Saturday, August 24, 2019

Critical Review Research Paper Example | Topics and Well Written Essays - 750 words

Critical Review - Research Paper Example The major objective of the research was to analyze the moderating role of professional self efficacy in coping behaviour while meeting the demands of the job. The paper would critically review the study on the wider context of the research methodology adopted to demonstrate the effectiveness of hypotheses used. Critique The scholars have used quantitative research methodology for validating social cognitive theory of self efficacy. The methodology chiefly relies on the fact that the data sought can be quantified and thus can be applied on large number of people. The generalization of a theory therefore, becomes the most significant aspect of the current research. Heterogeneous sample, comprising of 625 employees from different companies cutting across wide range of socio-economic demography and occupation was used. 51% male and 49% female representation in the sample helped reduce gender biases. The broad spectrum of demographic representation greatly facilitated the validity of the study. The measurement technique adopted was in the form of self report questionnaire that was distributed to the employees and collected after completion by a member of the research team. The study was conducted under the pre-defined hypotheses that primarily focused on the fact that self efficacy is directly related to the coping strategies. It was also assumed that it acts as a moderating element between the demands of the job and coping strategies that are used under defined situations. The variables used were the imperatives of job demands that included work overload and role conflict, professional self efficacy and two types of coping behaviour; active and passive. The coping behaviour was dependent variable that was evaluated against the independent variables like professional self efficacy, gender, age, quantitative work overload and role conflict. Work overload and role conflict were important stressors that significantly helped to analyze the moderating role of professiona l self efficacy. Hierarchal multiple regression analysis is very useful in measuring interaction effect (Cohen and Cohen, 1983). Thus, it was used separately with two dependent variables and hypotheses were successfully tested when independent variables were introduced within the statistical analysis. Large sample size across wide demographic segment has helped to provide important evidence that professional self efficacy is indeed vital ingredient of positive coping behaviour. The cognitive social theory of professional self efficacy was critical element of research hypotheses that significantly helped to identify the extent of its impact on the coping behaviour of the participants. The study has greatly facilitated in addressing the challenges of the time. The various elements that adversely impact the work performance of the employees are important issues within the wide ranging paradigms of human resource management. The study has found strong linkages that can considerably infl uence the performance of the workforce. The professional self efficacy is broadly described as the professional skills and capabilities of the workers that encourage them to take on the challenges of the job with more confidence. Hence, if the employee is professionally better equipped than his counterpart, he would be better able to manage the demands of the job. Higher level of job proficiency promotes proactive behaviour that thrives on solving the

Friday, August 23, 2019

Globalization Assignment Example | Topics and Well Written Essays - 500 words - 1

Globalization - Assignment Example In this paper, I will provide the ten most expensive items I own, their place of manufacture and also write a brief review of my findings and the impact globalization has had on my life and purchasing habits. Of the 10 items on the list, only 1 (Seiko watch) is produced in its manufacturer’s country of origin. 4 items are produced in China, while 2 are manufactured in Germany. This shows that a majority of multinational corporations favor producing goods in other countries where it is cheaper to do so. By doing this, they avoid paying high or extra taxes levied upon them and hence make the final products cheaper. They are also able to incur minimal expenses in terms of production labor, since human resources are very expensive in their countries of origin. Globalization has had a massive impact on consumers all over the world. Actually, it does not matter how much one earns; it is now possible to purchase items that were previously deemed too expensive by some consumers. Personally, globalization has affected me in a number of ways, both positively and negatively. The positive effects include the fact that I am now able to afford certain products that I could not fathom buying because they were costly for me. I can say that my purchasing power has increased significantly over the last two years, hence allowing me to enjoy the benefits of owning some products. Despite this, my financial capability has not improved much, so I am convinced that products have become cheaper. There has also been an increase in the availability of foreign products. I now have a wider variety of brands to choose from when buying items, and this is because the goods are produced cheaply and therefore can be made available to just about everybody. Negative impacts include an increase in the number of counterfeits being produced. I have been a victim of counterfeiting before, so I know the pain and disappointment of buying something only to discover (later)

