. Journal of Organizational Behavior, 13(3), 257-261. Volkema, R. J., and Bergmann T. J., (1989). Interpersonal conflict at work: an analysis of behavioral responses. Human Relations 42: 757-770. Weeks, D. (1992). The eight essential steps to conflict resolution: preserving relationships at work, at home, and in the community. Los Angeles, J.P. Tarcher; New York: Distributed by St. Martins Press Wilmot, W. W. (1995). Relational communication. New York: McGraw-Hill. Yarbrough, E., and Wilmot W., (1995). Artful mediation: Constructive conflict at work. Boulder, Colo.: Cairns Publishing.

Promoting Good Health Primary Care

Promoting Good Health Primary Care Health professionals, particularly those working in primary care, have an important part to play in promoting good health. Therefore it is the intention of this essay to explain the theoretical base that underpins the nurses health promotion practice. Reference will be made specifically to promoting good nutritional intake and healthy lives for children. The essay will identify how evidence-based research concerning the subject of health promotion can be used to inform the practice of the nurse. The essay will highlight the priority given to the promotion of healthy eating by use of examining current government guidelines and healthcare strategies. This part of the essay will examine potential definitions of health. Health is not just about physical health but also about mental and social well-being. It may be most effective when meeting basic needs, accessing relevant information and relying on family or community support (Bury 2005). The World Health Organisation (WHO) defines health promotion as the process of enabling people to increase control over, and to improve their health (WHO 1998). The growth of interest and activity in health promotion over recent years must also attempt to develop some methods of prevention to ill-health (Downie et al. 2000). Factors surrounding the nutritional health of children has many elements; some of which include their genetic make-up, environmental influences and the stage of development of the child (Holden and MacDonald 2000). Eriksons (1968) established the psychosocial theory of development which took into consideration the effect of external aspects, parents and society on personality development from childhood to adulthood (Erikson 1968). According to Eriksons (1968) theory every person must pass through a series of eight inter-related stages of their life cycle. Stage number four is school-age child where children are learning and developing new skills and it is also a very social stage of development (Erikson 1968). Social issues will be discussed in more depth later in this essay. According to the Scottish Government nurses and midwives play a dynamic and vital role in improving health and delivering health services to the people of Scotland (Scottish Government 2001). Therefore in terms of promoting the health of children through healthy nutrition, nurses are encouraged to educate children through visits to schools, attending youth groups, giving advice to new parents and offering advice at clinics and so on. The school nurse works in cooperation with the school to produce an environment that promotes healthy living as well as looking after the needs of individual children (School Nurse 2010). Health education is important for preparing the social, practical and emotional knowledge of children and providing them with social skills. It also helps to protect and promote the health of children through an environment and culture which is safe, healthy and beneficial to learning (Department of Health 2004). Holden and MacDonald (2000) identified that nutritional e ducation is essential to enable children to make informed choices about food and understand the relationship between diet and health. Nurses are often available to give advice and guidance on good diet and nutrition and regularly give health talks at school assemblies. The next part of the essay will look at some of the legislation surrounding health promotion for children. School meals in Scotland have undergone a transformation over the past few years due to the Hungry for Success Initiative which introduced nutritional guidelines for school lunches (Fife Council 2010). The Schools Health Promotion and Nutrition Scotland Act (2007) encourages the Hungry for Success programme and requires all local authorities to ensure that food and drink provided in schools comply with the nutritional requirements specified in the regulations. This act places health promotion at the centre of school activities. It encourages local authorities to provide school pupils with healthy drinks and snacks either free of charge or at a reduced cost. It also requires local authorities to promote school meals and to also reduce the stigma attached for pupils having free school meals. Another project that was initiated was the Hygiene, Healthy Eating and Activity in Primary Schools Initiative (HHEAPS) (Food Standards Agency 2009). This was devised for schools to raise childrens awareness of food hygiene, healthy eating and physical activity and the main concept was to link the three together, providing children with a basic understanding of how colds and flu viruses spread, how they can feel mentally and physically better about themselves, as well as enjoy fun activities with their peers. The importance of health promotion in schools is a key part of the role of the school nurse and often concentrates on exercise and healthy eating which can include fighting obesity and perhaps even