...Applying Ethical Framework in Practice Grand Canyon University: NRS – 437V June 14, 2015 Ethics and Nursing Practice This paper will address the use of the Uustal’s decision making models in regards to analyzing a specific scenario that has precipitated an ethical dilemma in regards to providing medical care. The scenario consist of a 6-year-old who has developed a high fever accompanied by violent vomiting and convulsions while at school. The hospital physician makes a diagnosis of meningitis and requested to begin treatment. The child’s parents are divorced with the mother, who is not the biological parent retaining custody. The mother is a Christian Scientist and is refusing medical treatment due to religious reasons. The child’s biological father requests that treatment be provided and that another independent physician be consulted in regards to the care. The Ethical Dilemma A large responsibility of being a parent to make decisions on how to best care for their children. This encompasses how to best discipline them, what activities they may engage in, what foods they eat, and the medical care they receive. Parents have a duty to assure that the decisions they make take into account what is in the best interest of their child. As medical personnel we are both ethically and legally responsible to advocate for our patients. When a parents decisions may likely cause injury, be abusive, or be derelict it is our duty to address that decision. Medical personnel...
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...Title: Nurse Practitioner V.S Physician Assistant Yvonne Barker English: 102 Date4/6/2013 People rarely see medical doctor anymore. Patient is more like to have appointment with a Nurse Practitioners NP, Are a Physician Assistant PA. Both nursing practitioner and physic assistant can play the roles in healthcare practices. Patient is in good hand, weather we are treated by a PA or a NP. The different between a nursing practitioner and a physician assistant NP favor the nursing model while the PA favor the medical model. Education to become a nurse practitioner (NP) requires coursework and clinical rotations beyond that required of the RN. Curriculum includes, but is not limited to, courses in epidemiology; nursing theory; health promotion; pathophysiology; physical assessment; pharmacology; differential diagnosis and laboratory/radiography diagnostics; statistics and research methods; health policy; role development and leadership; acute and basic chronic disease management (e.g., adults, children, women's health, geriatrics, etc.); and, clinical rotations, which varies depending on the program. MSN programs also require a clinical research project. There are a variety of paths to becoming a licensed nurse practitioner in the United States. Typically, the process begins with obtaining a Bachelor of Science in Nursing (BSN, usually 4 years), followed by a Master’s of Science in Nursing (MSN, usually 50 credits). The flexibility of the MSN degree allows students to...
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...one’s area of interest, and engaging professionally in the field by attending conferences and other learning opportunities. Scholars master their areas of study but may not necessarily apply their knowledge base in the field. A practitioner is defined as one who practices an occupation or technique (Websters, 2007). Practitioners, in a broad sense, are visible in all fields of the social sciences and psychology under varied position titles. A practitioner is one who is capable of applying the scientific knowledge and research in psychology to his or her emphasis area. I believe that becoming a scholar (knowledge)-practitioner (application) is a process that involves both study of theory and research leading to mastery of one’s emphasis area of interest and the ability to apply that mastery to real world issues. Scholar-practitioners take their knowledge and use it to synthesize, evaluate, and add to their chosen profession. The practitioner-scholar learns to integrate clinical and professional experience with empirically based knowledge, academic and scientific research. This model usually refers to masters-level students and graduate programs. The model that best describes the position I am in right now is the practitioner-scholar model. Currently, I am beginning to further develop the necessary skills to process, evaluate, and contribute to the scholarship of psychology. Through my graduate study at Capella University, I hope to gain a better direction of what...
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...and Cognitive Study, George Mason University, David J. King Hall, 4400 University Drive, 3064 Fairfax, VA 22030-444, USA Accepted 12 September 2003 Abstract Leadership theory has not lived up to its promise of helping practitioners resolve the challenges and problematics that occur in organizational leadership. Many current theories and models are not contextualized, nor do the dynamic and critical issues facing leaders drive their construction. Alternatively, practitioners too often approach leadership problems using trial and error tactics derived more from anecdotes and popular fads than validated scientific data and models. Yet, while this gap between theory and research has bedeviled the leadership community for much of its history, there have been few if any systematic examinations of its causes. In this review, we have sought to highlight the particular barriers on the leadership practice and theory-building/testing constituencies, respectively, that constrain efforts to integrate them. We also offer a number of propositions and guidelines that we hope can break through these barriers and help stakeholders create a more effective leadership theory and practice symbiosis (LTPS). Finally, we have offered two cases of effective LTPS as examples and models for such integrative research efforts. D 2003 Published by Elsevier Inc. Keywords: Leadership theory; Leadership practice; Leadership action research 1. Introduction The greatest handicap of applied psychology has been...
