Tuesday, September 24, 2019
The Strengths and Weaknesses of Several Definitions of Feminism Essay
The Strengths and Weaknesses of Several Definitions of Feminism - Essay Example Besides, feminism concept is also referred to equal opportunities for women in a society in terms of education, property, and employment among others2. In this regard, Cott (1986) signified that the feminist movements have assisted in providing equal rights as well as justice, within modern society and determining differences in terms of expediency. In this context, feminist movements have aided in building a different cultural order based on certain logic and tradition3. Highlighting the strengths and weaknesses of several definitions of feminism as described by the authors, feminism concepts can be recognized to have assisted women to understand their rights in a society better. On the contrary, several definitions of feminism initiated more negative arguments among the male members regarding women rights in a society, which can be considered as a weakness of the feminist movements. In this context, it can be identified that feminist movements have initiated a privilege for the women to maintain gender equality with male members in the modern civilization. Apart from this, feminist ideologies implied that the dominancy of the female members in a society should have gender equality, whereby feminist theories have assisted female members to attain the desired societal and professional identity4. Similarly, the feminist concept has introduced several legal bindings in the society in order to ensure the womenââ¬â¢s rights in terms of property, voting and marriage among others. Moreover, feminist ideologies have offered reproductive rights to the women including the right of abortion and contraceptive., Simultaneously, feminist ideologies have ensured protection towards women concerning matters of violence and sexual harassment, benefitting female members of the society quite impressively.Ã
Monday, September 23, 2019
Criminal Investigations Essay Example | Topics and Well Written Essays - 250 words - 1
Criminal Investigations - Essay Example earance before judges and a preliminary hearing, and this is to observe if there is some probable cause to believe the said crime is committed by the defendant. Other procedures involve the case being submitted to the grand jury. After arraignment, there may be the occurrence of hearings. The other procedure is the settlement or rather the plea docket. In addition, there are the pre-trial motions not yet addressed, in which case it may include the motion to suppress the evidence. A criminal trial contains several phase. The first phase is the jury selection. This is where there is gathering of a pool of potential jurors and asked several questions. Second phase is the opening testament, in which case each side presents some overview of the case. Third phase is the witness testimony. This is the phase that each side calls for a witness to be asked some questions about the case. Fourth phase is the closing testimony, in which case the prosecution and the defense make short summarizing statements. Next phase is jury instruction, and this is where the judges address the jurors by explaining the crime the defendant was judged and the application of the legal standards. The last phase is the verdict. This is the defendant is found to be guilty or not (Scheb & Scheb,
Saturday, September 21, 2019
Leaving home Essay Example for Free
Leaving home Essay Note: I think u should define the authors definition of obligation and loyalty in the introduction or ur understanding of their definitions in terms of ur thesis cuz sometimes its hard to understand the difference b/w the two..and that shouldnt really happen cuz that is the focus of ur essay Red: corrections (make sure u read the sentence wit read stuff cuz the whole sentence had to change sometimes) Blue: comments Yellow highlight: erase those things (not needed) Leaving home is a difficult choice for any individual to make. A decision of this caliber contains conditions of no obligation, enforced obligation, and obligation in conflict with loyalty. Under these circumstances, a citizens loyalty to his/her country ceases to make sense, which is supported by Shklars article, Obligation, loyalty, exile. Judith Shklar, in her essay has evidently analyzed the argument of obligation, loyalty and exile, in regards to emigration. Though there are many unconditional matters to be questioned, the focus of this essay will be on the in my interest to structure (structure of wat, exile?) and define the chosen reasons for exile argued in Shklars article. In ordinary talk the two words loyalty and obligation are generally used interchangeably as if they were identical, but it is Shklars argument that it is important not only to keep them apart but to go on to make clear the distinctions between obligation, commitment, loyalty, allegiance, and fidelity. (Shklar, 182) This essay will support her argument and show how both obligation and loyalty are both principle elements that force a person to exile. Obligation is defined as rule governed conducts and political obligation specifically refers to laws and law-like demands, made by public agencies. (Shklar, 183) When thinking of obligation, one may connect it with loyalty. Many individuals come to the conclusion that obligation exists where there is loyalty, but another view argued by Shklar argues is that it is more rational to keep them separate. Through her extreme examples of exiles such as limiting case, Shklars arguments are adequate and evident. (I dont think u need this sentence, if u want it there, it needs to be reworded-try to maintain one tense-usually present tense) It is an individual right to feel protected by his or her own country, a right for a sense of belonging, and, most importantly, mainly a the right to be protected. With regards to obligation and exile, it is common practice to one would question the importance of justice. Injustice not only cancels