eating disorders (School Nurse 2010). The Scottish Government (in partnership with Learning Teaching Scotland and NHS Health Scotland), have produced a leaflet called Healthy at Schools: Healthy for Life which acts as a guide for parents to explain why schools are promoting health (Scottish Government 2009), so as to keep parents involved. Pupils are giving the opportunity to take part in a physical activity or sport and they learn about health in many different subjects. The social, mental, emotional and physical health of school pupils are the responsibility of all teaching and non-teaching staff in schools. Good nutrition has a positive influence on child development and any health promotion involvement that focus on children and young people can be the basis for a healthy lifestyle that may be continued into adulthood (Licence 2004). Therefore the priority of health promotion and nutrition education is directed mainly at changing diet and lifestyles, with the aim of reducing chronic diseases (Webb 2002). According to The Scottish Government (2008), 20% of primary one school children are classed as overweight, some even categorised as being obese. Childhood obesity can lead to childhood diabetes, early puberty in girls and can lead to some types of cancers and heart disease later in life (Kozier 2008). It is therefore vital to begin health promotion in children as early as possible, to allow them to make their own choices about their health as they become older. Having examined some of the policies surrounding health promotion, it is now appropriate to examine the role of the nurse as a health promoter in greater depth. The nurses role in health promotion and health education involves taking into account all of the processes involved from assessing, planning, implementing and evaluating, as these are all essential elements of a health promotion programme (Whitehead 2002). According to Kemm and Close (1995), health promotion is an activity that intends to prevent disease or promote health. One of the key aspects of health promotion is attitude and to suggest ways to change attitude and its associated behaviour is of the main objectives in health promotion (Downie et al. 2000). It is vital to adopt the most important approach to health promotion and Ewles and Simnett (2005) suggest five approaches to health promotion: medical, behavioural change, educational, empowerment and social change. In terms of health promotion for children the educatio nal approach and the behavioural change can be linked together as school education programmes can help pupils to learn the skills of healthy living thus aiming to change their attitudes and behaviour with the hope of them adopting a healthier lifestyle (Ewles and Simnett 2005). To provide structure for health promotion, several health promotion models have been developed. One of the better known and most popular one is Tannahills model of health promotion (1995) which describes health promotion as three interlinked circles that include health education, health prevention and health protection. As the circles overlap they form the seven components of health, and number five on the list positive health education is aimed at changing behaviour and encouraging beneficial use of leisure time as in exercise and fitness (Downie et al. 2000). Changing behaviour could be done by either educating parents in positive health or by showing the consequences of poor health. Health education is described as an activity aimed at informing people about the prevention of disease, and according to Naidoo and Wills (2000) health prevention can be divided into three categories. Primary prevention is aimed at prevention of the start of the disease, secondary is aimed at prevent ing the development of the disease and tertiary is aimed to reduce any further suffering for those who are already ill (Naidoo and Wills 2000). The Ottawa Charter for Health Promotion (WHO 1986) outlines the key principles for health promotion which include strengthening individuals personal skills and capacities, empowerment and because society is forever changing, be able to create a healthy working and living environment. Dahlgren and Whitehead (1991) established the Determinants of Health model which explained how health is shaped by a variety of factors either positively or negatively. Economic, social and environmental conditions can determine the health of people and populations and also included in this model are the essential changes in the circumstances of daily life. Such factors can decide whether or not a person is in the right position, either physically, socially or personally to meet their requirements, succeed and be able to cope with changes in their situations (Local Government 2010). In terms of social issues, it is vital to highlight that promoting good health amongst children is virtually impossible unless parents are also targeted. Since parents and carers make most decisions regarding what a child eats, perhaps whether they can go out to play and whether they can join organised sporting activities, it is important that parents also have appropriate information on how to keep their child healthy (NHS Scotland 2010). Healthy families are better equipped to deal with challenges such as illness as they have developed effective coping strategies. Midwives can begin the process by giving targeted information to expectant parents on initiatives such as breast feeding, childhood immunisations and different activities to nurture happy, healthy babies. Some of these activities may include toddler swimming