Assessment of Patients Perceptions

Caring has been widely discussed in the health care professions, especially in nursing which is considered to be one of the caring professions (Boykin and Schoenhofer 2001). Watson (1985) describes caring as a moral ideal of nursing. According to Watson, caring preserves human dignity in cure dominated health care systems and becomes a standard by which cure is measured (Watson 1988c, p. 177). Research literature indicates that the assessment of quality of care from the patient’s perspective has been operationalised as patient satisfaction (Dufrene 2000). Nurse caring has been related to patient satisfaction in western literature (Wolf et al 2003; Wolf et al 1998; Forbes and Brown 1995; Boyle et al 1989). There are so many factors that influence patients’ perceptions of care given by the opposite sex. Some of these are: Age, ethnicity, gender, socio-economic and health status. The most consistent finding has been related to age. Older patients tend to be more satisfied with their health care. Studies that have looked at ethnicity have generally held that being a member of a minority group is associated with lower rates of satisfaction. Studies on the effect of gender show that women tend to be less satisfied and other studies show the opposite. Most studies have found that individuals of lower socio-economic status and less education tend to be less satisfied with their health care. Other studies have shown that poorer satisfaction with care is associated with experiencing worry, depression, fear or hopelessness, as is having a psychiatric diagnosis such as schizophrenia, post-traumatic stress disorder or drug abuse. Health status can greatly influence satisfaction of an individual (Hall, 1990). It is important to examine the relationships of nurse caring to patient satisfaction in Cape Coast because of severe staff shortages, heavy workload, and low salaries in Cape Coast Hospitals. Nursing literature had long recognized importance of these perceptions as major factors militating against prompt and effective service delivery in the care environment. One of the critical roles and ethics of the nurse is to treat all patients irrespective of their gender, colour, creed, political inclination and religious affiliations. High quality nurse-client communication is the backbone of the art and science of nursing. It has a significant impact on patient well-being as well as the quality and outcome of nursing care, and is related to patients’ overall satisfaction with their care. The maintenance of high nurse patient communication also depends on the nurse and patient. The quality of care in a hospital has been shown to be influenced by several factors including: inadequate nursing staff, lack of regular water supply on wards, too much nursing documentation, too long waiting time, and lack of specialized nurses. In Ghana, there is crisis in nurse-client communication evidence from four sources. These are personal observation, anecdotes from client and their families, media reports, and official health reports. Although there is ample evidence to demonstrate that most nurses are females, one cannot discount the enormous services that male nurses provide irrespective of their gender. The ever increasing number of female nurses compared to male nurses in our wards, coupled with patient dissatisfaction toward treatment received has raised a lot of questions as to whether there is a perceived idea that male nurses offer better care or otherwise. With the introduction of Health Insurance a few years ago, more patients report to the hospital and are also consciously aware of their rights and responsibilities as patients and hence will demand for better service delivery from care givers. Recently, patient dissatisfaction has been on the ascendancy in several hospitals across Ghana including University of Cape Coast Hospital. This has raised a lot of concerns about the perceptions patients have regarding the care given by male nurses.

Essay on Womenand Film Example | Topics and Well Written Essays - 1500 words

On Womenand Film - Essay Example Boys Don’t Cry explores a number of themes including identity, empowerment, freedom, and courage. However, gender representation underpins all these themes. This paper will examine the representation of gender in Boys Don’t Cry, describing the key aspects of gender representation both in society and in the film. Representation of gender in the film adds force to the patriarchal norms held by the society. Discussions of the topic of gender in film owe their origins to conventional feminist film theorists who considered films as male-dominated and immensely guilty of gender stereotyping. In this examination of Boys Don’t Cry, the popular gender theory becomes highly applicable to determine the degree to which gender representation supports stereotypes. The Jacques Lacan and Sigmund Freud developed the psychoanalytical theory that profoundly influenced the early feminist film theory (Herz 51). However, the psychoanalytic theory had substantive problems such as its p hallic-centric basis. This led to the development of alternative discussion mechanisms such as the cultural studies mechanism. In this analysis of Boys Don’t Cry, I will utilize both approaches to cover the entire scope of gender representation. ... Male characters define women by their appearances; for instance, during the bar scene, Candace is the object of the male gaze owing to her attractiveness; then later, the facade changes to that of a mother. Lana, on the other hand, is the object of both Brandon and John’s voyeuristic or sexual gaze. This essentially means that men consider women as sex objects placed in the world for their pleasure. In contrast, men in the film are far too active to become the focus of a sexual gaze. According to Mulvey (37), this phenomenon is essential because of men’s fear to acknowledge homoerotic desires. In addition, it is only acceptable for a man to be represented as a spectacle if such representation unites with the narrative to place emphasis on the man’s active role in the storyline. This exemplifies the stereotype of gender roles where males are subjective beings and females are objective, the objects of males’ desires. Distinctively, the character of Brandon, nonetheless, appears to be at odds with this perception. This is because several scenes in Boys Don’t Cry focus primarily on Brandon’s sexual appearance. Notably, Brandon’s appearance becomes central to the narrative without the element of action. This warrants the question if a similar tactics would apply if Brandon were a male. If Brandon were, in reality, a male, this would raise questions of homoeroticism, but since he is perceived as a female, this suggestion becomes inapplicable. In addition, Brandon’s attention to detail as she creates her male persona echoes the contemporary views on image construction, in which the female body is highly industrialized – for instance, for a woman to attain femininity, she must

