Literature Review: Open Visitations in ICU Oksana Bjorlie Walden Univer

Literature Review: Open Visitations in ICU Studies have shown that open ICU visitation is an asset rather than a hindrance with respect to a patient’s wellbeing. Since the 1950s, visiting has changed from a strict nurse-controlled regime to a more flexible patient-centered approach (Taylor, 2008, p. 30). Family inclusion in patient care is evolving into a collaborative model between patient, family and healthcare providers. In response to this collaboration of patient and family-centered care (PFCC), this method has been encouraged in order to achieve the most beneficial outcomes for patients and their families. Open visitation in the ICU should be encouraged, not because of the pressure of growing social awareness, but because it can provide comprehensive responses to the needs of patients and their families. Many studies are being conducted on this subject garnering a great deal of support prompting the implementation of PFCC, which encourages open visitation in ICU. The following is a brief summary of research studies concerning the current state of knowledge related to the promotion and benefits of open visitation in the ICU. Literature Sources The main purpose of conducting a literature review is to obtain the most usable and reliable studies that pertain to the topic of the interest. High reliability and quality of evidence-based studies are provided by filtered sources. For my review I was able to find systematic reviews and individual articles. All of these reviews pertain to the dilemma of open visitation vs. restricted visitation in Intensive Care Units. With multiple views from different perspectives I was able to utilize the comparison and trials approaches. Also, to prepare for this project I was able to utilize unf... ...ithin the context of patient- and family- centered care. International Journal of Evidence Based Healthcare, 9: 362-387. doi:10.1111/j.1744-1609.2011.00229.x Clarke, C., Harrison, D. (2001). The needs of children visiting on adult ICU: a review of the literature and recommendations for practice. Journal of Advanced Nursing, 34(1), 61-68. Giannini, A. (2007). Open intensive care units: the case in favor. Minerva Anestesiologica, 73(5), 299-304. Hoye, S., Severinsson, E. (2007). Methodological aspects of rigor in qualitative nursing research on families involved in ICU: A literature review. Nursing and Health Sciences, 9, 61-68 doi:10.1111/j.14422018.2007.00300.x Taylor, A. (2008). Exploring patient, visitor and staff views on open visiting. Nursing Times, 104, 30-33.

Eleanor Roosevelt Essay example -- essays research papers fc

Eleanor Roosevelt was a honest person who had responsibility and compassion towards her husband , family and her fellow man, whatever their social status. She used great citizenship and initiative actions in dealing with anyone who was fortunate enough to make her acquaintance. Eleanor Roosevelt is an outspoken advocate of social justice. During the years she has taken over a lot of responsibility. For someone who spent thefirst third of her life as shy and timid, she showed great courage once she was thrust into the presidential â€Å"spotlight†. Most Americans considered her a true â€Å"American Hero†. â€Å"Ladies and gentlemen, members of the press, I now announce the presence of our first lady of the United States, Eleanor Roosevelt†, is something similar to what you would hear when being addressed at a press conference or important meetings. She was a well respected human being, achieving great duties and responsibility in life. She was appointed by President John F. Kennedy to be on the first peace corps advisory board. She was such an active lady while her husband was in office that she was no longer willing to stay quietly in the background of her husband. She took a job as an editor and advertising manager of a monthly publication â€Å" The Women’s Democratic News† where she became more independent towards herself and work. Eleanor Roosevelt became very involved in women issues, being that she also joined the newly organized Women’s division of the New York State Democratic party and moved swiftly into positions of leadership. Not only was she responsible among organizations and people, she later became her husband, Franklin D. Roosevelt’s eyes and ears, dedicating her life to his purposes, being a trusted and tireless reporter. One of the reasons she did become so helpful towards her husbands career was besides the fact that she was the first lady, Franklin D. Roosevelt was stricken with a disease called polio and caused him to be permanently crippled in August of 1921. She then became even more loyal to him and our country having to deal with people from different nations, organizations and positions. While the President struggled to regain the use of his legs, Eleanor Roosevelt and Louis Howe joined forces to keep his political and business contacts alive. She became a powerful voice for youth employment and civil right... ...u can remember how she showed great compassion to her work and life. How loyal she was to the people of our nation. What great responsibility’s she consummated and what respect she gave and received from and to so many. Works Cited Diller, Daniel C. & Robertson, Stephen .L â€Å" The Presidents, First Ladies and Vice Presidents. Library of Congress Cataloging-in-Publication Data 1959. Collier Encyclopedia: Copyright 1989 Cook, Blanche Wiesen : Eleanor Roosevelt: Volume One New York: Vikking 1992 Eleanor Roosevelt: This is My Story New York: Harper & Bros., 1937 On My Own New York: Harper & Bros., 1949 Http://personalweb.smcvt.edu/smahady/ercover.html Lash, Joseph P. : Eleanor and Franklin: The Story of Their Relationship Based on Eleanor Roosevelt’s Private Papers. New York: W.W. Norton, 1971 Lash, Joseph P. : Eleanor Roosevelt: A friend’s Memoir. Garden City, N.Y Lorena Hickok : Eleanor Roosevelt: Reluctan First Lady New York: Dodd, Mead 1962 WWW.whitehouse.gov/WH/glimpse/firstladies/html/ar32.html WWW.geocites.com/collegepark/library/4142/childhood.html Young’s , J. Williams T. : Eleanor Roosevelt: A Personal a Public Life Boston: Little, Brown, 1985