lessons or attending baby rhyme time classes (Netmums East of Scotland 2010). Nurses could then reinforce this by providing further information and advice during clin ics, nursery classes and through school-based drop-in advice services (Advice Guide 2010). Nurses can use their role as a liaison between health and education by working in partnership with members of the teaching profession to promote good health to young children. This might be by providing training for school-based staff to support children with healthcare needs such as asthma or diabetes or working with physical education teachers to encourage all children to take part in sports and other activities (The Scottish Government 2003). It is important that nurses show children why good nutritional intake is so important, by focusing on how it will not only prevent future illnesses, but it will help them to feel better and be more alert and active. It is also important to include how environmental issues such as poor housing, poor income and low levels of education can all affect the health of children (The Scottish Government 2003). Children can only follow through by choosing the healthy options they have been taught if they understand the importance of why they should cho ose a healthy diet (Frey and Barrett 2006). Fast food chains can also target children, and although many of them offer healthy choices, it is vital that children and parents understand the consequences of always choosing the unhealthy options, such as fatty foods potentially leading to heart disease, or sugary drinks leading to tooth decay (Food Standards Agency 2005). It might be possible to use educational aids such as pictures and videos to highlight to slightly older children and their parents of what could happen if they continually choose unhealthy foods (Brown and Ogden 2004). Nurses who work with children and young people also have an important role in identifying children who may be at risk of malnutrition. It is important for nurses to be able to recognise health problems that may be related to poor nutrition, for example, tiredness, slow growth, delayed puberty, pale skin and poor hair condition. The Royal College of Nursing (2006) suggests that basic screening of a childs nutritional status contributes significantly to identifying children at risk (RCN 2003). The Scottish Intercollegiate Guidelines Network (SIGN) have specific guidelines developed on evidence based clinical practice for the National Health Service (NHS) and they suggest that children whose families live in a deprived area should be considered as an increased risk of developing tooth decay (SIGN 2005). Parents and carers should receive oral hygiene education from the local dental team and health professionals should ensure that oral health messages are relevant and applicable to lifest yles and communities (SIGN 2005). Nurses need to take into account the social world of their patients and to understand their social situations. Factors within the social and maternal environment can influence health and development (Bromley and Cunningham-Burley 2010). The nurses role is to recognise the relationship between social issues and health and to be aware of cultural differences with regards to nutrition (Food Standards Agency 2002). According to Save the Children Scotland (2009) 240,000 children in Scotland live in poverty; that is one in four young people in families that struggle to get by every day. Families on low incomes find it hard to provide the basic necessities like decent, healthy food so therefore poverty affects the way that people eat (Save the Children Scotland 2009). Circumstances and the environment determine whether families are healthy or not. Genetics, relationships, education levels and income all have a huge impact on health (Anon. 2010). The nurses role in health promotion also incl udes health psychology which is the understanding of psychological influences on how people stay healthy. Health care professionals deal with problems identified by behaviours, attitudes, diet, exercise and so on (Ogden 2003). Some socially excluded families may not have the communication skills to identify and utilise what is available in terms of health promotion and disadvantaged families may have difficulty in taking up healthy options. Parents perceptions of healthy eating and exercising need to change and parents need to be more aware of the outcomes of an unhealthy diet. Children follow in their parents footsteps and do what they are brought up to think is correct. According to Nursing and Midwifery Council (2008), nurses are bound by and must adhere to the NMC Code of Conduct which states that it is the nurses duty to care for their patients and they must try and do what they think is best for them (NMC 2008). Nurses need to make people more aware of their role in promoting health and well-being of children and young people. Nurses need to work together with other health professionals including social care and local councils to change families attitudes and behaviours (Moyse 2009). Overall families are resilient and resourceful but they may need extra support and outside help to adapt successfully. Families cannot be forced to change but nurses can give them enough information and offer support to help them to change. Families need to believe that they can change and that changes will be good for them and that they will benefit from changing their lifestyles. Nurses need to influence the health of communities and problem areas. The Scottish Go vernment published a paper which provided a framework to support