obligations and undermines loyalties, however resilient the latter may seem; it also engenders the conflict between obligation and the effective ties that bind us. (Shklar, 197) Hence, if this statement is true,(dont say this ur trying to prove ur thesis, by saying if, ur argument weakens-ur arguments have to be strong) it is reasonable to conclude that justice arises with the presence of both obligation and loyalty. Unfortunately, it has become increasingly difficult to maintain justice due to the rise in swindle, cheating, and lying in government strategy. Betrayal to state and irrational obligation has become another reason why an individual would exile from his or her country. (this sentence doesnt really flow with the essay at this point, but maybe if u reword it, itl work-but seems like its another agrument in itself) Enforcement of law, where forced obligation becomes unbearable, may also lead an individual to exile. The author portrayed this reason of exile through an example of a French army man, Traifis. Traifis was accused of passing secrets to Germans and was convicted and charged accordingly. Through all of this, he still became loyal to obey (wrong word-wat r u trying to say?-protect?) his country, though in reality he was betrayed by his own state. The author finds it difficult to understanding how one could still be loyal to a country without feeling obligated. (this needs to be explained more-the definitions of the 2 cuz its hard to understand the difference at this point, or how they do/dont relate to eachother) His obligation ceased, and he signed up with the army again; this shows that his loyalty is greater than the feeling of obligation. This is a case which Shklar would describe as crazy. (dont need this sentence) It is important to note how Shklar stresses that obligation is a reasoned answer. If one cannot come up with a reasoned answer as to why he or she should obey, then there is no place for obligation to exist. (this is good to put in ur intro to describe the meaning of obligation in the eyes of the authorif not, put it in the beginning of this argument, itll help the reader understand ur argument better) An important point to note is that those who leave home do not necessarily disobey the state, but rather the state has disobeyed them. As ones right to feel safe is taken away, the insecurity drives the citizen away from his or her own land. Shklar uses more specific and extreme cases to strengthen her argument that it is the degree of injustice and cruelty that many ordinary people have been through in the past, and unfortunately many more are victims of same examples today. (u need a more strong concluding sentence and I think u should only uses this lsat point if u give an actual example from the article-if its just a point within her essay, dont say its a specific extreme case-maybe say that she is strong to point out that..) Government conduct is only one of the driving factors of exile, for emotional attachment plays a large part in an individuals actions as well. (this is to tie in the two arguments together, as for the beginning of the sentence, thats wat I understood of the first argument, if its wrong, then change it.jus wanted to give u a idea for a concluding sentence) The emotional attachment to loyalty varies that from obligation. Sklar points out that [t]he emotional character of loyalty also sets it apart from obligation. If obligation is rule driven, loyalty is motivated by the entire personality of an agent. Political loyalty is evoked by nations, ethnic groups, churches, parties, and by doctraines, causes, ideologies, or faiths that form and identify associations. (Shklar, 184). Thus, loyalty is deeply affective and not primarily rational. (Shklar, 184) These are all characters that enhance a persons beliefs and values, and are very essential to ones personality, and, most importantly, affect the persons judgment regarding loyalty. The above mentioned characteristics also give the individual a sense of identity (if this is a quote from the article, it needs to be referenced). As the author argues, political loyalty may survive, but not obligation to obey the law. That is why I assumed that exiles have no obligation to the country that expels them illegally and unconstitutionally, demonstrating how loyalty exceeds obligation. (Shklar, 190) If the state refuses to oblige to citizens responsibility, then in return the citizen is not obligated'(dont use quotes-maybe italisize or bold for affect-only try to use quotes for direct ones, otherwise it gets confusing) to obey its state. The tension of loyalty arises as the terms nationalism, betrayal, fear of its own state, and most importantly exile, are questioned. The physical and emotional abuse of state being the push factor of your exile, makes ones belonging to his/her own country meaningless, and makes the other side (wat is the other side?) seem more prominent. If one is loyal to a country, one may choose to stay, though on the other hand, obligation would not last as long as loyalty. Though it may seem easier to exile (maybe u should use flee the country or something, exile doesnt seem to fit) without feeling obligated to his or her state, but the choice is still difficult to make. When loyalty is questioned, one becomes very pessimistic of his or her own conclusions, as loyalty is a feeling that is not reasoned, but is not irrational. Leaving home is not an easy choice for any individual to make, this point has been now stated several times in this essay and has a stronger meaning than one may think. (I dont think u need this sentence to start of this paragraph) Leaving home can be described by the word exile, which can be defined as: someone who involuntarily leaves the country of which he or she is a citizen. (Shklar, 187). Exile can be caused by poverty, fear, war, betrayal of politics and/or injustice. All these elements in ones mind can be judged by the religion of obligation and loyalty. Suffering the threat of exile can sometimes be worse than a soldier