Nursing, ethics and sociology

Nursing, ethics and sociology Introduction: In this essay, I will discuss several issues that seem to bind nursing practice with questions of ethics, sociology and management. Reflective practice is an important aspect of nursing management and in this essay we discuss implications of discrimination in nursing care and examine the importance of anti-discriminatory perspectives in nursing. In this paper, the case study I will elaborate is of an elderly woman who was of a non-British ethnic origin and spoke little English. A junior nurse visited her home to provide care but her attitude towards the patient has been discriminatory and abrupt, a situation that calls for serious reflection on the issues of racial discrimination at the clinical setting. The patient was apparently treated with leg ulcer. The questions that have to be considered here are: Where in the observation did discrimination occur and how this could have affected the delivery of care given? And how has discrimination influenced the lady’s care? The concept of anti-discriminatory practice as a contemporary issue within adult nursing is discussed here considering observational evidence and similar case studies. Reflection in Nursing: Reflective practice in nursing is guided by models of reflection. Reflective practice model serves as a framework within which nursing or other management professions can work. Reflective practice model is also a structural framework or learning model that serves the purposes of a profession and is particularly applicable to health related professions. Any portfolio of practice includes a model of reflection as reflection helps in determining what was positive or negative or a learning experience within the profession. Reflective practice highlights the importance of learning from experiences after thinking about it and relates the practical experiences to the theoretical learning approaches. The four important reflective models that form part of the clinical and nursing portfolio are: Gibbs Model of Reflection 1988 Kolb’s Learning Cycle – 1984 John’s Model of Reflection – 1994 Atkin and Murphy’s Model of Reflection 1994 Theoretical Framework: Gibbs Model of reflection is shown in a cyclical manner and is represented a follows: Gibbs model of reflection (1988) Given by Gibbs, 1988. Source: CPSU, 2005 Unlike Gibbs’ model that has five stages, Kolb’s Learning cycle with four stages is shown as follows: Source; CPSU, 2005 In the Gibbs’ model, the event is reflected upon and includes a description of what happened followed by feelings about the situation, and reflection on what the thoughts and feelings were at that time upon being into the situation. The nursing professional then personally evaluates whether the experience has been good or bad for her and analyses whether she can make any sense to the situation. The conclusions are drawn depending on alternative and what else could have been done with the situation and what were the other options available to tackle the situation better or more appropriately. Proposed and future action plan is thought of and how the situation will be acted upon in the future is also determined. Kolb’s model however stresses on the importance of generalizations of concrete experiences testing the implications in similar situations. Whereas John’s model of reflection emphasizes on the stages of description of the event, reflection on what was aimed at, the factors influencing strategies, alternative strategies to what have been used, and learning from the experience, Atkin’s and Murphy’s model of reflection is on analysis and identification of the learning experience and action planned based on awareness and evaluation of this relevance of knowledge. Considering these models of reflection, we will use only the more popular Gibbs model to evaluate the case study discussed here and the situation of discrimination against the elderly lady Mrs. B as observed. Background and Literature Survey: The importance of reflection as part of the learning experience and using reflection as a means of improving one’s professional skills and future performance by evaluating the situation and the mistakes has been emphasized in many professions including teaching and nursing. In the Kolb cycle, reflective observation is the second phase. Reflection in action or while doing something in the job and reflection on action or some form of evaluation after the job is done, are included within reflective practice. Reflection includes several phases from simple problem solving of individual cases, to analysis of the situation considering relevant literature as well as broader social and political factors. Gustaffsson and Fagerberg (2004) emphasizes on the advantages that could be gained from reflection mainly among registered nurses or RNs. They examine the questions on the implications of nurses’ reflections, the subject matter of their reflection and how they are able to deal with their reflection and how they improve their professional approach through reflection. The authors describe the experiences