a programme which could help to deliver a policy for health improvement (The Scottish Government 2003). The main objectives in this paper for health improvement are that by 2010 -2012 life expectancy for people living in all areas of Scotland should be improved and it is also expected that inequalities between the most deprived and most comfortable groups should be reduced (Scottish Government 2003). In conclusion, this essay has examined some of the issues surrounding health promotion in children, focusing specifically on nutritional intake. It has firstly explained the knowledge base that underpins the nurses health promotion practice. The essay has looked at some of the legislation and government policies surrounding health promotion, and then also looked at the role of the nurse as a health promoter, and how a nurse must take into account social and educational issues when attempting to implement any health promotion initiative. The essay looked at a health promotion model and one component of this was discussed in more detail. Having examined current government guidelines and healthcare strategies, the essay then looked at guidelines that were developed on evidence based clinical research. Nurses should try to encourage people to take responsibility for their health and to make them more aware of the long term affects an unhealthy diet can have on younger children. Bad nutri tion affects skin, hair, nails and teeth. The essay has also discussed factors within the social and maternal environment which can influence health and development. It has also looked at why nurses must work together effectively with other health professionals to change family attitudes and behaviours. This essay has also discussed why people struggle to change, the effect of social class and health inequalities. Throughout completion of this essay it has become apparent that health promotion of children and young people is a vital part of the role of the nurse and the nurse can influence health improvement through health promotion. 2852 words

Prioritization in Nursing

Prioritization in Nursing TGP CASE STUDY 2 Q1. Prioritization is a vital skill in nursing profession. Management of patient loading depends on the sharpness of patients and relies on primacy environment. Brown Edwards said breathing, airway and circulation are very important to sustain life; each is precondition of the other and in that array. The work of ABC’s in a gush; if entire airway obstacle take place, It is impossible to breathe, as air does not go into the respiratory tract for ventilation, as a result; oxygen does not go into the lungs and transported to crucial organs and tissues. Furthermore, her ideology in prioritizing is to treat sensitive patients and present troubles over constant patients and possible problems. 1:- Phillip in bed 4 by way of a tracheotomy is the utmost main concern. Durbin said (, a tracheotomy is signify for patients with higher airway obstacle. while the tracheotomy tube is in position, this might cause frustration in the respiratory area instigate an enhancement in mucus creation. This leads to airway obstacle impose tracheal suctioning. Vigilant watch is necessary for patients with tracheotomy as this is openly occupied in airway patency and efficient inhalation .make sure a lucid and patent airway is as a result is primary, hypoxia arise if linger unprocessed. 2:- Colleen in Bed 5 has blood loss internally as this is indication of maelena and haematemesis, this may go ahead to hemorrhagic stun .This shock results from an failure of delivery of oxygen to tissues owed to the failure of blood volume in the vascular organism. To renovate blood volume, she was transfused through blood. on the contrary, this case is not honestly related to airway and inhalation although comparatively sort out underneath the circulatory module of the algorithm; hence still necessitate vital awareness following Phillip. 3:- In bed 6 Tony makes a diagnosis of type II diabetes through insulin plus dextrose combination should be focus. This kind of combination is developing to keep up normoglycemia, which is important for him as he is to have an endoscopy and kept nil by mouth. Notably, the patient is not presently belligerent of rigorous ache or in a hypoglycemic condition which is an instant life intimidating experience if untreated; therefore this patient must be monitored carefully; on the other hand, care can be tardy after Collen and Phillip. In bed 3 Max with constant mixture of pantoprazole as organization of sensitive GI blood loss resultant to peptic ulcer syndrome. He offered with haematemesis; though distressing, there is no sign of current blood loss, so Max requires caring monitoring relatively direct interference. Fifth one is Linda, an aged female with right higher quadrant abdominal ache which could be indicative of cholecystitis She is at present feverish which may be analytic of an contagious process. Even if an increase in temperature exists, there is no straight and instant hazard in the patient’s airway and inhalation condition. Finally, in bed number 2 Jayne was suffered with jaundice resulting to a liver disorder is attended. Likewise,the patient has a significant past of hepatitis C virus disease that can be gain by use of infected needles among intravenous-drug users. There is no warning of instant hazard for this patient, prompting her to be the less in priority. . As develop by Heller, the brain is mainly affected after blood glucose level fall. While glucose level in the blood downs to 3.6 mmol/L, efficiency of mind diminishes, as