Thursday, August 22, 2019

Literature ans society Essay Example for Free

Literature ans society Essay The literature of an age, and its social set up keeping and reacting one over the other. Literature influences the society; society is reflected in Literature and in this way, in all languages and at all times there has been a close interaction between the two. Literature of any age cannot escape the influence of the social scene and therefore is found reflecting the society of the age when it is created. The poet, the dramatist, the novelist, the essayist are all the product of their age and their-age openly and clearly gets imaged in their compositions. That cannot be helped, it so seems. Take  the example of two literatures — English and Hindi. Chaucer is called the father of English poetry and actually English literature in its form and language which kept on developing and improving, begins from him. His most representative work is the Prologue to the Canterbury Tales and then the Canterbury Tales. All the characters painted in these tales are the true representation of the types of such people as they were in his times. While Chaucer is a reflector of those characters and their types of his age — he is virtually and truly described as the chronicler of his age — his characters whether a  Knight; the Prioress; the monk, the fat fryer, the sailor, the squire, the priest — all are truly the representatives of their types in the contemporary society as they actually were. Chaucer is a painter as well as a critic of his society. Shakespeare — the greatest dramatist of English language — one of the greatest of all languages brings in ‘ghosts’, ‘witches’, and ‘courtier’ and ‘fools’ in his plays which were as per the liking of his audience and a part of the English Society of his times. That is what is rightly said about Shakespeare that in addition to the normal three ‘unities’—  Time, Place and Action in drama, he brought about the fourth unity — ‘unity with the people’. That encomium clearly Shakespeare being influenced by the society of his age and in his plays he, though never gave any message or pronounced any philosophy, but that is always there — the triumph of the good over the evil. This was the message that was most needed to his age after all that had happened earlier — Henry VIII —the king having been killed, Mary Tudor — a despotic, arrogant, a cruel ruler and then a benevolent, all embracing middle-path follower queen — Queen Elizabeth. As is the king so are the people — is an old but true saying and Shakespeare reflects that hilarious sometimes, but somber and philosophic at the other in his plays. Hulton was very much the product of his age. A truly puritanical person; a deeply religious man, he gave to his age which was battling with belief and disbelief — the message of God’s triumph over Satan. The Eighteenth century of English literature is a true product of the age. The social scene had degenerated into debauchery and license after the Restoration of Charles II who brought along with him all that he had enjoyed during his exile and adjourns in France and the literature of that period reflects all that was happening in the society. Alexander Pope’s ‘Rape of the Lock’ is a reflection of the so-called lascivious high society of and pungent satire too, on all that was too much too bad for the society. Thus Pope is a reflector as a corrector of his age. So are Addison and Steele as essayists. Balzac, Zola, Maupassant of France had cast their influence on every Wycherley, conserve and later Restoration dramatists who had gone to the lowest depth in describing social disparity and this is how literature reflected the age. The French Revolution — a very significant political and social event of Europe had as its basic tenets — Equality, Fraternity and Liberty — and these tenets and the revolution did cast its spell all over Europe and England and the English poets could not escape that influence. Wordsworth was moved by the humanitarian aspect of the revolution in the earlier phase but later its bloodiness and violence disillusioned him and all this is reflected in Wordsworth’s poetry — ‘poet of man’ and in his later poetry. Shelley was moved by the revolution’s ‘spirit’ of revolution and Byron by its fighting spirit. Tennyson was a true representative of the Victorian age and sang of the glories of the Empire while his nature poetry gets influenced by the advancement of Science in the later nineteenth