of the nurses and their reflection in relation to the nursing situations to understand how the nurses use reflection in their daily work. The study included interviewing four registered trained nurses and the qualitative differences of the nurses reflective experiences were categorized. One of these is the category of reflection itself; but the ethical considerations within the nursing care situation and consequence of facing the situation or meeting the requirements of empathy or professional development are also important. The nurse attitudes and opinions on their reflective p ractice, what they thought about the situation and how they feel they will control similar future situations serves a model of future professional development. Gustaffson and Fagerberg point out that reflective practice has relevance for clinical practice as by understanding the contents of nurses’ reflections, it is also possible to understand the advantages of reflective practice and how and when such measures should be used by the nurses for further professional development. Fairley (2005) gives a consultant nurse’ perspective of a clinical role in critical care unit that has evolved as a central feature of all surgical high dependency units (SDHU) in large teaching hospital trusts. Advanced nursing practice is perceived not as the acquisition and application of technical procedures which are usually undertaken by doctors, but also an integration of medicine and nursing where holistic nursing assessment and symptom focused physical examination go hand in hand. Fairley presents a reflective account of practical problems encountered relating to role integration, professional autonomy, legal and consent issues, non-medical prescribing, and role evaluation (Fairley, 2005). The paper successfully describes a model of nursing applied to high dependency units integrating the role of the advanced nurse practitioner within the medical and clinical team an reflective practice plays an important role by being the main method of evaluation of a consultant nur se’ perspective. In a study on the importance of reflective practice in family care, Peden-McAlpine (2005) discusses the design, evaluation and outcomes of a reflective practice intervention (RPI) that was used to train critical care nurses on how to incorporate family intervention into their nursing practice. The benefits and problems of reflective practice are many and most beneficial aspects include improvement of professionalism and better ability to tackle similar situations leading to professional development through experience in nursing. Reflective practice is of experiential nature, it relates to a nurse’s experience and learning from the experience. In the study discussed by Peden-McAlpine, interviews were conducted with eight staff nurse participants after the training of RPI to determine changes in family practice when reflective practice was used. Three essential themes were identified on analysis of the interview texts and the authors have given the three themes relating to exper iences in nursing after participating in the RPI program as follows: (1) acknowledging, re-framing preconceived ideas about families, (2) recognizing meaning of family stress, and (3) incorporating family into nursing care (Peden-McAlpine et al, 2005). The reflective practice intervention program practices by nurses helped them to change their attitudes towards critical care especially in family and enhanced their communication and ability to build proper relationships with families bringing in a new way of understanding family stress or appreciating family values. The nurses thus had a new perspective of family system after their training of reflective practice on family critical care. Considering the benefits of changing nursing attitudes and developing professionalism through reflective practice, many authors have emphasized the need to use reflective practice as a training method within nursing education. Chabeli and Muller (2004) use a qualitative contextual and exploratory descriptive design for theory generation that was used to develop model facilitating reflective thing in clinical nursing education. The authors cited Wilson (1963 and Gift (1997) who provided a theoretical framework for a concept analysis of reflective thinking in nursing education. The paper also gives the case o 12 nurse educators who participated in a focus group interview on how reflective practice can be facilitated in clinical nursing education and the consensus was for a classification of reflective practice recognizing the main elements of practice and a deductive analysis and synthesis after conceptualization of each main concept. The importance of a conceptual meaning has been hig hlighted as theories with well-defined concepts and elements could facilitate reflective practice and can form an important part of clinical nursing education. Guidelines could be developed according to the theoretical framework of reflective practice and can give a new direction nursing education. In a later study, Chabeli and Muller also provided a model of