When action research findings are shared. they increase the interrelation between theoretic research and practice. The rapport between the two differentiates developmental theory and rudimentary theory thus publishing action research transforms information into application knowledge. More so, publishing an action research encourages other people to undertake similar researchers in the same or other areas, thus widening the knowledge application base. Publishing also widens the understanding of local readers of facts that they may consider palpable yet they affect their lives in a colossal way.Findings from an action research can be shared through data enclaves. This involves putting related findings in small groups called enclaves and allowing access for the people who consume such data. Data enclaves help in sharing findings and keeping them confidential before publishing. In case the findings of a research are confidential, they may be shared through remote execution systems. The findings are put in highly protected areas so that any request for secondary research in the area are submitted on the system. Findings of an action research may also be shared conventionally while limiting the level of access to such data. Top-coding is a technique of limiting the maximum number of people allowed access to certain findings, for example, 1-35000. Conversely, while sharing this information, discretion should be prioritized. Confidentiality can be maintained through de-identification and ensuring the people providing information remain anonymous.In the field of medicine, findings from field and laboratory researchers are shared through peer-reviewed journals. A peer-reviewed journal is basically a report with details of the features that the scientists observe in the experiments and their conclusions basing on such observations and medical/ scientific theory.
The patients and other people expect more care and service from the part of a paramedical professional.Assertiveness is an approach used in various fields of interactions among the people. It is a key expression put on the military ground. Assertive engagement is an essential or necessary requirement to meet the troubles inside the paramedical field. Positive change of a tolerant needs a bold attitude, so assertiveness towards any patient from the part of a medical team is an obligatory one. According to tolerant, assertive tactics of a medical worker is aided to keep away from the tensions of bad health conditions. A professional assertive stand is helpful to change the health standard of all patients. The web article entitled”. What is Assertive Engagement that gives helpful remarks for the reader? Author Christian Thomas states. “That lives can be changed for the better and that professional support workers can be a part of the process towards change” (Christian Thomas, 2010, Para 7).The above words of the author brings the significant role of medical care workers and express the belief in the capacity of the Paramedical service personnel. At the same time, the courage of the medical workers facilitates themselves. Development of the days of a long-suffering man is a divine work that assists not only anyone but the whole community. This truth should provide more confidence in the medical care workers.Employee’s interpersonal skills are important factors in an assertive engagement towards a tolerant person. A paramedical worker should not express any kind of aggressive approach that defeats the intention of the treatment. Incorrect communication is passing through the aggressive stance of a medical care staff towards patients. The online journal, “How assertive are you” underlines the significance of assertiveness in the profession of a paramedic. It comments that.” Assertiveness is the ability to formulate and communicate one’s own thoughts, opinions and wishes in a clear, direct and non-aggressive way”.
According to the results obtained and achieved and also according to the laws of the health care systems in Australia, it has been suggested how the Data Envelopment Analysis can be applied in the GP clinics and what are the possible outcomes measures of the system. The primary health care present scenario of Australia has been discussed and what are the opportunities for the GP clinics to succeed in the future. With this analysis and the results of the case depicted for this study, the assessment and application have been studied for the Data Envelopment Analysis method possible outcomes and measures that will be achieved for the GP super clinics operating in Australia.Primary care is considered to be on the first level of healthcare in the frontline section by the government of Australia. Almost in all the developed countries, primary health care is given the utmost importance in all circumstances. This aspect should be built in every citizen of the country that they should take extreme care of their health at all times. The patients should show cooperation with all the staff of the hospital, this would help in the right treatment procedures for the patients.The leading GP models in Australia involve the treatment of non-acute conditions. Non- acute refers to the symptoms that are not life-threatening. These non-acute conditions should be of prime importance as neglecting these symptoms may lead to more severe diseases at a later stage.Due to workforce shortage and the various pressures exerted on the workforce, there is some prevention for certain groups in accessing medical services easily. Other barriers also exist for the people to access the health care they need. Healthcare centers may not be available at localities and some rural area communities may have to travel longer to reach their destination of the nearest health center.Time is an important element for everyone. Shortage of time creates obstacles for the people to make their regular visits to the doctors or other health care professionals.