century. He did not remain a ‘priest of nature’ as Wordsworth was because where science advances religion declines. Charles Dickens saw the backside of industrialization — the poor getting Poorer and the rich richer — the sufferings of the poor are ignored and his novels reflect all this. The First World War (1914-19) created a group of who sang of the glories of war, of chivalry and  Sacrifice for the nation and then there is the post w poetry and post-war drama — Bernard Shaw dramatist known for his pungent satire, pricking the balloon of romanticism associated with war heroism and love in his ‘Arms and the Man’. Eliot comes on the literary stage to deal with the utter disillusionment of the age in his ‘Wasteland’ all this about English Literature. Similarly in Hindi Literature, when Prithvi Raj Chauhan was fighting valiantly with Mohammad Gori Chandrabardai — the warrior poet was singing of the glories of war and his hero in his ‘Prithvi Raj Raso’. Then came the Bhakti Kal — the period of Bhakti — the country and the nation had fallen under the Muslim yoke and there were class conflicts on the basis of faith and religion. There came on the literary scene, Kabir, who preached anti-fanaticism; pricked the bloated balloon of superstitions and blind faiths and admonished both ‘mullahs’ and ‘Pandits’ and showed the way of God. Tulsidas found the Hindu society divided into factions ‘Shaivas’ and ‘Vaishnavas’ and showed the path of love, brotherhood and mutual respect for all Gods and presented the ideals of a son, a brother, a wife, and a devotee. The triumph of Ram — the incarnation of the Good over Ravan, the symbol of Evil is an eternal lesson given by him to the society — whose lessons remain revered even till today. The period of comparative social peace created a set of poets who indulged in pleasing their patrons — the Kings — as their courtiers and songsters. Their poetry is full of amorous sports in which they make Krishna a Radha and the Gopis their actors — a very wrong a vitiated depiction — unbecoming of those great. This was done just to gratify their patrons — the sensuous and sensual kings. This is how the social scene was reflecting itself in literature. Then, comes the modern age. The British were ruling India and there were classes close to the ruler and classes suffering at the hands of the officials and at the hands of the so-called elite of the society. There were classes created — the superior, the downtrodden — the imperialists and the nationalists. Prem Chand — the great novelist unravels this class fight in his novels and thereby, not only reflects the society of his times but gives a lesson too. His novels, his short stories — all have a lesson to give. There was Bhartendu Harishchandra — the poet the harbinger of the modern age and thought, who successfully caricatured the classes — social and religious — thus reflecting the social scene with a point to reform it. Thus goes on the scene. Maithili Saran Gupta — the Gandhian poet sings of the glory of Ram, of the glory of Lord Buddha, of the glory of other mythological heroes his thrust throughout being to awaken the masses and enlighten them into cordial social contacts. The national fervor reverberated through the veins of the Psyche under the leadership of Mahatma Gandhi and poets  after poets, writers after writers sang of the of our ancient land and its culture. Jai Sanker rasad, Ramdhari Singh Dinkar, the poets; Dharmvir Shrilal Shukla — the novelists brought into focus the inequalities and imbalances that plagued the social scene and through their thoughtful and sometimes highly satirical way brought to the fore the social and political malaise through which our present generation passing. This true presentation has been with a purpose — to awaken the social conscience to the problems that dog the people. Literature thus has been holding the mirror up to Nature on one hand; reflecting all traditions,  trends and tendencies while rising up the finger of caution too to guard against all that goes against the basic values of life. Literature and Society have remained and shall remain ever intertwined and the more they so remain, the more solid would the foundations be laid for a sustained growth; a well-coordinated growth and a corrected social order Literature has to play its part as a reflector and a corrector of society and society has to inspire men of letters to keep themselves on their guard towards their mission of social good.