reflective practice that could be used as a theoretical framework in nursing education. However, the authors suggest that ‘ Reflective thinking has become a popular word in nursing education world wide, but its meaning and effective use remains debatable because of lack of clarity in its meaning’ (Mackintosh, 1998:553 cited in Chabeli and Muller, 2004). Case study: The case of our elderly patient Mrs. B suggest that the nurse’s discrimination and ill behavior against the woman, relates to discriminatory practice, something that could be and should be stopped using reflective practice (also see Sheffield et al, 1999). The junior nurse in charge who was responsible for such an incident was given reflective practice as a framework for professional development. She was recommended to go through the Gibbs model of reflection in which she analyzed how and why she behaved the way she did, what she will do in future situations and how she learnt from the experience to not repeat her discriminatory behavior in the future. The implications are that the behavior of the nurse has led to poor quality of care delivery to the patient. The junior nurse who treated Mrs. B badly was recommended to go through reflective practice intervention to change her attitudes towards other races and ethnic minorities. According she participated in reflective practice sessions when she verbally as well as in writing had to describe the events in which she engaged in discriminatory practice and also evaluated her responses and indicated her future course of action and other alternatives for similar situations. Conclusion: In this essay I discussed the implications of reflective practice in nursing considering the theoretical frameworks of reflective practice. All the main models of reflective practice have been discussed and the models were used to consider a discriminatory case of an elderly patient who was wronged by a junior nurse. The patient was being treated for leg ulcer and was reportedly badly and disrespectfully treated by the nurse. The nurse was asked to go through reflective practice and mainly using Gibbs model of reflection, had to complete an exercise in which she described the event, indicated her feelings of the event, evaluated whether it was a good or bad experience, analyzed her own response to the situation, concluded what else she could have done for the situation and finally drew up an action plan for future similar circumstances. Bibliography: Atkins, S. and Murphy, K. (1994) Reflective Practice. Nursing Standard 8(39) 49-56 Gibbs, G. (1988) Learning by Doing: A guide to teaching and learning methods. Further Education Unit, Oxford Brookes University, Oxford Johns, C. and Graham, J. (1996) Using a Reflective Model of Nursing and Guided Reflection. Nursing Standard 11 (2) 34-38 Haddock, J. and Bassett, C. (1997) Nurses Perceptions of Reflective Practice Nursing Standard 11(32) 39-41 Kolb, D.A. (1984) Experiential Learning: Experience as the Source of Learning and Development. Prentice Hall, New Jersey Schon, D.A. (1983) The Reflective Practitioner. Temple Smith: London Sheffield J, Hussain A, Coleshill P. Organizational barriers and ethnicity in the Scottish NHS. J Manag Med. 1999;13(4-5):263-4. Smith A, Jack K. Reflective practice: a meaningful task for students. Nurs Stand. 2005 Mar 9-15;19(26):33-7. Moeti MR, van Niekerk SE, van Velden CE. Perceptions of the clinical competence of newly registered nurses in the North West province. Curationis. 2004 Aug;27(3):72-84. Chabeli M, Muller M. A model to facilitate reflective thinking in clinical nursing education. Curationis. 2004 Nov;27(4):49-62. Peden-McAlpine C, Tomlinson PS, Forneris SG, Genck G, Meiers SJ. Evaluation of a reflective practice intervention to enhance family care. J Adv Nurs. 2005 Mar;49(5):494-501. Chabeli M, Muller M. Reflective thinking in clinical nursing education: a concept analysis. Curationis. 2004 Nov;27(4):37-48. Fairley D. Discovering the nature of advanced nursing practice in high dependency care: a critical care nurse consultants experience. Intensive Crit Care Nurs. 2005 Jun;21(3):140-8. Epub 2004 Dec 8. Somerville D, Keeling J. A practical approach to promote reflective practice within nursing. Nurs Times. 2004 Mar 23-29;100(12):42-5. Clouder L, Sellars J. Reflective practice and clinical supervision: an interprofessional perspective. J Adv Nurs. 2004 May;46(3):262-9. Gustafsson C, Fagerberg I. Reflection, the way to professional development? J Clin Nurs. 2004 Mar;13(3):271-80. For diagrams, see Clinical Placements Support Unit – UCE Birmingham http://www.hcc.uce.ac.uk/cpsu/

Effects of Global Warming on Polar Bears Essay

