Literature review Essay Example | Topics and Well Written Essays - 2000 words - 16

Literature review - Essay Example The study revealed that the patients’ wellbeing improved with better nurse staffing ratios such as skills and the hours of work spent on the patients (Castle & Anderson, 2011). Nurse staffing is an imperative aspect in determining the quality of services offered in hospitals and patient outcomes. Nurse Staffing Ratio and Quality Outcome in long-term care. I selected this topic because of the existence of research gaps on the topics investigating the existence of inefficient services in many health facilities and homecare due to understaffing. However, before examining the connection between clinical outcomes and nurse staffing, it is imperative to note that this research faces common challenges that are likely to crop up during the process of designing the staffing outcomes. For instance, the issue of getting suitable data sources that are reliable; correct measures for patient outcome and staffing and the problem of establishing authentic linkages between the two variables to come out with valid conclusions. According to Spilsbury et al. (2011), nurse staffing is a primary responsibility of the hospital administrators. The researchers go ahead to pinpoint budgetary constraint considerations and the nurse labor markets as some of the factors that influences nurse staffing ratios in hospitals. Moreover, according to the agency nursing staff model the hours assigned to each staff in a subunit within the facility and nature of supervision form another set of elements that significantly influences the nurse staffing (Spilsbury et al., 2011). The quality of care provided by the nurses is greatly influenced by the characteristics of the individual nurse such as fatigue, knowledge, and experience. The quality of care is also, affected by the system in which nurses work because it involves staffing levels and the needs of patient under care; organization of colleague officers, their availability, support services as well as

The Church as Forgiving Community Essay Example for Free

The Church as Forgiving Community Essay Summary The topic covered by this article is about the power of forgiveness and the Church posing as the initial model of a forgiving community. Forgiveness interventions have shown to decrease anxiety, depression and anger while increasing self-esteem and hope. (Magnuson Enright, 2008) The article focuses on the process of forgiving as a learned action that must be practiced and performed in order to truly master it. The process is two-fold in both providing and receiving forgiveness. The article focuses on promoting the essential moral trait of forgiveness in children within their central communities and the establishment of these communities, referred to as â€Å"The Forgiving Communities†. These communities include three interdependent categories: the family, the school, and the Church. The article introduces two process models of forgiveness; Robert Enright’s process model which breaks down forgiveness into a four phase process that includes uncovering anger, deciding to forgive, working on forgiveness and the final outcome. Worthington’s REACH model breaks down the forgiveness process into recalling the offense, empathizing with the offender, gifting the offender with forgiveness, committing publicly to forgiveness and holding onto the forgiveness one has achieved. Both models agree that empathy for the offender is vital to the forgiveness process. These models were tested amongst select primary schools in Belfast, Northern Ireland, in which forgiveness interventions were held with children with notable success. The article proposes that the Church could be utilized as a similar model in which it serves as Forgiving Community in which all levels of leadership would cater to the community from infancy through adulthood with various types of programing and education. Personal Response I was interested in this article because I know how detrimental it can be to hold onto forgiveness. Throughout my 18 years of service in the U.S. Air Force, multiple deployments and several assignments in leadership, I have witnessed how holding onto past wrongs can eat away at you like a cancer and often time, it goes unnoticed until truly identified and examined by self-identification or through third party intervention. I have been involved with several situations in which members deploy into a combat zone and return different people. Many have been wronged by a common enemy and struggle to even examine the idea of forgiveness. Many soldiers carry around this pain and baggage for years without ever truly recognizing exactly what they are holding onto. The Church can be vital to this recognition and the recovery process. The article relayed how the Church can play such a vital role as a Forgiving Community reaching to all members of the family from child to adult. It was also interesting how among the various levels of leadership and roles in the Church, each one was able to offer their own gifts and talents providing to the community. It relays how a community must be all-encompassing feeling of safety and opens not only to give forgiveness, but to accept forgiveness as well. I would like to further investigate this topic by researching small group studies on forgiveness that are available through my own local Church community. I am part of a small group that meets regularly and would like to incorporate the topic into our lessons. In addition, I see that Robert Enright has done a vast amount of research on the topic and has produced many works as a result. One of the books that I would like to read is his Forgiveness is a Choice: A Step-by-Step Process for Resolving Anger and Restoring Hope (2001). I understand that it is something that we must decide to do. Until we make the first step to accept and be willing to forgive, or be forgiven for that matter, we will bear the ever increasing weight of the wrong and carry it with us throughout our journey through life darkening our  outlook and damaging our hope. Application The setting for the application of the information in this article would be the Aviano Center, a small non-denominational Church located just outside of the Aviano Air Force base in Pordenone Italy. The client who came in for our session was a 30 year old wife and stay-at- home mother of two toddlers whose husband was currently deployed to Afghanistan. They had lived in the area for about 4 months before he deployed and he is currently 5 months into an 8 month deployment. She states that she can no longer deal with the children. She has found herself trying to cope alone and often finds herself losing her patience and yelling at the children. She is afraid that she is going to end up just like her mother, who she resents because of the verbal and physical abuse that she had put her through when she was a child. She is ashamed and embarrassed about her situation. She approached me because I am one of the leaders at Aviano Center and she knows that I am in the military and also the â€Å"Life Group† facilitator who organizes the small groups for our Church. In addition, the group that I host is particularly for those families whose family member is about to deploy, is deployed or recently returned from a deployment. In the meeting with this member, I would attempt to get her to realize that she is potentially dealing with several issues, with forgiveness and resentment potentially playing a major role in them. She may be holding on to past wrongs committed by her mother and past and present wrongs that she has committed herself. I would walk her through the forgiveness process and highlight that it is a learned trait that must be practiced. I would explain that forgiveness involves both granting and receiving forgiveness. I would explain the forgiveness models, the details of those models and explain that the Church can be a model of a forgiveness community. Additionally, I would reiterate that she is not alone in feeling the way she does, in fact I would offer that there are many who feel similarly right within the Church making her aware of the current small group focused on the facilitation of the forgiveness process. I would encourage her that these groups are a caring  community that respects confidentiality. Regardless of where the conversation led, in closing, I would ask her if she would like to pray with me. I believe that God has enabled us with this ability to communicate to encourage, provide hope and comfort in situations just like this. While this may not be appropriate in all situations, depending on the client, I believe it is all too often overlooked, especially amongst believers. Reference Magnuson, C.M., Enright, R. D. (2008). The church as forgiving community: An initial model Journal of Psychology Theology 36(2), 114-123.