taking off to fight in war. My parents also faced a great obstacle which lead them to face the fear of exile. The life story of my parents that has taken place from country to country, Pakistan to Norway, and Norway to Canada. At a young age, my parents moved from Pakistan to Norway in hope for a bright future. Though they were both loyal to their home country, they felt no obligation to stay and change its unstable political state. My mother joined my father after he had established a business and home, and as years passed they both became good citizens of Norway, and my mother joined the government working for the immigration department. Aside from their own professions, they were both journalists working for their own small community in the city of Oslo. As they worked closer with the state, the feeling of belonging became more uncomfortable. This was a kind of state which did not appreciate your religion and/or culture. Hence, Norway can be described as a very nationalist country. At the age of seven, I was sent to live with my aunt in Pakistan to start school there. It was not the knowledge of math or science that was better, but the knowledge of my religion and culture that was very important to my family. Living in a Caucasian (another word for white) society, my parents were scared that I would not be able to interact with the people that surrounded me due to the difference in our religious and cultural beliefs. As the separation (separation from wat?) was starting to become difficult, my parents were forced to search for another solution. As a child, I cannot recall finding it very difficult to fit it (use another word for fit in-its too casual), but as years passed, I realized the ugly truth of being an outcast, and started noticing little incidents where I was treated different then the rest of the group. My parents had always known this reality, but chose to stay silent, thinking it may be ignored. It became more visible when my teacher started behaving different. I was a good student, and when my participation was greater than the rest of the group, I was simply asked to leave the class. As I left, I left with great pain and humiliation. My parents were well settled with a prosperous business and a good life within our home, though the outside reality of life was very constrained. Though they were fortunate in wealth, they were less fortunate in freedom of expressing their own identity. The struggle to seeking an ethnological society led to a search for a better land, where freedom to be oneself was considered as an important right. This is how I ended up in POL81A at the University of Toronto. My parents packed up everything they had worked hard for over the last twenty-four years and migrated to Canada. Being able to attend Friday prayers at mosque or celebrate Eid with joy or simple things like being able to say I am Muslim, were characteristics that mattered the most for my family. Being able to live in an environment of tolerance, acceptance and multiculturalism is like living in peace after war. It is important to note that my parents always obeyed the state, but they lost their loyalty as they lost their identity. The restricted conditions which forced my family to hide their identity, forced us to exile into a strange country, but in hope for a promised land. Politics has formed its behavior into a universal religion, where its faith depends on loyalty and obligation. Comments: ur last argument was very well written.and made up very well might I add ðŸâ¢â neways, I hope my comments help, cuz sometimes I really didnt no how to change some if without really knowing wat the article was about. Good luck!
Friday, September 20, 2019
Reflective Account: Ethical Dilemma Treating Cancer
Reflective Account: Ethical Dilemma Treating Cancer This reflective account will discuss an ethical dilemma which arose during a placement within a community setting. To assist the reflection process, the Gibbs (1988) Reflective Cycle which encompasses 6 stages; description, thoughts and feelings, evaluation, analysis, conclusion and action plan will be used which will improve and strengthen my nursing skills by continuously learning from both good and bad experiences, and develop my self confidence in relation to caring for others (Siviter 2008). To comply with the Nursing and Midwifery Code of Conduct (NMC) (2008) and maintain confidentiality all names have been changed and therefore for the purpose of this reflection the patient will be referred to as Bob. Bob is a forty four year old man who has been receiving aggressive and invasive treatment for several months in the form of chemotherapy in an attempt to cure his Hodgkinsons lymphoma cancer. Throughout the treatment Bob remained positive that he would be able to put the worries behind him and live a normal life with his partner and teenage daughter. However, Bob was unable to control his body temperature, which was a possible sign the chemotherapy had not been successful and was offered further investigations to establish his prognosis. Whilst my mentor who is a Community Matron, was talking to Bob, his partner Sue took me to one side and asked me if the investigations revealed bad news would it be possible to withhold this information from Bob because she felt he would not be able to deal with a poor prognosis and would give up hope. Prior to Bobs original admission the possibility of f the chemotherapy failing was discussed but he refused to consider this was an option and was convinced the condition could be treated successfully. I explained to Sue that this situation was outside of my area of expertise but with her permission would discuss it with my mentor and ask her to contact Sue at a mutually convenient time to discuss further. My mentor contacted Sue and advised her that she would discuss the situation with Bobs Consultant once they had received the results of his tests. However, my mentor diplomatically informed Sue that she has no legal right to insist that information be kept from Robert (Dimond 