No one is safe from the harsh effects of global warming. But if there is one species which suffers the most, they are the polar bears who can only survive under extremely cold climate. Although their actual population is hard to determine, they are believed to be around 20,000 to 25, 000 found throughout the Arctic Ocean and adjacent seas (World Wildlife Organization). Polar bears’ habitat is almost covered by sea ice all year round (Great Bear Organization). The area is said to have a fragile ecosystem, requiring longer time to change and to recover when disrupted or damaged. However, research shows that the Arctic is most likely to be ice free between 2013 and 2040 for the first time in history. The region has been experiencing thinning of the polar ice cap due to warming of temperatures. With the melting of the ice comes the destruction of the life of the species which thrives in the Arctic. Polar bears, seals, including endangered species like walruses and whales, are forced to retreat to environment less suitable for their make up. Further, scientists fear that large amounts of melted ice enter the North Atlantic and disrupt the global current pattern. The melting of the Arctic ice also entails smaller hunting area for polar bears. Seals are their favorite and they cannot track them where the sea is unfrozen. They also eat plants, including berries, roots, and kelp, but none of these can satisfy their calorie requirement. Their body needs large amount of fats from marine animals for they are active year-round. Reduction in Arctic sea ice can lead to 67 percent loss of the entire polar bear population in 50 years (Bear Planet Organization). Though polar bears are exposed to other risks such as pollution, oil and gas exploration, legal and illegal hunting, global warming remains the biggest threat to their survival. They experience malnutrition and starvation due to habitat loss. Melting ice force them to shore before they have acquired enough fat reserves to survive the period of scarce food during the late summer and early fall. Thining ice are surface hard to walk on because they deform more easily which makes it more difficult for them to hunt for food. They also need to swim wider gaps between ice which further used up their energy and sometimes lead to drowning. Malnourished female polar bears result to lower reproductive rates and lower survival rates among cubs and juvenilles (Rosing, 2006). Thining ice make it hard for adult females to find mates. And when they do find one, the hard quest starts for a suitable maternity dens. Underground dens have tendencies to collapse or have low insulative power to provide heat for newly born cubs. Dens built on multi-year ice may experience movement that may result in longer distances for mothers and young cubs to walk when they return to seal-hunting areas. There is also a risk of disease-causing bacteria and parasites to flourish more readily in a warmer climate. In Western Huson Bay, ice breaks up earlier than it did 30 years ago during late spring season which shortens the hunting season for polar nears (National Wildlife Organization). Their population declined by 22 percent from 1987 to 2004 and their body condition is much different, weighing 60kg lighter in 2004 than in 1980 when likely pregnant female polar bears weigh around 290kg. In 2005, Alaska recorded four drowned polar bears who made longer swim than they normally do when hunting for food. Alaska also documented higher mortality rates among polar bear cubs and different denning sites for pregnant polar bears. Photos and videos of polar bears’ struggle are everywhere. In 2008, US Department of the Interior listed Polar Bears as threatened species under the Endangered Species Act and melting of the sea ice in the Arctic as the biggest danger to their survival (The Humane Society of the United States). They are the only species aside from elkhorn coral and staghorn coral to be put on the said list. However, the decision was reversed following the commercial and scientific data that they are increasing in numbers in the past 30 years. As it currently stands, the US Fish and Wildlife Service consider polar bears as threatened species meaning anytime their habitat will vanish and their status will change to endangered before they ultimately become extinct. In Canada, polar bears were recommended by the Committee on the Status of Endangered Wildlife in Canada to be placed under the list of â€Å"species of special concern†. This list allows for a management plan to be written in five years, which was criticized by World Wide Fund for Nature as being too long to make a substantive impact to habitat loss from climate change. Since their current status is threatened species, it is not too late for efforts toward saving their habitat from further degradation (Bear Planet Organization). The simplest but the best way to mitigate the effects of global warming is to stop carbon dioxide (CO2) emissions. Recycle and reuse products and use energy efficient appliances to cut back CO2 in the atmosphere. Polar bears deserve a chance. Works Cited Bear Planet Organization. Polar Bears and Global Warming. July 8, 2009. . Great Bear Organization. Polar Bear (Ursus Maritimus). July 7, 2009. . The Humane Society of the United States. Polar Bears. July 8, 2009. . National Wildlife Organization. Polar Bear. July 8, 2009. . Rosing, Norbert. The World of the Polar Bear. NY: Firefly Books, Ltd, 2006. World Wildlife Organization. WWF: A Leader in Polar Bear Conservation. July 7, 2009. .