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...Comparing Jean Watson’s Theory of Human Caring And The Neuman Systems Model Jayanna Volm Concordia University Comparing Jean Watson’s Theory of Human Caring And The Neuman Systems Model Nursing frameworks and conceptual models are imperative as a foundation for nursing practice. These frameworks provide recognition, understanding, and the ability to manage phenomena in which nursing comes into contact. These frameworks also provide the nurse with a systematic approach to interventions and goal attainment. The purpose of this paper is to compare Neuman Systems Model to Jean Watson’s Theory of Human Caring. According to Alligood and Tomey the Neuman Systems Model is classified as a nursing conceptual model. “Nursing conceptual models are concepts and their relationships that specify a perspective from which to view phenomena specific to the discipline of nursing. Different conceptual models provide various perspectives or frameworks for thinking critically and making nursing decisions” (Alligood & Tomey, 2010, p. 223). The nursing conceptual models are comprehensive and define the metaparadigm according to their framework. Tourville and Ingalls categorize the Neuman Systems Model as a systems model. They define a systems model of nursing as viewing “the person as a multidimensional being who reacts continually to a world of stressors” (2003, Systems Model, para. 1). Systems may be organizations, communities, businesses, or social structures. Within the large...
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...a. Which model was used in this case? The model that was used in this case was the Action Research Model. The organizational development practitioner facilitated a lot of steps that this model discussed. Stating that the organization due to new law has to transfer the operation of San Diego’s airport to the SDCRAA by January 2003 identified the problem identification step. Thella Bowens also consulted with a Behavioral Science Expert when she participated in the Aviation division’s strategic planning process in 2001. Another step that identifies this model was used is how “data gathering and preliminary diagnosis” was done by Ms. Bowens putting twelve functional teams together responsible for collecting data, establishing new or parallel functions for the new SDCRAA and highlighting any issues related to the startup of that particular function. “Feedback to key clients or groups” step was also used. i. Discuss whether or not the correct model was chosen, and how the situation in this case may have varied from the models discussed in your text. The model chosen in order to undergo the planned change initiative of transferring the operation of San Diego’s International Airport to that of the SDCRAA by January 2003 was a good choice for Thella Bowen and her interim advisory board—Action Research Model. It was discussed that data was collected in order for Bowen to familiarize herself with the issue at hand. Also, it was told that Bowen “[revised] the existing strategic...
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...Organizational Psychology PSY/428 March 22, 2013 Organizational Psychology Working within a large group is often a difficult and stressful task. The differing personalities, egos, and ideas can result in dissension amongst peers. Failure to work as a cohesive unit regularly results in an inability to achieve tasks as a group, while proper communication and stability within the group can achieve success. Organization psychologist strive to understand how differing personalities work together and how different people can be utilized in various positions to work in a complex unit or organization. What is Organizational Psychology Organizational psychologist focus on the research and investigation on the actions and behavior of individuals within an organized group. The various groups of consideration can often times vary, however some of the more common influences include, but are not limited to churches, workplaces, and schools. This field of study strives to understand not only how individuals act within an organized group, but also how differing personalities and traits can intermingle and reach to one another, in the formation of a cohesive and productive group. Organizational psychology is important because it can be used to investigate each and every position within an origination to understand the behavioral components that make up an individual placed in that particular role. Investigation into the role can help yield higher...