2005). As expected Bobs test results concluded the chemotherapy treatment was unsuccessful. Considering what he knew of Bob, the consultant agreed it would be advantageous to withhold the diagnosis from him. Therefore it was agreed to discuss Bobs test results with his partner. Thoughts and feelings In the first instance I felt that the Consultant was ethically wrong to withhold the results of the investigations from Bob and not necessarily acting in his best interests. I felt that in order to ensure Bobs rights were protected and to give him the opportunity to be involved in his own plan of care he should be informed of the outcome of the tests. Bob had the capacity to consent and as during my placement would be acting as an advocate for him. I felt that if I was in Bobs position, I would want to know what the outcome of any investigations were and it did not seen right that the diagnosis would be documented in his records and his family and possibly friends around him would be aware of his diagnosis whilst he was kept in the dark. I felt that if we were to visit on a regular basis that I would feel very uncomfortable knowing something that had been kept from him and possibly have to lie to him or avoid answering directly when asked difficult questions. I felt that I would be a ble to have a better relationship and understand the care he wanted if he was told the truth about his condition. I also felt that his family were taking denying him the right to autonomy and th right to make informed choices in his end of life care. Analysis The situation was complex in terms of ethical principles. It was not just a matter of clinical practices but providing the best holistic care to Bob during his forthcoming terminal illness. This situation gave rise to multi-disciplinary team discussions to assess whether the diagnosis should have been delivered to Bob. Standing back from the situation, I realize that my own feelings were perhaps judgmental and that I should have taken a more holistic approach rather than just clinical. It also made me aware of the importance of promoting advance directives to patients in situations where an illness may lead to terminal care Evaluation Today patient autonomy is a highly regarded principle that healthcare professionals promote at all times and is fundamental for all patient interactions of which telling the truth to a patient about their diagnosis and prognosis is part (Dimond 2005). Lo (2009) says to be totally autonomous competent patients have to be told the nature of their illness, recovery prospects, how their illness will develop, treatments available and the consequences of any such treatments to enable them to make an informed choice in order to grant consent to treatment of their choice or refuse treatment they do not want. However this has not always been the case, traditionally, paternalism, where the doctor alone would make a decision about whether or not to inform their patient of the diagnosis used to be the preferred method of treating and caring for patients (Lo B 2009). It is only over the past 20 years or so where it is the norm to share decision making with the patient to enable them to make informed choices in their preferred care and treatment (Boyle 1995). However not all patients want to know their prognosis or take part in their end of terminal treatment and care. A study which took place in 1995 concluded that some ethnic groups were less likely to approve of truth telling in respect of diagnosis than others (Blackwell 1995). The UK is culturally diverse and not all patients and families want or accept autonomy. When a person is sick in some cultures, the family prefers to take responsibility for the medical decisions and often wish to receive the diagnosis and nursing plan before the patient. Although this is often the case within Chinese and Japanese cultures, it does not automatically mean that the request to withhold diagnosis from the patient will be upheld. To add to this complex issue, there may be differences within these cultures, such as recent immigrants and older family members wishing to adhere to cultural traditions and younger family members wishing to practice autonomy (Lo B 2009). Advanced care directives definition are used to enable a person to have autonomy. These ethicalBarbosa da Silva (2002) defines an ethical dilemma as: A situation where a person experiences a conflict where he or she is obliged to perform two or more duties, but realizes that whoever action he or she chooses will be an ethically wrog one. Many experts agree healthcare professionals are faced with many ethical dilemmas when caring for terminally ill cancer patients. Communicating the diagnosis and subsequent prognosis is one of the most common (Kuupelomaki and Lauri 1998)(Roy and MacDonald 1998). It is not unusual for relatives to ask a Consultant to withhold information (Alexander et al 2006) which Kenworthy et al (2002) says family members request out of compassion and love. However, (2006) disagrees and suggests it is often the relatives who are unable to cope and have difficulty coming to terms with the impending prognosis. Dimond (2005) suggests withholding the truth can be harmful or lead to a conspiracy of silence but may be justifiable if it is in the patients best interest not to know. In agreement, Lo (2009) points out receiving bad news can have a negative and drastic effect on a patients view of their future. Nurses have a duty in accordance with their professional code of conduct to act as a patients advocate. Whatever their personal thoughts are in relation to withholding diagnosis from a patient, if the Consultant deems it in the best interest of the patient then a nurse has a duty to adhere to the Consultants decision (Dimond 2005).However Georges and Grypdonk 2002 suggest this can lead to nurses feeling powerless, frustrated and concern when involved in palliative care. Evidence suggests that if a Consultant establishes it is not advisable to inform the patient of the diagnosis or prognosis then