Western Civilization Essay Topics - Overview

Western Civilization Essay Topics - Overview The notion of a democratic government is Greek also. Bureaucracy, on the flip side, is another aspect that has caused suffering to the men and women in the society. To summarize, the bureaucracy does not have any advantages in any respect. Western philosophies have a tendency to concentrate strongly on the person, and particularly on the ability of individual logic and reason. That's hypercriticism and they display the standard outcome. Laws in the little unit states need to be in accord with the federal constitution. To support your definition, you will use an illustration of a catalyst from each one of the 3 revolutions. Possessing small units of power also will help eliminate the chance of experiencing a concentration of power. The Nuiances of Western Civilization Essay Topics In reality, depending upon your discipline, you might be requested to compose a research paper. An essay was defined in an assortment of ways or more inclined to sing her solos in the shower, she's bound to profit from some sort of music education. Thus, I want to review each point. However, there were a variety of disadvantages regarding this worldwide exchange. Our customer support will gladly tell you whether there are any special offers at the present time, in addition to make sure you are getting the very best service our business can deliver. As you do your research , you're going to be in a position to judge whether you're on the correct track or not. Our site provides custom writing help and editing support. In addition, a customer may ask the writer to submit part of the job for review and, if needed, ask them to make corrections. This European culture may be equated with western civilization and way of life. If everyone was just a whole lot of nomads, the world wouldn't be organized, and cultures wouldn't be as complex and great since they are today. The absolute most important thing to comprehend about Western civilization is the fact that it's defined via this idea of shared heritage, or shared cultural foundations. It is a broad term since there are so many aspects to learn about. Social networking is a significant part of several people's lives today, and plenty of argument essay topics can be dedicated to the various social networking platforms. It is possible to make it funcompose an enjoyable and engaging argumentative essa y with a distinctive topic. If you're given this topic to write on, you can pick from our 23 fresh suggestions for your argumentative piece. If you wish to turn to important topics that impact the whole of society, social issues are genuinely an inexhaustible field. Citations and extracts from several sources have to be formatted properly. You have to use a minumum of one source from the CSU on-line Library for your response. 1 aspect that's a significant part how folks reside in modern times is personal religious beliefs. There are a number of good things in the western culture which we've adopted. New ideas were created by the intelligentsia to upgrade the fundamental lifestyles of individuals. For knowledge is power and the quantity and caliber of knowledge or information has fueled the development of civilizations since the outset of history. While there are lots of advantages that are connected with capitalism, it is crucial to understand the various dehumanizing effects of capitalism. Some of the greatest fields which were covered by Aristotle included medicine, philosophy, and societal values amongst others. Rather than judging individuals on the grounds of their performance, people are judged on the grounds of how well they're dressed. To begin with, capitalists do not care about relationships, and this is the reason why they only concentrate on the creation of products and solutions. The Basic Facts of Western Civilization Essay Topics While the absolutely free essays may give you inspiration for writing, they can't be used `as is' because they won't satisfy your assignment's requirements. Writing quality essays is the principal purpose of our services. Whoever you are, you're truly your own group of essay topics! Simple but intriguing topics will do, and you need to just demonstrate you know what an argumen t essay is and the way to develop and format one. What's a journalistic essay. Quotes in the debut of an essay. World war two summary essay. How to compose a very good history essay gcse.

An Investigation Into Mass Media - 2388 Words

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