A Holographic Interpretation of the Scarlet Letter :: Scarlet Letter essays

A Holographic Interpretation of the Scarlet Letter Comprehension of anything requires a framework already in place in order to place it in out sphere of reference. Especially those that are "fuzzy" or difficult to nail down. The brain and the atom are not fully understood, but by comparing functions, structures, and similar operations to known items or concepts one can obtain a hold on the unknown and even extrapolate unknown processes from known ones. (For example, the brain is similar to a computer. They both have memory, input/output, and similar structures-transistors to synapses.) This technique works with literature and a deeper understanding a grasp of a book's meaning becomes possible. The Scarlet Letter can be viewed through an understanding of the operation and production of holograms. First, an understanding of the holographic process is needed before any comparisons are possible. First and foremost a hologram requires a source of coherent wave- like energy. The second is a recording medium of extremely high resolution to record the microscopic interference patterns of light. The third major requirement is utter stability and freedom from vibrations. As for producing an actual hologram, here is described a two-beam transmission holograph. (So named because viewing it requires shining the same coherent light back through it) The laser is placed on a platform in the sand and a mirror directs the light diagonally across the table. A beamsplitter divides the beam into two parts. One goes to a mirror that directs the light through a spreading lens onto the photographic plate at an angle. The other beam is bounced off a mirror and through a spreading lens onto the object to be holographed. The table is allowed to settle and an exposure made. The light from the first beam, called the reference beam, and the reflected light from the object combine to produce microscopic inte rference patterns through constructive and destructive interference. Since light is a wave, when two coherent beams intersect depending on their phase they either add or subtract strengths forming areas of lightness and darkness that are captured by the photographic plate. After development the hologram is viewed with light from the same laser at the same angle as