Wednesday, August 21, 2019

Antidepressant Case Study Essay Example for Free

Antidepressant Case Study Essay The debate over antidepressants has waged on for over more than half a century. Two heads of the Department of Psychiatry in Washington University discovered that depression was just as much biological as it was physiological meaning that people with depression had an abnormal chemical make-up in the brain. This discovery increased the demand for research on methods to alter this abnormality effectively and efficiently. Thus antidepressants were created, sparking a psychiatric revolution. Antidepressants work by blocking the reuptake of serotonin. Serotonin is a neurotransmitter that is responsible for controlling human emotions. Our bodies make serotonin naturally but some particles are lost on the neuron, which is called reuptake. Antidepressants block the reuptake by placing a protein wall on the neuron, enabling a greater consumption of serotonin in the brain (Greenburg Manufacturing). From their creation, antidepressants have given people a chance to recapture the enjoyment they once, or never, had. They help people find their goals, rediscover their futures, and enjoy special moments in life that should be cherished. Antidepressants should be prescribed to individuals suffering from depression because they are simple, safe, and effective. In years prior to the development of antidepressants, depression was treated through drastic hospitalization. Hospitalization involved patients enduring painful treatments such as electrotherapy and/or a lobotomy (Richard 54). In electrotherapy, an individual is pinned down to a bed and shocked whenever a negative or suicidal thought comes to mind. A lobotomy is an unpleasant form of brain surgery that involves a surgeon using a long rod to rewire brain functions. While these forms of treatment are grueling and pose a great risk to the health of the patient, they are successful in reconstructing the chemical make-up in oneâ€⠄¢s brain, which is a necessary component in curing most forms of depression. These forms of treatment are expensive, complicated, and time consuming. Medications, on the other hand, do not demand a lot of time and are easily swallowed. Taking these medications is simple, easy and only requires a doctor’s prescription, which can be easily received upon an appointment. This form of treatment is quite simple, and is much less burdensome than treatment solely based on therapy. Therapy can be quite costly and, without the addition of antidepressants, ineffective. In order for it to be effective the child must meet with a professional twice a week (Martin 574). According to the American Academy of Psychology an average therapy session costs $150. In order to properly treat depression effectively via therapy and non-drug related means the patient requires up to one to three years of treatment. At $300 a week the individual will be spending $15,600 a year and $46,800 over three years. With medication, comes a cheaper and less complicated means of treatment. Under medications, the average patient requires meeting one to two times per every two weeks at the same average cost of $150. This comes out to $3900 per year versus the $15,600 through just treatment. Although there is the cost of medications, the total cost for using medication and therapy is significantly cheaper than using just therapy. With antidepressants, treatment for depression becomes simply and easy to accomplish, making the road to recovery that much more achievable. Many individuals feel skeptical about taking antidepressants because they are a human-made substance, and they are full of chemicals. While this is true, the effects medications have on the body is different from person to person. From its creation antidepressants have had some serious side affects, scaring people away. Today, 118 million people use antidepressants and between 1995 and 2002, the use of these drugs rose 48 percent (Cohen Antidepressants). Also this shows that people have been adjusting to these drugs, and that people see less risk in taking them. Many of the 118 million people on antidepressants have depression, but there are also many people take them for the other reasons. Antidepressants have known to help people quit smoking. (New York Psychiatric) writes, â€Å"Nicotine may have antidepressant effects that maintain smoking for some smokers. Antidepressants may substitute for this effect† (New York Psychiatric). These individuals take the drug as a safe means to quit smoking. Scientifically antidepressants contain bupropion hydrochloride, a chemical known for dissolving the nicotine addiction (New York Psychiatric). A smoker develops an addiction because nicotine is a powerful drug that speeds up the brain and central nervous system. It triggers the release of dopamine, a neurotransmitter in your brain, boosting one’s mood. Over time the brain adjusts to the increase of dopamine and the smoker becomes addicted. Antidepressants help by stabilizing the elevated levels of dopamine in the brain by having increased levels of the opposite neurotransmitter, serotonin absorbed. Also these drugs are safe to take because the FDA continuously runs tests to validate the drug’s safety. The FDA’s article on improving pediatric and child health states, â€Å"FDA has been committed to addressing the special considerations needed for assessing medical products for children and young adults. These include science to address how development, age and growth may affect how treatments work and effect health outcomes in children† (FDA Improving). Individuals everywhere take these drugs for a variety of reasons, and rarely do they harm an individual. There are many unexplained reasons an individual suffers from depression, but two theories the Monoamine Hypothesis and the Hypothalamic-Pituitary-Cortisol Theory, are prevalent in most cases of depression, and they explain the biological problems that cause depression (Koplewicz More). The first theory, the Monoamine Hypothesis, was formulated in the 1960’s as a way to show how other chemicals in the brain inhibit serotonin. (Koplewicz More) explains, â€Å" The monoamine (MAO) metabolites act as inhibitors, preventing serotonin and norepinephrin from crossing the synapse. In succession to this theory these MAO metabolites appear to be more prevalent in depressed patients† (Belmaker Future). The second theory, Hypothalamic-Pituitary-Cortisol Theory, was developed shortly after the Monoamine Hypothesis. This theory explains that the amount of cortisol produced is reduced in individuals suffering from depression. These two theories are seen in over 66% of cases of depression (Belmaker Future). This number encompasses the largest population of individuals suffering from depression, thus proving depression is largely a chemical imbalance ailment in the brain. Because depression is a chemical imbalance, it can only be cured through certain means of treatment specializing in chemical reconstruction. Such treatments require the proper equipment and chemicals that therapy or other forms of treatment cannot supply. The combination of both antidepressants and therapy is proven to be the most effective means of curing depression. Author George Burns, in his book, Happiness, Healing, Enhancement: Your Casebook Collection for Applying Positive Psychology in Therapy writes, â€Å"43% more patients suffering from depression were cured with the combination of therapy and medication than patients only undergoing only one form of treatment† (Burns 47). The individuals undergoing both verbal therapy and drug therapy recover more often and faster than patients only undergoing one form of treatment. Antidepressants are an effective means of curing depression because they are easy to use, safe, and effective. Antidepressants come mainly in a pill form and work most effectively alongside therapy or other forms of treatment. For an individual with depression who does not consume antidepressant medication, treatment can be difficult, time consuming, and expensive. These pills are easy to ingest and require the patient to do less work by the patient. On top of that, they have been frequently tested by professionals, and are safe in most individuals. Symptoms vary from user to user, however, they typically they do not cause bodily harm. Depression comes in many forms, but in most cases depression is a chemical imbalance in the brain. With this information and are known effects antidepressants have on the brain, it is evident that these drugs are extremely effective and much more effective than solely therapeutic treatment.