it is right to give information to the family (Rumbold 2006). Dimond (2005) states patients have no legal rights to information and therefore if a Consultants believes it is in the best interest of the patient they can refuse to give a diagnosis to them. However, some would argue to withhold information would be considered paternalism (Lo B 2009). Paternalism is when an individual, in this case the Consultant, believes they are in a position to act in the best interest of another individual. Although Bobs welfare is key, the consultant has taken away his right to his autonomy to make future healthcare choices including important end of life decisions by making the decision not to inform him of his diagnosis (Sandman and Munthe 2010). Tingle and Cribb (2005) define this as hard paternalism as opposed to soft paternalism in which Bob would not have the capacity to make an informed decision regarding treatment and care following his diagnosis. The may be in beneficience to the patient but conflicts with autonomy. While considering the decision to not tell Bob the truth regarding his diagnosis, the consultant would have taken into account the ethical principles of beneficence (to do good) and non-malifience (to cause no harm) (Dimond 2005). In Rumbolds (2006) opinion it is wrong to not tell the truth or withhold information from a patient as it denies the patient autonomy and is in conflict with the ethical principles of beneficence and non-malificience. Research carried out by Sullivan (2001) suggests patients believe that Doctors should tell them the truth with a staggering ninety nine per cent of patients wanting to be informed of their diagnosis. However there is evidence to suggest the consultant was right to withhold diagnosis as it can initiate denial, and cause the patient psychological damage (Kenworthy et al 2002). Patients react differently to bad news and Elliott and Oliver (2007) suggests information should given slowly enabling the patient to have enough time to absorb the information given. Sadness, despair, anxiety and depression are feelings patients suffer when faced with life threatening illness. >believes that if healthcare professionals have an open and honest relationship with their patients it enables greater trust (Elliott and Oliver 2007). Bowers and Arnold (2010) agrees with this and adds that an open relationship based on trust enables healthcare professionals to support patients to be in control and make preferred choices with issues relating to their end of life care. However, Kenworthy, Snowley, Gilling (2002) are in disagreement with these statement say to force a patient into to face the trust regarding their diagnosis is both unethical wrong and damaging. Millard and Florin (2006) (nursingtimes) says that patients have different needs which can often be complex and it is important to recognise that some patients choose not be involved, that some individuals do not want to be part of their care but put their trust in health care professionals who are t rained in what they do. Elliott and Oliver (2007) states that a hope is fundamental to a terminally ill persons wellbeing and as such is something to be protected. She adds that hope of a cure whilst facing a terminal illness is an individuals right and helps them to face the final stages of life and points out that if hope is taken away it leaves a patient with only fear. Conclusion This experience has made me aware that good listening, hearing and communication skills are vital to gain a holistic view when dealing with patients and close ones in end of life care. It is also important to liaise with other members of the multi-disciplinary team to ensure that the best possible approach and care is delivered to the patient. It is important not to be judgemental but to incorporate all issues when taking a holistiv view in order to make the right decision. As this was my first experience of end of life care in the community, I was in unfamiliar surroundings and as such not experienced enough to make the right decision in Bobs case. The consultant was correct in determining that Bob was not in a position to accept a poor diagnosis and therefore withholding the information was the correct decision. Action Plan. My action plan is to promote advanced decision and power of attorney Assess holistically and taken into account I also feel than advance directives may have cleared some of this issues and will read about their importance in would have resolved some of this issues and read about their importance and promote their importance when the opportunity arises However, the circumstances surrounding this decision could only be applied to Bobs situation. I believe that as a Nurse I will be involved in ethical dilemmas again however I feel that now I my decisions will be based on each unique patient recognising their own individual needs and wants. Delegation This essay is a reflection of a situation I came across whilst on Community Placement. To assist with this process, Driscolls model of reflection will be used to focus my thought processes whilst learning. Driscolls is a straight forward model which encourages one to return to a situation to understand it better and improve future experiences (Driscoll 2000). To comply with the Nursing and Midwifery Code of Conduct (NMC) (2008) and protect the confidentiality of patients pseudonyms have been used throughout. As required by the first stage of Driscolls model I will describe the event s which took place whilst my mentor was on annual leave and I was assigned to Dianne, another district nurse within the community team. The reason I have decided to return to this situation is because registered nurses should ensure their practice does not compromise duty of care to individuals and at the time I felt that Dianne was delegating duties inappropriately and therefore may have been in breach of NMC requirements (NMC 2004). Whilst assigning the days work Dianne said that it would be a good opportunity for my personal development to go out unsupervised