Math quiz

GIF Emma is creating gift baskets with scented soaps and bottles of bubble bath. She has 15 scented soaps and 6 bottles of bubble bath. If she wants all the gift baskets identical without any items left over, what is the greatest number of gift baskets Emma can make? In preparation for a party, Dante is putting desserts onto platters. The chocolate cake is cut into 8 pieces and the cheesecake is cut into 16 pieces. If he wants to prepare identical platters without having any cake left over, what is the retreat number of platters he can prepare?LLC Alice and Christina are studying a set of new words for Spanish class. Alice decides to break the set into lists of 17 words. Meanwhile, Christina creates lists of 6 words. What is the smallest number of words there could be? Danny and Karakul are fishermen who, by coincidence, caught the same number of fish this week. Danny caught fish in nets that hold 12 fish, while Karakul caught fish in nets that hold 8 fish. What is the minimum number of fish each must have caught?Mug He's Bath Shop sells bars of soap in boxes of 16 bars and bottles of soap in boxes of 19 bottles. An employee is surprised to discover that the shop sold the same number of bars and bottles last week. What is the smallest number of each type of soap that the shop could have sold? Race to simplify fractions in this fast-paced game! All you need to play is a deck of cards, paper and pencils. Shuffle the cards, and you're ready to get started. Simplifying fractions is an essential skill for every math student in the fifth read or higher.Students need continued practice with simplification in order to successfully add, subtract, multiply and divide fractions. Play this game again and again and work towards mastering this important concept! What You Need: Deck of playing cards (with face cards removed) Even number of players Paper Pencils What You Do: 1. Create a fraction bar sheet by drawing a line across a piece of paper. 2. Set up the game so that th e players face one another. For each pair of two players, you'll need to rate a separate fraction game board. . Shuffle the deck of cards. 4. Distribute the deck evenly between two players. 5. Have the players place their decks face down in front of them. 6. To start playing the players should simultaneously turn over a card from their deck and place it on the fraction bar sheet. Each player should place one card above the fraction bar. The cards above the fraction bar represent the numerator. 7. Then the players should place one card below the fraction bar. The card below the bar represents the denominator. 8.There should be a card above the bar and a card below the bar, giving you four cards total. 9. The first player to correctly simplify the fraction shown by the cards wins all four cards. If a tie results, split the cards evenly. 10. If the fraction can't be simplified, each player should collect the card that the other player put down and position it at the bottom of his deck. 11. Play continues until one player has accumulated all of the cards. 12. Alternatively, you could set a time limit on the game. When time is up, the player with the most cards wins!