Why Nomadic People Developed Complex Civilization Essay

Why Nomadic People Developed Complex Civilization - Essay Example They would move to a place that they considered economically better than their current situation (Goldin et al 120). There were three categories of Nomadic people, hunters and gatherers, pastoral, and wandering Nomads. Hunters and gatherers nomads were communities moving from one location to another in search of wild meat, fruits, and vegetables. Pastoral nomads’ movement were influenced by the availability of water and pastures for their cattle, they were settling in places with good pasture for their animals, and when pastures and water were exhausted in these locations, they would move to another location with greener pasture and water. On account of their movement and interaction with various communities, modern day civilization was born that led to the development of different economic empires and rise of military structure. Another of factors made nomadic people settle, build and develop complex civilization. Firstly, the development of new methods agriculture as time passes by made nomads to settle in one place because there was a way to control drought through irrigating their land. Also, through improved irrigation system, pastoralist were able to store enough water for their animals and at the same time irrigate land reserved for pasture so that they do not run animal feeds.

Catcher In The Rye - The Conte :: essays research papers

J.D. Salinger is considered one of the most critically reviewed author in modern literature. In particular his only novel Catcher in the Rye has received the most criticism. The book has been constantly debate and sometimes banned in some states because of its vulgar language and sexual content. On the other hand it is used in freshmen English and praised as the greatest book in the twentieth century. Catcher in the Rye has been reviewed in many aspects. People had drawn many conclusions in trying to decipher the meaning of Catcher in the Rye and the mind behind the mysterious Salinger. Buddhism is one apparent aspect in this book and it is also apparent in Salinger’s life. Does Salinger exhibit Buddhism on different levels in Catcher in the Rye? The main character in the book is Holden Caulfield. He attends a rich prep school called Prency prep. It is a school that typifies the idealistic American school, where the dirt and grind does not have a space, at least not on the surface. Holden is then expelled from the school, and starts to venture out the world on his own. He goes back down to New York, the dirt and grind capital of the world. He gets more and more sickened by the fakeness, and cruelty of the world. An example of this would be in the Catcher in the Rye, when he goes in to the museum â€Å"he notices an obscenity written with a child’s red crayon on the wall†(121 bloom). Holden says in the novel â€Å"That’s the whole trouble,† he realizes. â€Å"You can’t ever find a place that’s nice and peaceful, because there isn’t any. You may think there is, but once you get there, when you’re not looking, somebody’ll sneak up and write ‘Fuck you’ r ight under your nose†(264 Salinger). He throws up because of the whole idea and from that point he then begins to understands the real meaning of life and learns to accept life as life. Holden’s life is a mirror image of the life of Siddharta Gotama the price of Nepal in 563 B.C. The story of the Prince is the prince lived in his kingdom where he was shielded from suffering. He never saw the dead, the dying, the suffering, the hungry. He knew none such existed. Until one day he had ventured out of the kingdom and saw the things he had been shielded from.