to visit patients within the area to carry out their care and treatment. I was asked to visit a 92 year old patient called Rose who the team visited on two or three times a week to treat a couple of problems. Firstly, she had ulcerated legs which the team were treating with four layer compression bandaging which evidence suggests is the best way to encourage venous return in order to maximise the healing process (OMeara et al 2009). Secondly she had a small sacrum sinus which was packed and redressed. Diannes request put me in an awkward position as I had visited Rose on a number of occasions with my mentor and with her supervision had been able to assess, treat and care for Roses problems appropriately with the exception of applying compression bandages as my mentor had explained to me were only to be applied by staff who had received appropriate training . I am keen to take advantage of any professional development opportunities and improve my clinical skills. However I felt that although I was able to manage most of the delivery of care to Rose as required by the NMC Code of Conduct (2008) applying the compression bandaging was outside my remit and would have been unsafe practice. My feelings were that Dianne was not doing this for my personal development but for her own personal reasons resulting in her abdicating her responsibilities. She did not ask me how I felt about attending patients without supervision or check I had the necessary clinical skills. With this in mind I agreed I would visit Rose, take down her dressings, assess and debride the wound, apply appropriate dressings and the first two layers of bandages. However I requested that Dianne called in after me to apply the compression bandages. Dianne did not appear to be very happy with my request but reluctantly agreed. When I arrived at Roses I introduced myself and explained the purpose of my visit and that Dianne would follow me to apply the compression bandages. I explained at each stage what I was doing, to put Rose at ease, remembering look up and face Rose, so that she could hear clearly what I was saying or read my lips and facial expression as she was partially deaf. As agreed with Dianne I took down the existing dressings, debrided and assessed the wound against the current wound care plan. The wound bed had reduced considerably and although an Inodine dressing had been applied previously, the wound had dried considerably and in my opinion did not require replacing. Therefore I telephone Dianne to let her know of my assessment and it was agreed to dress the wound with a simple NA dressing before bandaging. Whilst at Roses I took the opportunity to update the wound care plan and therefore documented the size of the wound, excudate, smell etc etc and documented all my findings and actions in the care plan. Whilst at Roses I also required to redress the sacral sinus in accordance with her care plan. When assessing the wound I noticed that although her skin was not broken, her sacrum was very red. I had also previously noticed that although she had a pressure cushion sitting on another chair I had never actually seen her sat on it. Therefore I took the opportunity to encourage her to become involved in promoting her own health and explained that her sacrum was very red and that as she sat for long periods of time, it was possibly that her skin would break down, which was why she had been issued with a pressure cushion. We discussed why she did not use the pressure cushion, she said that she did not find it very comfortable in her favourite chair, I explained the benefits of the pressure cushion and we agreed that she would sit in another chair with the pressure cushion in situ for a least part of the day and that we would discuss how she got on next time I visited. Before leaving Roses I documented my assessments, nursing interventions, evaluation and actions in her care plan. The second stage of Driscolls entitled now what will look at the chain of events which has led me to reflect on when it is appropriate to delegate care. Delegation involves entrusting and transferring a task or responsibility to another person who is able to accept responsibility for the task, typically one who is less senior than oneself (Sullivan and Decker 2005, Oxford dictionary 2011). However Wheeler (2004) argues that delegation and abdication amount to the same thing. On the other hand MacKenzie (1998) states that abdication is giving up either by abandonment or resignation and says that whilst delegation can offer potential benefits to both individuals and organisations, many nurses practice abdication which can be attributable to the current economic climate of underpaid and overstretched employees. Whilst I did appreciate that Dianne thought I was capable to deliver appropriate care to Rose I also suspected that she thought it she would have an easier day if she asked me to carry out the more routine and mundane tasks. The NMC standards of proficiency (2004) state whilst nurses should delegate care to others they should also accept responsibility and accountability for such delegation. As a registered nurse under the NMC Code of Conduct (2008) nurses have a duty of care to ensure that patients receive care in a safe and skilled manner. Dianne was not aware if I was competent or not to carry out compression bandaging as she had neither previously worked with me or questioned me about my clinical skills. In line with the NMC Code of Conduct (2008) I understand that I must work within the scope of my professional competence and it is for this reason I refused to apply the compression layer. It is important for organisations and individuations to delegate in order for them to develop and function resourcefully and successfully (Ellis and Hartley 2004). Effective Delegation requires skills in planning, analysis and self-confidence. The tasks to be delegated should be assessed, planned, communicated, implemented, monitored and evaluated (Royal College of Nursing 2006). In the UK, the rate of change is