Effectiveness Male Mental Health Care Health And Social Care Essay

This survey attempts to carry on a qualitative analysis of the efficiency of mental wellness attention places in the UK. The survey will be based on semi structured interviews of some occupants in one such establishment in Manchester Suburbs, aged between 10 and 18. A elaborate literature reappraisal will besides be carried out on the subject. The survey aims at pin indicating major jobs which immature occupants of mental wellness places are confronting. It besides aims at foregrounding the hinderances faced by immature males while life in a residential place with mention to what they have already gone through. It is hoped that this survey will come in utile for such installations to better their services in the hereafter. It is the responsibility of mental wellness attention places to measure and measure their patient services from clip to clip and to inform the governments about them so that some action might be taken for betterment. Mental wellness attention residences in UK have a batch of restrictions. These include deficiency of good trained staff, a general deficiency of empathy among the staff, deficiency of proper resources to provide the particular demands of its occupants and deficiency of proper communicating with the occupants. These jobs are even more enhanced when it comes to male patients. Males normally do n't reach societal support systems such as residential mental wellness attention plans unless and until they feel that now their state of affairs is out of their control. This magnifies the jobs because males in such establishments are normally less than females, but are more chronic. Since this is a qualitative survey, it will use qualitative methods of informations aggregation. Best method for such a survey is that of semi structured interviews, because such a agenda provides an chance to the interviewer to obtain maximal information of diverse nature out of the topic. In the Information bulletin ( 2007 ) of Centre for wellness service development, the Author provinces: ‘Semi-structured interviews focal point on a list of cardinal subjects or inquiries that the interviewer wants the respondent to turn to ‘ . This is a really suited method of informations aggregation for this research since it attempts at researching the subject. The research worker is non looking for any specific replies ; instead an effort is being made to happen out whatever at that place is to cognize about the effectivity of mental wellness attention residential institutes for males, and to hold an penetration of service user position. Literature Reappraisal: Mental wellness jobs can impact the whole life of persons. Many surveies have been conducted in the yesteryear, look intoing different issues related to mental wellness. Following is a reappraisal of some such surveies:Franz and Barker ( 2009 ) conducted a survey to place different Barriers to Care for Primary Care Physicians Treating Patients with Alzheimer Disease. They concluded that the chief jobs were entree to and communicating with mental wellness specializers, hapless reimbursement policies, and uneven geographic distribution of good trained staff in such installations.Harmonizing to the World Health Organization:‘Gender prejudice occurs in the intervention of psychological upsets. Doctors are more likely to name depression in adult females compared with work forces, even when they have similar tonss on standardised steps of depression or present with indistinguishable symptoms. Gender differences besides exist in forms of aid seeking for psychological upset. Womans are more likely to seek aid from and unwrap mental wellness jobs to their primary wellness attention doctor while work forces are more likely to seek specializer mental wellness attention and are the chief users of inpatient attention ‘ .There is considerable sum of prejudice against people with mental wellness jobs among the wellness service suppliers. As cited in the ‘Science daily ‘ , Dr Alex Mitchell and his squad conducted a survey in 2009 to look into hinderances in entree to proper mental wellness attention services. They found out:‘Despite similar or really more frequent medical contacts, there are frequently disparities in the physical health care delivered to those with psychiatric unwellness with frankly poorer attention offered to ( or accepted by ) those with preexistent mental wellness jobs. ‘Patients are besides a spot colored about mental wellness issues. They normally avoid seeing a mental wellness professional. Many of them address their mental wellness jobs to their doctors instead than some mental wellness specializer. Vivian Kovess and co-workers conducted a survey in 2007 to look into the motivation factors in seeking professional aid for mental wellness issues. They found out that: ‘More than half of the sample would see their general practician foremost and frequently would go on with the general practician for followup. Mental wellness professionals were mentioned far less than general Practitioners ‘ . They besides found out that factors like age, instruction and societal support besides affect the seeking of professional mental wellness services.they concluded: ‘General Practitioners are frequently the point of entry into the mental wellness attention system and demand to be supported. Public information runs about mental wellness attention options and interventions are needed to educate the populace, extinguish the stigma of mental unwellness and extinguish biass ‘ . Due to gender functions assigned by society, among patients with mental wellness jobs, adult females are more likely to describe as compared to work forces. In 2009 a research was conducted by Bader and Sinha. Their survey was manifold and was conducted on an Iraqi sample. One of their many findings were: ‘Interviewees describing supplanting as a cause for necessitating mental wellness services were twice every bit likely to be female ‘ . HARP conducted a DH funded survey in 2003. Its intent was to place Bridges and Barriers into mental wellness of refuge searchers. They concluded: ‘The bulk of the male participants in the community audiences felt that work forces in their state of beginning faced specific force per unit areas that did non ease the self-acknowledgement of emotional or mental wellness jobs and that early socialisation in most civilizations did non promote work forces to speak about their jobs ‘ . A survey ( as cited in Dr Anderson Stanciole ‘s article ) on ‘Quality of and entree to wellness attention services ‘ was conducted by HEALTH QUEST under the European Commission. This was aimed at analysing the barriers of entree to mainstream wellness attention services for people at hazard of societal exclusion. Eight states were studied in deepness. They found out that there was a really complex state of