Tuesday, August 20, 2019

Health Visitor Reflective Essay

Health Visitor Reflective Essay I attended a core group meeting for a family with complex needs. Parents Poppy and Richard had struggled to overcome a class A drug addiction and that there were grave concerns about the wellbeing of the 4 children in the family home. I sat opposite Poppy across a small table as this was the last available seat in the room. Richard was unable to attend but it had a very positive start for Poppy who discussed some of the improvements since the last official meeting. She appeared content and motivated to ensure things continued to improve. I was aware that an important discussion was going to take place about a serious incident which had occurred within the family and had been observed by a health visitor visiting the family next door. The purpose of the discussion was to support Poppy to understand the risks of leaving children unattended in the car and readdress the on-going issue of smoking around the children in confined spaces. The issue was broached by the social worker and Poppy immediately expressed unease. She denied having been involved until Poppy was informed it had been witnessed by another health visitor. Poppy became very angry, very quickly and made reference to the name the health visitor (her name had not been disclosed in the meeting). Her anger was then directed at my community practice teacher and me as the health visitor/student in the room. Poppy maintained intense eye contact with me and when I glanced away she noticed and it escalated her anger. Amongst the shouting and swearing Poppy was asking why Health visitors always interfere with her family and she was expressing that there was nothing wrong with what she was alleged to have done. As the main receiver of Poppys upset I tried to put active listening skills in to practice. Chosen Reflective Model and Rationale: Reflection is described by Boud et al (1985 p43) as a generic term for those intellectual and affective activities in which individuals engage to explore their experiences in order to lead to a new understanding and appreciation . It is deemed a particularly valuable tool within the health profession for many reasons. Reflection is a tool which can be used at all levels within the health care setting and is arguably imperative within practice (Ralphe et al 2011). It facilitates critical thinking (Cotton 2011) and by scrutinizing experiences professionals are then able to decipher the evidence within their own practice. Moreover it supports practitioners to make more sense of difficult and complex situations (Driscoll and Teh 2001). The collection of knowledge of individuals and groups through the form of refelction helps people to look not only at the situation but at how to understand it enough to be able to commit to improve similar situations which may arise again. Thus leading to improved practice (Ghaye and Lillyman 2010) Examples of reflective models include Gibbs (1988), Johns (2004) and Driscol (2000). Johns model is recommended for more complex reflection and decision making (REF). On one hand this would work well as a basis for this assignment however the model looks at the situation which has been resolved and it could be argued that it does not consider how the situation can be taken forward (Rolfe 2001). Although this could be adapted the Gibbs model of reflection (Gibbs 1988) has been chosen as a guide for this assignment. Despite being a fairly straight forward model, it is favourable because it aids a clear description of the scenario, analysis of feelings, evaluation of the experience, analysis to make sense of the experience and conclusion for each point that will be reflected upon. This enables careful consideration on what I would do if the situation occurs again. Communicating in Difficult Circumstances and Relevance to Health Visiting: According to the Department of Health (2007) one of the key elements to health visiting practice is to deliver the healthy child programme (Department of health 2009). This outlines the role of the health visitor and this includes the need for the health visitor to reduce health inequalities and protect children at risk (Department of Health 2009). The distressing conversation for Poppy was aimed to protect the children from potential harm caused by cigarette smoke and also to protect the children from the harm of being left unattended in a smoky car. It was acknowledged that smoking cessation had been suggested to Poppy but denied with such ferocity that the idea was to put things in place to protect the children from being harmed as a result of her smoking. After all as professionals we have to remind ourselves that Poppy has a right to smoke if she chooses to. The safeguarding of the children is paramount and therefore despite it being a tricky issue to address, it was an issue wh ich was vital to work with in order to safeguard the children. It is important to recognise that delivering these messages set out in the healthy child programme (2009) are not always straight forward. The people at highest risk of poor health are often those who have a lesser understanding of the consequences of their actions on the health of themselves and their families. They are perhaps less likely to comprehend the information which is delivered to them and the fact that this information is often changing (Knai 2009). Good communication is therefore crucial. Communication is defined by Porche (2004 pp266) as The transfer of Information and the understanding of the information from one individual another. It is the process through which individuals share thoughts, ideas, facts, beliefs, values and traditions. The department of health (2012) recently published Developing the Culture of Compassionate Care, which highlights Communication as one of the 6 Cs (Care, Compassion, Competence, Communication, Courage, Commitment) required to maximise compassionate care. It acknowledges that good communication skills contributes to better listening which results in people receiving care feeling valued and therefore happier with the service they receive (Department of Health 2012). Focusing on communication in difficult situations is very relevant to Health visiting practice as there are frequent barriers which can effect delivering the public health messages. In this case the barrier was Poppys resistance as a loving Mother to acknowledge the risks which her actions may have on her children and the emotions this consequently provoked creating a difficult situation in which to communicate not just the public health messages but to support Poppy in de-escalation. Resistance to accept information and support from health visitors is an on-going issue (REF) so having the opportunity to critically reflect on the situation will support me to ensure better practice in futur Eye Contact Initially Poppy seemed calm and positive about the progress she had made with her children avoided eye contact. However when angry, Poppy maintained strong eye contact with me in particular. I was surprised at how intimidated I felt, not by the shouting and verbal abuse but by the intense way in which Poppy was looking at me. I glanced away and looked towards