A Study On Low Back Pain Anthropology Essay

The well-known anthropologist W.M. Krogman frequently talked about the jobs modern worlds have in some of their biological characteristics as being the consequence of the manner we evolved, what Krogman called the â€Å" cicatrixs of human development. † Discuss a biological composite that you believe Krogman might hold been mentioning to, and include in your essay some grounds why he might hold called these a cicatrix of human development. As hominids began walking upright, they underwent extended morphological versions. The human anchor was forced to suit to new perpendicular weight-bearing emphasiss. As a consequence of this comparatively recent development in the spinal column, modern worlds regularly experience lower back strivings, which can be labeled as â€Å" a cicatrix of human development. † In modern worlds, the vertebral column environments and protects the spinal cord as it descends from the brain-stem at the hiatuss magnum to the lower bole. The vertebral column provides the organic structure ‘s chief axial support, but it still remains flexible ; the spinal column is comprised of 24 single castanetss, called vertebrae, and two amalgamate castanetss, the tail bone and the sacrum. The first 7 vertebrae located in the cervix are cervical vertebrae, followed by 12 thoracic vertebrae that connect to the rib coop, and 5 lumbar vertebrae that make up the lower dorsum. The sacrum is composed of 5 vertebrae ( organizing the dorsum of the pelvic girdle ) that fuse together during maturity. The tail bone ( the tailbone ) is made up of irregularly shaped vertebrae that fuse together between the ages of four and six old ages. The thoracic and sacral curvatures form during foetal development. The cervical curve signifiers when a human baby begins to keep up its caput. The c oncave lumbar curve signifiers when a immature human kid begins to walk. These characteristics maintain the balance and support necessary for bipedalism. In quadrupeds, there is a gently C-shaped curve that makes the pectoral part of the spinal column somewhat convex. The human biped, nevertheless, has an S-shaped spinal column ensuing from opposing curvatures ( in the cervical and lumbar spinal parts ) grafted onto the C-shape curvature of a quadruped. The lower dorsum ( lumbar ) vertebrae signifier a really acute curve in worlds by puting the last two inter-vertebral phonograph record at a pronounced angle to the transition of organic structure weight. The spinal curves in the biped let the weight of the organic structure to be carried straight over the hip joint sockets in the midplane, by conveying the centre of gravitation closer to the hips. The weight of a biped is borne down the spinal column to the sacrum, where it passes to the hips and so through the two legs. Because the sum of weight additions increasingly down the spinal column, the vertebrae of a biped are progressively larger as they approach the lumbar part. In contrast, weight bearing does non increase along the spinal column of a quadruped, and so the vertebrae remain of about equal size in the different parts of the spinal column. Intervertebral phonograph record of connective tissue separate each vertebra. The exterior is made up of several beds of fibrocartilage. The interior is the karyon, which is filled with a mush that has the consistence of Jell-O. The karyon of the phonograph record act to buffer each vertebra and absorb daze. Once a human reaches maturity, the operation of the spinal column goes downhill. With age, the spongy discs between the vertebrae lose wet and snap ; the mush inside loses flexibleness and becomes less lissome. The harder, drier discs lose tallness, conveying the vertebrae closer together. Many persons develop serious complications of the vertebral column. Intervertebral phonograph record dislocations affect 1000000s of people worldwide ; many suffer serious chronic hurting, and life long disablement. A ruptured phonograph record, â€Å" a slipped phonograph record † in common idiom, occurs when an intervertebral phonograph record becomes thinner and compressed, doing a herniation of the phonograph record ‘s contents and force per unit area on the spinal nervousnesss, most significantly, the chief sciatic nervus. A tear in the annulus fibrosis on an intervertebral phonograph record allows the soft nucleus pulpous to seep out. This herniation consequences in loss of musculus. An illustration of this muscular devolution is foot retarding force. Almost 90 per centum of herniations happen in vertebrae 4 and 5 in the lumbar vertebrae. These vertebrae have the most acute curve, and bring forth our unsloped position. Because these two vertebrae are so angled, they bear the most differential weight and, consequently, suffer the gr eatest wear and tear. Most people can retrieve from intervertebral phonograph records breakdown without surgery ; the mush that is seeping out will finally abjure from the nervus because it loses wet and it shrinks. However, there are more than 4 million operations a twelvemonth in the United States entirely to rectify disc herniations. If an intervertebral phonograph record interruptions down and consequences in force per unit area on the spinal cord, it can be life endangering. The most immediate symptom is the loss of vesica and bowl control. Another serious complication of the vertebral column is osteoarthritis – the dislocation and eventual loss of the gristle between the vertebrae. This consequences in thickener of the articulations and back uping ligaments and the growing of bony goads that can shut in around the issues for the spinal nervousnesss. Osteoarthritis can take to spinal stricture, which is â€Å" the narrowing of the cardinal spinal canal or its sidelong deferrals † ( Weinstein ) . Lower back hurting was non every bit large as a job for our ascendants. There are three theories to explicate this fact. The first account is that the little organic structure of our ascendants led to less force through lumbar system. The 2nd account is that our ascendants were non couch murphies. Our ascendants had improbably powerful musculuss ( robust castanetss and big articulations ) , as a consequence of changeless physical activity. This helped to continue the lower dorsum. The 3rd account is that our ascendants did non populate every bit long as modern worlds, as so they did non make the age where back jobs emerge. In support of this theory is the fact that the average age for disc surgery is 42 old ages old. Today, more than 70 per centum of grownups suffer from back hurting at one point in their lives, and 30 per centum have had it in the last 30 yearss. There are many ways to handle and forestall back hurting in modern worlds. The most of import is exercising, and increasing our musculus tone of the dorsum and legs. Minimizing sitting is besides good, because chairs offer uneven distribution of weight. Surgery is a intervention option, but it should be the last option ; surgery can be really painful, and sometimes it does non relieve the hurting. Treating back hurting presently costs $ 26 billion a twelvemonth ; which is 2.5 per centum of entire wellness attention costs in the United States. Lower dorsum hurting is a biological composite that Krogman would hold clearly labeled as a cicatrix of human development. It is the inevitable merchandise of bipedalism and length of service. Hopefully medical scientific discipline will progress to a point where it can more efficaciously relieve this painful effect of human development.Mentions:Deyo, Richard A. â€Å" Low Back Pain. † Blackboard. Web.Mann, Alan. â€Å" Bipedalism, Power Point Presentations 1 and 2. † Lecture.