Concrete Operations Stage

Concrete operations are the third stage of Piagetian cognitive development, during which children develop logical but not abstract thinking (Papalia p. 351). The concrete operational stage begins around age seven and continues until approximately age eleven. During this time, children gain a better understanding of mental operations. Children begin thinking logically about concrete events, but have difficulty understanding abstract or hypothetical concepts. Piaget determined that children in the concrete operational stage were fairly good at the use of inductive logic. Inductive logic involves going from a specific experience to a general principle. On the other hand, children at this age have difficulty using deductive logic, which involves using a general principle to determine the outcome of a specific event. This stage is also characterized by a loss of egocentric thinking. Egocentrism is Piaget’s term for inability to consider another person’s point of view; a characteristic of young children’s thought (Papalia p. G-3). During this stage, the child has the ability to master most types of conservation experiments, and begins to understand reversibility. Conservation is the realization that quantity or amount does not change when nothing has been added or taken away from an object or a collection of objects, despite changes in form or spatial arrangement. The concrete operational stage is also characterized by the child’s ability to coordinate two dimensions of an object simultaneously, arrange structures in sequence, and transpose differences between items in a series. The child is capable of concrete problem-solving. Categorical labels such as â€Å"number† or â€Å"animal† are now available to the child. The first, and most discussed, of these limitations is egocentrism. The pre-operational child has a â€Å"'self-centred' view of the world† (Smith, Cowie and Blades, 2003, p. 399), meaning that she has difficulty understanding that other people may see things differently, and hence hold a differing point of view. Piaget's classic test for egocentrism is the three mountains task (Piaget and Inhelder, 1956), which concrete operational thinkers can complete successfully. A second limitation which is overcome in the concrete operational stage is the perceptual domination of one aspect of a situation. Before the stage begins, the child's perception of any situation or problem will be dominated by one aspect; this is best illustrated by the failure of pre-operational children to pass Piaget's conservation tasks (Piaget and Inhelder, 1974). Perhaps the most important limitation, yet the most difficult to describe and measure, is that of the turn to logical operators. A pre-operational child will use mostly simple, heuristic strategies in problem solving. Once a child reaches the concrete operational stage, they will be in possession of a completely new set of strategies, allowing problem solving using logical rules. This new ability manifests itself most clearly in children's justifications for their answers. Concrete operational thinkers will explicitly state their use of logical rules in problem solving (Harris and Butterworth, 2002). This area also indicates the way in which the concrete operational stage can be negatively defined; although children can now use logical strategies, these can only be applied to concrete, immediately present objects. Thinking has become logical, but is not yet abstract. These shifts in the child's thinking lead to a number of new abilities which are also major, positively defined characteristics of the concrete operational stage. The most frequently cited ability is conservation. Now that children are no longer perceptually dominated by one aspect of a situation, they can track changes much more easily and recognize that some properties of an object will persevere through change. Conservation is always gained in the same order, firstly with respect to number, followed secondly by weight, and thirdly by volume. A second new ability gained in the concrete operational stage is reversibility. This refers to the ability to mentally trace backwards, and is of enormous help to the child in both their problem solving and the knowledge they have of their own problem solving. For the former this is because they can see that in a conservation task, for example, the change made could be reversed to regain the original properties. With respect to knowledge of their own problem solving, they become able to retrace their mental steps, allowing an entirely new level of reflection. Concrete operational children also gain the ability to structure objects hierarchically, known as classification. This includes the notion of class inclusion, e. g. understanding an object being part of a subset included within a parent set, and is shown on Piaget's inclusion task, asking children to identify, out of a number of brown and white wooden beads, whether there were more brown beads or wooden beads (Piaget, 1965). Seriation is another new ability gained during this stage, and refers to the child's ability to order objects with respect to a common property. A simple example of this would be placing a number of sticks in order of height. An important new ability which develops from the interplay of both seriation and classification is that of numeration. Whilst pre-operational children are obviously capable of counting, it is only during the concrete operational stage that they become able to apply mathematical operators, thanks to their abilities to order things in terms of number (seriation) and to split numbers into sets and subsets (classification), enabling more complex multiplication, division and so on. Finally, and also following the development of seriation, is transitive inference. This is the name given to children's ability to compare two objects via an intermediate object. So for instance, one stick could be deemed to be longer than another by both being individually compared to another (third) stick. Concrete operational stage (Elementary and early adolescence). This stage (characterized by 7 types of conservation: number, length, liquid, mass, weight, area, volume), intelligence is demonstrated through logical and systematic manipulation of symbols related to concrete objects. Operational thinking develops (mental actions that are reversible). Egocentric thought diminishes.