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...of Website for Credibility: American Association for Nurse Practitioners Aman Verma Chamberlain College of Nursing NR500: Foundational Concepts and Applications September 18, 2013 Evaluation of Website for Credibility: American Association for Nurse Practitioners American Association for Nurse Practitioners (AANP) is a national professional membership organization for NPs of all roles. The purpose of their website is to support and transform the dynamic roles of nurse practitioners (NPs) as prime providers into patient focused healthcare. Being in the family nurse practitioner program fueled my interest to this website. I aspire to enhance my knowledge by investigating and educating myself on further roles of NPs in the community, acute care settings, administrative positions and tertiary care centers. The response to my discussion thread this week regarding legislations and regulations for nurse practitioners (NPs) grasped my attention for AANP as it is equipped with the information. The search engine that was used to locate the website is the Google. The domain name for AANP is aanp.org and the Uniform Resource Locator page address is http://www.aanp.org. American Association for Nurse Practitioner (AANP) is governed by a designated Board of Directors, which consists of 7 Executive Committee, 11 Regional Directors and 2 members. The board members are highly qualified NPs with Doctorate to Masters in Science degrees with an NP certification. Most of the board members...
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...Chapter 1 Expanding the Gates of Perception Christopher Johns Aldous Huxley (1959) reflected on his experience of taking mescalin and its impact in enabling him to access the greater ‘mind at large’ and in doing so to circumvent the brain and nervous system as some sort of reducing valve. In other words, taking mescalin blew fuses and opened Huxley’s mind to perceive things in new and different ways. Hence the title of his book, The Doors of Perception. As we go about our everyday business we take the world largely for granted and respond habitually. Meaning is projected into events that enable us to take things in our stride, and in doing so, reinforce our sense of self. Thus the multiple doors of possibility are not always visible: instead, existing knowledge and experience are defended as if the ego itself is threatened. The more we know, the more threatened we become when that knowing is challenged. A certain degree of anxiety and fear is useful for learning (see Joyce 1984; Casement 1985; Freshwater 2000). However, too much fear and anxiety is not conducive to learning. Perhaps we all need mescalin in the morning to heighten our perceptions, to lower our defences and open ourselves to possibility. From a Buddhist perspective we are caught in a world of samsara, depicted by the cock, the snake and the pig – craving, aversion and delusion respectively – who chase one another around and around, locked into a world of greed, hate and ignorance. It is a restless world of...
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...parents (Medical model vs social model, 2007). These ideas still remain some power, in different cultures. Before the development of medical science, quasi – religious views of health and illness were dominant, whereby illness was connected with sin, penance and evil spirits. This dominant view had conceived the body and soul as a sacred entity beyond the power of human intervention. The influence of scientific disconnect, linked diseased organs with symptoms observed before death. Pasteur’s germ theory, eventually endorsed a belief in the separation of body and soul. This view came to be known as mind/body dualism, referred to a Cartesian dualism after the philosopher Rene Descartes 1590-1650 which refers to a belief that the mind and body are separate entities, which ignores the psychological and subjective aspects of illness. Descartes suggest that although the mind and body interacted with one another with the say of “I think therefore I am”. He identifies that the brain was part of the physical body, whereas the mind existed in the spiritual realm. Therefore medicine could rightly practise on the body while religion could focus on the soul (Capra, 1982; Porter, 1997). This created their intervention of the biomedical model, as disease was then seen as located in the physical body and the mind was considered unimportant. In the 18th century came a more scientific understanding of the causes of impairment and with it a sense of confidence in medical sciences ability to cure...
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...Jean Watson’s Caring Theory Nurses’ responsibilities to their patients are continually changing with the times. Jean Watson formed the “caring theory” to convey the significance and emphasize nursing as a diverse health profession. Using the Jean Watson’s caring theory enables nurses to maintain their perspective on caring for patients when overwhelmed with increased acuity, responsibility and workload. With the increase of patients and their needs, nurses often replace the caring attitude with an attitude of arrogance and hurried tasks, leaving patients and family members with belief that nurses believe they are here just to perform a job. By applying the Watson caring theory in caring for patients, “it allows nurses to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization” (Cara, 2003, p 2). Watson believes it is crucial that nurses apply caring values to their practice because it is essentially a byproduct in discovering the meaning of the nursing profession (Theory of Human Caring, n.d.). The foundation of this paper is to expound on the caring theory Jean Watson designed “to bring meaning and focus to nursing as a distinct health profession” (Cara, 2003, p 2). Description of the Theorist In the 1940’s, Jean Watson was born in West Virginia in a small town in the Appalachian Mountains. In 1961, graduated from the Lewis Gale...