accelerating and the delivery of services are regularly restructured in an attempt to provide the most effective and efficient care to patients (Shepherd 2008). This environment has lead to the evolvement of work from junior doctors to nursing staff such as giving intravenous therapy and with the evolvement of nursing practitioners many agree that the role of the nurse is increasingly difficult to define as the boundaries are constantly changing (Shephard 2008, Spilbury and Meyer 2005, McKenna et al 2006). A study conducted by Ulster University condones that there is much ambiguity amongst the nursing role. It concluded that although nurses are happy with role extensions they have less patient contact as they would like. Some nurses like the role extension of technical jobs, however others see it at the menial tasks Doctors do not want to do (Allen 2002). However this was only a small survey of 26 nurses and therefore may not be a true representation of all RGNs (McKenna et al 2006). It can be assumed therefore that demands on nursing care at times are greater than RGNs can cope with, and therefore increasing expected to to delegate some tasks routinely, traditionally carried out by RGNs, such as personal care (Curtis and Nicholl 2004). Effective delegation can give RGNs more time for other activities which enables them to focus on doing fewer tasks well rather than many tasks poorly and offer HCAs the opportunity to become competent and improved confidence (Kourdi 1999). Shepherd (2008) articulates that it is important for these tasks to be defined and when devolved it should not be at the detriment to the patient. As a result health care assistant (HCA) roles have increased in both numbers and cope of activity undertaken and it is therefore important that all health care staff understand their roles and accountability in the delegation process. Health care staff need to work together in order for patients to receive safe and effective care from the most appropriate personnel (Pearcey 2007). However some nurses find it difficult to relinquish any part of their role and find it difficult to delegate (Wheeler 2004) Zimmerman (1996) suggests this might be because some nurses were trained before delegation skills were required. However Nicholl and Curtis (2004) state that delegation is not an art and but a nursing skill which can be learned and is becoming increasing important in changing times. Delegation also enables health care professionals to train in new skills and broaden their skill range. However Wheeler argues that some could abuse their power of delegation for example to provide themselves with extra breaks while their subordinates may have to forfeit theirs to complete additional tasks. Or one nurse could favour a subordinate resulting in some always receiving more appealing tasks than others. Delegation is a complex process and to successfully delegate consideration should be given to both existing workload and skill mix of staff should be known. Delegation of too many tasks may result in loss of control, but failing to delegate may lead to one member of staff being overwhelmed, overworked and can lead to incompletion of duties and de-motivated and un-cooperative team. Most HCAs give personal care due to the fact they are usually more available than RGNS. Many studies have indicated that RGNS favour the employment of HCAs (McKenna and Hansson 2002). However the MIDRIS (2001) study suggests that care provided by HCAS is task based and fragmented. There are many pros and cons for delegating tasks. Detailed Job Descriptions (JD) may result in staff being reluctant to take on new responsibilities that are not specified on their JD. Others will be reluctant and believe if you want a job done properly do it yourself. This can inhibit delegation leading to nurses being overworked stressed with little job satisfaction (Kourdi 1999). On the other hand Wheeler (2001) suggests effective delegation encourages staff to have a better understanding and be able to influence the way in which work is carried out. She also says that by participating in decision-making it will increase motivation, morale and ultimately job performance enabling the organisation to become more flexible and responsive to change. Effective delegation will enable a business to move forward as new ideas and viewpoints will be encourage and it will better prepare nurses to be able to cope when career opportunities arise (Wheeler 2001). Delegation frees up time to enable a nurse to carry out other duties which cannot be delegated. Although at first the time saved might me minimal once the HCA becomes proficient more time will become available. Fewer tasks are better than many that are inefficient (Kourdi 1999). In order to delegate effectively it important to decide which task to delegate , select the best person to carry out that task, assessing the task in detail and offer clearly the level of authority associated with it, , check the skills and experience of the delegates, follow the task process and assess and discuss the progress (Curtis and Nicholl 2004). Cohen suggests it is right to delegate in order to carry out an organisations needs as long as certain criteria is met such as right task, right circumstance, right person right communication and right supervision. The third stage, of the Driscolls reflection model requires what can be done differently in the future and what actions to be taken. Dianne was right to delegate the more junior tasks in order to ensure the fewer tasks she had were carried out more effectively. However should have verified my competence prior to delegating. If she had communicated with me effectively to assess my competence I would not have felt awkward having to point out that I did not have the skills to carry out compression bandaging and only practice within my capabilities (NMC 2008). In the future in such a situation I would not do anything differently as I believe I have a responsibility for practicing within my own capabilities in line with the NMC Code of Conduct (2008). Had I been a permanent member of staff I would have asked for compression training, however this would have been impractical as I was on placement for only a short period of time. When I qualify this situation I will be aware that I am ultimately responsible for the care of patients even when tasks are delegated to HCAs. I will also ensure that I do not delegate anything that involves critical thinking skills such as nursing assessments, planning and evaluation of patient care and nursing judgement. (take off 90 for references)