affairs in supplying wellness attention installations to migrators. One issue was of multicultural scene. The migrators had communicating issues. They could n't understand instructions or state their jobs decently. Second job was that the professionals had no information of their medical history and besides no manner to achieve it. So, along with prejudice, cultural issues like linguistic communication and brought up manner besides pose a barrier in supplying wellness attention services. Sometimes the mental wellness supplying installations have so complicated processs of admittance, that the aid searcher is discouraged automatically. â€Å" A cardinal challenge some groups of refuge searchers face is right set abouting the procedure of using for protection † . ( Guylim Croucher 2007 ) A survey by Gordon Paul, conducted in 1988, cited in Neal & A ; Davison ( Ninth edition ) suggests that even in the best residential mental wellness attention places, the Patients do non hold optimum contact with healers or psychologist. The clinical staff spends what is even less than one 4th of their entire on the job hours with the patients. Discussion: Service provided to immature males in mental wellness attention establishments in UK is non every bit good as it is expected to be. â€Å" We have seen many instances where the proviso of wellness attention to refuge searchers has fallen significantly short of what would be accepted as a minimal criterion of attention under international human rights criterion † ( Joint Committee on human rights: grounds. P.173 ) Mental wellness is a really huge term and residential mental wellness attention professionals need to concentrate on all the facets of mental wellness. For case, some of the males who were interviewed during the survey pointed out that they had trouble in making the mental wellness attention professionals. Residents in such institutes require proper counsel and reding. They will non profit from the installation if a professional is non available for them most of the clip. Some patients who are non native have besides pointed out linguistic communication issues. The residence should engage proper professionals and perchance an translator for such patients. Bias among the staff was besides reported in some of the semi structured interviews. If the professional mental wellness staff will be biased against people holding mental wellness issues, so there is small opportunity for a life clip improvement of patients. Such immature males are already subjected to a batch of prejudice and unfavorable judgment that can hold a permanent consequence on their lives. They deserve a bias free environment at least inside the installation. One good thing about the mental wellness attention institute is that the professionals over there arrange meetings with the patient ‘s relations and attention takers from clip to clip to educate them about mental wellness issues that their beloved 1s are confronting. Decision: In visible radiation of literature reappraisal and above treatment, it can be concluded that despite supplying mental wellness attention and installations to immature males, mental wellness attention residential places need to be improved. Hiring of professional, un-biased staff is required. Handiness of and entree to good trained psychologists and clinical psychologists is a must. Young males are more unfastened to therapy as compared to medicine, so counseling Sessionss should be encouraged. Some residential mental wellness attention centres do non carry through the demands of the patients. They should increase their support to run into the basic demands of the occupants. On the whole it can be said that these institutes have both, virtues and demerits. Some issues like colored attitude, handiness of professionals, adequate psychotherapeutics Sessionss and physical demands in such installations need to be addressed. Mentions: Anderson E. Stanciole, Manfred Huber ; 2009. Access to wellness attention for migrators. Policy Brief. ( Internet ) . Available at: hypertext transfer protocol: //www.euro.centre.org/data/1254748286_82982.pdf. ( Accessed: 20 may 2009 ) Bader F, A Sinha R ; 2009. Psycho-Social wellness in displaced Iraqis ‘ . Pubmed. ( online ) . Available at: hypertext transfer protocol: //www.ncbi.nlm.nih.gov/pubmed/19806555. ( Accessed: 20 may 2010 ) Croucher, G. 2007. The challenge of assisting refuge searchers. ASPA Conference. ( Internet ) . Available at: hypertext transfer protocol: //docs.google.com/viewer? a=v & A ; q=cache: tdsC0kpPXDAJ: arts.monash.edu.au/psi/news-and-events/apsa/refereed-papers/au-nz-politics/croucher. ( Accessed: 20 May 2010 )Fraz, C.E & A ; Barker, J.C 2009. When aid becomes a hinderence. American Journal of Geriatic Psychology. ( online ) .Abstract from Geriatic Psychiatry Database. Available at: hypertext transfer protocol: //journals.lww.com/ajgponline/Abstract/publishahead/When_Help_Becomes_a_Hindrance__Mental_Health.99920.aspx. ( Accessed 20 may 2010 )Gender disparities and mental wellness: The Facts. World Health Organization. ( online ) . Available at: hypertext transfer protocol: //www.who.int/mental_health/prevention/genderwomen/en/ ( Accessed: 20 May 2010 )HARP, 2003. DH. ( Internet ) Available at: hypertext transfer protocol: //www.networks.nhs.uk/uploads/06/03/refugeeconf/lane.ppt ( Accessed 20 May 2010 ) . Joint Comitee on Human Rights.Provision of wellness attention 10th study of session 2006-2007. ( Internet ) Available at: hypertext transfer protocol: //books.google.com.pk/books? id=p_m-YfqqPmsC & A ; pg=PA173 & A ; dq=problems+faced+by+mental+health+care+seekers & A ; hl=en & A ; ei=2KD1S5ycGMufrAeNgIX3Cg & A ; sa=X & A ; oi=book_result & A ; ct=result & A ; resnum=1 & A ; ved=0CC4Q6AEwAA # v=onepage & A ; q=problems % 20faced % 20by % 20mental % 20health % 20care % 20seekers & A ; f=fals ( Accessed: 20 may 2010 )Mitchell, A 2009. ‘People With Mental Health Problems Receive Inadequate Medical Care ‘ . Science Daily. ( cyberspace ) .June 4, 2009. Available at: hypertext transfer protocol: //www.sciencedaily.com/releases/2009/06/090602083721.htm( Accessed: 20 May 2010 ) Neal & A ; Davison 1997. Abnormal Psychology. ( Ninth Edition ) . Available at: www.wiley.com/college/davison ( Accessed: 21 may 2010 ) Taylor & A ; James 1977. Secret of life album. ( Internet ) . Available at: hypertext transfer protocol: //mentalhealth.about.com/cs/stressmanagement/a/whatismental.htm ( Accessed 21 May 2010 ) Viviane, K & A ; Delphine, S 2007. Motivating Factors for Mental Health. BMC Public Health. ( Online ) . Available at: hypertext transfer protocol: //www.medscape.com/viewarticle/563591. ( Accessed: 20 May 2010 ) Qualitative research methods. Information Bulletin, CHSD. ( Online ) .Vol I. available at: hypertext transfer protocol: //libweb.anglia.ac.uk/referencing/harvard.htm? harvard_id=34 # 34 ( Accessed 20 May 2010 ) .