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...evolved, it fostered a new phase of activities known asmanagement are _______________ and _____________. | | | | a) large group interventions | | b) reward system changes | | c) employee involvement | | d) team building | | Question 3:- Which of the following areas do OD practitioners need to be familiar with to carry out strategic change? | | | | a) competitive strategy and team building | | b) finance | | c) marketing | | d) all of the above | | Question 4:- Which of the following is not one of the “stems” of OD? | | | | a) laboratory training | | b) environmental analysis | | c) action research/survey feedback | | d) participative management and quality of work life | | Question 5:- The consultant-centered OD practitioner may have to | | | | a) takes on a modified role of “expert” | | b) always adopt the role of the “expert” | | c) never adopt the role of the “expert” | | d) none of the above | | Question 6:- One of the...
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...Nurse practitioner From Wikipedia, the free encyclopedia In the United States, nurse practitioners have a national board certification. Nurse Practitioners can be educated and nationally certified in areas of Family Health (FNP), Pediatrics, including Pediatric Acute/Chronic Care, Pediatric Critical Care, Pediatric Oncology and general Pediatrics (PNP), Neonatology (NNP), Gerontology (GNP), Women's Health (WHNP), Psychiatry & Mental Health (PMHNP), Acute Care (ACNP), Adult Health (ANP), Oncology (FNP, ACNP, ANP, PNP or ANP) Emergency (as FNP or ACNP), Occupational Health (as ANP or FNP), etc. In Canada, NPs are licensed by the province or territory in which they practice. The advanced practice nursing role began to take shape in the mid-20th century United States. Nurse anesthetists and nurse midwives were established in the 1940s, followed by psychiatric nursing in 1954. The present day concept of the APN as a primary care provider was created in the mid-1960s, spurred on by a shortage of doctors. The first official training program for NPs in the United States was created in 1965, with a vision to help balance rising health care costs, increase the number of health care providers, and correct the inefficient distribution of health resources. There was some confusion about the varying titles and abilities of advanced practice nurses as the role was developed, which has persisted as the authority and responsibilities of the NP have evolved over time. ...
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...Action Research Model The action research model focuses on planned change as a cyclical process in which initial research about the organization provides information to guide subsequent action. Then the results of the action are assessed to provide further information to guide further action, and so on. This iterative (iterate means to repeat) cycle of research and action involves considerable collaboration among organization members and OD practitioners. It places heavy emphasis on data gathering and diagnosis prior to action planning and implementation, as well as careful evaluation of results after action is taken. Action research is traditionally aimed both at helping specific organizations to implement planned change and at developing more general knowledge that can be applied to other change and settings. Although action research was originally developed to have this dual focus on knowledge, it has been adapted to OD efforts in which the major emphasis is on planned change. Figure 2.1 (B) shows the cyclical phases of planned change as defined by the original research method. The main steps involved are: 1. Entry (Problem identification): This stage usually begins when a key executive in the organization or someone with power and influence senses that the organization has one or more problems that might be solved with the help of an OD practitioner. Contact between the consultant and client is what initiates the entry phase. After the contact, the consultant and...
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...political, social, and cultural environment. In describing various social phenomena, sociologists examine how social life impacts morbidity and mortality rates and how it alternatively influences the society. Medical sociology uses sociological theory to explain the relationship between social factors and health to define this issue and its systems (Amzat & Razum, 2014). Amzat and Razum (2014) demonstrate that it tends to separate nature from the community. It means that it illustrates how scientific knowledge mediates social relations. Moreover, medical sociology shows how the technical realm of medical practice is inconsistent with social processes in nature. It is a claim of understanding constructivism through an objective in natural science. Various studies identify the inconsistencies between current medical practice and social relations. Therefore, this paper will answer the questions in addressing some aspects of health and illness using the theories governing sociology According to Kramer, Khan, and Kraas (2011), the World Health Organization defines health as an everyday life resource for survival. This concept emphasizes social and personal aspects of individuals in realizing ambitions and...
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