Marvell vs Herrick

Youth comes around once in a lifetime and it’s not something you can save for later. â€Å"To His Coy Mistress† by Andrew Marvell and â€Å"To the Virgins, To Make Much of Time† by Robert Herrick portray the underlying theme of carpe diem or â€Å"seize the day,† enjoying life to the fullest. Both of these poems mainly try to pursue women who have grand beauty to realize the advantage of their good looks when young, before time takes a toll on their beauty.Both poets use their words to convince someone to act, in this case to savor youth, virginity and beauty; they are trying to convince young virgins to live life to the fullest potential. Marvell and Herrick poems share the same theme and central belief but have different audience and use different ways to express their ideas. Both poems use carpe diem as their major theme. Herrick's poem portrays carpe diem by citing the shortness of life and persuading young women to marry and enjoy life taking advantag e before death takes its turn.He says â€Å"gather ye rosebuds while ye may, old time is still a-flying†, which shows that the virgins in this case referred to as rosebuds are just beginning to live and don’t have any experience yet, but time flies and one ages fast by so it’s better to enjoy the good years while there is time (Herrick 1-2). Carpe diem is used from the beginning In Marvell’s poem, â€Å"Had we but world enough, and time this coyness, lady, were no crime† saying that even though he wants all the time in the world to spend with her, there isn't enough so she is committing a crime by making him wait for her virginity (Marvell 1-2).By stating to live life to its fullest potential he wants to persuade his mistress to a sexual relationship. â€Å"To The Virgins, to Make Much of Time† uses the meaning of carpe diem by encouraging young women to make use of their time by finding love while young and getting married before they get o ld and lose their beauty. Marvell and Herrick encourage young women to seize the day and don’t pass up chances since opportunities are hard to find. Marvell and Herrick’s poems share a central belief that young virgins should not wait to have sex because nobody knows what the future holds.Both poets want to idealize that tomorrow may never come, so it’s better to do it now and not wait because of coyness. They use death and getting old as the excuse to not lose time and make use of virginity when young. Marvell tries to lure a woman into sleeping with him by using time as a defense to experience pleasure now, he tells her that time is running out and â€Å"Now let us sports us while we may, and now, like amorous birds of prey† making use of their strength and youth to consummate their love (Marvell 37-38). He tries to convince the mistress that it is better to have sex now than to save her virginity for the future.Herrick recommends to all virgins to make use of the youth and to find love and enjoy life’s pleasures because old age is near. He emphasizes to not waste time as he feels women are their best at their prime, when they are young and untainted saying â€Å"then be no coy, but use your time, and, while ye may, go marry†(Herrick 13-14). The idea in both poems is to take advantage of being young and beautiful because times flies and people get old sooner than later. Marvell and Herrick dedicate the poems to a different audience. Marvell is writing specially to his mistress trying to woo her with promises of everlasting love.Herrick however, dedicates his poem to young virgins and wants to give them the idea of marriage while love and flesh is young to not have to suffer in the later years of life and not be lonely. In the beginning of To His Coy Mistress†, Marvell praises his woman writing how her modesty wouldn’t affect them if time was not an issue, but it is. He states she is a virgin because she is coy and later begins to diminish her ideals and beauty with aging and death saying â€Å"then worms shall try that long-preserved virginity, and your quaint honor turn to dust,† to state there is no reason for her to keep her virginity till the grave (Marvell 27-29) .Everything in Marvell’s poem is about his wishes to enjoy sexual pleasure with this woman and does everything in his power to scare her of dying