As a function of this, the following analysis will consider and review the means by which Nucor Steel and Partner Health have attempted to leverage increasing returns within their organization as a means to make them more competitive and ultimately more profitable within the markets that they compete. Although it is oftentimes not easy to determine what aspects of a firm are primed for increasing rates of return, the instances that will be discussed in this case study and analysis have been determined from prior research which has been performed with the sole intent of labeling these increasing return mechanisms and seeking to implement them as a way to boost the profitability of the industry in question. Q1) Nucor challenge and principles of increasing returns working to help the firm achieve its strategic goals. Analyze the cases in terms of network effect, standardization, high switching cost, and learning effect. With regards to Nucor Steel, the case study in question presented a situation in which lower levels of company leadership outright refused to communicate and or learn from the experience of one another. As a function of this compartmentalized approach to management and information sharing, the firm itself was suffering from a lack of free flow of knowledge systems and intelligence transfer. As a result of this, the profitability and overall level to which the firm could hope to grow was necessarily constrained. As a means of outgrowing this constraint and leveraging increasing returns of the human capital inputs that the process entailed, the authors of the piece detail how they sought to implement a type of incentive system for information sharing within the firm and among leadership positions (Anderson 2009). Naturally, such an approach necessarily sought to change an aspect of the company’s culture. However, what was particularly intelligent about the means by which this was affected was the fact that rather than merely forcing this change upon the shareholders, it was presented to them by means of an incentive mechanism (Nucor 2012). In this way, the switching cost was alleviated, the network affect (by which shareholders sought to implement the change) was also assisted, and the learning effect was shortened. Such an approach was highly useful and insightful as it helped the firm to rapidly yet methodically implement the new structure and achieve the ultimate affect which was sought after without disrupting the otherwise solid performance that the firm exhibited within the market. The second article that has been analyzed dealt with the case of Partner Health and their desire to implement a type of EBM (Evidence Based Medicine) into their field of practice. Recognizing that the prime impediment to a higher quality of care and helping the firm to evolve to the next level was the fact that their current system of healthcare provision meant that there was little to no evolution and growth within the body of knowledge that medical practitioners disseminated on a daily basis, the top leadership sought to engage a system of EBM as a means of seeking to provide these affected shareholders with an ever expanding body of clinical knowledge which could help to inform them as to the decision that they should make. Likewise, with relation to the ultimate implementation of
Code of ethics is a statutory set of written guidelines on which an organization bases the required ethical standards that its employees need to follow. The Healthcare department follows a strict set of moral values that need to be observed by the professionals, mainly because of their diverse interaction with service users. The practice of professional nursing with medical proficiency encompasses the observance of ethical values that are tied to the profession. The American Nurses Associations Code of Ethics lays down a set of principles that provides an ethical model for nurses to base their conduct on. The analysis of the judgment made by nurses is referred to as nursing ethics (Fry Veatch, 2006).The first provision highlights the sanctity of human life and makes it binding on all nurses to show respect and empathy to his/her patients. A nurse is expected to appreciate the worth and uniqueness of the patients. the nurse and patient relationship should be free from stereotypes, prejudices and bias based on religion, color and creed as well as on the financial status of the patient, seriousness of the patient’s health and personal attributes. An unprejudiced attitude is reflective of the high regard a person has for other humans and is depictive of their compassion. A nurse is responsible for the emotional support and well-being of the patients and stereotypes would be detrimental to the nurse-patient bond that is of high significance in healthcare (Lachman, 2006).The second provision states that a nurse’s primary commitment is to the patient- whether the patient is an individual or group. A nurse’s attitude is reflective of the care needed by the patient. Nurses must also ensure that their professional attitude does not come into conflict with personal gains. also professional jealousy can compromise the quality of the care offered by the nurses. It is important to keep these in check because a patient is the nurse’sprimary center of attention.