my community practice teacher. This move that for me seemed quick and subtle had a profound effect on Poppy and she demanded I look at her when she is talking to me and this was followed with a threat. As specialist community public health nurses it is important to recognise that communication goes way beyond the verbal conversations that we have with people. Nonverbal communication plays a very strong role in the impressions that we give to people therefore having an understanding of what happened with Poppy is key to furthering my communication skills and awareness in future. Non-verbal communication is profound. Eyes and eye contact are a major part of non-verbal communication and many messages are consequently sent and received by the eyes (Sieh and Brentin 1997). The person who is listening holds eye contact with the speaker in order to express that they are listening and taking on board what the speaker is saying. The speaker holds eye contact with the listener so that they will know that the conversation is being directed at them (Lerner 2002). It is a real challenge to define normal eye contact as it differs from person to person depending on personal preference and aspects such as culture. (REF something on culture). It is not possible to create a text book advising when to look and how long for (Rungapadiachy 1999). Therefore responses to eye contact are open to interpretation and could lead to confusion within communicative situations (Sieh and Brentin 1997). Eye contact can have a positive impact on people. A good level of eye contact from the listener can make the person speaking feel as if they are being listened to and listener is interested and focused (Rungapadiachy, 1999). Alternatively, any form of eye contact can cause some people to feel uncomfortable, self-conscious and threatened (Rungapadiachy, 1999). Minimal eye contact may indicate lack of interest (Sieh and Brentin 1997) but it is important to acknowledge that eye contact may be less prominent when engaging in difficult or intimate topics (Rungapadiachy, 1999). Knapp (1978, cited in Rungapadiachy, 1999, pp206) recognises that when a person is disapproving of something it can be displayed in aggressive and intimidating eye contact. Furthermore early signs of anger can be shown via intense and threatening eye contact (Neild-Anderson et al 1999). Poppy initially avoided eye contact. She may have felt self-conscious being surrounded by professionals and despite the discussion being originally very positive, the subject matter was also intimate and personal. Similarly possible that she was able to anticipate what was about to be said. As Health visitors the heart of what we do is safeguard children physically and emotionally. The information discussed was vital within our role but it was not easy for her to deliberate and acknowledge. The intimidating eye contact displayed could have been because she was feeling intimidated or she was not accepting of the information being given to her. Moreover, I broke the eye contact momentarily and this may have upset the foundation of the conversation. For Poppy this could very easily be construed as non-compliance to listen on my part (Kidwell 2006). If we feel that something is unacceptable then it is likely that our eye contact will decrease (Rungapadiachy 1999). I acknowledge that I looked away from Poppy whilst she was communicating with me. Consciously I feel this is because I felt intimidated. However perhaps subconsciously I was not accepting of what she was saying. I attempted to communicate to Poppy through non-verbal communication that I do care and I appreciate that the situation was not an easy one for her. This is much like the view of Chambers and Ryder (2012 p106) who acknowledge that many nurses have become very skilled at communicating messages and meaning without words. However in this case, either I was not portraying myself in the manner that I intended, or it went un noticed as a result of Poppys heightened state of anxiety and upset. At the time I did not consider that Poppy could have misinterpreted my eye contact for staring. Poppys behaviour was intimidating but this did not exempt her from feeling intimidated herself. It is possible she felt under attack as a result of the raised concerns and prolonged eye contact on my part could have been threatening (Duxbury, 2000).Moreover, averting my gaze suddenly, may also have signalled fear in me which could also have distracted Poppy from getting her point across (Manos and Braun 2006). Alternatively I acknowledge that eye contact is also natural process and the anger which Poppy displayed did frighten me thus triggering a fight or flight reaction (Manos and Braun 2006). I did not escape physically but there was a shift in my gaze in order to avoid a threatening glare and it could be argued that this does not assist good listening. Although it was not possible in this situation because of the room space, I understand the importance of positioning within a meeting. I was positioned directly opposite Poppy which meant that I was the centre of her vision and she of mine. This meant that where less intrusive peripheral eye contact may have worked better, I was holding what could have been construed intimidating contact (Duxbury, 2000). My Community Practice teacher fed back that my expressions and levels of eye contact were acceptable and skilled. She viewed the reaction as unavoidable because of Poppys nature and the topic of the conversation. I acknowledge that there were a number of factors which triggered Poppys anger and it is because I deem eye contact so important that I have prioritised it. It is very difficult to know whether it directly correlated with the escalation of her emotions and if it did which of the above discussions applied to her. However as a result I am more aware of different personalities and how communication methods can be interpreted and it is this which is so vital for future practice. Seih and Brentin (1997 p5) reinforce this by stating Being sensitive to your own eye contact patterns and the patterns of those with whom you communicate will help you be more perceptive of what is occurring in the communication process, Active Listening I was aware that Poppy needed support to deescalate. I was not confident addressing this myself despite having had years of experience deescalating distressed people who displayed challenging behaviour. This was different. There was pressure on me as Poppy had targeted me and I was feeling increasingly intimidated by what was happening. Whilst Poppy was shouting I nodded a few times so she would feel listened to. She made some unpleasant threats to my community practice teacher and me and was suggesting that there was no problem with leaving children unattended in a smoky car or in smoking with them on her lap. I was equally careful as I did not want to give the impression that I was condoning what was being said. When active listening was used Poppy did respond calmly on occasion. Verbal contributions which I made in response to Poppy included: Am I right in thinking that you feel that your privacy has not been respected? Are you saying you feel health visitors dont think you are a good