without having sex first. Herrick’s poem is about the urgency and duty for the virgins to go forth and marry while young and beautiful before everything is loss with time and old age, warning them of the sufferings that come if they fail to listen to his advice. Marvell and Herrick use different ways to express their ideas on the poems.In â€Å"To the Virgins, To Make Much of Time,† Herrick uses a rather short poem to make his point short and simple versus the long and descriptive â€Å"To His Coy Mistress† by Marvell. Herrick focuses in an optimistic look to take advantage of youth and has basic and warmth imagery to state that beauty fades over the years and the effects of wasting time. On the other hand, Marvell’s poem is more detailed, beautiful and at the same time dark to suggest the mistress she shouldn't waste her youth and virginity while she is at the prime of her life.He uses ugly and realistic ideas to snap the mistress out the notion of eternal love to finally lure her to make love with him and make time the last thing on their minds. Marvell is more in-depth and emotional while Herrick is calm and regretful. Both poems compare to each other by using the underlying theme of carpe diem, making the most of each moment before old age and beauty disappears. Marvell is very emotional and persuasive while Herrick is less personal giving useful advice to young people. To His Coy Mistress† is an expression of Marvell ‘s most deeply rooted impulses, how he feels about the ideas the lady has abou t losing her virginity, and the fact he wants to spend time loving her and adoring her in bed. â€Å"To The Virgins, to Make Much of Time† is a poem about the wishes of Herrick for the youth to realize that now it’s their time and to not waste any amount because of coyness, addressing his thoughts to the young generation to have a fulfilled life, to not be shy of trying new things as those who are not afraid are the ones who will enjoy the most.Works Cited Marvell, Andrew. â€Å"To his coy mistress. † The Seagull Reader Poems. Ed. Joseph Kelley. W. W. Norton & Company, Inc. , 2008. 220-222. Print. Herrick, Robert. â€Å"To the Virgins, to Make Much of Time. † The Seagull Reader Poems. Ed. Joseph Kelley. W. W. Norton & Company, Inc. , 2008. 159-160. Print.

Psychology and Religion Essay Example | Topics and Well Written Essays - 1750 words

Psychology and Religion - Essay Example The limited death I am sensing could be opened up by the psychologists for me to understand the current position but I have already decided that this is not bad news but just an interim challenge which could hold me up for a better or a worse day. It is my intention to make this a better day not just for me but also the kids that have been given to me and society which I want to serve. A good way for me to begin this unraveling of my thoughts through the following pages is to begin with an anecdote involving two of the esteemed psychologists who have impacted the class. As an emerging psychologist Gordon Allport was desperate to meet with Sigmund Freud. When Allport arrived for the all-important meeting which has been pre arranged, Freud was seated and remained quietly seated for Gordon to begin. Having grown impatient after some time Gordon blurted out an event, which had occurred on the way. Apparently a little boy had been very upset as he was seated next to a very dirty old man. Gordon remarked that it possibly was something the little boy had learnt from his mother, who on another seat remained stoic, the picture of neatness and domination. Without considering this a passing observation, Freud understood as a deep thought process consciously or unconsciously working within Gordon, and remarked â€Å"And was that little boy you?† (Boeree) If that boy on the bus were a girl it would have been me. I felt that very restriction deep within me. It was not prohibitive when I was growing up. However when I faced with the situations of life where I felt I did not have any options, I certainly felt like a good girl seated next to dirty man, with a mother looming over. As a good catholic I believed in the seven sacraments and adhered to them as religiously as possible. My morality was also pile driven into the catholic belief of seven deadly sins in