Thursday, September 19, 2019
Evaluation of Booz Allen Hamilton Cybersecurity Essay -- Cyber Solutio
Introduction During the process of analyzing an organizations effectiveness to manage cybersecurity risks, there are ranges of security policies that need to be implemented. A prime example of this concept is the cybersecurity policies developed for consulting firm Booz Allen Hamilton. The direct division formed to address the firmââ¬â¢s requirements within cyberspace is the Cyber Solution Network (CSN). The CSN division within Booz Allen Hamilton has a range of policies used to ensure the firm is protected against risk. Cybersecurity Policy Best Practices The use of cybersecurity policies within CSN is to provide security of the divisions assets. The written policies provide guidance on implementation, through references to applicable standards and statements of best practices (Booz Allen Hamilton, 2012). As stated by Control Data Corporation, there is no asset which can be 100% secure; network security is often times focused on strategic prevention or reactive procedures, rather than examination of the security policy and maintaining the operation of it (1999). Therefore analysis indicates that numerous breaches are often due to reoccurring weaknesses in the policy. ââ¬Å"Even the most reliable, state-of-the-art technologies can be undermined or rendered ineffective by poor decisions, or by weak operational practicesâ⬠(Control Data Corporation, 1999, p. 3). The analysis conducted by Control Data Corporation (1999), provides a quality, and precise assessment of adhering to cybersecurity policy. This analysis is organized into several different categories: 1) The Natural Weaknesses of Security Policy The recognition of natural weaknesses is critical for Booz Allen Hamiltonââ¬â¢s Cyber Security Network unit. The action of neglectin... ...n of its assets. Works Cited Booz Allen Hamilton (2012). Booz Allen cyber solution network. Retrieved from http://www.boozallen.com/consulting/prepare-for-whats-next/cyber/cyber-solutions-network Booz Allen Hamilton (2011, October 1). Lab Governance Policy. Retrieved from http://www.boozallen.com Control Data Corporation. (1999). Why security policies fail. Retrieved from http://www.scribd.com/doc/17220213/Why-Security-Policies-Fail Kabay, M. E., & Robertson, B. (2009). Security policy guidelines. In S. Bosworth, M. E. Kabay, & E. Whyne (Eds.), Computer security handbook (5th ed.). New York, NY: John Wiley & Sons. NIST. U.S. Department of Commerce, (2009). National institute of standards and technology sp 800-53. Retrieved from website: http://csrc.nist.gov/publications/nistpubs/800-53-Rev3/sp800-53-rev3-final_updated-errata_05-01-2010.pdf
Wednesday, September 18, 2019
Three Passions Essay -- essays research papers
à à à à à The three passions that have dictated the direction of my life have been sports, friends and family. My first passion, sports, has guided me through temptations such as drugs and dropping out of school and has kept me on the right track. My second passion, much the same as my first has helped to deflect the many temptations of life. It is my friends who have stuck with me through the ups and downs and it is to them that I owe much of what I am today. My third and strongest passion is my family, and more specifically my father. He brought me up as a single father when my mother wanted nothing to do with me; he fought to give me what he could and it is to him that I owe everything. à à à à à Sports, my first passion, has been instrumental i...
The Common Manââ¬â¢s Impact on The Revolution :: American America History
The Common Manââ¬â¢s Impact on The Revolution As I began to research this paper I soon realized that the topic I was looking on would be difficult because of the aspect I was attempting to look at it from. I wanted to see everything from the eyes of those who remained undocumented by the history books. But if Iââ¬â¢m looking for something that isnââ¬â¢t there, how on Earth can I find it? I turned to my paragraphs to show me the light. George Hewes was a lowly shoemaker in Boston in the pre-revolution years, and was written about by Alfred Young. But what did the author leave out, and why was he biased towards the young patriot. Alfred Young is a well-known writer on the topics of the Revolution, and events leading up to. He wrote a essay called ââ¬Å"The Shoemaker and The Revolutionâ⬠, about George Hewes and the affects this man made on the revolution. One of the first things you notice about the essay is the title itself, which uses the specific title of ââ¬Å"shoemakerâ⬠for Hewes, to catch your attention. He pays specific care to the details and even uses the examples of two actual colonial time writers: James Hawkes and Benjamin Thatcher, who both at one point interviewed Hewes. He remains almost totally unbiased in his paper because he chooses only to tell the story of Hewes and the adventures he lived in his home-town of Boston. When I started this project I had no idea what paragraphs I was going to use, and actually randomly picked some out when we were told we had five minutes left to e-mail them. After reading over the pages I picked I decided to do two paragraphs from one essay written by Young, that asks the questions I wanted to ask, and then another one on Hewes because he is a primary interest of mine. He shows that it is true, that even the smallest person in a revolution has their affect.
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