evident by the patient reply to voice in the AVPU balance. Notably, essential organs not adequately supply with glucose can potentially lead to stun. As a compensatory method blood course is force to the vital organs, this in return restrictions blood flow in apparent tissues causing fresh clammy skin .comparatively, a hormone that reduce blood sugar is insulin; however, patients with type II diabetes may have lack of this hormone; as an effect, insulin therapy is set up. Sam is to go through an endoscopy require him to be kept nil by mouth; as an effect, this can cause a important drop in the blood glucose. In the case, Sam’s blood sugar fall to 1.5 mmol/L which can lead to abduction and potentially coma? To argue against this, dextrose is used to sustain the blood sugar within constant levels. Infusion pumps are manage via a 50 mls needle driver. Actrapid insulin is included in a 50 mls bag of 0.9 NaCL. It is very important to check the blood sugar cautiously as this would be basis on correction of infusion rates. in addition actrapid insulin has an instant onset and can cause rigorous hypoglycemia Procedures to reverse hypoglycemia are as follows: A decrease in the insulin at the charted lowest rate. This is the instant action as this is the chief cause of hypoglycemia; this act prevents a further turn down in blood sugar stage . STAT dose of 25 mls of 50% dextrose, following 5 minutes a repeat BGL is done. The main purpose is to repair blood sugar within secure limits. Sam is planned for an endoscopy and kept nil by mouth. Hence, giving the prescription orally is held up. But in severe cases dextrose is given intravenously due to awareness condition of patient and for quicker absorption. Regular monitoring of BGL every 15-30 minutes until BGL’s are 6.6 mmol/L and beyond. Dextrose infusion might induce hyperglycemia. in addition, the insulin mixture is set at the lowest price, it is estimated that blood sugar will considerably raise. so, watchful BGL monitoring is compulsory to monitor efficiency of treatment Keep insulin infusion, as insulin manages ultimately will run out. Whole cessation of insulin may consequence to ketoacidosis. There is an impair usage of glucose as a variety of energy; the body make use of fat as a alternate which consequences to ketone formation. too much ketones can be a life threatening trouble due to intense acidosis. Reduce insulin infusion and stimulate the rapid reaction team if patient befall semi-comatose from hypoglycemia. As argue by Brown Edwards, hypoglycemia causes brain energy deficiency. A decrease in the insulin should reduce the probability of a further fall in glucose levels. Instant warning of RRT to intrude is crucial to check further corrosion of patient. Predominantly, harsh hypoglycemia is like to hypoxia, within minutes patients contain grave brain harm; therefore instant interference should be applied. It is the duty of Nurses to provide a safe and quality care. However, work in the ward can be very challenging; therefore, nurses must learn how to prioritize care. The fresh graduate nurse was incapable to document clarification and manage prescription in advance due. These actions are authentic apprehensions in the excellence of care give to patient as this can hurt patients; it is the job of the registered nurse to supply secure and appropriate supply of medications. Prioritization and allocation of care are necessary mechanism of cooperation in the nursing career; vigilant thought of the availability of assets and staff, their experience and work responsibilities. A nurse head overlook and administer the registered nurses. in addition, they offer update on condition of patients and assessment of care. CNS can offer maintain for new graduate registered nurses, in conditions of medication confirmation or specialist advices on exact nursing care., EEN’s can also support in manage medication .AIN’s are an vital part of the group. They can give basic nursing heed, support in activities of everyday living of patients and examination of vital signs. Allocation of work to additional member of the healthcare team is essential in completion of tasks. Fresh graduate nurses can also dialog with team leaders and the NUM in regards to issues in their responsibilities. During collaboration workload is common; as a result, this provides finest care and decrease burnout in the place of work Airway obstacle for a patient with tracheostomy is a main concern. The patient is coughing regularly and vehemently with blood stain sputum. This is a sign of extreme mucus accumulation and trauma in the airway. Obstruction from dry emission and mucus plugs, bleeding and irritation from the tube friction against the exterior lining of the respiratory tract are important issues of a patient with a tracheostomy Phillip is the uppermost main concern while airway barrier indicates a life threatening position; therefore a speedy reply should be started. Whereas waiting, the nurse should carry out a most important review to establish the acuteness of condition beside with appropriate clinical interference. Suctioning is very important for clients not capable to clear their airway efficiently. Saline is used an irrigation for solid emissions. It does not consider the secretions; however, it wet the airway, loosens mucus, and arouses an effective cough. Furthermore, supply oxygen 100% by means of bag valve mask or frankly in the tracheostomy. Hyperoxygenation of the patient is necessary as protracted suctioning can cause hypoxemia itself. Hypoxia lasting more than 4 minutes may possibly cause cardiopulmonary arrest and irreversible brain damage; therefore, enduring vital surveillance monitoring particularly oxygen saturation is necessary In bed 3 also has a critical distress but this can be delayed for the intervening time after the patient with an airway compromise is attended. In addition, pantoprazole’s half-life is just about an hour. Basically, a few minutes postponement to the patient in bed 3 would not guide to a life frightening situation