Cyber -Attacks on America Essay Example | Topics and Well Written Essays - 2500 words

Cyber -Attacks on America - Essay Example These include voice communication systems, financial institutions and federal agencies among others. Whereas physical attacks would be carried out by hostile foreign nations and terrorists, cyber-attacks could be executed by a wide array of enemies including organized protest groups, terrorists, foreign states and even teenagers. Additionally, Lee (2013) observes the incapacity to protect all computer networks or cell phones or pagers from attack, especially now that 95% of these gadgets are operated and owned by the private sector. Therefore, America is increasingly vulnerable to cyber-attacks which grow by breadth and complexity, indicating the need for the country to continuously adopt and re-engineer its protection approaches that would uphold its cybersecurity. Cyber-attack refers to an attack originated from a computer system against another computer system or a website, aimed at altering, stealing or erasing information or have the functionality of the targeted computer system impeded or destroyed (Lee, 2013). A report on cybercrime documented recently by Hewlett-Packard indicates that the number of cyber-attacks have risen by 42% as compared to the year 2012 (Lau & Xia, 2013). Organizations get successfully attacked 102 times weekly with the annualized cost as a result of these cyber-attacks rising to $8.9 million per organization. Furthermore, it was indicated that security breaches by an organization could cost it up to 1% of its market value. Citing the examples of recent attacks on HSBC, the New York Stock Exchange and major commercial banks such as Citi Bank and Bank of America, PricewaterhouseCoopers, PWC (2013) appreciates cyber-attacks as a serious problem in America that needs critical intervention. Types of Cyber Attacks Cyber-attacks could occur in different ways. First, it could occur in form of exploits. As explained by Vatis (2002), this form of attack involves a sequence of commands, chunk of data or piece of software which takes advantag e of software bug to cause unanticipated or unintended reaction by the computer hardware, software or any piece of electronic. It normally includes denial of service, allowing privilege escalation or gaining control of the system. Secondly, the attack could take the form of eavesdropping where the attacker surreptitiously listens to private conversation. This could be done through the monitoring of faint electronic magnetic transmissions which get generated by the hardware. Moreover, attackers have penetrated even the most secure computer systems leveraging on the carelessness of authorized individuals or through deliberate deceit of such individuals. Lee (2013) refers to this as social engineering. Denial of service attacks are a unique approach to cyber-attacks. They are not used to control a system or gain unauthorized access, but rather render the system unusable. This could include multiple deliberate entry of a wrong password to lock the user or overloading the capability of a system or network so as to block it. Finally, direct access to a computer system could lead to the installation of devices that could compromise security, including modification of operating systems. It could also include downloading crucial information from the system (Brenner, 2010). Using this knowledge, cyber attackers have adopted varied approaches to executing

Difference between Leaders and Managers Assignment - 13

Difference between Leaders and Managers - Assignment Example Following these theories in leadership, leaders should depict voluntary action; this is the difference between leaders and managers. Leaders in the article are acting like managers, whose role is to control the employees. They fail in their roles as they are supposed to listen to their needs and look for a way forward to create an admirable working environment. The success of leaders has a different interpretation, as it is governed by many variables; this includes the leadership styles, aspects of the situation, and quality of followers (Bertocci 22). This means that they have to create a basis to enhance their relationship with employees. Â  In the recent business world, there is a need for an integrated education system, which will produce effective people in the job market. This is the main objective Ohio States studies. Through this kind of initiatives, business leaders in China will be in a position to relate professionally with both customers and employees, which is the most prominent object in any organization. With this, industries will eliminate strikes enhance increase their productivity (Bertocci 45).