Although this practice may take place in hospitals, no scientific procedures like anesthesia is used for the genital cutting process. Generally, this cultural practice is performed by a traditional circumciser using equipments like knife, razor, or scissor. According to WHO reports, this cultural practice is widely observed in many African regions and some parts of the Middle East, Europe, North America, and Australasia. WHO reports also estimate that nearly 100-140 million women and girls have become the victims of this practice, and among them, 92 million victims were from Africa (WHO). Undoubtedly, female genital mutilation is a vicious cultural practice that has far reaching social, physical, and ethical consequences. Classification of Female Genital Mutilation The process of female circumcision is classified into three major categories such as Types I, II, and III. A female genital cutting is considered as Type I if the process involves removal of the clitoral hood, or partial or complete removal of the clitoris. The Type II is also known as excision, which represents the process of complete or partial removal of clitoris and inner or outer labia. In contrast to Type I II, Type III female genital mutilation indicates a process by which all external female genitalia are removed and this process is commonly referred to as infibulation or pharaonic circumcision. In this process, both the inner and outer labia are cut away with or without the removal of clitoris. Once this process is completed, the girl’s legs are tied from hip to ankle for nearly 40 days for healing the wound. The labial tissue is bonded due to the immobility of legs and which in turn leads to the formation of a wall of flesh across the vulva. A twig or rock salt is inserted into the wound in order to create a small hole for the passage of urine and menstrual blood. Matwasat is another form of Type III where the vulva is stitched and a relatively bigger hole is left. In addition to these, there is a Type IV female circumcision which reflects a variety of procedures collectively. According the WHO, procedures like pricking, piercing, and cauterization performed on female genitalia for non-medical reasons constitute the Type IV. Purpose and Religious Reasons According to FGM supporters, social, economic, and political reasons justify this cultural practice. As Rossem and Gage (2009) point out, people who argue in favor of GFM believe that this process would support the empowerment of girls and provide girls with better marital life. FGM supporters also hold the view that this process would contribute to their families’ prosperity and good name. In some groups like Masai community, FGM is considered to be the reflection of a girl’s growth into womanhood and the beginning of a girl’s sexual debut. Another major intention of this cultural practice is to limit women’s sexual desires and thereby keep them away from premarital sexuality. In many groups, women who are not undergone the FGM procedures are perceived as dirty and hence they are treated very badly. Some superstitions also support the need for female circumcision. As per the ‘Female genital cutting fact sheet’, Some FGM supporters misbelieve that the clitoris will continue to grow as time goes by and hence it should be necessarily removed. and another major misconception is that the external genitalia are unclean
One solution to reduce the problem of prostate enlargement is that there is a need of educating both aged and aging men about the symptoms and appropriate treatment means of prostate enlargement. Many types of research support this position/argument. This is because this is a complex medical problem that highly affecting the health status of most aging and aged men around the globe. For instance, Hodgson states that “prostate enlargement involves costly treatment and thus after the detection of any prostate enlargement symptoms, one is supposed to seek medical assistance with immediate effect” (67). A large number of aging men are currently losing their lives due to prostate enlargement. Alters, Sandra and Wendy say that “educating things such as prostate enlargement ways of treatments and symptoms are very vital to both aged and aging men around the globe since it is affecting large groups of age men currently” (47). With this epidemic causing severe side effects to the health of most men, there is the possibility that a large group of men, including the young ones, have an understanding of this killer disease, although most of them seem not to be aware of the symptoms of prostate enlargement and the most appropriate treatment means. For instance, according to Preuss and Brenda, in Canada, prostate cancer is affecting a large group of age and aging men annually. According to these authors, there is a need of educating both aged and aging men about the symptoms and appropriate treatment means of prostate enlargement. This is because this is a very complex problem among the aged men and if not well treated can lead to prostate cancer, which is one of the most killer diseases around the globe. The book shows the way that prostate enlargement has real-life effects on both aging and aged men. It is advantageous for men to be able to detect early symptoms of prostate enlargement.
Advocating sometimes also calls for nurses to defends patient views that even they do not agree with. In such cases, nurses will put aside their personal opinions as health care is basicallt concerned with the patient needs, and not the feelings of the patient’s caregivers. The role of nurses as temporary legal advisers comes up because most patients tend to feel overwhelmed when confronted with the treatment options available for them. This is particularly true when the patient has been diagnosed with a terminal or life-threatening ailment. Many times, patients also turn to their nurses when seeking advise on how to handle matters that have to do with insurance. Nurses do not merely act as the advocates of the needs of their patients in a hospital setting, but also in government conventions discussing matters to do with the health sector (Yea-Pyng, Watson and Yun-Fang, 2012). Nurses can share their experiences with various patients with policy makers in such meetings and even give suggestions on how different aspects of the health sector can be improved. In most cases, nurses do not supervise or seek to monitor the way in which other medical practitioners, whether doctors or nurses, perform their responsibilities. However, nurses, because of their closeness in proximity to all patients, may be able to detect signs of maltreatment or the wrong treatment being given to a patient that is not under their care. In such cases, the nurse can exercise legal rights on behalf of the patient by reporting such an incidence to a higher authority. This is a special circumstance