Ethnography: Ainu Essay example -- Cultural Anthropology

Ethnography: Ainu Worldview   Ã‚  Ã‚  Ã‚   The Ainu, Japan’s native aboriginal people, are very much an isolated people, living now only in the northern island of Japan, Hokkaido. They number, as of a 1984 survey, 24,381, continuing a rise from a low point in the mid nineteenth century due to forced labor and disease, and have largely left their old ways and integrated into standard Japanese society, though even the majority of those still reside in Hokkaido. The animistic religion of the Ainu is firmly enmeshed with every other aspect of the culture. Family and Kinship   Ã‚  Ã‚  Ã‚   Most Ainu organize in groups of nuclear families, the nuclear family being the basic social unit (Encyclopedia). Some groups, however, have extended families, but are not as common. Families are both patrilineal and matrilineal, the sons inheriting the father’s clan and the daughters inheriting the mother’s clan (. Both males and females do not marry cousins, but only from their mother’s family (Encyclopedia). Also, polygyny is practiced by the higher-status males in a community (Encyclopedia). During the bear ritual, relatives of the host in other settlements usually come to participate (Encyclopedia). Marriages traditionally were either arranged or of mutual consent (Museum, Life 1). Also, as a result of the twentieth century’s attempted Japanese integration, often through exogamy, now not even a third of all Ainu have four Ainu grandparents (Bowring 244). Economics The Ainu traditionally were hunters and gatherers, but rather than wandering nomadically, they settled in one location, on one section of a river, where they could fish and hunt (Museum People). However, in more recent times, Ainu seeking to integrate into Japanese society have taken jobs in ... ... Apr. 2002.      Encyclopedia of World Cultures.   CD-ROM.   Old Tappan, NJ: Macmillian.    Forbis, William H.   Japan Today:   People, Places, Power.   New York:   Harper, 1975.    Law to preserve Ainu culture was Passed.   1 Feb. 2002.   Buraku Liberation and Human Rights Research Institute.   25 Apr. 2002.   .    Takasugi, Shinji.   Numbers in world languages.   25 Apr. 2002.   .    Thomason, Andy.   â€Å"The Ainu of Japan.†Ã‚   2 July 1999.   Suite101.com Inc.   25 Apr. 2002.   .    Wright, Mike.   â€Å"Ainu-English Word List.†Ã‚   13 Nov. 1999.   Costal Fog Net.   25 Apr. 2002.   .

paradigms :: essays research papers

The truth does not change according to our ability to stomach it. "acategories.asp?Author=Flannery+O%27Connor+%281925%2D1964%29" If the facts don't fit the theory, change the facts. "acategories.asp?Author=Albert+Einstein+%281879%2D1955%29" everyone since teh beginning fo time has had their own views and standards for the way that everything around them should be. these views are seemingly set in stone and unchangeable. there are many examples in the past of terrible consequences for expressing views other than the norm at the time. more recently this apprehension to change was described by Thomas Kuhn in his book, The Structure of Scientific Revoulutions. Kuhn’s book was focused on the scientific world. He said that normal science â€Å"means research firmly based upon one or more past scientific achievments, achievments thatsome particular scientific community aacknowledges for a time as supplying the foundation for its further practice† (Kuhn 10). These achievments needed to be unprecedented and open-ended so as to attract a group away from competing ideas and to leave all sorts of problems for this group to resolve. these achievments are called paradigms. a paradigm is defined by Kuhn as â€Å"an accepted canon of scientific practice, including laws, theory, applications, and instrumentation, that provides a model for a particular coherent tradition of scientific research† (Trigger 5). When results arise that cannot be explained through the current paradigm, a new paradigm may begin to form. the new paradigm originates with new theories that are proposed as a result of the anomalies that were found. â€Å"to be accepted as a paradigm, a theory must seem better than its competitors, but it need not, and in fact never does, explain all the facts with which it can be confronted† (Kuhn 17-18). when the new paradigm is finally accepted, a paradigm-shift occurs. the paradigm shift represents Kuhn’s â€Å"scientific revolution†. Once the paradigm-shift is completed normal science returns under the new paradigm until new set of unexplainable facts arise. paradigms help scientific communities to bind their discipline in that they help the scientist to do several things. they help to create avenues fo inquiry, formulate questions, select methods with which to examine questions and define areas fo relevance. Kuhn writes â€Å"In the absence fo a paradigm or some candidate for paradigm, all the facts that could possibly pertain to the development of a given science are likely to seem equally relevant† (Kuhn 15). what he was trying to show was that there must be a way to limit the direction of one’s research based on what is considered to be known from the past.