Economic Development Of A Country s Economy Essay

We often classify countries and areas in the world by how developed they are, but this is term is relative, depending on your measurement. There are many factors that count towards a country’s economy that is difficult to quantify. The popular measurements for economic development are Gross Domestic Product (GDP), which is the value of all the recognized goods and services produced in a country in a specific period of time usually a year, and Gross National Income (GNI), quantified by the summation of the GDP and the net income acquired overseas (Investopedia). There is GDP per capita which is the indicator of the personal income of the country (Chidakel and Herrero). If we go by these numbers we conclude Africa is underdeveloped because all the numbers are low compared to the known developed countries like Germany, Norway, Canada etc. In Ethiopia the annual GDP per capita is $505 in 2013 (Indicators), while Libya’s annual GDP per capita is $11,964 in 2013 (Indicators) and the United States of America annual GDP per capita is $53,042 in 2013 (Indicators). Libya being one of countries in Africa that are above the average, when compared to the USA it is about 4 times poorer, Ethiopia is about 100 times poorer when compared to the USA, now this comparison does not tells much about the economy in the country, since goods in African countries do not have the same value in Europe or USA, we need to look at the purchasing power parity (PPP). 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Behavioral Analysis Unit - 1076 Words

Investigation 12/1/2010 Behavioral Analysis Unit One of the many age old questions facing society today, is what makes a criminal suceptible to committing that particular crime; or why was that person targeted as a victim. This question has sparked many debates within the criminal justice field, which is the reason the Behavioral Science Unit was created by the Federal Bereau of Investigation. In certain cases, knowing how a criminals mind operates, will help lead an investigation in the right direction in order to successfully arrest the correct perperatrator. Analyzing a criminals mind, is learning the rules and rituals of their game in order to catch them, before further harm is inflicited. The human mind is such a powerful tool,†¦show more content†¦The unit also instructs new agents in psychopathology; problem-solving and crisis intervention; memory and perception; gangs; and group dynamics. There are various seminars, and work study programs that are required of National Academy students, ne w agents, on-board FBI personnel, domestic and international law enforcement officers, U.S. military and intelligence officers, and other governmental and academic personnel as deemed appropriate, in order to offer the best preperation for this weight-bearing job. In order to request help from the behavioral analysis unit, a local police department must submit a request help through the NCAVC coordinators. BAU assistance is provided through the method of criminal investigative analysis. Criminal Investigative Analysis is the process of reviewing crimes from both a behavioral and investigative perspective. It involves reviewing and assessing the facts of a criminal act, interperting offender behavior, and interaction with the victim. 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