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Own Situations (own + situation)
Selected AbstractsClients' experiences of living at home with a mechanical ventilatorJOURNAL OF ADVANCED NURSING, Issue 2 2009Randi Ballangrud Abstract Title.,Clients' experiences of living at home with a mechanical ventilator. Aim., This paper reports on a study of how clients experience living with home mechanical ventilation and how they experience care and supervision of healthcare personnel. Background., The number of people living at home with mechanical ventilators is increasing, and this is considered a successful approach to reducing incapacity and mortality. Method., Qualitative interviews were conducted with 10 service users in 2006. The informants were 18,75 years old and had varying diagnoses and levels of functioning. The interviews were tape recorded, transcribed and analysed by qualitative content analysis. Findings., Two main themes emerged: Theme 1. Having a home ventilator enhances quality of life , a life worth living. The ventilator treatment builds up strength and improves well-being. Participants emphasized that it was important to feel in control of their own situation and had an overriding wish to live a normal and active life; Theme 2. Competence and continuity of healthcare personnel are factors for success. The experience was that competence and follow-up by healthcare personnel varied, and that good quality teaching and information were important. Conclusion., Users of home mechanical ventilators should be active partners in their own care so that their experience is taken into account. It is important for clients having home mechanical ventilation to be empowered and have control in their daily lives, as well as having competent caregivers and continuity of care. [source] MARGOLIS ON HISTORY AND NATUREMETAPHILOSOPHY, Issue 5 2005Dale Jacquette Abstract: In his philosophy of culture, Joseph Margolis maintains that, although human beings and human societies have a history, there is no human nature in the sense of a fixed essence. I consider objections to Margolis's thesis, beginning with the possibility that nonhuman intelligent species might be in a position to study human behavior from its origins to its demise with the proper distance from our own situation in order to arrive at an understanding of what is essential to human nature, perhaps as a Kantian regulative rather than constitutive principle, and involving abstractions from particular cases and idealizations, as in other branches of science. Finally, I examine the historical-past orientation of Margolis's concept of humanity's self-understanding and its dependence on the intentionality of human thought, and I conclude that it provides an inadequate reason for denying that there can be such a thing as human nature. [source] Clinical decision-making in the context of chronic illnessHEALTH EXPECTATIONS, Issue 1 2000Susan Watt DSW CSW This paper develops a framework to compare clinical decision making in relation to chronic and acute medical conditions. Much of the literature on patient-physician decision making has focused on acute and often life-threatening medical situations in which the patient is highly dependent upon the expertise of the physician in providing the therapeutic options. Decision making is often constrained and driven by the overwhelming impact of the acute medical problem on all aspects of the individual's life. With chronic conditions, patients are increasingly knowledgeable, not only about their medical conditions, but also about traditional, complementary, and alternative therapeutic options. They must make multiple and repetitive decisions, with variable outcomes, about how they will live with their chronic condition. Consequently, they often know more than attending treatment personnel about their own situations, including symptoms, responses to previous treatment, and lifestyle preferences. This paper compares the nature of the illness, the characteristics of the decisions themselves, the role of the patient, the decision-making relationship, and the decision-making environment in acute and chronic illnesses. The author argues for a different understanding of the decision-making relationships and processes characteristic in chronic conditions that take into account the role of trade-offs between medical regimens and lifestyle choices in shaping both the process and outcomes of clinical decision-making. The paper addresses the concerns of a range of professional providers and consumers. [source] Faculty-development activity to promote effective communication between instructors and studentsTHE CLINICAL TEACHER, Issue 2 2010Netta Notzer Summary Background:, Educators claim that conflicts and teacher,student miscommunications interfere in achieving optimal learning outcomes. Context:, Conflicts arise when clinical instructors communicate in a patronising fashion, expressing values that are not those of their medical students. This paper presents our approach of coping with such conflicts. It is based on the notion that language is comprised of developmental levels. The objective is to switch the instructor's lower level of language from an uncontrolled reaction to a high level of efficient communication. Innovation:, During our faculty-development workshops, we piloted sessions consisting of vignettes depicting instructor,student conflicts. The workshop participants were asked to react and discuss questions on their feelings in similar conflicts, and their immediate speech reaction to students. The workshop's facilitator pointed out that there was no one right solution. She singled out the reaction that takes into account the student's personality, avoiding imposing solutions. The feedback on these sessions was very favourable, indicating a high level of satisfaction. Implications:, The positive feedback is very encouraging. We believe that our workshops amplify the desired effective instructor,student communication, and suggest that the success of this intervention is partly achieved by selecting problematic issues of communication, and adjusting them to the current needs of our faculty members. In order to reproduce our approach, we suggest that other institutions should define their own values and communication code. We recommend them to use the same technique of intervention among a small group in an empowering atmosphere of discussion, using their own situations. [source] Now let's really reform governanceBOARD LEADERSHIP: POLICY GOVERNANCE IN ACTION, Issue 77 2005John Carver Corporate governance reform has become a growth industry around the world. In most countries, new expectations about transparency, conflicts of interest, and composition have taken the voluntary form of "conform or explain." In the United States, reforms came in the more authoritative form of legislation the Sarbanes-Oxley Act of 2002 (SOX), sponsored by Senator Paul S. Sarbanes and Congressman Michael G. Oxley. The law was passed in response to various recent corporate debacles. It is not the first such reform, nor will it be the last, although due to its legal force it is the most conspicuous in recent history. Although SOX applies to listed companies, many boards of nonprofit organizations and units of local government mistakenly thinking SOX is the last word in good governance have tried to apply its provisions to their own situations voluntarily. In fact, SOX does improve many widespread corporate practices, but it is not a complete gover nance system and in fact does nothing to address the nature of corporate governance itself. In other words, SOX, along with less legalistic reforms around the world, provides some useful patches for the primitive state of corporate governance but leaves it only in a newly patched condition. The following article originally appeared in Directors Monthly. [source] | ||||||||||