Applying Leadership Theories Essay

According to Wikipedia, leadership has been described as â€Å"a process of social influence or persuasion by which one person can enlist the aid and support of others in the accomplishment of a common task†. Studies of leadership have produced theories involving traits, situational interaction, function, behavior, power, vision, values, charisma, and intelligence, among others. (http://en.wikipedia.org/wiki/Leadership). There are various leadership theories that have been created that encompass how a leader relates to others within and outside of the educational organization. There a six that were specifically proposed by Martin, Wright, and Danzig (2003) that are appropriate when describing educational leaders. They are Directive, Participative, Collaborative, Coaching, Affiliative, and Laissez-Faire. A leader can possess all of these styles depending on the current situation. For example, a leader can use a Directive Approach when dealing with low assessment scores especially when being pressured from his or her superiors, when deadlines are not being met, or when a teacher or staff has neglected their duties. But also display a Participative or Collaborative style by taking input from others. The leadership style that is displayed can have a negative and positive influence on the school community and the organization. It is very important to understand the styles indivially and in detail to know which ones are more and less effective in your environment. The school where I currently work just received a new principal, but prior to her there was Principal R, who had inherited her position as the leader because her entire career was built at the school. She started off her teaching career there, three years later was advanced to Reading Coach, and then was assigned as Vice Principal. The Superintendent, formal principal, and others felt that she was the best fit for the job because of her years spent there and her experience as Vice Principal. Prior to her receiving the role of prinicpal, we were excelling in reading, writing, and mathematics. The principal prior to Principal R had moved us from a failing grade of an â€Å"F† to an excelling grade of an â€Å"A†. Principal R indeed knew the ends and outs of the school because she was trained and mentored by our previous principal, Principal P. Not knowing that once the school was completely turned over to Principal R, we will be on a descending trip to failure. Principal R took a Directive approach, very similar to the Autocratic Leadership Style. By her having experience, she insisted on doing it all herself even though she had an administration team which consisted of a vice principal, reading and math coach, and an ESE liaison. She felt that the ultimate decision in any situation should be hers regardless of whom or what it affected. Research states, that Autocratic Leaders often maintain authority by force, intimidations, threats, rewards, punishment, or position (http://ctb.ku.edu/en/tablecontents/sub_section_main_1122.aspx). If you challenged Principal R in any way, regardless of how simple or how large the issue may have been your evaluation would be affected. Principal R used this role for her own personal gains. Principal R had built many personal relationships prior to her taking on the leadership role, those relationships were soon affected when she became principal. Favoritism became a common word around the school. Things that we thought we would never get away with, was done often by the people in Principal R’s circle. This leadership style brought a negative image to the school. The morale went down and teacher’s lost their drive for teaching. Our school grade went from an â€Å"A† to a â€Å"C†, then to a â€Å"B† to an â€Å"F†. Principal R was transferred to another school where we hope her style would change for the benefit of the vision of the school. While under the leader of Principal R, we also had Vice Principal E, who was a very sweet person with more than 16 years of experience in the education field. Our school was labeled for having struggling readers which put more accountability upon the teachers. Regardless of what issues the st udents had years prior or even home structure that affected their abilities to read, we were held accountable for them if they were below average or even failing. Vice Principal E shared many strategies with us that were very beneficial to our students. Her education specialty was ESE and autism; we were able to use those same strategies to assist our students. Vice Principal E displayed a Coaching Leadership style also very similar to an Instructional Leadership style. Her main concern was teaching and learning and assist us in relaying information in a way that the students comprehended. Instructional leadership focuses on modeling, monitoring, professional dialogue and discussion (Bush, 2002). She mentored us on what routes we should use to assist our students. She increased our confidence and also our test scores. When the results came in and we seen how much gains our grade level had shown, Vice Principal E took no credit, even though it was all because of her. She remained in the mentor role and assisted us in anything we may have needed. Vice Principal E was surplused to another school due to budget issues and was missed dearly when she departed. We are currently under the leadership of Principal K, which is the true reason why I am pursing my master’s degree. Principal K is a new principal, but has 12 years experience as a vice principal in secondary education. Principal K is a true leader that models and motivates others to accomplish goals, while at the same time encouraging others to work toward their own professional goals. Principal K, came ready to work but with little knowledge of what direction to start. Principal K created groups of those teachers and staff, whom prior had experience at the school to assist her with understanding the vision and desegregating the data. Once Principal K understood the vision and the direction of where the school should be headed, she quickly took the Collaborative approach, also known as the Democratic Leadership style. She involved the faculty, staff, and stakeholders in the decision making process. Even though the final decision would be ultimately made by Principal K, she allowed everyone to be a part of the process. She allowed them to have the sense of belonging of being a part of the team. She encourages participation, values our opinions, group discussions, and motivates us to become leaders as well. Principal K’s leadership style provides direction and guidance. She states often that even though her title is principal her job description is to work for us and whatever we need to give the students a quality education, she will make sure it is provided. Overall, leadership styles is the manner and approach of providing direction, creating visions, implementing and acting on plans, and motivating people to excel beyond their comfort zone. Leaders styles will vary based on situations. A leader does not strictly lean toward one style, however one may seem to be dominate over another, but it all depends on the situation at hand. My goal is to use the styles that are most effective and meant to strengthen the performance of the teacher, staff and students and also the styles that will bring improvement on student achievement. References . http://ctb.ku.edu/en/tablecontents/sub_section_main_1122.aspx http://www.leadership-with-you.com/directive-leadership.html Bush, Tony 2003. Theories of Educational Management, 3rd edn. London: Sage.