mother? Active listening is central to good interpersonal skills (Wondrak 1998). Where listening may be deemed passive when a person is talking and another listening it is in fact very active. Active listening is defined by Arnold and Boggs (2007 pp201) as a dynamic, interactive process in which a nurse hears a clients message, decodes its meaning, and provides feedback to the client based on their understanding of what has been said. It is deemed an empathetic means of communication where the listener understands and shares the feelings of the person talking whilst recognising they are not their own feelings and opinions (Balzer-Riley 2008.) A significant advantage of active listening is that it prevents misunderstanding. By relaying back to the person what they say they are feeling it ensures that there is no guess work and thus confusion over what is being said (Balzer-Riley 2008). Active listening is therefore a useful tool in attempting to defuse situations involving conflict (Reznic et al 2012). It allows the individual to communicate and get a response when conversation is not appropriate. In these instances the use of active listening enables the person talking to feel like they are being engaged with but without bombarding them with information they are not in a position to receive (McBride and Maitland 2002). Actively listening gave me the opportunity to be proactive. I was embarrassed and threatened and felt that it was my fault that Poppy was upset (as a result of me diverting eye contact). I had a personal battle because on one hand I felt sad for Poppy as she was clearly distressed and I understand that she has a lot of difficulties in her life. On the other hand I was shocked that she said that she did not care about the issues in hand. It could be argued that she was being defensive because she felt uncomfortable in the situation; however the issued in hand were very real and reflected what she was saying. As theory suggests, active listening in this instance was useful. It enabled Poppy to feel that she was being listened to and perhaps even understood. Although Poppy appeared fraught, the fact that I was relaying to her what she had just told us seemed to gradually calm the situation. It was my hope that by actively listening we would eventually get to a point where Poppy was ready to talk and receive advice and information. I acknowledge this was perhaps naÃÆ' ¯ve but Poppy was empowered enough to make the decision to walk away to calm down. Despite the challenging situation there was no obvious misunderstanding to be resolved, more a serious issue which needed to be addressed. I would like to have been able to offer Poppy some space to calm down but this would not have fitted in with the core group. I was very conscious that there were a room full of people watching and that this would not have supported Poppy to deescalate. It was a relief that by actively listening to Poppy, my CPT was able to encourage her to make the decision. In contrast to the recommendation I made for future practice regarding eye contact, it is recommended that the listener sits squarely in front of the person talking and maintains good eye contact when engaging in active listening (Duxbury 2000). I would agree that this is the case when the conversation is calmer however I learnt that in this scenario this was not appropriate as I was sitting directly in front of Poppy. The verbal communication I contributed through the active listening process had a more positive impact than the way in which I was sitting. Linking in with the above reflection about eye contact, it is recommended to maintain good eye contact with the person talking if it is within their cultural boundaries (McBride and Mailtland 2002). Active listening will be a dynamic part of my communication methods in future and I aim to learn more about the effects of active listening on people who receive care. I would like to attend further training in this area as I now see it as a vital aspect of communication and I acknowledge that active listening skills can be improved. As an active listener, sensitivity is a key concept and I believe it is a method which could be particularly beneficial when communicating with women who are suffering with post natal depression. The concept of active listening is consistent however the ease in which we do it will vary from case to case as will the outcome. The situation described above was tense and it took self-discipline for all those involved not to engage in a conversation which could have caused the incident to worsen further and the non-verbal communication methods varied from what is recommended. In future I will be aware of adaptations which may be required rather than solely facing them at the time. Ultimately active listening will be valued as much as any other forms of communication. Leadership As previously established, communicating in difficult circumstances and communicating information which may be difficult for families to acknowledge is not unique in health visiting. As health visitors embrace new leadership challenges it is important to acknowledge the above reflection and consider how what has been learnt can be disseminated through teams. Throughout the SCPHN course communication skills such as active listening are taught and these skills are useful not only in communicating with families but also with teams. Building relationships and having the ability to communicate and negotiate successfully are key skills in leadership and being able to gage appropriate eye contact and active listening both come under the umbrella of communication (Adams 2010). Effective communication is a core competence in good leaders (Sobieraj 2012) and this is demonstrated in the NHS Leadership Framework (REF) which prioritizes communication as a key component. Recommendations for future Practice as a leader: Further training in non-verbal communication skills needs to be available to teams as this will benefit communication used with families and further professional relationships. Non-verbal communication skills should be discussed with all of the team regularly for example in team meeting s or supervision and used as a measure for understanding and success. Critical reflection on various scenarios should be carried out in order to further understanding in these areas and support the application of evidence based practice. Empower team members to communicate effectively and understand the importance of non-verbal communication strategies As a leader I will take what I have learnt with regards to this reflection and use the skills in communicating with both families and team members. When making recommendations be sure it doesnt start to sound like a shopping list balance this with the demands and pressures of the real world. Maybe find examples of where these suggestions have been put into practiceà ¢Ã¢â€š ¬Ã‚ ¦this helps to justify your recommendations etc. The above recommendations support the notion of leading with compassion. Offering team members with the compassion we want them to provide enables each individual to feel empowered to give effective and compassionate care of which non-verbal communication is so important (Sobieraj, 2012).