that calls for the urse to appeal to higher authorities because the patient’s health may be in jeopardy. Most nurses take this step after due consideration of the consequences because there might be contractual obligations that will result in disciplinary action being taken against the nurse if his or her complaint is misunderstood a defamatory action or breach of the patient and his or her caretaker’s privacy. The role of the Nurse from an Ethical perspective Nursing ethics are descriptive of the doctrines that govern how nurses act towards patients and their families. Nurses have a distinctive relationship with their patients. They tend to people at their most vulnerable point when the patients are unable to make decisions for themselves. and are thus entrusted by their charges with a greater amount of trust than is accorded to even religious leaders (Matiti and Trorey, 2008). Nursing ethics objectives include safe guarding the information volunteered by the patient and protecting his or her rights and giving practical guidance on treatment alternatives inspite of any difference in personal ideologies. Due to the rapid technological developments that have been witnessed in healthcare sector, nurses have had to re-examine the issue of ethics in the present settings. Even though nurses are expected to make ethical decisions in matters concerning their patients, they also have to take into account various factors that may affect them. For instance, a nurse may have to make the decision to give expensive treatment to pungent homeless people, drug abusers, or
Lee’s profession was doing well until he noticed some patches on his scalp. With time, the patches spread to half of his face, body and even arms. He visited a dermatologist who diagnosed him with Vitiligo in 1996, a skin disorder that affects 40-50 million people in the world. Initially, Lee kept his Vitiligo status a secret but later decided to disclose it which led to the people giving him much attention. As an anchor, he has worked for the national television show Channel One. WABC 7 Eyewitness News in New York City. and WJBK Fox 2 News in Detroit. He also works for Fox 2 in the morning in Detroit on a daily basis. What is Vitiligo? It refers to a circumstance wherein the skin turns white as a result of the loss of pigment from the melanocytes, which are cells that create the pigment melanin that gives color to the skin. In this condition, the melanocytes are destroyed leaving patches of skin and sometimes the hair growing on the affected area also turns white. The symptoms are white patches are more commonly found on sun-exposed areas of the body including hands, feet, arms, face, and lips. Therefore, individuals suffering from Vitiligo ought to avoid exposing their skin to the sun. The causes are unfamiliar and not curable, but there are ways of managing it (Christian, pg 24). In the United States, 1 to 2 million people suffering from Vitiligo, in accordance with the National Institute of Arthritis and Musculoskeletal and skin diseases (Christian, page 22). Lee Thomas aspired to be on television when he was five years old, and this was after he saw Rodney Allen Rippy doing burger commercials and he decided to work hard to achieve his dreams. Thomas after knowing that he suffered from Vitiligo did not let the condition be in command of his life but decided to deal with it positively. He embarked on spreading hope and motivation, which he did by creating a support group which was named “Turning White.” He made the meetings open to all individuals suffering from Vitiligo and their relatives. Last September, he started a support group at Henry Ford Hospital. Being a TV character helped a great deal in making people aware of the disorder and how to manage it. In my opinion, this was a good idea as it encouraged the victims to discuss openly the problems they face and gain emotional support, get access to appropriate medical experts and even to the latest information on the treatment of the disorder. One of Lee’s patients introduced him to some curative makeup line. The patient had the intention of helping several individuals suffering from the disorder conceal their various skin conditions. Lee decided to use it when on camera. He even supports it claiming that it aids the victims in reclaiming their self-respect to face the world with a transformed sense of confidence. In my perspective, this is not worthwhile as it shows that the person who uses the line does not live positively with the disorder. I also feel that the makeup may in some way increase the progression of the disorder and therefore, strongly oppose this. Thomas Lee also wrote the book by the name, Turning White: A memoir of change, which takes in hand his private and emotional confronts with having the disorder (Christian, pg 24). There is a time Thomas would go to work and come home. However, now he is going everywhere and only wears makeup when at work.
The information generated during a psychological treatment has always been considered as confidential. However, the enactment of the HIPAA made this information even more private and the protection thereof became one of the priorities of practitioners. Technically, the enactment of the HIPAA is intended to help the psychologists keep maintain the privacy of information by providing guidelines in record-keeping and maintaining the confidentiality of information generated in a patient-psychologist relationship. According to Harris (2003), it is expected “that at least some changes in confidentiality protections and patient rights instituted by the Privacy Rule will become the new standard of care and thus apply to all psychologists”[Harris, E. 2003, p.12 also cited in Zur, 2003]. The changes that the HIPAA brings about in the areas of records keeping will hopefully, upgrade the services and the practice of psychologists around the country. Technically, the upgrading of services on the part of the psychologists could mean better patient-psychologist relationship.The HIPAA is also intended to prepare the psychologist of the development in technology by setting up some standards on how a practitioner may be able to protect medical records and billings that are transmitted through the internet. The provisions on the transmission of information through the internet were formulated in anticipation of the time when psychologists will rely heavily on the use of technology to deliver information. Note that the leak of information whether intentional or unintentional on the part of the psychologist can be a ground for litigation that may affect the practice of the psychologist. By providing guidelines on record keeping and transmission of information, the HIPAA hopes to prevent some unfounded suits against the psychologist.On the other hand, HIPAA offers a huge advantage on the part of the patient.