Chad Presentation

Population- -The Republic of Chad has a population of 11,525,496. -The population density of Chad is 8 per sq km. (23 per sq mi) Politics/Government- -The Republic of Chad is a Presidential Republic. -The President is Idriss Deby and the Prime Minister is Emmanuel Nadingar. -Over all peaceful. -Has many allied countries. -High tensions with Libya, Nigeria, & The Central African Republic. -Eligible for preferential trades benefits under the African Growth and Opportunity Act. Dominate Religions- -51% Islam -35% Christian -7% Animist -7% OtherCulture- -People are called Chadians. -Chad society/culture unstudied and relatively unknown to the outside world. Major Physical Features- -Landlocked country in north central Africa. -85% size of Alaska. -Lake Chad on western border with Niger & Nigeria. -Sahara Desert in the north. -Lowest point: Djourab Depression 160 m. -Highest point: Emi Koussi 3,415 m. Weather/Climate- -North is arid/ desert. -South is tropical. Brief History- -Earliest hu man/prehuman skull discovered by Michel Brunet in 2002 was beryllium dated to 5 million bce. 900ce Several small states began to form in chad by indigenous africans and a minority of arabs. -Kanem empire originated to the northeast of Lake Chad. -1396ce Bulala invaders from the north forced Kanem people towards Lake Chad. -Kanem people intertwined with the Bornu people near lake chad to be called Kanembu people. -Sayfawa dynasty ruled Kanembu (Kanem-Bornu) people. -Sayfawa dynasty ended in 1846, Then the empire itself fell in 1893. -French first entered Chad in 1891 -Decisive colonial battle for Chad fought on April 22, 1900 at Battle of Kousseri. During WWII Chad was the first french colony to rejoin the allies. (August 26,1940) -Under the administration of Felix Eboue, Chad troops moved to engage axis Libya. -Chadian Democratic Union founded November 1947. -August 11, 1960 Chad became an independent country under the rule of Francois Tombalbaye. -1975 Tombalbaye overthrown and rep laced with prime minister Hissene Habre. -Civil war from 1979-82 split Chad into 11 Factions. -Habre regained power after civil war and kept it until 1990. Idriss Deby, Habre’s leading general defected in 1989 and became president in December 1990. Current Events- -Droughts becoming more and more common in Sahara Desert region. -Flooding near Lake Chad has killed 24 people and left about 70,000 homeless. -Wanted Sudan leader is in Chad hiding out from the International Criminal Court for war crimes. -Red Cross worker recently abducted in Chad now free. Education Availability- -Schools in Chad largely based off of the French education system. -Chad scholars becoming largely known in recent years.

The Effects of Dota Game Among the Players

There are many students and even some young professionals that are addicted to DotA. This is one of the computer games that can be played by many players and is one of the most popular games to young students. Many students get addicted to this game and they even spend long hours inside the computer shop just to play the game. There are studies that getting addicted in playing computer games affects their studies and this is the cause why they are lying to their parents that they need extra money for their school project but the truth is they are just using the money to rent a computer where they can play DotA with their classmates. Sometimes, in order to make the game exciting, they have a deal to pay those who won the game, so it already becomes a form of gambling. When time spent on the computer playing DotA games or cruising the Internet reaches to the point when it harms a child’s or adult’s family and social relationships, or disrupts school or work life, that person may be caught in a cycle of addiction. Like other addictions, DotA game has replaced friends and family as the source of a person’s emotional life. Increasingly, to feel good, the addicted person spends more time playing video games or searching the Internet. Time away from the computer or game causes moodiness or withdrawal. When a person spends up to ten hours a day or more rearranging or sending files, playing games, surfing the net, visiting chat rooms, instant messaging, and reading emails, that easily can reach up to seventy to eighty hours a week on-line with the computer and will result to major disruptions from work, school, and in social life.