Monday, August 19, 2019

A Comparison of the Chemical Structures and Production Methods of Silk

A Comparison of the Chemical Structures and Production Methods of Silk and Artificial Silk Abstract Despite their seemingly similar exteriors, the chemical structures and production methods of natural silk and the artificial silks rayon and nylon are quite different. Silk yarn, extracted from the cocoon of the Bombyx mori moth, is made up of fibroin molecules with beta-pleated sheet secondary structures. The fibroin molecules consist of crystalline fibers constructed of regularly paralleled, unfolded polypeptide chains of polyglycylalanine mixed with an amorphous part. Although viscose rayon was originally called â€Å"artificial silk,† it is not a truly synthetic fiber, as it is made from wood pulp, a naturally-occurring, cellulose-based material. Nylon, however, is a synthetic fiber. It is a polyamide whose molecular chains are formed by regularly spaced –CONH– amide groups. Nylon 6-6, or poly(hexamethylneadipamide), is composed of two structural monomers (hexamethylendiamine (H2N(CH2)6NH2) and adipic acid (HOOC(CH2)4COOH), whereas Nylon 6, or poly(6-caprolactam), is composed of a single structural unit (either 6-aminocaproic acid (H2N(CH2)4COOH) or caprolactam). Ultimately, the different chemistries and production methods of these fibers give them certain advantages (such as viscose’s ability to combine with other fibers to create new fabrics easily) and disadvantages (such as nylon’s quickly weakening fibers or natural silk’s difficulty of production) over one another that make them more or less suitable for certain purposes. For this reason, when considering silk and artificial silk, it is illogical to pick one fiber that is superior to the others and to focus on the production of that specific fiber. A Compa... ...io State University Extension Fact Sheet: Textiles and Clothing. Retrieved July 25, 2008, from http://ohioline.osu.edu/hygfact/ 5000/5538.html Swicofil AG Textile Services. (n.d.). Viscose Rayon. Swicofil. Retrieved July 25, 2008, from http://www.swicofil.com/viscose.htmlc Trossarelli, L. (2003). The History of Nylon. Commissione Centrale Materiali e Tecniche. Retrieved July 25, 2008, from http://www.caimateriali.org/Eventi/Torino/historynylon.html The Viscose Company. (1937). The Story of Rayon (3rd ed.). New York Sales Office: 200 Madison Avenue: The Viscose Company. Wikipedia. (July 24, 2008). Silk. Retrieved July 28, 2008, from http://en.wikipedia.org/wiki/Silk Wikipedia. (July 28, 2008) Viscose. Retrieved July 26, 2008, from http://en.wikipedia.org/wiki/Viscose Woodhouse, T. F. (1929). Artificial Silk or Rayon (2nd ed.). Sir Isaac Pitman & Sons, Ltd.

What is outsourcing Essay -- Globalization essays, research papers

  Ã‚  Ã‚  Ã‚  Ã‚  What is Outsourcing? It is a method in which companies subcontract labor and support to outside agencies (Klepper, 1997). How, why, and who companies outsource to are quickly becoming social topics of discussion in our society. Everyone seems to have an opinion on outsourcing. I bet that I can walk into a social gathering right now and hear discussions like â€Å"outsourcing is good for the American consumer† or outsourcing takes jobs away from all of the hard working Americans.† In either case, outsourcing has raised great concerns over its effects on the American economy. In this paper, I will discuss the types of outsourcing, pros and cons associated with outsourcing, management views of outsourcing, employee views of outsourcing, and give my opinion of outsourcing. What does outsourcing do? It enables companies to focus on the mission at hand, to save money and be competitive. Depending on a Company’s needs determines the type of outsourcing that company may use (Embleton, 1998). Outsourcing is a very diverse market, and there are many different outsourcing options from. Two common types of outsourcing I will focus on are Information Technology (IT) outsourcing and Business Process Outsourcing (BPO) (Bowen, 1998). Through research, I found that Information Technology (IT) Outsourcing is a rapidly growing market. I.T. outsourcing enables companies to continue to manage their core business, while outside agencies manage their technology needs (Bowen, 1998). It’s a way of getting rid of those high paid, college graduated employees. I.T. outsourcing allows companies to use cost-cutting methods to cover computing needs, large mainframe and midrange data center, manage numerous networks and run desktops across the globe (Bowen, 1998). Advantages of outsourcing information technology include, but are not limited to, less capital expenditure, less management headache, and keeping focus on core competencies. Less capital expenditure means a company does not have to buy expensive hardware and software. Less management headache relieves companies of having to hire and manage accounting personnel. Keeping focus on core competencies affords companies’ time to strengthen and gain a competitive edge over the competition (DiRomualdo, 1998). Disadvantages of outsourcing information include less managerial control, may be more expensive, and Sec... ...Workers in developing nations will get new and higher-paying jobs, and consumers in the U.S. will be able to buy products that are cheaper than if they were made at home. But is this really good for our society. We will soon find out. References Bowen. T and LaMonica, M. (1998). IT gets picky with outsourcing. Infoworld 20(33), 1-3 De Rose, L. (2004). The Downside to Outsourcing. Electronic Buyers’ News. July 14, Issue 1066. DiRomualdo, A & Gurbaxani. (1998). Strategic intent for IT outsourcing. Sloan Management Review. 39(4), 115. Earl, M.J. (1996). The risks of outsourcing IT. Sloan Management Review. 37(3), 26-33. Embleton, P.R & Wright, P.C. (1998). A practical guide to successful outsourcing. Empowerment in Organizations. 6(3), 1-11 Hayes, R and Pisano, G. (1994). Beyond World-Class: The New Manufacturing Strategy. Harvard Business Review. 72(1). Klepper, R & Jones, W. (1997). Outsourcing information Technology, Systems and Services. Prentice Hall. Nicholas, J. (1998). Competitive Manufacturing Management (Singapore:McGraw-Hill). Chapter 19, Managing the Supply Chain, pg 672 Strassmann, P.A. (1995). Outsourcing: A Game for Losers. Computerworld. August 21.